Free 2008 Form 5500 Schedule D - Federal


File Size: 123.2 kB
Pages: 5
Date: November 25, 2008
File Format: PDF
State: Federal
Category: Tax Forms
Author: SE:W:CAR:MP
Word Count: 976 Words, 5,237 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.irs.gov/pub/irs-pdf/f5500sd.pdf

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Preview 2008 Form 5500 Schedule D
Attention:
Telephone requests for the forms, schedules, and instructions for the 2008 Form 5500-series will not be filled until December 10, 2008. Requests for the 2008 Form 5500-series products can be made on the Internet (see below) beginning December 10, 2008. Requests made prior to that date will be filled with the 2007 version of the products. The product you are about to view is provided for information purposes and should not be reproduced on personal computer printers by individual taxpayers for filing. The Forms 5500 and 5500-EZ (and related schedules) are printed on special paper with dropout ink so they can be processed by the computerized processing system "EFAST." These forms and schedules may be obtained by calling 1-800-TAX-FORM (1-800-829-3676). Be sure to order using the IRS form number. Note: You can also use the Internet link Forms and Publications by U.S. Mail to request a limited number of these forms and schedules. Check the Department of Labor's website at www.efast.dol.gov for additional information concerning the processing system, electronic filing, software, and "non-standard" filings. Note: There is no Schedule B (Form 5500) for filing 2008 plan year actuarial information. Instead, file the 2008 Schedule MB (Form 5500), Multiemployer Defined Benefit Plan and Certain Money Purchase Plan Actuarial Information, or the Schedule SB (Form 5500), Single-Employer Defined Benefit Plan Actuarial Information, as applicable. For only plan year 2008 filings, paper Schedules MB and SB are provided in the format presented for completion by pen or typewriter. ________________________________________________

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

2008

File as an attachment to Form 5500.

This Form is Open to Public Inspection.

For calendar plan year 2008 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)

NL

Y,

D

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

(c)

EIN

PN

S

O

(d) Entity code

O

NO

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

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

T

US E

FO

R

C

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

FI LI NG


(a)

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

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

IO

NA

L

PU

RP

O

SE







.00

(c)

EIN

AT

PN

(d) Entity code

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

RM







.00

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) 2008

FO

1

1

0

8

0

0

0

1

0

B
v11.3

Schedule D (Form 5500) 2008

Page

2
Official Use Only

(a)

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

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

(c)

EIN

PN

FI LI NG

(d) Entity code

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







.00

(a)

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

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

D

O

(c)

EIN

PN

(d) Entity code

NO

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

T

US E

FO

R

(a)

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

PU

RP

O

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

SE

S

(c)

EIN

PN

(d) Entity code

O

NL

Y,







.00

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

L

(a)

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

IN

FO

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

RM

AT

IO

NA







.00

FO

(c)

EIN

PN

(d) Entity code

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

R







.00

1

1

0

8

0

0

0

2

0

C

Schedule D (Form 5500) 2008

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) (a)

EIN Plan name

PN

(b) Name of plan sponsor

(c) (a)

EIN Plan name

PN

(b) Name of plan sponsor

(c) (a)

EIN Plan name

AT

IO

NA

L

PU

(b) Name of plan sponsor

(c)

EIN

FO

R

IN

FO

RM

1

1

0

RP

PN

PN

8

O

SE

0

S

O

0

NL

0

Y,

D

3

O

NO

0

T

US E
D

FO

R

FI LI NG

Schedule D (Form 5500) 2008

Page

4
Official Use Only

(a)

Plan name

(b) Name of plan sponsor

(c) (a)

EIN Plan name

PN

(b) Name of plan sponsor

(a)

Plan name

(a)

Plan name

FO

(c)

EIN

R

IN

FO

(b) Name of plan sponsor

RM

AT

IO

(c)

EIN

NA

L

PU

(b) Name of plan sponsor

1

1

0

RP

PN

PN

8

O

(a)

Plan name

SE

0

S

(c)

EIN

PN

O

0

NL

0

Y,

(b) Name of plan sponsor

D

4

O

NO

0

T

(c)

EIN

PN

US E
E

FO

R

FI LI NG