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Department of the Treasury
Internal Revenue Service
OMB No. 1545-1610
This Form is Open to Public Inspection.

Form 5500-EZ
2023
Annual Return of A One-Participant (Owners/Partners and Their Spouses) Retirement Plan or A Foreign Plan

This form is required to be filed under section 6058(a) of the Internal Revenue Code. Certain foreign retirement plans are also required to file this form (see instructions).

Complete all entries in accordance with the instructions to the Form 5500-EZ. Go to www.irs.gov/Form5500EZ for instructions and the latest information.

Part I Annual Return Identification Information

For the calendar plan year 2023 or fiscal plan year beginning 
(MM/DD/YYYY) ---- and ending ----

A This return is:
(1) -- the first return filed for the plan
(2) -- an amended return
(3) -- the final return filed for the plan
(4) -- a short plan year return (less than 12 months)
B Check box if filing under
-- Form 5558
-- automatic extension
-- special extension (enter description) ----
C If this return is for a foreign plan, check this box (see instructions) -- 
D If this return is for the IRS Late Filer Penalty Relief Program, check this box --
(Must be filed on a paper Form with the IRS. See instructions)
E If this is a retroactively adopted plan permitted by SECURE Act section 201, check here -- 

Part II Basic Plan Information - enter all requested information.

1a Name of plan ----
1b Three-digit plan number (PN) ----
1c Date plan first became effective (MM/DD/YYYY) ----
2a
Employer's name ----
Trade name of business (if different from name of employer) ----
In care of name ----
Mailing address (room, apt., suite no. and street, or P.O. box) ----
City or town, state or province, country, and ZIP or foreign postal code (if foreign, see instructions) ----
2b Employer Identification Number (EIN) (Do not enter your Social Security Number) ----
2c Employer's telephone number ----
2d Business code (see instructions) ----
3a
Plan administrator's name (if same as employer, enter "Same") ----
In care of name ----
Mailing address (room, apt., suite no. and street, or P.O. box) ----
City or town, state or province, country, and ZIP or foreign postal code (if foreign, see instructions) ----
3b Administrator's EIN ----
3c Administrator's telephone number ----
4 If the employer's name, the employer's EIN, and/or the plan name has changed since the last return filed for this plan, enter the employer's name and EIN, the plan name, and the plan number for the last return in the appropriate space provided
a Employer's name ----
b EIN ----
c Plan name ----
d PN ----
5a(1) Total number of participants at the beginning of the plan year ----
5a(2) Total number of active participants at the beginning of the plan year ----
5b(1) Total number of participants at the end of the plan year ----
5b(2) Total number of active participants at the end of the plan year ----
5c Number of participants who terminated employment during the plan year with accrued benefits that were less than 100% vested ----

Part III Financial Information

6a Total plan assets
(1) Beginning of year ----
(2) End of year ----
6b Total plan liabilities
(1) Beginning of year ----
(2) End of year ----
6c Net plan assets (subtract line 6b from 6a)
(1) Beginning of year ----
(2) End of year ----

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 5500-EZ.
Catalog Number 63263R
Form 5500-EZ (2023)

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Form 5500-EZ (2023)
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7 Contributions received or receivable from:
a Employers Amount ----
b Participants Amount ----
c Others (including rollovers) Amount ----

Part IV Plan Characteristics

8 Enter the applicable two-character feature codes from the List of Plan Characteristics Codes in the instructions.
---- 10 sets of boxes included for codes

Part V Compliance and Funding Questions

9 During the plan year, did the plan have any participant loans? If "Yes," enter amount as of year end
-- Yes
-- No
Amount ----
10 Is this a defined benefit plan that is subject to minimum funding requirements? If "Yes," complete Schedule SB (Form 5500) and line 10a below (see instructions)
-- Yes
-- No
Amount shaded
a Enter the unpaid minimum required contributions for all years from Schedule SB (Form 5500), line 40 ----
11 Is this a defined contribution plan subject to the minimum funding requirements of section 412 of the Code? If "Yes," complete lines 11a or 11b, 11c, 11d, and 11e below, as applicable.
-- Yes
-- No
Amount shaded
a If a waiver of the minimum funding standard for a prior year is being amortized in this plan year, enter the month, day, and year (MM/DD/YYYY) of the letter ruling granting the waiver (see instructions) ----
b Enter the minimum required contribution for this plan year ----
c Enter the amount contributed by the employer to the plan for this plan year ----
d Subtract the amount in line 11c from the amount in line 11b. Enter the result (enter a minus sign to the left of a negative amount) ----
e Will the minimum funding amount reported on line 11d be met by the funding deadline? ----
-- Yes
-- No
-- N/A
12 If the plan sponsor is an adopter of a pre-approved plan that received a favorable IRS Opinion Letter, enter the date of the Opinion Letter ---- (MM/DD/YYYY) and the Opinion Letter serial number ----

Caution: A penalty for the late or incomplete filing of this return will be assessed unless reasonable cause is established.

Under penalties of perjury, I declare that I have examined this return including, if applicable, any related Schedule MB (Form 5500) or Schedule SB (Form 5500) signed by an enrolled actuary, and, to the best of my knowledge and belief, it is true, correct, and complete.

Sign Here Signature of employer or plan administrator ----
Date ---- 
Type or print name of individual signing as employer or plan administrator ---- 

Form 5500-EZ (2023)

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IRS
February 1, 2024
Catalog Number 63264C

2023
Instructions for Form 5500-EZ

Annual Return of a One-Participant
(Owners/Partners and Their Spouses) Retirement Plan or A Foreign Plan

Section references are to the Internal Revenue Code unless otherwise noted.

Future developments. For the latest information about developments related to Form 5500-EZ and its instructions, such as legislation enacted after they were published, go to IRS.gov/Form5500EZ.

What's New

IRS Compliance Question. A new IRS compliance question regarding whether a plan sponsor is an adopter of a pre-approved plan is added to Line 12.

Filing Tips

To reduce the possibility of correspondence and penalties, we remind filers of the following.

Filing Form 5500-EZ on paper with the IRS:

• Use the online, fillable 2023 Form 5500-EZ on the IRS website. Complete and download the form to your computer to print and sign before mailing.
• Or, use the official printed paper Form 5500-EZ obtained from the IRS. Complete the form by hand using only black or blue ink. Be sure to enter your information in the specific line fields provided; sign and date the form before mailing.
• Or, use approved software, if available.
• Do not use felt tip pens or other writing instruments that can cause signatures or data to bleed through to the other side of the paper. One-sided documents should have no markings on the blank side.
• Do not use glue or other sticky substances on the paper. Paper should be clean.
• Do not submit extraneous information such as arrows or notes on the form.
• Mail Form 5500-EZ for plan year 2023 to the IRS office in Ogden, Utah, to be processed. See Where To File in these instructions.

Filing Form 5500-EZ electronically using the EFAST2 filing system:

• File online using EFAST2's web-based filing system or
• File through an EFAST2-approved vendor.

Detailed information on electronic filing is available on the EFAST2 website at www.efast.dol.gov.

Phone Help

If you have questions and need help in completing this form, please call the IRS Help Desk at 877-829-5500. If you have questions concerning electronic filing under the EFAST2 filing system, call the EFAST2 Help Desk at 1-866-GO-EFAST (1-866-463-3278). These toll-free telephone services are available Monday through Friday.

How To Get Forms and Publications

You can find Form 5500-EZ and its instructions by visiting the IRS Internet website at IRS.gov/FormsPubs. You can also find and order other IRS forms and publications at IRS.gov/OrderForms.

Personal computer. You can access the IRS website 24 hours a day, 7 days a week at IRS.gov to:

• View forms, instructions, and publications.

• See answers to frequently asked tax questions.

• Search publications online by topic or keyword.

• Send comments or request help by email.

