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Form 5500 Annual Return/Report of Employee Benefit Plan OMB Nos. 1210 - 0110
1210 - 0089
Department of the Treasury This form is required to be filed for employee benefit plans under sections 104
Internal Revenue Service
Department of Labor
and 4065 of the Employee Retirement Income Security Act of 1974 (ERISA) and
sections 6047(e), 6057(b), and 6058(a) of the Internal Revenue Code (the Code). 2016
Employee Benefits Security This Form is Open to Public
Administration Complete all entries in accordance with Inspection
Pension Benefit Guaranty Corporation the instructions to the Form 5500.
Part I Annual Report Identification Information
For calendar plan year 2016 or fiscal plan year beginning January 01, 2016 , and ending December 31, 2016
A a multiple-employer plan (Filers checking this box must attach a list of participating employer information in accordance a multiemployer a multiple-employer plan;
with the form instructions)for plan; a DFE (specify)
a single-employer
plan;
2a Plan sponsor's name and address, including room or suite number (Employer, if for a single-employer plan) 2b Employer Identification Number (EIN)
53-0116130
NATIONAL RIFLE ASSOCIATION OF AMERICA, INC. 2c Sponsor's telephone number
11250 WAPLES MILL RD 703-267-1263
FAIRFAX VA 22030-7400 2d Business code (see instructions)
813000
Caution: A penalty for the late or incomplete filing of this return/report will be assessed unless reasonable cause is established.
Under penalties of perjury and other penalties set forth in the instructions, I declare that I have examined this return/report, including accompanying schedules, statements and attachments, as well as
the electronic version of this return/report, and to the best of my knowledge and belief, it is true, correct, and complete.
Signature of plan administrator Date Enter name of individual signing as plan administrator
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4 If the name and/or EIN of the plan sponsor has changed since the last return/report filed for this plan, enter the name, EIN and the plan number from the 4b EIN
last return/report below:
4c PN
a Sponsor's name
9a Plan funding arrangement (check all that apply) 9b Plan benefit arrangement (check all that apply)
(1) Insurance (1) Insurance
(2) Section 412(e)(3) insurance contracts (2) Section 412(e)(3) insurance contracts
(3) Trust (3) Trust
(4) General assets of the sponsor (4) General assets of the sponsor
10 Check all applicable boxes in 10a and 10b to indicate which schedules are attached,and, where indicated, enter the number attached (See instructions)
a Pension Schedules b General Schedules
(1) R (Retirement Plan Information) (1) H (Financial Information)
(2) MB (Multiemployer Defined Benefit Plan and Certain Money Purchase Plan Actuarial (2) I (Financial Information – Small Plan)
Information)- signed by the plan actuary (3) 2A (Insurance Information)
(4) C (Service Provider Information)
(3) SB (Single-Employer Defined Benefit Plan Actuarial Information) - signed by the plan (5) D (DFE/Participating Plan Information)
actuary (6) G (Financial Transaction Schedules)
Part III Form M-1 Compliance Information (to be completed by welfare benefit plans)
11a If the plan provides welfare benefits, was the plan subject to Form M-1 filing requirements during the plan year? (See
instructions and 29 CFR 2520.101-2)..... Yes No
If “Yes” is checked, complete lines 11b and 11c.
11b Is the plan currently in compliance with M-1 filing requirements? (See instructions and 29 CFR 2520.101-2)...... Yes No
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11c Enter the Receipt Confirmation Code for the 2016 Form M-1 annual report. If the plan was not required to file the 2016
Form M-1 annual report, enter the Receipt Confirmation Code for the most recent M-1 that was required to be filed under the
Form M-1 filing requirements. (Failure to enter a valid Receipt Confirmation Code will subject the Form 5500 filing to rejection
as incomplete.) Receipt Confirmation Code
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C Plan sponsor's name as shown on line 2a of Form 5500 D Employer Identification Number (EIN)
53-0116130
NATIONAL RIFLE ASSOCIATION OF AMERICA INC
Information Concerning Insurance Contract Coverage, Fees, and Commissions.Provide information for each contract
Part I
on a separate Schedule A. Individual contracts grouped as a unit in Parts II and III can be reported on a single Schedule A.
