ANNUAL REPORT OF THE TRUSTEE, 2012 API, INC. ASBESTOS SETTLEMENT TRUST
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1 ANNUAL REPORT OF THE TRUSTEE, 2012 API, INC. ASBESTOS SETTLEMENT TRUST May 22, 2013 TO: Trust Advisor, API, Inc. Asbestos Settlement Trust Michael S. Polk SIEBEN POLK, PA 1640 S. Frontage Road Suite 200 Hastings, MN Legal Representative, API, Inc. Asbestos Settlement Trust Hon. Thomas H. Carey 6475 White Pine Lane Gilbert, MN API, Inc., Settlor, API, Inc. Asbestos Settlement Trust c/o Chief Executive Officer 1100 Old Highway 8 NW New Brighton, MN This Report has been prepared by the Trustee of the API, Inc. Asbestos Settlement Trust ( Trust ), pursuant to Sections 2.2 (b), and (c), of the First Amended API, Inc. Asbestos Settlement Trust Agreement ( Trust Agreement ). Those sections require the Trustee to prepare and submit an Annual Report containing the Trust s financial statements, auditor s opinion, and summary of type and number of claims to the Trust during the prior year, all as more fully described in those sections of the Trust Agreement. This Report is the Annual Report for The Trust has retained the accounting firm of Messerli & Schadow, PLLP of Minneapolis, Minnesota, as the Trust s auditors, to prepare the Financial Statements, and to issue a fairness opinion as to those Financial Statements for Pursuant to that engagement, Messerli & Schadow, PLLP has completed both the Financial Statements, and has issued its Independent Auditor s Report regarding those Statements South Sixth Street, Suite 4800, Minneapolis, MN 55402
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18 Pre 2012 New Claims Paid 2012 Claimant Decedent State Disease Date Filed Payment 1 Paid (1) Smith, Mardell MN V Pleural 07/02/2010 $9, /02/2012 Knowlen, Richard MN III Other Cancers 10/07/2010 $22, /31/2012 Blotsky, LouAnn (PR) Blotsky, Raymond ND I Malignant Mesothelioma 10/08/2010 $35, /02/2012 Johnson, Rebecca (Trustee) Johnson, Franklin Dennis MN IV Asbestosis 03/11/2011 $17, /31/2012 Rutten, John T. MN I Malignant Mesothelioma 04/06/2011 $94, /31/2012 Iozzo, John MN I Malignant Mesothelioma 04/06/2011 $94, /18/2012 Cormier, Gregory (Trustee) Comier, Richard F. MN IV Asbestosis 05/17/2011 $17, /10/2012 Holton, Larry Gene MN V Pleural 06/20/2011 $9, /10/2012 Fellman, Mark J. (Trustee) Bohn, Willard Eugene MN I Malignant Mesothelioma 06/27/2011 $94, /02/2012 Buzick, Cheryl (Trustee) Buzick, Arthur ND II Lung Cancer 08/12/2011 $13, /04/2012 Morrow, Ronald L., Jr. (Trustee) Morrow, Ronald L., Sr. MN I Malignant Mesothelioma 10/10/2011 $94, /10/2012 Fontaine, Donald T. MN I Malignant Mesothelioma 10/14/2011 $94, /31/2012 Weinner, David J. MN I Malignant Mesothelioma 11/02/2011 $94, /03/2012 Blommer, John M. MN I Malignant Mesothelioma 11/14/2011 $94, /08/2012 Gorder, Raymond E. MN IV Asbestosis 11/21/2011 $17, /10/2012 Delsing, Michael D. MN I Malignant Mesothelioma 11/30/2011 $94, /10/2012 Froom, Donald C. MN V Pleural 12/05/2011 $9, /10/2012 Michels, Robert MN IV Asbestosis 12/06/2011 $17, /10/2012 Chalkline, Harold MN V Pleural 12/08/2011 $9, /02/2012 EXHIBIT B