• Sign up to receive local and national tax news by email.

Photographs of Missing Children

The Internal Revenue Service is a proud partner with the National Center for Missing & Exploited Children® (NCMEC). Photographs of missing children selected by the Center may appear in instructions on pages that would otherwise be blank. You can help bring these children home by looking at the photographs and calling 1-800-THE-LOST (1-800-843-5678) if you recognize a child.

General Instructions

Purpose of Form

Form 5500-EZ is used by one-participant plans and foreign plans that are not subject to the requirements of section 104(a) of the Employee Retirement Income Security Act of 1974 (ERISA).

Note. A one-participant plan or a foreign plan (as defined under Who Must File Form 5500-EZ) cannot file an annual return on Form 5500, Annual Return/Report of Employee Benefit Plan, or Form 5500-SF, Short Form Annual Return/Report of Small

Employee Benefit Plan, regardless of whether the plan previously filed an annual return on Form 5500 or Form 5500-SF. Therefore, every one-participant plan or a foreign plan required to file an annual return must either file paper Form 5500-EZ with the IRS or electronically file Form 5500-EZ using the EFAST2 Filing System.

Who Must File Form 5500-EZ

You must file Form 5500-EZ for a retirement plan if the plan is a one-participant plan or a foreign plan that is required to file an annual return under section 6058(a).

A one-participant plan means a retirement plan (that is, a defined benefit pension plan or a defined contribution profit-sharing or money purchase pension plan), other than an Employee Stock Ownership Plan (ESOP), which:

1. Covers only you (or you and your spouse) and you (or you and your spouse) own the entire business (which may be incorporated or unincorporated); or
2. Covers only one or more partners (or partners and their spouses) in a business partnership (treating 2% shareholder of an S corporation, as defined in IRC §1372(b), as a partner); and

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3. Does not provide benefits for anyone except you (or you and your spouse) or one or more partners (or partners and their spouses).

A one-participant plan must file an annual return unless the plan meets the conditions for not filing under Who Does Not Have To File Form 5500-EZ below.

A foreign plan means a pension plan that is maintained outside the United States primarily for nonresident aliens.

A foreign plan is required to file an annual return if the employer who maintains the plan is:

• A domestic employer, or
• A foreign employer with income derived from sources within the United States (including foreign subsidiaries of domestic employers) if contributions to the plan are deducted on its U.S. income tax return.

CAUTION! Do not file an annual return for a plan that is a qualified foreign plan within the meaning of section 404A(e) that does not qualify for the treatment provided in section 402(d).

Note. If you are not eligible to file the Form 5500-EZ for a plan that is subject to the reporting requirements in section 104 of ERISA, you must electronically file Form 5500 or, if eligible, Form 5500-SF.

Who Does Not Have To File Form 5500-EZ

You do not have to file Form 5500-EZ for the 2023 plan year for a one-participant plan if the total of the plan's assets and the assets of all other one-participant plans maintained by the employer at the end of the 2023 plan year does not exceed $250,000, unless 2023 is the final plan year of the plan. For more information on final plan years, see Final Return, later.

Example. If a plan meets all the requirements for filing Form 5500-EZ and its total assets (either alone or in combination with one or more one-participant plans maintained by the employer) exceed $250,000 at the end of the 2023 plan year, Form 5500-EZ must be filed for each of the employer's one-participant plans including those with less than $250,000 in assets for the 2023 plan year.

Note. You should use the total plan assets as listed as of the end of the plan year on line 6a(2) of this form to determine whether the plan(s) assets exceed $250,000. If an employer maintains one or more one-participant plans, the total assets of all one-participant plans combined must be counted towards the amount of $250,000.

How To File

Paper forms for filing. The 2023 Form 5500-EZ may be filed on paper. File the official IRS printed Form 5500-EZ or the downloadable form found on the IRS website; or use approved software, if available.

You can complete the online, fillable 2023 Form 5500-EZ found on the IRS website and download it to your computer to print and sign before mailing to the address specified in these instructions. See Where To File.

You can obtain the official IRS printed 2023 Form 5500-EZ from the IRS to complete by hand with pen or typewriter using blue or black ink. Entries should not exceed the lines provided on the form. Abbreviate if necessary. Paper forms are available from the IRS as discussed earlier in How To Get Forms and Publications.

Electronic filing. Effective for plan years beginning after 2019, a filer can file Form 5500-EZ electronically using the EFAST2 filing system. See EFAST2 Filing System in these instructions.

Mandatory electronic filing. A filer must file the Form 5500-EZ electronically using the EFAST2 Filing System instead of filing a paper Form 5500-EZ with the IRS if the filer is required to file at least 250 returns of any type with the IRS, including information returns (for example, Forms W-2 and Forms 1099), income tax returns, employment tax returns, and excise tax returns, during the calendar year that includes the first day of the applicable plan year. If a filer is required to file a Form 5500-EZ electronically but does not, the filer is considered to have not filed the form even if a paper Form 5500-EZ is submitted. See Treasury Regulations section 301.6058-2 for more information on mandatory electronic filing of employee retirement benefit plan returns. The IRS may waive the requirements to file Form 5500-EZ electronically in cases of undue economic hardship. For information on filing a request for a hardship waiver, see "Recent Developments" under "About Form 5500-EZ" available at 
https://www.irs.gov.

EFAST2 Filing System

A one-participant plan and a foreign plan can satisfy their filing obligation under the Code by filing Form 5500-EZ electronically under the EFAST2 filing system in place of filing Form 5500-EZ on paper with the IRS.

Under EFAST2, you must electronically file the 2023 Forms 5500 and 5500-SF using EFAST2's web-based filing system or you may file through an EFAST2-approved vendor. The 2023 Form 5500-EZ can also be electronically filed using the EFAST2 filing system or filed on paper with the IRS. For more information about electronic filing, see the EFAST2 website at www.efast.dol.gov. For telephone assistance, call the EFAST2 Help Desk at 1-866-GO-EFAST (1-866-463-3278). The EFAST2 Help Desk is available Monday through Friday.

Note (1). A filer must file Form 5500-EZ electronically instead of filing Form 5500-EZ on paper if the filer is required to file at least 250 returns of any type with the IRS during the calendar year. See How To File for more information.

Note (2). If a filer is not subject to the IRS mandatory electronic filing requirement under Treasury Regulations section 301.6058-2, a filer may elect to file Form 5500-EZ electronically using the EFAST2 filing system. Information filed on Form 5500-EZ is required to be made available to the public. However, the information for a one-participant plan or a foreign plan, whether filed electronically with EFAST2 or filed on paper, will not be published on the internet.

What To File

Plans required to file an annual return for one-participant (owners and their spouses) retirement plans or foreign plans may file Form 5500-EZ in accordance with its instructions. Filers of Form 5500-EZ are not required to file schedules or attachments related to Form 5500 with the 2023 Form 5500-EZ. However, you must collect and retain for your records completed Schedule MB (Form 5500), Multiemployer Defined Benefit Plan and Certain Money Purchase Plan Actuarial Information, if applicable, and completed and signed Schedule SB (Form 5500), Single-Employer Defined Benefit Plan Actuarial Information, if applicable. Even though you do not have to file the Schedule MB (Form 5500) or Schedule SB (Form 5500) with the 2023 Form 5500-EZ, you are still required to both perform an annual valuation and maintain the funding records associated with plan funding in the same manner as a plan for which the applicable schedule must be filed.

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Eligible combined plans. The Pension Protection Act of 2006 established rules for a new type of pension plan, an "eligible combined plan," effective for plan years beginning after December 31, 2009. An eligible combined plan consists of a defined benefit plan and a defined contribution plan that includes a qualified cash or deferred arrangement under section 401(k). The assets of the two plans are held in a single trust, but clearly identified and allocated between plans. The eligible combined plan design is available only to employers that:

• Employed an average of at least 2, but no more than 500, employees on business days during the calendar year prior to the establishment of the eligible combined plan; and
• Employ at least 2 employees on the first day of the plan year that the plan is established.

