IRS FORM 5500-EZ HOW TO REPORT THE FAIR MARKET VALUE OF ASSETS HELD BY YOUR SOLO 401K PLAN TO THE IRS

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1 IRS FORM 5500-EZ HOW TO REPORT THE FAIR MARKET VALUE OF ASSETS HELD BY YOUR SOLO 401K PLAN TO THE IRS The Internal Revenue Service ( IRS ) Form 5500-EZ is an annual information return that is required to be filed by every One-Participant Plan (owners and their spouses), also known as a Solo 401(k) Plan, with plan asset value in excess of $250,000 as of December 31 of the previous tax year. The purpose of filing and reporting the fair market value ( FMV ) of your solo 401(k) plan s assets is to inform the IRS of assets over $250, annually held in a Solo 401(k) Plan. You must file the Form 5500-EZ if a plan meets the requirements alone or combined with any other qualified retirement plan owned greater than 80% by the business owner or a related party (one controlled group) exceeding $250, You do not have to file the form 5500-EZ for a plan year for a one-participant plan if the total of the plan s assets and the assets of all other one-participant plans maintained by the employer at the end of the plan year does not exceed $250,000.00, unless the current year is the final plan year of the plan. FILING TIPS: The Form 5500-EZ is due every July 31 st of the next plan year. Ex: for a plan that was established in or before 2016, the IRS Form 5500-EZ is due by July 31 st, If the filling date falls on a Saturday, Sunday, or legal holiday it may be filed on the next day that is not.

2 The Form 5500-EZ must be filed as a hard copy and sent directly to the IRS at the following address: Department of the Treasury Internal Revenue Service Ogden, UT To file the Form 5500-EZ using a private delivery service, you must use the approved IRS Designated providers (PDS) as follows: DHL Express (DHL): Same Day Service. Federal Express (FedEx): Priority Overnight, Standard Overnight, FedEx 2 Day, FedEx International Priority and FedEx International First. United Parcel Service (UPS): UPS Next Day Air, UPS Net Day Air Saver, UPS 2 nd Day Air A.M., UPS Worldwide Express Plus, and UPS Worldwide Express. The Private delivery services should use the following address: Internal Revenue Service 1973 Rulon White Blvd. Ogden, UT The Form 5500-EZ cannot be e-filed electronically. The Plan Administrator or employer (owner) must use the official printed paper Form 5500-EZ obtained from the IRS, and use blue or black ink for a wet signature. NO ELECTRONIC SIGNATURE ALLOWED. Print, sign and date before mailing. Do not use a felt tip pen or other inks that bleed through, the other side should be blank. Do not use arrows or make notes on the Form 5500-EZ and only enter information in the specific fields provided. Abbreviate if necessary. Do not include schedules or attachments. However, you should retain them for your records.

3 PENALTIES: The Internal Revenue Code imposes a penalty of $25 a day (up to $15,000). COMPLETING THE IRS FORM 5500-EZ Attached please find a sample IRS Form 5500-EZ, which has been completed based on the responses to the questions below. The attached form should serve as a guide to assist you in successfully completing the IRS Form 5500-EZ. PART I - Annual Return identification Information: Enter the beginning date of the plan and then the ending date. A) Check (1) for the first return filed for the plan. If this is not the first year filing then leave this unchecked. B) Typically, do not check this box unless filed Form 5558 for an extension of time. C) Typically, do not check this box unless this plan is maintained outside the United States. PART II Basic Plan Information: 1a) Enter the name of the plan as it appears on the EIN letter from the IRS: ABC CONSULTING 401K TRUST. 1b) Enter the numbers 001 for this year and every year s future fillings use the same number. Note if this plan will be amending an existing solo 401(k) Plan, you will need to include the appropriate 3 digit code (i.e. 002), which can be found in the plan Adoption Agreement. 1c)The date the plan became effective is found in Section One of your Adoption Agreement.

