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Get Form 5558 (Rev. August 2012) - Internal Revenue Service - Irs

Iler s identifying number (see instructions) Employer identification number (EIN) (9 digits XX-XXXXXXX) Number, street, and room or suite no. (If a P.O. box, see instructions) Social security number (SSN) (9 digits XXX-XX-XXXX) City or town, state, and ZIP code C Plan number Plan name MM Plan year ending DD YYYY Extension of Time To File Form 5500 Series, and/or Form 8955-SSA Part II Check this box if you are requesting an extension of time on line 2 to file the first Form 5500 ser.

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