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Get and Sign Form 5500 Ez for
Revenue Service
Part I
OMB No. 1545-0956
This Form is Open
to Public Inspection.
Annual Return Identification Information
For the calendar plan year 2019 or fiscal plan year beginning (MM/DD/YYYY)
and ending
A
This return is: (1) the first return filed for the plan;
(3) the final return filed for the plan;
(2) an amended return;
(4) a short plan year return (less than 12 months).
B
If filing under an extension of time, check this box (see instructions) . . . . . . . . . . . . . . . ....
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