Form 5500 - Annual Return/report Of Employee Benefit Plan - 1998 Page 5
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65
Form 5500 (1998)
Page
Yes
No
28
Did the plan acquire individual whole life insurance contracts during the plan year?
28
29
During the plan year:
29a(1)
a
(1)
Was this plan covered by a fidelity bond? If “Yes,” complete lines 29a(2) and 29a(3)
(2)
Enter amount of bond
$
(3)
Enter the name of the surety company
29b(1)
b
(1)
Was there any loss to the plan, whether or not reimbursed, caused by fraud or dishonesty?
(2)
If line 29b(1) is “Yes,” enter amount of loss
$
30a
Is the plan covered under the Pension Benefit Guaranty Corporation termination insurance program?
Yes
No
Not determined
b
If line 30a is “Yes” or “Not determined,” enter the employer identification number and the plan number used to identify it.
Employer identification number
Plan number
31
Current value of plan assets and liabilities at the beginning and end of the plan year. Combine the value of plan assets held in more than one
trust. Allocate the value of the plan’s interest in a commingled trust containing the assets of more than one plan on a line-by-line basis unless
the trust meets one of the specific exceptions described in the instructions. Do not enter the value of that portion of an insurance contract
that guarantees, during this plan year, to pay a specific dollar benefit at a future date. Round off amounts to the nearest dollar; any other
amounts are subject to rejection. Plans with no assets at the beginning and the end of the plan year, enter -0- on line 31f.
(a) Beginning of Year
(b) End of Year
Assets
a
a
Total noninterest-bearing cash
b(1)
b
Receivables: (1) Employer contributions
(2)
(2)
Participant contributions
(3)
(3)
Income
(4)
(4)
Other
(5)
(5)
Less allowance for doubtful accounts
(6)
(6) Total. Add lines 31b(1) through 31b(4) and subtract line 31b(5)
c(1)
c
General Investments: (1) Interest-bearing cash (including money market funds)
(2)
(2)
Certificates of deposit
(3)
(3) U.S. Government securities
(4)(A)
(4) Corporate debt instruments: (A) Preferred
(4)(B)
(B) All other
(5)(A)
(5) Corporate stocks: (A) Preferred
(5)(B)
(B) Common
(6)
(6)
Partnership/joint venture interests
(7)(A)
(7)
Real estate: (A) Income-producing
(7)(B)
(B) Nonincome-producing
(8)(A)
(8)
Loans (other than to participants) secured by mortgages: (A) Residential
(8)(B)
(B) Commercial
(9)(A)
(9)
Loans to participants: (A) Mortgages
(9)(B)
(B) Other
(10)
(10)
Other loans
(11)
(11)
Value of interest in common/collective trusts
(12)
(12)
Value of interest in pooled separate accounts
(13)
(13)
Value of interest in master trusts
(14)
(14) Value of interest in 103-12 investment entities
(15)
(15)
Value of interest in registered investment companies
(16)
(16)
Value of funds held in insurance company general account (unallocated contracts)
(17)
(17)
Other
(18)
(18)
Total. Add lines 31c(1) through 31c(17)
d(1)
d
Employer-related investments: (1) Employer securities
(2)
(2)
Employer real property
e
e
Buildings and other property used in plan operation
f
f
Total assets. Add lines 31a, 31b(6), 31c(18), 31d(1), 31d(2), and 31e
Liabilities
g
g
Benefit claims payable
h
h
Operating payables
i
i
Acquisition indebtedness
j
j
Other liabilities
k
k
Total liabilities. Add lines 31g through 31j
Net Assets
l
Subtract line 31k from line 31f
l
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