2009 Plan Information Worksheet

Transcription

1 Plan Sponsor Information 2009 Plan Information Worksheet Status: Plan Sponsor's Name Plan Sponsor's Mailling Address Foreign American University of Beirut 3 DAG Hammarskjold Plaza, 8th Floor Abbreviated Plan Sponsor s Name American University of Beirut Plan Sponsor s Mailing City, Province, State and ZIP New York NY Plan Sponsor s Doing Business As Name Plan Sponsor's Location Address Foreign Plan Sponsor s Care Of Name Plan Sponsor s Location City, Province, State and ZIP Plan Sponsor s EIN Plan Sponsor s Phone Number (212) Plan Administrator Information Plan Administrator's Name Plan Administrator's Address Foreign AUB Employee Benefits Committee 3 Dag Hammarskjold Plaza 8th Floor Plan Administrator s Care Of Name Plan Administrator s City, Province, State and ZIP New York NY Plan Administrator s EIN Plan Administrator s Phone Number (212) Plan Information Plan Name Different Trust Name Business Code Filing for Plan Year: DFE Plan Retirement Program for U.S. Citizen and Resident Alien Employees of the American University Plan Year MM/DD/YYYY MM/DD/YYYY of Beirut Begins 01/01/2009 Ends 12/31/2009 Abbreviated Plan Name Tax Year MM/DD/YYYY MM/DD/YYYY Retirement Program for U.S. Citizen and Resident Alien Employees Begins of 01/01/2009 Ends 12/31/2009 Three-digit Plan Number Plan ID Name Control EIN for PBGC Forms Effective Date of Plan 01/01/1981 Do NOT File with IRS, DOL or PBGC

2 Signers, Service Providers and Interested Individuals X Other Notify Rank Contact Phone Number Enable Web Client Workflow Contact Name Diana Hahn Contact ID Address dhahn@aub.edu Notify Rank Contact Phone Number Contact Name Address Contact ID Notify Rank Contact Phone Number Contact Name Address Contact ID Notify Rank Contact Phone Number Contact Name Address Contact ID Notify Rank Contact Phone Number Contact Name Address Contact ID Notify Rank Contact Phone Number Contact Name Address Contact ID Notify Rank Contact Phone Number Contact Name Address Contact ID Notify Rank Contact Phone Number Contact Name Address Contact ID

3 Form 5500 Department of the Treasury Internal Revenue Service Department of Labor Employee Benefits Security Administration Pension Benefit Guaranty Corporation Part I Annual Report Identification Information For calendar plan year 2009 or fiscal plan year beginning Annual Return/Report of Employee Benefit Plan 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), and 6058(a) of the Internal Revenue Code (the Code). Complete all entries in accordance with the instructions to the Form and ending A This return/report is for: È a multiemployer plan; È a multiple-employer plan; or ÈX a single-employer plan; È a DFE (specify) ÁÝÁ B This return/report is: È the first return/report; È the final return/report; È an amended return/report; È a short plan year return/report (less than 12 months). OMB Nos This Form is Open to Public Inspection C If the plan is a collectively-bargained plan, check here È D Check box if filing under: ÈX Form 5558; È automatic extension; È the DFVC program; È special extension (enter description) Û Part II Basic Plan Information enter all requested information 1a Name of plan Retirement Program for U.S. Citizen and Resident Alien Employees of the American University ÛÚÙØ of Beirut 2a Plan sponsor s name and address (employer, if for a single-employer plan) (Address should include room or suite no.) 01/01/ /31/2009 American University of Beirut ÛÚÙØ ÜñÞñß ÛÚÙØ 3 DAG Hammarskjold Plaza, 8th Floor ½ñ± ÛÚÙØ ïîíìëêéèç New York ßÞÝÜÛ ïîíìëêéèç ßÞÝÜÛ NY Ý ÌÇÛÚÙØ ßÞô ÍÌ ðïîíìëêéèçðï ËÕ Caution: A penalty for the late or incomplete filing of this return/report will be assessed unless reasonable cause is established. 1b Three-digit plan number (PN) 1c Effective date of plan 01/01/1981 ÇÇÇÇóÓÓóÜÜ 2b Employer Identification Number (EIN) ðïîíìëêéè 2c Sponsor s telephone number (212) ðïîíìëêéèç 2d Business code (see instructions) ðïîíìë Under penalties of perjury and other penalties set forth in the instructions, I declare that I have examined this return/report, including accompanying schedules, statements and attachments, as well as the electronic version of this return/report, and to the best of my knowledge and belief, it is true, correct, and complete. 001 ððï SIGN HERE SIGN HERE ÇÇÇÇóÓÓóÜÜ Û Signature of plan administrator Date Enter name of individual signing as plan administrator ÇÇÇÇóÓÓóÜÜ Û Signature of employer/plan sponsor Date Enter name of individual signing as employer or plan sponsor SIGN ÇÇÇÇóÓÓóÜÜ Û HERE Signature of DFE Date Enter name of individual signing as DFE For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form Form 5500 (2009) v

