R3 FILE STRUCTURE Revision Date: 22 July 2009 Reference: SCR No.

2007-0098 Added fields: SBRNO, SBRDTE and SBRAMT File Name: NR3001DK Page 1 of 3 pages Record Name: HEADER RECORD Record Length: 118 characters Size Decimal Description/Remarks Field Number Type Program Relative Point Reference Position 1 RECCD 1 2 X Record ID Value '00' 2 ERNME 3 30 X Employer Name Applicable Month 3 APLMO 33 6 X (MMYYYY) MM - 01 - January 02 - February 03 - March 04 - April 05 - May 06 - June 07 - July 08 - August 09 - September 10 - October 11 - November 12 - December YYYY - Century, Year 4 ERIDN 39 10 X Employer ID Number 5 SBRNO 49 10 X SBR No SBR Date (MMDDYYYY) SBR Amount 6 SBRDTE 59 8 X Format ZZZZZZZZ9.99 7 SBRAMT 67 12 2 9