Indiana | 35-0827455 | |||
(State of other jurisdiction of incorporation or organization) | (IRS employer identification no.) |
9255 Coverdale Road | ||
Fort Wayne, Indiana 46809 | ||
(Address of principal executive offices, including zip code) |
Large Accelerated Filer x | ||
Non-Accelerated Filer o | (Do not check if a smaller reporting company) | |
Accelerated Filer o | ||
Smaller Reporting Company o | ||
Emerging Growth Company o |
Title of Securities to be Registered | Amount to be registered | Proposed maximum offering price per share (1) | Proposed maximum aggregate offering price (1) | Amount of registration fee |
Common Stock, par value $.10 per share | ||||
Franklin Electric Co., Inc. Retirement Program | 300,000 (2) | $45.18 | $13,554,000 | $1,688 |
Headwater Companies, LLC 401(k) Plan | 50,000 (2) | $45.18 | $2,259,000 | $281 |
Total | 350,000 (2) | $45.18 | $15,813,000 | $1,969 |
Interests in the Plans | (3) | (3) | (3) | (3) |
(1) Estimated solely for the purpose of calculating the registration fee pursuant to Rule 457(h) under the Securities Act of 1933 on the basis of $45.18 per share, the average of the high and low sales prices of the Common Stock reported on the NASDAQ Global Select Market on December 11, 2017. (2) Pursuant to Rule 416 of the Securities Act of 1933, this Registration Statement shall also cover any additional shares of Common Stock which become issuable under the Plan pursuant to this Registration Statement by reason of any stock dividend, stock split, recapitalization or any other similar transaction which results in an increase in the number of outstanding shares of Common Stock. (3) In addition, pursuant to Rule 416(c) under the Securities Act of 1933, this Registration Statement also covers an indeterminate number of interests to be offered or sold pursuant to the Plans for which no separate fee is required. |
(a) | The Registrant's Annual Report on Form 10-K for the fiscal year ended December 31, 2016; |
(b) | All other reports of the Registrant filed pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended, since December 31, 2016; and |
(c) | The description of the Registrant's Common Stock contained in the Registrant's Registration Statement on Form 8-A filed with the Commission on February 26, 1991. |
By: | /s/ Gregg C. Sengstack | ||
Gregg C. Sengstack | |||
Chairman and Chief Executive Officer | |||
(Principal Executive Officer) |
SIGNATURE | TITLE | DATE | ||
/s/ Gregg C. Sengstack | Chairman and Chief Executive Officer | December 22, 2017 | ||
Gregg C. Sengstack | (Principal Executive Officer) | |||
/s/ John J. Haines | Vice President and Chief Financial Officer | December 22, 2017 | ||
John J. Haines | (Principal Financial and Accounting Officer) | |||
/s/ David T. Brown | Director | December 22, 2017 | ||
David T. Brown | ||||
/s/ Renee J. Peterson | Director | December 22, 2017 | ||
Renee J. Peterson | ||||
/s/ David A. Roberts | Director | December 22, 2017 | ||
David A. Roberts | ||||
/s/ Jennifer L. Sherman | Director | December 22, 2017 | ||
Jennifer L. Sherman | ||||
/s/ Thomas R. VerHage | Director | December 22, 2017 | ||
Thomas R. VerHage | ||||
/s/ David M. Wathen | Director | December 22, 2017 | ||
David M. Wathen |
By: | /s/ Jonathan M. Grandon | ||
Name: | Jonathan M. Grandon | ||
Title: | Chief Administrative Officer, General Counsel and Secretary | ||
Exhibit Number | Description | |
4.1 | ||
4.2 | ||
4.3 | ||
4.4 | ||
23 | ||
24 |
ARTICLE I | NAME OF PLAN AND PURPOSE | 1 | |
1.01 | Title | 1 | |
1.02 | Purpose | 1 | |
1.03 | Effective Date | 1 | |
ARTICLE II | DEFINITIONS | 2 | |
2.01 | “Account” | 2 | |
2.02 | “Administrator” | 2 | |
2.03 | “Affiliate” | 2 | |
2.04 | “After-Tax Contribution” | 2 | |
2.05 | “Annual Addition” | 2 | |
2.06 | “Annual Compensation” | 2 | |
2.07 | “Before-Tax Contributions” | 3 | |
2.08 | “Beneficiary” | 3 | |
2.09 | “Board of Directors” | 3 | |
2.1 | “Break In Service” | 3 | |
2.11 | “Code” | 3 | |
2.12 | “Committee” | 3 | |
2.13 | “Company” | 3 | |
2.14 | “Company Contribution” | 4 | |
2.15 | “Company Stock” | 4 | |
2.16 | “Credited Service” | 4 | |
2.17 | “Disability” | 4 | |
2.18 | “Employee” | 5 | |
2.19 | “ERISA” | 5 | |
2.2 | “Franklin Pump” | 5 | |
2.21 | “Hour of Service” | 5 | |
2.22 | “Highly Compensated Employee” | 6 | |
2.23 | “Leave of Absence” | 6 | |
2.24 | “Limitation Year” | 7 | |
2.25 | “Matching Contribution” | 7 | |
2.26 | “Named Fiduciary(ies)” | 7 | |
2.27 | “Non-forfeitable” | 7 | |
2.28 | “Normal Retirement Date” | 7 | |
2.29 | “One-Year Break in Service” | 7 | |
2.3 | “Participant” | 7 | |
2.31 | “Plan” | 7 | |
2.32 | “Rollover Account” | 7 | |
2.33 | “Roth Contributions” | 7 | |
2.34 | “Service” | 7 | |
2.35 | “Service Contribution” | 8 |
2.36 | “Transfer Account” | 8 | |
2.37 | “Trust” | 8 | |
2.38 | “Trustee” | 9 | |
2.39 | “USERRA” | 9 | |
2.4 | “Valuation Date” | 9 | |
2.41 | “Vesting Service” | 9 | |
2.42 | “Year” or “Plan Year” | 9 | |
2.43 | “Year of Service” | 10 | |
ARTICLE III | PARTICIPATION | 10 | |
3.01 | Eligibility Requirements | 10 | |
3.02 | Participation | 11 | |
3.03 | Rules Governing Participation | 11 | |
ARTICLE IV | CONTRIBUTIONS | 12 | |
4.01 | Before-Tax Contributions, Roth Contributions and Matching Contributions | 12 | |
4.02 | Distribution of Excess Deferrals | 15 | |
4.03 | Service Contributions | 16 | |
4.04 | Company Contributions | 19 | |
4.05 | Maximum Annual Additions | 19 | |
4.06 | Company’s Payments to the Trustee | 20 | |
4.07 | Acceptance of Rollovers | 20 | |
ARTICLE V | ALLOCATIONS | 21 | |
5.01 | Accounts | 21 | |
5.02 | Crediting of Participant’s Contributions | 21 | |
5.03 | Interpretation of Certain Dates | 21 | |
5.04 | Assistance to Trustee | 21 | |
ARTICLE VI | BENEFITS | 21 | |
6.01 | Normal Retirement | 21 | |
6.02 | Disability | 21 | |
6.03 | Death | 22 | |
6.04 | Other Termination of Employment | 22 | |
6.05 | Benefit Distribution Methods | 22 | |
6.06 | Medium of Distribution | 24 | |
6.07 | Retiring Participant’s Obligations | 24 | |
6.08 | Other Distributions | 24 | |
