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U. S. DEPARTMENT OF LABOR Employees Compensation Appeals Board In the Matter of MATTHEW M. MONTGOMERY and U.S. POSTAL SERVICE, POST OFFICE, Cincinnati, Ohio Docket No. 961175; Submitted on the Record;

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It is a form used to report information about employee benefit plans.

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Information such as plan name, number of participants, contributions, and investments must be reported on 96-1175doc - dol.