STRATEGY STUDIO / PUBLIC DATA EXPLORER

AVAYA REPRESENTED EMPLOYEES POSTRETIREMENT HEALTH BENEFITS TR: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
AVAYA REPRESENTED EMPLOYEES POSTRETIREMENT HEALTH BENEFITS TR (EIN 36-7364496)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-15
IRS object ID
201122299349300907
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-15T15:40:14-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EISNERAMPER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1750 ROUTE 202 SOUTH SUITE 500AddressLine1
CityBRIDGEWATERCity
StateNJState
ZIP Code08807ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN367364496EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AVAYA INC REPRESENTED EMPLOYEES'BusinessNameLine1
Business Name Line2POSTRETIREMENT HEALTH BENEFITS TRUSTBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlAVAYNameControl
Phone9089533774Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 MOUNT AIRY ROADAddressLine1
CityBASKING RIDGECity
StateNJState
ZIP Code079202311ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMATTHEW BOOHERName
TitleTRUSTEETitle
Phone9089533774Phone
Date Signed2011-08-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDOUGLAS D TAPP CPA MSTName
Phone9082185002Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMATTHEW BOOHERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1211 MOUNT AIRY ROADAddressLine1
CityBASKING RIDGECity
StateNJState
ZIP Code079202311ZIPCode
FieldValueIRS element (for citing)
Gross Receipts59227698GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteNOT APPLICABLEWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation2001YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE FUNDING FOR THE PAYMENT OF POST-RETIREMENT BENEFITS TO RETIRED EMPLOYEES OF AVAYA, INC.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11750000ProgramServiceRevenuePriorYear
Program Service Revenue CY52008611ProgramServiceRevenueCY
Investment Income Prior Year631890InvestmentIncomePriorYear
Investment Income Current Year2905514InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year12381890TotalRevenuePriorYear
Total Revenue Current Year54914125TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year11334643BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY45270209BenefitsPaidToMembersCY
Salaries Etc Prior Year3775SalariesEtcPriorYear
Salaries Etc Current Year18860SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year637958OtherExpensePriorYear
Other Expenses Current Year2478565OtherExpensesCurrentYear
Total Expenses Prior Year11976376TotalExpensesPriorYear
Total Expenses Current Year47767634TotalExpensesCurrentYear
Revenues Less Expenses Prior Year405514RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7146491RevenuesLessExpensesCY
Total Assets BOY72131194TotalAssetsBOY
Total Assets EOY84197909TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY970049TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY72131194NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY83227860NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE FUNDING FOR THE PAYMENT OF POST-RETIREMENT BENEFITS TO RETIRED EMPLOYEES OF AVAYA, INC.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense45270209Expense
DescriptionTHE TRUST PROVIDES FUNDING FOR THE PAYMENT OF POST-RETIREMENT BENEFITS TO ELIGIBLE RETIRED EMPLOYEES OF AVAYA, INC.Description
Total Program Service Expense45270209TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address1OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BOB ABBOTTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9089533774TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1211 MOUNT AIRY ROADAddressLine1
CityBASKING RIDGECity
StateNJState
ZIP Code079202311ZIPCode

Form990 Part VII Section A Form990PartVIISectionA

FieldValueIRS element (for citing)
Name PersonBNY MELLONNamePerson
TitleTRUSTEETitle
Average Hours Per Week1.00AverageHoursPerWeek
Institutional TrusteeXInstitutionalTrustee
Reportable Comp From Organization18860ReportableCompFromOrganization
Reportable Comp From Related Orgs0ReportableCompFromRelatedOrgs
Other Compensation0OtherCompensation
FieldValueIRS element (for citing)
Total Reportable Comp From Org18860TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AETNA
151 FARMINGTON AVEHARTFORDCT06156CLAIMS ADMINISTRATION1170959
METLIFE
501 US HIGHWAY 22BRIDGEWATERNJ08807CLAIMS ADMINISTRATION & INVESTMENT MANAG255964
SHPS
11405 BLUEGRASS PARKWAYLOUISVILLEKY40299CLAIMS ADMINISTRATION209560
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SPONSOR CONTRIBUTIONS9000995193910651939106
PARTCIPANT CONTRIBUTIO9000996950569505
FieldValueIRS element (for citing)
Total Program Service Revenue52008611TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2053635TotalRevenueColumn
Exclusion$2,053,635ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5165452Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4313573Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities851879Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column851879TotalRevenueColumn
Exclusion$851,879ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column54914125TotalRevenueColumn
Related Or Exempt Function Income52008611RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,905,514ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total45270209Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total18860Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2078252Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25250Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total156405Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19369Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionIBNR RESERVEDescription
Total199289Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total47767634Total

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY3348133EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY72131194BOY
EOY80849776EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY72131194BOY
EOY84197909EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
EOY970049EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY970049EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY72131194BOY
EOY83227860EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY72131194BOY
EOY83227860EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY72131194BOY
EOY84197909EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses7146491ReconcilationRevenueExpenses
Reconcilation Other Changes3950175ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3THE TRUST OPERATES FOR THE EXCLUSIVE PURPOSE OF FUNDING HEALTH BENEFIT PAYMENTS SPONSORED BY AVAYA INC. THE TRUST DOES NOT OPERATE INDEPENDENTLY WITH RESPECT TO CONDUCTING BUSINESS AND, AS SUCH, DOES NOT HOLD BOARD MEETINGS. ALL ADMINISTRATIVE ACTIVITIES INVOLVED WITH RESPECT TO THE TRUST ARE FACILITATED BY THE PENSION AND BENEFIT INVESTMENT COMMITTEE OF AVAYA INC.
FORM 990, PART VI, SECTION B, LINE 11A MEMBER OF THE PENSION AND BENEFIT INVESTMENT COMMITTEE OF AVAYA INC. REVIEWS THE FORM 990 PRIOR TO FILING.
NO DOCUMENTS AVAILABLE TO THE PUBLIC.FORM 990, PART VI, SECTION C, LINE 19
CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETCBNY MELLON - 135 SANTILLI HIGHWAY, EVERETT, MA 02149-1950.FORM 990, PART VII
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 3,950,175.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1AVAYA INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1211 MT AIRY ROADAddressLine1
CityBASKING RIDGECity
StateNJState
ZIP Code07920ZIPCode
FieldValueIRS element (for citing)
EIN223713430EIN
Primary ActivityTELECOMMUNICATIONSPrimaryActivity
Legal Domicile StateDELegalDomicileState
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg