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Form 5500 Schedule Retirement Plan Information
Annual Information Return/Report of Employee Benefit Plan
230127 Sch R-Clean
Annual Information Return/Report of Employee Benefit Plan
OMB: 1210-0110
OMB.report
DOL/EBSA
OMB 1210-0110
ICR 202212-1210-003
IC 13467
Form 5500 Schedule Retirement Plan Information
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1210-0110 can be found here:
2025-04-14 - No material or nonsubstantive change to a currently approved collection
2024-04-02 - No material or nonsubstantive change to a currently approved collection
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