Because an eligible combined plan includes both a defined benefit plan and a defined contribution plan, the Form 5500-EZ filed for the plan must include all the information that would be required for either a defined benefit plan or a defined contribution plan.

Note. The 2023 Schedule MB (Form 5500) and the 2023 Schedule SB (Form 5500) are available only electronically from the Department of Labor website at www.efast.dol.gov. You can complete the schedules online and print them out for your records. If you are a Form 5500-EZ filer, do not attempt to electronically file the Schedule MB or Schedule SB related to your 2023 Form 5500-EZ filing.

When To File

File the 2023 return for plan years that started in 2023. Form 5500-EZ must be filed by the last day of the 7th calendar month after the end of the plan year that began in 2023 (not to exceed 12 months in length).

Note. If the filing due date falls on a Saturday, Sunday, or legal holiday, the return may be filed on the next day that is not a Saturday, Sunday, or legal holiday.

Where To File

File the paper Form 5500-EZ at the following address:

Department of the Treasury Internal Revenue Service Ogden, UT 84201-0020

Private delivery services (PDSs). You can use certain private delivery services designated by the IRS to meet the "timely mailing as timely filing/paying" rule for tax returns and payments. Go to IRS.gov/PDS for the current list of designated services.

The PDS can tell you how to get written proof of the mailing date.

Private delivery services use the following address:

Internal Revenue Submission Processing Center 1973
Rulon White Blvd.
Ogden, UT 84201

Who Must Sign

The plan administrator or employer (owner) must sign and date paper Form 5500-EZ for the 2023 filing.

Penalties

Section 6652(e) imposes a penalty of $250 a day (up to a maximum penalty of $150,000 per plan year) for not filing returns in connection with pension, profit-sharing, etc., plans by the required due date.

Specific Instructions

Part I - Annual Return Identification Information

Enter the calendar or fiscal year beginning and ending dates of the plan year (not to exceed 12 months in length) for which you are reporting information. Express the date in numerical month, day, and year in the following order "MM/DD/YYYY" (for example, "01/01/2023").

For a plan year of less than 12 months (short plan year), insert the short plan year beginning and ending dates on the line provided at the top of the form. For purposes of this form, the short plan year ends on the date of the change in accounting period or the complete distribution of the plan's assets.

First Return

Check box A(1) if this is the first filing for this plan. Do not check this box if you have ever filed for this plan, even if it was a different form (for example, Form 5500).

Amended Return

Check box A(2) if you are filing an amended Form 5500-EZ to correct errors and/or omissions in a previously filed annual return for the 2023 plan year. The amended Form 5500-EZ must conform to the requirements under the How To File section, earlier.

If you are filing an amended return for a one-participant plan or a foreign plan that previously filed electronically using Form 5500-SF or Form 5500-EZ, you must submit the amended return electronically using the prior-year Form 5500-EZ for amending returns originally filed for the prior years or use the current-year Form 5500-EZ for amending returns filed for the current year or returns originally filed older than 3-years. Do Not use Form 5500- SF for an amended return of a one-participant plan or a foreign plan, even if you previously filed using Form 5500-SF.

If you are filing an amended return for a one-participant plan or a foreign plan that was previously filed on a paper Form 5500-EZ, you must submit the amended return using the paper Form 5500-EZ with the IRS.

Short Plan Year

Check box A(4) if this form is filed for a period of less than 12 months. Show the dates at the top of the form.

For a short plan year, file a return by the last day of the 7th month following the end of the short plan year. Modify the heading of the form to show the beginning and ending dates of your short plan year and check box A(4) for a short plan year. If this is also the first or final return filed for the plan, check the appropriate box (box A(1) or A(3)).

Final Return

All one-participant plans and all foreign plans should file a return for their final plan year indicating that all assets have been distributed.

Check box A(3) if all assets under the plan(s) (including insurance/annuity contracts) have been distributed to the participants and beneficiaries or distributed or transferred to another plan. The final plan year is the year in which distribution of all plan assets is completed.

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Extension of Time To File
Using Form 5558

If filing under an extension of time based on the filing of a Form 5558, Application for Extension of Time To File Certain Employee Plan Returns, do not attach Form 5558 to your Form 5500-EZ. Check the "Form 5558" box in Part I, line B. A one-time extension of time to file Form 5500-EZ (up to 21/2 months) may be obtained by filing Form 5558 on or before the normal due date (not including any extensions) of the return. You must file Form 5558 with the IRS.

Approved copies of the Form 5558 will not be returned to the filer. A copy of the completed extension request must be retained with the plan's records.

See the instructions for Form 5558 and file paper Form 5558 with the Department of the Treasury, Internal Revenue Service Center, Ogden, UT 84201-0045.

Note. Line A of the Form 5558 asks for "Name of filer, plan administrator, or plan sponsor." The name of the plan sponsor is generally the same as the employer name for a one-participant plan.

Using Extension of Time To File Federal Income Tax Return

Filers are automatically granted an extension of time to file Form 5500-EZ until the extended due date of the federal income tax return of the employer (and are not required to file Form 5558) if all of the following conditions are met.

1. The plan year and the employer's tax year are the same;
2. The employer has been granted an extension of time to file its federal income tax return to a date later than the normal due date for filing the Form 5500-EZ; and
3. A copy of the application for extension of time to file the federal income tax return is retained with the plan's records.

Be sure to check the "automatic extension" box in Part I, line B. at the top of the form. An extension granted by using this exception cannot be extended further by filing a Form 5558 after the normal due date (without extension) of Form 5500-EZ.

Other Extensions of Time

The IRS may announce special extensions of time under certain circumstances, such as extensions for Presidentially-declared disasters or for service in, or in support of, the Armed Forces of the United States in a combat zone. If you are relying on one of these announced special extensions, check the "special extension" box on the Form 5500-EZ, Part I, line B, and enter a description of the announced authority for the extension.

Foreign Plan

Check box C if the return is filed by a foreign plan. See Who Must File Form 5500-EZ, earlier.

Check box D only if you are filing a paper Form 5500-EZ with the IRS for the late filer penalty relief program. The delinquent return cannot be file electronically through the EFAST2 System.

Late Filer Penalty Relief Program

The IRS Late Filer Penalty Relief Program for late annual reporting for non-Title I retirement plans (one-participant plans and certain foreign plans) provides administrative relief to plan administrators and plan sponsors from the penalties otherwise applicable under sections 6652(e) and 6692 for failing to timely comply with the annual reporting requirements imposed under sections 6047(e), 6058, and 6059. Rev. Proc. 2015-32 requires that an applicant must submit a complete Form 5500-EZ for the delinquent plan year on paper with the IRS. The IRS delinquent return cannot be filed electronically through EFAST2 System.

An applicant under the program must print in red letters in the top margin above the Form 5500-EZ's title on the first page of the return: "Delinquent Return Submitted under Rev. Proc. 2015-32, Eligible for Penalty Relief." A filer who checks box D and submits the delinquent 2023 Form 5500-EZ under the program is not required to also mark the return as described in Rev. Proc. 2015-32. However, the return must still be marked as described in Rev. Proc. 2015-32 for delinquent returns for years that have no box D available. Please be aware that each submission under the program must include a completed paper copy of Form 14704 attached to the front of the oldest delinquent return in the submission. Form 14704 can be found at www.irs.gov/pub/irs-pdf/f14704.pdf. See Rev. Proc. 2015-32, 2015-24 1063, for more information.

