OMB No. 1210-0110 
        SCHEDULE R                                     Retirement Plan Information 
           (Form 5500)                                                                                                                                                                            
        Department of the Treasury           This schedule is required to be filed under sections 104 and 4065 of the                                                                           2022 
           Internal Revenue Service          Employee Retirement Income Security Act of 1974 (ERISA) and section                                                                                  
           Department of Labor                         6058(a) of the Internal Revenue Code (the Code). 
   Employee Benefits Security Administration                                                                                                                                          This Form is Open to Public 
                                                            File as an attachment to Form 5500. 
      Pension Benefit Guaranty Corporation                                                                                                                                                     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 
ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI                                                                                                           (PN)                                       001 
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        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                                                                 1 
      instructions……………………………………………………………………………………………………………......                                                                                                                             -123456789012345 
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                                                               3 
      year ..................................................................................................................................................................                            12345678 
  Part II       Funding Information (If the plan is not subject to the minimum funding requirements of section 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)? .......................       YesX                                                         NoX        X   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 (include any prior year accumulated funding                
                                                                                                                                                                                  6a          -123456789012345 
           deficiency not waived )  ................................................................................................................................  
      b    Enter the amount contributed by the employer to the plan for this plan year ................................................                                          6b           -123456789012345 
      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          -123456789012345 
      If you completed line 6c, skip lines 8 and 9. 
 7    Will the minimum funding amount reported on line 6cSAMPLEbe met by the funding deadline? ........................................                                                  YesX        NoX        X   N/A 

 8    If a change in actuarial cost method was made for this plan year pursuant to a revenue procedure or other                                                                                                        
      authority providing automatic approval for the change or a class ruling letter, does the plan sponsor or plan 
      administrator agree with the change? .................................................................................................................                       X   Yes           NoX        X   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. If no, check the “No” box. .........................................................................................  X  Increase                                   X  Decrease     X  Both          X  No 
  Part IV       0BESOPs (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? .............                                                      X  Yes         X   No  
11  a      Does the ESOP hold any preferred stock? .................................................................................................................................              X  Yes         X   No 
           (See instructions for definition of “back-to-back” loan.) ...............................................................................................................              X
      b    If the ESOP has an outstanding exempt loan with the employer as lender, is such loan part of a “back-to-back” loan?                                                                       Yes         X   No 
12    Does the ESOP hold any stock that is not readily tradable on an established securities market? .......................................................                                      X  Yes         X   No 
 For Paperwork Reduction Act Notice, see the Instructions for Form 5500.                                                                                                              Schedule R (Form 5500) 2022 
                                                                                                                                                                                                           v. 220413 

                   Schedule R (Form 5500) 2022                                                                              Page 2 - 1- x 
  
   Part V      Additional Information for Multiemployer Defined Benefit Pension Plans 
 13 Enter the following information for each employer that (1) contributed more than 5% of total contributions to the plan during the plan year or (2) was one of 
       the top-ten highest contributors (measured in dollars). See instructions. Complete as many entries as needed to report all applicable employers. 
    1Ba  Name of contributing employer  
    2Bb  EIN                                                                  3Bc  Dollar amount contributed by employer  
    4Bd  Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box      X        
         and see instructions regarding required attachment. Otherwise, enter the applicable date.)    Month _______    Day _______    Year _______ 
    5Be  Contribution rate information(If more than one rate applies, check this box  Xand see instructions regarding required attachment.  Otherwise, 
         complete lines 13e(1) and 13e(2).) 
         (1)  Contribution rate (in dollars and cents)  _____________ 
         (2)  Base unit measure: X   Hourly            X Weekly             X Unit of production             X                   Other (specify):  
     
    6Ba  Name of contributing employer  
    7Bb  EIN                                                                  8Bc  Dollar amount contributed by employer 
    9Bd  Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box      X        
         and see instructions regarding required attachment. Otherwise, enter the applicable date.)    Month _______    Day _______    Year _______ 
    10Be Contribution rate information(If more than one rate applies, check this box  Xand see instructions regarding required attachment.  Otherwise, 
         complete lines 13e(1) and 13e(2).) 
         (1)  Contribution rate (in dollars and cents)  _____________ 
         (2)  Base unit measure: X   Hourly            X Weekly             X Unit of production             X                   Other (specify): _______________________________ 
     
    11Ba Name of contributing employer  
    12Bb EIN                                                                  13Bc Dollar amount contributed by employer 
    14Bd Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box      X        
         and see instructions regarding required attachment. Otherwise, enter the applicable date.)    Month _______    Day _______    Year _______ 
    15Be Contribution rate information(If more than one rate applies, check this box  Xand see instructions regarding required attachment.  Otherwise, 
         complete lines 13e(1) and 13e(2).) 
         (1)  Contribution rate (in dollars and cents)  _____________ 
         (2)  Base unit measure: X   Hourly            X Weekly             X Unit of production             X                   Other (specify): _______________________________ 
     
    16Ba Name of contributing employer 
    17Bb EIN                                                                  18Bc Dollar amount contributed by employer 
    19Bd Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box      X        
         and see instructions regarding required attachment. Otherwise, enter the applicable date.)    Month _______    Day _______    Year _______ 
    20Be Contribution rate information(If more than one rate applies, check this box  Xand see instructions regarding required attachment.  Otherwise, 
         complete lines 13e(1) and 13e(2).) 
         (1)  Contribution rate (in dollars and cents)  _____________ 
         (2)  Base unit measure: X   Hourly            X Weekly             X Unit of production             X                   Other (specify): _______________________________ 
     
