2014-11-17T14:19:52-06:00 2013-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2013-01-01 237236436 EXELON CORPORATION EMPLOYEES' BENEFIT TRUST C/O ACCOUNTING OPERATIONS COMM 3123942819 10 SOUTH DEARBORN 51ST FLOOR CHICAGO IL 60603 WILLIAM BERGMAN VP HEALTH AND BENEFITS 3123942819 2014-11-17 1 DAVID LOWENTHAL P00378651 3122071040 2014-11-17 2013 2015-11-30 17:44:51Z WILLIAM BERGMAN 10 SOUTH DEARBORN 51ST FLOOR CHICAGO IL 60603 364572099 0 X N/A X 1940 IL PROVIDE HEALTHCARE BENEFITS TO MEMBERS. 1 1 0 0 47208 41890 0 0 283775604 364474519 57956 97580 0 0 283833560 364572099 0 0 258871074 310823513 0 106694 0 0 0 18308098 20628528 277179172 331558735 6654388 33013364 54427328 77613590 2667236 1253023 51760092 76360567 TO PROVIDE HEALTHCARE BENEFITS TO MEMBERS. 0 0 PAYMENT OF MEDICAL, DENTAL, AND VISION CARE BENEFITS FOR MEMBERS AND THEIR DEPENDENTS. AS OF DECEMBER 31, 2013, THERE WERE APPROXIMATELY 24,439 MEMBERS ELIGIBLE TO RECEIVE BENEFITS. 0 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 1 0 0 0 1 1 0 0 0 0 0 X 1 1 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X EXELON CORPORATION VP HEALTH AND B 3123942819 10 S DEARBORN ST 50TH FLOOR CHICAGO IL 60603 THE NORTHERN TRUST COMPANY INSTITUTIONAL TRUSTEE 1.00 0.00 X 106694 0 0 106694 0 0 0 0 0 0 AON 3000 TOWN CENTER SOUTHFIELD MI 48075 RECORD KEEPER 4647717 HEALTH FITNESS CORPORATION 1700 WEST 82ND STREET SUITE 200 MINNEAPOLIS MN 55431 WELLNESS PROVIDER 2446570 UNITED BEHAVIORAL HEALTHOPTUM PO BOX 39000 SAN FRANCISCO CA 94139 MENTAL HEALTH 871925 TOWERS WATSON 191 NORTH WACKER DRIVE SUITE 2100 CHICAGO IL 60606 ACTUARIAL SERVICES 446123 ASSET HEALTH 2250 BUTTERFIELD DRIVE SUITE 100 TROY MI 48084 WELLNESS PROVIDER 269413 9 EMPLOYER CONTRIBUTIONS 900099 277219832 277219832 PARTICIPANT CONTRIBUTIONS 900099 87254687 87254687 364474519 97580 47208 50372 364572099 364474519 47208 50372 310823513 106694 32463 ADMINISTRATIVE EXPENSES 20596065 331558735 45037071 57293352 3580065 10997343 4416192 7928895 1394000 1394000 54427328 77613590 2667236 1253023 2667236 1253023 X 0 0 0 0 51760092 76360567 51760092 76360567 54427328 77613590 X 33013364 -8412889 X 0 1 X 1 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS PARTICIPATE IN THE SPONSOR HEALTH BENEFIT PLANS AND RECEIVE MEDICAL BENEFITS FROM THE FUNDED VEBA. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION USES A CPA FIRM TO PREPARE FORM 990. THE RETURN IS REVIEWED BY EXELON ACCOUNTING, CORPORATE BENEFITS AND LEGAL DEPARTMENTS. THE RETURN IS REVIEWED BY THE PARTIES WHO ADMINISTER THE HEALTH AND WELFARE PLANS THAT ARE FUNDED BY THE ORGANIZATION AND MANAGE THE ASSETS OF THE ORGANIZATION. AS SUCH ALL RESPONSIBLE GOVERNING BODIES REVIEW AND APPROVE THE RETURN PRIOR TO FILING FORM 990, PART VI, SECTION B, LINE 12C ALL PARTIES RESPONSIBLE FOR PLAN ASSETS ARE SUBJECT TO THE EXELON CORPORATION CONFLICT OF INTEREST POLICY. EXELON REGULARLY MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15: EXPLANATION: THE ORGANIZATION DOES NOT PAY ANY COMPENSATION. CONSEQUENTLY LINES 15A AND 15B ARE NOT APPLICABLE TO THIS ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 1024, FORM 990, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: INTRA-PLAN TRANSFERS -8,412,889. FORM 990, PART X, LINE 6 THE AMOUNT REPORTED ON LINE 6 CONSISTS OF RECEIVABLES OF $7,928,895 DUE FROM CONTRIBUTING EMPLOYERS AND SPONSORING ORGANIZATIONS OF SECTION 501(C)(9) VOLUNTARY EMPLOYEES' BENEFICIARY ORGANIZATIONS. PER IRS 990 INSTRUCTIONS, SCHEDULE L, PART II IS NOT REQUIRED TO BE COMPLETED. FORM 990, PART VI: THIS ORGANIZATION IS A VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION TRUST UNDER IRC 501(C)(9). THIS ORGANIZATION FUNDS HEALTHCARE BENEFITS PROVIDED UNDER CERTAIN HEALTH AND WELFARE PLANS SPONSORED BY EXELON CORPORATION FOR ITS EMPLOYEES AND THEIR ELIGIBLE DEPENDENTS. THIS ORGANIZATION FOLLOWS EXELON'S CORPORATE POLICIES WHERE APPLICABLE INCLUDING PROPER DOCUMENTATION OF ALL ACTIONS TAKEN ON BEHALF OF THE PLAN. 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