Schedule I Form 5500 PDF Details

Do you know the importance of filing a Schedule I Form 5500 for your business retirement plan? Many business owners are unaware that this document is an essential part of their company's retirement plan and should be filed at the end of each fiscal year. Understanding what to report, how to do it, when to file it and why this information is so important can make a significant difference in your business' success. In this blog post, we'll discuss all things Schedule I Form 5500 - from the parts of the form you need to complete correctly, to tips on filing the documents accurately and timely so that you don't incur costly penalties or fines. Read on to learn more about Schedule I Form 5500!

QuestionAnswer
Form NameSchedule I Form 5500
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform 5500 sf, 2018 small, schedule, who files form 5500

Form Preview Example

 

SCHEDULE I

 

Financial Information—Small Plan

 

OMB No. 1210-0110

 

 

 

 

 

 

 

 

(Form 5500)

 

 

 

 

2018

 

 

 

Department of the Treasury

 

This schedule is required to be filed under section 104 of the Employee

 

 

 

 

 

Retirement Income Security Act of 1974 (ERISA), and section 6058(a) of the

 

 

 

 

 

Internal Revenue Service

 

 

 

 

 

 

 

 

Internal Revenue Code (the Code).

 

This Form is Open to Public

 

 

Department of Labor

 

 

 

 

 

 

 

Inspection

 

 

Employee Benefits Security Administration

 

File as an attachment to Form 5500.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pension Benefit Guaranty Corporation

 

 

 

 

 

 

 

 

 

 

 

 

 

For calendar plan year 2018 or fiscal plan year beginning

and ending

 

 

 

 

 

A Name of plan

 

 

B Three-digit

 

 

 

 

 

ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI

plan number (PN)

001

 

 

 

ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI

 

 

 

 

 

 

ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C Plan sponsor’s name as shown on line 2a of Form 5500

D Employer Identification Number (EIN)67

 

 

ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI

 

 

 

 

 

 

ABCDEFGHI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Complete Schedule I if the plan covered fewer than 100 participants as of the beginning of the plan year. You may also complete Schedule I if you are filing as a small plan under the 80-120 participant rule (see instructions). Complete Schedule H if reporting as a large plan or DFE.

Part I Small Plan Financial Information

Report below the current value of assets and liabilities, income, expenses, transfers and changes in net assets during the plan year. Combine the value of plan assets held in more than one trust. Do not enter the value of the portion of an insurance contract that guarantees during this plan year to pay a specific dollar benefit at a future date. Include all income and expenses of the plan including any trust(s) or separately maintained fund(s) and any payments/receipts to/from insurance carriers. Round off amounts to the nearest dollar.

1

Plan Assets and Liabilities:

 

 

(a) Beginning of Year

 

(b) End of Year

 

 

 

a

............................................................................Total plan assets

1a

 

-123456789012345

-123456789012345

b

.........................................................................Total plan liabilities

1b

 

-123456789012345

-123456789012345

c

Net plan assets (subtract line 1b from line 1a)

1c

 

-123456789012345

-123456789012345

.............

 

 

 

 

2

Income, Expenses, and Transfers for this Plan Year:

 

 

(a) Amount

 

(b) Total

a

Contributions received or receivable:

 

 

 

 

 

 

 

 

 

 

 

(1)

...............................................................................Employers

2a(1)

 

-123456789012345

 

 

 

(2)

.............................................................................Participants

2a(2)

 

-123456789012345

 

 

 

(3)

.....................................................Others (including rollovers)

..2a(3)

 

-123456789012345

 

 

b

 

 

 

 

 

 

....................................................................Noncash contributions

2b

 

-123456789012345

 

 

c

..................................................................................Other income

2c

 

-123456789012345

 

 

d

.................Total income (add lines 2a(1), 2a(2), 2a(3), 2b, and 2c)

2d

 

 

-123456789012345

e

.........................................Benefits paid (including direct rollovers)

2e

 

-123456789012345

 

 

f

.......................................Corrective distributions (see instructions)

2f

 

-123456789012345

 

 

g

Certain deemed distributions of participant loans

 

 

 

 

 

 

............................................................................(see instructions)

