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MacBinary | 1990-03-13 | 18.9 KB | [STCK/KCFM] |
open in:
MacOS 8.1
|
Win98
|
DOS
view JSON data
|
view as text
This file was processed as: MacBinary
(archive/macBinary).
You can browse this item here: 401(k) Rollover
Confidence | Program | Detection | Match Type | Support
|
---|
10%
| dexvert
| MacBinary (archive/macBinary)
| fallback
| Supported |
100%
| file
| MacBinary II, inited, Mon Jan 8 10:35:41 1990, modified Tue Mar 13 04:09:21 1990, creator 'KCFM', type 'STCK', 18428 bytes "401(k) Rollover" , at 0x487c 732 bytes resource
| default (weak)
| |
99%
| file
| data
| default
| |
100%
| TrID
| MacBinary 2
| default (weak)
| |
100%
| siegfried
| fmt/1762 MacBinary (II)
| default
| |
100%
| lsar
| MacBinary
| default
|
|
id metadata |
---|
key | value |
---|
macFileType | [STCK] |
macFileCreator | [KCFM] |
hex view+--------+-------------------------+-------------------------+--------+--------+
|00000000| 00 0f 34 30 31 28 6b 29 | 20 52 6f 6c 6c 6f 76 65 |..401(k)| Rollove|
|00000010| 72 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |r.......|........|
|00000020| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000030| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000040| 00 53 54 43 4b 4b 43 46 | 4d 01 00 00 00 00 00 00 |.STCKKCF|M.......|
|00000050| 00 00 00 00 00 47 fc 00 | 00 02 dc a1 ce 63 cd a2 |.....G..|.....c..|
|00000060| 22 69 41 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |"iA.....|........|
|00000070| 00 00 00 00 00 00 00 00 | 00 00 81 81 5c c9 00 00 |........|....\...|
|00000080| 00 0c 00 02 00 00 00 30 | 00 00 34 bc 00 00 01 de |.......0|..4.....|
|00000090| 00 00 2d 74 00 00 2d 76 | 00 00 47 2a 00 00 00 00 |..-t..-v|..G*....|
|000000a0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000000b0| 09 90 0c 60 00 01 00 01 | 00 00 00 00 00 01 00 00 |...`....|........|
|000000c0| 00 00 00 00 00 03 00 01 | 00 00 00 03 00 00 00 48 |........|.......H|
|000000d0| 00 48 00 00 00 00 03 08 | 02 40 ff f8 ff ee 03 10 |.H......|.@......|
|000000e0| 02 52 03 47 05 28 03 fc | 00 02 00 00 00 48 00 48 |.R.G.(..|.....H.H|
|000000f0| 00 00 00 00 03 08 02 40 | 00 01 00 00 00 64 00 00 |.......@|.....d..|
|00000100| 00 01 00 01 01 01 00 00 | 00 01 27 0f 00 01 00 01 |........|..'.....|
|00000110| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 00 19 |........|........|
|00000120| 01 90 00 00 00 00 00 70 | 00 00 00 00 00 00 00 00 |.......p|........|
|00000130| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000140| 00 00 00 00 01 16 00 01 | 00 06 00 06 40 38 00 00 |........|....@8..|
|00000150| 00 00 00 00 40 38 00 00 | 00 00 00 00 00 1d 00 03 |....@8..|........|
|00000160| 00 01 00 01 00 00 00 03 | 01 26 01 26 00 3c 00 38 |........|.&.&.<.8|
|00000170| 00 01 00 14 00 01 00 0a | 00 01 5f da 00 00 00 15 |........|.._.....|
|00000180| 00 01 00 0c 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000190| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 00 ff ff |........|........|
|000001a0| ff ff ff ff ff ff 00 01 | 00 01 00 4d e5 4e 00 4d |........|...M.N.M|
|000001b0| e5 54 00 4a 75 e8 00 4a | 75 e8 00 00 00 00 00 00 |.T.Ju..J|u.......|
|000001c0| 00 01 00 01 00 01 00 01 | 00 01 00 01 00 00 00 00 |........|........|
|000001d0| 00 00 00 01 00 00 00 00 | 00 00 00 00 00 00 00 90 |........|........|
|000001e0| 00 07 00 00 00 01 09 90 | 0c 60 00 20 00 48 0c 3d |........|.`. .H.=|
|000001f0| 09 45 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |.E......|........|
|00000200| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000210| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000220| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000230| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000240| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000250| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|00000260| 00 00 00 34 00 24 00 4c | 0b d0 09 44 00 01 00 01 |...4.$.L|...D....|
|00000270| 00 03 00 01 ff ff ff ff | ff ff ff ff 00 00 00 00 |........|........|
|00000280| 00 00 00 00 00 00 00 01 | 00 28 00 28 00 28 00 28 |........|.(.(.(.(|
|00000290| 00 00 00 00 00 00 00 00 | 00 07 00 00 03 78 08 59 |........|.....x.Y|
|000002a0| 00 70 0a 44 09 08 00 01 | 00 00 ff ff ff ff ff ff |.p.D....|........|
|000002b0| ff ff 00 01 00 00 00 00 | 00 00 00 02 08 59 00 70 |........|.....Y.p|
|000002c0| 0a 44 09 08 00 00 00 00 | 00 14 00 0a ff 00 00 00 |.D......|........|
|000002d0| 00 01 00 01 00 0a 02 e8 | 49 49 2e 20 20 20 49 4e |........|II. IN|
|000002e0| 56 45 53 54 4d 45 4e 54 | 20 45 4c 45 43 54 49 4f |VESTMENT| ELECTIO|
|000002f0| 4e 0d 20 20 20 20 20 09 | 20 20 45 6c 65 63 74 69 |N. .| Electi|
|00000300| 6f 6e 73 20 6d 75 73 74 | 20 62 65 20 69 6e 20 6d |ons must| be in m|
|00000310| 75 6c 74 69 70 6c 65 73 | 20 6f 66 20 32 30 25 20 |ultiples| of 20% |
|00000320| 61 6e 64 20 74 6f 74 61 | 6c 20 31 30 30 25 2e 20 |and tota|l 100%. |
|00000330| 20 49 66 20 6c 65 66 74 | 20 62 6c 61 6e 6b 2c 20 | If left| blank, |
