This form contains 298 fields organized into 45 sections, giving it a Form Complexity Index of 73/100 (complex). Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Account Information
10 Enter the value of your account as of the last day of the year. 10 Text
Enter the value of your account as of the last day of the year.
Additional Information
topmostSubform[0].Page6[0].f2_01[0 Text
Enter any additional information or comments related to the employee benefit plan and the taxes reported.
Amended Return Checkbox
Amended return Checkbox
Check this box if this Form 5330 is an amended return.
Calculation
1 991a Multiply line 1 by $20,000. Enter the result here and on Part I, line 16 2 2 Text
Multiply the amount entered in line 1 by $20,000 and enter the result here. This value should also be entered on Part I, line 16.
Checkboxes
topmostSubform[0].Page4[0].c4_1[0]_1 CheckBox
Check this box if applicable. Refer to the form instructions for specific conditions.
topmostSubform[0].Page4[0].c4_1[1]_2 CheckBox
Check this box if applicable. Refer to the form instructions for specific conditions.
Date Information
DD Text
Enter the day (DD) of the date.
Max length: 2 characters
YY Text
Enter the year (YY) of the date.
Max length: 2 characters
Detailed Reporting
topmostSubform[0].Page4[0].Table_Line2[0].Row2[0].f4_05[0 Text
Enter the specific detail required for the first column in the second row of the table on Page 4, Line 2.
topmostSubform[0].Page4[0].Table_Line2[0].Row2[0].f4_06[0 Text
Enter the specific detail required for the second column in the second row of the table on Page 4, Line 2.
topmostSubform[0].Page4[0].Table_Line2[0].Row2[0].f4_07[0 Text
Enter the specific detail required for the third column in the second row of the table on Page 4, Line 2.
topmostSubform[0].Page4[0].Table_Line2[0].Row2[0].f4_08[0 Text
Enter the specific detail required for the fourth column in the second row of the table on Page 4, Line 2.
topmostSubform[0].Page4[0].Table_Line2[0].Row3[0].f4_09[0 Text
Enter the specific detail required for the first column in the third row of the table on Page 4, Line 2.
topmostSubform[0].Page4[0].Table_Line2[0].Row3[0].f4_10[0 Text
Enter the specific detail required for the second column in the third row of the table on Page 4, Line 2.
topmostSubform[0].Page4[0].Table_Line2[0].Row3[0].f4_11[0 Text
Enter the specific detail required for the third column in the third row of the table on Page 4, Line 2.
topmostSubform[0].Page4[0].Table_Line2[0].Row3[0].f4_12[0 Text
Enter the specific detail required for the fourth column in the third row of the table on Page 4, Line 2.
topmostSubform[0].Page4[0].Table_Line2[0].Row4[0].f4_13[0 Text
Enter the specific detail required for the first column in the fourth row of the table on Page 4, Line 2.
topmostSubform[0].Page4[0].Table_Line2[0].Row4[0].f4_14[0 Text
Enter the specific detail required for the second column in the fourth row of the table on Page 4, Line 2.
topmostSubform[0].Page4[0].Table_Line2[0].Row4[0].f4_15[0 Text
Enter the specific detail required for the third column in the fourth row of the table on Page 4, Line 2.
topmostSubform[0].Page4[0].f4_49[0 Text
Provide the specific information requested in this text field. Refer to the instructions for the exact details required.
topmostSubform[0].Page4[0].c4_2[0]_1 CheckBox
Check this box if the condition specified in the form instructions applies to you.
topmostSubform[0].Page4[0].c4_2[1]_2 CheckBox
Check this box if the condition specified in the form instructions applies to you.
topmostSubform[0].Page5[0].Table_Line5[0].Row1[0].f5_01[0 Text
Provide the specific information requested in this text field. Refer to the instructions for the exact details required.
topmostSubform[0].Page5[0].Table_Line5[0].Row1[0].ColB[0].f5_02[0 Text
Provide the specific information requested in this text field. Refer to the instructions for the exact details required.
topmostSubform[0].Page5[0].Table_Line5[0].Row1[0].ColB[0].f5_03[0 Text
Provide the specific information requested in this text field. Refer to the instructions for the exact details required.
topmostSubform[0].Page5[0].Table_Line5[0].Row1[0].ColB[0].f5_04[0 Text
Provide the specific information requested in this text field. Refer to the instructions for the exact details required.
topmostSubform[0].Page5[0].Table_Line5[0].Row1[0].f5_05[0 Text
Provide the specific information requested in this text field. Refer to the instructions for the exact details required. This field has a maximum length of 11 characters.
Max length: 11 characters
topmostSubform[0].Page5[0].Table_Line5[0].Row1[0].f5_06[0 Text
Provide the specific information requested in this text field. Refer to the instructions for the exact details required.
topmostSubform[0].Page5[0].Table_Line5[0].Row10[0].f5_87[0 Text
Enter the specific detail required for Line 5, Row 10 of the table on Page 5. This field is part of the detailed reporting for excise taxes.
topmostSubform[0].Page5[0].Table_Line5[0].Row10[0].ColE[0].f5_88[0 Text
Enter the value for Column E in Line 5, Row 10 of the table on Page 5. This field is part of the detailed reporting for excise taxes.
topmostSubform[0].Page5[0].Table_Line5[0].Row10[0].ColE[0].f5_89[0 Text
Enter the value for Column E in Line 5, Row 10 of the table on Page 5. This field is part of the detailed reporting for excise taxes.
