SCHEDULE D(Form 5500)
Department of the Treasury Internal Revenue Service
Department of Labor Employee Benefits Security Administration
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DFE/Participating Plan Information
This schedule is required to be filed under section 104 of the Employee Retirement Income Security Act of 1974 (ERISA). File as an attachment to Form 5500.
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OMB No. 1210-0110
This Form is Open to Public Inspection. |
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For calendar plan year 2025 or fiscal plan year beginning and ending |
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A Name of plan
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B
Three-digit |
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C Plan or DFE sponsor’s name as shown on line 2a of Form 5500
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D
Employer Identification Number (EIN) |
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Part I |
Information
on interests in MTIAs, CCTs, PSAs, and 103-12 IEs (to be completed
by plans and DFEs)
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a Name of MTIA, CCT, PSA, or 103-12 IE: |
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b Name of sponsor of entity listed in (a): |
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c EIN-PN |
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d Entity code |
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e Dollar value of interest in MTIA, CCT, PSA, or 103-12 IE at end of year (see instructions) |
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a Name of MTIA, CCT, PSA, or 103-12 IE: |
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b Name of sponsor of entity listed in (a): |
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c EIN-PN |
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d Entity code |
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e Dollar value of interest in MTIA, CCT, PSA, or 103-12 IE at end of year (see instructions) |
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a Name of MTIA, CCT, PSA, or 103-12 IE: |
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b Name of sponsor of entity listed in (a): |
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c EIN-PN |
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d Entity code |
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e Dollar value of interest in MTIA, CCT, PSA, or 103-12 IE at end of year (see instructions) |
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a Name of MTIA, CCT, PSA, or 103-12 IE: |
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b Name of sponsor of entity listed in (a): |
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c EIN-PN |
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d Entity code |
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e Dollar value of interest in MTIA, CCT, PSA, or 103-12 IE at end of year (see instructions) |
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a Name of MTIA, CCT, PSA, or 103-12 IE: |
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b Name of sponsor of entity listed in (a): |
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c EIN-PN |
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d Entity code |
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e Dollar value of interest in MTIA, CCT, PSA, or 103-12 IE at end of year (see instructions) |
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a Name of MTIA, CCT, PSA, or 103-12 IE: |
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b Name of sponsor of entity listed in (a): |
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c EIN-PN |
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d Entity code |
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e Dollar value of interest in MTIA, CCT, PSA, or 103-12 IE at end of year (see instructions) |
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a Name of MTIA, CCT, PSA, or 103-12 IE: |
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b Name of sponsor of entity listed in (a): |
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c EIN-PN |
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d Entity code |
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e Dollar value of interest in MTIA, CCT, PSA, or 103-12 IE at end of year (see instructions) |
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For Paperwork Reduction Act Notice, see the Instructions for Form 5500. |
Schedule D (Form 5500) 2025 v. 250312 |
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a Name of MTIA, CCT, PSA, or 103-12 IE: |
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b Name of sponsor of entity listed in (a): |
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c EIN-PN |
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d Entity code |
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e Dollar value of interest in MTIA, CCT, PSA, or 103-12 IE at end of year (see instructions) |
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a Name of MTIA, CCT, PSA, or 103-12 IE: |
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b Name of sponsor of entity listed in (a): |
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c EIN-PN |
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d Entity code |
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e Dollar value of interest in MTIA, CCT, PSA, or 103-12 IE at end of year (see instructions) |
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a Name of MTIA, CCT, PSA, or 103-12 IE: |
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b Name of sponsor of entity listed in (a): |
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c EIN-PN |
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d Entity code |
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e Dollar value of interest in MTIA, CCT, PSA, or 103-12 IE at end of year (see instructions) |
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a Name of MTIA, CCT, PSA, or 103-12 IE: |
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b Name of sponsor of entity listed in (a): |
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c EIN-PN |
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d Entity code |
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e Dollar value of interest in MTIA, CCT, PSA, or 103-12 IE at end of year (see instructions) |
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a Name of MTIA, CCT, PSA, or 103-12 IE: |
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b Name of sponsor of entity listed in (a): |
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c EIN-PN |
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d Entity code |
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e Dollar value of interest in MTIA, CCT, PSA, or 103-12 IE at end of year (see instructions) |
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a Name of MTIA, CCT, PSA, or 103-12 IE: |
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b Name of sponsor of entity listed in (a): |
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c EIN-PN |
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d Entity code |
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e Dollar value of interest in MTIA, CCT, PSA, or 103-12 IE at end of year (see instructions) |
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a Name of MTIA, CCT, PSA, or 103-12 IE: |
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b Name of sponsor of entity listed in (a): |
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c EIN-PN |
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d Entity code |
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e Dollar value of interest in MTIA, CCT, PSA, or 103-12 IE at end of year (see instructions) |
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a Name of MTIA, CCT, PSA, or 103-12 IE: |
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b Name of sponsor of entity listed in (a): |
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c EIN-PN |
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d Entity code |
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e Dollar value of interest in MTIA, CCT, PSA, or 103-12 IE at end of year (see instructions) |
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a Name of MTIA, CCT, PSA, or 103-12 IE: |
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b Name of sponsor of entity listed in (a): |
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c EIN-PN |
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d Entity code |
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e Dollar value of interest in MTIA, CCT, PSA, or 103-12 IE at end of year (see instructions) |
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a Name of MTIA, CCT, PSA, or 103-12 IE: |
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b Name of sponsor of entity listed in (a): |
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c EIN-PN |
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d Entity code |
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e Dollar value of interest in MTIA, CCT, PSA, or 103-12 IE at end of year (see instructions) |
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6
Part II |
Information
on Participating Plans (to be completed by DFEs, other than DCGs)
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a Plan name |
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b Name
of |
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c EIN-PN |
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a Plan name |
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b Name
of |
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c EIN-PN |
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a Plan name |
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b Name
of |
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c EIN-PN |
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a Plan name |
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b Name
of |
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c EIN-PN |
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a Plan name |
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b Name
of |
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c EIN-PN |
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a Plan name |
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b Name
of |
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c EIN-PN |
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a Plan name |
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b Name
of |
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c EIN-PN |
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a Plan name |
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b Name
of |
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c EIN-PN |
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a Plan name |
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b Name
of |
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c EIN-PN |
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a Plan name |
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b Name
of |
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c EIN-PN |
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a Plan name |
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b Name
of |
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c EIN-PN |
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a Plan name |
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b Name
of |
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c EIN-PN |
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | 2024 Schedule D |
Author | United States Department of Labor |
File Created | 2025:05:19 04:39:08Z |