4 Form 5500 (2009) Page 2 3a Plan administrator s name and address (if same as plan sponsor, enter Same ) AUB Employee Benefits Committee ÛÚÙØ ½ñ± ÛÚÙØ ïîíìëêéèç ßÞÝÜÛ ïîíìëêéèç 3 Dag Hammarskjold Plaza ßÞÝÜÛ Ý ÌÇÛÚÙØ 8th Floor ßÞô ÍÌ ðïîíìëêéèçðï ËÕ New York NY If the name and/or EIN of the plan sponsor has changed since the last return/report filed for this plan, enter the name, EIN and the plan number from the last return/report: a Sponsor s name 3b Administrator s EIN ðïîíìëêéè 3c Administrator s telephone number (212) ðïîíìëêéèç 4b EIN ðïîíìëêéè 4c PN ÛÚÙØ ðïî 5 Total number of participants at the beginning of the plan year 5 ïîíìëêéèçðïî Number of participants as of the end of the plan year (welfare plans complete only lines 6a, 6b, 6c, and 6d). a Active participants... 6a ïîíìëêéèçðïî 218 b Retired or separated participants receiving benefits... 6b ïîíìëêéèçðïî 7 c Other retired or separated participants entitled to future benefits... 6c ïîíìëêéèçðïî 49 d Subtotal. Add lines 6a, 6b, and 6c... 6d ïîíìëêéèçðïî 274 e Deceased participants whose beneficiaries are receiving or are entitled to receive benefits... 6e ïîíìëêéèçðïî 0 f Total. Add lines 6d and 6e... 6f ïîíìëêéèçðïî 274 g Number of participants with account balances as of the end of the plan year (only defined contribution plans complete this item)... 6g ïîíìëêéèçðïî 271 h Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested... 6h ïîíìëêéèçðïî 0 7 Enter the total number of employers obligated to contribute to the plan (only multiemployer plans complete this item) a If the plan provides pension benefits, enter the applicable pension feature codes from the List of Plan Characteristic Codes in the instructions: Xï ï ï ï ï ï ï ï ï ï 2G 2J 2M 2T b If the plan provides welfare benefits, enter the applicable welfare feature codes from the List of Plan Characteristic Codes in the instructions: ï ï ï ï ï ï ï ï ï ï 9a Plan funding arrangement (check all that apply) 9b Plan benefit arrangement (check all that apply) (1) È Insurance (1) È Insurance (2) È Code section 412(e)(3) insurance contracts (2) È Code section 412(e)(3) insurance contracts (3) ÈX Trust (3) ÈX Trust (4) È General assets of the sponsor (4) È General assets of the sponsor 10 Check all applicable boxes in 10a and 10b to indicate which schedules are attached, and, where indicated, enter the number attached. (See instructions) a Pension Schedules b General Schedules (1) ÈX R (Retirement Plan Information) (1) ÈX H (Financial Information) (2) È MB (Multiemployer Defined Benefit Plan and Certain Money Purchase Plan Actuarial Information) - signed by the plan actuary (2) È I (Financial Information Small Plan) (3) È A (Insurance Information) (4) È C (Service Provider Information) (5) È D (DFE/Participating Plan Information) (3) È SB (Single-Employer Defined Benefit Plan Actuarial Information) - signed by the plan actuary (6) È G (Financial Transaction Schedules) X

5 ÍÝØÛÜËÔÛ Ý øú± ³ ëëðð Ü» ³»² ±º» Ì» «²» ² 못² Í» ª ½» Ü» ³»² ±º Ô ¾± Û³ ±»» Þ»²»º Í»½«ß¼³ ² ±² л² ±² Þ»²»º Ù«² ݱ ± ±² Ú± ½»²¼ ²» îð09 ± º ½ ²» ¾»¹ ²² ²¹ ß Ò ³» ±º ² Ý Ð ² ±² ± Ž ² ³» ± ² ±² ²» î ±º Ú± ³ ëëðð Ð Í» ª ½» Ð ±ª ¼» ²º± ³ ±² ø»» ² «½ ±² Í» ª ½» Ð ±ª ¼» ²º± ³ ±² Ì ½»¼» ¼ ± ¾» º»¼ «²¼»»½ ±² ïðì ±º» Û³ ±»» λ»³»² ²½±³» Í»½«ß½ ±º ïçéì øûî Íß ò ÑÓÞ Ò±ò ïîïðóðïïð îð09 Ú» ² ½ ³»² ± Ú± ³ ëëððò Ì Ú± ³ Ñ»² ± Ы¾ ½ ²»½ ±²ò 01/01/2009 ²¼»²¼ ²¹ 12/31/2009 Retirement Program for U.S. Citizen and Resident Alien Employees of Þ Ì»»ó¼ ¹ ² ²«³¾» øðò ððï Ü Û³ ±» ¼»² º ½ ±² Ò«³¾» øû Ò ðïîíìëêéè American University of Beirut DZ«³«½±³»» Ð ô ² ½½± ¼ ²½»» ² «½ ±² ô ±» ±» ²º± ³ ±²» ¼ º±» ½» ±² ±»½» ª»¼ô ¼»½ ± ²¼»½ ô üëôððð ± ³±» ² ± ½±³»² ±² ø ò»òô ³±²» ± ² ²¹»» ±º ³±²» ª ² ½±²²»½ ±²» ª ½»»²¼»»¼ ±» ² ±»» ±²ù ± ±²» ² ¼«²¹» ²» ò º» ±²»½» ª»¼ ±²» ¹ ¾» ²¼»½ ½±³»² ±² º± ½» ²»½» ª»¼»» ¼ ¼ ½ ± ô ±» ¼ ± ²» ²» ï ¾ ²±» ¼ ± ²½ «¼»» ±²»² ½±³» ²¹»»³ ²¼» ±º Ð ò ï ²º± ³ ±² ±² л ±² λ½» ª ²¹ Ѳ Û ¹ ¾» ²¼»½ ݱ³»² ±² Ý»½µ þç» þ ± þò±þ ± ²¼ ½»»» ±» ½ «¼ ²¹» ±² º ±³»»³ ²¼» ±º Ð ¾»½ »»½» ª»¼ ±²» ¹ ¾» ²¼»½ ½±³»² ±² º± ½» ²»½» ª»¼»» ¼ ¼ ½ ± ø»» ² «½ ±² º± ¼»º ² ±² ²¼ ½±²¼ ±² òò ò ò ò ò ò ò ò ò ò ò ò ò ò ò XÈ Ç» È Ò± ¾ º ±«²»»¼ ²» ï Ç» ôœ»²»» ² ³» ²¼ Û Ò ± ¼¼» ±º» ½» ±² ±ª ¼ ²¹»» ¼ ¼ ½ ± º±»» ª ½» ±ª ¼» ±»½» ª»¼ ±²» ¹ ¾» ²¼»½ ½±³»² ±²ò ݱ³»» ³ ²»²» ²»»¼»¼ ø»» ² «½ ±² ò 001 The Vanguard Group, Inc ø¾ Û²» ² ³» ²¼ Û Ò ± ¼¼» ±º» ±² ± ±ª ¼»¼ ±«¼ ½ ± ±²» ¹ ¾» ²¼»½ ½±³»² ±² Ú± л ± µ λ¼«½ ±² ß½ Ò± ½» ²¼ ÑÓÞ Ý±² ± Ò«³¾» ô»»» ² «½ ±² º± Ú± ³ ëëðð ͽ»¼ Ý øú± ³ ëëðð îð09 ªò

