2011-11-15T17:21:39-06:00 2010-12-31 MOSS ADAMS LLP 805 SW BROADWAY 1200 PORTLAND OR 97205 990 2010-01-01 930886584 DAIMLER TRUCKS NA LLC EMPLOYEE BENEFIT SUPPLEMENTAL TRUST DAIM 5037456179 2701 NW VAUGHN ST NO 900 PORTLAND OR 97210 MICHAEL KURUC 5037456179 2011-11-09 1 WENDY CAMPOS 5032421447 2010 2016-03-07 17:11:31Z MICHAEL KURUC 2701 NW VAUGHN ST NO 900 PORTLAND OR 97210 1518132 0 X N/A X 1981 OR VEBA TRUST FOR THE PAYMENT OF BENEFITS FOR MEMBERS. 9 9 0 9 36594 15377 0 0 276008 1480780 164929 37352 0 0 440937 1518132 0 0 7588044 9619476 0 0 0 0 0 2058501 895663 9646545 10515139 -9205608 -8997007 28916117 19925331 194151 200372 28721966 19724959 VEBA TRUST FOR THE PAYMENT OF BENEFITS FOR MEMBERS. 0 0 PROVIDE MEDICAL BENEFITS FOR RETIREES. 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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 1 1 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X DAVID SWAINSON 5037456179 2701 NW VAUGHN ST SUITE 900 PORTLAND OR 97210 X JUERGEN KRITSCHGAU 0.50 X X 0 0 0 PAUL HURD 0.50 X 0 0 0 ROGER NIELSEN 0.50 X 0 0 0 JOHN O'LEARY 0.50 X 0 0 0 JAMES PICKENS 0.50 X 0 0 0 KELLEY PLATT 0.50 X 0 0 0 BOB ROBERTSON 0.50 X 0 0 0 DAVID SWAINSON 0.50 X 0 0 0 CHARLIE WAIBEL 0.50 X 0 0 0 0 0 0 0 0 0 0 KAISER PERMANENTE 1 KAISER PLZ OAKLAND CA 94612 CONTRACT ADMINISTRATOR 662626 BLUE CROSS BLUE SHIELD 600 E LAFAYETTE BLVD DETROIT MI 48226 CONTRACT ADMINISTRATOR 505379 2 CONTRIBUTIONS 525100 1470853 1470853 RECOVERY OF BENEFITS 525100 9927 9927 1480780 36107 39594 -3487 1245 1245 1245 -3000 4245 1518132 1480780 36594 758 9619476 26252 930645 UNRELATED BUSINESS TAX 110000 STATE INCOME TAX 72000 INCOME TAX BENEFIT -243234 10515139 28411899 19422428 1464 504218 501439 28916117 19925331 6054 13790 188097 186582 194151 200372 X 28721966 19724959 0 0 0 0 28721966 19724959 28916117 19925331 -8997007 0 X 0 1 1 X 0 0 186582 186582 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE PLAN IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINTED UNDER IRC SECTIONS 511 THROUGH 515. THE PLAN EVALUATES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC 450-10-05 -ACCOUNTING FOR CONTINGENCIES, WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND ESTIMABLE. AS OF DECEMBER 31, 2010 AND 2009, THE PLAN HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. FORM 990, PART VI, SECTION A, LINE 2 JUERGEN KRITSCHGAU IS RELATED TO ALL OTHER MEMBERS OF THE INVESTMENT COMMITTEE THROUGH A BUSINESS RELATIONSHIP. ALL INVESTMENT COMMITTEE MEMBERS ARE EMPLOYED BY DAIMLER TRUCKS NORTH AMERICA, THE SPONSOR OF THE BENEFIT PLAN AND TRUST. PAUL HURD IS RELATED TO ALL OTHER MEMBERS OF THE INVESTMENT COMMITTEE THROUGH A BUSINESS RELATIONSHIP. ALL INVESTMENT COMMITTEE MEMBERS ARE EMPLOYED BY DAIMLER TRUCKS NORTH AMERICA, THE SPONSOR OF THE BENEFIT PLAN AND