A retroactively adopted plan as permitted by SECURE Act section 201

Check this box E if the plan sponsor adopted the plan during the 2023 plan year (i.e., by the due date, including extension, for filing the plan sponsor's tax return for the 2022 taxable year) and elected to treat the plan as having been adopted before the 2023 plan year began (i.e., at the close as of the last day of the sponsor's taxable year) as permitted by section 201 of the Setting Every Community Up for Retirement Enhancement Act of 2019 (SECURE ACT). Plans in this situation are not required to file a 2022 Form 5500-EZ. However, if the plan is a defined benefit pension plan, the enrolled actuary must complete and sign the 2022 Schedule SB (Form 5500) in addition to the 2023 Schedule SB (Form 5500) and the plan sponsor must retain both Schedule SBs for its records. Please see Instructions for Schedule SB for more information.

Part II - Basic Plan Information

Line 1a. Enter the formal name of the plan.

Line 1b. Enter the three-digit plan number (PN) that the employer assigned to the plan. Plans should be numbered consecutively starting with 001. Once a plan number is used for a plan, it must be used as the plan number for all future filings of returns for the plan, and this number may not be used for any other plan even after the plan is terminated.

Line 1c. Enter the date the plan first became effective.

Line 2a. Each row is designed to contain specific information regarding the employer. Please limit your response to the information required in each row as specified below.

1. Enter in the first row the name of the employer.
2. Enter in the second row the trade name if different from the name entered in the first row.
3. Enter in the third row the in care of ("C/O") name.
4. Enter in the fourth row the street address. A post office box number may be entered if the Post Office does not deliver mail to the employer's street address.
5. Enter in the fifth row the name of the city, the two character abbreviation of the U.S. state or possession and ZIP code.

Note. You can use Form 8822-B, Change of Address or Responsible Party - Business, to notify the IRS if you changed your business mailing address, your business location, or the identity of your responsible party.

Foreign address. For foreign addresses, enter the information in the order of the city or town, state or province, country, and ZIP or foreign postal code. Follow the country's practice in placing the postal code in the address. Do not abbreviate the country name.

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Line 2b. Enter the employer's nine-digit employer identification number (EIN). For example, 00-1234567. Do not enter a social security number (SSN).

Employers without an EIN must apply for one as soon as possible. EINs are issued by the IRS. You can apply for an EIN:

• Online - Go to the IRS website at IRS.gov/Businesses and click on "Employer ID Numbers." The EIN is issued immediately once the application information is validated.
• By mailing or faxing Form SS-4, Application for Employer Identification Number.

CAUTION! The online application process is not yet available for plans with addresses in foreign countries. Foreign plans may not apply for an EIN online but must use one of the other methods to apply. However, foreign plans may call 267-941-1099 (not a toll-free number) to apply for an EIN. For more information, see the Instructions for Form SS-4.

Line 2c. Enter the employer's telephone number including the area code.

Line 2d. Enter the six-digit applicable code that best describes the nature of the plan sponsor's business from the list of principal business activity codes later in these instructions.

Line 3a. Each row is designed to contain specific information regarding the plan administrator. Please limit your response to the information required in each row of boxes as specified below.

1. Enter in the first row the name of the plan administrator unless the administrator is the employer identified in line 2a. If this is the case, enter the word "Same" on line 3a and leave the remainder of line 3a, and all of lines 3b and 3c, blank.
2. Enter in the second row any in care of ("C/O") name.
3. Enter in the third row the street address. A post office box number may be entered if the Post Office does not deliver mail to the administrator's street address.
4. Enter in the fourth row the name of the city, the two- character abbreviation of the U.S. state or possession and ZIP code.

Foreign address. For foreign addresses, enter the information in the order of the city or town, state or province, country, and ZIP or foreign postal code. Follow the country's practice in placing the postal code in the address. Do not abbreviate the country name.

Line 3b. Enter the plan administrator's nine-digit EIN. A plan administrator must have an EIN for Form 5500-EZ reporting purposes. If the plan administrator does not have an EIN, apply for one as explained in the instructions for line 2b.

Line 3c. Enter the plan administrator's telephone number including the area code.

Lines 4a-4d. If the employer's name, the employer's EIN, and/or the plan name has changed since the last return was filed for this plan, enter the employer's name and EIN, the plan name, and the plan number as it appeared on the last return filed for this plan.

Line 5a(1). Enter the total number of participants at the beginning of the plan year.

Line 5a(2). Enter the total number of active participants at the beginning of the plan year.

Line 5b(1). Enter the total number of participants at the end of the plan year.

Line 5b(2). Enter the total number of active participants at the end of the plan year.

"Participant" for purpose of lines 5a(1)-5b(2) means any individual who is included in one of the categories below.

1. Active participants (for example, any individuals who are currently in employment covered by the plan and who are earning or retaining credited service under the plan) including:
• Any individuals who are eligible to elect to have the employer make payments under a section 401(k) qualified cash or deferred arrangement, and
• Any nonvested individuals who are earning or retaining credited service under the plan.
This category does not include (a) nonvested former employees who have incurred the break in service period specified in the plan or (b) former employees who have received a "cash-out" distribution or deemed distribution of their entire nonforfeitable accrued benefit.
2. Retired or separated participants receiving benefits (for example, individuals who are retired or separated from employment covered by the plan and who are receiving benefits under the plan). This category does not include any individual to whom an insurance company has made an irrevocable commitment to pay all the benefits to which the individual is entitled under the plan.
3. Other retired or separated participants entitled to future benefits (for example, any individuals who are retired or separated from employment covered by the plan and who are entitled to begin receiving benefits under the plan in the future). This category does not include any individual to whom an insurance company has made an irrevocable commitment to pay all the benefits to which the individual is entitled under the plan.
4. Deceased individuals who had one or more beneficiaries who are receiving or are entitled to receive benefits under the plan. This category does not include any individual to whom an insurance company has made an irrevocable commitment to pay all the benefits to which the beneficiaries of that individual are entitled under the plan.

Line 5c. Include any individual who terminated employment during this plan year, whether or not he or she (a) incurred a break in service, (b) received an irrevocable commitment from an insurance company to pay all the benefits to which he or she is entitled under the plan, and/or (c) received a cash distribution or deemed cash distribution of his or her nonforfeitable accrued benefit.

Part III - Financial Information

Note. The cash, modified cash, or accrual basis accounting methods may be used for recognition of transactions in Part III, as long as you use one method consistently. Amounts reported on lines 6a, 6b, and 6c for the beginning of the plan year must be the same as reported for the end of the plan year on the return for the preceding plan year. Use whole dollars only.

Line 6a. "Total plan assets" include rollovers and transfers received from other plans, unrealized gains and losses such as appreciation/depreciation in assets. It also includes specific assets held by the plan at any time during the plan year (for example, partnership/joint venture interests, employer real property, real estate (other than employer real property), employer securities, loans (participant and non-participant loans), and tangible personal property).

Enter the total amount of plan assets at the beginning of the plan year in column (1). Do not include contributions designated for the 2023 plan year in column (1). Enter the total amount of plan assets at the end of the plan year in column (2).

<Page 6>

Line 6b. Liabilities include but are not limited to benefit claims payable, operating payables, acquisition indebtedness, and other liabilities. Do not include the value of future distributions that will be made to participants.

Lines 7a and 7b. Enter the total cash contributions received and/or receivable by the plan from employers and participants during the plan year.

Line 7c. Enter the amount of all other contributions including transfers or rollovers received from other plans valued on the date of contribution.

Part IV - Plan Characteristics

Line 8. Do not leave blank. Enter all applicable two-character plan characteristics codes that applied during the reporting year from the List of Plan Characteristics Codes shown later that describe the characteristics of the plan being reported.

Note. In the case of an eligible combined plan under section 414(x) and ERISA section 210(e), the codes entered in the boxes on line 9 must include any codes applicable for either the defined benefit pension features or the defined contribution pension features of the plan.

