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2023

Instructions for Form 5500-EZ
Annual Return of A One-Participant
(Owners/Partners and Their Spouses) Retirement Plan or A Foreign Plan

Section references are to the Internal Revenue Code unless
otherwise noted. How To Get Forms and Publications
You can find Form 5500-EZ and its instructions by visiting the IRS
Future developments. For the latest information about Internet website at IRS.gov/FormsPubs. You can also find and
developments related to Form 5500-EZ and its instructions, such order other IRS forms and publications at IRS.gov/OrderForms.
as legislation enacted after they were published, go to IRS.gov/ Personal computer. You can access the IRS website 24 hours a
Form5500EZ. day, 7 days a week at IRS.gov to:
• View forms, instructions, and publications.
What’s New • See answers to frequently asked tax questions.
IRS Compliance Question. A new IRS compliance question
• Search publications online by topic or keyword.
regarding whether a plan sponsor is an adopter of a pre-
approved plan is added to Line 12. • Send comments or request help by email.
• Sign up to receive local and national tax news by email.
Filing Tips
To reduce the possibility of correspondence and penalties, we Photographs of Missing Children
remind filers of the following. The Internal Revenue Service is a proud partner with the National
Center for Missing & Exploited Children® (NCMEC). Photographs
Filing Form 5500-EZ on paper with the IRS: of missing children selected by the Center may appear in
• Use the online, fillable 2023 Form 5500-EZ on the IRS website. instructions on pages that would otherwise be blank. You can
Complete and download the form to your computer to print and help bring these children home by looking at the photographs
sign before mailing. and calling 1-800-THE-LOST (1-800-843-5678) if you recognize
• Or, use the official printed paper Form 5500-EZ obtained from a child.
the IRS. Complete the form by hand using only black or blue
ink. Be sure to enter your information in the specific line fields
provided; sign and date the form before mailing.
General Instructions
• Or, use approved software, if available.
• Do not use felt tip pens or other writing instruments that can Purpose of Form
cause signatures or data to bleed through to the other side of the Form 5500-EZ is used by one-participant plans and foreign plans
paper. One-sided documents should have no markings on the that are not subject to the requirements of section 104(a) of the
blank side. Employee Retirement Income Security Act of 1974 (ERISA).
• Do not use glue or other sticky substances on the paper. Paper Note. A one-participant plan or a foreign plan (as defined under
should be clean. Who Must File Form 5500-EZ) cannot file an annual return on
• Do not submit extraneous information such as arrows or notes Form 5500, Annual Return/Report of Employee Benefit Plan,
on the form. or Form 5500-SF, Short Form Annual Return/Report of Small
• Mail Form 5500-EZ for plan year 2023 to the IRS office in Employee Benefit Plan, regardless of whether the plan previously
Ogden, Utah, to be processed. See Where To File in these filed an annual return on Form 5500 or Form 5500-SF. Therefore,
instructions. every one-participant plan or a foreign plan required to file an
annual return must either file paper Form 5500-EZ with the IRS
Filing Form 5500-EZ electronically using the EFAST2 filing or electronically file Form 5500-EZ using the EFAST2 Filing
system: System.
• File online using EFAST2’s web-based filing system or
• File through an EFAST2-approved vendor.
Who Must File Form 5500-EZ
Detailed information on electronic filing is available on the You must file Form 5500-EZ for a retirement plan if the plan is
EFAST2 website at www.efast.dol.gov. a one-participant plan or a foreign plan that is required to file an
annual return under section 6058(a).
Phone Help A one-participant plan means a retirement plan (that is, a defined
If you have questions and need help in completing this form, benefit pension plan or a defined contribution profit-sharing or
please call the IRS Help Desk at 877-829-5500. If you have money purchase pension plan), other than an Employee Stock
questions concerning electronic filing under the EFAST2 filing Ownership Plan (ESOP), which:
system, call the EFAST2 Help Desk at 1-866-GO-EFAST (1- 1. Covers only you (or you and your spouse) and you (or
866-463-3278). These toll-free telephone services are available you and your spouse) own the entire business (which may be
Monday through Friday. incorporated or unincorporated); or
2. Covers only one or more partners (or partners and their
spouses) in a business partnership (treating 2% shareholder of
an S corporation, as defined in IRC §1372(b), as a partner); and

Catalog Number 63264C

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3. Does not provide benefits for anyone except you (or you Electronic filing. Effective for plan years beginning after 2019, a
and your spouse) or one or more partners (or partners and their filer can file Form 5500-EZ electronically using the EFAST2 filing
spouses). system. See EFAST2 Filing System in these instructions.
A one-participant plan must file an annual return unless the Mandatory electronic filing. A filer must file the Form 5500-EZ
plan meets the conditions for not filing under Who Does Not Have electronically using the EFAST2 Filing System instead of filing a
To File Form 5500-EZ below. paper Form 5500-EZ with the IRS if the filer is required to file at
A foreign plan means a pension plan that is maintained outside least 10 returns of any type with the IRS, including information
the United States primarily for nonresident aliens. returns (for example, Forms W-2 and Forms 1099), income tax
returns, employment tax returns, and excise tax returns, during
A foreign plan is required to file an annual return if the the calendar year that includes the first day of the applicable plan
employer who maintains the plan is: year. If a filer is required to file a Form 5500-EZ electronically but
• A domestic employer, or does not, the filer is considered to have not filed the form even if
• A foreign employer with income derived from sources within a paper Form 5500-EZ is submitted. See Treasury Regulations
the United States (including foreign subsidiaries of domestic section 301.6058-2 for more information on mandatory electronic
employers) if contributions to the plan are deducted on its U.S. filing of employee retirement benefit plan returns. The IRS may
income tax return. waive the requirements to file Form 5500-EZ electronically in
Do not file an annual return for a plan that is a qualified foreign cases of undue economic hardship. For information on filing
plan within the meaning of section 404A(e) that does not a request for a hardship waiver, see “Recent Developments”
CAUTION! qualify for the treatment provided in section 402(d). under “About Form 5500-EZ” available at https://www.irs.gov.

Note. If you are not eligible to file the Form 5500-EZ for a plan EFAST2 Filing System
that is subject to the reporting requirements in section 104 of A one-participant plan and a foreign plan can satisfy their filing
ERISA, you must electronically file Form 5500 or, if eligible, Form obligation under the Code by filing Form 5500-EZ electronically
5500-SF. under the EFAST2 filing system in place of filing Form 5500-EZ
on paper with the IRS.
Who Does Not Have To File Under EFAST2, you must electronically file the 2023 Forms
Form 5500-EZ 5500 and 5500-SF using EFAST2’s web-based filing system or
You do not have to file Form 5500-EZ for the 2023 plan year for a you may file through an EFAST2-approved vendor. The 2023
one-participant plan if the total of the plan’s assets and the assets Form 5500-EZ can also be electronically filed using the EFAST2
of all other one-participant plans maintained by the employer at filing system or filed on paper with the IRS. For more information
the end of the 2023 plan year does not exceed $250,000, unless about electronic filing, see the EFAST2 website at www.efast.
2023 is the final plan year of the plan. For more information on dol.gov. For telephone assistance, call the EFAST2 Help Desk at
final plan years, see Final Return, later. 1-866-GO-EFAST (1-866-463-3278). The EFAST2 Help Desk is
Example. If a plan meets all the requirements for filing Form available Monday through Friday.
5500-EZ and its total assets (either alone or in combination with Note (1). A filer must file Form 5500-EZ electronically instead of
one or more one-participant plans maintained by the employer) filing Form 5500-EZ on paper if the filer is required to file at least
exceed $250,000 at the end of the 2023 plan year, Form 5500- 10 returns of any type with the IRS during the calendar year. See
EZ must be filed for each of the employer’s one-participant plans How To File for more information.
including those with less than $250,000 in assets for the 2023 If a filer is not subject to the IRS mandatory electronic
Note (2).
plan year. filing requirement under Treasury Regulations section
Note. You should use the total plan assets as listed as of the end 301.6058-2, a filer may elect to file Form 5500-EZ electronically
of the plan year on line 6a(2) of this form to determine whether using the EFAST2 filing system. Information filed on Form
the plan(s) assets exceed $250,000. If an employer maintains 5500-EZ is required to be made available to the public. However,
one or more one-participant plans, the total assets of all one- the information for a one-participant plan or a foreign plan,
participant plans combined must be counted towards the amount whether filed electronically with EFAST2 or filed on paper, will not
of $250,000. be published on the internet.