topmostSubform[0].Page5[0].Table_Line5[0].Row10[0].ColE[0].f5_90[0 Text
Enter the value for Column E in Line 5, Row 10 of the table on Page 5. This field is part of the detailed reporting for excise taxes.
topmostSubform[0].Page5[0].Table_Line5[0].Row11[0].f5_91[0 Text
Enter the specific detail required for Line 5, Row 11 of the table on Page 5. This field is part of the detailed reporting for excise taxes.
topmostSubform[0].Page5[0].Table_Line5[0].Row11[0].ColB[0].f5_92[0 Text
Enter the value for Column B in Line 5, Row 11 of the table on Page 5. This field is part of the detailed reporting for excise taxes.
topmostSubform[0].Page5[0].Table_Line5[0].Row11[0].ColB[0].f5_93[0 Text
Enter the value for Column B in Line 5, Row 11 of the table on Page 5. This field is part of the detailed reporting for excise taxes.
topmostSubform[0].Page5[0].Table_Line5[0].Row11[0].ColB[0].f5_94[0 Text
Enter the value for Column B in Line 5, Row 11 of the table on Page 5. This field is part of the detailed reporting for excise taxes.
topmostSubform[0].Page5[0].Table_Line5[0].Row11[0].f5_95[0 Text
Enter the specific detail required for Line 5, Row 11 of the table on Page 5. This field is part of the detailed reporting for excise taxes. The maximum length for this field is 11 characters.
Max length: 11 characters
topmostSubform[0].Page5[0].Table_Line5[0].Row11[0].f5_96[0 Text
Enter the specific detail required for Line 5, Row 11 of the table on Page 5. This field is part of the detailed reporting for excise taxes.
topmostSubform[0].Page5[0].Table_Line5[0].Row12[0].ColE[0].f5_107[0 Text
Enter the value for Column E in Row 12 of Line 5 on Page 5.
topmostSubform[0].Page5[0].Table_Line5[0].Row12[0].ColE[0].f5_108[0 Text
Enter the value for Column E in Row 12 of Line 5 on Page 5.
topmostSubform[0].Page5[0].f5_109[0 Text
Enter the value for the field on Page 5.
2 Text
Enter the value for the field on Page 5.
Employer Reversion
2a Employer reversion amount Text
Enter the amount of employer reversion.
Excise Tax
b Excise tax rate (20% or 50%) Text
Enter the applicable excise tax rate, either 20% or 50%.
Explain below why you qualify for a 20% rather than a 50% excise tax rate: 4 Text
Provide an explanation for why you qualify for a 20% rather than a 50% excise tax rate.
49a3 Text
Provide additional information or continuation of the explanation for the excise tax rate qualification.
Excise Tax Details
topmostSubform[0].Page4[0].Table_Line2[0].Row4[0].f4_16[0 Text
Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 4 of the table on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row5[0].f4_17[0 Text
Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 5 of the table on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row5[0].f4_18[0 Text
Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 5 of the table on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row5[0].f4_19[0 Text
Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 5 of the table on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row5[0].f4_20[0 Text
Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 5 of the table on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row6[0].f4_21[0 Text
Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 6 of the table on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row6[0].f4_22[0 Text
Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 6 of the table on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row6[0].f4_23[0 Text
Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 6 of the table on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row6[0].f4_24[0 Text
Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 6 of the table on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row7[0].f4_25[0 Text
Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 7 of the table on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row7[0].f4_26[0 Text
Enter the specific detail related to the excise tax for the employee benefit plan as required in Line 2, Row 7 of the table on Page 4.
topmostSubform[0].Page5[0].Table_Line5[0].Row1[0].ColE[0].f5_07[0 Text
Enter the specific value related to the excise tax for the first item in Column E of Line 5, Row 1 on Page 5.
topmostSubform[0].Page5[0].Table_Line5[0].Row1[0].ColE[0].f5_08[0 Text
Enter the specific value related to the excise tax for the second item in Column E of Line 5, Row 1 on Page 5.
topmostSubform[0].Page5[0].Table_Line5[0].Row1[0].ColE[0].f5_09[0 Text
Enter the specific value related to the excise tax for the third item in Column E of Line 5, Row 1 on Page 5.
topmostSubform[0].Page5[0].Table_Line5[0].Row2[0].f5_10[0 Text
Enter the specific value related to the excise tax for the first item in Row 2 of Line 5 on Page 5.
topmostSubform[0].Page5[0].Table_Line5[0].Row2[0].ColB[0].f5_11[0 Text
Enter the specific value related to the excise tax for the first item in Column B of Line 5, Row 2 on Page 5.
topmostSubform[0].Page5[0].Table_Line5[0].Row2[0].ColB[0].f5_12[0 Text
Enter the specific value related to the excise tax for the second item in Column B of Line 5, Row 2 on Page 5.
topmostSubform[0].Page5[0].Table_Line5[0].Row2[0].ColB[0].f5_13[0 Text
Enter the specific value related to the excise tax for the third item in Column B of Line 5, Row 2 on Page 5.
topmostSubform[0].Page5[0].Table_Line5[0].Row2[0].f5_14[0 Text
Enter the specific value related to the excise tax for the fourth item in Row 2 of Line 5 on Page 5. Maximum length is 11 characters.