Part V - Compliance and Funding Questions

Line 9. You must check "Yes" if the plan had any participant loans outstanding at any time during the plan year and enter the amount outstanding as of the end of the plan year.

Enter on this line all loans to participants, including residential mortgage loans that are subject to section 72(p). Include the sum of the value of the unpaid principal balances, plus accrued but unpaid interest, if any, for participant loans made under an individual account plan with investment experience segregated for each account made in accordance with 29 CFR 2550.408b-1 and which are secured solely by a portion of the participant's vested accrued benefit. When applicable, combine this amount with the current value of any other participant loans. Do not include a participant loan that has been deemed distributed.

Line 10. Check "Yes" if this plan is a defined benefit plan subject to the minimum funding standard requirements of section 412.

Line 10a. Enter the unpaid minimum required contribution for all years from line 40 of Schedule SB (Form 5500).

If the plan is a defined benefit plan, the enrolled actuary must complete and sign the 2023 Schedule SB (Form 5500) and forward it no later than the filing due date to the person responsible for filing Form 5500-EZ. The completed Schedule SB is subject to the records retention provisions of the Code. See the 2023 Instructions for Form 5500 for more information about Schedule SB.

Line 11a. If a waiver of the minimum funding standard for a prior year is being amortized in the current plan year, enter the month, day, and year (MM/DD/YYYY) the letter ruling was granted.

If a money purchase defined contribution plan (including a target benefit plan) has received a waiver of the minimum funding standard, and the waiver is currently being amortized, complete lines 3, 9, and 10 of Schedule MB (Form 5500). See the Instructions for Schedule MB in the Instructions for Form 5500. Do not attach Schedule MB to the Form 5500-EZ. Instead, keep the completed Schedule MB in accordance with the applicable records retention requirements.

Line 12. If a plan sponsor or an employer adopted a Pre-approved Plan that had received a favorable Opinion Letter, enter the date of the most recent favorable Opinion Letter issued by the IRS and the Opinion Letter serial number listed on the letter. A "Pre-approved Plan" is a plan approved by the IRS with a favorable opinion letter that is made available by a Provider for adoption by employers, including a standardized plan or a nonstandardized plan. A Pre-approved Plan may utilize either of two forms: a basic plan document with an adoption agreement or a single plan document. The employer is permitted to make minor modifications to the plan. An "Adopting Employer" is an employer that adopts a Pre-approved Plan offered by a Provider, including a plan that is word-for-word identical to, or a minor modification of, a plan of a Mass Submitter. If a plan was modified in such a way that negates the Opinion Letter, then the plan sponsor is no longer an Adopting Employer of a Pre-approved Plan, and the plan is treated as an individually designed plan. An "Opinion Letter" is a written statement issued by the IRS to a Provider or Mass Submitter as an opinion on the qualification in form of a plan under Code section 401(a), Code section 403(a), or both Code sections 401 or 403(a) and 4975(e)(7). See Revenue Procedure 2017-41 for more information. The opinion letter serial number is a unique combination of a capital letter and a series of six numbers assigned to each opinion letter.

Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue laws of the United States. This form is required to be filed under section 6058(a). Section 6109 requires you to provide your identification number. If you fail to provide this information in a timely manner or if you provide false or fraudulent information, you may be subject to penalties. Section 6104(b) makes the information contained in this form publicly available. Therefore, the information will be given to anyone who asks for it and may be given to the Pension Benefit Guaranty Corporation (PBGC) for administration of ERISA, the Department of Justice for civil and criminal litigation, and cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their tax laws. We may also disclose this information to other countries under a treaty, to federal and state agencies to enforce federal non-tax criminal laws, and to federal law enforcement and intelligence agencies to combat terrorism.

You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of the Internal Revenue Code. Generally, the Form 5500 series return/reports and some of the related schedules are open to public inspection.

The time needed to complete and file this form will vary depending on individual circumstances. The estimated average time is:

Recordkeeping 19 hr., 07 min.
Learning about the law or the form 3 hr., 01min.
Preparing the form 5 hr., 19 min.
Copying, assembling, and sending the form 32 min.

If you have suggestions for making this form simpler, we would be happy to hear from you. You can send us comments from IRS.gov/FormComment. Or you can write to the Internal Revenue Service, Tax Forms and Publications Division, 1111 Constitution Ave. NW, IR-6526, Washington, DC 20234. Do not send this form to this address. Instead, see Where To File, earlier.

<Page 7>

LIST OF PLAN CHARACTERISTICS
CODES FOR LINE 8

CODE; Defined Benefit Pension Features
1A; Benefits are primarily pay related.
1B; Benefits are primarily flat dollar (includes dollars per year of service).
1C; Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10% of final average pay times years of service, or the amount of the employee's hypothetical account balance).
1D; Floor-offset plan - Plan benefits are subject to offset for retirement benefits provided by an employer-sponsored defined contribution plan.
1E; Section 401(h) arrangement - Plan contains separate accounts under section 401(h) to provide employee health benefits.
1F; Section 414(k) arrangement - Benefits are based partly on the balance of the separate account of the participant (also include appropriate defined contribution pension feature codes).
1I; Frozen plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
CODE; Defined Contribution Pension Features
2A; Age/Service Weighted or New Comparability or Similar Plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New Comparability or Similar Plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the threshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
2B; Target benefit plan.
2C; Money purchase (other than target benefit) plan.
2D; Offset plan - Plan benefits are subject to offset for retirement benefits provided in another plan or arrangement of the employer.
2E; Profit-sharing plan.
2J; Section 401(k) feature - A cash or deferred arrangement described in section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
2K; Section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contributions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if plan is a section 403(b)(1), 403(b)(7), or 408 arrangement/accounts annuities.
2R; Participant-directed brokerage accounts provided as an investment option under the plan.
2S; Plan provides for automatic enrollment in plan that has elective contributions deducted from payroll.
2T; Total or partial participant-directed account plan - Plan uses default investment account for participants who fail to direct assets in their account.
CODE; Other Pension Benefit Features
3A; Non-U.S. plan - Pension plan maintained outside the United States primarily for nonresident aliens.
3B; Plan covering self-employed individuals.
3C; Plan not intended to be qualified - A plan not intended to be qualified under section 401, 403, or 408.
3D; Pre-approved pension plan - A pre-approved pension plan under sections 401, 403(a), 403(b), and 4975(e)(7) of the Code that is subject to a favorable opinion letter from the IRS.
3E; A one-participant plan that satisfies minimum coverage requirements of section 410(b) only when combined with another plan of the employer.
3F; Plan sponsor(s) received services of leased employees, as defined in section 414(n), during the plan year.
3H; Plan sponsor(s) is (are) a member(s) of a controlled group, or affiliated service group (section 414(b), (c), or (m)).
3J; U.S.-based plan that covers residents of Puerto Rico and is qualified under both section 401 and section 1165 of the Internal Revenue Code of Puerto Rico.

<Page 8>

Forms 5500, 5500-SF, and 5500-EZ Codes for Principal Business Activity

This list of principal business activities and their associated codes is designed to classify an enterprise by the type of activity in which it is engaged.

These principal activity codes are based on the North American Industry Classification System.

