Free 2007 Form 5500 Schedule D - Federal

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SCHEDULE D (Form 5500)
Department of the Treasury Internal Revenue Service Department of Labor Employee Benefits Security Administration

DFE/Participating Plan Information
This schedule is required to be filed under section 104 of the Employee Retirement Income Security Act of 1974 (ERISA).


Official Use Only

OMB No. 1210-0110

2007
G

File as an attachment to Form 5500.

This Form is Open to Public Inspection.

For calendar plan year 2007 or fiscal plan year beginning
A Name of plan or DFE

MM / D D / Y Y Y Y

and ending
B

MM / D D / Y Y Y Y
Three-digit plan number

D

Employer Identification Number

Part I
(a)

Information on interests in MTIAs, CCTs, PSAs, and 103-12 IEs (to be completed by plans and DFEs)

LY

(c)

EIN

PN

E S

O N

(d) Entity code

,D

(b) Name of sponsor of entity listed in (a)

O

(e) Dollar value of interest in MTIA, CCT, PSA, or 103-12IE at end of year (see instructions)

N

O

Name of MTIA, CCT, PSA, or 103-12IE

T

U S

E

FO

R

C

Plan or DFE sponsor's name as shown on line 2a of Form 5500

FI LI N






.00

IO

N

A

L

(b) Name of sponsor of entity listed in (a)

P

U

R

(a)

Name of MTIA, CCT, PSA, or 103-12IE

P

O

S

(c)

EIN

T

PN

(d) Entity code

(e) Dollar value of interest in MTIA, CCT, PSA, or 103-12IE at end of year (see instructions)

M

A

FO

R

IN

For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form 5500. Cat. No. 22774J Schedule D (Form 5500) 2007

FO

R







.00

1

1

0

7

0

0

0

1

0

A
v10.1

Schedule D (Form 5500) 2007

Page

2
Official Use Only

(a)

Name of MTIA, CCT, PSA, or 103-12IE

(b) Name of sponsor of entity listed in (a)

FI LI N


(c)

EIN

PN

(d) Entity code

(e) Dollar value of interest in MTIA, CCT, PSA, or 103-12IE at end of year (see instructions)

G


(a) Name of MTIA, CCT, PSA, or 103-12IE



.00

(b) Name of sponsor of entity listed in (a)

,D

O

(c)

EIN

PN

(d) Entity code

(e) Dollar value of interest in MTIA, CCT, PSA, or 103-12IE at end of year (see instructions)

N

O

T

U S

E

FO

R

(a)

Name of MTIA, CCT, PSA, or 103-12IE

(b) Name of sponsor of entity listed in (a)

R

P

O

S

E S

O N

L

P

(c)

EIN

PN

(d) Entity code

LY





.00

(e) Dollar value of interest in MTIA, CCT, PSA, or 103-12IE at end of year (see instructions)

U

IN

FO

(b) Name of sponsor of entity listed in (a)

R

M

A

(a)

Name of MTIA, CCT, PSA, or 103-12IE

T

IO

N





.00

A

FO

(c)

EIN

PN

(d) Entity code

(e) Dollar value of interest in MTIA, CCT, PSA, or 103-12IE at end of year (see instructions)

R





.00

1

1

0

7

0

0

0

2

0

B

Schedule D (Form 5500) 2007

Page

3
Official Use Only

Part II
(a)

Information on Participating Plans (to be completed by DFEs)

Plan name

(b) Name of plan sponsor

(c) (a)

EIN Plan name

PN

(b) Name of plan sponsor

(c)

EIN

FO

R

IN

FO

R

(a)

Plan name

M

A

T

(c)

EIN

IO

N

A

L

(b) Name of plan sponsor

P

U

R

(a)

Plan name

1

1

P

0

O

PN

PN

S

(c)

EIN

PN

7

E S

0

O N

(b) Name of plan sponsor

0

LY

0

,D

(a)

Plan name

3

O

N

(c)

EIN

PN

0

O

T

C

U S

(b) Name of plan sponsor

E

FO

R

FI LI N

G

Schedule D (Form 5500) 2007

Page

4
Official Use Only

(a)

Plan name

(b) Name of plan sponsor

(a)

Plan name

(b) Name of plan sponsor

(b) Name of plan sponsor

(a)

Plan name

(c) (a)

EIN Plan name

N

A

L

P

U

(b) Name of plan sponsor

R

FO

(c)

EIN

R

IN

FO

(b) Name of plan sponsor

R

M

A

T

IO

1

1

P

0

O

PN

PN

S

7

E S

(c)

EIN

PN

0

O N

0

LY

0

,D

4

O

N

(a)

Plan name

0

O

T

(c)

EIN

PN

D

U S

E

FO

R

FI LI N

(c)

EIN

PN

G