How To File What To File
Paper forms for filing. The 2023 Form 5500-EZ may be filed Plans required to file an annual return for one-participant (owners
on paper. File the official IRS printed Form 5500-EZ or the and their spouses) retirement plans or foreign plans may file
downloadable form found on the IRS website; or use approved Form 5500-EZ in accordance with its instructions. Filers of Form
software, if available. 5500-EZ are not required to file schedules or attachments related
You can complete the online, fillable 2023 Form 5500-EZ found to Form 5500 with the 2023 Form 5500-EZ. However, you must
on the IRS website and download it to your computer to print and collect and retain for your records completed Schedule MB
sign before mailing to the address specified in these instructions. (Form 5500), Multiemployer Defined Benefit Plan and Certain
See Where To File. Money Purchase Plan Actuarial Information , if applicable,
and completed and signed Schedule SB (Form 5500), Single-
You can obtain the official IRS printed 2023 Form 5500-EZ Employer Defined Benefit Plan Actuarial Information, if
from the IRS to complete by hand with pen or typewriter using applicable. Even though you do not have to file the Schedule
blue or black ink. Entries should not exceed the lines provided MB (Form 5500) or Schedule SB (Form 5500) with the 2023
on the form. Abbreviate if necessary. Paper forms are available Form 5500-EZ, you are still required to both perform an annual
from the IRS as discussed earlier in How To Get Forms and valuation and maintain the funding records associated with plan
Publications. funding in the same manner as a plan for which the applicable
schedule must be filed.

-2- Instructions for Form 5500-EZ (2023)

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Eligible combined plans. The Pension Protection Act of 
2006 established rules for a new type of pension plan, an 
“eligible combined plan,” effective for plan years beginning after      Specific Instructions
December 31, 2009. An eligible combined plan consists of a              Part I – Annual Return Identification 
defined benefit plan and a defined contribution plan that includes 
a qualified cash or deferred arrangement under section 401(k).          Information
The assets of the two plans are held in a single trust, but clearly     Enter the calendar or fiscal year beginning and ending dates of 
identified and allocated between plans. The eligible combined           the plan year (not to exceed 12 months in length) for which you 
plan design is available only to employers that:                        are reporting information. Express the date in numerical month, 
•  Employed an average of at least 2, but no more than 500,             day, and year in the following order “MM/DD/YYYY” (for example, 
employees on business days during the calendar year prior to the        “01/01/2023”).
establishment of the eligible combined plan; and                        For a plan year of less than 12 months (short plan year), insert 
• Employ at least 2 employees on the first day of the plan year         the short plan year beginning and ending dates on the line 
that the plan is established.                                           provided at the top of the form. For purposes of this form, the 
                                                                        short plan year ends on the date of the change in accounting 
  Because an eligible combined plan includes both a defined 
                                                                        period or the complete distribution of the plan’s assets.
benefit plan and a defined contribution plan, the Form 5500-EZ 
filed for the plan must include all the information that would be       First Return
required for either a defined benefit plan or a defined contribution    Check box A(1) if this is the first filing for this plan. Do not 
plan.                                                                   check this box if you have ever filed for this plan, even if it was a 
Note. The 2023 Schedule MB (Form 5500) and the 2023                     different form (for example, Form 5500).
Schedule SB (Form 5500) are available only electronically               Amended Return
from the Department of Labor website at www.efast.dol.gov.              Check box A(2) if you are filing an amended Form 5500-EZ 
You can complete the schedules online and print them out for            to correct errors and/or omissions in a previously filed annual 
your records. If you are a Form 5500-EZ filer, do not attempt to        return for the 2023 plan year. The amended Form 5500-EZ must 
electronically file the Schedule MB or Schedule SB related to           conform to the requirements under the How To File section, 
your 2023 Form 5500-EZ filing.                                          earlier.
When To File                                                             If you are filing an amendment for a one-participant plan or a 
File the 2023 return for plan years that started in 2023. Form          foreign plan that previously filed electronically using Form 5500-
5500-EZ must be filed by the last day of the 7th calendar month         SF, you must submit the amended return electronically using the 
after the end of the plan year that began in 2023 (not to exceed        Form 5500-SF with EFAST2 for plan years 2019 or before, or 
12 months in length).                                                   using Form 5500-EZ with EFAST2 for plan years beginning after 
                                                                        2019. If you are filing an amended return for a one-participant 
Note. If the filing due date falls on a Saturday, Sunday, or legal      plan or a foreign plan that previously filed on a paper Form 5500-
holiday, the return may be filed on the next day that is not a          EZ, you must submit the amended return using the paper Form 
Saturday, Sunday, or legal holiday.                                     5500-EZ with the IRS.
Where To File                                                           Short Plan Year
File the paper Form 5500-EZ at the following address:                   Check box A(4) if this form is filed for a period of less than 12 
                                                                        months. Show the dates at the top of the form.
Department of the Treasury Internal Revenue Service Ogden, UT 
84201-0020                                                              For a short plan year, file a return by the last day of the 7th month 
                                                                        following the end of the short plan year. Modify the heading of the 
Private delivery services (PDSs). You can use certain private           form to show the beginning and ending dates of your short plan 
delivery services designated by the IRS to meet the “timely             year and check box A(4) for a short plan year. If this is also the 
mailing as timely filing/paying” rule for tax returns and payments.     first or final return filed for the plan, check the appropriate box 
Go to IRS.gov/PDS for the current list of designated services.          (box A(1) or A(3)).
  The PDS can tell you how to get written proof of the mailing 
date.                                                                   Final Return
                                                                        All one-participant plans and all foreign plans should file a return 
  Private delivery services use the following address:                  for their final plan year indicating that all assets have been 
  Internal Revenue Submission Processing Center 1973                    distributed.
  Rulon White Blvd.                                                      Check box A(3) if all assets under the plan(s) (including 
  Ogden, UT 84201                                                       insurance/annuity contracts) have been distributed to the 
                                                                        participants and beneficiaries or distributed or transferred to 
Who Must Sign                                                           another plan. The final plan year is the year in which distribution 
The plan administrator or employer (owner) must sign and date           of all plan assets is completed.
paper Form 5500-EZ for the 2023 filing.
                                                                        Extension of Time To File
Penalties                                                               Using Form 5558
Section 6652(e) imposes a penalty of $250 a day (up to a                If filing under an extension of time based on the filing of a Form 
maximum penalty of $150,000 per plan year) for not filing returns       5558, Application for Extension of Time To File Certain Employee 
in connection with pension, profit-sharing, etc., plans by the          Plan Returns, do not attach Form 5558 to your Form 5500-EZ. 
required due date.                                                      Check the “Form 5558” box in Part I, line B. A one-time extension 
                                                                        of time to file Form 5500-EZ (up to 2½ months) may be obtained 