Max length: 11 characters
topmostSubform[0].Page5[0].Table_Line5[0].Row2[0].f5_15[0 Text
Enter the specific value related to the excise tax for the fifth item in Row 2 of Line 5 on Page 5.
topmostSubform[0].Page5[0].Table_Line5[0].Row2[0].ColE[0].f5_16[0 Text
Enter the specific value related to the excise tax for the fourth item in Column E of Line 5, Row 2 on Page 5.
topmostSubform[0].Page5[0].Table_Line5[0].Row2[0].ColE[0].f5_17[0 Text
Enter the specific value related to the excise tax for the employee benefit plan as required in this section.
topmostSubform[0].Page5[0].Table_Line5[0].Row2[0].ColE[0].f5_18[0 Text
Provide the necessary information for the excise tax calculation for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row3[0].f5_19[0 Text
Input the relevant data for the excise tax associated with the employee benefit plan in this section.
topmostSubform[0].Page5[0].Table_Line5[0].Row3[0].ColB[0].f5_20[0 Text
Fill in the required details for the excise tax computation for the employee benefit plan here.
topmostSubform[0].Page5[0].Table_Line5[0].Row3[0].ColB[0].f5_21[0 Text
Enter the necessary information for the excise tax related to the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row3[0].ColB[0].f5_22[0 Text
Provide the specific details required for the excise tax calculation for the employee benefit plan in this section.
topmostSubform[0].Page5[0].Table_Line5[0].Row3[0].f5_23[0 Text
Input the relevant value for the excise tax associated with the employee benefit plan, ensuring it does not exceed 11 characters.
Max length: 11 characters
topmostSubform[0].Page5[0].Table_Line5[0].Row3[0].f5_24[0 Text
Fill in the necessary data for the excise tax computation for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row3[0].ColE[0].f5_25[0 Text
Enter the required information for the excise tax related to the employee benefit plan in this section.
topmostSubform[0].Page5[0].Table_Line5[0].Row3[0].ColE[0].f5_26[0 Text
Provide the specific value needed for the excise tax calculation for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row3[0].ColE[0].f5_27[0 Text
Enter the specific value related to the excise tax for the employee benefit plan as required in this column.
topmostSubform[0].Page5[0].Table_Line5[0].Row4[0].f5_28[0 Text
Provide the necessary information for the excise tax calculation for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row4[0].ColB[0].f5_29[0 Text
Input the relevant data for the excise tax computation for the employee benefit plan in this column.
topmostSubform[0].Page5[0].Table_Line5[0].Row4[0].ColB[0].f5_30[0 Text
Fill in the required information for the excise tax assessment for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row4[0].ColB[0].f5_31[0 Text
Enter the appropriate value for the excise tax determination for the employee benefit plan in this column.
topmostSubform[0].Page5[0].Table_Line5[0].Row4[0].f5_32[0 Text
Provide the specific amount related to the excise tax for the employee benefit plan, ensuring it does not exceed 11 characters.
Max length: 11 characters
topmostSubform[0].Page5[0].Table_Line5[0].Row4[0].f5_33[0 Text
Input the necessary figure for the excise tax calculation for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row4[0].ColE[0].f5_34[0 Text
Enter the relevant value for the excise tax computation for the employee benefit plan in this column.
topmostSubform[0].Page5[0].Table_Line5[0].Row4[0].ColE[0].f5_35[0 Text
Provide the required data for the excise tax assessment for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row4[0].ColE[0].f5_36[0 Text
Fill in the appropriate information for the excise tax determination for the employee benefit plan in this column.
topmostSubform[0].Page5[0].Table_Line5[0].Row6[0].ColB[0].f5_47[0 Text
Enter the specific value related to the excise tax for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row6[0].ColB[0].f5_48[0 Text
Provide the necessary information for the excise tax calculation for the employee benefit plan.
topmostSubform[0].Page5[0].Table_Line5[0].Row6[0].ColB[0].f5_49[0 Text
Input the relevant data required for the excise tax reporting for the employee benefit plan.
topmostSubform[0].Page5[0].Table_Line5[0].Row6[0].f5_50[0 Text
Enter the amount related to the excise tax for the employee benefit plan. Maximum length is 11 characters.
Max length: 11 characters
topmostSubform[0].Page5[0].Table_Line5[0].Row6[0].f5_51[0 Text
Provide the specific details needed for the excise tax reporting for the employee benefit plan.
topmostSubform[0].Page5[0].Table_Line5[0].Row6[0].ColE[0].f5_52[0 Text
Enter the value associated with the excise tax for the employee benefit plan in this column.
topmostSubform[0].Page5[0].Table_Line5[0].Row6[0].ColE[0].f5_53[0 Text
Provide the necessary information for the excise tax calculation in this column for the employee benefit plan.
topmostSubform[0].Page5[0].Table_Line5[0].Row6[0].ColE[0].f5_54[0 Text
Input the relevant data required for the excise tax reporting in this column for the employee benefit plan.
topmostSubform[0].Page5[0].Table_Line5[0].Row7[0].f5_55[0 Text
Enter the specific value related to the excise tax for the employee benefit plan in this row.
topmostSubform[0].Page5[0].Table_Line5[0].Row7[0].ColB[0].f5_56[0 Text
Provide the necessary information for the excise tax calculation in this row for the employee benefit plan.
topmostSubform[0].Page5[0].Table_Line5[0].Row7[0].ColB[0].f5_57[0 Text
Enter the specific value related to the excise tax for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row7[0].ColB[0].f5_58[0 Text
Provide the relevant amount or detail for the excise tax applicable to the employee benefit plan.
topmostSubform[0].Page5[0].Table_Line5[0].Row7[0].f5_59[0 Text
Input the specific numeric value related to the excise tax for the employee benefit plan. Maximum length is 11 characters.