TRUST. ROGER NIELSEN IS RELATED TO ALL OTHER MEMBERS OF THE INVESTMENT COMMITTEE THROUGH A BUSINESS RELATIONSHIP. ALL INVESTMENT COMMITTEE MEMBERS ARE EMPLOYED BY DAIMLER TRUCKS NORTH AMERICA, THE SPONSOR OF THE BENEFIT PLAN AND TRUST. JOHN O'LEARY IS RELATED TO ALL OTHER MEMBERS OF THE INVESTMENT COMMITTEE THROUGH A BUSINESS RELATIONSHIP. ALL INVESTMENT COMMITTEE MEMBERS ARE EMPLOYED BY DAIMLER TRUCKS NORTH AMERICA, THE SPONSOR OF THE BENEFIT PLAN AND TRUST. JAMES PICKENS IS RELATED TO ALL OTHER MEMBERS OF THE INVESTMENT COMMITTEE THROUGH A BUSINESS RELATIONSHIP. ALL INVESTMENT COMMITTEE MEMBERS ARE EMPLOYED BY DAIMLER TRUCKS NORTH AMERICA, THE SPONSOR OF THE BENEFIT PLAN AND TRUST. KELLEY PLATT IS RELATED TO ALL OTHER MEMBERS OF THE INVESTMENT COMMITTEE THROUGH A BUSINESS RELATIONSHIP. ALL INVESTMENT COMMITTEE MEMBERS ARE EMPLOYED BY DAIMLER TRUCKS NORTH AMERICA, THE SPONSOR OF THE BENEFIT PLAN AND TRUST. BOB ROBERTSON IS RELATED TO ALL OTHER MEMBERS OF THE INVESTMENT COMMITTEE THROUGH A BUSINESS RELATIONSHIP. ALL INVESTMENT COMMITTEE MEMBERS ARE EMPLOYED BY DAIMLER TRUCKS NORTH AMERICA, THE SPONSOR OF THE BENEFIT PLAN AND TRUST. DAVID SWAINSON IS RELATED TO ALL OTHER MEMBERS OF THE INVESTMENT COMMITTEE THROUGH A BUSINESS RELATIONSHIP. ALL INVESTMENT COMMITTEE MEMBERS ARE EMPLOYED BY DAIMLER TRUCKS NORTH AMERICA, THE SPONSOR OF THE BENEFIT PLAN AND TRUST. CHARLIE WAIBEL IS RELATED TO ALL OTHER MEMBERS OF THE INVESTMENT COMMITTEE THROUGH A BUSINESS RELATIONSHIP. ALL INVESTMENT COMMITTEE MEMBERS ARE EMPLOYED BY DAIMLER TRUCKS NORTH AMERICA, THE SPONSOR OF THE BENEFIT PLAN AND TRUST. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CORPORATE TAX DIRECTOR AND PLAN ADMINISTRATOR PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 15A, LINE 15B: THE ORGANIZATION DOES NOT COMPENSATE INTERESTED PERSONS. THEREFORE, THE ORGANIZATION DOES NOT HAVE A PROCESS IN PLACE FOR DETERMINING AND REVIEWING COMPENSATION. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION RELIES ON THE SARBANES-OXLEY ACT, INTERNAL CONTROLS, AND OUTSIDE AUDITS TO ENSURE THAT THE CONFLICT OF INTEREST POLICY IS ENFORCED. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS ARE MADE AVAILABLE TO PARTICIPANTS UPON REQUEST. DTNA EMPLOYEE BENEFIT BASIC TRUST 2701 NW VAUGHN ST SUITE 900 PORTLAND OR 97210 943067499 VEBA TRUST FOR THE PAYMENT OF BENEFITS FOR MEMBERS. OR 501 (C) (9) DAIMLER TRUCKS NORTH AMERICA 0 DTNA UNION EMPLOYEE BENEFIT BASIC TRUST 2701 NW VAUGHN ST SUITE 900 PORTLAND OR 97210 931092580 VEBA TRUST FOR THE PAYMENT OF BENEFITS FOR MEMBERS. OR 501 (C) (9) DAIMLER TRUCKS NORTH AMERICA 0 DTNA UNION EMPLOYEE BENEFIT SUPPLEMENTAL TRUST 2701 NW VAUGHN ST SUITE 900 PORTLAND OR 97210 931092582 VEBA TRUST FOR THE PAYMENT OF BENEFITS FOR MEMBERS. 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