CITIBANK NA EMPLOYEES ASSOCIATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CITIBANK NA EMPLOYEES ASSOCIATION (EIN 13-2878534)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201333189349303378
Schema version
2012v2.1
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)
Timestamp2013-11-14T11:33:38-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

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 THIRD AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code100172703ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN132878534EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CITIGROUP STAFF MEMBER'S ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JOHN SANTOROInCareOfName
Name ControlCITINameControl
Phone2038622030Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1750 WASHINGTON BOULEVARD 9TH FLOORAddressLine1
Address Line2SuiteAddressLine2
CitySTAMFORDCity
StateCTState
ZIP Code06901ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN T SANTORODIRECTORName
TitleOF EQUITY & BENEFITSTitle
Phone2038622030Phone
Date Signed2013-11-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARIE ARRIGOName
Phone2129498700Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN SANTORONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1399 PARK AVE MEZZANINE LEVELAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10022ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5811757GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1975YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE FOR THE CONTRIBUTION OF FUNDS TO PAY CLAIMS INCURRED BUT NOT REPORTED AT YEAR-END FOR THE HEALTH & DENTAL PLANS OF CITIGROUP, INC. AND PAYMENT OF LT DISABILITY BENEFITS TO ELIGIBLE EMPLOYEES.ActivityOrMissionDescription
Nbr Voting Members Governing Body0NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
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 Year1593624ProgramServiceRevenuePriorYear
Program Service Revenue CY1496112ProgramServiceRevenueCY
Investment Income Prior Year317527InvestmentIncomePriorYear
Investment Income Current Year311651InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1911151TotalRevenuePriorYear
Total Revenue Current Year1807763TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year2979657BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY2786274BenefitsPaidToMembersCY
Salaries Etc Prior Year630SalariesEtcPriorYear
Salaries Etc Current Year1082SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year234707OtherExpensePriorYear
Other Expenses Current Year225538OtherExpensesCurrentYear
Total Expenses Prior Year3214994TotalExpensesPriorYear
Total Expenses Current Year3012894TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1303843RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1205131RevenuesLessExpensesCY
Total Assets BOY7138236TotalAssetsBOY
Total Assets EOY6067268TotalAssetsEOY
Total Liabilities BOY297539TotalLiabilitiesBOY
Total Liabilities EOY496822TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6840697NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5570446NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE FOR THE CONTRIBUTION OF FUNDS TO PAY CLAIMS INCURRED BUT NOT REPORTED AT YEAR-END FOR THE HEALTH & DENTAL PLANS OF CITIGROUP, INC. AND PAYMENT OF LT DISABILITY BENEFITS TO ELIGIBLE EMPLOYEES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2786274Expense
DescriptionTHE TRUST PROVIDES FOR THE PAYMENT OF LONG TERM DISABILITY BENEFITS TO ELIGIBLE EMPLOYEES OF CITIBANK, N.A. AND PARTICIPATING COMPANIES.Description
Total Program Service Expense2786274TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members0NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodyfalseMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN SANTORONamePerson
Telephone Number2125594052TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1399 PARK AVE MEZZANINE LEVELAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10022ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (2 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedInstitutional TrusteeInstitutionalTrusteeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
BANK OF NEW YORK MELLON
TRUSTEE0.00.0X83200
JOHN T SANTORO
DIRECTOR OF EQUITY & BENEFITS0.00.0000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org832TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonMetropolitan Life Insurance CoNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 14590AddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code405114590ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesADMINISTRATIVE FEESDescriptionOfServices
Compensation171035Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions0AllOtherContributions
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionEMPLOYER CONTRIBUTIONS-LTDDescription
Business Code900099BusinessCode
Total Revenue Column1496112TotalRevenueColumn
Related Or Exempt Function Income1496112RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1496112TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column221314TotalRevenueColumn
Exclusion$221,314ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4094331Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4003994Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities90337Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column90337TotalRevenueColumn
Exclusion$90,337ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1807763TotalRevenueColumn
Related Or Exempt Function Income1496112RelatedOrExemptFunctionIncome
Exclusion$311,651ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total2786274Total
Program Services2786274ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1082Total
Management And General1082ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total44800Total
Management And General44800ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total23703Total
Management And General23703ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total157035Total
Management And General157035ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3012894Total
Program Services2786274ProgramServices
Management And General226620ManagementAndGeneral