    21Ba Name of contributing employer 
                                                         SAMPLE
    22Bb EIN                                                                  23Bc Dollar amount contributed by employer 
    24Bd Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box      X        
         and see instructions regarding required attachment. Otherwise, enter the applicable date.)    Month _______    Day _______    Year _______ 
    25Be Contribution rate information(If more than one rate applies, check this box  Xand see instructions regarding required attachment.  Otherwise, 
         complete lines 13e(1) and 13e(2).) 
         (1)  Contribution rate (in dollars and cents)  _____________ 
         (2)  Base unit measure: X   Hourly            X Weekly             X Unit of production             X                   Other (specify): _______________________________ 
     
    26Ba Name of contributing employer 
    27Bb EIN                                                                  28Bc Dollar amount contributed by employer 
    29Bd Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box      X        
         and see instructions regarding required attachment. Otherwise, enter the applicable date.)    Month _______    Day _______    Year _______ 
    30Be Contribution rate information(If more than one rate applies, check this box  Xand see instructions regarding required attachment.  Otherwise, 
         complete lines 13e(1) and 13e(2).) 
         (1)  Contribution rate (in dollars and cents)  _____________ 
         (2)  Base unit measure: X   Hourly            X Weekly             X Unit of production             X                   Other (specify): _______________________________ 
   

          Schedule R (Form 5500) 2022                                                                            Page  3
   
14   Enter the number of deferred vested and retired participants (inactive participants), as of the beginning of the                                              
     plan year, whose contributing employer is no longer making contributions to the plan for:                                                                        123456789012345 
      a The current plan year. Check the box to indicate the counting method used to determine the number of 
     inactive participants:    Xlast contributing employer    Xalternative     reasonableX approximation (see                                                     14a 
     instructions for required attachment).....................................................................................................................                                                            
     b  The plan year immediately preceding the current plan year.   XCheck the box if the number reported is a                                                   14b 
     change from what was previously reported (see instructions for required attachment)..........................................                                    123456789012345 
     c  The second preceding plan year.   XCheck the box if the number reported is a change from what was                                                         14c 
     previously reported (see instructions for required attachment) ..............................................................................                    123456789012345 
 15  Enter the ratio of the number of participants under the plan on whose behalf no employer had an obligation to make an 
     employer contribution during the current plan year to:                                                                                                                                                                
     a  The corresponding number for the plan year immediately preceding the current plan year .............................    15a                                   123456789012345 
     b  The corresponding number for the second preceding plan year .....................................................................    15b                      123456789012345 
 16  Information with respect to any employers who withdrew from the plan during the preceding plan year:                                                                                                                  
     a  Enter the number of employers who withdrew during the preceding plan year   .............................................    16a                              123456789012345 
     b  If line 16a is greater than 0, enter the aggregate amount of withdrawal liability assessed or estimated to be                                             16b 
        assessed against such withdrawn employers .................................................................................................                   123456789012345 
 17 If assets and liabilities from another plan have been transferred to or merged with this plan during the plan year, check box and see instructions regarding 
    supplemental information to be included as an attachment .................................................................................................................................................. X         
  
   Part VI    Additional Information for Single-Employer and Multiemployer Defined Benefit Pension Plans 
 18 If any liabilities to participants or their beneficiaries under the plan as of the end of the plan year consist (in whole or in part) of liabilities to such participants 
    and beneficiaries under two or more pension plans as of immediately before such plan year, check box and see instructions regarding supplemental 
    information to be included as an attachment ........................................................................................................................................................................ X 
                                                                                                                                                                                                                           
 19  If the total number of participants is 1,000 or more, complete lines (a) through (c) 
     a    Enter the percentage of plan assets held as:  
         Stock: _____%   Investment-Grade Debt:_____%    High-Yield Debt:_____%    Real Estate:_____%   Other:_____ % 
     b    Provide the average duration of the combined investment-grade and high-yield debt:   
        X  0-3 years        X 3-6 years        X 6-9 years        X 9-12 years        X 12-15 years        X 15-18 years        X 18-21 years        X 21 years or more  
     c    What duration measure was used to calculate line 19(b)? 
        X Effective duration       X Macaulay duration       X Modified duration       X Other (specify): 
         
 20  PBGC missed contribution reporting requirements. If this is a multiemployer plan or a single-employer plan that is not covered by PBGC, skip line 20. 
     a    Is the amount of unpaid minimum required contributions for all years from Schedule SB (Form 5500) line 40 greater than zero?                                 Yes    No 
     b    If line 20a is “Yes,” has PBGC been notified as required by ERISA sections 4043(c)(5) and/or 303(k)(4)? Check the applicable box: 
            Yes. 
          _ No. Reporting was waived under 29 CFR 4043.25(c)(2) because contributions equal to or exceeding the unpaid minimum required contribution 
              were made by the 30th day after the due date. 
          _ No. The 30-day period referenced in 29 CFRSAMPLE4043.25(c)(2) has not yet ended, and the sponsor intends to make a contribution equal to or 
              exceeding the unpaid minimum required contribution by the 30th day after the due date. 
          _ No. Other. Provide explanation__________________________________________________________________________________________