SCHEDULE G OMB No.

1210-0016
Financial Schedules
(Form 5500) Schedule G may be filed as an attachment to the 1993 Annual Return/Report
Department of the Treasury
Form 5500. See the instructions for item 27 of the Form 5500.
Internal Revenue Service This schedule is filed for plans answering “Yes” to items 27a through 27f on the
Form 5500 under Section 104 of the Employee Retirement Income Security Act
Department of Labor of 1974, referred to as ERISA. This Form Is Open
Pension and Welfare Benefits Administration © Attach to Form 5500. to Public Inspection
For calendar plan year 1993 or fiscal plan year beginning , 1993, and ending , 19
Name of plan sponsor as shown on line 1a of Form 5500 Employer identification number

Name of plan Three-digit

plan 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) 1993
Schedule G (Form 5500) 1993 Page 2
Part II Schedule of Assets Held for Investment Purposes Which 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

Amount received (g)

Detailed description of loan including Amount overdue
(c) during reporting year (f)
(b) dates of making and maturity, interest
Original Unpaid
(a) Identity and address rate, the type and value of collateral,
amount of balance at
of obligor (d) (e) any renegotiation of the loan and the (h) (i)
loan end of year
Principal Interest terms of the renegotiation and other Principal Interest
material items
Schedule G (Form 5500) 1993 Page 3
Part IV Schedule of Leases in Default or Classified as Uncollectible—See Form 5500, Item 27c.
(d)
(c) Terms and description (type of (g) (h)
(f)
(b) Relationship to plan, property, location and date it was Gross rental Expenses (j)
(e) Current (i)
(a) Identity of employer, employee purchased, terms regarding rent, receipts paid during Amount in
Original cost value at Net receipts
lessor/lessee organization, or other taxes, insurance, repairs, during the the plan arrears
time of lease
party-in-interest expenses, renewal options, date plan year year
property was leased)

Part V Schedule of Reportable Transactions—See Form 5500, Line 27d.

(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) 1993 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

Part VII Schedule of Nonexempt Transactions—See Form 5500, Item 27f.

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

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