2024-11-11T09:16:35-06:00 2023-12-31 621199757 LBMC PC PO BOX 1869 BRENTWOOD TN 370241869 990 2023-01-01 954443292 NISSAN NORTH AMERICA INC VOLUNTARY EMPLOYEE BENEFICIARY ASSOCIATION NISS 6157251000 PO BOX 685001 FRANKLIN TN 370685001 JEFF CHAMBERS DIRECTOR OF REWARDS 6157251000 2024-11-08 1 1 JULIE DUNKIN P00742923 6153774600 2024-11-08 2023 2024-10-15 13:58:12Z JEFF CHAMBERS PO BOX 685001 FRANKLIN TN 370685001 258355190 0 X N/A X 1994 CA A VEBA TRUST ESTABLISHED TO PROCESS ALL OF THE MEDICAL, DENTAL, VISION AND PHARMACY CLAIMS ALONG WITH ADMINISTRATION COST INCURRED TO ADMINISTERING THE COMPANY HEALTH AND WELFARE PLAN. 0 0 0 0 0 0 0 0 236701103 257389309 230709 965881 0 0 236931812 258355190 0 0 200715851 215987023 0 0 0 0 0 37910442 37848467 238626293 253835490 -1694481 4519700 18136645 22656345 0 0 18136645 22656345 A VEBA TRUST ESTABLISHED TO PROCESS ALL OF THE MEDICAL, DENTAL, VISION AND PHARMACY CLAIMS ALONG WITH ADMINISTRATION COST INCURRED TO ADMINISTERING THE COMPANY HEALTH AND WELFARE PLAN. 0 0 215987023 257389309 TO PROVIDE WELFARE BENEFITS, INCLUDING COMPREHENSIVE HEALTH CARE, DENTAL EXPENSE BENEFITS, LIFE INSURANCE, AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE TO THE PARTICIPANTS IN THE PLAN. 215987023 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 1 0 0 0 CA X NISSAN NORTH AMERICA INC (JASON BARTLETT A-9-V) 6157251000 ONE NISSAN WAY FRANKLIN TN 37067 X NORTHERN TRUST-BETSY CAMPBELL PLAN TRUSTEE 1.00 0.00 X 0 0 7392 0 0 7392 0 0 0 0 0 PLAN SPONSOR PREMIUMS 525100 216235505 216235505 EMPLOYEE PREMIUMS 525100 41153804 41153804 257389309 965881 965881 258355190 257389309 0 965881 215987023 32307304 30350 7392 5503421 253835490 18136645 22656345 18136645 22656345 0 0 X 0 0 0 0 18136645 22656345 18136645 22656345 18136645 22656345 4519700 0 X X 0 1 X 1 0 0 X 258355190 0 258355190 0 258355190 253835490 0 253835490 0 253835490 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE 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. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2023, 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. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE ANNUAL 990 FILING FOR THE VEBA IS PREPARED BY THE STAFF USING THE AUDITED FINANCIALS OF THE VEBA FOR THE RESPECTIVE PLAN YEAR BEING FILED. THE COMPLETED 990 IS REVIEWED BY OUTSIDE ACCOUNTING FIRM THAT REVIEWS THE PLAN FINANCIALS AS WELL AS ACTUARY GROUP THAT PREPARES THE ANNUAL 5500 DOCUMENTS. THE HR MANAGEMENT GROUP ALSO REVIEWS THE 990 PRIOR TO FILING EACH YEAR. FORM 990, PART VI, SECTION C, LINE 19 NISSAN NORTH AMERICA, INC. (NNA) IS THE PLAN SPONSOR FOR THE VEBA AND AS A RESULT MOST OF ITS CORPORATE POLICIES ARE USED IN CONJUNCTION WITH ADMINISTERING THE VEBA. NNA HAS A CONFLICT OF INTEREST AND WHISTLEBLOWER POLICY THAT ARE IN EFFECT FOR THE VEBA OPERATION AS WELL. THE FINANCIAL STATEMENTS OF THE VEBA ARE MADE AVAILABLE TO THE NNA HR AND FINANCE MANAGEMENT TEAM ALONG WITH NNA RETIREMENT COMMITTEE. ALSO, AS PART OF THE POSTING AND DISTRIBUTING THE SUMMARY ANNUAL REPORT (SAR) TO THE PARTICIPANTS, THEY ARE NOTIFIED THAT THEY CAN REQUEST A COPY OF THE ANNUAL VEBA FINANCIALS, 5500 AND 990 FILINGS. FORM 990 PART XII LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. NISSAN NORTH AMERICA INC ONE NISSAN WAY FRANKLIN TN 37067 952108010 HOLDING COMPANY DE N/A C 0 THE NORTHERN TRUST COMPANY PO BOX 804358 CHICAGO IL 60680 361561860 IL N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 NISSAN NORTH AMERICA INC S 257389309 CERTIFIED TRUSTEE STATEMENT