1 Coverage Information
(a) Name of insurance carrier
2 Insurance fee and commission information. Enter the total fees and total commissions paid. List in item 3 the agents, brokers, and other persons in descending order of the amount paid.
(a) Total amount of commissions paid (b) Total amount of fees paid
$35,000
3 Persons receiving commissions and fees. (Complete as many entries as needed to report all persons).
(a) Name and address of the agent, broker or other person to whom commissions or fees were paid
(b) Amount of sales and base Fees and other commissions paid (e) Organization
commissions paid (c) Amount (d) Purpose code
$35,000 3
For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form 5500. Schedule A (Form 5500) 2016
v.092308.1
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a State the basis of premium rates
b Premiums paid to carrier 6b
c Premiums due but unpaid at the end of the year 6c
d If the carrier, service, or other organization incurred any specific costs in connection with the acquision
6d
or retention of the contract or policy, enter amount
Specify nature of costs
e Type of contract (1) individual policies (2) group deferred annuity (3) other (specify)
f If contract purchased, in whole or in part, to distribute benefits from a terminating plan check here
7 Contracts With Unallocated Funds (Do not include portions of these contracts maintained in separate accounts)
a Type of contract (1) deposit administration (2) immediate participation guarantee
(3) guaranteed investment (4) other FLEXIBLE PENSION INVESTMENTS
b Balance at the end of the previous year 7b
c Additions: (1) Contributions deposited during the year 7c(1)
(2) Dividends and credits 7c(2)
(3) Interest credited during the year 7c(3)
(4) Transferred from separate account 7c(4)
(5) Other (specify below) 7c(5)
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(H) Total Retention 9c(1)(H)
(2) Dividends or retroactive rate refunds. (These amounts were paid in cash, or credited.) 9c(2)
d Status of policyholder reserves at end of year: (1) Amount held to provide benefits after retirement 9d(1)
(2) Claim reserves 9d(2)
(3) Other reserves 9d(3)
e Dividends or retroactive rate refunds due. (Do not include amount entered in c(2).) 9e
10 Nonexperience-rated contracts
a Total premiums or subscription charges paid to carrier 10a
b If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or
10b
retention of the contract or policy, other than reported in Part I, item 2 above, report amount
Specify nature of costs below:
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C Plan sponsor's name as shown on line 2a of Form 5500 D Employer Identification Number (EIN)
53-0116130
NATIONAL RIFLE ASSOCIATION OF AMERICA INC
Information Concerning Insurance Contract Coverage, Fees, and Commissions.Provide information for each contract
Part I
on a separate Schedule A. Individual contracts grouped as a unit in Parts II and III can be reported on a single Schedule A.
1 Coverage Information
(a) Name of insurance carrier
AXA EQUITABLE
2 Insurance fee and commission information. Enter the total fees and total commissions paid. List in item 3 the agents, brokers, and other persons in descending order of the amount paid.
(a) Total amount of commissions paid (b) Total amount of fees paid
3 Persons receiving commissions and fees. (Complete as many entries as needed to report all persons).
(a) Name and address of the agent, broker or other person to whom commissions or fees were paid
(b) Amount of sales and base Fees and other commissions paid (e) Organization
commissions paid (c) Amount (d) Purpose code
For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form 5500. Schedule A (Form 5500) 2016
v.092308.1
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05/30/2017
Signature of actuary Date
PO BOX 9394
DES MOINES IA 50306-9394
Part V Assumptions used to determine funding target and target normal cost
21 Discount rate:
a Segment Rates 1st segment 2st segment 3st segment
4.43 % 5.91 % 6.65 % N/A, full yield curve used
b Applicable month (enter code) 21b 4
22 Weighted average retirement age 22 64
23 Mortality table(s) (see instructions) Prescribed – combined Prescribed – separate Substitute
Part VI Miscellaneous items
24 Has a change been made in the non-prescribed actuarial assumptions for the current plan year? If "Yes," see instructions regarding required attachment Yes No
25 Has a method change been made for the current plan year? If "Yes," see instructions regarding required attachment Yes No
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26 Is the plan required to provide a Schedule of Active Participants? If "Yes," see instructions regarding required attachment Yes No
27 If the plan is eligible for (and is using) alternative funding rules, enter applicable code and see instructions regarding attachments 27
Part VII Reconciliation of unpaid minimum required contributions for prior years
28 Unpaid minimum required contribution for all prior years 28
