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Attention:

• Telephone requests for the 2006 Form 5500-series


forms, schedules, and instructions will not be filled
until December 1, 2006.
• Requests for the 2006 Form 5500-series products can
be made on the Internet (see below) beginning
December 1, 2006. Requests made prior to that date
will be filled with the 2005 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


http://www.irs.gov/formspubs/index.html to request a limited
number of these forms and schedules. If you use this link, select
“Order:” and “Forms and publications by U.S. mail.”

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.
________________________________________________
SCHEDULE G Official Use Only

(Form 5500) Financial Transaction Schedules OMB No. 1210-0110

2006
This schedule is required to be filed under section 104 of the Employee

NG
Department of the Treasury Retirement Income Security Act of 1974 (ERISA) and section 6058(a) of the
Internal Revenue Service Internal Revenue Code (the Code).
Department of Labor

LI
This Form is Open to


Employee Benefits Security File as an attachment to Form 5500.
Administration Public Inspection.

FI
For calendar plan year 2006
MM / D D / Y Y Y Y MM / D D / Y Y Y Y

R
or fiscal plan year beginning and ending

FO
A Name of plan
B Three-digit


plan number

E
US
C Name of plan sponsor as shown on line 2a of Form 5500 D Employer Identification Number

T
NO
Part I Schedule of Loans or Fixed Income Obligations in Default or Classified as Uncollectible

DO
(a) Party-in-interest

(b) Identity and address of obligor


,
LY
Name
ON

Street
ES

City State Zip Code


S

(c) Original amount of loan


▲ ▲ ▲ .00
PO

Amount
received during
(d) Principal ▲ ▲ ▲ .00 (f) Unpaid balance at end of year
R

reporting year
(e) Interest ▲ ▲ ▲ .00 ▲ ▲ ▲ .00
PU

(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
IO
AT

Amt. overdue Amt. overdue


RM

(h) Principal ▲ ▲ ▲ .00 (i) Interest ▲ ▲ ▲ .00


FO

For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form 5500. Cat. No. 14739A Schedule G (Form 5500) 2006
IN
R
FO

2 3 0 6 A A 0 1 0 W

v9.1
Schedule G (Form 5500) 2006 Page 2
Official Use Only

NG
(a) Party-in-interest

(b) Identity and address of obligor

LI
Name

FI
Street

R
FO
City State Zip Code

E
(c) Original amount of loan
▲ ▲ ▲ .00

US
Amount
received during
(d) Principal ▲ ▲ ▲ .00 (f) Unpaid balance at end of year

T
reporting year
(e) Interest ▲ ▲ ▲ .00 ▲ ▲ ▲ .00

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

, DO
LY
Amt. overdue Amt. overdue
(h) Principal ▲ ▲ ▲ .00 (i) Interest ▲ ▲ ▲ .00
ON
ES

(a) Party-in-interest
S

(b) Identity and address of obligor


PO

Name
R

Street
PU

City State Zip Code


N

(c) Original amount of loan


▲ ▲ ▲ .00
IO
AT

Amount
received during
(d) Principal ▲ ▲ ▲ .00 (f) Unpaid balance at end of year

reporting year
RM

(e) Interest ▲ ▲ ▲ .00 ▲ ▲ ▲ .00


(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
FO
IN
R

Amt. overdue Amt. overdue


FO

(h) Principal ▲ ▲ ▲ .00 (i) Interest ▲ ▲ ▲ .00

2 3 0 6 A A 0 2 0 X
Schedule G (Form 5500) 2006 Page 3
Official Use Only

Part II Schedule of Leases in Default or Classified as Uncollectible

NG
(a) Party-in-interest

LI
(b) Identity of lessor/lessee

FI
R
(c) Relationship to plan, employer, employee organization or other party-in-interest

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

E
options, date property was leased)

US
T
NO
(e) Original cost (h) Expenses paid during the plan year

▲ ▲ ▲ .00 ▲ ▲ ▲ .00

DO
(f) Current value at time of lease (i) Net receipts

▲ ▲ ▲ .00 , ▲ ▲ ▲ .00
LY
(g) Gross rental receipts during the plan year (j) Amount in arrears
ON

▲ ▲ ▲ .00 ▲ ▲ ▲ .00
ES

(a) Party-in-interest
S

(b) Identity of lessor/lessee


R PO

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


PU

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

options, date property was leased)


IO
AT
RM

(e) Original cost (h) Expenses paid during the plan year

▲ ▲ ▲ .00 ▲ ▲ ▲ .00
FO

(f) Current value at time of lease (i) Net receipts


IN

▲ ▲ ▲ .00 ▲ ▲ ▲ .00
(g) Gross rental receipts during the plan year (j) Amount in arrears
R
FO

▲ ▲ ▲ .00 ▲ ▲ ▲ .00

2 3 0 6 A A 0 3 0 Y
Schedule G (Form 5500) 2006 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

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the excise tax on the transaction.
(a) Identity of party involved

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

R
FO
(c) Description of transactions including maturity date, rate of interest, collateral, par or maturity value

E
US
(d) Purchase price (h) Cost of asset

T
NO
▲ ▲ ▲ .00 ▲ ▲ ▲ .00
(e) Selling price (i) Current value of asset

DO
▲ ▲ ▲ .00 ▲ ▲ ▲ .00
(f) Lease rental (j) Net gain or (loss) on each transaction

,
LY
▲ ▲ ▲ .00 ▲ ▲ ▲ .00
(g) Expenses incurred in connection with transaction
ON

▲ ▲ ▲ .00
ES

(a) Identity of party involved


S
PO

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


R
PU

(c) Description of transactions including maturity date, rate of interest, collateral, par or maturity value
N
IO

(d) Purchase price (h) Cost of asset


AT

▲ ▲ ▲ .00 ▲ ▲ ▲ .00
RM

(e) Selling price (i) Current value of asset

▲ ▲ ▲ .00 ▲ ▲ ▲ .00
FO

(f) Lease rental (j) Net gain or (loss) on each transaction


IN

▲ ▲ ▲ .00 ▲ ▲ ▲ .00
(g) Expenses incurred in connection with transaction
R
FO

▲ ▲ ▲ .00

2 3 0 6 A A 0 4 0 Z

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