|00000340| 79 6f 75 72 20 66 75 6e | 64 73 20 77 69 6c 6c 20 |your fun|ds will |
|00000350| 62 65 20 69 6e 76 65 73 | 74 65 64 20 62 61 73 65 |be inves|ted base|
|00000360| 64 20 6f 6e 20 79 6f 75 | 72 20 63 75 72 72 65 6e |d on you|r curren|
|00000370| 74 20 69 6e 76 65 73 74 | 6d 65 6e 74 20 09 09 09 |t invest|ment ...|
|00000380| 09 09 09 09 09 09 09 09 | 65 6c 65 63 74 69 6f 6e |........|election|
|00000390| 73 20 6f 72 2c 20 69 66 | 20 79 6f 75 20 61 72 65 |s or, if| you are|
|000003a0| 20 6a 75 73 74 20 6a 6f | 69 6e 69 6e 67 20 74 68 | just jo|ining th|
|000003b0| 65 20 70 6c 61 6e 2c 20 | 79 6f 75 72 20 72 6f 6c |e plan, |your rol|
|000003c0| 6c 6f 76 65 72 20 77 69 | 6c 6c 20 62 65 20 64 65 |lover wi|ll be de|
|000003d0| 70 6f 73 69 74 65 64 20 | 31 30 30 25 20 69 6e 20 |posited |100% in |
|000003e0| 46 75 6e 64 20 41 2e 20 | 20 49 20 65 6c 65 63 74 |Fund A. | I elect|
|000003f0| 20 74 6f 20 68 61 76 65 | 20 6d 79 20 72 6f 6c 6c | to have| my roll|
|00000400| 6f 76 65 72 20 09 09 09 | 09 09 09 09 09 09 09 09 |over ...|........|
|00000410| 09 09 09 09 09 09 09 09 | 09 09 09 09 09 09 09 63 |........|.......c|
|00000420| 6f 6e 74 72 69 62 75 74 | 69 6f 6e 20 69 6e 76 65 |ontribut|ion inve|
|00000430| 73 74 65 64 20 61 73 20 | 66 6f 6c 6c 6f 77 73 3a |sted as |follows:|
|00000440| 20 0d 0d 0d 0d 09 09 09 | 09 09 09 09 09 09 52 6f | .......|......Ro|
|00000450| 6c 6c 6f 76 65 72 73 20 | 64 65 70 6f 73 69 74 65 |llovers |deposite|
|00000460| 64 20 69 6e 74 6f 20 74 | 68 65 20 69 6e 76 65 73 |d into t|he inves|
|00000470| 74 6d 65 6e 74 20 66 75 | 6e 64 73 20 64 75 72 69 |tment fu|nds duri|
|00000480| 6e 67 20 74 68 65 20 66 | 69 72 73 74 20 6d 6f 6e |ng the f|irst mon|
|00000490| 74 68 20 6f 66 20 74 68 | 65 20 71 75 61 72 74 65 |th of th|e quarte|
|000004a0| 72 20 65 61 72 6e 20 69 | 6e 74 65 72 65 73 74 20 |r earn i|nterest |
|000004b0| 66 6f 72 20 74 68 65 20 | 65 6e 74 69 72 65 20 71 |for the |entire q|
|000004c0| 75 61 72 74 65 72 2e 20 | 20 53 65 63 6f 6e 64 0d |uarter. | Second.|
|000004d0| 09 09 09 09 09 09 09 09 | 09 6d 6f 6e 74 68 20 64 |........|.month d|
|000004e0| 65 70 6f 73 69 74 73 20 | 65 61 72 6e 20 69 6e 74 |eposits |earn int|
|000004f0| 65 72 65 73 74 20 66 6f | 72 20 68 61 6c 66 20 74 |erest fo|r half t|
|00000500| 68 65 20 71 75 61 72 74 | 65 72 2c 20 74 68 69 72 |he quart|er, thir|
|00000510| 64 20 6d 6f 6e 74 68 20 | 64 65 70 6f 73 69 74 73 |d month |deposits|
|00000520| 20 65 61 72 6e 20 6e 6f | 20 69 6e 74 65 72 65 73 | earn no| interes|
|00000530| 74 2e 20 20 41 6c 6c 6f | 77 20 74 77 6f 20 77 65 |t. Allo|w two we|
|00000540| 65 6b 73 20 70 72 6f 63 | 65 73 73 69 6e 67 20 74 |eks proc|essing t|
|00000550| 69 6d 65 2e 20 20 59 6f | 75 20 0d 09 09 09 09 09 |ime. Yo|u ......|
|00000560| 09 09 09 09 77 69 6c 6c | 20 72 65 63 65 69 76 65 |....will| receive|
|00000570| 20 61 20 63 6f 6e 66 69 | 72 6d 61 74 69 6f 6e 20 | a confi|rmation |
|00000580| 74 77 6f 20 77 65 65 6b | 73 20 61 66 74 65 72 20 |two week|s after |
|00000590| 79 6f 75 72 20 72 6f 6c | 6c 6f 76 65 72 20 69 73 |your rol|lover is|
|000005a0| 20 72 65 63 65 69 76 65 | 64 20 69 6e 20 43 75 70 | receive|d in Cup|
|000005b0| 65 72 74 69 6e 6f 20 42 | 65 6e 65 66 69 74 73 2e |ertino B|enefits.|
|000005c0| 00 00 00 52 00 04 00 00 | 00 00 00 0c 00 09 00 14 |...R....|........|
|000005d0| 01 00 00 0a 00 00 00 00 | 00 00 00 00 00 22 00 0c |........|....."..|
|000005e0| 00 09 00 14 00 00 00 0a | 00 00 00 00 00 00 00 00 |........|........|
|000005f0| 01 69 00 0c 00 09 00 14 | 01 00 00 0a 00 00 00 00 |.i......|........|
|00000600| 00 00 00 00 01 76 00 0c | 00 09 00 14 00 00 00 0a |.....v..|........|
|00000610| 00 00 00 00 00 00 00 01 | 00 00 00 c2 02 e4 00 70 |........|.......p|
|00000620| 03 18 04 f4 00 01 00 00 | 00 00 00 14 00 00 00 0a |........|........|
|00000630| 00 00 00 03 00 03 00 00 | 00 01 00 02 00 00 00 00 |........|........|
|00000640| 00 04 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000650| 00 00 00 00 00 03 00 03 | 00 00 ff ff ff ff ff ff |........|........|
|00000660| ff ff 02 50 01 24 00 20 | 00 20 00 00 01 11 00 0d |...P.$. |. ......|
|00000670| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000680| 00 00 00 02 02 e4 00 70 | 03 19 02 c0 01 01 81 80 |.......p|........|
|00000690| 00 14 00 0a 00 00 00 00 | 00 01 00 01 00 01 00 24 |........|.......$|
|000006a0| 09 09 09 09 09 49 20 72 | 65 63 65 69 76 65 64 20 |.....I r|eceived |
|000006b0| 74 68 65 20 61 62 6f 76 | 65 20 61 6d 6f 75 6e 74 |the abov|e amount|
|000006c0| 20 6f 6e 3a 00 00 00 16 | 00 01 00 00 00 00 00 0c | on:....|........|
|000006d0| 00 09 00 14 00 00 00 0a | 00 00 00 00 00 00 00 07 |........|........|
|000006e0| 00 00 01 0a 02 66 00 70 | 02 f1 09 13 00 01 00 00 |.....f.p|........|
|000006f0| ff ff ff ff ff ff ff ff | 00 01 00 00 00 00 00 00 |........|........|
|00000700| 00 02 02 66 00 70 02 f1 | 09 13 00 00 00 00 00 14 |...f.p..|........|
|00000710| 00 00 ff 00 00 00 00 01 | 00 01 00 02 00 8e 49 2e |........|......I.|