4 2a) Enter the name of the Adopting Employer: ABC Consulting LLC. dba or c/o if applicable Ginger Street (P.O. Box ONLY if USPS does no does not deliver). Family, FL b) Enter the Adopting Employer EIN XX-XXXXXXX no SS#. If plan is under a Sole Proprietor, YOU MUST OBTAIN AN EIN FROM THE IRS by completing the online application: Apply for an EIN Alternatively, you can acquire an EIN by preparing and faxing the Form SS-4 to the IRS at I then call to receive your EIN by phone. The EIN is issued immediately once the application information is validated. 2c) Enter the Adopting Employer telephone number: d) Enter the 6 digit applicable code XXXXXX that best describes the nature of the plan sponsors business from the list of principal business activity codes included at the end of these instructions. 3a) Enter the Plan Administrator information OPTIONAL. If preparer is the same as above, enter the same information. 3b) Enter and repeat the same EIN XX-XXXXXXX number as listed in 2b. 3c) Enter the Plan Administrator telephone number: a) Enter the name of the Trust: ABC CONSULTING 401K TRUST.

5 4b) Enter the EIN number as it appears on the EIN letter from the IRS: XX-XXXXXXX. 5a), 5b) and 5c) is not required if no changes were made to the plan. 6a) Enter the total number of participants at the beginning of the year. If solo 401K plan: Ex: 1 participant. Note if the plan will include the spouse of a participant or a second business owner, then the appropriate number would need to be included (i.e. 2). 6b) Enter the total number of participants at the end of the plan year. If solo 401K plan: Ex: 1 participant. Note if the plan will include the spouse of a participant or a second business owner, then the appropriate number would need to be included (i.e. 2). PART III Financial Information: 7a(1) Enter the Total Plan Assets or the same amount in 7a(2) from last year; if filed Form 5500-EZ previously. Otherwise, this figure includes Total Plan Assets as: rollovers, unrealized gains and losses such as appreciation/depreciation in assets. It also includes specific assets held by the plan at any time during the plan year (for example, partnership/joint venture interests, employer real property, real estate (other than employer real property), employer securities, loans (participants and non-participant loans), and tangible personal property). Please do not include contributions. 7a(2) Enter end of year Total Plan Assets as listed above. Please do not include contributions. NOTE: "Total Plan Assets" should include the amount of any liabilities, including, for example, mortgages. 7b(1) Enter Total plan liabilities to include but are not limited to benefit claims payable, operating payables, acquisition indebtedness (i.e. nonrecourse loan) and other liabilities. Do not include the value of future distributions what will be made to participants. 7b(2) Enter end of year Total plan liabilities as listed above. 7c(1) Enter Net plan assets the sum of by subtracting 7b(1) from 7a(1).

6 7c(2) Enter end of the year Net plan assets sum of by subtracting 7b(2) from 7a (2). 8a) and 8b) Enter total cash contributions received and/or receivable from employer and participants during the plan year. 8c) Enter all contributions including rollovers received from other plans valued on the date of contribution. PART IV Plan Characteristics: 9) Enter the applicable two-character feature Codes. In most cased, the following codes would be used: 2E, 2J, 3B, 3D. Note, if your plan assets are held in a brokerage account, then you would want to include 2R. PART V Compliance and Funding Questions: 10) Check YES if any of the participants entered into a loan from the plan and the amount or NO if not applicable. 11) Check NO. 11a) Enter N/A for amount. 12) Check NO DO NOT complete any information for 13), 14) and 15). They are optional and are not required in this year's filing. For additional instructions on completing the IRS Form please contact the IRS Help Line at or consult with your tax professional or CPA.