Instructions for Form 5500-EZ (2023)                                 -3-

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by filing Form 5558 on or before the normal due date (not            is not required to also mark the return as described in Rev. Proc. 
including any extensions) of the return. You must file Form 5558     2015-32. However, the return must still be marked as described 
with the IRS.                                                        in Rev. Proc. 2015-32 for delinquent returns for years that have 
Approved copies of the Form 5558 will not be returned to the         no box D available. Please be aware that each submission 
filer. A copy of the completed extension request must be retained    under the program must include a completed paper copy of Form 
with the plan’s records.                                             14704 attached to the front of the oldest delinquent return in the 
                                                                     submission. Form 14704 can be found at www.irs.gov/pub/irs-
See the instructions for Form 5558 and file it with the              pdf/f14704.pdf. See Rev. Proc. 2015-32, 2015-24 1063, for more 
Department of the Treasury, Internal Revenue Service Center,         information.
Ogden, UT 84201-0045.
                                                                     Check box E only for a plan adopted retroactively per SECURE 
Note. Line A of the Form 5558 asks for “Name of filer, plan          Act 201 and the plan is reporting participants and assets at the 
administrator, or plan sponsor.” The name of the plan sponsor is     end of the reporting year.
generally the same as the employer name for a one-participant 
plan.                                                                Section 201 of the Setting Every Community Up for Retirement 
                                                                     Enhancement Act of 2019 (SECURE Act), Pub. L. 116-94, 
Using Extension of Time To File Federal Income                       Division O, permits a plan adopted by the filing tax due date 
Tax Return                                                           (including extensions) for the taxable year to be treated as 
Filers are automatically granted an extension of time to file Form   adopted as of the close of the taxable year.  You may check 
5500-EZ until the extended due date of the federal income tax        this box only if a plan is adopted in 2023 within the due date 
return of the employer (and are not required to file Form 5558) if   (including extensions) of filing the tax return for the 2023 taxable 
all of the following conditions are met.                             year but are electing to treat the plan as being adopted in and 
1.  The plan year and the employer’s tax year are the same;          effective during the 2023 taxable year, and there are plan assets 
2. The employer has been granted an extension of time to file        and participants at the end of that taxable year. Do not file Form 
its federal income tax return to a date later than the normal due    5500 if there are no plan assets and participants under the plan 
date for filing the Form 5500-EZ; and                                at the end of the 2023 reporting year.
3. A copy of the application for extension of time to file the 
federal income tax return is retained with the plan’s records.       Part II – Basic Plan Information
                                                                     Line 1a. Enter the formal name of the plan.
Be sure to check the “automatic extension” box in Part I, line 
B. at the top of the form. An extension granted by using this        Line 1b. Enter the three-digit plan number (PN) that the employer 
exception cannot be extended further by filing a Form 5558 after     assigned to the plan. Plans should be numbered consecutively 
the normal due date (without extension) of Form 5500-EZ.             starting with 001. Once a plan number is used for a plan, it must 
                                                                     be used as the plan number for all future filings of returns for the 
Other Extensions of Time                                             plan, and this number may not be used for any other plan even 
The IRS may announce special extensions of time under certain        after the plan is terminated.
circumstances, such as extensions for Presidentially-declared        Line 1c. Enter the date the plan first became effective.
disasters or for service in, or in support of, the Armed Forces 
of the United States in a combat zone. If you are relying on         Line 2a. Each row is designed to contain specific information 
one of these announced special extensions, check the “special        regarding the employer. Please limit your response to the 
extension” box on the Form 5500-EZ, Part I, line B, and enter a      information required in each row as specified below.
description of the announced authority for the extension.                1. Enter in the first row the name of the employer.
                                                                         2. Enter in the second row the trade name if different from the 
Foreign Plan                                                         name entered in the first row.
Check box C if the return is filed by a foreign plan. See Who            3.  Enter in the third row the in care of (“C/O”) name.
Must File Form 5500-EZ, earlier.                                         4. Enter in the fourth row the street address. A post office box 
Check box D only if you are filing a paper Form 5500-EZ with the     number may be entered if the Post Office does not deliver mail to 
IRS for the late filer penalty relief program. The delinquent return the employer’s street address.
cannot be file electronically through the EFAST2 System.                 5. Enter in the fifth row the name of the city, the two character 
                                                                     abbreviation of the U.S. state or possession and ZIP code.
Late Filer Penalty Relief Program
The IRS Late Filer Penalty Relief Program for late annual            Note. You can use Form 8822-B, Change of Address or 
reporting for non-Title I retirement plans (one-participant plans    Responsible Party — Business, to notify the IRS if you changed 
and certain foreign plans) provides administrative relief to plan    your business mailing address, your business location, or the 
administrators and plan sponsors from the penalties otherwise        identity of your responsible party.
applicable under sections 6652(e) and 6692 for failing to timely         Foreign address. For foreign addresses, enter the information 
comply with the annual reporting requirements imposed under          in the order of the city or town, state or province, country, and ZIP 
sections 6047(e), 6058, and 6059. Rev. Proc. 2015-32 requires        or foreign postal code. Follow the country’s practice in placing the 
that an applicant must submit a complete Form 5500-EZ for the        postal code in the address. Do not abbreviate the country name.
delinquent plan year on paper with the IRS. The IRS delinquent 
return cannot be filed electronically through EFAST2 System.         Line 2b. Enter the employer’s nine-digit employer identification 
                                                                     number (EIN). For example, 00-1234567. Do not enter a social 
An applicant under the program must print in red letters in          security number (SSN).
the top margin above the Form 5500-EZ’s title on the first page 
of the return: “Delinquent Return Submitted under Rev. Proc.             Employers without an EIN must apply for one as soon as 
2015-32, Eligible for Penalty Relief.” A filer who checks box D and  possible. EINs are issued by the IRS. You can apply for an EIN:
submits the delinquent 2023 Form 5500-EZ under the program 

                                                                     -4-                           Instructions for Form 5500-EZ (2023)

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• Online — Go to the IRS website at IRS.gov/Businesses and • Any nonvested individuals who are earning or retaining
click on “Employer ID Numbers.” The EIN is issued immediately credited service under the plan.
once the application information is validated. This category does not include (a) nonvested former
• By mailing or faxing Form SS-4, Application for Employer employees who have incurred the break in service period
Identification Number. specified in the plan or (b) former employees who have received
The online application process is not yet available for plans a “cash-out” distribution or deemed distribution of their entire
with addresses in foreign countries. Foreign plans may not nonforfeitable accrued benefit.
CAUTION! apply for an EIN online but must use one of the other methods
to apply. However, foreign plans may call 267-941-1099 (not a 2. Retired or separated participants receiving benefits
toll-free number) to apply for an EIN. For more information, see the (for example, individuals who are retired or separated from
Instructions for Form SS-4. employment covered by the plan and who are receiving benefits
Line 2c. Enter the employer’s telephone number including the under the plan). This category does not include any individual
area code. to whom an insurance company has made an irrevocable
commitment to pay all the benefits to which the individual is
Line 2d. Enter the six-digit applicable code that best describes entitled under the plan.
the nature of the plan sponsor’s business from the list of principal 3. Other retired or separated participants entitled to future
business activity codes later in these instructions. benefits (for example, any individuals who are retired or
Line 3a. Each row is designed to contain specific information separated from employment covered by the plan and who are
regarding the plan administrator. Please limit your response to entitled to begin receiving benefits under the plan in the future).
the information required in each row of boxes as specified below. This category does not include any individual to whom an
1. Enter in the first row the name of the plan administrator insurance company has made an irrevocable commitment to pay
unless the administrator is the employer identified in line 2a. If all the benefits to which the individual is entitled under the plan.
this is the case, enter the word “Same” on line 3a and leave the 4. Deceased individuals who had one or more beneficiaries
remainder of line 3a, and all of lines 3b and 3c, blank. who are receiving or are entitled to receive benefits under the
2. Enter in the second row any in care of (“C/O”) name. plan. This category does not include any individual to whom an
3. Enter in the third row the street address. A post office box insurance company has made an irrevocable commitment to pay
number may be entered if the Post Office does not deliver mail to all the benefits to which the beneficiaries of that individual are
the administrator’s street address. entitled under the plan.
4. Enter in the fourth row the name of the city, the two- Line 5c. Include any individual who terminated employment
character abbreviation of the U.S. state or possession and ZIP during this plan year, whether or not he or she (a) incurred a
code. break in service, (b) received an irrevocable commitment from
Foreign address. For foreign addresses, enter the information an insurance company to pay all the benefits to which he or she
in the order of the city or town, state or province, country, and ZIP is entitled under the plan, and/or (c) received a cash distribution
or foreign postal code. Follow the country’s practice in placing the or deemed cash distribution of his or her nonforfeitable accrued
postal code in the address. Do not abbreviate the country name. benefit.

