002 Withdrawal Liability Information

AF

R

D
T

AF

R

D
T

AF

R

D
T

AF

R

D
T

AF

R

D
T

T

AF

R

D

Schedule of periodic payments
If applicable, enter the following information for each employer that has been assessed withdrawal liability
liiil
(ivl
liil
lvil
M

(mm/dd/yyyy)

01/01/2014

Select from drop-

Is the employer current If (vi) is no, provide the
date of the last
on making its payments?
payment received
Select "Yes'' or "No" from

down list

drop-down list

(mm/dd/yyyy)

Annually

No

01/01/2016

T

(mm/dd/yyyy)

Frequency of
payment

12/31/2034

AF

$5,000

Payment
ending date

R

ABC Company

Payment
starting date

D

Name of employer

Amount of
payment

lviil

•I