6.09 | Commencement of Payment of Benefits | 24 | |
6.1 | Hardship Distribution of Before-Tax and Roth Contributions | 25 | |
6.11 | In-Service Distributions | 26 | |
6.12 | Withdrawal by Participant of After-Tax Contributions | 26 | |
6.13 | Withdrawal from Transfer Account | 27 | |
6.14 | Loans | 27 | |
6.15 | Consent to Distribution: Special Distribution Rules | 28 | |
6.16 | Unclaimed Amounts and Forfeitures | 29 | |
6.17 | Minimum Distribution Requirements | 29 |
ARTICLE VII | BENEFICIARIES | 30 | |
7.01 | Married Participants | 30 | |
7.02 | Unmarried or Spouse/Consent Participants | 30 | |
7.03 | Condition of Receipt of Payments by Beneficiary | 31 | |
7.04 | Qualified Domestic Relations Orders | 31 | |
ARTICLE VIII | TRUST FUND | 31 | |
8.01 | Trust Agreement | 31 | |
8.02 | Directed Investments by Participants. | 31 | |
ARTICLE IX | COMMITTEE | 32 | |
9.01 | Committee | 32 | |
9.02 | Resignation of Committee Member and Appointment of Successor | 32 | |
9.03 | Compensation of Committee Members | 32 | |
9.04 | Powers and Duties of Committee | 32 | |
9.05 | No Discrimination | 33 | |
ARTICLE X | TERMINATION OR DISCONTINUANCE | 33 | |
10.01 | Right to Terminate Plan | 33 | |
10.02 | Effect of Termination or Discontinuance | 34 | |
ARTICLE XI | AMENDMENTS | 34 | |
11.01 | Amendments to this Plan | 34 | |
11.02 | Amendments to Become Part of the Plan | 35 | |
11.03 | Approval of Amendments by Internal Revenue Service | 35 | |
ARTICLE XII | CERTAIN FIDUCIARY MATTERS | 35 | |
12.01 | Named Fiduciary; Administrator | 35 | |
12.02 | Allocation of Fiduciary Duties | 35 | |
12.03 | Multiple Capacities | 36 | |
12.04 | Employment of Others | 36 | |
12.05 | Claims Procedure | 36 | |
12.06 | Investment Objectives and Funding Policies | 37 | |
ARTICLE XIII | INDEMNIFICATION | 37 | |
ARTICLE XIV | PARTICIPATING EMPLOYERS | 37 | |
14.01 | Definition | 37 | |
14.02 | In General | 37 | |
14.03 | Employees Treated As Employed by One Employer | 37 | |
14.04 | Contributions | 37 | |
14.05 | Withdrawal by Participating Employer | 38 | |
14.06 | Service Prior to Business Transaction | 38 | |
ARTICLE XV | TOP-HEAVY PROVISIONS | 38 | |
15.01 | Top-Heavy Definitions | 38 | |
15.02 | Minimum Allocation | 41 | |
15.03 | Non-forfeitability of Minimum Allocation | 41 | |
15.04 | Compensation Limitation | 42 | |
15.05 | Top-Heavy Compensation | 42 | |
15.06 | Top-Heavy Valuation Date | 42 |
ARTICLE XVI | MISCELLANEOUS MATTERS | 42 | |
16.01 | Expenses of Administration | 42 | |
16.02 | Notices by the Company to the Trustee and Committee | 42 | |
16.03 | No Recovery by the Company | 42 | |
16.04 | Governing Law | 42 | |
16.05 | Inspection of Records by Participants | 43 | |
16.06 | Construction of Plan | 43 | |
16.07 | Persons Under Legal Disability | 43 | |
16.08 | Spendthrift Provision | 43 | |
16.09 | Condition of Qualification | 44 | |
16.1 | Merger | 44 | |
16.11 | Successors and Assigns | 44 | |
16.12 | Gender and Number | 44 | |
16.13 | Participant’s Rights | 44 | |
16.14 | No Guarantee | 45 | |
16.15 | Overpayments, Recoupment | 45 | |
16.16 | Counterparts | 45 | |
16.17 | Qualified Domestic Relation Orders (“QDROs”) | 45 | |
16.18 | Special Rules Relating to Veterans Reemployment Rights Under USERRA and the HEART Act | 46 | |
16.19 | Protected Benefits | 47 | |
ARTICLE XVII | PROVISIONS RELATING TO PRIOR PLANS | 48 | |
17.01 | Merger of Prior Plans into the Plan | 48 | |
17.02 | Prior Plan Accounts | 48 | |
17.03 | Eligibility to Participate | 48 | |
17.04 | Before-Tax Contributions | 48 | |
17.05 | Matching Contributions | 48 | |
17.06 | Non-forfeitable | 48 | |
17.07 | Directed Investment | 48 | |
17.08 | In-Service Withdrawals | 48 | |
17.09 | Payment of Account Balance | 49 | |
17.1 | Loans | 49 | |
17.11 | Use of Terms | 49 | |
ARTICLE XVIII | PROVISIONS RELATING TO FRANKLIN ELECTRIC cO., iNC. eMPLOYEE sTOCK OWNERSHIP PLAN | 49 | |
18.01 | Merger of Franklin Electric Co., Inc. Employee Stock Ownership Plan into the Plan | 49 | |
18.02 | ESOP Accounts | 49 | |
18.03 | Vesting | 49 | |
18.04 | Directed Investment | 50 | |
18.05 | ESOP References | 50 | |
ARTICLE XIX | ACCOUNTS TRANSFERRED FROM AMCHECK PORTLAND 401(K) PLAN for employees of cerus inDUSTRIAL | 51 | |
19.01 | Use of Terms | 51 |
19.02 | Transfer of Accounts | 51 | |
19.03 | Non-forfeitable | 51 | |
19.04 | Elective Contribution and Rollover Contribution Sub-Accounts | 51 | |
19.05 | Roth Contribution Sub-Account | 51 | |
19.06 | Directed Investment | 51 | |
19.07 | In-Service Withdrawals | 51 | |
19.08 | Payment of Account Balance | 51 | |
19.09 | Loans | 52 | |
ARTICLE XX | ACCOUNTS TRANSFERRED FROM Pioneer pump, inc. 401(K) PLAN | 52 | |
20.01 | Use of Terms | 52 | |
20.02 | Transfer of Accounts | 52 | |
20.03 | Non-forfeitable | 52 | |
20.04 | Elective Contribution and Rollover Contribution Sub-Accounts | 52 | |
20.05 | Roth Contribution Sub-Account | 52 | |
20.06 | Directed Investment | 52 | |
20.07 | In-Service Withdrawals | 52 | |
20.08 | Payment of Account Balance | 53 | |
20.09 | Loans | 53 | |
Plan Year of Automatic Enrollment | % of Reduction to Annual Compensation |
First | 3% |
Second | 3% |
Third | 4% |
Fourth | 5% |
Fifth or More | 6% |
Years of Credited Service | Percentage of Annual Compensation |
Less than 5 | 3% |
5 or more but less than 10 | 4% |
10 or more but less than 15 | 5% |
15 or more but less than 20 | 7% |
20 or more | 9% |
Years of Vesting Service | Vested Percentage |
Less than 3 | 0% |
3 or more | 100% |
Service with Company | of Company Benefits Account |
1 | 0% |
2 | 20% |
3 | 40% |
4 | 60% |
5 | 80% |
6 | 100% |
Name of Plan | Date of Eligibility to Participate | Prior Plan Merger Date |
APT 401k Plan | November 1, 2002 | October 31, 2002 |
EBW, Inc. Profit Sharing Plan and Trust | November 1, 2002 | October 31, 2002 |
EBW, Inc. Hourly Employees 401k Plan | November 1, 2002 | October 31, 2002 |
Intelligent Controls, Inc. Incentive Savings Plan | June 1, 2003 | May 31, 2003 |
Phil-Tite Enterprises, Inc. 401(k) Profit Sharing Plan | January 5, 2006 | January 5, 2006 |