2g

 

-123456789012345

 

 

h

Administrative service providers (salaries, fees, and

 

 

 

 

 

 

.................................................................................commissions)

2h

 

-123456789012345

 

 

i

..............................................................................Other expenses

2i

 

-123456789012345

 

 

j

.............................Total expenses (add lines 2e, 2f, 2g, 2h, and 2i)

..........2j

 

 

-123456789012345

k

Net income (loss) (subtract line 2j from line 2d)

...........2k

 

 

-123456789012345

 

 

l

Transfers to (from) the plan (see instructions)

.............2l

 

 

-123456789012345

 

 

 

 

 

 

 

 

3Specific Assets: If the plan held assets at any time during the plan year in any of the following categories, check “Yes” and enter the current value of any assets remaining in the plan as of the end of the plan year. Allocate the value of the plan’s interest in a commingled trust containing the assets of more than one plan on a line-by-line basis unless the trust meets one of the specific exceptions described in the instructions.

 

 

 

Yes

No

Amount

a

Partnership/joint venture interests

3a ..

 

-123456789012345

b

Employer real property

3b

 

-123456789012345

.................................................................c Real estate (other than employer real property)

3c

 

-123456789012345

d

Employer securities

3d

 

-123456789012345

e

Participant loans

3e

 

 

f

Loans (other than to participants)

3f ..

 

 

g

Tangible personal property

 

 

 

 

3g

 

 

 

 

 

 

 

For Paperwork Reduction Act Notice, see the Instructions for Form 5500.

 

 

 

Schedule I (Form 5500) 2018

 

 

 

 

 

v. 171027

 

Schedule I (Form 5500) 2018

Page 2-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Part II Compliance Questions

4 During the plan year:

 

Yes

No

Amount

aWas there a failure to transmit to the plan any participant contributions within the time period described in 29 CFR 2510.3-102? Continue to answer “Yes” for any prior year failures until

fully corrected. (See instructions and DOL’s Voluntary Fiduciary Correction Program.)

4a

-123456789012345

 

 

 

 

 

b Were any loans by the plan or fixed income obligations due the plan in default as of the

 

 

close of plan year or classified during the year as uncollectible? Disregard participant loans

 

 

 

 

4b

 

secured by the participant’s account balance

-123456789012345

c Were any leases to which the plan was a party in default or classified during the year as

 

 

uncollectible?

4c

-123456789012345

d

Were there any nonexempt transactions with any party-in-interest? (Do not include

 

 

 

 

 

 

 

 

 

 

 

transactions reported on line 4a.)

 

4d

 

-123456789012345

 

e

Was the plan covered by a fidelity bond?

 

4e

-123456789012345

 

f

Did the plan have a loss, whether or not reimbursed by the plan’s fidelity bond, that was

 

 

 

 

 

 

 

-123456789012345

 

 

caused by fraud or dishonesty?

4f

 

g

Did the plan hold any assets whose current value was neither readily determinable on an

 

 

 

established market nor set by an independent third party appraiser?

4g

-123456789012345

h

Did the plan receive any noncash contributions whose value was neither readily

 

 

 

determinable on an established market nor set by an independent third party appraiser?

4h

-123456789012345

i

Did the plan at any time hold 20% or more of its assets in any single security, debt,

 

 

 

 

 

 

 

mortgage, parcel of real estate, or partnership/joint venture interest?

4i

-123456789012345

j

 

 

 

 

 

Were all the plan assets either distributed to participants or beneficiaries, transferred to

 

 

 

 

 

 

 

another plan, or brought under the control of the PBGC?

4j

 

 

 

 

 

 

 

kAre you claiming a waiver of the annual examination and report of an independent qualified

public accountant (IQPA) under 29 CFR 2520.104-46? If “No,” attach an IQPA’s report or

 

 

 

4k

 

2520.104-50 statement. (See instructions on waiver eligibility and conditions.)

 

 

 

 

 

l Has the plan failed to provide any benefit when due under the plan?

 

4l

-123456789012345

m If this is an individual account plan, was there a blackout period? (See instructions and 29

 

 

 

 

 

 

CFR 2520.101-3.)

