Professional Documents
Culture Documents
1210-0016
Financial Schedules
(Form 5500) This schedule may be filed as an attachment to the Annual Return/Report
Department of the Treasury Form 5500 under Section 104 of the Employee Retirement Income Security Act
Internal Revenue Service of 1974, referred to as ERISA.
See the instructions for item 27 of the Form 5500. This Form Is Open
Department of Labor
Pension and Welfare Benefits Administration © Attach to Form 5500. to Public Inspection
For calendar plan year 1994 or fiscal plan year beginning , 1994, and ending , 19
Name of plan sponsor as shown on line 1a of Form 5500 Employer identification number
Part I Schedule of Assets Held for Investment Purposes—See Form 5500, Item 27a.
(b) (c) (d) (e)
(a) Identity of issue, borrower, lessor, or similar party Description of investment including maturity date, Cost Current value
rate of interest, collateral, par or maturity value
For Paperwork Reduction Act Notice, see the Instructions for Form 5500. Cat. No. 14739A Schedule G (Form 5500) 1994
Schedule G (Form 5500) 1994 Page 2
Part II Schedule of Assets Held for Investment Purposes That Were Both Acquired And Disposed of Within
The Plan Year—See Form 5500, Item 27a.
(a) (b) (c) (d)
Identity of issue, borrower, lessor, or similar party Description of investment including maturity date, Costs of acquisitions Proceeds of dispositions
rate of interest, collateral, par or maturity value
Part III Schedule of Loans or Fixed Income Obligations—See Form 5500, Item 27b
(f) (h)
(b)
(a) (c) Expense (g) Current value
Description of asset (d) (e) (i)
Identity of party Purchase incurred Cost of of asset on
(include interest rate and Selling price Lease rental Net gain or (loss)
involved price with asset transaction
maturity in case of a loan)
transaction date
Schedule G (Form 5500) 1994 Page 4
Part VI Schedule of Nonexempt Transactions—See Form 5500, Item 27e.
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.
(g)
(c) (j)
(b) Expenses (i)
(a) Description of transactions (d) (h) Net gain or
Relationship to plan, (e) (f) incurred in Current
Identity of party including maturity date, rate Purchase Cost of (loss) on
employer, or other Selling price Lease rental connection value of
involved of interest, collateral, par or price asset each
party-in-interest with asset
maturity value transaction
transaction