|00000720| 20 20 49 20 68 65 61 72 | 62 79 20 72 65 71 75 65 | I hear|by reque|
|00000730| 73 74 20 74 68 61 74 20 | 74 68 65 20 41 70 70 6c |st that |the Appl|
|00000740| 65 20 53 61 76 69 6e 67 | 73 20 26 20 49 6e 76 65 |e Saving|s & Inve|
|00000750| 73 74 6d 65 6e 74 20 50 | 6c 61 6e 20 61 63 63 65 |stment P|lan acce|
|00000760| 70 74 20 66 6f 72 20 63 | 72 65 64 69 74 20 74 6f |pt for c|redit to|
|00000770| 20 6d 79 20 61 63 63 6f | 75 6e 74 20 61 20 72 6f | my acco|unt a ro|
|00000780| 6c 6c 6f 76 65 72 20 0d | 09 09 09 09 09 63 6f 6e |llover .|.....con|
|00000790| 74 72 69 62 75 74 69 6f | 6e 20 69 6e 20 20 74 68 |tributio|n in th|
|000007a0| 65 20 61 6d 6f 75 6e 74 | 20 6f 66 3a 00 00 00 3e |e amount| of:...>|
|000007b0| 00 03 00 00 00 00 00 0c | 00 09 00 14 01 00 00 0c |........|........|
|000007c0| 00 00 00 00 00 00 00 00 | 00 02 00 0c 00 09 00 14 |........|........|
|000007d0| 00 00 00 0c 00 00 00 00 | 00 00 00 00 00 03 00 0c |........|........|
|000007e0| 00 09 00 14 00 00 00 0a | 00 00 00 00 00 00 00 01 |........|........|
|000007f0| 00 00 00 b0 02 7c 02 aa | 02 c1 05 d8 00 01 00 00 |.....|..|........|
|00000800| 00 00 00 14 00 00 00 0a | 00 00 00 03 00 02 00 85 |........|........|
|00000810| 00 01 00 04 00 00 00 00 | 00 04 00 01 00 00 00 00 |........|........|
|00000820| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 03 |........|........|
|00000830| 00 00 ff ff ff ff ff ff | ff ff 01 68 02 5c 00 30 |........|...h.\.0|
|00000840| 00 24 00 00 01 0e 00 0c | 00 01 00 00 00 00 00 00 |.$......|........|
|00000850| 00 00 00 00 00 00 00 00 | 00 00 00 02 02 7c 03 7c |........|.....|.||
|00000860| 02 c2 05 d9 01 00 81 81 | 00 14 00 0a 00 01 00 00 |........|........|
|00000870| 00 01 00 02 00 01 00 11 | 28 52 6f 6c 6c 6f 76 65 |........|(Rollove|
|00000880| 72 20 41 6d 6f 75 6e 74 | 29 a8 00 00 00 16 00 01 |r Amount|).......|
|00000890| 00 00 00 00 00 0c 00 09 | 00 14 01 00 00 0a 00 00 |........|........|
|000008a0| 00 00 00 00 00 07 00 00 | 00 78 00 38 01 3c 00 a4 |........|.x.8.<..|
|000008b0| 09 20 00 01 00 00 ff ff | ff ff ff ff ff ff 00 01 |. ......|........|
|000008c0| 00 00 00 00 00 00 00 02 | 00 38 01 3c 00 a4 09 20 |........|.8.<... |
|000008d0| 00 00 00 00 00 14 00 0e | 00 01 00 00 00 03 00 03 |........|........|
|000008e0| 00 01 00 23 41 50 50 4c | 45 20 53 41 56 49 4e 47 |...#APPL|E SAVING|
|000008f0| 53 20 20 41 4e 44 20 49 | 4e 56 45 53 54 4d 45 4e |S AND I|NVESTMEN|
|00000900| 54 20 50 4c 41 4e 0d 00 | 00 00 00 16 00 01 00 00 |T PLAN..|........|
|00000910| 00 00 00 0f 00 0c 00 14 | 01 00 00 0e 00 00 00 00 |........|........|
|00000920| 00 00 00 07 00 00 00 56 | 00 5c 00 94 00 d0 00 fa |.......V|.\......|
|00000930| 00 01 00 00 ff ff ff ff | ff ff ff ff 00 01 00 00 |........|........|
|00000940| 00 00 00 00 00 02 00 5c | 00 94 00 d0 00 fa 00 00 |.......\|........|
|00000950| 00 00 00 14 00 18 00 00 | 00 00 00 03 00 03 00 01 |........|........|
|00000960| 00 01 f0 00 00 00 00 16 | 00 01 00 00 00 00 00 18 |........|........|
|00000970| 00 12 00 14 00 00 00 18 | 00 00 00 00 00 00 00 07 |........|........|
|00000980| 00 00 00 56 00 a1 00 df | 00 ba 00 fc 00 01 00 00 |...V....|........|
|00000990| ff ff ff ff ff ff ff ff | 00 01 00 00 00 00 00 00 |........|........|
|000009a0| 00 02 00 a1 00 df 00 ba | 00 fc 00 00 00 00 00 14 |........|........|
|000009b0| 00 04 00 00 00 00 00 03 | 00 03 00 01 00 01 a8 00 |........|........|
|000009c0| 00 00 00 16 00 01 00 00 | 00 00 00 05 00 04 00 14 |........|........|
|000009d0| 00 00 00 04 00 00 00 00 | 00 00 00 01 00 00 00 ac |........|........|
|000009e0| 00 d5 07 dc 01 41 09 20 | 00 01 00 00 00 00 00 15 |.....A. |........|
|000009f0| 00 00 00 0a 00 00 00 03 | 00 03 00 00 00 01 00 03 |........|........|
|00000a00| 00 01 00 00 00 03 00 01 | ff ff ff ff ff ff ff ff |........|........|
|00000a10| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 00 ff ff |........|........|
|00000a20| ff ff ff ff ff ff 00 90 | 00 90 00 30 00 34 00 00 |........|...0.4..|
|00000a30| 00 f4 00 02 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000a40| 00 00 00 00 00 00 00 02 | 00 d6 07 dd 01 05 09 20 |........|....... |
|00000a50| 01 01 01 01 00 14 00 0a | 00 80 00 00 00 03 00 03 |........|........|
|00000a60| 00 01 00 0d 45 4d 50 4c | 4f 59 45 45 20 20 4e 4f |....EMPL|OYEE NO|
|00000a70| 2e 00 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |........|........|
|00000a80| 00 14 00 00 00 0a 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00000a90| 00 a2 00 d5 06 98 01 41 | 07 dc 00 01 00 00 00 00 |.......A|........|
|00000aa0| 00 15 00 00 00 0a 00 00 | 00 03 00 03 00 00 00 01 |........|........|
|00000ab0| 00 03 00 01 00 00 00 03 | 00 01 ff ff ff ff ff ff |........|........|
|00000ac0| ff ff 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|00000ad0| ff ff ff ff ff ff ff ff | 00 88 00 88 00 30 00 38 |........|.....0.8|
|00000ae0| 00 00 00 f5 00 01 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00000af0| 00 00 00 00 00 00 00 00 | 00 02 00 d6 06 99 01 05 |........|........|