29 Discounted employer contributions allocated toward unpaid minimum required contributions from prior years (line 19a) 29
30 Remaining amount of unpaid minimum required contributions (line 28 minus line 29) 30
Part VIII Minimum required contribution for current year
31 Target normal cost and excess assets (see instructions):
a Target normal cost (line 6) 31a $3,302,731
b Excess assets, if applicable, but not greater than 31a 31b
32 Amortization installments: Outstanding Balance Installment
a Net shortfall amortization installment 0
b Waiver amortization installment 0
33 If a waiver has been approved for this plan year, enter the date of the ruling letter granting the approval and the waived amount 33
34 Total funding requirement before reflecting carryover/prefunding balances Schedule SB (Form 5500) 2016 (line 31 + line 32a + line 32b - line 33) 34 $3,235,850
Carryover balance Prefunding balance Total balance
35 Balances elected for use to offset funding requirement 0
36 Additional cash requirement (line 34 minus line 35) 36 $3,235,850
37 Contributions allocated toward minimum required contribution for current year, adjusted to valuation date (line 19c) 37 $3,235,934
38 Present value of excess contributions for current year (see instructions)
a Total (excess, if any, of line 37 over line 36) 38a $84
b Portion included in line 38a attributable to use of prefunding and funding standard carryover balances 38b
39 Unpaid minimum required contribution for current year (excess, if any, of line 36 over line 37) 39
40 Unpaid minimum required contribution for all years 40
Part IX Pension funding relief under Pension Relief Act of 2010 (see instructions)
41 If a shortfall amortization base is being amortized pursuant to an alternative amortization schedule:
a Schedule elected 2 plus 7 years
15 years
b Eligible plan year(s) for which the election in line 41a was made 2008 2009
2010 2016
42 Amount of acceleration adjustment 42
43 Excess installment acceleration amount to be carried over to future plan years 43
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42-0127290
(b) Enter name and EIN or address of person who provided you disclosures on eligible indirect compensation
FIDELITY INST ASSET MANAGEMENT
04-2647786
(b) Enter name and EIN or address of person who provided you disclosures on eligible indirect compensation
FIDELITY MANAGEMENT TRUST CO
04-2723880
For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form 5500. Schedule C (Form 5500) 2016
v.092308.1
2 Information on Other Service Providers Receiving Direct or Indirect Compensation. Except for those persons for whom you answered “yes” to line 1a above, complete as many entries as
needed to list each person receiving, directly or indirectly, $5,000 or more in total compensation (i.e., money or anything else of value) in connection with services rendered to the plan or their position
with the plan during the plan year. (See instructions).
(a) Enter name and EIN or address (see instructions)
PRINCIPAL FINANCIAL ADVISORS
INC.
52-1523364
(c) Relationship to (e) Did service provider
(d) Enter direct (f) Did indirect compensation (g) Enter total indirect compensation received by (h) Did the service provider
(b) employer, employee receive indirect
compensation paid include eligible indirect service provider excluding eligible indirect give you a formula instead
Service organization, or person compensation? (sources
by the plan. If compensation, for which the plan compensation for which you answered “Yes” to of an amount or estimated
Code(s) known to be a party-in- other than plan or plan
none, enter -0-. received the required disclosures? element (f). If none, enter -0-. amount?
interest sponsor)
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RSM US LLP
42-0714325
(c) Relationship to (e) Did service provider
(d) Enter direct (f) Did indirect compensation (g) Enter total indirect compensation received by (h) Did the service provider
(b) employer, employee receive indirect
compensation paid include eligible indirect service provider excluding eligible indirect give you a formula instead
Service organization, or person compensation? (sources
by the plan. If compensation, for which the plan compensation for which you answered “Yes” to of an amount or estimated
Code(s) known to be a party-in- other than plan or plan
none, enter -0-. received the required disclosures? element (f). If none, enter -0-. amount?
interest sponsor)
42-0127290
(c) Relationship to (e) Did service provider
(d) Enter direct (f) Did indirect compensation (g) Enter total indirect compensation received by (h) Did the service provider
(b) employer, employee receive indirect
compensation paid include eligible indirect service provider excluding eligible indirect give you a formula instead
Service organization, or person compensation? (sources
by the plan. If compensation, for which the plan compensation for which you answered “Yes” to of an amount or estimated
Code(s) known to be a party-in- other than plan or plan
none, enter -0-. received the required disclosures? element (f). If none, enter -0-. amount?