Max length: 11 characters
topmostSubform[0].Page5[0].Table_Line5[0].Row7[0].f5_60[0 Text
Enter the required detail or amount for the excise tax related to the employee benefit plan.
topmostSubform[0].Page5[0].Table_Line5[0].Row7[0].ColE[0].f5_61[0 Text
Provide the specific value or detail for the excise tax applicable to the employee benefit plan.
topmostSubform[0].Page5[0].Table_Line5[0].Row7[0].ColE[0].f5_62[0 Text
Enter the relevant amount or detail for the excise tax related to the employee benefit plan.
topmostSubform[0].Page5[0].Table_Line5[0].Row7[0].ColE[0].f5_63[0 Text
Input the specific value or detail for the excise tax applicable to the employee benefit plan.
topmostSubform[0].Page5[0].Table_Line5[0].Row8[0].f5_64[0 Text
Provide the required detail or amount for the excise tax related to the employee benefit plan.
topmostSubform[0].Page5[0].Table_Line5[0].Row8[0].ColB[0].f5_65[0 Text
Enter the specific value related to the excise tax for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row8[0].ColB[0].f5_66[0 Text
Provide the relevant amount or detail for the excise tax applicable to the employee benefit plan.
topmostSubform[0].Page5[0].Table_Line5[0].Row8[0].ColB[0].f5_67[0 Text
Enter the specific value related to the excise tax for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row8[0].f5_68[0 Text
Provide the amount related to the excise tax for the employee benefit plan. The value should not exceed 11 characters.
Max length: 11 characters
topmostSubform[0].Page5[0].Table_Line5[0].Row8[0].f5_69[0 Text
Enter the specific value related to the excise tax for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row8[0].ColE[0].f5_70[0 Text
Enter the specific value related to the excise tax for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row8[0].ColE[0].f5_71[0 Text
Enter the specific value related to the excise tax for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row8[0].ColE[0].f5_72[0 Text
Enter the specific value related to the excise tax for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row9[0].f5_73[0 Text
Enter the specific value related to the excise tax for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row9[0].ColB[0].f5_74[0 Text
Enter the specific value related to the excise tax for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row9[0].ColB[0].f5_75[0 Text
Enter the specific value related to the excise tax for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row9[0].ColB[0].f5_76[0 Text
Enter the specific value related to the excise tax for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row9[0].f5_77[0 Text
Enter the specific value related to the excise tax for the employee benefit plan as required in Line 5, Row 9, Column 1.
Max length: 11 characters
topmostSubform[0].Page5[0].Table_Line5[0].Row9[0].f5_78[0 Text
Provide the necessary information for the excise tax calculation in Line 5, Row 9, Column 2.
topmostSubform[0].Page5[0].Table_Line5[0].Row9[0].ColE[0].f5_79[0 Text
Input the relevant data for the excise tax in Line 5, Row 9, Column E.
topmostSubform[0].Page5[0].Table_Line5[0].Row9[0].ColE[0].f5_80[0 Text
Fill in the required information for the excise tax in Line 5, Row 9, Column E.
topmostSubform[0].Page5[0].Table_Line5[0].Row9[0].ColE[0].f5_81[0 Text
Enter the specific details for the excise tax in Line 5, Row 9, Column E.
topmostSubform[0].Page5[0].Table_Line5[0].Row10[0].f5_82[0 Text
Provide the necessary value for the excise tax in Line 5, Row 10, Column 1.
topmostSubform[0].Page5[0].Table_Line5[0].Row10[0].ColB[0].f5_83[0 Text
Input the relevant data for the excise tax in Line 5, Row 10, Column B.
topmostSubform[0].Page5[0].Table_Line5[0].Row10[0].ColB[0].f5_84[0 Text
Fill in the required information for the excise tax in Line 5, Row 10, Column B.
topmostSubform[0].Page5[0].Table_Line5[0].Row10[0].ColB[0].f5_85[0 Text
Enter the specific details for the excise tax in Line 5, Row 10, Column B.
topmostSubform[0].Page5[0].Table_Line5[0].Row10[0].f5_86[0 Text
Provide the necessary value for the excise tax in Line 5, Row 10, Column 1.
Max length: 11 characters
topmostSubform[0].Page5[0].Table_Line5[0].Row11[0].ColE[0].f5_97[0 Text
Enter the specific value related to the excise tax for the employee benefit plan as required in this section.
topmostSubform[0].Page5[0].Table_Line5[0].Row11[0].ColE[0].f5_98[0 Text
Provide the necessary information for the excise tax calculation for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row11[0].ColE[0].f5_99[0 Text
Input the relevant data for the excise tax associated with the employee benefit plan here.
topmostSubform[0].Page5[0].Table_Line5[0].Row12[0].f5_100[0 Text
Enter the specific details required for the excise tax reporting for the employee benefit plan.
topmostSubform[0].Page5[0].Table_Line5[0].Row12[0].ColB[0].f5_101[0 Text
Provide the necessary information for the excise tax calculation for the employee benefit plan in this field.
topmostSubform[0].Page5[0].Table_Line5[0].Row12[0].ColB[0].f5_102[0 Text
Input the relevant data for the excise tax associated with the employee benefit plan here.
topmostSubform[0].Page5[0].Table_Line5[0].Row12[0].ColB[0].f5_103[0 Text
Enter the specific details required for the excise tax reporting for the employee benefit plan.
topmostSubform[0].Page5[0].Table_Line5[0].Row12[0].f5_104[0 Text
Provide the necessary information for the excise tax calculation for the employee benefit plan in this field. Maximum length is 11 characters.
