OMB No. 1210-0110 
    SCHEDULE G                                      Financial Transaction Schedules 
       (Form 5500) 
       Department of Treasury                This schedule is required to be filed under section 104 of the Employee Retirement 2023 
       Internal Revenue Service              Income Security Act of 1974 (ERISA) and section 6058(a) of the Internal Revenue 
                                                                       Code (the Code). 
       Department of Labor                                                                                                      This Form is Open to Public 
   Employee Benefits Security Administration               File as an attachment to Form 5500.                                 Inspection.  
For calendar plan year 2023 or fiscal plan year beginning                               and ending         
A  Name of plan                                                                                   B    Three-digit
ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI                                        plan number (PN)                                   001 
ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
ABCDEFGHI ABCDEFGHI  
C  PlanD    Employer Identification Number (EIN)                                                                                                               sponsor’s name as shown on line 2a of Form 5500 
ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI                                        012345678 
ABCDEFGHI  
Part I Schedule of Loans or Fixed Income Obligations in Default or Classified as Uncollectible 
       Complete as many entries as needed to report all loans or fixed income obligations in default or classified as uncollectible.  Check box (a) if obligor 
       is known to be a party in interest.  Attach Overdue Loan Explanation for each loan listed.  See Instructions. 
                                                              (c) Detailed description of loan including dates of making and maturity, interest rate, the
(a)             (b) Identity and address of obligor                    type and value of collateral, any renegotiation of the loan and the terms of the
                                                                                        renegotiation, and other material items 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD                        ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD                        ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
X   ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD                        ABCDE 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD 
                                Amount received during reporting year                                                           Amount overdue
(d) Original amount of          (e) Principal             (f) Interest  (g) Unpaid balance at end  (h) Principal                (i) Interest
       loan                                                                 of year
123456789012345 123456789012345 123456789012345 123456789012345 123456789012345 123456789012345
                                                              (c) Detailed description of loan including dates of making and maturity, interest rate, the
(a)             (b) Identity and address of obligor                    type and value of collateral, any renegotiation of the loan and the terms of the
                                                                                        renegotiation, and other material items 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD                        ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD                        ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
X   ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD                        ABCDE 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD 
                                Amount received during reporting year                                                           Amount overdue
(d) Original amount of          (e) Principal             (f) Interest  (g) Unpaid balance at end  (h) Principal                (i) Interest
       loan                                                                 of year
                           123456789012345 123456789012345 123456789012345 123456789012345 123456789012345
                                                    SAMPLE
                                                              (c) Detailed description of loan including dates of making and maturity, interest rate, the
(a)             (b) Identity and address of obligor                    type and value of collateral, any renegotiation of the loan and the terms of the
                                                                                        renegotiation, and other material items 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD                        ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD                        ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
X   ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD                        ABCDE 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD 
                                Amount received during reporting year                                                           Amount overdue
(d) Original amount of          (e) Principal             (f) Interest  (g) Unpaid balance at end  (h) Principal                (i) Interest
       loan                                                                 of year
123456789012345 123456789012345 123456789012345 123456789012345 123456789012345 123456789012345
For Paperwork Reduction Act Notice, see the Instructions for Form 5500.                                                         Schedule G (Form 5500) 2023 
                                                                                                                                              v. 230728