Line 3b. Enter the plan administrator’s nine-digit EIN. A plan Part III – Financial Information
administrator must have an EIN for Form 5500-EZ reporting Note. The cash, modified cash, or accrual basis accounting
purposes. If the plan administrator does not have an EIN, apply methods may be used for recognition of transactions in Part III,
for one as explained in the instructions for line 2b. as long as you use one method consistently. Amounts reported
Line 3c. Enter the plan administrator’s telephone number on lines 6a, 6b, and 6c for the beginning of the plan year must be
including the area code. the same as reported for the end of the plan year on the return
for the preceding plan year. Use whole dollars only.
Lines 4a–4d. If the employer’s name, the employer’s EIN, and/or
the plan name has changed since the last return was filed for this Line 6a. “Total plan assets” include rollovers and transfers
plan, enter the employer’s name and EIN, the plan name, and the received from other plans, unrealized gains and losses such
plan number as it appeared on the last return filed for this plan. as appreciation/depreciation in assets. It also includes specific
assets held by the plan at any time during the plan year (for
Line 5a(1). Enter the total number of participants at the beginning
example, partnership/joint venture interests, employer real
of the plan year.
property, real estate (other than employer real property),
Line 5a(2). Enter the total number of active participants at the employer securities, loans (participant and non-participant loans),
beginning of the plan year. and tangible personal property).
Line 5b(1). Enter the total number of participants at the end of Enter the total amount of plan assets at the beginning of the
the plan year. plan year in column (1). Do not include contributions designated
Line 5b(2). Enter the total number of active participants at the for the 2023 plan year in column (1). Enter the total amount of
end of the plan year. plan assets at the end of the plan year in column (2).
“Participant” for purpose of lines 5a(1)–5b(2) means any Line 6b. Liabilities include but are not limited to benefit claims
individual who is included in one of the categories below. payable, operating payables, acquisition indebtedness, and other
1. Active participants (for example, any individuals who are liabilities. Do not include the value of future distributions that will
currently in employment covered by the plan and who are earning be made to participants.
or retaining credited service under the plan) including: Lines 7a and 7b. Enter the total cash contributions received and/
• Any individuals who are eligible to elect to have the employer or receivable by the plan from employers and participants during
make payments under a section 401(k) qualified cash or deferred the plan year.
arrangement, and

Instructions for Form 5500-EZ (2023) -5-

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Line 7c. Enter the amount of all other contributions including for adoption by employers, including a standardized plan or a
transfers or rollovers received from other plans valued on the nonstandardized plan. A Pre-approved Plan may utilize either of
date of contribution. two forms: a basic plan document with an adoption agreement or
a single plan document. The employer is permitted to make minor
Part IV – Plan Characteristics modifications to the plan. An “Adopting Employer” is an employer
Line 8. Do not leave blank. Enter all applicable two-character that adopts a Pre-approved Plan offered by a Provider, including
plan characteristics codes that applied during the reporting year a plan that is word-for-word identical to, or a minor modification
from the List of Plan Characteristics Codes shown later that of, a plan of a Mass Submitter. If a plan was modified in such a
describe the characteristics of the plan being reported. way that negates the Opinion Letter, then the plan sponsor is
no longer an Adopting Employer of a Pre-approved Plan, and
Note. In the case of an eligible combined plan under section
the plan is treated as an individually designed plan. An “Opinion
414(x) and ERISA section 210(e), the codes entered in the boxes
Letter” is a written statement issued by the IRS to a Provider or
on line 9 must include any codes applicable for either the defined
Mass Submitter as an opinion on the qualification in form of a
benefit pension features or the defined contribution pension
plan under Code section 401(a), Code section 403(a), or both
features of the plan.
Code sections 401 or 403(a) and 4975(e)(7). See Revenue
Procedure 2017-41 for more information. The opinion letter serial
Part V – Compliance and Funding number is a unique combination of a capital letter and a series of
Questions six numbers assigned to each opinion letter.
Line 9. You must check “Yes” if the plan had any participant
loans outstanding at any time during the plan year and enter the Privacy Act and Paperwork Reduction Act Notice. We ask
amount outstanding as of the end of the plan year. for the information on this form to carry out the Internal Revenue
Enter on this line all loans to participants, including residential laws of the United States. This form is required to be filed under
mortgage loans that are subject to section 72(p). Include the section 6058(a). Section 6109 requires you to provide your
sum of the value of the unpaid principal balances, plus accrued identification number. If you fail to provide this information in a
but unpaid interest, if any, for participant loans made under an timely manner or if you provide false or fraudulent information,
individual account plan with investment experience segregated you may be subject to penalties. Section 6104(b) makes the
for each account made in accordance with 29 CFR 2550.408b- information contained in this form publicly available. Therefore,
1 and which are secured solely by a portion of the participant’s the information will be given to anyone who asks for it and may
vested accrued benefit. When applicable, combine this amount be given to the Pension Benefit Guaranty Corporation (PBGC) for
with the current value of any other participant loans. Do not administration of ERISA, the Department of Justice for civil and
include a participant loan that has been deemed distributed. criminal litigation, and cities, states, the District of Columbia, and
U.S. commonwealths and possessions for use in administering
Line 10. Check “Yes” if this plan is a defined benefit plan subject their tax laws. We may also disclose this information to other
to the minimum funding standard requirements of section 412. countries under a treaty, to federal and state agencies to enforce
Line 10a. Enter the unpaid minimum required contribution for all federal non-tax criminal laws, and to federal law enforcement and
years from line 40 of Schedule SB (Form 5500). intelligence agencies to combat terrorism.
If the plan is a defined benefit plan, the enrolled actuary You are not required to provide the information requested on
must complete and sign the 2023 Schedule SB (Form 5500) a form that is subject to the Paperwork Reduction Act unless
and forward it no later than the filing due date to the person the form displays a valid OMB control number. Books or records
responsible for filing Form 5500-EZ. The completed Schedule SB relating to a form or its instructions must be retained as long as
is subject to the records retention provisions of the Code. See their contents may become material in the administration of the
the 2023 Instructions for Form 5500 for more information about Internal Revenue Code. Generally, the Form 5500 series return/
Schedule SB. reports and some of the related schedules are open to public
inspection.
Line 11a. If a waiver of the minimum funding standard for a prior
year is being amortized in the current plan year, enter the month, The time needed to complete and file this form will vary
day, and year (MM/DD/YYYY) the letter ruling was granted. depending on individual circumstances. The estimated average
time is:
If a money purchase defined contribution plan (including a
target benefit plan) has received a waiver of the minimum funding Recordkeeping ..................................................... 19 hr., 07 min.
standard, and the waiver is currently being amortized, complete Learning about the law or the form ...................... 3 hr., 01min.
lines 3, 9, and 10 of Schedule MB (Form 5500). See the Preparing the form ................................................ 5 hr., 19 min.
Instructions for Schedule MB in the Instructions for Form 5500. Copying, assembling, and sending the form ............... 32 min.
Do not attach Schedule MB to the Form 5500-EZ. Instead, keep If you have suggestions for making this form simpler, we would
the completed Schedule MB in accordance with the applicable be happy to hear from you. You can send us comments from IRS.
records retention requirements. gov/FormComment. Or you can write to the Internal Revenue
Line 12. If a plan sponsor or an employer adopted a Pre- Service, Tax Forms and Publications Division, 1111 Constitution
approved Plan that had received a favorable Opinion Letter, Ave. NW, IR-6526, Washington, DC 20234. Do not send this form
enter the date of the most recent favorable Opinion Letter issued to this address. Instead, see Where To File, earlier.
by the IRS and the Opinion Letter serial number listed on the
letter. A “Pre-approved Plan” is a plan approved by the IRS with
a favorable opinion letter that is made available by a Provider