Max length: 11 characters
topmostSubform[0].Page5[0].Table_Line5[0].Row12[0].f5_105[0 Text
Input the relevant data for the excise tax associated with the employee benefit plan here.
topmostSubform[0].Page5[0].Table_Line5[0].Row12[0].ColE[0].f5_106[0 Text
Enter the specific value related to the excise tax for the employee benefit plan as required in this section.
Failure and Correction Details
Provide a brief description of the failure, and of the correction, if any: 6 Text
Provide a brief description of the failure and the correction, if any. This field requires a detailed explanation of what went wrong and how it was fixed.
bf08 Text
This field appears to be a continuation or related to the previous field. Ensure to provide any additional details about the failure and correction here.
Filer Identification
Filer Name Text
Enter the name of the filer.
Filer’s Identifying Number Text
Enter the filer’s identifying number.
Max length: 11 characters
Filer Information
Filer's identifying number Text
Enter the identifying number of the filer. The maximum length is 11 characters.
Max length: 11 characters
Name of filer Text
Enter the name of the filer.
Filer's identifying number Text
Enter the identifying number of the filer. This number should not exceed 11 characters.
Max length: 11 characters
Name of filer Text
Enter the full name of the filer of this form.
Filer's identifying number Text
Enter the identifying number of the filer, such as a Social Security Number (SSN) or Employer Identification Number (EIN). This field has a maximum length of 11 characters.
Max length: 11 characters
Filer's identifying number Text
Enter the filer's identifying number, which can be a Social Security Number (SSN) or Employer Identification Number (EIN). Maximum length is 11 characters.
Max length: 11 characters
Filer Name, Address, and Identification Number
Filer Name Text
Enter the name of the filer.
Filer Street Address Text
Enter the filer’s street address, including the room or suite number if applicable.
Filer City, Region, and Postal Code Text
Enter the filer’s city or town, state or province, country, and ZIP or foreign postal code.
Filer Employer Identification Number Text
Enter the filer’s employer identification number (EIN).
Max length: 10 characters
Filer Social Security Number Text
Enter the filer’s social security number (SSN).
Max length: 11 characters
General Information
topmostSubform[0].Page3[0].f2_01[0 Text
Enter the relevant information for this field.
topmostSubform[0].Page3[0].f3_06[0 Text
Enter the relevant information for this field as specified in the instructions for Form 5330.
topmostSubform[0].Page3[0].f3_08[0 Text
Enter the relevant information for this field as specified in the instructions for Form 5330.
topmostSubform[0].Page3[0].f3_10[0 Text
Enter the relevant information for this field as specified in the instructions for Form 5330.
12 Text
Enter the relevant information for this field as specified in the instructions for Form 5330.
1 Text
Enter the relevant information for this field as specified in the instructions for Form 5330.
2 Text
Enter the relevant information for this field as specified in the instructions for Form 5330.
topmostSubform[0].Page3[0].f3_15[0 Text
Enter the relevant information for this field as specified in the instructions for Form 5330.
4 Text
Enter the relevant information for this field as specified in the instructions for Form 5330.
topmostSubform[0].Page3[0].f3_17[0 Text
Enter the relevant information for this field as specified in the instructions for Form 5330.
7 Text
Enter the relevant information for this field as specified in the instructions for Form 5330.
topmostSubform[0].Page6[0].f6_01[0 Text
Enter the relevant information for field f6_01 on Page 6.
1b Text
Enter the relevant information for field 1b on Page 6.
topmostSubform[0].Page6[0].f6_03[0 Text
Enter the relevant information for field f6_03 on Page 6.
2a Text
Enter the relevant information for field 2a on Page 6.
topmostSubform[0].Page6[0].FLine2b_ReadOrder[0].f6_05[0 Text
Enter the relevant information for field f6_05 on Page 6.
topmostSubform[0].Page6[0].f6_06[0 Text
Enter the relevant information for field f6_06 on Page 6.
2d Text
Enter the relevant information for field 2d on Page 6.
topmostSubform[0].Page6[0].c6_1[0]_1 CheckBox
Check this box if applicable for field c6_1[0]_1 on Page 6.
topmostSubform[0].Page6[0].c6_1[1]_2 CheckBox
Check this box if applicable for field c6_1[1]_2 on Page 6.
topmostSubform[0].Page6[0].f6_08[0 Text
Enter a 4-digit value for field f6_08 on Page 6.
Max length: 4 characters
topmostSubform[0].Page6[0].f6_13[0 Text
Enter the appropriate code or value as specified in the form instructions.
Max length: 2 characters
topmostSubform[0].Page6[0].f6_14[0 Text
Enter the appropriate code or value as specified in the form instructions.
Max length: 2 characters
topmostSubform[0].Page6[0].f6_15[0 Text
Enter the appropriate code or value as specified in the form instructions.
Max length: 2 characters
topmostSubform[0].Page6[0].f6_18[0 Text
Enter the appropriate code or value as specified in the form instructions.
topmostSubform[0].Page6[0].f6_21[0 Text
Enter the appropriate code or value as specified in the form instructions.
topmostSubform[0].Page6[0].f6_22[0 Text
Enter the appropriate code or value as specified in the form instructions.
Max length: 2 characters
4 Text
Enter the appropriate code or value as specified in the form instructions.
topmostSubform[0].Page6[0].f6_27[0 Text
Enter the appropriate code or value as specified in the form instructions.