    Schedule G  (Form 5500) 2023                                 Page 2 -  1 x          
                                                 (c) Detailed description of loan including dates of making and maturity, interest rate, the type
(a)      (b) Identity and address of obligor     and value of collateral, any renegotiation of the loan and the terms of the renegotiation, and
                                                                          other material items 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD  ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD  ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
X   ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD  ABCDE 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD 
                       Amount received during reporting year                                   Amount overdue
(d) Original amount of (e) Principal         (f) Interest    (g) Unpaid balance at end  (h) Principal        (i) Interest
    loan                                                         of year
123456789012345 123456789012345 123456789012345 123456789012345 123456789012345 123456789012345
                                                 (c) Detailed description of loan including dates of making and maturity, interest rate, the type
(a)      (b) Identity and address of obligor     and value of collateral, any renegotiation of the loan and the terms of the renegotiation, and
                                                                          other material items 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD  ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD  ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
X   ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD  ABCDE 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD 
                       Amount received during reporting year                                   Amount overdue
(d) Original amount of (e) Principal         (f) Interest    (g) Unpaid balance at end  (h) Principal        (i) Interest
    loan                                                         of year
123456789012345 123456789012345 123456789012345 123456789012345 123456789012345 123456789012345
                                                 (c) Detailed description of loan including dates of making and maturity, interest rate, the type
(a)      (b) Identity and address of obligor     and value of collateral, any renegotiation of the loan and the terms of the renegotiation, and
                                                                          other material items 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD  ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD  ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
X   ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD  ABCDE 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD 
                       Amount received during reporting year                                   Amount overdue
(d) Original amount of (e) Principal         (f) Interest    (g) Unpaid balance at end  (h) Principal        (i) Interest
    loan                                                         of year
123456789012345 123456789012345 123456789012345 123456789012345 123456789012345 123456789012345
                                                 (c) Detailed description of loan including dates of making and maturity, interest rate, the type
(a)      (b) Identity and address of obligor     and value of collateral, any renegotiation of the loan and the terms of the renegotiation, and
                                                                          other material items 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD  ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD  ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
X   ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD  ABCDE 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD 
    ABCDEFGHI ABCDEFGHI ABCDEFGHISAMPLEABCD 
                       Amount received during reporting year                                   Amount overdue
(d) Original amount of (e) Principal         (f) Interest    (g) Unpaid balance at end  (h) Principal        (i) Interest
    loan                                                         of year
123456789012345 123456789012345 123456789012345 123456789012345 123456789012345 123456789012345
                                                 (c) Detailed description of loan including dates of making and maturity, interest rate, the type
(a)      (b) Identity and address of obligor     and value of collateral, any renegotiation of the loan and the terms of the renegotiation, and
                                                                          other material items 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD  ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD  ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
X   ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD  ABCDE 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD 
    ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCD 
                       Amount received during reporting year                                   Amount overdue
(d) Original amount of (e) Principal         (f) Interest    (g) Unpaid balance at end  (h) Principal        (i) Interest
    loan                                                         of year
123456789012345 123456789012345 123456789012345 123456789012345 123456789012345 123456789012345

    Schedule G  (Form 5500) 2023                                             Page 3 -  1 x           

