Free 2007 Form 5500 Schedule G - Federal

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

Financial Transaction Schedules
This schedule is required to be filed under section 104 of the Employee Retirement Income Security Act of 1974 (ERISA) and section 6058(a) of the Internal Revenue Code (the Code).


Official Use Only

OMB No. 1210-0110

2007
This Form is Open to Public Inspection.
FI LI N

File as an attachment to Form 5500.

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

MM / D D / Y Y Y Y

and ending
B

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

C

Name of plan sponsor as shown on line 2a of Form 5500

D

Employer Identification Number

(a)

Party-in-interest

(b) Identity and address of obligor

Street

U

R



P

(c)

Original amount of loan (d) Principal (e) Interest

O

S

City

E S

O N

Name

LY

,D

O

N

O

State

T

Part I

Schedule of Loans or Fixed Income Obligations in Default or Classified as Uncollectible





.00 .00 .00
(f) Unpaid balance at end of year

For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form 5500. Cat. No. 14739A Schedule G (Form 5500) 2007

FO

R

IN

Amt. overdue (h) Principal

FO

R

M

A

T

IO

(g) Detailed description of loan including dates of making and maturity, interest rate, the type and value of collateral, any renegotiation of the loan and the terms of the renegotiation, and other material items

N

A

Amount received during reporting year



L

P

U S

E

Zip Code

FO

R

G








.00







.00

Amt. overdue (i) Interest





.00

2

3

0

7

0

0

0

1

0

D
v10.1

Schedule G (Form 5500) 2007

Page

2
Official Use Only

(a)

Party-in-interest

(b) Identity and address of obligor

Name Street City
(c) Original amount of loan (d) Principal (e) Interest

State

Zip Code

U S

Amount received during reporting year

E







.00 .00

(f) Unpaid balance at end of year

FO







R

.00

FI LI N


G


.00

R

M

A

(c)

Original amount of loan (d) Principal

T

IO

City

N

A

Street

L

P

Name

U

R

(b) Identity and address of obligor

P

O

(a)

Party-in-interest

S

E S

O N

Amt. overdue (h) Principal







.00

Amt. overdue (i) Interest

LY

,D

O

N

O

(g) Detailed description of loan including dates of making and maturity, interest rate, the type and value of collateral, any renegotiation of the loan and the terms of the renegotiation, and other material items

T







.00

State

Zip Code







.00 .00 .00
(f) Unpaid balance at end of year

FO

(g) Detailed description of loan including dates of making and maturity, interest rate, the type and value of collateral, any renegotiation of the loan and the terms of the renegotiation, and other material items

R

IN

Amount received during reporting year

FO

(e) Interest







.00

Amt. overdue (h) Principal




2 3


0 7

.00
0

Amt. overdue (i) Interest


0 E





.00

0

0

2

Schedule G (Form 5500) 2007

Page

3
Official Use Only

Part II

Schedule of Leases in Default or Classified as Uncollectible

(a) Party-in-interest (b) Identity of lessor/lessee

O

T

(e)

Original cost

(h) Expenses paid during the plan year

U S

E

FO

R


(d) Terms and description (type of property, location and date it was purchased, terms regarding rent, taxes, insurance, repairs, expenses, renewal options, date property was leased)

(g) Gross rental receipts during the plan year

(j)







.00

O N

LY







.00

,D

O

(f)

Current value at time of lease

(i)

Net receipts

N







.00





Amount in arrears

(e)

Original cost

IN

FO

R

M

A

T

(d) Terms and description (type of property, location and date it was purchased, terms regarding rent, taxes, insurance, repairs, expenses, renewal options, date property was leased)

IO

N

A

L

(c)

Relationship to plan, employer, employee organization or other party-in-interest

P

U

R

(a) Party-in-interest (b) Identity of lessor/lessee

P

O

S

R

E S

(h) Expenses paid during the plan year

(f)

Current value at time of lease

FO






2 3

.00
(i) Net receipts


(j) Amount in arrears


F

.00 .00
0 7 0 0 0 3 0

(g) Gross rental receipts during the plan year



FI LI N

(c)

Relationship to plan, employer, employee organization or other party-in-interest

G
.00 .00 .00 .00 .00 .00

Schedule G (Form 5500) 2007

Page

4
Official Use Only

Part III

Nonexempt Transactions
If a nonexempt prohibited transaction occurred with respect to a disqualified person, file Form 5330 with the IRS to pay the excise tax on the transaction.

(a)

Identity of party involved

(c)

Description of transactions including maturity date, rate of interest, collateral, par or maturity value

(a)

Identity of party involved

(c)

Description of transactions including maturity date, rate of interest, collateral, par or maturity value

M

A

T

IO

N

A

L

P

U

(b) Relationship to plan, employer, or other party-in-interest

R

P

O

S

FO

R

(d) Purchase price

E S







.00

O N

(g) Expenses incurred in connection with transaction

(h) Cost of asset

LY







.00

,D

(f)

Lease rental

(j)

Net gain or (loss) on each transaction

O







.00

N

O

(e)

Selling price

(i)

Current value of asset

T







.00

U S

(d) Purchase price

(h) Cost of asset

E

FO

R







2 3

.00
(i)


Current value of asset





(e)

Selling price

R

IN

FO

.00
(j)



(f)

Lease rental

Net gain or (loss) on each transaction

.00 .00
0 7 0 0 0 4 0

(g) Expenses incurred in connection with transaction



G

FI LI N
.00 .00 .00 .00 .00 .00

G

(b) Relationship to plan, employer, or other party-in-interest