2012-11-15T14:47:27-06:00 2011-12-31 135381590 BDO USA LLP 100 PARK AVENUE 9TH FLOOR NEW YORK NY 10017 990 2011-01-01 841232395 CF&I RETIREES' VOLUNTARY EMPLOYEE BENEFICIARY ASSOCIATION TRUST CF&I 7197440043 304 SOUTH VICTORIA AVENUE NO C PUEBLO CO 81003 TEODOLO T LOPEZ 7197440043 2012-11-15 1 I PETER DIMSUYU P00321193 2128858000 2011 2016-02-24 21:20:13Z TEODOLO T LOPEZ 304 S VICTORIA AVENUE SUITE C PUEBLO CO 81003 30890134 0 X N/A X 1993 CO PROVIDES COMPREHENSIVE MEDICAL COVERAGE AND LIFE INSURANCE BENEFITS FOR ALL ELIGIBLE PARTICIPANTS, AND MEDICAL COVERAGE FOR THEIR DEPENDENTS. 6 6 0 0 0 0 0 0 8276816 8774455 2485217 2649497 873990 841801 11636023 12265753 0 0 11207868 12216099 0 0 0 0 0 566995 568384 11774863 12784483 -138840 -518730 46482588 43687293 117767 97324 46364821 43589969 PROVIDES COMPREHENSIVE MEDICAL COVERAGE AND LIFE INSURANCE BENEFITS FOR ALL ELIGIBLE PARTICIPANTS, AND MEDICAL COVERAGE FOR THEIR DEPENDENTS. 0 0 PROVIDES COMPREHENSIVE MEDICAL COVERAGE AND LIFE INSURANCE BENEFITS FOR ALL ELIGIBLE PARTICIPANTS, AND MEDICAL COVERAGE FOR THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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 0 0 0 0 1 4 0 1 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X DISCIPLINED BENEFIT SERVICES INC 7197440043 304 SOUTH VICTORIA AVENUE SUITE C PUEBLO CO 81003 X JOAN VIALPANDO 3.00 X 0 0 0 DAVID J KINS 3.00 X 0 0 0 GERALD MARSHALL 3.00 X 0 0 0 JOHN LANE 3.00 X 0 0 0 TOM DUZAK 3.00 X 0 0 0 TEODOLO T LOPEZ 3.00 X 0 0 0 0 0 0 0 0 0 0 DISCIPLINED BENEFIT SERVICES INC 304 S VICTORIA STE C PO BOX 319 PUEBLO CO 81005 CONTRACT ADMINISTRATOR 217399 CENTRAL DATA SERVICES INC 5 GATEWAY CENTER STE 62060 BLVD OF PITTSBURG PA 15222 MEDICAL 196740 2 PARTICIPANT CONTRIBUTI 525100 8774455 8774455 8774455 1740017 1740017 19533861 18624381 909480 909480 909480 MEDICARE SUBSIDY 525100 841801 841801 841801 12265753 10525736 0 1740017 12216099 13500 25384 235368 11352 1409 9202 26134 ADMINISTRATOR FEES 217399 ACTUARIAL FEES 27881 MISCELLANEOUS 755 12784483 391905 469958 1033936 848278 18663 18663 44759425 41964322 278659 386072 46482588 43687293 21238 23748 96529 73576 117767 97324 X 0 0 0 0 46364821 43589969 46364821 43589969 46482588 43687293 X -518730 -2256122 X 0 1 1 X 0 0 BENEFIT CLAIMS PAYABLE 73576 73576 12265753 12784483 -518730 -2256122 -2256122 -2774852 9774263 -2256122 -2256122 12030385 235368 235368 12265753 12572068 0 12572068 235368 -22953 212415 12784483 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE PLAN IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC). THE PLAN HAS RECEIVED AN EXEMPTION LETTER DATED DECEMBER 14, 1993, IN WHICH THE INTERNAL REVENUE SERVICE (IRS) STATED THAT THE TRUST, AS THEN DESIGNED, WAS IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC. THE PLAN HAS BEEN AMENDED SINCE THE DATE OF THE DETERMINATION LETTER. HOWEVER, THE TRUSTEES BELIEVE THAT THE PLAN CURRENTLY IS DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC. THEREFORE, THEY BELIEVE THAT THE PLAN WAS QUALIFIED AND THE RELATED TRUST WAS TAX-EXEMPT AS OF THE FINANCIAL STATEMENT DATE. U.S. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. PLAN MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2008. PART XIII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN HEALTH CLAIMS AND DEATH BENEFITS PAYABLE -22,953. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO AND REVIEWED BY THE BOARD OF TRUSTEES BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY COVERS ALL TRUSTEES OF THE PLAN, MEMBERS ON A COMMITTEE TO WHICH THE BOARD OF TRUSTEES DELEGATES POWERS, AND PRINCIPAL OFFICERS (IF ANY). DETERMINATIONS OF WHETHER A CONFLICT EXISTS ARE MADE BY THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION IN THE CASE OF ANY ESTABLISHED CONFLICT OF INTEREST. PERIODIC REVIEWS SHALL BE CONDUCTED. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -2,256,122.