Part II  Schedule of Leases in Default or Classified as Uncollectible  
    Complete as many entries as needed to report all leases in default or classified as uncollectible.  Check box (a) if lessor or lessee is known to be a 
    party in interest.  Attach Overdue Lease Explanation for each lease listed.  (See instructions) 
                                  (c) Relationship to plan, employer,        (d) Terms and description (type of property, location and date it was
(a) (b) Identity of lessor/lessee employee organization, or other                purchased, terms regarding rent, taxes, insurance, repairs,
                                               party-in-interest                 expenses, renewal options, date property was leased) 
    ABCDEFGHI ABCDEFGHI  ABCDEFGHI ABCDEFGHI                             ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
X   ABCDEFGHI ABCD                ABCDEFGHI ABCD                         ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
                                                                         ABCDEFGHI ABCDEFGHI ABCD 
(e) Original cost (f) Current value at time of (g) Gross rental receipts (h) Expenses paid during    (i) Net receipts (j) Amount in arrears
                      lease                    during the plan year          the plan year
123456789012345   123456789012345              123456789012345           123456789012345             123456789012345123456789012345 
                                  (c) Relationship to plan, employer,        (d) Terms and description (type of property, location and date it was
(a) (b) Identity of lessor/lessee employee organization, or other                purchased, terms regarding rent, taxes, insurance, repairs,
                                               party-in-interest                 expenses, renewal options, date property was leased) 
    ABCDEFGHI ABCDEFGHI  ABCDEFGHI ABCDEFGHI                             ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
X   ABCDEFGHI ABCD                ABCDEFGHI ABCD                         ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
                                                                         ABCDEFGHI ABCDEFGHI ABCD 
(e) Original cost (f) Current value at time of (g) Gross rental receipts (h) Expenses paid during    (i) Net receipts (j) Amount in arrears
                      lease                    during the plan year          the plan year
123456789012345   123456789012345              123456789012345           123456789012345             123456789012345123456789012345 
                                  (c) Relationship to plan, employer,        (d) Terms and description (type of property, location and date it was
(a) (b) Identity of lessor/lessee employee organization, or other                purchased, terms regarding rent, taxes, insurance, repairs,
                                               party-in-interest                 expenses, renewal options, date property was leased) 
    ABCDEFGHI ABCDEFGHI  ABCDEFGHI ABCDEFGHI                             ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
X   ABCDEFGHI ABCD                ABCDEFGHI ABCD                         ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
                                                                         ABCDEFGHI ABCDEFGHI ABCD 
(e) Original cost (f) Current value at time of (g) Gross rental receipts (h) Expenses paid during    (i) Net receipts (j) Amount in arrears
                      lease                    during the plan year          the plan year
123456789012345   123456789012345              123456789012345           123456789012345             123456789012345123456789012345 
                                  (c) Relationship to plan, employer,        (d) Terms and description (type of property, location and date it was
(a) (b) Identity of lessor/lessee employee organization, or other                purchased, terms regarding rent, taxes, insurance, repairs,
                                               party-in-interest                 expenses, renewal options, date property was leased) 
    ABCDEFGHI ABCDEFGHI  ABCDEFGHI ABCDEFGHI                             ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
X   ABCDEFGHI ABCD                ABCDEFGHI ABCD                         ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
                                                                         ABCDEFGHI ABCDEFGHI ABCD 
(e) Original cost (f) Current value at time of (g) Gross rental receipts (h) Expenses paid during    (i) Net receipts (j) Amount in arrears
                      lease                    during the plan year          the plan year
123456789012345   123456789012345              123456789012345           123456789012345             123456789012345123456789012345 
                                  (c) Relationship to plan, employer,        (d) Terms and description (type of property, location and date it was
(a) (b) Identity of lessor/lessee employee organization, or other                purchased, terms regarding rent, taxes, insurance, repairs,
                                               party-in-interest                 expenses, renewal options, date property was leased) 
    ABCDEFGHI ABCDEFGHI  ABCDEFGHI ABCDEFGHI                             ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
X   ABCDEFGHI ABCD                ABCDEFGHI ABCD                         ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
                                                                         ABCDEFGHI ABCDEFGHI ABCD 
                                               SAMPLE
(e) Original cost (f) Current value at time of (g) Gross rental receipts (h) Expenses paid during    (i) Net receipts (j) Amount in arrears
                      lease                    during the plan year          the plan year
123456789012345   123456789012345              123456789012345           123456789012345             123456789012345123456789012345 
                                  (c) Relationship to plan, employer,        (d) Terms and description (type of property, location and date it was
(a) (b) Identity of lessor/lessee employee organization, or other                purchased, terms regarding rent, taxes, insurance, repairs,
                                               party-in-interest                 expenses, renewal options, date property was leased) 
    ABCDEFGHI ABCDEFGHI  ABCDEFGHI ABCDEFGHI                             ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
X   ABCDEFGHI ABCD                ABCDEFGHI ABCD                         ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI 
                                                                         ABCDEFGHI ABCDEFGHI ABCD 
(e) Original cost (f) Current value at time of (g) Gross rental receipts (h) Expenses paid during    (i) Net receipts (j) Amount in arrears
                      lease                    during the plan year          the plan year
123456789012345   123456789012345              123456789012345           123456789012345             123456789012345123456789012345 

         Schedule G  (Form 5500) 2023                                              Page 4 -  1 x          

Part III Nonexempt Transactions 
         Complete as many entries as needed to report all nonexempt transactions.  Caution: If a nonexempt prohibited transaction occurred with respect 
         to a disqualified person, file Form 5330 with the IRS to pay the excise tax on the transaction. 
(a) Identity of party involved     (b) Relationship to plan, employer, (c) Description of transaction including maturity date, (d) Purchase price
                                       or other party-in-interest      rate of interest, collateral, par or maturity value
     ABCDEFGHI                     ABCDEFGHI ABCDEFGHI                 ABCDEFGHI ABCDEFGHI ABCDEFGHI                           123456789012345 
     ABCDEFGHI                         ABCDEFGHI ABCD                  ABCDEFGHI ABCDEFGHI ABCDEFGHI 
ABCDEFGHI ABCD                                                         ABCDEFGHI ABCDEFGHI ABCDEFGHI 
                                                                            ABCDEFGHI ABCD 
(e) Selling price              (f) Lease rental (g) Transaction expenses    (h) Cost of asset             (i) Current value of (j) Net gain (or loss) on
                                                                                                              asset                each transaction
123456789012345   123456789012345               123456789012345             123456789012345 12345678901235                     -1234567890123455

