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Official Use Only Annual Return of Fiduciary of Employee Benefit Trust SCHEDULE P Form 5500 OMB No. 1210-0110 This schedule may be filed to satisfy the requirements under section 6033 a for an annual information return from every section 401 a organization exempt from tax under section 501 a. For the trust calendar year 2002 or fiscal trust year beginning w Department of the Treasury Internal Revenue Service Filing this form will start the running of the statute of limitations under section 6501 a for any trust described in section 401 a that is exempt from File as an attachment to Form 5500 or 5500-EZ. MM / D D / Y Y Y Y This Form is Open to Public Inspection. and ending Please type or print 1a Name of trustee or custodian b Number street and room or suite no. Official Use Only Annual Return of Fiduciary of Employee Benefit Trust SCHEDULE P Form 5500 OMB No* 1210-0110 This schedule may be filed to satisfy the requirements under section 6033 a for an annual information return from every section 401 a organization exempt from tax under section 501 a. For the trust calendar year 2002 or fiscal trust year beginning w Department of the Treasury Internal Revenue Service Filing this form will start the running of the statute of limitations under section 6501 a for any trust described in section 401 a that is exempt from File as an attachment to Form 5500 or 5500-EZ. MM / D D / Y Y Y Y This Form is Open to Public Inspection* and ending Please type or print 1a Name of trustee or custodian b Number street and room or suite no. If a P box see the instructions for Form 5500 or 5500-EZ. O. c City or town State ZIP code b Trust s employer identification number Name of plan if different from name of trust Have you furnished the participating employee benefit plan s with the trust financial information required to be reported by the plan s. Yes No Enter the plan sponsor s employer identification number as shown on Form 5500 or 5500-EZ. Under penalties of perjury I declare that I have examined this schedule and to the best of my knowledge and belief it is true correct and complete. SIGN HERE Signature of fiduciary Date For Paperwork Reduction Act Notice and OMB Control Nos. see the inst. For the trust calendar year 2002 or fiscal trust year beginning w Department of the Treasury Internal Revenue Service Filing this form will start the running of the statute of limitations under section 6501 a for any trust described in section 401 a that is exempt from File as an attachment to Form 5500 or 5500-EZ. MM / D D / Y Y Y Y This Form is Open to Public Inspection* and ending Please type or print 1a Name of trustee or custodian b Number street and room or suite no. MM / D D / Y Y Y Y This Form is Open to Public Inspection* and ending Please type or print 1a Name of trustee or custodian b Number street and room or suite no. If a P box see the instructions for Form 5500 or 5500-EZ. O. c City or town State ZIP code b Trust s employer identification number Name of plan if different from name of trust Have you furnished the participating employee benefit plan s with the trust financial information required to be reported by the plan s..

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