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Department of Labor
Retirement Income Security Act of 1974 (ERISA) and section 6058(a) of the 2000
Pension and Welfare Benefits Internal Revenue Code (the Code).
Administration This Form is Open to
Pension Benefit Guaranty Corporation έ File as an attachment to Form 5500. Public Inspection.
For calendar year 2000 or fiscal plan year beginning , and ending ,
A Name of plan B Three-digit
plan number έ
C Plan sponsor's name as shown on line 2a of Form 5500 D Employer Identification Number
1 8 0 0 0 0 0 1 0 A
Schedule H (Form 5500) 2000 Page 2
Official Use Only
1 8 0 0 0 0 0 2 0 B
Schedule H (Form 5500) 2000 Page 3
Official Use Only
1 8 0 0 0 0 0 3 0 C
Schedule H (Form 5500) 2000 Page 4
Official Use Only
1 8 0 0 0 0 0 4 0 D