(d) | [X] Generally same as Plan Year. The Limitation Year is the same as the Plan Year except where the Plan Year is a short year in which event the Limitation Year is always a 12 month period, unless the short Plan Year (and short Limitation Year) result from a Plan amendment. |
(e) | [ ] Different Limitation Year: ending: . |
(f) | [ ] Short Limitation Year: commencing: and ending: . |
(1) | [ ] This is an amendment and restatement to bring a plan into compliance with the Pension Protection Act of 2006 ("PPA") and other legislative and regulatory changes. |
(c) | [X] January 1, 2018 (hereinafter called the "Effective Date" unless 4(d) is entered below) |
(d) | [ ] (enter month day, year; may enter a restatement date that is the first day of the current Plan Year. The Plan contains appropriate retroactive effective dates with respect to provisions for the appropriate laws if the Plan is a PPA Restatement.) (hereinafter called the "Effective Date") |
(1) | Merging plan. The 2M Company, Inc. Savings & Profit Sharing Plan was or will be merged into this surviving Plan as of: January 1, 2018 . The merging plan's restated Effective Date is: June 1, 2017 . The merging plan's original Effective Date was: December 1, 1992 . |
(2) | [ X ] Additional merging plans. The following additional plans were or will be merged into this surviving Plan (Complete a. and b. as applicable.): |
a. Western Hydro Corporation Retirement Plan | January 1, 2018 | January 1, 2016 | November 1, 1987 | |||
b. |
(a) | [ ] A discretionary Trustee. See Section 8.02(A). |
(b) | [X] A nondiscretionary (directed) Trustee or Custodian. See Section 8.02(B). |
(c) | [ ] A Trustee under the: (specify name of trust), a separate trust agreement the Trustee has executed and that the IRS has approved for use with this Plan. Under this Election 5(c) the Trustee is not executing the Adoption Agreement and Article VIII of the basic plan document does not apply, except as indicated otherwise in the separate trust agreement. See Section 8.11(C). |
(a) | [ ] Contributions cease. All Contributions have ceased or will cease (Plan is frozen). |
(1) | [ ] Effective date of freeze: [Note: Effective date is optional unless this is the amendment or restatement to freeze the Plan.] |
(1) | [X] Roth Deferrals. See Section 3.02(E) and Elections 20, 21, and 23. [Note: The Employer may not limit Elective Deferrals to Roth Deferrals only.] |
(c) | [X] Matching. See Sections 1.35 and 3.03 and Elections 24‑26. [Note: The Employer may make an Operational QMAC without electing 6(c). See Section 3.03(C)(2). Do not elect for a safe harbor plan; use 6(e) instead.] |
(a) | [X] Basic Plan. Disability as defined in Section 1.16(A). |
(b) | [ ] Describe: |
(b) | [X] Exclusions - same for all Contribution Types. The following Employees are Excluded Employees for all Contribution Types (Choose one or more of (e) through (j). Choose column (1) for each exclusion elected at (e) through (i).): |
(d) | [ ] Describe Compensation by Contribution Type or by Participant group: |
(c) | [ ] Describe Pre‑Entry Compensation by Contribution Type or by Participant group: |
(d) | [ ] None. The Plan includes post‑severance regular pay, leave cashouts, and deferred compensation, and excludes post‑severance military and disability continuation payments as to any Contribution Type except as required under the basic plan document (skip to Election 11). |
(2) | [ ] For all Participants. The salary continuation will continue for the following fixed or determinable period: (specify period). |
(a) | [ ] No exclusions. Compensation as to all Contribution Types means Compensation as elected in Elections 9 and 10 (skip to Election 12). |
(b) | [X] Exclusions - same for all Contribution Types. The following exclusions apply to all Contribution Types (Choose one or more of (e) through (l). Choose column (1) for each option elected at (e) through (k).): |
(e) | [ ] Describe method: |
(a) | [ ] Not applicable. No elective Predecessor Employer Service crediting applies. |
(b) | [X] Applies. The Plan credits the specified service with the following designated Predecessor Employers as Service for the Employer for the purposes indicated (Choose one or both of (1) and (2) as applicable. Complete (3). Choose (4) if applicable.): |
(1) | [X] All purposes. Credit as Service for all purposes, service with Predecessor Employer(s): Western Hydro, LLC; 2M Company Inc.; Drillers Service Incorporated; 2M Company, Inc. of New Mexico (insert as many names as needed). |
(2) | [ ] Designated purposes. Credit as Service, service (1) (2) (3) |
a. Employer: | [ ] | [ ] | [ ] |
b. Employer: | [ ] | [ ] | [ ] |
c. Employer: | [ ] | [ ] | [ ] |
a. | [X] All. All service, regardless of when rendered. |
b. | [ ] Service after. All service, which is or was rendered after: (specify date). |
c. | [ ] Service before. All service, which is or was rendered before: (specify date). |
(4) | [ ] Describe elective Predecessor Employer Service crediting: |
(b) | [ ] Eligibility - same for all Contribution Types. To become a Participant in the Plan as to all Contribution Types, an Eligible Employee must satisfy the following eligibility conditions (Choose one or more of (e) through (k). Choose column (1) for each option elected at (e) through (j).): |
(1) | [ ] Consecutive. Must be consecutive. |
(2) | [ ] Not consecutive. Need not be consecutive. |
(a) | [ ] Waiver of eligibility conditions for certain Employees. For all Contribution Types, the eligibility conditions and entry dates apply solely to an Eligible Employee employed or reemployed by the Employer after (specify date). If the Eligible Employee was employed or reemployed by the Employer by the specified date, the Employee will become a Participant on the latest of: (i) the Effective Date; (ii) the restated Effective Date; (iii) the Employee's Employment Commencement Date or Re‑Employment Commencement Date; or (iv) the date the Employee attains age (not exceeding age 21). |