Code; Agriculture, Forestry, Fishing and Hunting

Crop Production

111100; Oilseed & Grain Farming
111210; Vegetable & Melon Farming (including potatoes & yams)
111300; Fruit & Tree Nut Farming
111400; Greenhouse, Nursery, & Floriculture Production
111900; Other Crop Farming (including tobacco, cotton, sugarcane, hay, peanut, sugar beet, & all other crop farming)

Animal Production

112111; Beef Cattle Ranching & Farming
112112; Cattle Feedlots
112120; Dairy Cattle & Milk Production
112210; Hog & Pig Farming
112300; Poultry & Egg Production
112400; Sheep & Goat Farming
112510; Aquaculture (including shellfish & finfish farms & hatcheries)
112900; Other Animal Production

Forestry and Logging

113110; Timber Tract Operations
113210; Forest Nurseries & Gathering of Forest Products
113310; Logging

Fishing, Hunting and Trapping

114110; Fishing
114210; Hunting & Trapping

Support Activities for Agriculture and Forestry

115110; Support Activities for Crop Production (including cotton ginning, soil preparation, planting, & cultivating)
115210; Support Activities for Animal Production
115310; Support Activities for Forestry
Code; Mining 
211120; Crude Petroleum Extraction
211130; Natural Gas Extraction
212110; Coal Mining
212200; Metal Ore Mining
212310; Stone Mining & Quarrying
212320; Sand, Gravel, Clay, & Ceramic & Refractory Minerals Mining, & Quarrying
212390; Other Nonmetallic Mineral Mining & Quarrying
213110; Support Activities for Mining
Code; Utilities
221100; Electric Power Generation, Transmission & Distribution
221210; Natural Gas Distribution
221300; Water, Sewage & Other Systems
221500; Combination Gas & Electric
Code; Construction

Construction of Buildings

236110; Residential Building Construction
236200; Nonresidential Building Construction

Heavy and Civil Engineering Construction

237100; Utility System Construction
237210; Land Subdivision
237310; Highway, Street, & Bridge Construction
237990; Other Heavy & Civil Engineering Construction
Code; Specialty Trade Contractors
238100; Foundation, Structure, & Building Exterior Contractors (including framing carpentry, masonry, glass, roofing, & siding)
238210; Electrical Contractors
238220; Plumbing, Heating, & Air-Conditioning Contractors
238290; Other Building Equipment Contractors
238300; Building Finishing Contractors (including drywall, insulation, painting, wallcovering, flooring, tile, & finish carpentry)
238900; Other Specialty Trade Contractors (including site preparation)
Code; Manufacturing

Food Manufacturing

311110; Animal Food Mfg
311200; Grain & Oilseed Milling
311300; Sugar & Confectionary Product Mfg
311400; Fruit & Vegetable Preserving & Specialty Food Mfg
311500; Dairy Product Mfg
311610; Animal Slaughtering and Processing
311710; Seafood Product Preparation & Packaging
311800; Bakeries, Tortilla & Dry Pasta Mfg
311900; Other Food Mfg (including coffee, tea, flavorings & seasonings)

Beverage and Tobacco Product Manufacturing

312110; Soft Drink & Ice Mfg
312120; Breweries
312130; Wineries
312140; Distilleries
312200; Tobacco Manufacturing

Textile Mills and Textile Product Mills

313000; Textile Mills
314000; Textile Product Mills

Apparel Manufacturing

315100; Apparel Knitting Mills
315210; Cut & Sew Apparel Contractors
315220; Men's & Boys' Cut & Sew Apparel Mfg.
315240; Women's, Girls' and Infants' Cut & Sew Apparel Mfg.
315280; Other Cut & Sew Apparel Mfg
315990; Apparel Accessories & Other Apparel Mfg

Leather and Allied Product Manufacturing

316110; Leather & Hide Tanning, & Finishing
316210; Footwear Mfg (including rubber & plastics)
316990; Other Leather & Allied Product Mfg

Wood Product Manufacturing

321110; Sawmills & Wood Preservation
321210; Veneer, Plywood, & Engineered Wood Product Mfg
321900; Other Wood Product Mfg

Paper Manufacturing

322100; Pulp, Paper, & Paperboard Mills
322200; Converted Paper Product Mfg

Printing and Related Support Activities

323100; Printing & Related Support Activities

Petroleum and Coal Products Manufacturing

324110; Petroleum Refineries (including integrated)
324120; Asphalt Paving, Roofing, & Saturated Materials Mfg
324190; Other Petroleum & Coal Products Mfg

Chemical Manufacturing

325100; Basic Chemical Mfg
325200; Resin, Synthetic Rubber, & Artificial & Synthetic Fibers & Filaments Mfg
325300; Pesticide, Fertilizer, & Other Agricultural Chemical Mfg
325410; Pharmaceutical & Medicine Mfg
325500; Paint, Coating, & Adhesive Mfg
325600; Soap, Cleaning Compound, & Toilet Preparation Mfg
325900; Other Chemical Product & Preparation Mfg

Plastics and Rubber Products Manufacturing

326100; Plastics Product Mfg
326200; Rubber Product Mfg

Nonmetallic Mineral Product Manufacturing

327100; Clay Product & Refractory Mfg
327210; Glass & Glass Product Mfg
327300; Cement & Concrete Product Mfg
327400; Lime & Gypsum Product Mfg
327900; Other Nonmetallic Mineral Product Mfg

Primary Metal Manufacturing

331110; Iron & Steel Mills & Ferroalloy Mfg
331200; Steel Product Mfg from Purchased Steel
331310; Alumina & Aluminum Production & Processing
331400; Nonferrous Metal (except Aluminum) Production & Processing
331500; Foundries

Fabricated Metal Product Manufacturing

332110; Forging & Stamping
332210 Cutlery & Handtool Mfg
332300; Architectural & Structural Metals Mfg
332400; Boiler, Tank, & Shipping Container Mfg
332510; Hardware Mfg
332610; Spring & Wire Product Mfg
332700; Machine Shops; Turned Product; & Screw, Nut, & Bolt Mfg
332810; Coating, Engraving, Heat Treating, & Allied Activities
332900; Other Fabricated Metal Product Mfg

Machinery Manufacturing

333100; Agriculture, Construction, & Mining Machinery Mfg
333200; Industrial Machinery Mfg
333310; Commercial & Service Industry Machinery Mfg
333410; Ventilation, Heating, Air-Conditioning, & Commercial Refrigeration Equipment Mfg
333510; Metalworking Machinery Mfg
333610 Engine, Turbine & Power Transmission Equipment Mfg
333900; Other General Purpose Machinery Mfg

Computer and Electronic Product Manufacturing

334110; Computer & Peripheral Equipment Mfg
334200; Communications Equipment Mfg
334310; Audio & Video Equipment Mfg
334410; Semiconductor & Other Electronic Component Mfg
334500; Navigational, Measuring, Electromedical, & Control Instruments Mfg
334610 Manufacturing & Reproducing Magnetic & Optical Media

Electrical Equipment, Appliance, and Component Manufacturing

335100; Electric Lighting Equipment Mfg
335200; Major Household Appliance Mfg
335310; Electrical Equipment Mfg
335900; Other Electrical Equipment & Component Mfg

Transportation Equipment Manufacturing

336100; Motor Vehicle Mfg
336210; Motor Vehicle Body & Trailer Mfg
336300; Motor Vehicle Parts Mfg
336410; Aerospace Product & Parts Mfg
336510; Railroad Rolling Stock Mfg
336610; Ship & Boat Building
336990; Other Transportation Equipment Mfg

Furniture and Related Product Manufacturing

337000; Furniture & Related Product Manufacturing

Miscellaneous Manufacturing

339110; Medical Equipment & Supplies Mfg
339900; Other Miscellaneous Mfg
Code; Wholesale Trade

Merchant Wholesalers, Durable Goods

423100; Motor Vehicle, & Motor Vehicle Parts & Supplies
423200; Furniture & Home Furnishings
423300; Lumber & Other Construction Materials
423400; Professional & Commercial Equipment & Supplies
423500; Metal & Mineral (except petroleum)
423600; Household Appliances and Electrical & Electronic Goods
423700; Hardware, Plumbing, & Heating Equipment & Supplies
423800; Machinery, Equipment, & Supplies
423910; Sporting & Recreational Goods & Supplies
423920; Toy, & Hobby Goods, & Supplies
423930; Recyclable Materials
423940; Jewelry, Watch, Precious Stone, & Precious Metals
423990; Other Miscellaneous Durable Goods