6 ͽ»¼ Ý øú± ³ ëëðð îð09 Ð ¹» îó

7 ͽ»¼ Ý øú± ³ ëëðð îð09 Ð ¹» í îò ²º± ³ ±² ±² Ñ» Í» ª ½» Ð ±ª ¼» λ½» ª ²¹ Ü»½ ± ²¼»½ ݱ³»² ±²ò Û ½» º± ±»» ±² º± ±³ ±«²»»¼» Œ ± ²» ï ¾±ª»ô ½±³»» ³ ²»²» ²»»¼»¼ ±» ½» ±²»½» ª ²¹ô ¼»½ ± ²¼»½ ô üëôððð ± ³±» ² ± ½±³»² ±² ø ò»òô ³±²» ± ² ²¹»» ±º ª ² ½±²²»½ ±²» ª ½»»²¼»»¼ ±» ² ±» ± ±²» ² ¼«²¹» ²» ò øí»» ² «½ ±² ò ø Û²» ² ³» ²¼ Û Ò ± ¼¼» ø»» ² «½ ±² ø¾ Í» ª ½» ݱ¼»ø ø½ λ ±² ±»³ ±» ô»³ ±»» ± ¹ ² ±²ô ±» ±² µ²± ² ± ¾» ó ²ó ²»» ø¼ Û²» ¼»½ ½±³»² ±² ¼ ¾» ²ò º ²±²»ô»²» óðóò ø» Ü ¼» ª ½» ±ª ¼»»½» ª» ²¼»½ ½±³»² ±²á ø ±«½» ±» ² ² ± ² ±² ± øº Ü ¼ ²¼»½ ½±³»² ±² ²½ «¼»» ¹ ¾» ²¼»½ ½±³»² ±²ô º± ½» ²»½» ª»¼»» ¼ ¼ ½ ± á ø¹ ø Û²» ± ²¼»½ Ü ¼»» ª ½» ½±³»² ±²»½» ª»¼ ¾ ±ª ¼» ¹ ª» ± ª ½» ±ª ¼»» ½ «¼ ²¹ º± ³«²» ¼ ±º» ¹ ¾» ²¼»½ ² ³±«² ± ½±³»² ±² º± ½ ± ³»¼ ³±«² á ²»»¼ Ç» Œ ±»»³»² øº ò º ²±²»ô»²» óðóò ßÞÝÜ ïîíìëêéèçðïî íìë Ç» È Ò± È Ç» È Ò± È ïîíìëêéèçðïîíìë Ç» È Ò± È ø Û²» ² ³» ²¼ Û Ò ± ¼¼» ø»» ² «½ ±² ø¾ Í» ª ½» ݱ¼»ø ø½ λ ±² ±»³ ±» ô»³ ±»» ± ¹ ² ±²ô ±» ±² µ²± ² ± ¾» ó ²ó ²»» ø¼ Û²» ¼»½ ½±³»² ±² ¼ ¾» ²ò º ²±²»ô»²» óðóò ø» Ü ¼» ª ½» ±ª ¼»»½» ª» ²¼»½ ½±³»² ±²á ø ±«½» ±» ² ² ± ² ±² ± øº Ü ¼ ²¼»½ ½±³»² ±² ²½ «¼»» ¹ ¾» ²¼»½ ½±³»² ±²ô º± ½» ²»½» ª»¼»» ¼ ¼ ½ ± á ø¹ ø Û²» ± ²¼»½ Ü ¼»» ª ½» ½±³»² ±²»½» ª»¼ ¾ ±ª ¼» ¹ ª» ± ª ½» ±ª ¼»» ½ «¼ ²¹ º± ³«²» ¼ ±º» ¹ ¾» ²¼»½ ² ³±«² ± ½±³»² ±² º± ½ ± ³»¼ ³±«² á ²»»¼ Ç» Œ ±»»³»² øº ò º ²±²»ô»²» óðóò ßÞÝÜ ïîíìëêéèçðïî íìë Ç» È Ò± È Ç» È Ò± È ïîíìëêéèçðïîíìë Ç» È Ò± È ø Û²» ² ³» ²¼ Û Ò ± ¼¼» ø»» ² «½ ±² ø¾ Í» ª ½» ݱ¼»ø ø½ λ ±² ±»³ ±» ô»³ ±»» ± ¹ ² ±²ô ±» ±² µ²± ² ± ¾» ó ²ó ²»» ø¼ Û²» ¼»½ ½±³»² ±² ¼ ¾» ²ò º ²±²»ô»²» óðóò ø» Ü ¼» ª ½» ±ª ¼»»½» ª» ²¼»½ ½±³»² ±²á ø ±«½» ±» ² ² ± ² ±² ± øº Ü ¼ ²¼»½ ½±³»² ±² ²½ «¼»» ¹ ¾» ²¼»½ ½±³»² ±²ô º± ½» ²»½» ª»¼»» ¼ ¼ ½ ± á ø¹ ø Û²» ± ²¼»½ Ü ¼»» ª ½» ½±³»² ±²»½» ª»¼ ¾ ±ª ¼» ¹ ª» ± ª ½» ±ª ¼»» ½ «¼ ²¹ º± ³«²» ¼ ±º» ¹ ¾» ²¼»½ ² ³±«² ± ½±³»² ±² º± ½ ± ³»¼ ³±«² á ²»»¼ Ç» Œ ±»»³»² øº ò º ²±²»ô»²» óðóò ßÞÝÜ ïîíìëêéèçðïî íìë Ç» È Ò± È Ç» È Ò± È ïîíìëêéèçðïîíìë Ç» È Ò± È

