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Get Form 5558 (Rev. November 1997)

Act Notice, see instructions on back. Name of filer or plan sponsor (see instructions) File before the due date for filing the return (see instructions) OMB No. 1545-0212 Number, street, and room or suite no. (If a P.O. box, see instructions.) Filer s Identifying Number Check applicable box and enter number (see instructions). Employer identification number (EIN). Filers checking box 1a must enter an EIN. All other filers, see specific instructions. OR City or town, state, and ZIP.

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