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 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
2008
This Form is Open to Public Inspection.
File as an attachment to Form 5500.
and ending
B
A
Name of plan
Three-digit plan number
C
Name of plan sponsor as shown on line 2a of Form 5500
Name
City
(c) Original amount of loan (d) Principal (e) Interest
SE
S
Street
O
NL
Y,
(b) Identity and address of obligor
D
(a)
Party-in-interest
O
NO
T
Part I
Schedule of Loans or Fixed Income Obligations in Default or Classified as Uncollectible
State
US E
Zip Code
RP
O
.00 .00 .00
(f) Unpaid balance at end of year
NA
Amount received during reporting year
L
PU
FO
D
Employer Identification Number
R
FI LI NG
For calendar plan year 2008 or fiscal plan year beginning
MM / D D / Y Y Y Y
MM / D D / Y Y Y Y
.00
For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form 5500. Cat. No. 14739A Schedule G (Form 5500) 2008
FO
R
IN
Amt. overdue (h) Principal
FO
RM
AT
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
.00
Amt. overdue (i) Interest
.00
2
3
0
8
0
0
0
1
0
E
v11.3
Schedule G (Form 5500) 2008
Page
2
Official Use Only
(a)
Party-in-interest
(b) Identity and address of obligor
Name
City
(c) Original amount of loan (d) Principal (e) Interest
State
Zip Code
US E
Amount received during reporting year
.00 .00
(f) Unpaid balance at end of year
FO
R
.00
FI LI NG
Street
.00
.00
NL
Amt. overdue (h) Principal
Amt. overdue (i) Interest
Y,
D
O
NO
(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
(a)
Party-in-interest
(b) Identity and address of obligor
Name
City
(c) Original amount of loan (d) Principal (e) Interest
IO
NA
Street
L
PU
RP
O
SE
S
O
State
Zip Code
AT
RM
.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
.00
Amt. overdue (h) Principal
2 3
0 8
.00
0
Amt. overdue (i) Interest
0 F
.00
0
0
2
Schedule G (Form 5500) 2008
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
(c)
Relationship to plan, employer, employee organization or other party-in-interest
NO
T
(e)
Original cost
(h) Expenses paid during the plan year
US 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)
FI LI NG
(f)
.00
(i)
.00 .00 .00
(e)
Original cost
IN
FO
RM
AT
(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
NA
L
(c)
Relationship to plan, employer, employee organization or other party-in-interest
PU
RP
(a) Party-in-interest (b) Identity of lessor/lessee
O
SE
R
S
(h) Expenses paid during the plan year
O
.00
NL
(g) Gross rental receipts during the plan year
(j)
Amount in arrears
Y,
.00
D
O
Current value at time of lease
Net receipts
(f)
Current value at time of lease
FO
2 3
.00
(i) Net receipts
(j) Amount in arrears
G
.00 .00 .00
.00 .00
0 8 0 0 0 3 0
(g) Gross rental receipts during the plan year
Schedule G (Form 5500) 2008
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
(b) Relationship to plan, employer, or other party-in-interest
(c)
Description of transactions including maturity date, rate of interest, collateral, par or maturity value
(d) Purchase price
(h) Cost of asset
(g) Expenses incurred in connection with transaction
(c)
Description of transactions including maturity date, rate of interest, collateral, par or maturity value
RM
AT
IO
NA
L
PU
(b) Relationship to plan, employer, or other party-in-interest
RP
O
(a)
Identity of party involved
SE
(d) Purchase price
FO
S
.00
O
(h) Cost of asset
NL
.00
Y,
D
(f)
Lease rental
(j)
Net gain or (loss) on each transaction
O
.00
NO
(e)
Selling price
(i)
Current value of asset
T
.00
US E
FO
R
FI LI NG
.00 .00 .00
(e) Selling price
2 3
.00
(i)
Current value of asset
.00 .00 .00
R
IN
FO
.00
(j)
(f)
Lease rental
Net gain or (loss) on each transaction
.00 .00
0 8 0 0 0 4 0
(g) Expenses incurred in connection with transaction
H