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY196635BOY
EOY304489EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6941601BOY
EOY5762779EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7138236BOY
EOY6067268EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY297539BOY
EOY496822EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY297539BOY
EOY496822EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY6840697BOY
EOY5570446EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6840697BOY
EOY5570446EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7138236BOY
EOY6067268EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1205131ReconcilationRevenueExpenses
Reconcilation Other Changes-65120ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FINANCIAL ASSISTANCE PROVIDED TO INDIVIDUALS IN/OUTSIDE THE U.S.FORM 990, PART IV, QUESTION 16 AND 22ANY ASSISTANCE PROVIDED, SUCH AS THE PAYMENT OF ANY BENEFIT IN CONNECTION WITH THE PROVISIONS OF THE VEBA TRUST TO EMPLOYEES OF THE SPONSORING EMPLOYER IS NOT TO BE REPORTED IN SCHEDULE I OR SCHEDULE F.
FINANCIAL ASSISTANCE PROVIDED TO INTERESTED PERSONSFORM 990, PART IV, QUESTION 27THIS QUESTION IS NOT RELEVANT TO A VEBA. ANY ASSISTANCE PROVIDED, SUCH AS PAYMENT OF A BENEFIT, CAN ONLY BE DONE PURSUANT TO THE NONDISCRIMINATION RULES IN SECTION 505.
BOARD REVIEW OF FORM 990FORM 990, PART VI, SECTION B, LINE 11 AND 11ATHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY THE ASSOCIATION AND IN CONSULATION WITH ITS STAFF. THE DRAFT PREPARED BY THE ACCOUNTING FIRM IS THEN CAREFULLY REVIEWED BY THE SPONSOR'S FINANCE, TAX, CORPORATE BENEFITS AND LEGAL DEPARTMENT FOR REVIEW AND COMMENT PRIOR TO FILING WITH THE IRS.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CEMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTERESTS. COMPLETED CONFLICTS OF INTEREST DISCLOSURE FORMS ARE REVIEWED BY THE HUMAN RESOURCES DEPARTMENT AND DISCLOSED CONFLICTS ARE REVIEWED BY CHIEF OF HUMAN RESOURCES.
PUBLIC DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19FINANCIAL REPORTS ARE MADE PUBLIC PURSUANT TO IRS FILING REQUIREMENTS. WRITTEN REQUESTS FOR OTHER INFORMATION IS FORWARDED TO APPROPRIATE AUTHORITIES FOR CONSIDERATION.
GOVERNING BODY AND MANAGEMENT QUESTIONSFORM 990, PART VI, SECTION AA VEBA TRUST HAS ITS TRUSTEE(S) APPOINTED BY THE EMPLOYER SPONSORING THE UNDERLYING BENEFIT PLAN. THESE TRUSTEES AND OTHER PLAN FIDUCIARIES ARE SUBJECT TO ERISA STANDARDS FOR FIDUCIARY CONDUCT, AND ARE BOUND BY TERMS OF UNDERLYING PLAN DOCUMENTS AND/OR COLLECTIVE BARGAINING AGREEMENTS. THESE STANDARDS AND/OR CONTRACTUAL OBLIGATIONS PROVIDE THE GOVERNANCE AND MANAGEMENT TRANSPARENCY THAT THE IRS IS LOOKING FOR IN THIS SECTION.
POLICIESFORM 990, PART VI, SECTION BTHE BENEFIT PLANS FUNDED BY VEBA TRUSTS ARE SUBJECT TO ERISA, WHICH IMPOSES REQUIREMENTS FOR FIDUCIARY CONDUCT, AVOIDING RELATED PARTY TRANSACTIONS (SELF-DEALING), PROVIDING FOR DISCLOSURE TO PARTICIPANTS, ETC.
BENEFITS PAID TO OR FOR MEMBERSFORM 990, PART I LINE 14 AND PART IX LINE 4COMPANY DECIDED NOT TO FUND THE VEBA TRUST AT THE END OF 2011, TO PAY FOR IBNR CLAIMS IN 2012. AS SUCH, THE RELATED CLAIMS ARE PAID DIRECTLY OUT OF COMPANY'S GENERAL ASSETS.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5CHANGE IN UNREALIZED GAIN/LOSS $(65,120)

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