Merchant Wholesalers, Nondurable Goods

424100; Paper & Paper Products
424210; Drugs & Druggists' Sundries
424300; Apparel, Piece Goods, & Notions
424400; Grocery & Related Products
424500; Farm Product Raw Materials
424600; Chemical & Allied Products
424700; Petroleum & Petroleum Products
424800; Beer, Wine, & Distilled Alcoholic Beverages
424910; Farm Supplies
424920; Book, Periodical, & Newspapers
424930; Flower, Nursery Stock, & Florists' Supplies
424940; Tobacco & Tobacco Products
424950; Paint, Varnish, & Supplies
424990; Other Miscellaneous Nondurable Goods

Wholesale Electronic Markets and Agents and Brokers

425110; Business to Business Electronic Markets
425120; Wholesale Trade Agents & Brokers

<Page 9>

Code; Retail Trade

Motor Vehicle and Parts Dealers

441110; New Car Dealers
441120; Used Car Dealers
441210; Recreational Vehicle Dealers
441222; Boat Dealers
441228; Motorcycle, ATV, and All Other Motor Vehicle Dealers
441300; Automotive Parts, Accessories, & Tire Stores

Furniture and Home Furnishings Stores

442110; Furniture Stores
442210; Floor Covering Stores
442291; Window Treatment Stores
442299; All Other Home Furnishings Stores

Electronics and Appliance Stores

443141; Household Appliance Stores
443142; Electronics Stores (including Audio, Video, Computer, and Camera Stores)

Building Material and Garden Equipment and Supplies Dealers

444110; Home Centers
444120; Paint & Wallpaper Stores
444130; Hardware Stores
444190; Other Building Material Dealers
444200; Lawn & Garden Equipment & Supplies Stores

Food and Beverage Stores

445110; Supermarkets and Other Grocery (except Convenience) Stores
445120; Convenience Stores
445210; Meat Markets
445220; Fish & Seafood Markets
445230; Fruit & Vegetable Markets
445291; Baked Goods Stores
445292; Confectionery & Nut Stores
445299; All Other Specialty Food Stores
445310; Beer, Wine, & Liquor Stores

Health and Personal Care Stores

446110; Pharmacies & Drug Stores
446120; Cosmetics, Beauty Supplies, & Perfume Stores
446130; Optical Goods Stores
446190; Other Health & Personal Care Stores

Gasoline Stations

447100; Gasoline Stations (including convenience stores with gas)

Clothing and Clothing Accessories Stores

448110; Men's Clothing Stores
448120; Women's Clothing Stores
448130; Children's & Infants' Clothing Stores
448140; Family Clothing Stores
448150; Clothing Accessories Stores
448190; Other Clothing Stores
448210; Shoe Stores
448310; Jewelry Stores
448320; Luggage & Leather Goods Stores

Sporting Goods, Hobby, Book, and Music Stores

451110; Sporting Goods Stores
451120; Hobby, Toy, & Game Stores
451130; Sewing, Needlework, & Piece Goods Stores
451140; Musical Instrument & Supplies Stores
451211; Book Stores
451212; News Dealers & Newsstands

General Merchandise Stores

452200; Department Stores
452300; General Merchandise Stores incl. Warehouse Clubs & Supercenters

Miscellaneous Store Retailers

453110; Florists
453210; Office Supplies & Stationery Stores
453220; Gift, Novelty, & Souvenir Stores
453310; Used Merchandise Stores
453910; Pet & Pet Supplies Stores
453920; Art Dealers
453930; Manufactured (Mobile) Home Dealers
453990; All Other Miscellaneous Store Retailers (including tobacco, candle, & trophy shops)

Nonstore Retailers

454110; Electronic Shopping & Mail-Order Houses
454210; Vending Machine Operators
454310; Fuel Dealers (including Heating Oil and Liquefied Petroleum)
454390; Other Direct Selling Establishments (including door-to-door retailing, frozen food plan providers, party plan merchandisers, & coffee-break service providers)
Code; Transportation and Warehousing

Air, Rail, and Water Transportation

481000; Air Transportation
482110; Rail Transportation
483000; Water Transportation

Truck Transportation

484110; General Freight Trucking, Local
484120; General Freight Trucking, Long-distance
484200; Specialized Freight Trucking

Transit and Ground Passenger Transportation

485110; Urban Transit Systems
485210; Interurban & Rural Bus Transportation
485310; Taxi Service
485320; Limousine Service
485410; School & Employee Bus Transportation
485510; Charter Bus Industry
485990; Other Transit & Ground Passenger Transportation

Pipeline Transportation

486000; Pipeline Transportation

Scenic & Sightseeing Transportation

487000; Scenic & Sightseeing Transportation

Support Activities for Transportation

488100; Support Activities for Air Transportation
488210; Support Activities for Rail Transportation
488300; Support Activities for Water Transportation
488410; Motor Vehicle Towing
488490; Other Support Activities for Road Transportation
488510; Freight Transportation Arrangement
488990; Other Support Activities for Transportation

Couriers and Messengers

492110; Couriers
492210; Local Messengers & Local Delivery

Warehousing and Storage

493100; Warehousing & Storage (except lessors of miniwarehouses & self-storage units)
Code; Information

Publishing Industries (except Internet) 

511110; Newspaper Publishers
511120; Periodical Publishers
511130; Book Publishers
511140; Directory & Mailing List Publishers
511190; Other Publishers
511210; Software Publishers

Motion Picture and Sound Recording Industries

512100; Motion Picture & Video Industries (except video rental) 
512200; Sound Recording Industries

Broadcasting (except Internet)

515100; Radio & Television Broadcasting
515210; Cable & Other Subscription Programming

Telecommunications

517000; Telecommunications (including paging, cellular, satellite, cable & other program distribution, resellers, other telecommunications, & internet service providers)

Data Processing Services

518210; Data Processing, Hosting, & Related Services

Other Information Services

519100; Other Information Services (including news syndicates, libraries, internet publishing & broadcasting)
Code; Finance and Insurance

Depository Credit Intermediation

522110; Commercial Banking
522120; Savings Institutions
522130; Credit Unions
522190; Other Depository Credit Intermediation

Nondepository Credit Intermediation

522210; Credit Card Issuing
522220; Sales Financing
522291; Consumer Lending
522292; Real Estate Credit (including mortgage bankers & originators)
522293; International Trade Financing
522294; Secondary Market Financing
522298; All Other Nondepository Credit Intermediation

Activities Related to Credit Intermediation

522300; Activities Related to Credit Intermediation (including loan brokers, check clearing, & money transmitting)

Securities, Commodity Contracts, and Other Financial Investments and Related Activities

523110; Investment Banking & Securities Dealing
523120; Securities Brokerage
523130; Commodity Contracts Dealing
523140; Commodity Contracts Brokerage
523210; Securities & Commodity Exchanges
523900; Other Financial Investment Activities (including portfolio management & investment advice)

Insurance Carriers and Related Activities

524130; Reinsurance Carriers
524140; Direct Life, Health, & Medical Insurance Carriers
524150; Direct Insurance (except Life, Health & Medical) Carriers
524210; Insurance Agencies & Brokerages
524290; Other Insurance Related Activities (including third-party administration of Insurance and pension funds)

Funds, Trusts, and Other Financial Vehicles

525100; Insurance & Employee Benefit Funds
525910; Open-End Investment Funds (Form 1120-RIC)
525920; Trusts, Estates, & Agency Accounts
525990; Other Financial Vehicles (including mortgage REITs & closed-end investment funds)
"Offices of Bank Holding Companies" and "Offices of Other Holding Companies" are located under Management of Companies (Holding Companies).
Code; Real Estate and Rental and Leasing