interest sponsor)
13 50 CONTRACT
$4,000 Yes No Yes No Yes No
64 ADMINISTRATOR
3 If you reported on line 2 receipt of indirect compensation, other than eligible indirect compensation, by a service provider, and the service provider is a fiduciary or provides contract administrator,
consulting, custodial, investment advisory, investment management, broker, or recordkeeping services, answer the following questions for (a) each source from whom the service provider received
$1,000 or more in indirect compensation and (b) each source for whom the service provider gave you a formula used to determine the indirect compensation instead of an amount or estimated amount
of the indirect compensation. Complete as many entries as needed to report the required information for each source.
(b) Service Codes (c) Enter amount of indirect
(a) Enter service provider name as it appears on line 2
(see instructions) compensation
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(c) Position
(d) Address (e) Telephone
Explanation
For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form 5500. v11.3 Schedule C (Form 5500) 2014
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(a) Name of MTIA, CCT, PSA, or 103-12IE FIAM LONG CORPORATE A OR BETTER COM
(b) Name of sponsor of entity listed in (a) FIDELITY INSTITUTIONAL ASSET MGMT TRUST COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 20-465971410-103 (d) C (e) $11,970,226
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE FIAM GLOBAL LOW VOLATILITY EQUITY C
(b) Name of sponsor of entity listed in (a) FIDELITY INSTITUTIONAL ASSET MGMT TRUST COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 20-465971414-145 (d) C (e) $11,393,378
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE FIAM LONG DURATION COMM PL
(b) Name of sponsor of entity listed in (a) FIDELITY INSTITUTIONAL ASSET MGMT TRUST COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 20-465971405-053 (d) C (e) $10,219,678
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE FIAM SELECT INTERNATIONAL EQUITY CO
(b) Name of sponsor of entity listed in (a) FIDELITY INSTITUTIONAL ASSET MGMT TRUST COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 20-465971402-021 (d) C (e) $6,096,148
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE FIAM SELECT EMERGING MARKETS EQUITY
(b) Name of sponsor of entity listed in (a) FIDELITY INSTITUTIONAL ASSET MGMT TRUST COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 20-465971410-100 (d) C (e) $5,989,417
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE FIAM EMERGING MARKETS DEBT COMM PL
(b) Name of sponsor of entity listed in (a) FIDELITY INSTITUTIONAL ASSET MGMT TRUST COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 20-465971402-022 (d) C (e) $3,232,261
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE FIAM FLOATING RATE HIGH INCOME COMM
(b) Name of sponsor of entity listed in (a) FIDELITY INSTITUTIONAL ASSET MGMT TRUST COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 20-465971405-058 (d) C (e) $2,999,193
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE FIAM SMALL CAP CORE COMM PL
(b) Name of sponsor of entity listed in (a) FIDELITY INSTITUTIONAL ASSET MGMT TRUST COMPANY
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Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 20-465971400-008 (d) C (e) $2,190,464
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE FIAM SMALL-MID CAP CORE COMM PL
(b) Name of sponsor of entity listed in (a) FIDELITY INSTITUTIONAL ASSET MGMT TRUST COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 20-465971402-029 (d) C (e) $2,180,418
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE FIAM HIGH YIELD BOND COMM PL
(b) Name of sponsor of entity listed in (a) FIDELITY INSTITUTIONAL ASSET MGMT TRUST COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 20-465971401-013 (d) C (e) $1,937,031
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE FIAM INSTITUTIONAL CASH COMM PL
(b) Name of sponsor of entity listed in (a) FIDELITY INSTITUTIONAL ASSET MGMT TRUST COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 20-465971405-055 (d) C (e) $1,700,551
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE FIAM SELECT INTERNATIONAL SMALL CAP
(b) Name of sponsor of entity listed in (a) FIDELITY INSTITUTIONAL ASSET MGMT TRUST COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 20-465971403-036 (d) C (e) $990,950
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE FIAM SELECT CANADA EQUITY COMM PL
(b) Name of sponsor of entity listed in (a) FIDELITY INSTITUTIONAL ASSET MGMT TRUST COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 20-465971410-101 (d) C (e) $571,888