|00000b00| 07 dc 01 01 01 01 00 14 | 00 0a 00 80 00 00 00 03 |........|........|
|00000b10| 00 03 00 01 00 04 44 41 | 54 45 00 00 00 16 00 01 |......DA|TE......|
|00000b20| 00 00 00 00 00 0c 00 09 | 00 14 00 00 00 0a 00 00 |........|........|
|00000b30| 00 00 00 00 00 01 00 00 | 00 a8 01 41 04 df 01 ad |........|...A....|
|00000b40| 05 de 00 01 00 00 00 00 | 00 15 00 00 00 0a 00 00 |........|........|
|00000b50| 00 03 00 03 00 00 00 01 | 00 03 00 01 00 00 00 03 |........|........|
|00000b60| 00 01 ff ff ff ff ff ff | ff ff 00 00 00 00 00 00 |........|........|
|00000b70| 00 00 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00000b80| 00 90 00 90 00 30 00 34 | 00 00 00 f6 00 06 00 01 |.....0.4|........|
|00000b90| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000ba0| 00 02 01 42 04 e0 01 71 | 05 de 01 01 01 01 00 14 |...B...q|........|
|00000bb0| 00 0a 00 80 00 00 00 03 | 00 03 00 01 00 0a 4d 41 |........|......MA|
|00000bc0| 49 4c 20 20 53 54 4f 50 | 00 00 00 16 00 01 00 00 |IL STOP|........|
|00000bd0| 00 00 00 0c 00 09 00 14 | 00 00 00 0a 00 00 00 00 |........|........|
|00000be0| 00 00 00 01 00 00 00 a8 | 01 41 07 dc 01 ad 09 20 |........|.A..... |
|00000bf0| 00 01 00 00 00 00 00 15 | 00 20 00 0a 00 00 00 03 |........|. ......|
|00000c00| 00 03 00 00 00 01 00 03 | 00 01 00 00 00 03 00 01 |........|........|
|00000c10| ff ff ff ff ff ff ff ff | 00 00 00 00 00 00 00 00 |........|........|
|00000c20| 00 00 00 03 00 00 ff ff | ff ff ff ff ff ff 00 94 |........|........|
|00000c30| 00 94 00 30 00 38 00 00 | 00 f7 00 08 00 01 00 00 |...0.8..|........|
|00000c40| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|00000c50| 01 42 07 dd 01 71 09 20 | 01 01 01 01 00 14 00 0a |.B...q. |........|
|00000c60| 00 80 00 00 00 03 00 03 | 00 01 00 09 41 50 50 4c |........|....APPL|
|00000c70| 45 4c 49 4e 4b 53 00 00 | 00 16 00 01 00 00 00 00 |ELINKS..|........|
|00000c80| 00 0c 00 09 00 14 00 00 | 00 0a 00 00 00 00 00 00 |........|........|
|00000c90| 00 01 00 00 00 ac 01 41 | 05 de 01 ad 07 dc 00 01 |.......A|........|
|00000ca0| 00 00 00 00 00 15 00 00 | 00 0a 00 00 00 03 00 03 |........|........|
|00000cb0| 00 01 00 01 00 03 00 01 | 00 00 00 03 00 01 ff ff |........|........|
|00000cc0| ff ff ff ff ff ff 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000cd0| 00 03 00 00 ff ff ff ff | ff ff ff ff 00 90 00 90 |........|........|
|00000ce0| 00 30 00 34 00 00 00 f8 | 00 07 00 01 00 00 00 00 |.0.4....|........|
|00000cf0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 01 42 |........|.......B|
|00000d00| 05 df 01 71 07 dc 01 01 | 01 01 00 14 00 0a 00 80 |...q....|........|
|00000d10| 00 00 00 03 00 03 00 01 | 00 0e 54 45 4c 45 50 48 |........|..TELEPH|
|00000d20| 4f 4e 45 20 20 4e 4f 2e | 00 00 00 16 00 01 00 00 |ONE NO.|........|
|00000d30| 00 00 00 0c 00 09 00 14 | 00 00 00 0a 00 00 00 00 |........|........|
|00000d40| 00 00 00 01 00 00 00 a6 | 01 41 03 49 01 ad 04 14 |........|.A.I....|
|00000d50| 00 01 00 00 00 00 00 15 | 00 00 00 0a 00 00 00 03 |........|........|
|00000d60| 00 03 00 00 00 01 00 03 | 00 01 00 00 00 03 00 01 |........|........|
|00000d70| ff ff ff ff ff ff ff ff | 00 00 00 00 00 00 00 00 |........|........|
|00000d80| 00 00 00 03 00 00 ff ff | ff ff ff ff ff ff 00 70 |........|.......p|
|00000d90| 00 70 00 30 00 34 00 00 | 00 f9 00 04 00 01 00 00 |.p.0.4..|........|
|00000da0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|00000db0| 01 42 03 4a 01 71 04 14 | 01 01 01 01 00 14 00 0a |.B.J.q..|........|
|00000dc0| 00 80 00 00 00 03 00 03 | 00 01 00 08 44 49 56 2e |........|....DIV.|
|00000dd0| 20 4e 4f 2e 00 00 00 16 | 00 01 00 00 00 00 00 0c | NO.....|........|
|00000de0| 00 09 00 14 00 00 00 0a | 00 00 00 00 00 00 00 01 |........|........|
|00000df0| 00 00 00 a8 01 41 04 14 | 01 ad 04 df 00 01 00 00 |.....A..|........|
|00000e00| 00 00 00 15 00 00 00 0a | 00 00 00 03 00 03 00 00 |........|........|
|00000e10| 00 01 00 03 00 01 00 00 | 00 03 00 01 ff ff ff ff |........|........|
|00000e20| ff ff ff ff 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|00000e30| 00 00 ff ff ff ff ff ff | ff ff 00 90 00 90 00 30 |........|.......0|
|00000e40| 00 34 00 00 00 fa 00 05 | 00 01 00 00 00 00 00 00 |.4......|........|
|00000e50| 00 00 00 00 00 00 00 00 | 00 00 00 02 01 42 04 15 |........|.....B..|
|00000e60| 01 71 04 df 01 01 01 01 | 00 14 00 0a 00 80 00 00 |.q......|........|
|00000e70| 00 03 00 03 00 01 00 09 | 44 45 50 54 2e 20 4e 4f |........|DEPT. NO|
|00000e80| 2e 6d 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |.m......|........|
|00000e90| 00 14 00 00 00 0a 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00000ea0| 00 ac 01 41 00 70 01 ad | 03 49 00 01 00 00 00 00 |...A.p..|.I......|
|00000eb0| 00 15 00 00 00 0a 00 00 | 00 03 00 03 00 2a 00 01 |........|.....*..|
|00000ec0| 00 03 00 01 00 00 00 03 | 00 01 ff ff ff ff ff ff |........|........|
|00000ed0| ff ff 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|00000ee0| ff ff ff ff ff ff ff ff | 01 98 01 98 00 30 00 38 |........|.....0.8|