8 ͽ»¼ Ý øú± ³ ëëðð îð09 Ð ¹» ìó ø Û²» ² ³» ²¼ Û Ò ± ¼¼» ø»» ² «½ ±² ø¾ Í» ª ½» ݱ¼»ø ø½ λ ±² ±»³ ±» ô»³ ±»» ± ¹ ² ±²ô ±» ±² µ²± ² ± ¾» ó ²ó ²»» ø¼ Û²» ¼»½ ½±³»² ±² ¼ ¾» ²ò º ²±²»ô»²» óðóò ø» Ü ¼» ª ½» ±ª ¼»»½» ª» ²¼»½ ½±³»² ±²á ø ±«½» ±» ² ² ± ² ±² ± øº Ü ¼ ²¼»½ ½±³»² ±² ²½ «¼»» ¹ ¾» ²¼»½ ½±³»² ±²ô º± ½» ²»½» ª»¼»» ¼ ¼ ½ ± á ø¹ ø Û²» ± ²¼»½ Ü ¼»» ª ½» ½±³»² ±²»½» ª»¼ ¾ ±ª ¼» ¹ ª» ± ª ½» ±ª ¼»» ½ «¼ ²¹ º± ³«²» ¼ ±º» ¹ ¾» ²¼»½ ² ³±«² ± ½±³»² ±² º± ½ ± ³»¼ ³±«² á ²»»¼ Ç» Œ ±»»³»² øº ò º ²±²»ô»²» óðóò ßÞÝÜ ïîíìëêéèçðïî íìë Ç» È Ò± È Ç» È Ò± È Ç» È Ò± È ø Û²» ² ³» ²¼ Û Ò ± ¼¼» ø»» ² «½ ±² ø¾ Í» ª ½» ݱ¼»ø ø½ λ ±² ±»³ ±» ô»³ ±»» ± ¹ ² ±²ô ±» ±² µ²± ² ± ¾» ó ²ó ²»» ø¼ Û²» ¼»½ ½±³»² ±² ¼ ¾» ²ò º ²±²»ô»²» óðóò ø» Ü ¼» ª ½» ±ª ¼»»½» ª» ²¼»½ ½±³»² ±²á ø ±«½» ±» ² ² ± ² ±² ± øº Ü ¼ ²¼»½ ½±³»² ±² ²½ «¼»» ¹ ¾» ²¼»½ ½±³»² ±²ô º± ½» ²»½» ª»¼»» ¼ ¼ ½ ± á ø¹ ø Û²» ± ²¼»½ Ü ¼»» ª ½» ½±³»² ±²»½» ª»¼ ¾ ±ª ¼» ¹ ª» ± ª ½» ±ª ¼»» ½ «¼ ²¹ º± ³«²» ¼ ±º» ¹ ¾» ²¼»½ ² ³±«² ± ½±³»² ±² º± ½ ± ³»¼ ³±«² á ²»»¼ Ç» Œ ±»»³»² øº ò º ²±²»ô»²» óðóò ßÞÝÜ ïîíìëêéèçðïî íìë Ç» È Ò± È Ç» È Ò± È Ç» È Ò± È ø Û²» ² ³» ²¼ Û Ò ± ¼¼» ø»» ² «½ ±² ø¾ Í» ª ½» ݱ¼»ø ø½ λ ±² ±»³ ±» ô»³ ±»» ± ¹ ² ±²ô ±» ±² µ²± ² ± ¾» ó ²ó ²»» ø¼ Û²» ¼»½ ½±³»² ±² ¼ ¾» ²ò º ²±²»ô»²» óðóò ø» Ü ¼» ª ½» ±ª ¼»»½» ª» ²¼»½ ½±³»² ±²á ø ±«½» ±» ² ² ± ² ±² ± øº Ü ¼ ²¼»½ ½±³»² ±² ²½ «¼»» ¹ ¾» ²¼»½ ½±³»² ±²ô º± ½» ²»½» ª»¼»» ¼ ¼ ½ ± á ø¹ ø Û²» ± ²¼»½ Ü ¼»» ª ½» ½±³»² ±²»½» ª»¼ ¾ ±ª ¼» ¹ ª» ± ª ½» ±ª ¼»» ½ «¼ ²¹ º± ³«²» ¼ ±º» ¹ ¾» ²¼»½ ² ³±«² ± ½±³»² ±² º± ½ ± ³»¼ ³±«² á ²»»¼ Ç» Œ ±»»³»² øº ò º ²±²»ô»²» óðóò ßÞÝÜ ïîíìëêéèçðïî íìë Ç» È Ò± È Ç» È Ò± È Ç» È Ò± È

9 ͽ»¼ Ý øú± ³ ëëðð îð09 Ð ¹» ëó Ð Í» ª ½» Ð ±ª ¼» ²º± ³ ±² ø½±² ²¼ í º ± ±»¼ ±² ²» » ±º ²¼»½ ½±³»² ±²ô ±» ²» ¹ ¾» ²¼»½ ½±³»² ±²ô ¾» ª ½» ±ª ¼» ô ²¼»» ª ½» ±ª ¼» º ¼«½ ± ±ª ¼» ½±² ½ ¼³ ² ± ô ½±² «²¹ô ½«±¼ ô ²ª» ³»² ¼ª ± ô ²ª» ³»² ³ ² ¹»³»² ô ¾ ±µ» ô ±»½± ¼µ»» ²¹» ª ½» ô ²»» º± ± ²¹ ±² º± ø» ½ ±«½» º ±³ ±³»» ª ½» ±ª ¼»»½» ª»¼ üïôððð ± ³±» ² ²¼»½ ½±³»² ±² ²¼ ø¾» ½ ±«½» º± ±³»» ª ½» ±ª ¼» ¹ ª» ±«º± ³«¼ ± ¼»» ³ ²»» ²¼»½ ½±³»² ±² ²» ¼ ±º ² ³±«² ±» ³»¼ ³±«² ±º» ²¼»½ ½±³»² ±²ò ݱ³»» ³ ²»²» ²»»¼»¼ ±» ±»» ¼ ²º± ³ ±² º±» ½ ±«½»ò ø Û²»» ª ½» ±ª ¼» ² ³»» ±² ²» î ø¾ Í» ª ½» ݱ¼» ø»» ² «½ ±² ø½ Û²» ³±«² ±º ²¼»½ ½±³»² ±² ø¼ Û²» ² ³» ²¼ Û Ò ø ¼¼» ±º ±«½» ±º ²¼»½ ½±³»² ±² ø» Ü» ½ ¾»» ²¼»½ ½±³»² ±²ô ²½ «¼ ²¹ ² º± ³«¼ ± ¼»» ³ ²»»» ª ½» ±ª ¼» Ž» ¹ ¾ º± ±» ³±«² ±º» ²¼»½ ½±³»² ±²ò ø Û²»» ª ½» ±ª ¼» ² ³»» ±² ²» î ø¾ Í» ª ½» ݱ¼» ø»» ² «½ ±² ø½ Û²» ³±«² ±º ²¼»½ ½±³»² ±² ø¼ Û²» ² ³» ²¼ Û Ò ø ¼¼» ±º ±«½» ±º ²¼»½ ½±³»² ±² ø» Ü» ½ ¾»» ²¼»½ ½±³»² ±²ô ²½ «¼ ²¹ ² º± ³«¼ ± ¼»» ³ ²»»» ª ½» ±ª ¼» Ž» ¹ ¾ º± ±» ³±«² ±º» ²¼»½ ½±³»² ±²ò ø Û²»» ª ½» ±ª ¼» ² ³»» ±² ²» î ø¾ Í» ª ½» ݱ¼» ø»» ² «½ ±² ø½ Û²» ³±«² ±º ²¼»½ ½±³»² ±² ø¼ Û²» ² ³» ²¼ Û Ò ø ¼¼» ±º ±«½» ±º ²¼»½ ½±³»² ±² ø» Ü» ½ ¾»» ²¼»½ ½±³»² ±²ô ²½ «¼ ²¹ ² º± ³«¼ ± ¼»» ³ ²»»» ª ½» ±ª ¼» Ž» ¹ ¾ º± ±» ³±«² ±º» ²¼»½ ½±³»² ±²ò