(b) | [ ] Describe special eligibility Effective Date(s): |
(a) | [ ] Year of Service. An Employee must complete Hour(s) of Service during the relevant Eligibility Computation Period to receive credit for one Year of Service under Article II. [Note: The number may not exceed 1,000. If left blank, the requirement is 1,000 Hours of Service.] |
(b) | [ ] Subsequent Eligibility Computation Periods. After the Initial Eligibility Computation Period described in Section 2.02(C)(2), the Plan measures Subsequent Eligibility Computation Periods as (Choose one of (1), (2), or (3).): |
(1) | [ ] Plan Year. The Plan Year beginning with the Plan Year which includes the first anniversary of the Employee's Employment Commencement Date. |
(2) | [ ] Anniversary Year. The Anniversary Year, beginning with the Employee's second Anniversary Year. |
(a) | [X] Does not apply. |
(b) | [ ] Applies. Applies to the Plan and to all Participants. |
(c) | [ ] Limited application. Applies to the Plan, but only to a Participant who has incurred a Severance from Employment. |
(a) | [ ] None. No additional Plan imposed limits (skip to Election 21). |
(1) | [X] Maximum deferral amount. A Participant's Elective Deferrals may not exceed: 50% (specify dollar amount and/or percentage of Compensation). |
(2) | [X] Minimum deferral amount. A Participant's Elective Deferrals may not be less than: 1% (specify dollar amount and/or percentage of Compensation). |
(3) | Application of limitations. The Election 20(b)(1) and (2) limitations apply based on Elective Deferral Compensation described in Elections 9 ‑ 11. If the Employer elects Plan Year/Participating Compensation under column (1) and in Election 10 elects Participating Compensation, in the Plan Years commencing after an Employee becomes a Participant, apply the elected minimum or maximum limitations to the Plan Year. Apply the elected limitation based on such Compensation during the designated time period and only to HCEs as elected below. (Choose a. or choose b. and c. as applicable. Under each of a., b., or c. choose one of (1) or (2). Choose (3) if applicable.): |
(a) | [ ] Do not apply. The Plan is not an ACA, EACA, or QACA (skip to Election 22). |
(b) | [X] Apply. The Automatic Deferral Effective Date is the effective date of automatic deferrals or, as appropriate, any subsequent amendment thereto. (As to an EACA or QACA, this provision may not be effective earlier than Plan Years beginning on or after January 1, 2008). (Complete (1), (2), and (3). Complete (4) and (5) if an EACA or an EACA/QACA. Choose (6), (7), and/or (8) as applicable.): |
(1) | Type of Automatic Deferral Arrangement. The Plan is an (Choose one of a., b., or c.): |
a. | [X] ACA. The Plan is an Automatic Contribution Arrangement (ACA) under Section 3.02(B)(1). |
b. | [ ] EACA. The Plan is an Eligible Automatic Contribution Arrangement (EACA) under Section 3.02(B)(2). |
c. | [ ] EACA/QACA. The Plan is a combination EACA and Qualified Automatic Contribution Arrangement (QACA) under Sections 3.02(B)(3) and 3.05(J). |
a. | [ ] All Participants. All Participants, regardless of any prior Salary Reduction Agreement, unless and until they make a Contrary Election after the Automatic Deferral Effective Date. |
b. | [ ] Election of at least Automatic Deferral Percentage. All Participants, except those who have in effect a Salary Reduction Agreement on the Automatic Deferral Effective Date provided that the Elective Deferral amount under the Agreement is at least equal to the Automatic Deferral Percentage. |
c. | [X] No existing Salary Reduction Agreement. All Participants, except those who have in effect a Salary Reduction Agreement on the Automatic Deferral Effective Date regardless of the Elective Deferral amount under the Agreement. |
d. | [ ] New Participants (not applicable to QACA). Each Employee whose Entry Date is on or following the Automatic Deferral Effective Date. |
e. | [ ] Describe affected Participants (not applicable to QACA): |
a. | [X] Fixed percentage. The Employer, as to each Participant affected, will withhold as the Automatic Deferral Percentage, 3 % from the Participant's Compensation each payroll period unless the Participant makes a Contrary Election. The Automatic Deferral Percentage will or will not increase in Plan Years following the Plan Year containing the Automatic Deferral Effective Date (or, if later, the Plan Year or partial Plan Year in which the Automatic Deferral first applies to a Participant) as follows (Choose one of d., e., or f.): |
b. | [ ] QACA statutory increasing schedule. The Automatic Deferral Percentage will be: |
c. | [ ] Other increasing schedule. The Automatic Deferral Percentage will be: |
d. | [X] No scheduled increase. The Automatic Deferral Percentage applies in all Plan Years. |
e. | [ ] Automatic increase. The Automatic Deferral Percentage will increase by % per year up to a maximum of % of Compensation. |
f. | [ ] Describe increase: |
a. | [ ] Do not apply. |
b. | [ ] 90 day withdrawal. Apply within 90 days of the first Automatic Deferral. |
c. | [ ] 30‑90 day withdrawal. Apply, within days of the first Automatic Deferral (may not be less than 30 nor more than 90 days). |
(5) | Contrary Election/Covered Employee. For Plan Years beginning on or after January 1, 2010, any Participant who makes a Contrary Election (Choose one of a. or b.; leave blank if an ACA or a QACA not subject to the ACP test.): |
a. | [ ] Covered Employee. Is a Covered Employee and continues to be covered by the EACA provisions. [Note: Under this Election, the Participant's Contrary Election will remain in effect, but the Participant must receive the EACA annual notice.] |
b. | [ ] Not a Covered Employee. Is not a Covered Employee and will not continue to be covered by the EACA provisions. [Note: Under this Election, the Participant no longer must receive the EACA annual notice, but the Plan cannot use the six‑month period for relief from the excise tax of Code §4979(f)(1).] |
(6) | Change Date. The Elective Deferrals under Election 21(b)(3)b., c., e., or f. will increase on the following day each Plan Year: |