7 Forms 5500, 5500-SF, and 5500-EZ Codes for Principal Business Activity This list of principal business activities and their associated codes is designed to classify an enterprise by the type of activity in which it is engaged. These principal activity codes are based on the North American Industry Classification System. Agriculture, Forestry, Fishing and Hunting Crop Production Oilseed & Grain Farming Vegetable & Melon Farming (including potatoes & yams) Fruit & Tree Nut Farming Greenhouse, Nursery, & Floriculture Production Other Crop Farming (including tobacco, cotton, sugarcane, hay, peanut, sugar beet, & all other crop farming) Animal Production Beef Cattle Ranching & Farming Cattle Feedlots Dairy Cattle & Milk Production Hog & Pig Farming Poultry & Egg Production Sheep & Goat Farming Aquaculture (including shellfish & finfish farms & hatcheries) Other Animal Production Forestry and Logging Timber Tract Operations Forest Nurseries & Gathering of Forest Products Logging Fishing, Hunting and Trapping Fishing Hunting & Trapping Support Activities for Agriculture and Forestry Support Activities for Crop Production (including cotton ginning, soil preparation, planting, & cultivating) Support Activities for Animal Production Support Activities for Forestry Mining Oil & Gas Extraction Coal Mining Metal Ore Mining Stone Mining & Quarrying Sand, Gravel, Clay, & Ceramic & Refractory Minerals Mining & Quarrying Other Nonmetallic Mineral Mining & Quarrying Support Activities for Mining Utilities Electric Power Generation, Transmission & Distribution Natural Gas Distribution Water, Sewage, & Other Systems Combination Gas and Electric of Buildings Residential Building Nonresidential Building Heavy and Civil Engineering Utility System Land Subdivision Highway, Street, & Bridge Other Heavy & Civil Engineering Specialty Trade Contractors Foundation, Structure, & Building Exterior Contractors (including framing carpentry, masonry, glass, roofing, & siding) Electrical Contractors Plumbing, Heating, & Air-Conditioning Contractors Other Building Equipment Contractors Building Finishing Contractors (including drywall, insulation, painting, wallcovering, flooring, tile, & finish carpentry) Other Specialty Trade Contractors (including site preparation) Food Animal Food Grain & Oilseed Milling Sugar & Confectionery Product Fruit & Vegetable Preserving & Specialty Food Dairy Product Animal Slaughtering and Processing Seafood Product Preparation & Packaging Bakeries, Tortilla & Dry Pasta Other Food (including coffee, tea, flavorings & seasonings) Beverage and Tobacco Product Soft Drink & Ice Breweries Wineries Distilleries Tobacco Textile Mills and Textile Product Mills Textile Mills Textile Product Mills Apparel Apparel Knitting Mills Cut & Sew Apparel Contractors Men's & Boys' Cut & Sew Apparel Women's, Girls' and Infants' Cut & Sew Apparel Other Cut & Sew Apparel Apparel Accessories & Other Apparel Leather and Allied Product Leather & Hide Tanning & Finishing Footwear (including rubber & plastics) Other Leather & Allied Product Wood Product Sawmills & Wood Preservation Veneer, Plywood, & Engineered Wood Product Other Wood Product Paper Pulp, Paper, & Paperboard Mills Converted Paper Product Printing and Related Support Activities Printing & Related Support Activities Petroleum and Coal Products Petroleum Refineries (including integrated) Asphalt Paving, Roofing, & Saturated Materials Other Petroleum & Coal Products Chemical Basic Chemical Resin, Synthetic Rubber, & Artificial & Synthetic Fibers & Filaments Pesticide, Fertilizer, & Other Agricultural Chemical Pharmaceutical & Medicine Paint, Coating, & Adhesive Soap, Cleaning Compound, & Toilet Preparation Other Chemical Product & Preparation Plastics and Rubber Products Plastics Product Rubber Product Nonmetallic Mineral Product Clay Product & Refractory Glass & Glass Product Cement & Concrete Product Lime & Gypsum Product Other Nonmetallic Mineral Product Primary Metal Iron & Steel Mills & Ferroalloy Steel Product from Purchased Steel Alumina & Aluminum Production & Processing Nonferrous Metal (except Aluminum) Production & Processing Foundries Fabricated Metal Product Forging & Stamping Cutlery & Handtool Architectural & Structural Metals Boiler, Tank, & Shipping Container Hardware Spring & Wire Product Machine Shops; Turned Product; & Screw, Nut, & Bolt Coating, Engraving, Heat Treating, & Allied Activities Other Fabricated Metal Product Machinery Agriculture,, & Mining Machinery Industrial Machinery Commercial & Service Industry Machinery Ventilation, Heating, Air-Conditioning, & Commercial Refrigeration Equipment Metalworking Machinery Engine, Turbine & Power Transmission Equipment Other General Purpose Machinery Computer and Electronic Product Computer & Peripheral Equipment Communications Equipment Audio & Video Equipment Semiconductor & Other Electronic Component Navigational, Measuring, Electromedical, & Control Instruments & Reproducing Magnetic & Optical Media Electrical Equipment, Appliance, and Component Electric Lighting Equipment Household Appliance Electrical Equipment Other Electrical Equipment & Component Equipment Motor Vehicle Motor Vehicle Body & Trailer Motor Vehicle Parts Aerospace Product & Parts Railroad Rolling Stock Ship & Boat Building Other Equipment Furniture and Related Product Furniture & Related Product Miscellaneous Medical Equipment & Supplies Other Miscellaneous Wholesale Trade Merchant Wholesalers, Durable Goods Motor Vehicle & Motor Vehicle Parts & Supplies Furniture & Home Furnishings Lumber & Other Materials Professional & Commercial Equipment & Supplies Metals & Minerals (except Petroleum) Household Appliances and Electrical & Electronic Goods Hardware, Plumbing & Heating Equipment & Supplies Machinery, Equipment, & Supplies Sporting & Recreational Goods & Supplies Toy & Hobby Goods & Supplies Recyclable Materials Jewelry, Watches, Precious Stones, & Precious Metals Other Miscellaneous Durable Goods Merchant Wholesalers, Nondurable Goods Paper & Paper Products Drugs & Druggists' Sundries Apparel, Piece Goods, & Notions Grocery & Related Products

8 Forms 5500, 5500-SF, and 5500-EZ Codes for Principal Business Activity (Continued) Farm Product Raw Materials Chemical & Allied Products Petroleum & Petroleum Products Beer, Wine, & Distilled Alcoholic Beverages Farm Supplies Books, Periodicals, & Newspapers Flower, Nursery Stock, & Florists' Supplies Tobacco & Tobacco Products Paint, Varnish, & Supplies Other Miscellaneous Nondurable Goods Wholesale Electronic Markets and Agents and Brokers Business to Business Electronic Markets Wholesale Trade Agents & Brokers Retail Trade Motor Vehicle and Parts Dealers New Car Dealers Used Car Dealers Recreational Vehicle Dealers Boat Dealers Motorcycle, ATV, and All Other Motor Vehicle Dealers Automotive Parts, Accessories, & Tire Furniture and Home Furnishings Furniture Floor Covering Window Treatment All Other Home Furnishings Electronics and Appliance Household Appliance Electronics (including Audio, Video, Computer, and Camera ) Building Material and Garden Equipment and Supplies Dealers Home Centers Paint & Wallpaper Hardware Other Building Material Dealers Lawn & Garden Equipment & Supplies Food and Beverage Supermarkets and Other Grocery (except Convenience) Convenience Meat Markets Fish & Seafood Markets Fruit & Vegetable Markets Baked Goods Confectionery & Nut All Other Specialty Food Beer, Wine, & Liquor Health and Personal Care Pharmacies & Drug Cosmetics, Beauty Supplies, & Perfume Optical Goods Other Health & Personal Care Gasoline Stations Gasoline Stations (including convenience stores with gas) Clothing and Clothing Accessories Men's Clothing Women's Clothing Children's & Infants' Clothing Family Clothing Clothing Accessories Other Clothing Shoe Jewelry Luggage & Leather Goods Sporting Goods, Hobby, Book, and Music Sporting Goods Hobby, Toy, & Game Sewing, Needlework, & Piece Goods Musical Instrument & Supplies Book News Dealers & Newsstands General Merchandise Department Other General Merchandise Miscellaneous Store Retailers Florists Office Supplies & Stationery Gift, Novelty, & Souvenir Used Merchandise Pet & Pet Supplies Art Dealers Manufactured (Mobile) Home Dealers All Other Miscellaneous Store Retailers (including tobacco, candle, & trophy shops) Nonstore Retailers Electronic Shopping & Mail-Order Houses Vending Machine Operators Fuel dealers (including Heating Oil and Liquefied Petroleum) Other Direct Selling Establishments (including door-to-door retailing, frozen food plan providers, party plan merchandisers, & coffee-break service providers) and Warehousing Air, Rail, and Water Air Rail Water Truck General Freight Trucking, Local General Freight Trucking, Long-distance Specialized Freight Trucking Transit and Ground Passenger Urban Transit Systems Interurban & Rural Bus Taxi Service Limousine Service School & Employee Bus Charter Bus Industry Other Transit & Ground Passenger Pipeline Pipeline Scenic & Sightseeing Scenic & Sightseeing Support Activities for