|00000ef0| 00 00 00 fb 00 03 00 01 | 00 00 00 00 00 00 00 00 |........|........|
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|00001e70| 00 00 00 07 00 00 00 56 | 04 1c 00 70 04 55 00 b4 |.......V|...p.U..|
|00001e80| 00 01 00 00 ff ff ff ff | ff ff ff ff 00 01 00 00 |........|........|
|00001e90| 00 00 00 00 00 02 04 1c | 00 70 04 55 00 b4 00 00 |........|.p.U....|
|00001ea0| 00 00 00 14 00 0a 00 01 | 00 00 00 01 00 02 00 01 |........|........|
|00001eb0| 00 02 41 2e 00 00 00 16 | 00 01 00 00 00 00 00 0c |..A.....|........|
|00001ec0| 00 09 00 14 01 00 00 0a | 00 00 00 00 00 00 00 01 |........|........|
|00001ed0| 00 00 00 a4 03 f8 00 ac | 04 88 00 d8 00 01 00 00 |........|........|
|00001ee0| 00 00 00 15 00 00 00 0a | 00 00 00 03 00 03 00 01 |........|........|
|00001ef0| 00 00 00 04 00 00 00 00 | 00 00 00 01 00 00 00 00 |........|........|
|00001f00| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 00 03 |........|........|
|00001f10| 00 00 ff ff ff ff ff ff | ff ff 00 14 00 14 00 3c |........|.......<|
|00001f20| 00 38 00 00 01 12 00 0e | 00 01 00 00 00 00 00 00 |.8......|........|
|00001f30| 00 00 00 00 00 00 00 00 | 00 00 00 02 04 89 00 ac |........|........|
|00001f40| 04 89 00 d9 01 00 81 81 | 00 14 00 0a 00 01 00 00 |........|........|
|00001f50| 00 03 00 03 00 03 00 05 | 46 69 65 6c 64 db 00 00 |........|Field...|
|00001f60| 00 16 00 01 00 00 00 00 | 00 0c 00 09 00 14 01 00 |........|........|
|00001f70| 00 0a 00 00 00 00 00 00 | 00 07 00 00 00 56 07 26 |........|.....V.&|
|00001f80| 00 70 07 58 00 a0 00 01 | 00 00 ff ff ff ff ff ff |.p.X....|........|
|00001f90| ff ff 00 01 00 00 00 00 | 00 00 00 02 07 26 00 70 |........|.....&.p|
|00001fa0| 07 58 00 a0 00 00 00 00 | 00 14 00 0a 00 01 00 00 |.X......|........|
|00001fb0| 00 04 00 01 00 01 00 02 | 42 2e 00 00 00 16 00 01 |........|B.......|
|00001fc0| 00 00 00 00 00 0c 00 09 | 00 14 01 00 00 0a 00 00 |........|........|
|00001fd0| 00 00 00 00 00 07 00 00 | 02 2e 07 2a 00 e4 07 ec |........|...*....|
|00001fe0| 09 2b 00 01 00 00 ff ff | ff ff ff ff ff ff 00 01 |.+......|........|
|00001ff0| 00 00 00 00 00 00 00 02 | 07 2a 00 e4 07 ec 09 2b |........|.*.....+|
|00002000| 00 00 00 00 00 14 00 0a | ff 00 00 00 00 04 00 01 |........|........|
|00002010| 00 04 01 8a 54 68 69 73 | 20 72 6f 6c 6c 6f 76 65 |....This| rollove|
|00002020| 72 20 69 73 20 66 72 6f | 6d 20 61 6e 20 49 6e 64 |r is fro|m an Ind|
|00002030| 69 76 69 64 75 61 6c 20 | 52 65 74 69 72 65 6d 65 |ividual |Retireme|
|00002040| 6e 74 20 41 63 63 6f 75 | 6e 74 20 28 22 49 52 41 |nt Accou|nt ("IRA|
|00002050| 22 29 20 61 6e 64 20 74 | 68 65 20 49 52 41 20 77 |") and t|he IRA w|
|00002060| 61 73 20 65 73 74 61 62 | 6c 69 73 68 65 64 20 73 |as estab|lished s|
|00002070| 6f 6c 65 6c 79 20 77 69 | 74 68 20 66 75 6e 64 73 |olely wi|th funds|
|00002080| 20 64 69 73 74 72 69 62 | 75 74 65 64 20 74 6f 20 | distrib|uted to |
|00002090| 6d 65 20 66 72 6f 6d 20 | 61 20 70 6c 61 6e 20 71 |me from |a plan q|
|000020a0| 75 61 6c 69 66 69 65 64 | 20 75 6e 64 65 72 20 49 |ualified| under I|
|000020b0| 6e 74 65 72 6e 61 6c 20 | 52 65 76 65 6e 75 65 20 |nternal |Revenue |
|000020c0| 43 6f 64 65 20 53 65 63 | 74 69 6f 6e 20 34 30 31 |Code Sec|tion 401|
|000020d0| 28 61 29 20 61 6e 64 20 | 65 78 65 6d 70 74 20 66 |(a) and |exempt f|
|000020e0| 72 6f 6d 20 74 61 78 61 | 74 69 6f 6e 20 75 6e 64 |rom taxa|tion und|
|000020f0| 65 72 20 74 68 65 20 49 | 6e 74 65 72 6e 61 6c 20 |er the I|nternal |
|00002100| 52 65 76 65 6e 75 65 20 | 43 6f 64 65 20 53 65 63 |Revenue |Code Sec|
|00002110| 74 69 6f 6e 20 35 30 31 | 20 28 61 29 2c 20 61 6e |tion 501| (a), an|
|00002120| 64 20 63 6f 6e 73 69 73 | 74 73 20 73 6f 6c 65 6c |d consis|ts solel|
|00002130| 79 20 6f 66 20 75 6e 74 | 61 78 65 64 20 63 6f 6e |y of unt|axed con|
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|00002150| 61 72 6e 69 6e 67 73 20 | 28 6f 74 68 65 72 20 74 |arnings |(other t|
|00002160| 68 61 6e 20 76 6f 6c 75 | 6e 74 61 72 79 20 64 65 |han volu|ntary de|
|00002170| 64 75 63 74 69 62 6c 65 | 20 63 6f 6e 74 72 69 62 |ductible| contrib|
|00002180| 75 74 69 6f 6e 73 20 61 | 6e 64 20 65 61 72 6e 69 |utions a|nd earni|
|00002190| 6e 67 73 20 74 68 65 72 | 65 6f 6e 29 2e 0d 00 00 |ngs ther|eon)....|
|000021a0| 00 66 00 05 00 00 00 00 | 00 0c 00 09 00 14 00 00 |.f......|........|
|000021b0| 00 0a 00 00 00 00 00 00 | 00 00 00 bc 00 0c 00 09 |........|........|
|000021c0| 00 14 01 00 00 0a 00 00 | 00 00 00 00 00 00 00 bf |........|........|
|000021d0| 00 0c 00 09 00 14 00 00 | 00 0a 00 00 00 00 00 00 |........|........|
|000021e0| 00 00 01 05 00 0c 00 09 | 00 14 01 00 00 0a 00 00 |........|........|
|000021f0| 00 00 00 00 00 00 01 08 | 00 0c 00 09 00 14 00 00 |........|........|
|00002200| 00 0a 00 00 00 00 00 00 | 00 01 00 00 00 a4 06 f4 |........|........|
|00002210| 00 ac 07 84 00 dc 00 01 | 00 00 00 00 00 15 00 00 |........|........|
|00002220| 00 0a 00 00 00 03 00 03 | 00 01 00 00 00 04 00 00 |........|........|