a. | [ ] First day of the Plan Year. |
b. | [ ] Other: (must be a specified or definitely determinable date that occurs at least annually) |
(7) | First Year of Increase. The automatic increase under Election 21(b)(3)e. or f. will apply to a Participant beginning with the first Change Date after the Participant first has automatic deferrals withheld, unless a. is selected below: |
a. | [ ] The increase will apply as of the second Change Date thereafter. |
(b) | [ ] Apply. For each Plan Year for which the Employer makes a designated CODA contribution under Section 3.02(C), a Participant may elect to receive directly in cash not more than the following portion (or, if less, the Elective Deferral Limit) of his/her proportionate share of that CODA contribution (Choose one of (1) or (2).): |
(1) Match Rate/Amt [$/% of Elective Deferrals] | (2) Limit on Deferrals Matched [$/% of Compensation] | (3) Limit on Match Amount [$/% of Compensation] | (4) Apply limit(s) per Plan Year ["true‑up"] | (5) Apply limit(s) per payroll period [no "true‑up"] | (6) Apply limit(s) per designated time period [no "true‑up"] |
(a) [X] Discretionary – see Section 1.35(B) (The Employer may, but is not required to complete (a)(1)‑(6). See the "Note" following Election 24.) | [ ] | [ ] | [ ] | ||||
(b) [ ] Fixed – uniform rate/amount | [ ] | [ ] | [ ] | ||||
(c) [ ] Fixed – tiered | Elective Deferral % % % % % | Matching Rate % % % % | [ ] | [ ] | [ ] |
(d) [ ] Fixed – Years of Service | Years of Service | Matching Rate % % % % | [ ] | [ ] | [ ] |
(e) [ ] Fixed – multiple formulas | Formula 1: | [ ] | [ ] | [ ] | ||
Formula 2: | [ ] | [ ] | [ ] | |||
Formula 3: | [ ] | [ ] | [ ] |
(1) | Matching formula. The matching formula for the Participating Employer(s) (Choose one of a. or b.): |
a. | [X] All the same. Is (are) the same as for the Signatory Employer under this Election 24. |
b. | [ ] At least one different. Is (are) as follows: . |
(2) | Allocation sharing. The Plan Administrator will allocate the Matching Contributions made by the Signatory Employer and by any Participating Employer (Choose one of a. or b.): |
a. | [ ] Employer by Employer. Only to the Participants directly employed by the contributing Employer. |
b. | [X] Across Employer lines. To all Participants regardless of which Employer directly employs them and regardless of whether their direct Employer made Matching Contributions for the Plan Year. |
(g) | [ ] Describe: (The formula described must satisfy the definitely determinable requirement under Treas. Reg. §1.401‑1(b). If the formula is non‑uniform, it is not a design‑based safe harbor for nondiscrimination purposes.) |
(a) | [X] Not applicable. There are no Plan‑Designated QMACs. |
(b) | [ ] Applies. There are Plan‑Designated QMACs to which the following provisions apply (Complete (1) and (2).): |
(1) | Matching Contributions affected. The following Matching Contributions (as allocated to the designated allocation group under Election 25(b)(2)) are Plan‑Designated QMACs (Choose one of a. or b.): |
a. | [ ] All. All Matching Contributions. |
b. | [ ] Designated. Only the following Matching Contributions under Election 24: . |
(2) | Allocation Group. Subject to Section 3.06, allocate the Plan‑Designated QMAC (Choose one of a. or b.): |
a. | [ ] NHCEs only. Only to NHCEs who make Elective Deferrals subject to the Plan‑Designated QMAC. |
b. | [ ] All Participants. To all Participants who make Elective Deferrals subject to the Plan‑Designated QMAC. |
(a) | [ ] Match. Will apply to the Catch‑Up Deferral (Choose one of (1) or (2).): |
(1) | [ ] All. All Matching Contributions. |
(2) | [ ] Designated. The following Matching Contributions in Election 24: . |
(b) | [X] No Match. Will not match any Catch‑Up Deferrals. |
(b) | [ ] Fixed. (Choose one or more of (1) through (3) as applicable.): |
(1) | [ ] Uniform %. % of each Participant's Compensation, per (e.g., Plan Year, month). |
(2) | [ ] Fixed dollar amount. $ , per (e.g., Plan Year, month, HOS, per Participant per month). |
(3) | [ ] Describe: (The formula described must satisfy the definitely determinable requirement under Treas. Reg. §1.401-1(b). If the formula is non-uniform, it is not a design-based safe harbor for nondiscrimination purposes.) |
(1) | [ ] No offset. Not reduce the Participant's Employer Contribution allocation by the amount of the Prevailing Wage Contribution. |
(2) | [ ] Offset. Reduce the Participant's Employer Contribution allocation by the amount of the Prevailing Wage Contribution. |
(d) | [ ] Related and Participating Employers. If any Related and Participating Employers (or in the case of a Multiple Employer Plan, Participating Employers regardless of whether they are Related Employers) contribute Nonelective Contributions to the Plan, the contribution formula(s) (Choose one of (1) or (2).): |
(1) | [ ] All the same. Is (are) the same as for the Signatory Employer under this Election 27. |
(2) | [ ] At least one different. Is (are) as follows: . |
(e) | [ ] Describe: (The formula described must satisfy the definitely determinable requirement under Treas. Reg. §1.401‑1(b). If the formula is non‑uniform, it is not a design‑based safe harbor for nondiscrimination purposes.) |
(b) | [ ] Permitted disparity. In accordance with the permitted disparity allocation provisions of Section 3.04(B)(2), under which the following permitted disparity formula and definition of "Excess Compensation" apply (Complete (1) and (2).): |
(1) | Formula (Choose one of a., b., or c.): |
a. | [ ] Two‑tiered. |
b. | [ ] Four‑tiered. |
c. | [ ] Two‑tiered, except that the four‑tiered formula will apply in any Plan Year for which the Plan is top‑heavy. |
(2) | Excess Compensation. For purposes of Section 3.04(B)(2), "Excess Compensation" means Compensation in excess of the integration level provided below (Choose one of a. or b.): |
a. | [ ] Percentage amount. % (not exceeding 100%) of the Taxable Wage Base in effect on the first day of the Plan Year, rounded to the next highest $ (not exceeding the Taxable Wage Base). |
