FILED BY:    Retirement Board Manager Consultant
MONTHLY STATEMENT: 01/11 02/11 03/11 04/11 05/11 06/11 07/11 08/11 09/11 10/11 11/11 12/11 01/12 02/12 03/12 04/12 05/12 06/12 07/12 08/12 09/12 10/12 11/12 12/12
QUARTERLY STATEMENT: 00/10 03/11 06/11 09/11 12/11 03/12 06/12 09/12 12/12

MARKET VALUE AT BEGINNING OF PERIOD:                          $

PLUS:

PURCHASES BY SYSTEM (1):

DATE: 01/11 02/11 03/11 04/11 05/11 06/11 07/11 08/11 09/11 10/11 11/11 12/11 01/12 02/12 03/12 04/12 05/12 06/12 07/12 08/12 09/12 10/12 11/12 12/12                                                AMOUNT :                 $
DATE: 01/11 02/11 03/11 04/11 05/11 06/11 07/11 08/11 09/11 10/11 11/11 12/11 01/12 02/12 03/12 04/12 05/12 06/12 07/12 08/12 09/12 10/12 11/12 12/12                                                AMOUNT :                 $
DATE: 01/11 02/11 03/11 04/11 05/11 06/11 07/11 08/11 09/11 10/11 11/11 12/11 01/12 02/12 03/12 04/12 05/12 06/12 07/12 08/12 09/12 10/12 11/12 12/12                                                AMOUNT :                 $

CHANGES DUE TO INCOME (2):

INVESTMENT INCOME      $                    (LOSS):($ )
REALIZED GAIN                   $                    (LOSS):($ )
UNREALIZED GAIN             $                     (LOSS):($ )

LESS:

MANAGEMEMT FEES (3)                                                                  $

SALES BY SYSTEM (4) *:

DATE: 01/11 02/11 03/11 04/11 05/11 06/11 07/11 08/11 09/11 10/11 11/11 12/11 01/12 02/12 03/12 04/12 05/12 06/12 07/12 08/12 09/12 10/12 11/12 12/12                                                AMOUNT :                 $
DATE: 01/11 02/11 03/11 04/11 05/11 06/11 07/11 08/11 09/11 10/11 11/11 12/11 01/12 02/12 03/12 04/12 05/12 06/12 07/12 08/12 09/12 10/12 11/12 12/12                                                AMOUNT :                 $
DATE: 01/11 02/11 03/11 04/11 05/11 06/11 07/11 08/11 09/11 10/11 11/11 12/11 01/12 02/12 03/12 04/12 05/12 06/12 07/12 08/12 09/12 10/12 11/12 12/12                                                AMOUNT :                 $

STOCK DISTRIBUTION (5) **                                                          $

MARKET VALUE AT END OF PERIOD                                          $

* Includes income not reinvested and cash distribution to system

** Total market value of new stock should correspond to the decrease in market value of pooled fund.

COMMENTS:

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