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE FIAM TREASURY INFLAT PRO SEC INDEX
(b) Name of sponsor of entity listed in (a) FIDELITY INSTITUTIONAL ASSET MGMT TRUST COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 20-465971410-104 (d) C (e) $433,359
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE PRIN LGCAP VALUE SEP ACCT-I1
(b) Name of sponsor of entity listed in (a) PRINCIPAL LIFE INSURANCE COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 42-012729001-019 (d) P (e)
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE PRIN U.S. PROPERTY SA-I3
(b) Name of sponsor of entity listed in (a) PRINCIPAL LIFE INSURANCE COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 42-012729002-027 (d) P (e)
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE PRIN INTL EM MKT SEP ACCT-I2
(b) Name of sponsor of entity listed in (a) PRINCIPAL LIFE INSURANCE COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 42-012729001-013 (d) P (e)
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE PRIN MIDCAP VAL III SA-I2
(b) Name of sponsor of entity listed in (a) PRINCIPAL LIFE INSURANCE COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 42-012729002-022 (d) P (e)
Code 12 IE at end of year (see instructions)
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(a) Name of MTIA, CCT, PSA, or 103-12IE PRINCIPAL DIV REAL ASSET SA-I3
(b) Name of sponsor of entity listed in (a) PRINCIPAL LIFE INSURANCE COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 42-012729012-123 (d) P (e)
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE PRIN GLOBAL MULTI-STR SA-I3
(b) Name of sponsor of entity listed in (a) PRINCIPAL LIFE INSURANCE COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 42-012729013-132 (d) P (e)
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE PRIN EQUITY INCOME SA-I3
(b) Name of sponsor of entity listed in (a) PRINCIPAL LIFE INSURANCE COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 42-012729012-120 (d) P (e)
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE PRINCIPAL BOND MKT INDEX SA-I2
(b) Name of sponsor of entity listed in (a) PRINCIPAL LIFE INSURANCE COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 42-012729012-122 (d) P (e)
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE PRINCIPAL OVERSEAS SEP ACCT-I1
(b) Name of sponsor of entity listed in (a) PRINCIPAL LIFE INSURANCE COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 42-012729011-116 (d) P (e)
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE PRIN SMALLCAP VALUE II SA-I1
(b) Name of sponsor of entity listed in (a) PRINCIPAL LIFE INSURANCE COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 42-012729009-096 (d) P (e)
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE PRIN HIGH YIELD I SEP ACCT-I2
(b) Name of sponsor of entity listed in (a) PRINCIPAL LIFE INSURANCE COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 42-012729010-101 (d) P (e)
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE PRIN MIDCAP GROWTH III SA-I1
(b) Name of sponsor of entity listed in (a) PRINCIPAL LIFE INSURANCE COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 42-012729002-026 (d) P (e)
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE PRIN CORE PLUS BOND SEP ACT-I2
(b) Name of sponsor of entity listed in (a) PRINCIPAL LIFE INSURANCE COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 42-012729000-005 (d) P (e)
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE PRIN SMALLCAP GROWTH I SA-I2
(b) Name of sponsor of entity listed in (a) PRINCIPAL LIFE INSURANCE COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 42-012729007-070 (d) P (e)
Code 12 IE at end of year (see instructions)
(a) Name of MTIA, CCT, PSA, or 103-12IE PRIN LARGECAP GROWTH I SA-I1
(b) Name of sponsor of entity listed in (a) PRINCIPAL LIFE INSURANCE COMPANY
Entity Dollar value of interest in MTIA, CCT, PSA, or 103-
(c) EIN-PN 42-012729006-066 (d) P (e)
Code 12 IE at end of year (see instructions)
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For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form 5500. Schedule D (Form 5500) 2016
v.092308.1
Information on Participating Plans (to be completed by DFEs)
Part II
(complete as many entries as needed to report all participating plans)
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5c If the plan is a defined benefit plan, is it covered under the PBGC insurance program (see ERISA section 4012)? Yes No Not determined
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Schedule R
(Form 5500) Retirement Plan Information OMB No. 1210 - 0110
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