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and ending
Name of plan or DFE
Plan or DFE sponsor's name as shown on line 2a of Form 5500
NO
T
Information on interests in MTIAs, CCTs, PSAs, and 103-12 IEs (to be completed by plans and DFEs)
Name of MTIA, CCT, PSA, or 103-12 IE
Name of MTIA, CCT, PSA, or 103-12 IE
EIN
IN
FO
RM
AT
IO
N
(b) Name of sponsor of entity listed in (a)
(c)
(d) Entity
code
PN
PU
RP
OS
ES
(a)
EIN
ON
LY
,
(b) Name of sponsor of entity listed in (a)
(c)
Employer Identification Number
DO
(a)
D
Three-digit
plan number
US
E
B
Part I
FI
LI
NG
For calendar plan year 2008
or fiscal plan year beginning
C
2008
This Form is Open to
Public Inspection.
File as an attachment to Form 5500.
FO
R
Department of Labor
Employee Benefits Security Administration
A
OMB No. 1210-0110
This schedule is required to be filed under section 104 of the Employee
Retirement Income Security Act of 1974 (ERISA).
▼
Department of the Treasury
Internal Revenue Service
Official Use Only
DFE/Participating Plan Information
▼
SCHEDULE D
(Form 5500)
▲
▲
▲
.00
(e) Dollar value of interest in MTIA, CCT, PSA, or
103-12 IE at end of year (see instructions)
(d) Entity
code
PN
(e) Dollar value of interest in MTIA, CCT, PSA, or
103-12 IE at end of year (see instructions)
▲
▲
▲
.00
FO
R
For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form 5500. Cat. No. 22774J Schedule D (Form 5500) 2008
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v11.3
Schedule D (Form 5500) 2008
Page
2
Official Use Only
Name of MTIA, CCT, PSA, or 103-12 IE
FI
LI
NG
(a)
(b) Name of sponsor of entity listed in (a)
EIN
(e) Dollar value of interest in MTIA, CCT, PSA, or
103-12 IE at end of year (see instructions)
(d) Entity
code
PN
Name of MTIA, CCT, PSA, or 103-12 IE
(b) Name of sponsor of entity listed in (a)
Name of MTIA, CCT, PSA, or 103-12 IE
(b) Name of sponsor of entity listed in (a)
(a)
EIN
.00
DO
(e) Dollar value of interest in MTIA, CCT, PSA, or
103-12 IE at end of year (see instructions)
(d) Entity
code
PN
▲
▲
▲
.00
(e) Dollar value of interest in MTIA, CCT, PSA, or
103-12 IE at end of year (see instructions)
▲
▲
▲
.00
Name of MTIA, CCT, PSA, or 103-12 IE
IN
FO
RM
AT
IO
N
(c)
(d) Entity
code
PN
ON
LY
,
(a)
EIN
PU
RP
OS
ES
(c)
▲
NO
T
(a)
▲
US
E
▲
FO
R
(c)
(b) Name of sponsor of entity listed in (a)
EIN
(d) Entity
code
PN
(e) Dollar value of interest in MTIA, CCT, PSA, or
103-12 IE at end of year (see instructions)
▲
FO
R
(c)
1
1
0
8
0
0
0
2
0
C
▲
▲
.00
Schedule D (Form 5500) 2008
Page
3
Official Use Only
(a)
Information on Participating Plans (to be completed by DFEs)
FI
LI
NG
Part II
Plan name
EIN
(a)
Plan name
PN
US
E
(c)
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(b) Name of plan sponsor
(a)
Plan name
PN
EIN
(a)
Plan name
PN
EIN
(a)
Plan name
PN
IN
FO
RM
AT
IO
N
(b) Name of plan sponsor
(c)
PU
RP
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ES
(b) Name of plan sponsor
(c)
DO
EIN
ON
LY
,
(c)
NO
T
(b) Name of plan sponsor
(b) Name of plan sponsor
EIN
PN
FO
R
(c)
1
1
0
8
0
0
0
3
0
D
Schedule D (Form 5500) 2008
Page
4
Official Use Only
Plan name
FI
LI
NG
(a)
EIN
(a)
Plan name
PN
US
E
(c)
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(b) Name of plan sponsor
(a)
Plan name
PN
DO
EIN
(b) Name of plan sponsor
EIN
(a)
Plan name
PN
(b) Name of plan sponsor
EIN
(a)
Plan name
PN
IN
FO
RM
AT
IO
N
(c)
PU
RP
OS
ES
(c)
ON
LY
,
(c)
NO
T
(b) Name of plan sponsor
(b) Name of plan sponsor
EIN
PN
FO
R
(c)
1
1
0
8
0
0
0
4
0
E
| File Type | application/pdf |
| File Title | 55500d |
| Subject | 55500d |
| Author | RhodHM |
| File Modified | 2008-06-05 |
| File Created | 2008-06-03 |