-6- Instructions for Form 5500-EZ (2023)

- 7 -

CODE Defined Contribution Pension Features
LIST OF PLAN CHARACTERISTICS
2D Offset plan – Plan benefits are subject to offset for retirement
CODES FOR LINE 8 benefits provided in another plan or arrangement of the
CODE Defined Benefit Pension Features employer.
1A Benefits are primarily pay related. 2E Profit-sharing plan.
1B Benefits are primarily flat dollar (includes dollars per year of 2J Section 401(k) feature – A cash or deferred arrangement
service). described in section 401(k) that is part of a qualified defined
contribution plan that provides for an election by employees
1C Cash balance or similar plan – Plan has a “cash balance” to defer part of their compensation or receive these amounts
formula. For this purpose, a “cash balance” formula is a in cash.
benefit formula in a defined benefit plan by whatever name 2K Section 401(m) arrangement – Employee contributions are
(for example, personal account plan, pension equity plan, allocated to separate accounts under the plan or employer
life cycle plan, cash account plan, etc.) that rather than, contributions are based, in whole or in part, on employee
or in addition to, expressing the accrued benefit as a life deferrals or contributions to the plan. Not applicable if plan
annuity commencing at normal retirement age, defines is 401(k) plan with only QNECs and/or QMACs. Also not
benefits for each employee in terms more common to a applicable if plan is a section 403(b)(1), 403(b)(7), or 408
defined contribution plan such as a single sum distribution arrangement/accounts annuities.
amount (for example, 10% of final average pay times years
of service, or the amount of the employee’s hypothetical 2R Participant-directed brokerage accounts provided as an
account balance). investment option under the plan.
1D Floor-offset plan – Plan benefits are subject to offset for 2S Plan provides for automatic enrollment in plan that has
retirement benefits provided by an elective contributions deducted from payroll.
employer-sponsored defined contribution plan. 2T Total or partial participant-directed account plan – Plan uses
1E Section 401(h) arrangement – Plan contains separate default investment account for participants who fail to direct
accounts under section 401(h) to provide employee health assets in their account.
benefits. CODE Other Pension Benefit Features
1F Section 414(k) arrangement – Benefits are based partly on 3A Non-U.S. plan – Pension plan maintained outside the United
the balance of the separate account of the participant (also States primarily for nonresident aliens.
include appropriate defined contribution pension feature
codes). 3B Plan covering self-employed individuals.
1I Frozen plan – As of the last day of the plan year, the plan 3C Plan not intended to be qualified – A plan not intended to be
provides that no participant will get any new benefit accrual qualified under section 401, 403, or 408.
(whether because of service or compensation). 3D Pre-approved pension plan – A pre-approved pension plan
CODE Defined Contribution Pension Features under sections 401, 403(a), and 4975(e)(7) that is subject to
a favorable opinion letter from the IRS.
2A Age/Service Weighted or New Comparability or Similar Plan
– Age/Service Weighted Plan: Allocations are based on age, 3E A one-participant plan that satisfies minimum coverage
service, or age and service. New Comparability or Similar requirements of section 410(b) only when combined with
Plan: Allocations are based on participant classifications and another plan of the employer.
a classification(s) consists entirely or predominantly of highly 3F Plan sponsor(s) received services of leased employees, as
compensated employees; or the plan provides an additional defined in section 414(n), during the plan year.
allocation rate on compensation above a specified threshold, 3H Plan sponsor(s) is (are) a member(s) of a controlled group, or
and the threshold or additional rate exceeds the maximum affiliated service group (section 414(b), (c), or (m)).
threshold or rate allowed under the permitted disparity rules
of section 401(l). 3J U.S.-based plan that covers residents of Puerto Rico and
is qualified under both section 401 and section 1165 of the
2B Target benefit plan. Internal Revenue Code of Puerto Rico.
2C Money purchase (other than target benefit) plan.

