Form 886-A - Explanation Of Items - Department Of Treasury (Page 3 of 3) in pdf

Form 886-A - Explanation Of Items - Department Of Treasury Page 3

Explanations of Items

886-A

Form

(Rev. January 1994)

Name of taxpayer

Tax Identification Number / Plan Number

Year/Period ended

4. If the unpaid minimum required contribution reported for all years was not fully corrected,

please provide an explanation and outline actions taken to eliminate the unpaid minimum

required contribution or funding deficiency.

Have you filed a funding waiver request for this plan with the IRS?

Yes

If so, when was the request submitted and what is the current status of the waiver?

____________________________________________________________________________________________

____________________________________________________________________________

Have you filed a standard or distress termination request for this plan with the PBGC?

Yes

If so, indicate the date the request was submitted, whether it was for a standard or distress

termination, and provide the current status of the request. Please provide the name of your

contact person and case number if assigned.

____________________________________________________________________________

Have you filed a petition for bankruptcy with the bankruptcy court?

Yes

If so, when was the petition filed, to which court and under which chapter? What is the Bar

Date and current status of the filing?

____________________________________________________________________________

Form 886-A - Explanation Of Items - Department Of Treasury Page 3