4m

 

n If 4m was answered “Yes,” check the “Yes” box if you either provided the required notice or

4n

one of the exceptions to providing the notice applied under 29 CFR 2520.101-3

 

5a Has a resolution to terminate the plan been adopted during the plan year or any prior plan year?

X

Yes

X

No-

If “Yes,” enter the amount of any plan assets that reverted to the employer this year ____________________________________.

5b If, during this plan year, any assets or liabilities were transferred from this plan to another plan(s), identify the plan(s) to which assets or liabilities were transferred. (See instructions.)

5b(1) Name of plan(s)

5b(2) EIN(s)

5b(3) PN(s)

ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI

 

 

ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI

123456789

123

 

 

 

ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI

 

 

ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI

123456789

123

 

 

 

ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI

 

 

ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI ABCDEFGHI

123456789

123

 

 

 

5c If the plan is a defined benefit plan, is it covered under the PBGC insurance program (See ERISA section 4021.)? ..... X Yes X No X Not determined.

If “Yes” is checked, enter the My PAA confirmation number from the PBGC premium filing for this plan year_________________________. (See instructions.)

How to Edit Schedule I Form 5500 Online for Free

form 5500 ez instructions can be filled in with ease. Just try FormsPal PDF tool to perform the job quickly. To keep our editor on the forefront of convenience, we strive to implement user-oriented capabilities and improvements regularly. We are routinely thankful for any suggestions - play a pivotal part in revampimg how we work with PDF documents. To start your journey, consider these easy steps:

Step 1: Press the "Get Form" button at the top of this webpage to access our PDF tool.

Step 2: With this handy PDF file editor, it is possible to accomplish more than simply fill out forms. Edit away and make your docs look professional with custom text incorporated, or tweak the file's original input to perfection - all comes with an ability to incorporate almost any pictures and sign it off.

This form will require some specific information; to ensure accuracy, please be sure to consider the suggestions further down:

1. When completing the form 5500 ez instructions, make certain to include all of the necessary blank fields in their relevant form section. It will help hasten the process, allowing your details to be processed efficiently and correctly.

Writing segment 1 of form 5550

2. The subsequent part would be to submit these particular blank fields: Others including rollovers b, see instructions, h Administrative service providers, j Total expenses add lines e f g h, k Net income loss subtract line j, a Partnershipjoint venture, Yes, b Employer real property, c Real estate other than employer, d Employer securities e, Amount, and Schedule I Form v.

Yes, d Employer securities  e, and h Administrative service providers of form 5550

3. Completing Schedule I Form, Page x, Part II Compliance Questions, b Were any loans by the plan or, close of plan year or classified, c Were any leases to which the, uncollectible c, d Were there any nonexempt, transactions reported on line a, e Was the plan covered by a, caused by fraud or dishonesty, g Did the plan hold any assets, established market nor set by an, h Did the plan receive any noncash, and determinable on an established is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

How one can prepare form 5550 part 3

4. This specific subsection arrives with all of the following empty form fields to complete: public accountant IQPA under CFR, CFR m, n If m was answered Yes check the, one of the exceptions to providing, a Has a resolution to terminate, If Yes enter the amount of any, transferred See instructions, b Name of plans, b EINs, b PNs, ABCDEFGHI ABCDEFGHI ABCDEFGHI, ABCDEFGHI ABCDEFGHI ABCDEFGHI, ABCDEFGHI ABCDEFGHI ABCDEFGHI, ABCDEFGHI ABCDEFGHI ABCDEFGHI, and ABCDEFGHI ABCDEFGHI ABCDEFGHI.

Filling out part 4 in form 5550

People who use this form often make errors while completing public accountant IQPA under CFR in this part. Be certain to read twice whatever you type in right here.

Step 3: Before moving forward, check that all blank fields have been filled out as intended. When you verify that it is fine, press “Done." Download the form 5500 ez instructions as soon as you join for a 7-day free trial. Readily get access to the pdf form inside your personal account page, along with any edits and changes conveniently kept! When you work with FormsPal, you can certainly fill out documents without needing to get worried about information leaks or data entries being shared. Our secure software ensures that your personal details are maintained safe.