Instructions for Form 5500-EZ (2023) -7-

- 8 -

Forms 5500, 5500-SF, and                           This list of principal business activities and their associated           These principal activity codes are based on the North American 
5500-EZ Codes for Principal                        codes is designed to classify an enterprise by the type of                Industry Classification System.
Business Activity                                  activity in which it is engaged.
Code   Agriculture, Forestry,               Code   Specialty Trade Contractors             Code   Manufacturing                       Code   Manufacturing
       Fishing and Hunting                  238100 Foundation, Structure, & Building       Chemical Manufacturing                     Electrical Equipment, Appliance, and 
Crop Production                                    Exterior Contractors (including         325100 Basic Chemical Mfg                  Component Manufacturing
111100 Oilseed & Grain Farming                     framing carpentry, masonry, glass,      325200 Resin, Synthetic Rubber, &          335100 Electric Lighting Equipment Mfg
                                                   roofing, & siding)
111210 Vegetable & Melon Farming            238210 Electrical Contractors                         Artificial & Synthetic Fibers &     335200 Major Household Appliance Mfg
       (including potatoes & yams)                                                                Filaments Mfg                       335310 Electrical Equipment Mfg
111300 Fruit & Tree Nut Farming             238220 Plumbing, Heating, & Air-               325300 Pesticide, Fertilizer, & Other      335900 Other Electrical Equipment & 
                                                   Conditioning Contractors                       Agricultural Chemical Mfg                  Component Mfg
111400 Greenhouse, Nursery, &               238290 Other Building Equipment                325410 Pharmaceutical & Medicine Mfg       Transportation Equipment Manufacturing
       Floriculture Production                     Contractors                             325500 Paint, Coating, & Adhesive Mfg      336100 Motor Vehicle Mfg
111900 Other Crop Farming (including        238300 Building Finishing Contractors          325600 Soap, Cleaning Compound, &          336210 Motor Vehicle Body & Trailer Mfg
       peanut, sugar beet, & all other             painting, wallcovering, flooring, tile, 
       tobacco, cotton, sugarcane, hay,            (including drywall, insulation,                Toilet Preparation Mfg              336300 Motor Vehicle Parts Mfg
       crop farming)                               & finish carpentry)                     325900 Other Chemical Product &            336410 Aerospace Product & Parts Mfg
Animal Production                           238900 Other Specialty Trade Contractors              Preparation Mfg
112111 Beef Cattle Ranching & Farming              (including site preparation)            Plastics and Rubber Products               336510 Railroad Rolling Stock Mfg
112112 Cattle Feedlots                      Code   Manufacturing                           Manufacturing                              336610 Ship & Boat Building
112120 Dairy Cattle & Milk Production       Food Manufacturing                             326100 Plastics Product Mfg                336990 Other Transportation Equipment 
112210 Hog & Pig Farming                    311110 Animal Food Mfg                         326200 Rubber Product Mfg                         Mfg
112300 Poultry & Egg Production             311200 Grain & Oilseed Milling                 Nonmetallic Mineral Product                Furniture and Related Product 
                                                                                           Manufacturing                              Manufacturing
112400 Sheep & Goat Farming                 311300 Sugar & Confectionary Product           327100 Clay Product & Refractory Mfg       337000 Furniture & Related Product 
112510 Aquaculture (including shellfish &          Mfg                                                                                       Manufacturing
       finfish farms & hatcheries)          311400 Fruit & Vegetable Preserving &          327210 Glass & Glass Product Mfg           Miscellaneous Manufacturing
112900 Other Animal Production                     Specialty Food Mfg                      327300 Cement & Concrete Product Mfg       339110 Medical Equipment & Supplies Mfg
Forestry and Logging                        311500 Dairy Product Mfg                       327400 Lime & Gypsum Product Mfg           339900 Other Miscellaneous Mfg
113110 Timber Tract Operations              311610 Animal Slaughtering and                 327900 Other Nonmetallic Mineral Product 
113210 Forest Nurseries & Gathering of             Processing                                     Mfg                                 Code   Wholesale Trade
       Forest Products                      311710 Seafood Product Preparation &           Primary Metal Manufacturing                Merchant Wholesalers, Durable Goods
113310 Logging                                     Packaging                               331110 Iron & Steel Mills & Ferroalloy Mfg 423100 Motor Vehicle, & Motor Vehicle 
Fishing, Hunting and Trapping               311800 Bakeries, Tortilla & Dry Pasta Mfg      331200 Steel Product Mfg from Purchased           Parts & Supplies
114110 Fishing                              311900 Other Food Mfg (including coffee,              Steel                               423200 Furniture & Home Furnishings
114210 Hunting & Trapping                          tea, flavorings & seasonings)           331310 Alumina & Aluminum Production &     423300 Lumber & Other Construction 
Support Activities for Agriculture          Beverage and Tobacco Product                          Processing                                 Materials
and Forestry                                Manufacturing                                  331400 Nonferrous Metal (except            423400 Professional & Commercial 
115110 Support Activities for Crop          312110 Soft Drink & Ice Mfg                           Aluminum) Production &                     Equipment & Supplies
       Production (including cotton         312120 Breweries                                      Processing                          423500 Metal & Mineral (except petroleum)
       ginning, soil preparation, planting, 312130 Wineries                                331500 Foundries                           423600 Household Appliances and 
       & cultivating)                       312140 Distilleries                            Fabricated Metal Product Manufacturing            Electrical & Electronic Goods
115210 Support Activities for Animal        312200 Tobacco Manufacturing                   332110 Forging & Stamping                  423700 Hardware, Plumbing, & Heating 
       Production                                                                          332210 Cutlery & Handtool Mfg                     Equipment & Supplies
115310 Support Activities for Forestry      Textile Mills and Textile Product Mills                                                   423800 Machinery, Equipment, & Supplies
                                            313000 Textile Mills                           332300 Architectural & Structural Metals 
                                                                                                  Mfg                                 423910 Sporting & Recreational Goods & 
Code   Mining                               314000 Textile Product Mills                   332400 Boiler, Tank, & Shipping Container         Supplies
211120 Crude Petroleum Extraction           Apparel Manufacturing                                 Mfg                                 423920 Toy, & Hobby Goods, & Supplies
211130 Natural Gas Extraction               315100 Apparel Knitting Mills                  332510 Hardware Mfg                        423930 Recyclable Materials
212110 Coal Mining                          315210 Cut & Sew Apparel Contractors           332610 Spring & Wire Product Mfg           423940 Jewelry, Watch, Precious Stone, & 
212200 Metal Ore Mining                     315220 Men’s & Boys’ Cut & Sew Apparel         332700 Machine Shops; Turned Product; &           Precious Metals
212310 Stone Mining & Quarrying                    Mfg.                                           Screw, Nut, & Bolt Mfg              423990 Other Miscellaneous Durable 
212320 Sand, Gravel, Clay, & Ceramic        315240 Women’s, Girls’ and Infants’ Cut &      332810 Coating, Engraving, Heat Treating,         Goods
       & Refractory Minerals Mining, &             Sew Apparel Mfg.                               & Allied Activities                 Merchant Wholesalers, Nondurable Goods
       Quarrying                            315280 Other Cut & Sew Apparel Mfg             332900 Other Fabricated Metal Product      424100 Paper & Paper Products
212390 Other Nonmetallic Mineral Mining     315990 Apparel Accessories & Other                    Mfg                                 424210 Drugs & Druggists’ Sundries
       & Quarrying                                 Apparel Mfg                             Machinery Manufacturing                    424300 Apparel, Piece Goods, & Notions
213110 Support Activities for Mining        Leather and Allied Product Manufacturing       333100 Agriculture, Construction, & Mining 424400 Grocery & Related Products
Code   Utilities                            316110 Leather & Hide Tanning, &                      Machinery Mfg                       424500 Farm Product Raw Materials
221100 Electric Power Generation,                  Finishing                               333200 Industrial Machinery Mfg            424600 Chemical & Allied Products
       Transmission & Distribution          316210 Footwear Mfg (including rubber &        333310 Commercial & Service Industry       424700 Petroleum & Petroleum Products
221210 Natural Gas Distribution                    plastics)                                      Machinery Mfg                       424800 Beer, Wine, & Distilled Alcoholic 
221300 Water, Sewage & Other Systems        316990 Other Leather & Allied Product Mfg      333410 Ventilation, Heating, Air-                 Beverages
221500 Combination Gas & Electric           Wood Product Manufacturing                            Conditioning, & Commercial          424910 Farm Supplies
Code   Construction                         321110 Sawmills & Wood Preservation                   Refrigeration Equipment Mfg
Construction of Buildings                   321210 Veneer, Plywood, &  Engineered          333510 Metalworking Machinery Mfg          424920 Book, Periodical, & Newspapers
236110 Residential Building Construction           Wood Product Mfg                        333610 Engine, Turbine & Power             424930 Flower, Nursery Stock, & Florists’ 
236200 Nonresidential Building              321900 Other Wood Product Mfg                         Transmission Equipment Mfg                 Supplies
       Construction                         Paper Manufacturing                            333900 Other General Purpose Machinery     424940 Tobacco & Tobacco Products
                                                                                                  Mfg                                 424950 Paint, Varnish, & Supplies
Heavy and Civil Engineering Construction    322100 Pulp, Paper, & Paperboard Mills         Computer and Electronic Product            424990 Other Miscellaneous Nondurable 
237100 Utility System Construction          322200 Converted Paper Product Mfg             Manufacturing                                     Goods
237210 Land Subdivision                     Printing and Related Support Activities        334110 Computer & Peripheral Equipment     Wholesale Electronic Markets and Agents 
237310 Highway, Street, & Bridge            323100 Printing & Related Support                     Mfg                                 and Brokers
       Construction                                Activities                              334200 Communications Equipment Mfg        425110 Business to Business Electronic 
237990 Other Heavy & Civil Engineering      Petroleum and Coal Products                    334310 Audio & Video Equipment Mfg                Markets
       Construction                         Manufacturing                                  334410 Semiconductor & Other Electronic    425120 Wholesale Trade Agents & Brokers
                                            324110 Petroleum Refineries (including                Component Mfg
                                                   integrated)                             334500 Navigational, Measuring, 
                                            324120 Asphalt Paving, Roofing, &                     Electromedical, & Control 
                                                   Saturated Materials Mfg                        Instruments Mfg
                                            324190 Other Petroleum & Coal Products         334610 Manufacturing & Reproducing 
                                                   Mfg                                            Magnetic & Optical Media

                                                                                           -8-                                        Instructions for Form 5500-EZ (2023)