10 ͽ»¼ Ý øú± ³ ëëðð îð09 Ð ¹» êó Ð Í» ª ½» Ð ±ª ¼» É ± Ú ± λº ± Ð ±ª ¼» ²º± ³ ±² ì Ð ±ª ¼»ô ±»»»² ± ¾»ô» º± ± ²¹ ²º± ³ ±² º±» ½» ª ½» ±ª ¼» ± º»¼ ±»º¼ ± ±ª ¼»» ²º± ³ ±² ²»½» ± ½±³»» ͽ»¼ò ø Û²» ² ³» ²¼ Û Ò ± ¼¼» ±º» ª ½» ±ª ¼» ø»» ² «½ ±² ïîíìëêéèçð ø¾ Ò ±º Í» ª ½» ݱ¼»ø ïð ïï ïî ïí ø½ Ü» ½ ¾»» ²º± ³ ±²»» ª ½» ±ª ¼» º»¼ ±»º¼ ± ±ª ¼» Û Û Û Û Û Û ø Û²» ² ³» ²¼ Û Ò ± ¼¼» ±º» ª ½» ±ª ¼» ø»» ² «½ ±² ïîíìëêéèçð ø Û²» ² ³» ²¼ Û Ò ± ¼¼» ±º» ª ½» ±ª ¼» ø»» ² «½ ±² ïîíìëêéèçð ø Û²» ² ³» ²¼ Û Ò ± ¼¼» ±º» ª ½» ±ª ¼» ø»» ² «½ ±² ïîíìëêéèçð ø Û²» ² ³» ²¼ Û Ò ± ¼¼» ±º» ª ½» ±ª ¼» ø»» ² «½ ±² ïîíìëêéèçð ø Û²» ² ³» ²¼ Û Ò ± ¼¼» ±º» ª ½» ±ª ¼» ø»» ² «½ ±² ø¾ Ò ±º Í» ª ½» ݱ¼»ø ïð ïï ïî ïí ø¾ Ò ±º Í» ª ½» ݱ¼»ø ïð ïï ïî ïí ø¾ Ò ±º Í» ª ½» ݱ¼»ø ïð ïï ïî ïí ø¾ Ò ±º Í» ª ½» ݱ¼»ø ïð ïï ïî ïí ø¾ Ò ±º Í» ª ½» ݱ¼»ø ø½ Ü» ½ ¾»» ²º± ³ ±²»» ª ½» ±ª ¼» º»¼ ±»º¼ ± ±ª ¼» Û Û Û Û Û Û ø½ Ü» ½ ¾»» ²º± ³ ±²»» ª ½» ±ª ¼» º»¼ ±»º¼ ± ±ª ¼» Û Û Û Û Û Û ø½ Ü» ½ ¾»» ²º± ³ ±²»» ª ½» ±ª ¼» º»¼ ±»º¼ ± ±ª ¼» Û Û Û Û Û Û ø½ Ü» ½ ¾»» ²º± ³ ±²»» ª ½» ±ª ¼» º»¼ ±»º¼ ± ±ª ¼» Û Û Û Û Û Û ø½ Ü» ½ ¾»» ²º± ³ ±²»» ª ½» ±ª ¼» º»¼ ±»º¼ ± ±ª ¼» ïîíìëêéèçð

11 ͽ»¼ Ý øú± ³ ëëðð îð09 Ð ¹» éó Ð Ì» ³ ² ±² ²º± ³ ±² ±² ß½½±«² ² ²¼ Û² ±»¼ ß½ ø»» ² «½ ±² ø½±³»» ³ ²»²» ²»»¼»¼ Ò ³»æ ¾ Û Òæ ïîíìëêéèç ½ б ±²æ ßÞÝÜ ¼ ß¼¼» æ» Ì»» ±²»æ ïîíìëêéèçð Û ² ±²æ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ Ò ³»æ ¾ Û Òæ ïîíìëêéèç ½ б ±²æ ßÞÝÜ ¼ ß¼¼» æ» Ì»» ±²»æ ïîíìëêéèçð Û ² ±²æ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ Ò ³»æ ¾ Û Òæ ïîíìëêéèç ½ б ±²æ ßÞÝÜ ¼ ß¼¼» æ» Ì»» ±²»æ ïîíìëêéèçð Û ² ±²æ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ Ò ³»æ ¾ Û Òå ïîíìëêéèç ½ б ±²æ ßÞÝÜ ¼ ß¼¼» æ» Ì»» ±²»æ ïîíìëêéèçð Û ² ±²æ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ Ò ³»æ ¾ Û Òå ïîíìëêéèç ½ б ±²æ ßÞÝÜ ¼ ß¼¼» æ» Ì»» ±²»æ ïîíìëêéèçð Û ² ±²æ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ

12 SCHEDULE H (Form 5500) Department of the Treasury Internal Revenue Service Department of Labor Employee Benefits Security Administration Pension Benefit Guaranty Corporation For calendar plan year 2009 or fiscal plan year beginning Financial Information This schedule is required to be filed under section 104 of the Employee Retirement Income Security Act of 1974 (ERISA), and section 6058(a) of the Internal Revenue Code (the Code). A Name of plan ÛÚÙØ ÛÚÙØ OMB No File as an attachment to Form This Form is Open to Public Inspection 01/01/2009 and ending 12/31/2009 B Three-digit plan number (PN) Retirement Program for U.S. Citizen and Resident Alien Employees of C Plan sponsor's name as shown on line 2a of Form 5500 D ÛÚÙØ ðïîíìëêéè American University of Beirut Part I Asset and Liability Statement Employer Identification Number (EIN) 001ððï 1 Current value of plan assets and liabilities at the beginning and end of the plan year. Combine the value of plan assets held in more than one trust. Report the value of the plan s interest in a commingled fund containing the assets of more than one plan on a line-by-line basis unless the value is reportable on lines 1c(9) through 1c(14). Do not enter the value of that portion of an insurance contract which guarantees, during this plan year, to pay a specific dollar benefit at a future date. Round off amounts to the nearest dollar. MTIAs, CCTs, PSAs, and IEs do not complete lines 1b(1), 1b(2), 1c(8), 1g, 1h, and 1i. CCTs, PSAs, and IEs also do not complete lines 1d and 1e. See instructions. Assets (a) Beginning of Year (b) End of Year a Total noninterest-bearing cash... 1a óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë b Receivables (less allowance for doubtful accounts): (1) Employer contributions... 1b(1) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë (2) Participant contributions... 1b(2) óïîíìëêéèçðïîíìë 264 óïîíìëêéèçðïîíìë0 (3) Other... 1b(3) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë c General investments: (1) Interest-bearing cash (include money market accounts & certificates of deposit)... 1c(1) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë (2) U.S. Government securities... 1c(2) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë (3) Corporate debt instruments (other than employer securities): (A) Preferred... 1c(3)(A) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë (B) All other... 1c(3)(B) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë (4) Corporate stocks (other than employer securities): (A) Preferred... 1c(4)(A) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë (B) Common... 1c(4)(B) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë (5) Partnership/joint venture interests... 1c(5) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë (6) Real estate (other than employer real property)... 1c(6) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë (7) Loans (other than to participants)... 1c(7) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë (8) Participant loans... 1c(8) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë (9) Value of interest in common/collective trusts... 1c(9) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë (10) Value of interest in pooled separate accounts... 1c(10) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë (11) Value of interest in master trust investment accounts... 1c(11) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë (12) Value of interest in investment entities... 1c(12) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë (13) Value of interest in registered investment companies (e.g., mutual funds)... (14) Value of funds held in insurance company general account (unallocated contracts)... 1c(13) óïîíìëêéèçðïîíìë 7,366,865 óïîíìëêéèçðïîíìë 12,151,889 1c(14) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë (15) Other... 1c(15) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form 5500 Schedule H (Form 5500) 2009 v

13 Schedule H (Form 5500) 2009 Page 2 1d Employer-related investments: (a) Beginning of Year (b) End of Year (1) Employer securities... 1d(1) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë (2) Employer real property... 1d(2) óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë 1e Buildings and other property used in plan operation... 1e óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë 1f Total assets (add all amounts in lines 1a through 1e)... 1f óïîíìëêéèçðïîíìë 7,367,129 óïîíìëêéèçðïîíìë 12,151,889 Liabilities 1g Benefit claims payable... 1g óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë 1h Operating payables... 1h óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë 1i Acquisition indebtedness... 1i óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë 1j Other liabilities... 1j óïîíìëêéèçðïîíìë óïîíìëêéèçðïîíìë 1k Total liabilities (add all amounts in lines 1g through1j)... 1k óïîíìëêéèçðïîíìë0 óïîíìëêéèçðïîíìë0 Net Assets 1l Net assets (subtract line 1k from line 1f)... 1l óïîíìëêéèçðïîíìë 7,367,129 óïîíìëêéèçðïîíìë 12,151,889 Part II Income and Expense Statement 2 Plan income, expenses, and changes in net assets for the year. Include all income and expenses of the plan, including any trust(s) or separately maintained fund(s) and any payments/receipts to/from insurance carriers. Round off amounts to the nearest dollar. MTIAs, CCTs, PSAs, and IEs do not complete lines 2a, 2b(1)(E), 2e, 2f, and 2g. Income (a) Amount (b) Total a Contributions: (1) Received or receivable in cash from: (A) Employers... 2a(1)(A) óïîíìëêéèçðïîíìë 1,563,998 (B) Participants... 2a(1)(B) óïîíìëêéèçðïîíìë 1,236,238 (C) Others (including rollovers)... 2a(1)(C) óïîíìëêéèçðïîíìë 96,012 (2) Noncash contributions... 2a(2) óïîíìëêéèçðïîíìë 2,896,248 b (3) Total contributions. Add lines 2a(1)(A), (B), (C), and line 2a(2)... 2a(3) óïîíìëêéèçðïîíìë Earnings on investments: (1) Interest: (A) Interest-bearing cash (including money market accounts and certificates of deposit)... 2b(1)(A) óïîíìëêéèçðïîíìë (B) U.S. Government securities... 2b(1)(B) óïîíìëêéèçðïîíìë (C) Corporate debt instruments... 2b(1)(C) óïîíìëêéèçðïîíìë (D) Loans (other than to participants)... 2b(1)(D) óïîíìëêéèçðïîíìë (E) Participant loans... 2b(1)(E) óïîíìëêéèçðïîíìë (F) Other... 2b(1)(F) óïîíìëêéèçðïîíìë (G) Total interest. Add lines 2b(1)(A) through (F)... 2b(1)(G) óïîíìëêéèçðïîíìë0 (2) Dividends: (A) Preferred stock... 2b(2)(A) óïîíìëêéèçðïîíìë (B) Common stock... 2b(2)(B) óïîíìëêéèçðïîíìë (C) Registered investment company shares (e.g. mutual funds)... 2b(2)(C) 229,362 (D) Total dividends. Add lines 2b(2)(A), (B), and (C) 2b(2)(D) óïîíìëêéèçðïîíìë 229,362 (3) Rents... 2b(3) óïîíìëêéèçðïîíìë (4) Net gain (loss) on sale of assets: (A) Aggregate proceeds... 2b(4)(A) óïîíìëêéèçðïîíìë (B) Aggregate carrying amount (see instructions)... 2b(4)(B) óïîíìëêéèçðïîíìë (C) Subtract line 2b(4)(B) from line 2b(4)(A) and enter result... 2b(4)(C) óïîíìëêéèçðïîíìë 0