19 2012 New Claims Paid 2012 Claimant Decedent State Disease Date Filed Payment 1 Paid (1) Appert, Patrick A. ND I Malignant Mesothelioma 01/06/2012 $35, /31/2012 Huppertz, Theresa (Trustee) Huppertz, Peter W. MN I Malignant Mesothelioma 01/10/2012 $94, /25/2012 Husnick, Eugene P., Jr. MN V Pleural 01/17/2012 $9, /25/2012 Dahlman, Christine (Trustee) Westerson, David R. MN II Lung Cancer 01/30/2012 $41, /20/2012 Peterson, Roger L. MN IV Asbestosis 02/06/2012 $17, /25/2012 McCarthy, Thomas W. MN V Pleural 02/08/2012 $9, /01/2012 Gilman, Stanley MN IV Asbestosis 02/08/2012 $17, /25/2012 Rolfes, Mark A. (Trustee) Rolfes, Harvey B. MN I Malignant Mesothelioma 02/15/2012 $94, /25/2012 Rantala, William E. MN II Lung Cancer 02/21/2012 $41, /18/2012 Schanno, Mary (Trustee) Schanno, Melvin L. MN I Malignant Mesothelioma 02/24/2012 $94, /25/2012 Cragoe, Mareese (Adm) Cragoe, Donald W. MN I Malignant Mesothelioma 03/08/2012 $94, /01/2012 Bruell, Baylin (Trustee) Fanberg, Joel G. MN I Malignant Mesothelioma 03/19/2012 $94, /08/2012 Frydenlund, Thomas MN IV Asbestosis 03/26/2012 $17, /25/2012 Giguere, Darrel MN I Malignant Mesothelioma 03/27/2012 $94, /04/2012 DeCosse, Lyric (Larry) N. MN IV Asbestosis 03/29/2012 $17, /25/2012 Hamp, Michael J. MN I Malignant Mesothelioma 04/16/2012 $94, /18/2012 Hyland, Loren A. MN I Malignant Mesothelioma 04/23/2012 $94, /04/2012 Bastian, Michael C. MN V Pleural 04/30/2012 $9, /04/2012 Aronen, James MN I Malignant Mesothelioma 05/03/2012 $94, /04/2012 Titus, Patricia (Trustee) Kaiser, Joseph E. MN II Lung Cancer 05/07/2012 $41, /04/2012 Hasse, Paul G. MN V Pleural 05/09/2012 $9, /04/2012 Ottem, Helen MN I Malignant Mesothelioma 05/10/2012 $94, /04/2012 Gathje, Helen (Trustee) Gathje, Ronald MN II Lung Cancer 05/16/2012 $41, /04/2012 Price, Betty J. MN I Malignant Mesothelioma 06/06/2012 $94, /04/2012 Matros, William J. MN IV Asbestosis 06/12/2012 $17, /04/2012 Miller, Dennis J. MN I Malignant Mesothelioma 06/13/2012 $94, /04/2012 Pederson, Patricia Ann (PR) Pederson, Halftan MN I Malignant Mesothelioma 06/22/2012 $94, /04/2012 Andrews, Francis G. MN IV Asbestosis 07/10/2012 $17, /04/2012 Eckstrom, Evelyn (Trustee) Eckstrom, David B. MN II Lung Cancer 07/13/2012 $41, /04/2012 Kimball, Carla (Adm) Kimball, Dennis W., Sr. MN I Malignant Mesothelioma 08/03/2012 $94, /04/2012 Nowlan, Roseann (Adm) Nowlan, Thomas John, Sr. MN I Malignant Mesothelioma 08/07/2012 $94, /04/2012 Armagost, Herschel Clark MN IV Asbestosis 08/09/2012 $17, /18/2012 Kucera, Jacob J. (Trustee) Kucera, Carol Ann MN I Malignant Mesothelioma 08/17/2012 $94, /04/2012 Welman, Bonnie (Trustee) Welman, Leland MN I Malignant Mesothelioma 08/20/2012 $94, /04/2012
20 2012 New Claims Paid 2012 Claimant Decedent State Disease Date Filed Payment 1 Paid (1) Gauthier, Kathy L. (Ext.) Kelly, David E. MN I Malignant Mesothelioma 09/13/2012 $94, /04/2012 Goetze, James R. MN IV Asbestosis 10/08/2012 $17, /04/2012
21 2nd Injury Claims Paid 2012 Claimant Decedent State Initial Disease Disease 2nd Claim Filed Payment 1 Date (1) Payment 2 Paid (2) Payment 3 Paid (3) Payment 4 Paid (4) Payment 5 Paid (5) Sanders, Mary (Trustee) Sanders, Edward N. MN IV Asbestosis II Lung Cancer 07/21/2010 $9, /05/2007 $14, /10/2008 $11, /17/2008 $3, /24/2009 $1, /10/2012 EXHIBIT C
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