Real Estate

531110; Lessors of Residential Buildings & Dwellings (including equity REITs)
531120; Lessors of Nonresidential Buildings (except Miniwarehouses) (including equity REITs)
531130; Lessors of Miniwarehouses & Self-Storage Units (including equity REITs)
531190; Lessors of Other Real Estate Property (including equity REITs)
531210; Offices of Real Estate Agents & Brokers
531310; Real Estate Property Managers
531320; Offices of Real Estate Appraisers
531390; Other Activities Related to Real Estate

Rental and Leasing Services

532100; Automotive Equipment Rental & Leasing
532210; Consumer Electronics & Appliances Rental
532281; Formal Wear & Costume Rental
532282; Video Tape & Disc Rental
532283; Home Health Equipment Rental
532284; Recreational Goods Rental
532289; All Other Consumer Goods Rental
532310; General Rental Centers
532400; Commercial & Industrial Machinery & Equipment Rental & Leasing

Lessors of Nonfinancial Intangible Assets (except copyrighted works)

533110; Lessors of Nonfinancial Intangible Assets (except copyrighted works)
Code; Professional, Scientific, and Technical Services 

Legal Services

541110; Offices of Lawyers
541190; Other Legal Services

Accounting, Tax Preparation, Bookkeeping, and Payroll Services

541211; Offices of Certified Public Accountants
541213; Tax Preparation Services
541214; Payroll Services
541219; Other Accounting Services

Architectural, Engineering, and Related Services

541310; Architectural Services
541320; Landscape Architecture Services
541330; Engineering Services
541340; Drafting Services
541350; Building Inspection Services
541360; Geophysical Surveying & Mapping Services
541370; Surveying & Mapping (except Geophysical) Services
541380; Testing Laboratories

Specialized Design Services

541400; Specialized Design Services (including interior, industrial, graphic, & fashion design)

<Page 10>

Computer Systems Design and Related Services

541511; Custom Computer Programming Services
541512; Computer Systems Design Services
541513; Computer Facilities Management Services
541519; Other Computer Related Services

Other Professional, Scientific, and Technical Services

541600; Management, Scientific, & Technical Consulting Services
541700; Scientific Research & Development Services
541800; Advertising & Related Services
541910; Marketing Research & Public Opinion Polling
541920; Photographic Services
541930; Translation & Interpretation Services
541940; Veterinary Services
541990; All Other Professional, Scientific, & Technical Services
Code; Management of Companies (Holding Companies)
551111; Offices of Bank Holding Companies
551112; Offices of Other Holding Companies
Code; Administrative and Support and Waste Management and Remediation Services

Administration and Support Services

561110; Office Administrative Services
561210; Facilities Support Services
561300; Employment Services
561410; Document Preparation Services
561420; Telephone Call Centers
561430; Business Service Centers (including private mail centers & copy shops)
561440; Collection Agencies
561450; Credit Bureaus
561490; Other Business Support Services (including repossession services, court reporting, & stenotype services)
561500; Travel Arrangement & Reservation Services
561600; Investigation & Security Services
561710; Exterminating & Pest Control Services
561720; Janitorial Services
561730; Landscaping Services
561740; Carpet & Upholstery Cleaning Services
561790; Other Services to Buildings & Dwellings
561900; Other Support Services (including packaging & labeling services, & convention & trade show organizers)

Waste Management and Remediation Services

562000; Waste Management and Remediation Services
Code; Educational Services
611000; Educational Services (including schools, colleges, & universities)
Code; Health Care and Social Assistance

Offices of Physicians and Dentists

621111; Offices of Physicians (except mental health specialists)
621112; Offices of Physicians, Mental Health Specialists
621210; Offices of Dentists

Offices of Other Health Practitioners

621310; Offices of Chiropractors
621320; Offices of Optometrists
621330; Offices of Mental Health Practitioners (except Physicians)
621340; Offices of Physical, Occupational & Speech Therapists, & Audiologists
621391; Offices of Podiatrists
621399; Offices of all Other Miscellaneous Health Practitioners

Outpatient Care Centers

621410; Family Planning Centers
621420; Outpatient Mental Health & Substance Abuse Centers
621491; HMO Medical Centers
621492; Kidney Dialysis Centers
621493; Freestanding Ambulatory Surgical & Emergency Centers
621498; All Other Outpatient Care Centers

Medical and Diagnostic Laboratories

621510; Medical & Diagnostic Laboratories

Home Health Care Services

621610; Home Health Care Services

Other Ambulatory Health Care Services

621900; Other Ambulatory Health Care Services (including ambulance services & blood & organ banks)

Hospitals

622000; Hospitals

Nursing and Residential Care Facilities

623000; Nursing & Residential Care Facilities

Social Assistance

624100; Individual & Family Services
624200; Community Food & Housing, & Emergency & Other Relief Services
624310; Vocational Rehabilitation Services
624410; Child Day Care Services
Code; Arts, Entertainment, and Recreation

Performing Arts, Spectator Sports, and Related Industries

711100; Performing Arts Companies
711210; Spectator Sports (including sports clubs & racetracks)
711300; Promoters of Performing Arts, Sports, & Similar Events
711410; Agents & Managers for Artists, Athletes, Entertainers, & Other Public Figures
711510; Independent Artists, Writers, & Performers

Museums, Historical Sites, and Similar Institutions

712100; Museums, Historical Sites, & Similar Institutions

Amusements, Gambling, and Recreation Industries

713100; Amusement Parks & Arcades
713200; Gambling Industries
713900; Other Amusement & Recreation Industries (including golf courses, skiing facilities, marinas, fitness centers, & bowling centers)
Code; Accommodation and Food Services

Accommodation

721110; Hotels (except Casino Hotels) & Motels
721120; Casino Hotels
721191; Bed & Breakfast Inns
721199; All other Traveler Accommodation
721210; RV (Recreational Vehicle) Parks & Recreational Camps
721310; Rooming and Boarding Houses, Dormitories, and Workers' Camps

Food Services and Drinking Places

722300; Special Food Services (including food service contractors & caterers)
722410; Drinking Places (Alcoholic Beverages)
722511; Full-Service Restaurants
722513; Limited-Service Restaurants
722514; Cafeterias and Buffets
722515; Snack and Non-alcoholic Beverage Bars
Code; Other Services

Repair and Maintenance

811110; Automotive Mechanical, & Electrical Repair & Maintenance
811120; Automotive Body, Paint, Interior, & Glass Repair
811190; Other Automotive Repair & Maintenance (including oil change & lubrication shops & car washes)
811210; Electronic & Precision Equipment Repair & Maintenance
811310; Commercial & Industrial Machinery & Equipment (except Automotive & Electronic) Repair & Maintenance
811410; Home & Garden Equipment & Appliance Repair & Maintenance
811420; Reupholstery & Furniture Repair
811430; Footwear & Leather Goods Repair
811490; Other Personal & Household Goods Repair & Maintenance

Personal and Laundry Services

812111; Barber Shops
812112; Beauty Salons
812113; Nail Salons
812190; Other Personal Care Services (including diet & weight reducing centers)
812210; Funeral Homes & Funeral Services
812220; Cemeteries & Crematories
812310; Coin-Operated Laundries & Drycleaners
812320; Drycleaning & Laundry Services (except Coin-Operated)
812330; Linen & Uniform Supply
812910; Pet Care (except Veterinary) Services
812920; Photofinishing
812930; Parking Lots & Garages
812990; All Other Personal Services

Religious, Grantmaking, Civic, Professional, and Similar Organizations

813000; Religious, Grantmaking, Civic, Professional, & Similar Organizations (including condominium and homeowners associations)
813930; Labor Unions and Similar Labor Organizations
Code
921000; Governmental Instrumentality or Agency
                                             