|00002230| 00 00 00 00 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002240| 00 00 00 00 00 00 00 02 | 00 03 00 00 ff ff ff ff |........|........|
|00002250| ff ff ff ff 00 14 00 14 | 00 3c 00 38 00 00 01 13 |........|.<.8....|
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|00002270| 00 00 00 00 00 02 07 85 | 00 ac 07 85 00 dd 01 00 |........|........|
|00002280| 81 81 00 14 00 0a 00 01 | 00 00 00 03 00 03 00 03 |........|........|
|00002290| 00 05 46 69 65 6c 64 6d | 00 00 00 16 00 01 00 00 |..Fieldm|........|
|000022a0| 00 00 00 0c 00 09 00 14 | 01 00 00 0a 00 00 00 00 |........|........|
|000022b0| 00 00 00 07 00 00 00 b2 | 03 c1 00 6c 03 e8 09 1c |........|...l....|
|000022c0| 00 01 00 00 ff ff ff ff | ff ff ff ff 00 01 00 00 |........|........|
|000022d0| 00 00 00 00 00 02 03 c1 | 00 6c 03 e8 09 1c 00 00 |........|.l......|
|000022e0| 00 00 00 14 00 0a 00 05 | 00 00 00 01 00 01 00 01 |........|........|
|000022f0| 00 5d 50 6c 65 61 73 65 | 20 63 6f 6d 70 6c 65 74 |.]Please| complet|
|00002300| 65 20 50 61 72 74 20 41 | 20 6f 72 20 50 61 72 74 |e Part A| or Part|
|00002310| 20 42 20 62 65 6c 6f 77 | 2e 20 28 50 61 72 74 20 | B below|. (Part |
|00002320| 41 20 74 6f 20 62 65 20 | 63 6f 6d 70 6c 65 74 65 |A to be |complete|
|00002330| 64 20 62 79 20 66 6f 72 | 6d 65 72 20 65 6d 70 6c |d by for|mer empl|
|00002340| 6f 79 65 72 29 20 20 20 | 20 20 20 20 20 20 20 00 |oyer) | .|
|00002350| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|00002360| 05 00 00 0a 00 00 00 00 | 00 00 00 01 00 00 00 88 |........|........|
|00002370| 05 62 03 00 05 9a 04 28 | 00 01 00 00 00 00 00 14 |.b.....(|........|
|00002380| 00 00 00 0a 00 00 00 03 | 00 02 00 85 00 00 00 03 |........|........|
|00002390| 00 01 00 00 00 02 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|000023a0| 00 00 00 00 00 00 00 00 | 00 02 00 03 00 00 ff ff |........|........|
|000023b0| ff ff ff ff ff ff 00 c4 | 00 c4 00 14 00 20 00 00 |........|..... ..|
|000023c0| 01 0c 00 00 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000023d0| 00 00 00 00 00 00 00 02 | 05 9b 03 00 05 9b 04 29 |........|.......)|
|000023e0| 01 01 01 01 00 14 00 0a | 00 00 00 00 00 03 00 01 |........|........|
|000023f0| 00 00 00 00 00 00 00 00 | 00 01 00 00 00 a2 06 38 |........|.......8|
|00002400| 06 60 06 70 08 bc 00 01 | 00 00 00 00 00 15 00 00 |.`.p....|........|
|00002410| 00 0a 00 00 00 03 00 02 | 00 00 00 01 00 02 00 00 |........|........|
|00002420| 00 00 00 04 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002430| 00 00 00 00 00 00 00 00 | 00 03 00 00 ff ff ff ff |........|........|
|00002440| ff ff ff ff 00 7c 00 d4 | 00 14 00 20 00 00 01 0f |.....|..|... ....|
|00002450| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002460| 00 00 00 00 00 02 06 38 | 06 60 06 71 06 dc 01 01 |.......8|.`.q....|
|00002470| 81 80 00 14 00 0a 00 01 | 00 00 00 01 00 02 00 01 |........|........|
|00002480| 00 04 44 61 74 65 00 00 | 00 16 00 01 00 00 00 00 |..Date..|........|
|00002490| 00 0c 00 09 00 14 01 00 | 00 0a 00 00 00 00 00 00 |........|........|
|000024a0| 00 01 00 00 00 a8 06 38 | 00 ac 06 7e 05 bf 00 01 |.......8|...~....|
|000024b0| 00 00 00 00 00 15 00 00 | 00 0a 00 00 00 03 00 02 |........|........|
|000024c0| 00 0a 00 01 00 02 00 00 | 00 00 00 04 00 01 00 00 |........|........|
|000024d0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000024e0| 00 03 00 00 ff ff ff ff | ff ff ff ff 00 b8 00 d4 |........|........|
|000024f0| 00 14 00 1c 00 00 01 10 | 00 00 00 00 00 00 00 00 |........|........|
|00002500| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 06 38 |........|.......8|
|00002510| 00 ac 06 7f 01 64 01 01 | 81 80 00 14 00 0a 00 01 |.....d..|........|
|00002520| 00 00 00 01 00 02 00 01 | 00 0a 53 69 67 6e 61 74 |........|..Signat|
|00002530| 75 72 65 20 00 00 00 16 | 00 01 00 00 00 00 00 0c |ure ....|........|
|00002540| 00 09 00 14 01 00 00 0a | 00 00 00 00 00 00 00 01 |........|........|
|00002550| 00 00 00 a8 06 a4 06 60 | 06 ce 08 bc 00 01 00 00 |.......`|........|
|00002560| 00 00 00 15 00 00 00 0a | 00 00 00 03 00 02 00 00 |........|........|
|00002570| 00 01 00 02 00 00 00 00 | 00 04 00 01 00 00 00 00 |........|........|
|00002580| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|00002590| 00 00 ff ff ff ff ff ff | ff ff 00 c4 00 d4 00 14 |........|........|
|000025a0| 00 16 00 00 01 14 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000025b0| 00 00 00 00 00 00 00 00 | 00 00 00 02 06 a4 06 60 |........|.......`|
|000025c0| 06 cf 07 24 01 01 81 80 | 00 14 00 0a 00 01 00 00 |...$....|........|
|000025d0| 00 01 00 02 00 01 00 09 | 54 65 6c 65 70 68 6f 6e |........|Telephon|
|000025e0| 65 00 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |e.......|........|
|000025f0| 00 14 01 00 00 0a 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00002600| 00 a4 06 a0 00 ac 06 ce | 05 bf 00 01 00 00 00 00 |........|........|
|00002610| 00 15 00 00 00 0a 00 00 | 00 03 00 02 00 0a 00 01 |........|........|
|00002620| 00 02 00 00 00 00 00 04 | 00 01 00 00 00 00 00 00 |........|........|
