Instructions For Part I And Part Ii Of Form 5500 Page 2

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LIST OF PLAN CHARACTERISTICS CODES FOR LINES 8a AND 8b (Continued)
3H
Plan sponsor(s) is (are) a member(s) of a controlled
4K
Scholarship (funded).
group (Code sections 414(b), (c), or (m)).
4L
Death benefits (include travel accident but not life
insurance).
3I
Plan requiring that all or part of employer contributions
be invested and held, at least for a limited period, in
4P
Taft-Hartley Financial Assistance for Employee Housing
employer securities.
Expenses.
3J
U.S.-based plan that covers residents of Puerto Rico and
4Q
Other.
is qualified under both Code section 401 and section
1165 of Puerto Rico Code.
4R
Unfunded, fully insured, or combination unfunded/fully
insured welfare plan that will not file an annual report for
CODE
Welfare Benefit Features
next plan year pursuant to 29 CFR 2520.104-20.
4A
Health (other than vision or dental).
4S
Unfunded, fully insured, or combination unfunded/fully
insured welfare plan that stopped filing annual reports in
4B
Life insurance.
an earlier plan year pursuant to 29 CFR 2520.104-20.
4C
Supplemental unemployment.
4T
10 or more employer plan under Code section
4D
Dental.
419A(f)(6).
4E
Vision.
4U
Collectively-bargained welfare benefit arrangement
under Code section 419A(f)(5).
4F
Temporary disability (accident and sickness).
4G
Prepaid legal.
4H
Long-term disability.
4I
Severance pay.
4J
Apprenticeship and training.
-20-
Instructions for Part I and Part II of Form 5500

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