- 9 -

Forms 5500, 5500-SF, and 5500-EZ Codes for Principal Business Activity (continued)
Code   Retail Trade                      Code   Retail Trade                        Code   Information                           Code    Finance and Insurance
Motor Vehicle and Parts Dealers          Miscellaneous Store Retailers              Publishing Industries (except Internet)      Funds, Trusts, and Other Financial Vehicles
441110 New Car Dealers                   453110 Florists                            511110 Newspaper Publishers                  525100  Insurance & Employee Benefit 
441120 Used Car Dealers                  453210 Office Supplies & Stationery Stores 511120 Periodical Publishers                         Funds
441210 Recreational Vehicle Dealers      453220 Gift, Novelty, & Souvenir Stores    511130 Book Publishers                       525910  Open-End Investment Funds 
441222 Boat Dealers                      453310 Used Merchandise Stores             511140 Directory & Mailing List Publishers           (Form 1120-RIC)
441228 Motorcycle, ATV, and All Other    453910 Pet & Pet Supplies Stores           511190 Other Publishers                      525920  Trusts, Estates, & Agency 
                                                                                                                                         Accounts
       Motor Vehicle Dealers             453920 Art Dealers                         511210 Software Publishers                   525990  Other Financial Vehicles (including 
441300 Automotive Parts, Accessories, &  453930 Manufactured (Mobile) Home          Motion Picture and Sound Recording                   mortgage REITs & closed-end 
       Tire Stores                              Dealers                             Industries                                           investment funds)
Furniture and Home Furnishings Stores    453990 All Other Miscellaneous Store       512100 Motion Picture & Video Industries     “Offices of Bank Holding Companies” and 
442110 Furniture Stores                         Retailers (including tobacco,              (except video rental)                 “Offices of Other Holding Companies” are located 
442210 Floor Covering Stores                    candle, & trophy shops)             512200 Sound Recording Industries            under Management of Companies (Holding 
442291 Window Treatment Stores           Nonstore Retailers                         Broadcasting (except Internet)               Companies).
442299 All Other Home Furnishings Stores 454110 Electronic Shopping & Mail-Order    515100 Radio & Television Broadcasting       Code    Real Estate and Rental and 
Electronics and Appliance Stores                Houses                              515210 Cable & Other Subscription                    Leasing
443141 Household Appliance Stores        454210 Vending Machine Operators                  Programming                           Real Estate
443142 Electronics Stores (including     454310 Fuel Dealers (including Heating Oil Telecommunications                           531110  Lessors of Residential Buildings & 
       Audio, Video, Computer, and              and Liquefied Petroleum)            517000 Telecommunications (including                 Dwellings (including equity REITs)
       Camera Stores)                    454390 Other Direct Selling                       paging, cellular, satellite,          531120  Lessors of Nonresidential 
Building Material and Garden Equipment          Establishments (including                  cable & other program                         Buildings (except Miniwarehouses) 
and Supplies Dealers                            door-to-door retailing, frozen             distribution, resellers, other                (including equity REITs)
                                                food plan providers, party plan 
444110 Home Centers                             merchandisers, & coffee-break              telecommunications, & internet        531130  Lessors of Miniwarehouses & Self-
444120 Paint & Wallpaper Stores                 service providers)                         service providers)                            Storage Units (including equity 
                                                                                    Data Processing Services                             REITs)
444130 Hardware Stores                   Code   Transportation and                  518210 Data Processing, Hosting, &           531190  Lessors of Other Real Estate 
444190 Other Building Material Dealers          Warehousing                                Related Services                              Property (including equity REITs)
444200 Lawn & Garden Equipment &         Air, Rail, and Water Transportation        Other Information Services                   531210  Offices of Real Estate Agents & 
       Supplies Stores                   481000 Air Transportation                  519100 Other Information Services                    Brokers
Food and Beverage Stores                 482110 Rail Transportation                        (including news syndicates,           531310  Real Estate Property Managers
445110 Supermarkets and Other Grocery    483000 Water Transportation                       libraries, internet publishing &      531320  Offices of Real Estate Appraisers
       (except Convenience) Stores       Truck Transportation                              broadcasting)                         531390  Other Activities Related to Real 
445120 Convenience Stores                484110 General Freight Trucking, Local     Code   Finance and Insurance                         Estate
445210 Meat Markets                      484120 General Freight Trucking,           Depository Credit Intermediation             Rental and Leasing Services
445220 Fish & Seafood Markets                   Long-distance                       522110 Commercial Banking                    532100  Automotive Equipment Rental & 
445230 Fruit & Vegetable Markets         484200 Specialized Freight Trucking        522120 Savings Institutions                          Leasing
445291 Baked Goods Stores                Transit and Ground Passenger               522130 Credit Unions                         532210  Consumer Electronics & 
                                                                                                                                         Appliances Rental
445292 Confectionery & Nut Stores        Transportation                             522190 Other Depository Credit               532281  Formal Wear & Costume Rental
445299 All Other Specialty Food Stores   485110 Urban Transit Systems                      Intermediation                        532282  Video Tape & Disc Rental
445310 Beer, Wine, & Liquor Stores       485210 Interurban & Rural Bus              Nondepository Credit Intermediation          532283  Home Health Equipment Rental
Health and Personal Care Stores                 Transportation                      522210 Credit Card Issuing                   532284  Recreational Goods Rental
446110 Pharmacies & Drug Stores          485310 Taxi Service                        522220 Sales Financing                       532289  All Other Consumer Goods Rental
446120 Cosmetics, Beauty Supplies, &     485320 Limousine Service                   522291 Consumer Lending                      532310  General Rental Centers
       Perfume Stores                    485410 School & Employee Bus               522292 Real Estate Credit (including         532400  Commercial & Industrial Machinery 
446130 Optical Goods Stores                     Transportation                             mortgage bankers & originators)               & Equipment Rental & Leasing
446190 Other Health & Personal Care      485510 Charter Bus Industry                522293 International Trade Financing         Lessors of Nonfinancial Intangible 
       Stores                            485990 Other Transit & Ground Passenger    522294 Secondary Market Financing            Assets (except copyrighted works)
Gasoline Stations                               Transportation                      522298 All Other Nondepository Credit        533110  Lessors of Nonfinancial Intangible 
447100 Gasoline Stations (including      Pipeline Transportation                           Intermediation                                Assets (except copyrighted works)
       convenience stores with gas)      486000 Pipeline Transportation             Activities Related to Credit Intermediation  Code    Professional, Scientific, and 
Clothing and Clothing Accessories Stores Scenic & Sightseeing Transportation        522300 Activities Related to Credit                  Technical Services
448110 Men’s Clothing Stores             487000 Scenic & Sightseeing                       Intermediation (including loan        Legal Services
448120 Women’s Clothing Stores                  Transportation                             brokers, check clearing, & money 
448130 Children’s & Infants’ Clothing    Support Activities for Transportation             transmitting)                         541110  Offices of Lawyers
       Stores                            488100 Support Activities for Air          Securities, Commodity Contracts, and         541190  Other Legal Services
448140 Family Clothing Stores                   Transportation                      Other Financial Investments and Related      Accounting, Tax Preparation, 
                                                                                    Activities                                   Bookkeeping, and Payroll Services
448150 Clothing Accessories Stores       488210 Support Activities for Rail         523110 Investment Banking & Securities       541211  Offices of Certified Public 
                                                Transportation                             Dealing                                       Accountants
448190 Other Clothing Stores             488300 Support Activities for Water        523120 Securities Brokerage                  541213  Tax Preparation Services
448210 Shoe Stores                              Transportation
448310 Jewelry Stores                    488410 Motor Vehicle Towing                523130 Commodity Contracts Dealing           541214  Payroll Services
448320 Luggage & Leather Goods Stores    488490 Other Support Activities for Road   523140 Commodity Contracts Brokerage         541219  Other Accounting Services
Sporting Goods, Hobby, Book, and Music          Transportation                      523210 Securities & Commodity                Architectural, Engineering, and Related 
Stores                                   488510 Freight Transportation                     Exchanges                             Services
451110 Sporting Goods Stores                    Arrangement                         523900 Other Financial Investment            541310  Architectural Services
451120 Hobby, Toy, & Game Stores         488990 Other Support Activities for               Activities (including portfolio       541320  Landscape Architecture Services
451130 Sewing, Needlework, & Piece              Transportation                             management & investment advice)
       Goods Stores                      Couriers and Messengers                    Insurance Carriers and Related Activities    541330  Engineering Services
451140 Musical Instrument & Supplies     492110 Couriers                            524130 Reinsurance Carriers                  541340  Drafting Services
       Stores                            492210 Local Messengers & Local Delivery   524140 Direct Life, Health, & Medical        541350  Building Inspection Services
                                                                                           Insurance Carriers                    541360  Geophysical Surveying & Mapping 
451211 Book Stores                       Warehousing and Storage                    524150 Direct Insurance (except Life,                Services
451212 News Dealers & Newsstands         493100 Warehousing & Storage (except              Health & Medical) Carriers            541370  Surveying & Mapping (except 
General Merchandise Stores                      lessors of miniwarehouses & self-   524210 Insurance Agencies & Brokerages               Geophysical) Services
452200 Department Stores                        storage units)                                                                   541380  Testing Laboratories
                                                                                    524290 Other Insurance Related Activities 
452300 General Merchandise Stores incl.                                                    (including third-party administration Specialized Design Services
       Warehouse Clubs & Supercenters                                                      of Insurance and pension funds)       541400  Specialized Design Services 
                                                                                                                                         (including interior, industrial, 
                                                                                                                                         graphic, & fashion design)