b. | [ ] Dollar amount. The following amount: $ (not exceeding the Taxable Wage Base in effect on the first day of the Plan Year). |
(1) | Description of the classifications. [This is a nondesigned based safe harbor allocation method.] The classifications are (Choose one of a., b., or c.): |
a. | [ ] Each in own classification. Each Participant constitutes a separate classification. |
b. | [ ] NHCEs/HCEs. Nonhighly Compensated Employee/Participants and Highly Compensated Employee/Participants. |
c. | [ ] Describe the classifications: |
(2) | Allocation method within each classification. Allocate the Nonelective Contribution within each classification as follows (Choose one of a., b., or c.): |
a. | [ ] Pro rata. As a uniform percentage of Compensation of each Participant within the classification. |
b. | [ ] Flat dollar. The same dollar amount to each Participant within the classification. |
c. | [ ] Describe: (e.g., Allocate pro rata to NHCEs and flat dollar to HCEs.) |
(1) | Interest rate. (Choose one of a., b., or c.): |
(2) | Mortality table. (Choose one of a. or b.): |
a. | [ ] UP‑1984. See Appendix D. |
b. | [ ] Alternative: (Specify 1983 GAM, 1983 IAM, 1971 GAM or 1971 IAM and attach applicable tables using such mortality table and the specified interest rate as replacement Appendix D.) |
(f) | [ ] Uniform points. In accordance with the uniform points allocation provisions of Section 3.04(B)(6). Under the uniform points allocation formula, a Participant receives (Choose one or both of (1) and (2). Choose (3) if applicable.): |
(1) | [ ] Years of Service. point(s) for each Year of Service. The maximum number of Years of Service counted for points is . |
a. | [ ] Eligibility. Years of Service for eligibility in Election 16. |
b. | [ ] Vesting. Years of Service for vesting in Elections 43 and 44. |
(2) | [ ] Age. point(s) for each year of age attained during the Plan Year. |
(3) | [ ] Compensation. point(s) for each $ (not to exceed $200) increment of Plan Year Compensation. |
(1) | Allocation Method. (Choose one of a. or b.): |
a. | [X] All the same. Using the same allocation method as applies to the Signatory Employer under this Election 28. |
b. | [ ] At least one different. Under the following allocation method(s): . |
(2) | Allocation sharing. The Plan Administrator will allocate the Nonelective Contributions made by the Signatory Employer and by any Participating Employer (Choose one of a. or b.): |
a. | [ ] Employer by Employer. Only to the Participants directly employed by the contributing Employer. |
b. | [X] Across Employer lines. To all Participants regardless of which Employer directly employs them and regardless of whether their direct Employer made Nonelective Contributions for the Plan Year. |
(h) | [ ] Describe: (The formula described must satisfy the definitely determinable requirement under Treas. Reg. §1.401‑1(b). If the formula is non‑uniform, it is not a design‑based safe harbor for nondiscrimination purposes.) |
(a) | [X] Not applicable. There are no Plan‑Designated QNECs. |
(b) | [ ] Applies. There are Plan‑Designated QNECs to which the following provisions apply (Complete (1), (2), and (3).): |
(1) | Nonelective Contributions affected. The following Nonelective Contributions (as allocated to the designated allocation group under Election 29(b)(2)) are Plan‑Designated QNECs (Choose one of a. or b.): |
a. | [ ] All. All Nonelective Contributions. |
b. | [ ] Designated. Only the following Nonelective Contributions under Election 27: . |
(2) | Allocation Group. Subject to Section 3.06, allocate the Plan‑Designated QNEC (Choose one of a. or b.): |
a. | [ ] NHCEs only. Only to NHCEs under the method elected in Election 29(b)(3). |
b. | [ ] All Participants. To all Participants under the method elected in Election 29(b)(3). |
(3) | Allocation Method. The Plan Administrator will allocate a Plan‑Designated QNEC using the following method (Choose one of a., b., c., or d.): |
a. | [ ] Pro rata. |
b. | [ ] Flat dollar. |
d. | [ ] Describe: (The formula described must satisfy the definitely determinable requirement under Treas. Reg. §1.401‑1(b). If the formula is non‑uniform, it is not a design‑based safe harbor for nondiscrimination purposes.) |
(a) | [ ] Safe Harbor Nonelective Contribution (including QACA). The Safe Harbor Nonelective Contribution equals % of a Participant's Compensation [Note: The amount in the blank must be at least 3%. The Safe Harbor Nonelective Contribution applies toward (offsets) most other Employer Nonelective Contributions. See Section 3.05(E)(12).] |
(b) | [ ] Safe Harbor Nonelective Contribution (including QACA)/delayed year‑by‑year election (maybe and supplemental notices). In connection with the Employer's provision of the maybe notice under Section 3.05(I)(1), the Employer elects into safe harbor |
(1) | Time period. For purposes of this Election 30(c), "Compensation" and "Elective Deferrals" mean Compensation and Elective Deferrals for: . [Note: The Employer must complete the blank line with the applicable time period for computing the Basic Match, such as "each payroll period," "each calendar month," "each Plan Year quarter" or "the Plan Year."] |
(d) | [ ] QACA Basic Matching Contribution. A Matching Contribution equal to 100% of a Participant's Elective Deferrals not exceeding 1% of the Participant's Compensation, plus 50% of each Participant's Elective Deferrals in excess of 1% but not in excess of 6% of the Participant's Compensation. (Complete (1).): [Note: This election is available only if the Employer has elected the QACA automatic deferrals provisions under Election 21.] |
(1) | Time period. For purposes of this Election 30(d), "Compensation" and "Elective Deferrals" mean Compensation and Elective Deferrals for: . [Note: The Employer must complete the blank line with the applicable time period for computing the QACA Basic Match, such as "each payroll period," "each calendar month," "each Plan Year quarter" or "the Plan Year."] |