|00002630| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|00002640| ff ff ff ff ff ff ff ff | 00 68 00 d4 00 14 00 1a |........|.h......|
|00002650| 00 00 01 15 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002660| 00 00 00 00 00 00 00 00 | 00 02 06 a0 00 ac 06 cf |........|........|
|00002670| 01 14 01 01 81 80 00 14 | 00 0a 00 01 00 00 00 01 |........|........|
|00002680| 00 02 00 01 00 05 54 69 | 74 6c 65 08 00 00 00 16 |......Ti|tle.....|
|00002690| 00 01 00 00 00 00 00 0c | 00 09 00 14 01 00 00 0a |........|........|
|000026a0| 00 00 00 00 00 00 00 07 | 00 00 01 50 03 2c 00 a6 |........|...P.,..|
|000026b0| 03 8b 09 46 00 01 00 00 | ff ff ff ff ff ff ff ff |...F....|........|
|000026c0| 00 01 00 00 00 00 00 00 | 00 02 03 2c 00 a6 03 8b |........|...,....|
|000026d0| 09 46 00 00 00 00 00 14 | 00 0a 00 01 00 00 00 01 |.F......|........|
|000026e0| 00 01 00 02 00 fc 49 20 | 75 6e 64 65 72 73 74 61 |......I |understa|
|000026f0| 6e 64 20 74 68 61 74 20 | 6d 79 20 72 6f 6c 6c 6f |nd that |my rollo|
|00002700| 76 65 72 20 63 6f 6e 74 | 72 69 62 75 74 69 6f 6e |ver cont|ribution|
|00002710| 20 6d 75 73 74 20 62 65 | 20 6d 61 64 65 20 77 69 | must be| made wi|
|00002720| 74 68 69 6e 20 36 30 20 | 64 61 79 73 20 61 66 74 |thin 60 |days aft|
|00002730| 65 72 20 72 65 63 65 69 | 76 69 6e 67 20 74 68 65 |er recei|ving the|
|00002740| 20 64 69 73 74 72 69 62 | 75 74 69 6f 6e 20 66 72 | distrib|ution fr|
|00002750| 6f 6d 20 74 68 65 20 6f | 74 68 65 72 20 0d 71 75 |om the o|ther .qu|
|00002760| 61 6c 69 66 69 65 64 20 | 70 6c 61 6e 20 6f 72 20 |alified |plan or |
|00002770| 74 68 65 20 49 52 41 2e | 20 20 42 79 20 73 69 67 |the IRA.| By sig|
|00002780| 6e 69 6e 67 20 61 6e 64 | 20 64 61 74 69 6e 67 20 |ning and| dating |
|00002790| 62 65 6c 6f 77 2c 20 79 | 6f 75 20 61 72 65 20 69 |below, y|ou are i|
|000027a0| 6e 64 69 63 61 74 69 6e | 67 20 74 68 61 74 20 79 |ndicatin|g that y|
|000027b0| 6f 75 20 72 65 63 65 69 | 76 65 64 20 74 68 69 73 |ou recei|ved this|
|000027c0| 20 72 6f 6c 6c 6f 76 65 | 72 20 77 69 74 68 69 6e | rollove|r within|
|000027d0| 20 74 68 65 20 6c 61 73 | 74 20 36 30 20 64 61 79 | the las|t 60 day|
|000027e0| 73 2e 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |s.......|........|
|000027f0| 00 14 01 00 00 0a 00 00 | 00 00 00 00 00 0d 00 00 |........|........|
|00002800| 04 f4 09 19 00 bc 09 94 | 09 00 00 00 00 00 00 00 |........|........|
|00002810| 00 01 00 01 00 0b 00 01 | 00 00 00 b6 09 28 02 cc |........|.....(..|
|00002820| 09 94 04 de 00 01 00 00 | 00 00 00 15 00 00 00 0a |........|........|
|00002830| 00 00 00 03 00 03 00 00 | 00 01 00 03 00 00 00 00 |........|........|
|00002840| 00 03 00 01 ff ff ff ff | ff ff ff ff 00 00 00 00 |........|........|
|00002850| 00 00 00 00 00 00 00 03 | 00 00 ff ff ff ff ff ff |........|........|
|00002860| ff ff 01 68 01 68 00 30 | 00 34 00 00 01 08 00 11 |...h.h.0|.4......|
|00002870| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002880| 00 00 00 02 09 29 02 cd | 09 58 04 de 01 01 00 01 |.....)..|.X......|
|00002890| 00 14 00 0a 00 80 00 00 | 00 03 00 03 00 01 00 18 |........|........|
|000028a0| 46 75 6e 64 20 42 3a 20 | 20 20 47 4e 4d 41 20 50 |Fund B: | GNMA P|
|000028b0| 6f 72 74 66 6f 6c 69 6f | 00 00 00 16 00 01 00 00 |ortfolio|........|
|000028c0| 00 00 00 0c 00 09 00 14 | 00 00 00 0a 00 00 00 00 |........|........|
|000028d0| 00 00 00 01 00 00 00 b8 | 09 28 04 de 09 94 06 ee |........|.(......|
|000028e0| 00 01 00 00 00 00 00 15 | 00 00 00 0a 00 00 00 03 |........|........|
|000028f0| 00 03 00 00 00 01 00 03 | 00 00 00 00 00 03 00 01 |........|........|
|00002900| ff ff ff ff ff ff ff ff | 00 00 00 00 00 00 00 00 |........|........|
|00002910| 00 00 00 03 00 00 ff ff | ff ff ff ff ff ff 01 68 |........|.......h|
|00002920| 01 68 00 30 00 34 00 00 | 01 09 00 12 00 01 00 00 |.h.0.4..|........|
|00002930| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|00002940| 09 29 04 df 09 58 06 ee | 01 01 00 01 00 14 00 0a |.)...X..|........|
|00002950| 00 80 00 00 00 03 00 03 | 00 01 00 1a 46 75 6e 64 |........|....Fund|
|00002960| 20 43 3a 20 20 20 49 6e | 64 65 78 20 54 72 75 73 | C: In|dex Trus|
|00002970| 74 20 46 75 6e 64 00 00 | 00 16 00 01 00 00 00 00 |t Fund..|........|
|00002980| 00 0c 00 09 00 14 00 00 | 00 0a 00 00 00 00 00 00 |........|........|
|00002990| 00 01 00 00 00 ba 09 28 | 00 bc 09 94 02 cc 00 01 |.......(|........|
|000029a0| 00 00 00 00 00 15 00 00 | 00 0a 00 00 00 03 00 03 |........|........|
|000029b0| 00 00 00 01 00 03 00 00 | 00 00 00 03 00 01 ff ff |........|........|
|000029c0| ff ff ff ff ff ff 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000029d0| 00 03 00 00 ff ff ff ff | ff ff ff ff 01 68 01 68 |........|.....h.h|
|000029e0| 00 30 00 34 00 00 01 0a | 00 10 00 01 00 00 00 00 |.0.4....|........|
|000029f0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 09 29 |........|.......)|
|00002a00| 00 bd 09 58 02 cc 01 01 | 00 01 00 14 00 0a 00 80 |...X....|........|
