Defined Benefit Plan




Report your participation in a defined benefit plan in Part 3.  In addition, report the defined benefit plan in Part 2 (see Part 2 of this guide for details).

Employer or Party

City/State

Status and Terms

Date

Geotronics Corp.

Duluth, MN

I will continue to participate in this defined benefit plan.

2/1988

For You

Part 3

Report your continued participation in a defined benefit plan (excluding a plan with the United States Government).  In addition, if you are an Annual or Termination filer, report a defined benefit plan in which you participated at any point during the reporting period.

Employer or Party:  Provide the name of the employer.

City/State:  Provide the city and state in which the employer is located.

Status and Terms:  Identify the plan as a defined benefit plan and indicate whether you will continue to participate.

Date:  Provide the month and year when you began participating in the defined benefit plan.  This often is the date you became an employee of the organization.