(1) | [ ] Uniform percentage. A Matching Contribution equal to % of each Participant's Elective Deferrals but not as to Elective Deferrals exceeding % of the Participant's Compensation. |
(2) | [ ] Tiered formula. A Matching Contribution equal to the specified matching rate for the corresponding level of each Participant's Elective Deferral percentage. A Participant's Elective Deferral percentage is equal to the Participant's Elective Deferrals divided by his/her Compensation. |
(3) | Time period. For purposes of this Election 30(e), "Compensation" and "Elective Deferrals" mean Compensation and Elective Deferrals for: . [Note: The Employer must complete the blank line with the applicable time period for computing the Enhanced Match, such as "each payroll period," "each calendar month," "each Plan Year quarter" or "the Plan Year."] |
(1) | [ ] Applies to all Participants. Applies to all Participants except as may be limited under Election 30(g). |
(2) | [ ] NHCEs only. Is limited to NHCE Participants only and may be limited further under Election 30(g). No HCE will receive a Safe Harbor Contribution allocation. |
(3) | [ ] NHCEs and designated HCEs. Is limited to NHCE Participants and to the following HCE Participants and may be limited further under Election 30(g): . |
(4) | [ ] Applies to all Participants except Collective Bargaining Employees. Notwithstanding Elections 30(f)(1), (2) or (3), the Safe Harbor Contributions are not allocated to Collective Bargaining (union) Employees and may be further limited under Election 30(g). |
(g) | [ ] Early Elective Deferrals/delay of Safe Harbor Contribution. The Employer may elect this Election 30(g) only if the Employer in Election 14 elects eligibility requirements for Elective Deferrals of less than age 21 and/or one Year of Service but elects age 21 and one Year of Service for Safe Harbor Matching or for Safe Harbor Nonelective Contributions. The Employer under this Election 30(g) applies the rules of Section 3.05(D) to limit the allocation of any Safe Harbor Contribution under Election 30 for a Plan Year to those Participants who the Plan Administrator in applying the OEE rule described in Section 4.06(C), treats as benefiting in the disaggregated plan covering the Includible Employees. |
(i) | Additional Matching Contributions. See Sections 1.35(G) and 3.05(F). (Choose one of (1) or (2).): |
(1) | [ ] No Additional Matching Contributions. The Employer will not make any Additional Matching Contributions to its safe harbor Plan. |
(2) | [ ] Additional Matching Contributions. The Employer will or may make the following Additional Matching Contributions to its safe harbor Plan. (Choose a., b., and c. as applicable.): |
a. | [ ] Fixed Additional Matching Contribution. The following Fixed Additional Matching Contribution (Choose (i) and (ii) as applicable and complete (iii) for any election.): |
(i) | [ ] Uniform percentage. A Matching Contribution equal to % of each Participant's Elective Deferrals but not as to Elective Deferrals exceeding % of the Participant's Compensation. |
(ii) | [ ] Tiered formula. A Matching Contribution equal to the specified matching rate for the corresponding level of each Participant's Elective Deferral percentage. A Participant's Elective Deferral percentage is equal to the Participant's Elective Deferrals divided by his/her Compensation. |
(iii) | Time period. For purposes of this Election 30(i)(2)a., "Compensation" and "Elective Deferrals" mean Compensation and Elective Deferrals for: . [Note: The Employer must complete the blank line with the applicable time period for computing the Additional Match, e.g., each payroll period, each calendar month, each Plan Year quarter OR the Plan Year. If the Employer elects a match under both (i) and (ii) and will apply a different time period to each match, the Employer may indicate as such in the blank line.] |
(i) | Time period. For purposes of this Election 30(i)(2)b., "Compensation" and "Elective Deferrals" mean Compensation and Elective Deferrals for: . [Note: The Employer must complete the blank line with the applicable time period for computing the Additional Discretionary Matching Contribution, e.g., each payroll period, each calendar month, each Plan Year quarter OR the Plan Year. If the Employer fails to specify a time period, the Employer is deemed to have elected to compute its Additional Matching Contribution based on the Plan Year.] |
c. | [ ] Describe Additional Matching Contribution formula and time period: (The formula described must satisfy the definitely determinable requirement under Treas. Reg. §1.401‑1(b) and, if the Employer elects to satisfy the ACP safe harbor under Election 38(a)(2)a., the formula must comply with Section 3.05(G).) |
(a) | [ ] No conditions. No allocation conditions apply to Matching Contributions, to Nonelective Contributions or to forfeitures. |
(7) | [ ] Describe conditions: (e.g., Last day of the Plan Year as to Nonelective Contributions for Participating Employer "A" Participants. No allocation conditions for Participating Employer "B" Participants.) |
(c) | [ ] Time period. Under Section 3.06(C), apply Elections 31(b)(4), (b)(6), or (b)(7) to the specified contributions/forfeitures based on each (Choose one or more of (1) through (5). Choose Contribution Type as applicable.): |
(5) | [ ] Describe time period: |
(1) | [ ] Do not apply. Do not apply elected allocation conditions to Matching Contributions, to Nonelective Contributions or to forfeitures. |
(2) | [X] Apply. Apply elected allocation conditions to Matching Contributions, to Nonelective Contributions and to forfeitures. |
(b) | [ ] Application/waiver as to Contribution Types events. If a Participant incurs a Severance from Employment, apply allocation conditions except such conditions are waived if Severance from Employment is on account of or following death, Disability or attainment of Normal Retirement Age or Early Retirement Age as specified, and as applied to the specified Contribution Types/forfeitures (Choose one or more of (1) through (4). Choose Contribution Type as applicable.): |