1 Text
Enter the relevant information for this section. The specific details required are not clear from the field name.
topmostSubform[0].Page6[0].LLine1_ReadOrder[0].f6_32[0 Text
This field appears to be part of a read order or sequence. The specific details required are not clear from the field name.
topmostSubform[0].Page6[0].f6_33[0 Text
This field appears to be part of a read order or sequence. The specific details required are not clear from the field name.
Miscellaneous
topmostSubform[0].Page3[0].f3_23[0 Text
This field appears to be a placeholder or an incomplete field. Please refer to the form instructions for more details.
Noncompliance Period
Enter the number of days in the noncompliance period Text
Enter the number of days in the noncompliance period.
Paid Preparer Information
Preparer’s Name Text
Enter the paid preparer’s name.
Self-employed Checkbox
Check this box if the paid preparer is self-employed.
Preparer’s PTIN Text
Enter the paid preparer’s PTIN. Fill only if 'Self-employed' is 'Yes'.
Max length: 11 characters
Depends on: Self-employed
Firm’s Name Text
Enter the name of the preparer’s firm.
Firm’s EIN Text
Enter the preparer firm’s EIN.
Max length: 10 characters
Firm’s Address Text
Enter the preparer firm’s address.
Preparer’s Phone Number Text
Enter the preparer’s phone number.
Plan Name and Plan Details
Plan Name Text
Enter the name of the employee benefit plan.
Plan Year Ending Date
Enter the ending date of the plan year.
Max length: 10 characters
Plan Number Text
Enter the plan number.
Plan Sponsor Name, Address, and EIN
Plan Sponsor Name and Address Text
Enter the name and mailing address of the plan sponsor.
Plan Sponsor EIN Text
Enter the plan sponsor’s employer identification number.
Max length: 10 characters
Schedule E
topmostSubform[0].Page5[0].Table_ScheduleE[0].Row1[0].f5_111[0 Text
Enter the value for Column 1 in Row 1 of Schedule E on Page 5.
topmostSubform[0].Page5[0].Table_ScheduleE[0].Row1[0].f5_112[0 Text
Enter the value for Column 2 in Row 1 of Schedule E on Page 5.
topmostSubform[0].Page5[0].Table_ScheduleE[0].Row1[0].f5_113[0 Text
Enter the value for Column 3 in Row 1 of Schedule E on Page 5.
topmostSubform[0].Page5[0].Table_ScheduleE[0].Row1[0].f5_114[0 Text
Enter the value for Column 4 in Row 1 of Schedule E on Page 5.
topmostSubform[0].Page5[0].Table_ScheduleE[0].Row1[0].f5_115[0 Text
Enter the value for Column 5 in Row 1 of Schedule E on Page 5.
topmostSubform[0].Page5[0].Table_ScheduleE[0].Row2[0].f5_116[0 Text
Enter the value for Column 1 in Row 2 of Schedule E on Page 5.
topmostSubform[0].Page5[0].Table_ScheduleE[0].Row2[0].f5_117[0 Text
Enter the value for Column 2 in Row 2 of Schedule E on Page 5.
Schedule E - Tax Details
topmostSubform[0].Page5[0].Table_ScheduleE[0].Row2[0].f5_118[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding item in Schedule E, Row 2.
topmostSubform[0].Page5[0].Table_ScheduleE[0].Row2[0].f5_119[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding item in Schedule E, Row 2.
topmostSubform[0].Page5[0].Table_ScheduleE[0].Row2[0].f5_120[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding item in Schedule E, Row 2.
topmostSubform[0].Page5[0].Table_ScheduleE[0].Row3[0].f5_121[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding item in Schedule E, Row 3.
topmostSubform[0].Page5[0].Table_ScheduleE[0].Row3[0].f5_122[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding item in Schedule E, Row 3.
topmostSubform[0].Page5[0].Table_ScheduleE[0].Row3[0].f5_123[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding item in Schedule E, Row 3.
topmostSubform[0].Page5[0].Table_ScheduleE[0].Row3[0].f5_124[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding item in Schedule E, Row 3.
topmostSubform[0].Page5[0].Table_ScheduleE[0].Row3[0].f5_125[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding item in Schedule E, Row 3.
topmostSubform[0].Page5[0].f5_126[0 Text
Enter the total tax amount for Schedule E.
Section A, Line 1 Tax
Section 4972 tax on nondeductible contributions Number
Enter the tax amount for Section 4972 on nondeductible contributions to qualified plans, as reported on Schedule A, line 12.
Section A, Line 2 Tax
Section 4973(a)(3) Tax Number
Enter the tax on excess contributions to section 403(b)(7)(A) custodial accounts from Schedule B, line 12.
Section A, Line 3a and 3b Taxes
Section 4975(a) tax on prohibited transactions Number
Enter the tax amount for prohibited transactions reported on line 3a.
Section 4975(b) tax on failure to correct prohibited transactions Number
Enter the tax amount for failure to correct prohibited transactions reported on line 3b.
Section A, Line 4 Tax
Section 4976 tax Number
Enter the tax amount for Section 4976 tax on disqualified benefits for funded welfare plans.
Section A, Line 5a Tax and Basis
Section 4978 Tax on ESOP Dispositions Number
Enter the tax amount for Section 4978 tax on ESOP dispositions.
Sec. 664(g) Checkbox
Check this box if the tax on line 5a is a result of the application of Section 664(g).
Sec. 1042 Checkbox
Check this box if the tax on line 5a is a result of the application of Section 1042.
