Form 5500 - Annual Return/report Of Employee Benefit Plan - 2005 Page 4
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Form 5500 (2005)
Page
Official Use Only
8
Benefits provided under the plan (complete 8a and 8b, as applicable)
a
Pension benefits (check this box if the plan provides pension benefits and enter below the applicable pension feature codes from the List
of Plan Characteristics Codes printed in the instructions):
b
Welfare benefits
(check this box if the plan provides welfare benefits and enter below the applicable welfare feature codes from the List
of Plan Characteristics Codes printed in the instructions):
9a Plan funding arrangement (check all that apply)
9b Plan benefit arrangement (check all that apply)
(1)
Insurance
(1)
Insurance
(2)
Code section 412(i) insurance contracts
(2)
Code section 412(i) insurance contracts
(3)
Trust
(3)
Trust
(4)
General assets of the sponsor
(4)
General assets of the sponsor
10
Schedules attached (Check all applicable boxes and, where indicated, enter the number attached. See instructions.)
b Financial Schedules
a Pension Benefit Schedules
1)
H
(Financial Information)
1)
R
(Retirement Plan Information)
2)
I
(Financial Information--Small Plan)
2)
B
(Actuarial Information)
3)
A
(Insurance Information)
3)
E
(ESOP Annual Information)
4)
C
(Service Provider Information)
4)
SSA (Separated Vested
Participant Information)
5)
D
(DFE/Participating Plan
Information)
6)
G (Financial Transaction Schedules)
7)
P
(Trust Fiduciary Information)
0
1
0
5
A
A
0
4
0
U
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