Instructions for Form 5500-EZ (2023)                                                -9-

- 10 -

Forms 5500, 5500-SF, and 5500-EZ Codes for Principal Business Activity (continued)
Code     Professional, Scientific, and         Code   Educational Services                Code   Arts, Entertainment, and             Code   Other Services
         Technical Services                    611000 Educational Services (including            Recreation                           Religious, Grantmaking, Civic, 
Computer Systems Design and Related                   schools, colleges, & universities)  Amusements, Gambling, and Recreation        Professional, and Similar Organizations
Services                                       Code   Health Care and Social              Industries                                  813000 Religious, Grantmaking, 
541511   Custom Computer Programming                  Assistance                          713100 Amusement Parks & Arcades                   Civic, Professional, & Similar 
         Services                              Offices of Physicians and Dentists         713200 Gambling Industries                         Organizations (including 
                                                                                                                                             condominium and homeowners 
541512   Computer Systems Design               621111 Offices of Physicians (except       713900 Other Amusement & Recreation                associations)
         Services                                     mental health specialists)                 Industries (including golf courses,  813930 Labor Unions and Similar Labor 
541513   Computer Facilities Management        621112 Offices of Physicians, Mental              skiing facilities, marinas, fitness         Organizations
         Services                                     Health Specialists                         centers, & bowling centers)
541519   Other Computer Related Services       621210 Offices of Dentists                 Code   Accommodation and Food               Code
Other Professional, Scientific, and            Offices of Other Health Practitioners             Services                             921000 Governmental Instrumentality or 
Technical Services                                                                        Accommodation                                      Agency
541600   Management, Scientific, &             621310 Offices of Chiropractors
         Technical Consulting Services         621320 Offices of Optometrists             721110 Hotels (except Casino Hotels) & 
                                                                                                 Motels
541700   Scientific Research &                 621330 Offices of Mental Health            721120 Casino Hotels
         Development Services                         Practitioners (except  Physicians)
541800   Advertising & Related Services        621340 Offices of Physical, Occupational & 721191 Bed & Breakfast Inns
541910   Marketing Research & Public                  Speech Therapists, & Audiologists   721199 All other Traveler Accommodation
         Opinion Polling                       621391 Offices of Podiatrists              721210 RV (Recreational Vehicle) Parks & 
541920   Photographic Services                 621399 Offices of all Other Miscellaneous         Recreational Camps
541930   Translation & Interpretation                 Health Practitioners                721310 Rooming and Boarding Houses, 
         Services                              Outpatient Care Centers                           Dormitories, and Workers’ Camps
541940   Veterinary Services                   621410 Family Planning Centers             Food Services and Drinking Places
541990   All Other Professional, Scientific, & 621420 Outpatient Mental Health &          722300 Special Food Services (including 
         Technical Services                           Substance Abuse Centers                    food service contractors & 
                                                                                                 caterers)
Code     Management of Companies               621491 HMO Medical Centers                 722410 Drinking Places (Alcoholic 
         (Holding Companies)                   621492 Kidney Dialysis Centers                    Beverages)
551111   Offices of Bank Holding               621493 Freestanding Ambulatory Surgical    722511 Full-Service Restaurants
         Companies                                    & Emergency Centers                 722513 Limited-Service Restaurants
551112   Offices of Other Holding              621498 All Other Outpatient Care Centers   722514 Cafeterias and Buffets
         Companies                             Medical and Diagnostic Laboratories        722515 Snack and Non-alcoholic Beverage 
Code     Administrative and Support            621510 Medical & Diagnostic Laboratories          Bars
         and Waste Management                  Home Health Care Services                  Code   Other Services
         and Remediation Services              621610 Home Health Care Services           Repair and Maintenance
Administration and Support Services            Other Ambulatory Health Care Services      811110 Automotive Mechanical, & 
561110   Office Administrative Services        621900 Other Ambulatory Health Care               Electrical Repair & Maintenance
561210   Facilities Support Services                  Services (including ambulance       811120 Automotive Body, Paint, Interior, & 
561300   Employment Services                          services & blood & organ banks)            Glass Repair
561410   Document Preparation Services         Hospitals                                  811190 Other Automotive Repair & 
561420   Telephone Call Centers                622000 Hospitals                                  Maintenance (including oil change 
561430   Business Service Centers              Nursing and Residential Care Facilities           & lubrication shops & car washes)
         (including private mail centers &     623000 Nursing & Residential Care          811210 Electronic & Precision Equipment 
         copy shops)                                  Facilities                                 Repair & Maintenance
561440   Collection Agencies                   Social Assistance                          811310 Commercial & Industrial Machinery 
561450   Credit Bureaus                        624100 Individual & Family Services               & Equipment (except Automotive & 
                                                                                                 Electronic) Repair & Maintenance
561490   Other Business Support Services       624200 Community Food & Housing,           811410 Home & Garden Equipment & 
         (including  repossession services,           & Emergency & Other Relief                 Appliance Repair & Maintenance
         court reporting, & stenotype                 Services
         services)                             624310 Vocational Rehabilitation Services  811420 Reupholstery & Furniture Repair
561500   Travel Arrangement & Reservation      624410 Child Day Care Services             811430 Footwear & Leather Goods Repair
                                                                                          811490 Other Personal & Household 
         Services                              Code   Arts, Entertainment, and                   Goods Repair & Maintenance
561600   Investigation & Security Services            Recreation                          Personal and Laundry Services
561710   Exterminating & Pest Control          Performing Arts, Spectator Sports, and     812111 Barber Shops
         Services                              Related Industries
561720   Janitorial Services                   711100 Performing Arts Companies           812112 Beauty Salons
561730   Landscaping Services                  711210 Spectator Sports (including sports  812113 Nail Salons
561740   Carpet & Upholstery Cleaning                 clubs & racetracks)                 812190 Other Personal Care Services 
         Services                              711300 Promoters of Performing Arts,              (including diet & weight reducing 
561790   Other Services to Buildings &                Sports, & Similar Events                   centers)
         Dwellings                             711410 Agents & Managers for Artists,      812210 Funeral Homes & Funeral Services
561900   Other Support Services (including            Athletes, Entertainers, & Other     812220 Cemeteries & Crematories
         packaging & labeling services,               Public Figures                      812310 Coin-Operated Laundries & 
         & convention & trade show             711510 Independent Artists, Writers, &            Drycleaners
         organizers)                                  Performers                          812320 Drycleaning & Laundry Services 
Waste Management and Remediation               Museums, Historical Sites, and Similar            (except Coin-Operated)
Services                                       Institutions                               812330 Linen & Uniform Supply
562000   Waste Management and                  712100 Museums, Historical Sites, &        812910 Pet Care (except Veterinary) 
         Remediation Services                         Similar Institutions                       Services
                                                                                          812920 Photofinishing
                                                                                          812930 Parking Lots & Garages
                                                                                          812990 All Other Personal Services

                                                                                         -10-                                         Instructions for Form 5500-EZ (2023)

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