Section A, Line 6 Tax
Section 4979A Tax Number
Enter the tax amount for certain prohibited allocations of qualified ESOP securities or ownership of synthetic equity.
Section A, Total Taxes
Total Section A taxes Number
Enter the total of lines 1 through 6, which is also entered on Part II, line 17.
Section B, Line 10a–10d Taxes
Section 4971(g)(2) tax Number
Enter the tax for failure to comply with a funding improvement or rehabilitation plan.
Section 4971(g)(3) tax Number
Enter the tax for failure to meet requirements for plans in endangered or critical status.
Section 4971(g)(4) tax Number
Enter the tax for failure to adopt a rehabilitation plan.
Section 4971(h) tax Number
Enter the tax for failure of a CSEC plan sponsor to adopt a funding restoration plan.
Section B, Line 8a and 8b Taxes
Section 4971(a) tax Number
Enter the tax on failure to meet minimum funding standards from Schedule D, line 2.
Section 4971(b) tax Number
Enter the tax for failure to correct minimum funding standards.
Section B, Line 9a and 9b Taxes
Section 4971(f)(1) tax Number
Enter the tax on failure to pay a liquidity shortfall from Schedule E, line 4.
Section 4971(f)(2) tax Number
Enter the tax for failure to correct a liquidity shortfall.
Section B, Total Taxes
Total Section B taxes Number
Enter the total Section B taxes from lines 8a through 10d or line 11.
Section B1, Line 11 Tax
Section 4977 Tax on Excess Fringe Benefits Number
Enter the tax on excess fringe benefits from Schedule G, line 4.
Section C, Line 13 Tax
Section 4979 tax on excess contributions Number
Enter the tax on excess contributions to certain plans reported from Schedule H, line 2, and also report it on Part II, line 17.
Table Entries
topmostSubform[0].Page4[0].Table_Line2[0].Row1[0].f4_01[0 Text
This field appears to be part of a table. Enter the required information as per the form instructions.
topmostSubform[0].Page4[0].Table_Line2[0].Row1[0].f4_02[0 Text
This field appears to be part of a table. Enter the required information as per the form instructions.
topmostSubform[0].Page4[0].Table_Line2[0].Row1[0].f4_03[0 Text
This field appears to be part of a table. Enter the required information as per the form instructions.
topmostSubform[0].Page4[0].Table_Line2[0].Row1[0].f4_04[0 Text
This field appears to be part of a table. Enter the required information as per the form instructions.
Tax Amounts
topmostSubform[0].Page4[0].Table_Line2[0].Row7[0].f4_27[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding line item.
topmostSubform[0].Page4[0].Table_Line2[0].Row7[0].f4_28[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding line item.
topmostSubform[0].Page4[0].Table_Line2[0].Row8[0].f4_29[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding line item.
topmostSubform[0].Page4[0].Table_Line2[0].Row8[0].f4_30[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding line item.
topmostSubform[0].Page4[0].Table_Line2[0].Row8[0].f4_31[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding line item.
topmostSubform[0].Page4[0].Table_Line2[0].Row8[0].f4_32[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding line item.
topmostSubform[0].Page4[0].Table_Line2[0].Row9[0].f4_33[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding line item.
topmostSubform[0].Page4[0].Table_Line2[0].Row9[0].f4_34[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding line item.
topmostSubform[0].Page4[0].Table_Line2[0].Row9[0].f4_35[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding line item.
topmostSubform[0].Page4[0].Table_Line2[0].Row9[0].f4_36[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding line item.
topmostSubform[0].Page4[0].Table_Line2[0].Row10[0].f4_37[0 Text
Enter the specific tax amount related to the employee benefit plan for the corresponding line item.
topmostSubform[0].Page5[0].Table_Line5[0].Row5[0].ColB[0].f5_38[0 Text
Enter the amount or value associated with the excise tax for this specific column and row.
topmostSubform[0].Page5[0].Table_Line5[0].Row5[0].ColB[0].f5_39[0 Text
Enter the amount or value associated with the excise tax for this specific column and row.
topmostSubform[0].Page5[0].Table_Line5[0].Row5[0].ColB[0].f5_40[0 Text
Enter the amount or value associated with the excise tax for this specific column and row.
topmostSubform[0].Page5[0].Table_Line5[0].Row5[0].ColE[0].f5_43[0 Text
Enter the amount or value associated with the excise tax for this specific column and row.
topmostSubform[0].Page5[0].Table_Line5[0].Row5[0].ColE[0].f5_44[0 Text
Enter the amount or value associated with the excise tax for this specific column and row.
topmostSubform[0].Page5[0].Table_Line5[0].Row5[0].ColE[0].f5_45[0 Text
Enter the amount or value associated with the excise tax for this specific column and row.
Tax Calculations
7 Amount of line 6 carried forward and deductible in this tax year 7 Text
Enter the amount from line 6 that is carried forward and deductible in this tax year.
9 Tentative taxable excess contributions. Add lines 3 and 8 9 Text
Enter the tentative taxable excess contributions by adding the amounts from lines 3 and 8.
11 Taxable excess contributions. Subtract line 10 from line 9 11 Text
Enter the taxable excess contributions by subtracting the amount on line 10 from the amount on line 9.
6 Total of all prior years' distributions out of the account included in your gross income under section 72(e) and not previously used to reduce excess contributions 6 Text
Enter the total of all prior years' distributions out of the account included in your gross income under section 72(e) and not previously used to reduce excess contributions.
