2011-08-15T15:40:14-05:00 2010-12-31 EISNERAMPER LLP 750 ROUTE 202 SOUTH SUITE 500 BRIDGEWATER NJ 08807 990 2010-01-01 367364496 AVAYA INC REPRESENTED EMPLOYEES' POSTRETIREMENT HEALTH BENEFITS TRUST AVAY 9089533774 211 MOUNT AIRY ROAD BASKING RIDGE NJ 079202311 MATTHEW BOOHER 9089533774 2011-08-15 1 DOUGLAS D TAPP CPA MST 9082185002 2010 2016-02-24 21:20:13Z MATTHEW BOOHER 211 MOUNT AIRY ROAD BASKING RIDGE NJ 079202311 59227698 0 X NOT APPLICABLE X 2001 NJ TO PROVIDE FUNDING FOR THE PAYMENT OF POST-RETIREMENT BENEFITS TO RETIRED EMPLOYEES OF AVAYA, INC. 3 3 0 0 0 0 0 0 11750000 52008611 631890 2905514 0 0 12381890 54914125 0 0 11334643 45270209 3775 18860 0 0 0 637958 2478565 11976376 47767634 405514 7146491 72131194 84197909 0 970049 72131194 83227860 TO PROVIDE FUNDING FOR THE PAYMENT OF POST-RETIREMENT BENEFITS TO RETIRED EMPLOYEES OF AVAYA, INC. 0 0 45270209 THE TRUST PROVIDES FUNDING FOR THE PAYMENT OF POST-RETIREMENT BENEFITS TO ELIGIBLE RETIRED EMPLOYEES OF AVAYA, INC. 45270209 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 X BOB ABBOTT 9089533774 211 MOUNT AIRY ROAD BASKING RIDGE NJ 079202311 BNY MELLON 1.00 X 18860 0 0 18860 0 0 0 0 0 0 AETNA 151 FARMINGTON AVE HARTFORD CT 06156 CLAIMS ADMINISTRATION 1170959 METLIFE 501 US HIGHWAY 22 BRIDGEWATER NJ 08807 CLAIMS ADMINISTRATION & INVESTMENT MANAG 255964 SHPS 11405 BLUEGRASS PARKWAY LOUISVILLE KY 40299 CLAIMS ADMINISTRATION 209560 3 SPONSOR CONTRIBUTIONS 900099 51939106 51939106 PARTCIPANT CONTRIBUTIO 900099 69505 69505 52008611 2053635 2053635 5165452 4313573 851879 851879 851879 54914125 52008611 0 2905514 45270209 18860 2078252 25250 156405 19369 IBNR RESERVE 199289 47767634 3348133 72131194 80849776 72131194 84197909 970049 0 970049 X 0 0 0 0 72131194 83227860 72131194 83227860 72131194 84197909 X 7146491 3950175 X 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE 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 11 A MEMBER OF THE PENSION AND BENEFIT INVESTMENT COMMITTEE OF AVAYA INC. REVIEWS THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC FORM 990, PART VII BNY MELLON - 135 SANTILLI HIGHWAY, EVERETT, MA 02149-1950. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 3,950,175. AVAYA INC 211 MT AIRY ROAD BASKING RIDGE NJ 07920 223713430 TELECOMMUNICATIONS DE C 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0