(a) Identity of party involved     (b) Relationship to plan, employer, (c) Description of transaction including maturity date, (d) Purchase price
                                       or other party-in-interest      rate of interest, collateral, par or maturity value
     ABCDEFGHI                     ABCDEFGHI ABCDEFGHI                 ABCDEFGHI ABCDEFGHI ABCDEFGHI                           123456789012345 
     ABCDEFGHI                         ABCDEFGHI ABCD                  ABCDEFGHI ABCDEFGHI ABCDEFGHI 
ABCDEFGHI ABCD                                                         ABCDEFGHI ABCDEFGHI ABCDEFGHI 
                                                                            ABCDEFGHI ABCD 
(e) Selling price              (f) Lease rental (g) Transaction expenses    (h) Cost of asset             (i) Current value of (j) Net gain (or loss) on
                                                                                                              asset                each transaction

(a) Identity of party involved     (b) Relationship to plan, employer, (c) Description of transaction including maturity date, (d) Purchase price
                                       or other party-in-interest      rate of interest, collateral, par or maturity value
     ABCDEFGHI                     ABCDEFGHI ABCDEFGHI                 ABCDEFGHI ABCDEFGHI ABCDEFGHI                           123456789012345 
     ABCDEFGHI                         ABCDEFGHI ABCD                  ABCDEFGHI ABCDEFGHI ABCDEFGHI 
ABCDEFGHI ABCD                                                         ABCDEFGHI ABCDEFGHI ABCDEFGHI 
                                                                            ABCDEFGHI ABCD 
(e) Selling price              (f) Lease rental (g) Transaction expenses    (h) Cost of asset             (i) Current value of (j) Net gain (or loss) on
                                                                                                              asset                each transaction
123456789012345   123456789012345               123456789012345             123456789012345 12345678901235                     -1234567890123455

(a) Identity of party involved     (b) Relationship to plan, employer, (c) Description of transaction including maturity date, (d) Purchase price
                                       or other party-in-interest      rate of interest, collateral, par or maturity value
     ABCDEFGHI                     ABCDEFGHI ABCDEFGHI                 ABCDEFGHI ABCDEFGHI ABCDEFGHI                           123456789012345 
     ABCDEFGHI                         ABCDEFGHI ABCD                  ABCDEFGHI ABCDEFGHI ABCDEFGHI 
ABCDEFGHI ABCD                                                         ABCDEFGHI ABCDEFGHI ABCDEFGHI 
                                                                            ABCDEFGHI ABCD 
(e) Selling price              (f) Lease rental (g) Transaction expenses    (h) Cost of asset             (i) Current value of (j) Net gain (or loss) on
                                                                                                              asset                each transaction

                                   (b) Relationship to plan, employer, (c) Description of transaction including maturity date,
(a) Identity of party involved         or other party-in-interest      rate of interest, collateral, par or maturity value     (d) Purchase price
     ABCDEFGHI                     ABCDEFGHI ABCDEFGHI                 ABCDEFGHI ABCDEFGHI ABCDEFGHI                           123456789012345 
     ABCDEFGHI                         ABCDEFGHI ABCD                  ABCDEFGHI ABCDEFGHI ABCDEFGHI 
ABCDEFGHI ABCD                                                         ABCDEFGHI ABCDEFGHI ABCDEFGHI 
                                                    SAMPLEABCDEFGHI ABCD 
(e) Selling price              (f) Lease rental (g) Transaction expenses    (h) Cost of asset             (i) Current value of (j) Net gain (or loss) on
                                                                                                              asset                each transaction
123456789012345   123456789012345               123456789012345             123456789012345 12345678901235                     -1234567890123455

(a) Identity of party involved     (b) Relationship to plan, employer, (c) Description of transaction including maturity date, (d) Purchase price
                                       or other party-in-interest      rate of interest, collateral, par or maturity value
     ABCDEFGHI                     ABCDEFGHI ABCDEFGHI                 ABCDEFGHI ABCDEFGHI ABCDEFGHI                           123456789012345 
     ABCDEFGHI                         ABCDEFGHI ABCD                  ABCDEFGHI ABCDEFGHI ABCDEFGHI 
ABCDEFGHI ABCD                                                         ABCDEFGHI ABCDEFGHI ABCDEFGHI 
                                                                            ABCDEFGHI ABCD 
(e) Selling price              (f) Lease rental (g) Transaction expenses    (h) Cost of asset             (i) Current value of (j) Net gain (or loss) on
                                                                                                              asset                each transaction
123456789012345   123456789012345               123456789012345             123456789012345 12345678901235                     -1234567890123455