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         2022 
         Internal Revenue Service            Income Security Act of 1974 (ERISA) and section 6058(a) of the Internal Revenue 
                                                                        Code (the Code).                                                        
          Department of Labor 
   Employee Benefits Security Administration              File as an attachment to Form 5500.                                  This Form is Open to Public 
                                                                                                                                     Inspection.  
 For calendar plan year 2022 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  Plan sponsor’s name as shown on line 2a of Form 5500                                              D    Employer Identification Number (EIN) 
 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 
                                                                         (g) Unpaid balance at end 
          loan                                                                                                 (h) Principal                 (i) Interest
  (d) Original amount of          (e) Principal          (f) Interest            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 
          loan                    (e)                                    (g) Unpaid balance at end                 Principal                 (i) Interest
                                                                                                               (h) 
  (d) Original amount of                     Principal   (f) Interest            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 
                                                                         (g) Unpaid balance at end 
          loan                                                                                                 (h) Principal                 (i) Interest
  (d) Original amount of          (e) Principal          (f) Interest            of year                                                                                                             
 123456789012345          123456789012345 123456789012345 123456789012345                            123456789012345                 123456789012345                                                       
 For Paperwork Reduction Act Notice, see the Instructions for Form 5500.                                                        Schedule G (Form 5500) 2022  
                                                                                                                                                                                                 v. 220413 
 

     Schedule G  (Form 5500) 2022                                 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 
     loan               (e)                                   (g) Unpaid balance at end      Principal          (i) Interest
                                                                                         (h) 
 (d) Original amount of     Principal         (f) Interest        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 
     loan               (e)                                   (g) Unpaid balance at end      Principal          (i) Interest
                                                                                         (h) 
 (d) Original amount of     Principal         (f) Interest        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 
                                                              (g) Unpaid balance at end 
     loan                                                                                (h) Principal          (i) Interest
 (d) Original amount of (e) Principal         (f) Interest        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 ABCDSAMPLE 
                        Amount received during reporting year                                     Amount overdue 
                                                              (g) Unpaid balance at end 
     loan                                                                                (h) Principal          (i) Interest
 (d) Original amount of (e) Principal         (f) Interest        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 
                                                              (g) Unpaid balance at end 
     loan                                                                                (h) Principal          (i) Interest
 (d) Original amount of (e) Principal         (f) Interest        of year                                            
 123456789012345        123456789012345       123456789012345  123456789012345          123456789012345 123456789012345                             

      Schedule G  (Form 5500) 2022                                             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          Net receipts   (j) Amount in arrears 
                        lease                    during the plan year          the plan year             (i) 
123456789012345     123456789012345              123456789012345           123456789012345              123456789012345     12345678901234                    
                                      (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          Net receipts   (j) Amount in arrears 
                        lease                    during the plan year          the plan year             (i) 
123456789012345     123456789012345              123456789012345           123456789012345              123456789012345     12345678901234                    
                                      (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          Net receipts   (j) Amount in arrears 
                        lease                    during the plan year          the plan year             (i) 
123456789012345     123456789012345              123456789012345           123456789012345              123456789012345     12345678901234                    
                                      (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              123456789012345     12345678901234                    
                                      (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              123456789012345     12345678901234                    
                                      (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              123456789012345     12345678901234                    
                         

         Schedule G  (Form 5500) 2022                                               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 
                                                     SAMPLE
                                                                                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 
123456789012345   123456789012345 123456789012345                              123456789012345            12345678901235        -1234567890123455