14 Schedule H (Form 5500) 2009 Page 3 (a) Amount 2b (5) Unrealized appreciation (depreciation) of assets: (A) Real estate... 2b(5)(A) óïîíìëêéèçðïîíìë (B) Other... 2b(5)(B) óïîíìëêéèçðïîíìë (C) Total unrealized appreciation of assets. Add lines 2b(5)(A) and (B)... 2b(5)(C) (b) Total óïîíìëêéèçðïîíìë0 (6) Net investment gain (loss) from common/collective trusts... 2b(6) óïîíìëêéèçðïîíìë (7) Net investment gain (loss) from pooled separate accounts... 2b(7) óïîíìëêéèçðïîíìë (8) Net investment gain (loss) from master trust investment accounts... 2b(8) óïîíìëêéèçðïîíìë (9) Net investment gain (loss) from investment entities... 2b(9) óïîíìëêéèçðïîíìë (10) Net investment gain (loss) from registered investment companies (e.g., mutual funds)... 2b(10) óïîíìëêéèçðïîíìë 1,896,379 c Other income... 2c óïîíìëêéèçðïîíìë d Total income. Add all income amounts in column (b) and enter total... 2d óïîíìëêéèçðïîíìë 5,021,989 Expenses e Benefit payment and payments to provide benefits: (1) Directly to participants or beneficiaries, including direct rollovers... 2e(1) óïîíìëêéèçðïîíìë (2) To insurance carriers for the provision of benefits... 2e(2) óïîíìëêéèçðïîíìë (3) Other... 2e(3) óïîíìëêéèçðïîíìë (4) Total benefit payments. Add lines 2e(1) through (3)... 2e(4) óïîíìëêéèçðïîíìë 237,229 f Corrective distributions (see instructions)... 2f óïîíìëêéèçðïîíìë g Certain deemed distributions of participant loans (see instructions)... 2g óïîíìëêéèçðïîíìë h Interest expense... 2h óïîíìëêéèçðïîíìë i Administrative expenses: (1) Professional fees... 2i(1) óïîíìëêéèçðïîíìë (2) Contract administrator fees... 2i(2) óïîíìëêéèçðïîíìë (3) Investment advisory and management fees... 2i(3) óïîíìëêéèçðïîíìë (4) Other... 2i(4) óïîíìëêéèçðïîíìë (5) Total administrative expenses. Add lines 2i(1) through (4)... 2i(5) óïîíìëêéèçðïîíìë j Total expenses. Add all expense amounts in column (b) and enter total... 2j óïîíìëêéèçðïîíìë 237,229 Net Income and Reconciliation k Net income (loss). Subtract line 2j from line 2d... 2k óïîíìëêéèçðïîíìë 4,784,760 l Transfers of assets: (1) To this plan... 2l(1) óïîíìëêéèçðïîíìë (2) From this plan... 2l(2) óïîíìëêéèçðïîíìë Part III Accountant's Opinion 3 Complete lines 3a through 3c if the opinion of an independent qualified public accountant is attached to this Form Complete line 3d if an opinion is not attached. a The attached opinion of an independent qualified public accountant for this plan is (see instructions): (1) È Unqualified (2) È Qualified (3) XÈ Disclaimer (4) È Adverse b Did the accountant perform a limited scope audit pursuant to 29 CFR and/or (d)? ÈX Yes È No c Enter the name and EIN of the accountant (or accounting firm) below: 237,229 (1) Name: O'Connor Davies Munns & Dobbins, ßÞÝÜ LL (2) EIN: ïîíìëêéèç d The opinion of an independent qualified public accountant is not attached because: (1) È This form is filed for a CCT, PSA, or MTIA. (2) È It will be attached to the next Form 5500 pursuant to 29 CFR

15 Schedule H (Form 5500) 2009 Page 4- Part IV Compliance Questions 4 CCTs and PSAs do not complete Part IV. MTIAs, IEs, and GIAs do not complete 4a, 4e, 4f, 4g, 4h, 4k, 4m, 4n, or IEs also do not complete 4j and 4l. MTIAs also do not complete 4l. a b c d During the plan year: Yes No Amount Was there a failure to transmit to the plan any participant contributions within the time period described in 29 CFR ? Continue to answer Yes for any prior year failures until fully corrected. (See instructions and DOL s Voluntary Fiduciary Correction Program.)... 4a X óïîíìëêéèçðïîíìë Were any loans by the plan or fixed income obligations due the plan in default as of the close of the plan year or classified during the year as uncollectible? Disregard participant loans secured by participant s account balance. (Attach Schedule G (Form 5500) Part I if Yes is checked.)... 4b X óïîíìëêéèçðïîíìë Were any leases to which the plan was a party in default or classified during the year as uncollectible? (Attach Schedule G (Form 5500) Part II if Yes is checked.)... 4c X óïîíìëêéèçðïîíìë Were there any nonexempt transactions with any party-in-interest? (Do not include transactions reported on line 4a. Attach Schedule G (Form 5500) Part III if Yes is checked.)... 4d X óïîíìëêéèçðïîíìë e Was this plan covered by a fidelity bond?... 4e X óïîíìëêéèçðïîíìë 500,000 f Did the plan have a loss, whether or not reimbursed by the plan s fidelity bond, that was caused X g h i j by fraud or dishonesty?... 4f óïîíìëêéèçðïîíìë Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser?... 4g X óïîíìëêéèçðïîíìë Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser?... Did the plan have assets held for investment? (Attach schedule(s) of assets if Yes is checked, and see instructions for format requirements.)... Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? (Attach schedule of transactions if Yes is checked, and see instructions for format requirements.)... 4h 4i 4j óïîíìëêéèçðïîíìë k Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC?... 4k X l Has the plan failed to provide any benefit when due under the plan?... 4l X óïîíìëêéèçðïîíìë m X n 5a 5b If this is an individual account plan, was there a blackout period? (See instructions and 29 CFR )... 4m If 4m was answered Yes, check the Yes box if you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR Has a resolution to terminate the plan been adopted during the plan year or any prior plan year? If yes, enter the amount of any plan assets that reverted to the employer this year... È Yes ÈX No Amount: óïîíìëêéèçðïîíìë If, during this plan year, any assets or liabilities were transferred from this plan to another plan(s), identify the plan(s) to which assets or liabilities were transferred. (See instructions.) 5b(1) Name of plan(s) 5b(2) EIN(s) 5b(3) PN(s) ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ ÛÚÙØ 4n X X X X ïîíìëêéèç ïîíìëêéèç ïîíìëêéèç ïîíìëêéèç ïîí ïîí ïîí ïîí

