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8000FMOOGM0005 Rev. 5/2016 Form COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION OFFICE OF OIL AND GAS MANAGEMENT DEP USE ONLY Auth. No. API No. NOTICE OF INTENTION BY WELL OPERATOR
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Begin by carefully reviewing the instructions provided with the form. These instructions will provide guidance on how to accurately complete each section of the form.
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Gather all necessary information and documents required for filling out the form. This may include employee information, financial data, and any other relevant details pertaining to the filing.
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Start filling out the form by entering the required identification information, such as the plan name, employer identification number (EIN), and plan number.
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Proceed to the next section of the form, which typically requires the disclosure of plan administrators and service providers. Provide accurate details such as names, addresses, and contact information.
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Fill out the sections related to the financial information of the plan. This may include details about the plan's assets, liabilities, investments, and contributions made during the reporting period.
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Note that the required signatures must be obtained on the form. This may include the plan administrator, the plan sponsor, or any other authorized individuals.

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Employers or plan administrators who maintain a qualified retirement plan are typically required to file Form 5500-xm-og00xx rev - dep39s. This form is used to report information about the plan's operation, financials, and compliance with certain regulations.
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Plan sponsors who have a plan with 100 or more participants at the beginning of the plan year are generally required to file Form 5500-xm-og00xx rev - dep39s. However, there may be exceptions based on certain criteria, so it is important to review the filing requirements for the specific plan.
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The form must be submitted to the Internal Revenue Service (IRS), Department of Labor (DOL), and the Pension Benefit Guaranty Corporation (PBGC) as applicable, within the specified deadlines to meet the reporting requirements of retirement plans.
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5500-xm-og00xx rev - dep39s is a specific form used for reporting information about retirement plans to the IRS.
Employers or plan administrators of retirement plans are required to file 5500-xm-og00xx rev - dep39s.
5500-xm-og00xx rev - dep39s can be filled out electronically using the EFAST2 system provided by the Department of Labor.
The purpose of 5500-xm-og00xx rev - dep39s is to provide the IRS with information about the financial condition and operations of retirement plans.
5500-xm-og00xx rev - dep39s requires information such as plan assets, contributions, investments, and participant demographics.
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