Form 5500 (Revised 01-2018) r Yes r Form 5500 Request for Driver License Records and Personal Information . Form 5500 (Revised 01-2018) Mail to: Driver License Bureau DL Record Center Phone: (573) 751-7675 P.O. Box 2167 Fax: (573) 526-7367 Jefferson City, MO 65105-2167 E-mail: DOR.MVDL.DPPA@dor.mo.gov For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form 5500. Form 5500 (2015) v. 150123 03/31/2016 X 212-308-4200 12/20/1954 12/28/2016 525100 NEIL J. SAVASTA Filed with authorized/valid electronic signature. 001 04/01/2015 BOARD OF TRUSTEES LOCAL 805 LOCAL 805 PENSION & RETIREMENT FUND GOULD KOBRICK & SCHLAPP All Form 5500 and 5500-SFs must be completed and filed electronically using EFAST2-approved third-party software or using this website's IFILE tool. The Form 5500 Series Quick Start Guide provides an overview of how to file the Form 5500 or 5500-SF. For more detailed information on how to file, see the EFAST2 FAQs and other publications. This form is required to be filed for employee benefit plans under sections 104 and 4065 of the Employee Retirement Income Security Act of 1974 (ERISA) and sections 6047(e), 6057(b), and 6058(a) of the Internal Revenue Code (the Code). Complete all entries in accordance with the instructions to the Form 5500. OMB Nos. 1210 - 0110 1210 - 0089 2013 Schedule B (Form 5500) Part 129 hr., 39 min. 2 hr., 47 min. 3 hr., 23 min. A Change to Note for 1995 When the Schedule F (Form 5500) was printed, the provisions of Code section 127 had expired. Congress, however, was considering legislation that would extend these provisions beyond December 31, Quick steps to complete and eSign Form 5500 online: Use Get Form or simply click on the template preview to open it in the editor. Start completing the fillable fields and carefully type in required information. Use the Cross or Check marks in the top toolbar to select your answers in the list boxes. Utilize the Circle icon for other Yes/No For Paperwork Reduction Act Notice, see the Instructions for Form 5500 or 5500-SF. Schedule MB (Form 5500) 2018 v. 171027 167949399 01 PRODUCERS-WRITERS GUILD OF AMERICA PENSION PLAN X 312-726-0677 3078337965 17-05356 001 01/01/2018 71 S. WACKER DRIVE, 31ST FLOOR, CHICAGO, IL 60606 10/11/2019 MILLIMAN, INC. For Paperwork Reduction Act Notice, see the Instructions for Form 5500. Form 5500 (2016) v. 160205 12/31/2016 908-723-9869 10/01/1996 334200 CAREY SETTLE 510 01/01/2016 ALCATEL-LUCENT USA INC. NOKIA DEPENDENT GROUP LIFE INSURANCE PLAN 22-3408857 600 MOUNTAIN AVENUE, ROOM 6D-401A MURRAY HILL, NJ 07974 07/28/2017 X Filed with authorized/valid The Instructions for Form 5500-EZ. 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. 11e Caution A penalty for the late or incomplete filing of this return will be assessed unless reasonable cause is established. e Under penalties of perjury I declare that I have examined this For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form 5500. Form 5500 (2013) v. 130118 12/31/2013 X 908-582-7140 10/01/1996 334200 SUSAN LEAR 001 01/01/2013 ALCATEL-LUCENT USA INC. ALCATEL-LUCENT RETIREMENT INCOME PLAN 22-3408857 600 MOUNTAIN AVENUE, ROOM 2B-410 MURRAY HILL, NJ 07974 The employee benefit plan organizer should be used with the preparation of Form 5500, Annual Return/Report of Employee Benefit Plan. Provide it to your client to get started with t