Table of Contents
| General Instructions |
| Specific Instructions |
Code section references are to the Internal Revenue Code unless otherwise noted. ERISA refers to the Employee Retirement Income Security Act of 1974.
When the Form 5500 is filed for a plan or Direct Filing Entity (DFE) that invested or participated in any master trust investment accounts (MTIAs), 103-12 Investment Entities (103-12 IEs), common/collective trusts (CCTs), and/or pooled separate accounts (PSAs), Part I provides information about these entities. When the Form 5500 is filed for a DFE, Part II provides information about plans participating in the DFE.
Employee Benefit Plans: Schedule D (Form 5500) must be attached to a Form 5500 filed for an employee benefit plan that participated or invested in one or more CCTs, PSAs, MTIAs, or 103-12 IEs at anytime during the plan year.
Direct Filing Entities: Schedule D (Form 5500) must be attached to a Form 5500 filed for a CCT, PSA, MTIA, 103-12 IE, or Group Insurance Arrangement (GIA), as a Direct Filing Entity (i.e., when a "DFE" is checked on Part I, line A, of the Form 5500). For more information, see instructions for Direct Filing Entity (DFE) Filing Requirements.
Check the Schedule D box on the Form 5500 (Part II, line 10b(5)) if a Schedule D is attached to the Form 5500. Complete as many repeating entries as necessary to report the required information.
Lines A, B, C, and D. top The information must be the same as reported in Part II of the Form 5500 to which this Schedule D is attached.
Do not use a social security number in line D in lieu of an EIN. The
Schedule D and its attachments are open to public inspection, and the
contents are public information and are subject to publication on the
Internet. Because of privacy concerns, the inclusion of a social
security number or any portion thereof on this Schedule D or any of its
attachments may result in the rejection of the filing.
You can apply for an EIN from the IRS online, by fax,
or by mail depending on how soon you need to use the EIN. For more
information, see Section 3: Electronic Filing
Requirement under General Instructions to Form 5500. The EBSA does
not issue EINs.
Complete as many repeating entries as necessary to enter the information specified below for all MTIAs, CCTs, PSAs, and 103-12 IEs in which the plan or DFE filing the Form 5500 participated at any time during the plan or DFE year.
Complete a separate item (elements (a) through (e)) for each MTIA, CCT, PSA, or 103-12 IE.
Element (a). top Enter the name of the MTIA, CCT, PSA, or 103-12 IE in which the plan or DFE filing the Form 5500 participated at any time during the plan or DFE year.
Element (b). top Enter the name of the sponsor of the MTIA, CCT, PSA, or 103-12 IE named in element (a).
Element (c). top Enter the nine-digit employer identification number (EIN) and three-digit plan/entity number (PN) for each MTIA, CCT, PSA, or 103-12 IE named in element (a). This must be the same DFE EIN/PN as reported on lines 2b and 1b of the Form 5500 filed for the DFE. If a Form 5500 was not filed for a CCT or PSA named in element (a), enter the EIN for the CCT or PSA and enter 000 for the PN. Do not use a social security number or any portion thereof in lieu of an EIN. The Schedule D and its attachments are open to public inspection, and the contents are public information and are subject to publication on the Internet. Because of privacy concerns, the inclusion of a social security number or any portion thereof on this Schedule D or any of its attachments may result in the rejection of the filing.
Element (d). top Enter an M, C, P, or E, as appropriate, (see table below) to identify the type of entity (MTIA, CCT, PSA, or 103-12 IE).
| Type of entity ▼ |
Enter in (d) ▼ |
|---|---|
| MTIA | M |
| CCT | C |
| PSA | P |
| 103-12 IE | E |
Element (e). top
Enter the dollar value of the plan's or DFE's interest as of the end of
the year. If the plan or DFE for which this Schedule D is filed had no
interest in the MTIA, CCT, PSA, or 103-12 IE listed at the end of the
year, enter "0".
Example for Part I: If a plan participates in an MTIA, the MTIA is named in element (a); the MTIA's sponsor is named in element (b); the MTIA's EIN and PN are entered in element (c) (such as: 12-3456789-001); an "M" is entered in element (d); and the dollar value of the plan's interest in the MTIA as of the end of plan year is entered in element (e).
If the plan also participates in a CCT for which a Form 5500 was not filed, the CCT is named in
another element (a); the name
of the CCT sponsor is entered in element (b); the EIN for the CCT, followed
by 000 is entered in element (c)
(such as: 98-7655555-001); a "P" is entered in element (d); and the dollar value of the
plan's interest in the CCT is entered in element (e).
If the plan also participates in a PSA for which a Form 5500 was filed, the PSA is named in a third element (a); the name of the PSA sponsor is entered in element (b); the PSA's EIN and PN is entered in element (c) (such as: 99-8765432-000); a "C" is entered in element (d); and the dollar value of the plan's interest in the PSA is entered in element (e).
Complete as many repeating entries as necessary to enter the
information specified below for all plans invested or participated in
the DFE at any time during the DFE year.
Complete a separate item (elements (a)
through (c)) for each plan.
Element (a). top Enter the name of each plan that invested or participated in the DFE at any time during the DFE year. GIAs need not complete element (a).
Element (b). top Enter the name of the sponsor of each and every plan investing or participating in the DFE.
Element (c). top Enter the nine-digit EIN and three-digit PN for each plan named in element (a). This is the EIN and PN entered on lines 2b and 1b of the plan's Form 5500 or Form 5500-SF. GIAs should enter the EIN of the sponsor listed in element (b). Do not use a social security number in lieu of an EIN. The Schedule D and its attachments are open to public inspection, and the contents are public information and are subject to publication on the Internet. Because of privacy concerns, the inclusion of a social security number or any portion thereof on this Schedule D or any of its attachments may result in the rejection of the filing.