16 SCHEDULE R (Form 5500) Department of the Treasury Internal Revenue Service Department of Labor Employee Benefits Security Administration Pension Benefit Guaranty Corporation For calendar plan year 2009 or fiscal plan year beginning A Name of plan Retirement Plan Information This schedule is required to be filed under section 104 and 4065 of the Employee Retirement Income Security Act of 1974 (ERISA) and section 6058(a) of the Internal Revenue Code (the Code). File as an attachment to Form OMB No This Form is Open to Public Inspection. 01/01/2009 and ending 12/31/2009 B Retirement Program for U.S. Citizen and Resident Alien Employees of ÛÚÙØ Three-digit plan number (PN) C Plan sponsor s name as shown on line 2a of Form 5500 D ÛÚÙØ ðïîíìëêéè American University of Beirut Part I Distributions All references to distributions relate only to payments of benefits during the plan year. 1 Total value of distributions paid in property other than in cash or the forms of property specified in the instructions... Employer Identification Number (EIN) ððï 1 óïîíìëêéèçðïîíìë 2 Enter the EIN(s) of payor(s) who paid benefits on behalf of the plan to participants or beneficiaries during the year (if more than two, enter EINs of the two payors who paid the greatest dollar amounts of benefits): EIN(s): Profit-sharing plans, ESOPs, and stock bonus plans, skip line 3. 3 Number of participants (living or deceased) whose benefits were distributed in a single sum, during the plan year... 3 ïîíìëêéè Part II Funding Information (If the plan is not subject to the minimum funding requirements of section of 412 of the Internal Revenue Code or ERISA section 302, skip this Part) 4 Is the plan administrator making an election under Code section 412(d)(2) or ERISA section 302(d)(2)?... È Yes È No È N/A If the plan is a defined benefit plan, go to line 8. 5 If a waiver of the minimum funding standard for a prior year is being amortized in this plan year, see instructions and enter the date of the ruling letter granting the waiver. Date: Month Day Year If you completed line 5, complete lines 3, 9, and 10 of Schedule MB and do not complete the remainder of this schedule. 6 a Enter the minimum required contribution for this plan year... 6a óïîíìëêéèçðïîíìë b Enter the amount contributed by the employer to the plan for this plan year... 6b óïîíìëêéèçðïîíìë c Subtract the amount in line 6b from the amount in line 6a. Enter the result (enter a minus sign to the left of a negative amount)... 6c óïîíìëêéèçðïîíìë If you completed line 6c, skip lines 8 and 9. 7 Will the minimum funding amount reported on line 6c be met by the funding deadline?... È Yes È No È N/A If a change in actuarial cost method was made for this plan year pursuant to a revenue procedure providing automatic approval for the change or a class ruling letter, does the plan sponsor or plan administrator agree with the change?... È Yes È No È N/A Part III Amendments 9 If this is a defined benefit pension plan, were any amendments adopted during this plan year that increased or decreased the value of benefits? If yes, check the appropriate box(es). If no, check the No box... È Increase È Decrease È Both È No Part IV ESOPs (see instructions). If this is not a plan described under Section 409(a) or 4975(e)(7) of the Internal Revenue Code, skip this Part. 10 Were unallocated employer securities or proceeds from the sale of unallocated securities used to repay any exempt loan?... È Yes È No 11 a Does the ESOP hold any preferred stock?... È Yes È No b If the ESOP has an outstanding exempt loan with the employer as lender, is such loan part of a back-to-back loan? (See instructions for definition of back-to-back loan.) Does the ESOP hold any stock that is not readily tradable on an established securities market?... È Yes È No For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form Schedule R (Form 5500) 2009 v È Yes È No

17 Schedule R (Form 5500) 2009 Page 2- Part V Additional Information for Multiemployer Defined Benefit Pension Plans 13 Enter the following information for each employer that contributed more than 5% of total contributions to the plan during the plan year (measured in dollars). See instructions. Complete as many entries as needed to report all applicable employers. a Name of contributing employer b EIN c Dollar amount contributed by employer d e a Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box È and see instructions regarding required attachment. Otherwise, enter the applicable date.) Month Day Year Contribution rate information (If more than one rate applies, check this box È and see instructions regarding required attachment. Otherwise, complete items 13e(1) and 13e(2).) (1) Contribution rate (in dollars and cents) (2) Base unit measure: È Hourly È Weekly È Unit of production È Other (specify): Name of contributing employer b EIN c Dollar amount contributed by employer d e a Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box È and see instructions regarding required attachment. Otherwise, enter the applicable date.) Month Day Year Contribution rate information (If more than one rate applies, check this box È and see instructions regarding required attachment. Otherwise, complete items 13e(1) and 13e(2).) (1) Contribution rate (in dollars and cents) (2) Base unit measure: È Hourly È Weekly È Unit of production È Other (specify): Name of contributing employer b EIN c Dollar amount contributed by employer d e Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box È and see instructions regarding required attachment. Otherwise, enter the applicable date.) Month Day Year Contribution rate information (If more than one rate applies, check this box È and see instructions regarding required attachment. Otherwise, complete items 13e(1) and 13e(2).) (1) Contribution rate (in dollars and cents) (2) Base unit measure: È Hourly È Weekly È Unit of production È Other (specify): a Name of contributing employer b EIN c Dollar amount contributed by employer d e Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box È and see instructions regarding required attachment. Otherwise, enter the applicable date.) Month Day Year Contribution rate information (If more than one rate applies, check this box È and see instructions regarding required attachment. Otherwise, complete items 13e(1) and 13e(2).) (1) Contribution rate (in dollars and cents) (2) Base unit measure: È Hourly È Weekly È Unit of production È Other (specify): a Name of contributing employer b EIN c Dollar amount contributed by employer d e Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box È and see instructions regarding required attachment. Otherwise, enter the applicable date.) Month Day Year Contribution rate information (If more than one rate applies, check this box È and see instructions regarding required attachment. Otherwise, complete items 13e(1) and 13e(2).) (1) Contribution rate (in dollars and cents) (2) Base unit measure: È Hourly È Weekly È Unit of production È Other (specify): a Name of contributing employer b EIN c Dollar amount contributed by employer d e Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box È and see instructions regarding required attachment. Otherwise, enter the applicable date.) Month Day Year Contribution rate information (If more than one rate applies, check this box È and see instructions regarding required attachment. Otherwise, complete items 13e(1) and 13e(2).) (1) Contribution rate (in dollars and cents) (2) Base unit measure: È Hourly È Weekly È Unit of production È Other (specify):