Support Activities for Air Support Activities for Rail Support Activities for Water Motor Vehicle Towing Other Support Activities for Road Freight Arrangement Other Support Activities for Couriers and Messengers Couriers Local Messengers & Local Delivery Warehousing and Storage Warehousing & Storage (except lessors of miniwarehouses & self-storage units) Information Publishing Industries (except Internet) Newspaper Publishers Periodical Publishers Book Publishers Directory & Mailing List Publishers Other Publishers Software Publishers Motion Picture and Sound Recording Industries Motion Picture & Video Industries (except video rental) Sound Recording Industries Broadcasting (except Internet) Radio & Television Broadcasting Cable & Other Subscription Programming Telecommunications Telecommunications (including paging, cellular, satellite, cable & other program distribution, resellers, other telecommunications, & internet service providers) Data Processing Data Processing, Hosting, & Related Other Information Other Information (including news syndicates, libraries, internet publishing & broadcasting) Finance and Insurance Depository Credit Intermediation Commercial Banking Savings Institutions Credit Unions Other Depository Credit Intermediation Nondepository Credit Intermediation Credit Card Issuing Sales Financing Consumer Lending Real Estate Credit (including mortgage bankers & originators) International Trade Financing Secondary Market Financing All Other Nondepository Credit Intermediation Activities Related to Credit Intermediation Activities Related to Credit Intermediation (including loan brokers, check clearing, & money transmitting) Securities, Commodity Contracts, and Other Financial Investments and Related Activities Investment Banking & Securities Dealing Securities Brokerage Commodity Contracts Dealing Commodity Contracts Brokerage Securities & Commodity Exchanges Other Financial Investment Activities (including portfolio management & investment advice) Insurance Carriers and Related Activities Reinsurance Carriers Direct Life, Health, & Medical Insurance Carriers Direct Insurance (except Life, Health & Medical) Carriers Insurance Agencies & Brokerages Other Insurance Related Activities (including third-party administration of insurance and pension funds) Funds, Trusts, and Other Financial Vehicles Insurance & Employee Benefit Funds Open-End Investment Funds (Form 1120-RIC) Trusts, Estates, & Agency Accounts Other Financial Vehicles (including mortgage REITs & closed-end investment funds) Offices of Bank Holding Companies and Offices of Other Holding Companies are located under Management of Companies (Holding Companies). Real Estate and Rental and Leasing Real Estate Lessors of Residential Buildings & Dwellings (including equity REITs) Lessors of Nonresidential Buildings (except Miniwarehouses) (including equity REITs) Lessors of Miniwarehouses & Self-Storage Units (including equity REITs) Lessors of Other Real Estate Property (including equity REITs) Offices of Real Estate Agents & Brokers Real Estate Property Managers Offices of Real Estate Appraisers Other Activities Related to Real Estate Rental and Leasing Automotive Equipment Rental & Leasing Consumer Electronics & Appliances Rental Formal Wear & Costume Rental Video Tape & Disc Rental Other Consumer Goods Rental General Rental Centers Commercial & Industrial Machinery & Equipment Rental & Leasing Lessors of Nonfinancial Intangible Assets (except copyrighted works) Lessors of Nonfinancial Intangible Assets (except copyrighted works) Professional, Scientific, and Technical Legal Offices of Lawyers Other Legal

9 Forms 5500, 5500-SF, and 5500-EZ Codes for Principal Business Activity (Continued) Accounting, Tax Preparation, Bookkeeping, and Payroll Offices of Certified Public Accountants Tax Preparation Payroll Other Accounting Architectural, Engineering, and Related Architectural Landscape Architecture Engineering Drafting Building Inspection Geophysical Surveying & Mapping Surveying & Mapping (except Geophysical) Testing Laboratories Specialized Design Specialized Design (including interior, industrial, graphic, & fashion design) Computer Systems Design and Related Custom Computer Programming Computer Systems Design Computer Facilities Management Other Computer Related Other Professional, Scientific, and Technical Management, Scientific, & Technical Consulting Scientific Research & Development Advertising & Related Marketing Research & Public Opinion Polling Photographic Translation & Interpretation Veterinary All Other Professional, Scientific, & Technical Management of Companies (Holding Companies) Offices of Bank Holding Companies Offices of Other Holding Companies Administrative and Support and Waste Management and Remediation Administrative and Support Office Administrative Facilities Support Employment Document Preparation Telephone Call Centers Business Service Centers (including private mail centers & copy shops) Collection Agencies Credit Bureaus Other Business Support (including repossession services, court reporting, & stenotype services) Travel Arrangement & Reservation Investigation & Security Exterminating & Pest Control Janitorial Landscaping Carpet & Upholstery Cleaning Other to Buildings & Dwellings Other Support (including packaging & labeling services, & convention & trade show organizers) Waste Management and Remediation Waste Management & Remediation Educational Educational (including schools, colleges, & universities) Health Care and Social Assistance Offices of Physicians and Dentists Offices of Physicians (except mental health specialists) Offices of Physicians, Mental Health Specialists Offices of Dentists Offices of Other Health Practitioners Offices of Chiropractors Offices of Optometrists Offices of Mental Health Practitioners (except Physicians) Offices of Physical, Occupational & Speech Therapists, & Audiologists Offices of Podiatrists Offices of All Other Miscellaneous Health Practitioners Outpatient Care Centers Family Planning Centers Outpatient Mental Health & Substance Abuse Centers HMO Medical Centers Kidney Dialysis Centers Freestanding Ambulatory Surgical & Emergency Centers All Other Outpatient Care Centers Medical and Diagnostic Laboratories Medical & Diagnostic Laboratories Home Health Care Home Health Care Other Ambulatory Health Care Other Ambulatory Health Care (including ambulance services & blood & organ banks) Hospitals Hospitals Nursing and Residential Care Facilities Nursing & Residential Care Facilities Social Assistance Individual & Family Community Food & Housing, & Emergency & Other Relief Vocational Rehabilitation Child Day Care Arts, Entertainment, and Recreation Performing Arts, Spectator Sports, and Related Industries Performing Arts Companies Spectator Sports (including sports clubs & racetracks) Promoters of Performing Arts, Sports, & Similar Events Agents & Managers for Artists, Athletes, Entertainers, & Other Public Figures Independent Artists, Writers, & Performers Museums, Historical Sites, and Similar Institutions Museums, Historical Sites, & Similar Institutions Amusement, Gambling, and Recreation Industries Amusement Parks & Arcades Gambling Industries Other Amusement & Recreation Industries (including golf courses, skiing facilities, marinas, fitness centers, & bowling centers) Accommodation and Food Accommodation Hotels (except Casino Hotels) & Motels Casino Hotels Bed & Breakfast Inns All Other Traveler Accommodation RV (Recreational Vehicle) Parks & Recreational Camps Rooming & Boarding Houses Food and Drinking Places Special Food (including food service contractors & caterers) Drinking Places (Alcoholic Beverages) Full-Service Restaurants Limited-Service Restaurants Cafeterias and Buffets Snack and Non-alcoholic Beverage Bars Other Repair and Maintenance Automotive Mechanical & Electrical Repair & Maintenance Automotive Body, Paint, Interior, & Glass Repair Other Automotive Repair & Maintenance (including oil change & lubrication shops & car washes) Electronic & Precision Equipment Repair & Maintenance Commercial & Industrial Machinery & Equipment (except Automotive & Electronic) Repair & Maintenance Home & Garden Equipment & Appliance Repair & Maintenance Reupholstery & Furniture Repair Footwear & Leather Goods Repair Other Personal & Household Goods Repair & Maintenance Personal and Laundry Barber Shops Beauty Salons Nail Salons Other Personal Care (including diet & weight reducing centers) Funeral Homes & Funeral Cemeteries & Crematories Coin-Operated Laundries & Drycleaners Drycleaning & Laundry (except Coin-Operated) Linen & Uniform Supply Pet Care (except Veterinary) Photofinishing Parking Lots & Garages All Other Personal Religious, Grantmaking, Civic, Professional, and Similar Organizations Religious, Grantmaking, Civic, Professional, & Similiar Organizations (including condominium and homeowners associations) Labor Unions and Similar Labor Organizations Governmental Instrumentality or Agency

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