2016-11-15T12:49:59-06:00 2015-12-31 381357951 PLANTE & MORAN PLLC 2601 CAMBRIDGE CT SUITE 500 AUBURN HILLS MI 48326 990 2015-01-01 456488442 UAW RETIREES OF MACK TRUCKS HEALTH BENEFIT FUND UAWR 2488139800 700 TOWER DRIVE SUITE 300 TROY MI 48098 GARY PETRONI CHAIRPERSON 2488139800 2016-11-14 1 LYNNE M HUISMANN P00053811 2483757100 2015 2017-02-10 21:41:12Z 16435980 0 X N/A X 2011 MI THE TRUST WAS ESTABLISHED AND IS CONTINUED FOR THE PURPOSE OF PROVIDING HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPEDENTS. 7 7 0 2 0 0 0 0 5080168 4949274 9704813 11486706 0 0 14784981 16435980 0 0 26132384 25533186 95250 132500 0 0 0 2113521 1816487 28341155 27482173 -13556174 -11046193 585617323 552365266 2747717 233630 582869606 552131636 TO HELP FUND CERTAIN BENEFITS PROVIDED TO CERTAIN MACK RETIREES AND OTHER ELIGIBLE INDIVIDUALS. 0 0 PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 1 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 0 1 0 0 1 10 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 1 0 X HEATHER CARMAN 2488139800 700 TOWER DRIVE SUITE 300 TROY MI 48098 GARY PETRONI CHAIRPERSON 2.00 6.00 X 34163 66458 0 JACK MARTIN COMMITTEE MEMBER 0.50 1.50 X 31500 68488 0 FRANCINE PARKER COMMITTEE MEMBER 0.50 1.50 X 29250 61458 0 SUZANNE DANIELS COMMITTEE MEMBER 0.50 1.50 X 35337 79945 0 WILLARD BECK COMMITTEE MEMBER 0.50 X 0 0 0 RICHARD SAYLOR COMMITTEE MEMBER 0.50 X 2250 0 0 DAVID BORTZ COMMITTEE MEMBER 0.50 X 0 0 0 COMERICA BANK INSTITUTIONAL TRUSTEE 0.50 X 0 0 0 132500 276349 0 0 0 0 0 BENESYS INC 700 TOWER DRIVE SUITE 300 TROY MI 48098 PLAN ADMINISTRATION 447974 AETNA-MIDDLETOWN PO BOX 70944 CHICAGO IL 606730944 ADMINISTRATIVE SERVICES 285829 LAZARD ASSET MANAGEMENT PO BOX 5394 NEW YORK NY 101855394 INVESTMENT MANAGEMENT FEES 202097 SEGAL ROGERSCASEY PO BOX 4142 CHURCH STREET STATION NEW YORK NY 102614142 INVESTMENT MANAGEMENT FEES 180000 LOOMIS SAYLES & COMPANY PO BOX 7247-6808 PHILADELPHIA PA 191706804 INVESTMENT MANAGEMENT FEES 166209 7 PARTICIPANT CONTRIBUTIONS 900099 4949274 4949274 4949274 8051359 8051359 3435347 0 3435347 3435347 3435347 16435980 4949274 0 11486706 25533186 132500 724119 14489 31120 624699 304087 13381 5534 99058 27482173 6786117 5771525 24195805 17859298 1671231 1638849 287263638 270615810 265415045 256176891 285487 302893 585617323 552365266 2747717 233630 2747717 233630 X 582869606 552131636 0 0 0 0 582869606 552131636 585617323 552365266 -11046193 -19691777 0 X X 0 1 X 1 0 0 MUTUAL FUNDS - PRIVATE PLACEMENT FIXED-INCOME 211817296 F 103-12 INVESTMENT 44359595 F 256176891 -3255797 -19691777 -19691777 16435980 0 16435980 27482173 0 27482173 0 27482173 FORM 990, PART VI, SECTION A, LINE 7A THERE ARE 3 MEMBERS OF THE BOARD SERVING AT THE DISCRETION OF THE UAW INTERNATIONAL PRESIDENT AND MAY BE REMOVED OR REPLACED, AND A SUCCESSOR DESIGNATED, AT ANY TIME BY WRITTEN NOTICE FROM THE UAW INTERNATIONAL PRESIDENT TO THE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11 THE CHAIR, LEGAL COUNSEL, AND ADMINISTRATOR REVIEW THE 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE TRUST WAS ESTABLISHED BY COURT SETTLEMENT. THE COURT-APPROVED TRUST AGREEMENT INCLUDES A CODE OF ETHICS BY WHICH EACH COMMITTEE MEMBER AGREES TO ABIDE. IT IS REGULARLY REVIEWED WITH THE COMMITTEE. IN ADDITION, EACH COMMITTEE MEMBER MUST ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONNAIRE WHICH CONTAINS QUESTIONS REGARDING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. IF SUCH A CONFLICT IS PRESENT THE INVOLVED MEMBER(S) DO NOT PARTICIPATE IN THE DISCUSSION OR VOTING. FORM 990, PART VI, SECTION B, LINE 15B THE FUND IS COLLECTIVELY-BARGAINED AND WAS ESTABLISHED PURSUANT TO A COURT-APPROVED TRUST AGREEMENT. THE TRUST SETS FORTH THE COMPENSATION OF THE INDEPENDENT MEMBERS OF THE COMMITTEE AND SUCH COMPENSATION IS NOT SUBJECT TO ADJUSTMENT EXCEPT AS SPECIFICALLY PROVIDED THEREIN. FORM 990, PART VI, SECTION C, LINE 19 THE TRUST IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. IT OPERATES IN COMPLIANCE WITH THE REPORTING AND DISCLOSURE REQUIREMENTS OF SUBTITLE B, PART 1 OF ERISA WITH RESPECT TO DISCLOSURE OF ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION. IT OPERATES IN COMPLIANCE WITH THE FIDUCIARY RESPONSIBILITY REQUIREMENTS OF SUBTITLE B, PART 4 OF ERISA. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. UAW RETIREES OF THE DANA CORPORATION HEALTH AND WELFARE TRUST 700 TOWER DRIVE SUITE 300 TROY MI 48098 261851652 PROVIDE HEALTH & WELFARE BENEFITS MI 501(C)(9) N/A N/A 0 UAW ST JOSEPH RETIREES HEALTH AND WELFARE TRUST 700 TOWER DRIVE SUITE 300 TROY MI 48098 271401289 PROVIDE HEALTH & WELFARE BENEFITS MI 501(C)(9) N/A N/A 0 UAW RETIREES OF ACC BENEFIT TRUST 700 TOWER DRIVE SUITE 300 TROY MI 48098 276927927 PROVIDE HEALTH & WELFARE BENEFITS MI 501(C)(9) N/A N/A 0 UAW RETIREES OF DAIMLER HEALTH & WELFARE TRUST 700 TOWER DRIVE SUITE 300 TROY MI 48098 476377585 PROVIDE HEALTH & WELFARE BENEFITS MI 501(C)(9) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0