|00002a10| 00 00 00 03 00 03 00 01 | 00 1b 46 75 6e 64 20 41 |........|..Fund A|
|00002a20| 3a 20 20 20 4d 6f 6e 65 | 79 20 4d 61 72 6b 65 74 |: Mone|y Market|
|00002a30| 20 46 75 6e 64 00 00 00 | 00 16 00 01 00 00 00 00 | Fund...|........|
|00002a40| 00 0c 00 09 00 14 00 00 | 00 0a 00 00 00 00 00 00 |........|........|
|00002a50| 00 01 00 00 00 b8 09 28 | 06 ee 09 94 09 00 00 01 |.......(|........|
|00002a60| 00 00 00 00 00 15 00 00 | 00 0a 00 00 00 03 00 03 |........|........|
|00002a70| 00 00 00 01 00 03 00 00 | 00 00 00 03 00 01 ff ff |........|........|
|00002a80| ff ff ff ff ff ff 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002a90| 00 03 00 00 ff ff ff ff | ff ff ff ff 01 58 01 58 |........|.....X.X|
|00002aa0| 00 30 00 34 00 00 01 0b | 00 13 00 01 00 00 00 00 |.0.4....|........|
|00002ab0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 09 29 |........|.......)|
|00002ac0| 06 ef 09 58 09 00 01 01 | 00 01 00 14 00 0a 00 80 |...X....|........|
|00002ad0| 00 00 00 03 00 03 00 01 | 00 19 46 75 6e 64 20 45 |........|..Fund E|
|00002ae0| 3a 20 20 20 57 65 6c 6c | 69 6e 67 74 6f 6e 20 46 |: Well|ington F|
|00002af0| 75 6e 64 00 00 00 00 16 | 00 01 00 00 00 00 00 0c |und.....|........|
|00002b00| 00 09 00 14 00 00 00 0a | 00 00 00 00 00 00 00 02 |........|........|
|00002b10| 00 00 00 22 09 1b 02 cc | 09 59 02 cc 00 01 00 00 |..."....|.Y......|
|00002b20| 00 03 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002b30| 00 00 00 00 00 00 00 02 | 00 00 00 22 09 1a 04 e0 |........|..."....|
|00002b40| 09 58 04 e0 00 01 00 00 | 00 03 00 00 00 00 00 00 |.X......|........|
|00002b50| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|00002b60| 00 00 00 22 09 19 06 ee | 09 57 06 ee 00 01 00 00 |..."....|.W......|
|00002b70| 00 03 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002b80| 00 00 00 00 00 00 00 07 | 00 00 00 56 09 68 01 dc |........|...V.h..|
|00002b90| 09 93 02 0c 00 01 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00002ba0| 00 01 00 00 00 00 00 00 | 00 02 09 68 01 dc 09 93 |........|...h....|
|00002bb0| 02 0c 00 00 00 00 00 14 | 00 0a 00 01 00 00 00 01 |........|........|
|00002bc0| 00 01 00 01 00 01 25 ff | 00 00 00 16 00 01 00 00 |......%.|........|
|00002bd0| 00 00 00 0c 00 09 00 14 | 01 00 00 0a 00 00 00 00 |........|........|
|00002be0| 00 00 00 07 00 00 00 56 | 09 68 03 ec 09 93 04 1c |.......V|.h......|
|00002bf0| 00 01 00 00 ff ff ff ff | ff ff ff ff 00 01 00 00 |........|........|
|00002c00| 00 00 00 00 00 02 09 68 | 03 ec 09 93 04 1c 00 00 |.......h|........|
|00002c10| 00 00 00 14 00 0a 00 01 | 00 00 00 01 00 01 00 01 |........|........|
|00002c20| 00 01 25 33 00 00 00 16 | 00 01 00 00 00 00 00 0c |..%3....|........|
|00002c30| 00 09 00 14 01 00 00 0a | 00 00 00 00 00 00 00 07 |........|........|
|00002c40| 00 00 00 56 09 68 05 f8 | 09 93 06 28 00 01 00 00 |...V.h..|...(....|
|00002c50| ff ff ff ff ff ff ff ff | 00 01 00 00 00 00 00 00 |........|........|
|00002c60| 00 02 09 68 05 f8 09 93 | 06 28 00 00 00 00 00 14 |...h....|.(......|
|00002c70| 00 0a 00 01 00 00 00 01 | 00 01 00 01 00 01 25 00 |........|......%.|
|00002c80| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|00002c90| 01 00 00 0a 00 00 00 00 | 00 00 00 07 00 00 00 56 |........|.......V|
|00002ca0| 09 68 08 08 09 93 08 38 | 00 01 00 00 ff ff ff ff |.h.....8|........|
|00002cb0| ff ff ff ff 00 01 00 00 | 00 00 00 00 00 02 09 68 |........|.......h|
|00002cc0| 08 08 09 93 08 38 00 00 | 00 00 00 14 00 0a 00 01 |.....8..|........|
|00002cd0| 00 00 00 01 00 01 00 01 | 00 01 25 00 00 00 00 16 |........|..%.....|
|00002ce0| 00 01 00 00 00 00 00 0c | 00 09 00 14 01 00 00 0a |........|........|
|00002cf0| 00 00 00 00 00 00 00 07 | 00 00 00 6e 0b dd 03 6c |........|...n...l|
|00002d00| 0c 28 06 90 00 01 00 00 | ff ff ff ff ff ff ff ff |.(......|........|
|00002d10| 00 01 00 00 00 00 00 00 | 00 02 0b dd 03 6c 0c 28 |........|.....l.(|
|00002d20| 06 90 00 00 00 00 00 14 | 00 12 00 01 00 00 00 01 |........|........|
|00002d30| 00 01 00 01 00 1a 42 65 | 6e 65 66 69 74 73 20 2d |......Be|nefits -|
|00002d40| 20 4d 61 69 6c 20 53 74 | 6f 70 20 2d 20 33 39 47 | Mail St|op - 39G|
|00002d50| 00 00 00 16 00 01 00 00 | 00 00 00 13 00 0e 00 14 |........|........|
|00002d60| 01 00 00 12 00 00 00 00 | 00 00 00 07 00 00 00 82 |........|........|
|00002d70| 0b 9c 03 58 0b cb 06 a4 | 00 01 00 00 ff ff ff ff |...X....|........|
|00002d80| ff ff ff ff 00 01 00 00 | 00 00 00 00 00 02 0b 9c |........|........|
|00002d90| 03 58 0b cb 06 a4 00 00 | 00 00 00 14 00 0c 00 00 |.X......|........|
|00002da0| 00 00 00 01 00 01 00 01 | 00 2e 46 6f 6c 64 20 74 |........|..Fold t|
|00002db0| 6f 20 74 68 69 73 20 6c | 69 6e 65 20 61 6e 64 20 |o this l|ine and |
|00002dc0| 70 75 74 20 69 6e 20 6d | 61 69 6c 20 64 69 73 74 |put in m|ail dist|
|00002dd0| 72 69 62 75 74 69 6f 6e | 00 00 00 16 00 01 00 00 |ribution|........|
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+--------+-------------------------+-------------------------+--------+--------+