BASIC (10-80)

RM 03299.003 Exhibits

 

Exhibit 1 — Schedule SSA (Form 5500) Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits (Front)

G-5500-1

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Exhibit 2 — Schedule SSA (Form 5500) Annual Registration Statement Identifying Separated Participants With Deferred Vested Benefits (Back)

G-5500-2

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Exhibit 3 — SSA-L99-C1, Notice of Potential Private Pension Benefits (Front)

G-SSA-L99-C1-1

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Exhibit 4 — SSA-L99-C1, Notice of Potential Private Pension Benefits (Back)

G-SSA-L99-C1-2

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Exhibit 5 — SSA-4617-U2, Pension Information Request Form

G-RM 03299.003-5

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To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0103299003
RM 03299.003 - Exhibits - 06/27/2001
Batch run: 01/27/2009
Rev:06/27/2001