Schedule C (Form 5500) - Service Provider And Trustee Information

Schedule C (Form 5500) - Service Provider And Trustee Information - 1998

OMB No. 1210-0016

SCHEDULE C

Service Provider and Trustee Information

(Form 5500)

1998

This schedule is required to be filed under section 104 of the

Department of the Treasury

Internal Revenue Service

Employee Retirement Income Security Act of 1974.

Department of Labor

This Form is

File as an attachment to Form 5500.

Pension and Welfare Benefits Administration

Open to Public

Additional Schedules C (Form 5500) may be used, if needed, to

Inspection

Pension Benefit Guaranty Corporation

provide additional information for Parts I, II, and/or III.

For the calendar year 1998 or fiscal plan year beginning

, 1998, and ending

, 19

Name of plan sponsor as shown on line 1a of Form 5500

Employer identification number

Name of plan

Three-digit

plan number

Part I

Service Provider Information (see instructions)

1 Enter the total dollar amount of compensation paid by the plan to all persons receiving less than

$5,000 during the plan year

(d) Relationship to

(b) Employer

(g) Nature of

employer, employee

(e) Gross salary

(f) Fees and

service code

identification

organization, or

(a) Name

plan

or allowances

commissions paid

(see

number (see

person known to be a

position

paid by plan

by plan

instructions)

party-in-interest

Contract

(1)

administrator

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

(16)

(17)

(18)

(19)

(20)

(21)

(22)

(23)

(24)

(25)

(26)

(27)

(28)

(29)

(30)

(31)

(32)

(33)

(34)

(35)

(36)

(37)

(38)

(39)

(40)

For Paperwork Reduction Act Notice, see the Instructions for Form 5500.

Schedule C (Form 5500) 1998

Cat. No. 13515E

Schedule C (Form 5500) - Service Provider And Trustee Information - 1998

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