8 Taxable excess contributions. Add lines 3 and 7 8 Text
Enter the taxable excess contributions by adding the amounts from lines 3 and 7.
9 Multiply line 8 by 6% 9 Text
Enter the result of multiplying the value from line 8 by 6%.
12 Excess contributions tax. Enter the lesser of line 9 or line 11 here and on Part I, line 2 12 Text
Enter the lesser value between line 9 and line 11. This amount represents the excess contributions tax and should also be entered on Part I, line 2.
Enter 30% of line 3 here and on Part I, line 11 3 Text
Enter 30% of line 3 here and on Part I, line 11.
Enter 30% of line 3 here and on Part I, line 11 3 d50b 4 4 Text
Enter 30% of line 3 here and on Part I, line 11.
Multiply line 1 by 10% and enter here and on Part I, line 13 Text
Multiply line 1 by 10% and enter here and on Part I, line 13.
Multiply line 1 by 10% and enter here and on Part I, line 13 fbc2 2 2 Text
Multiply line 1 by 10% and enter here and on Part I, line 13.
Tax Details
topmostSubform[0].Page4[0].Table_Line2[0].Row10[0].f4_38[0 Text
Enter the specific tax amount or detail required for Line 2, Row 10, Column 1 on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row10[0].f4_39[0 Text
Enter the specific tax amount or detail required for Line 2, Row 10, Column 2 on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row10[0].f4_40[0 Text
Enter the specific tax amount or detail required for Line 2, Row 10, Column 3 on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row11[0].f4_41[0 Text
Enter the specific tax amount or detail required for Line 2, Row 11, Column 1 on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row11[0].f4_42[0 Text
Enter the specific tax amount or detail required for Line 2, Row 11, Column 2 on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row11[0].f4_43[0 Text
Enter the specific tax amount or detail required for Line 2, Row 11, Column 3 on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row11[0].f4_44[0 Text
Enter the specific tax amount or detail required for Line 2, Row 11, Column 4 on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row12[0].f4_45[0 Text
Enter the specific tax amount or detail required for Line 2, Row 12, Column 1 on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row12[0].f4_46[0 Text
Enter the specific tax amount or detail required for Line 2, Row 12, Column 2 on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row12[0].f4_47[0 Text
Enter the specific tax amount or detail required for Line 2, Row 12, Column 3 on Page 4.
topmostSubform[0].Page4[0].Table_Line2[0].Row12[0].f4_48[0 Text
Enter the specific tax amount or detail required for Line 2, Row 12, Column 4 on Page 4.
topmostSubform[0].Page5[0].Table_Line5[0].Row5[0].f5_37[0 Text
Enter the specific details or description related to the excise tax being reported in this row.
topmostSubform[0].Page5[0].Table_Line5[0].Row5[0].f5_42[0 Text
Enter the specific details or description related to the excise tax being reported in this row.
topmostSubform[0].Page5[0].Table_Line5[0].Row6[0].f5_46[0 Text
Enter the specific details or description related to the excise tax being reported in this row.
Tax Due Calculation
Tax amount from Part I Number
Enter the applicable amount from Part I, line 7, 12, 13, 14, 15, or 16.
Tax paid before filing Number
Enter the amount of tax paid with Form 5558 or any other tax paid before filing this return.
Tax due Number
Enter the result of subtracting line 18 from line 17 if the result is greater than zero. Fill only if 'Tax amount from Part I', 'Tax paid before filing' line 17 minus line 18 is greater than zero.
Depends on: Tax amount from Part I, Tax paid before filing
Tax Information
1 Total contributions for your tax year to your qualified employer plan (under section 401(a), 403(a), 408(k), or 408(p)) 1 Text
Enter the total contributions for your tax year to your qualified employer plan under section 401(a), 403(a), 408(k), or 408(p).
2 Text
Enter the relevant information for this field.
3 Text
Enter the relevant information for this field.
4 Enter amount of any prior year nondeductible contributions made for years beginning after 12/31/86 . 4 Text
Enter the amount of any prior year nondeductible contributions made for years beginning after 12/31/86.
5 Amount of any prior year nondeductible contributions for years beginning after 12/31/86 returned to you in this tax year for any prior tax year. 5 Text
Enter the amount of any prior year nondeductible contributions for years beginning after 12/31/86 returned to you in this tax year for any prior tax year.
Tax Totals
topmostSubform[0].Page5[0].Table_Line5[0].Row5[0].f5_41[0 Text
Enter the total amount or value for the excise tax in this row, ensuring it does not exceed 11 characters.
Max length: 11 characters
Tax Year
Tax Year Beginning Date Date
Enter the date on which the filer’s tax year begins.
Tax Year Beginning Year Number
Enter the year in which the filer’s tax year begins.
Max length: 4 characters
Tax Year Ending Date Date
Enter the date on which the filer’s tax year ends.
Tax Year Ending Year Number
Enter the year in which the filer’s tax year ends.
Max length: 4 characters
Taxes Reported in Sections D–F
Section 4980 Tax on Reversion Number
Enter the amount of Section 4980 tax on the reversion of qualified plan assets to an employer.
Section 4980F Tax on Failure to Provide Notice Number
Enter the amount of Section 4980F tax on failure to provide notice of a significant reduction in future accruals.
Section 4965 Tax on Prohibited Tax Shelter Transactions Number
Enter the amount of Section 4965 tax on prohibited tax shelter transactions for entity managers.
Taxpayer Telephone Number
Taxpayer Telephone Number Text
Enter the taxpayer’s telephone number.