(1) | [X] Applies. Applies as follows (Choose one of a., b., or c.): |
b. | [ ] Nonelective. Applies only to Nonelective Contributions. |
c. | [ ] Match. Applies only to Matching Contributions. |
(b) | [X] Apply to Contributions. The Plan Administrator will allocate a Participant forfeiture attributable to all Contribution Types or attributable to all Nonelective Contributions or to all Matching Contributions as follows (Choose one or more of (1) through (6) and choose Contribution Type as applicable. Choose (5) only in conjunction with at least one other election.): |
(1) | [ ] Additional Nonelective. Allocate as additional Discretionary [ ] OR [ ] [ ] |
(2) | [ ] Additional Match. Allocate as additional Discretionary [ ] OR [ ] [ ] |
(3) | [ ] Reduce Nonelective. Apply to Nonelective Contribution. [ ] OR [ ] [ ] |
(4) | [X] Reduce Match. Apply to Matching Contribution. [X] OR [ ] [ ] |
(5) | [X] Plan expenses. Pay reasonable Plan expenses. [X] OR [ ] [ ] |
(6) | [ ] Describe: (must satisfy the definitely determinable requirement under Treas. Reg. §1.401-1(b) and be applied in a uniform and nondiscriminatory manner; e.g., Forfeitures attributable to transferred balances from Plan X are allocated only to former Plan X participants.) |
(a) | [X] Do not apply. |
(b) | [ ] Apply. (Complete (1), (2), (3), and if appropriate (4).): |
(1) | Participants affected. The Automatic Escalation applies to (Choose one of a., b., or c.): |
a. | [ ] All Deferring Participants. All Participants who have a Salary Reduction Agreement in effect to defer at least % of Compensation. |
b. | [ ] New Deferral Elections. All Participants who file a Salary Reduction Agreement after the effective date of this Election, or, as appropriate, any amendment thereto, to defer at least % of Compensation. |
c. | [ ] Describe affected Participants: |
(2) | Automatic Increases. (Choose one of a. or b.): |
a. | [ ] Automatic increase. The Participant’s Elective Deferrals will increase by % per year up to a maximum of % of Compensation unless the Participant has filed a Contrary Election after the effective date of this Election or, as appropriate, any amendment thereto. |
b. | [ ] Describe increase: |
(3) | Change Date. The Elective Deferrals will increase on the following day each Plan Year: |
a. | [ ] First day of the Plan Year. |
b. | [ ] Other: (must be a specified or definitely determinable date that occurs at least annually) |
(4) | First Year of Increase. The automatic escalation provision will apply to a participant beginning with the first Change Date after the Participant files a Salary Reduction Agreement (or, if sooner, the effective date of this Election, or, as appropriate, any amendment thereto), unless a. is selected below: |
a. | [ ] The escalation provision will apply as of the second Change Date thereafter. |
(a) | [X] Not Applicable. The Plan does not permit In‑Plan Roth Rollover Contributions. |
(b) | [ ] Applies. The Plan permits In‑Plan Roth Rollover Contributions. (Choose (1) if applicable.) |
(1) | [ ] Effective Date. (enter date not earlier than September 28, 2010; may be left blank if same as Plan or Restatement Effective Date). |
(a) | [ ] Additional limitations. The Plan permits Employee Contributions subject to the following limitations, if any, in addition to those already imposed under the Plan: |
(b) | [ ] Apply Matching Contribution. For each Plan Year, the Employer's Matching Contribution made as to Employee Contributions is: |
(a) | Type of IRA contribution. A Participant's Designated IRA Contributions will be (Choose one of (1), (2), or (3).): |
(1) | [ ] Traditional. |
(2) | [ ] Roth. |
(3) | [ ] Traditional/Roth. As the Participant elects at the time of contribution. |
(b) | Type of Account. A Participant's Designated IRA Contributions will be held in the following form of Account(s) (Choose one of (1), (2), or (3).): |
(1) | [ ] IRA. |
(2) | [ ] Individual Retirement Annuity. |
(3) | [ ] IRA/Individual Retirement Annuity. As the Participant elects at the time of contribution. |
(a) | [X] Nondiscrimination testing. (Choose one or more of (1), (2), and (3).): |
a. | [ ] Current Year Testing. |
b. | [X] Prior Year Testing. |
c. | [ ] Not applicable. The Plan does not permit Matching Contributions or Employee Contributions and the Plan Administrator will not recharacterize Elective Deferrals as Employee Contributions for testing. |
d. | [ ] Current Year Testing. |
e. | [X] Prior Year Testing. |
(2) | [ ] Safe Harbor Plan/No testing or ACP test only. (Choose one of a. or b.): |
a. | [ ] No testing. ADP test safe harbor applies and if applicable, ACP test safe harbor applies. |
b. | [ ] ACP test only. ADP test safe harbor applies, but Plan will perform ACP test as follows (Choose one of (i) or (ii).): |
(3) | [ ] Maybe notice (Election 30(b)). See Section 3.05(I). |
(1) | [ ] Top‑paid group election applies. |
(2) | [ ] Calendar year data election (fiscal year Plan only) applies. |
(a) | [X] Specific age. The date the Participant attains age 65 . [Note: The age may not exceed age 65.] |
(b) | [ ] Age/participation. The later of the date the Participant attains age or the anniversary of the first day of the Plan Year in which the Participant commenced participation in the Plan. [Note: The age may not exceed age 65 and the anniversary may not exceed the 5th.] |
(a) | [X] Not applicable. The Plan does not provide for an Early Retirement Age. |
(b) | [ ] Early Retirement Age. Early Retirement Age is the later of: (i) the date a Participant attains age ; (ii) the date a Participant reaches his/her anniversary of the first day of the Plan Year in which the Participant commenced participation in the Plan; or (iii) the date a Participant completes Years of Service. |
(1) | [ ] Eligibility. Years of Service for eligibility in Election 16. |
(2) | [ ] Vesting. Years of Service for vesting in Elections 43 and 44. |
(a) | [X] Applies. Apply 100% vesting. |
(b) | [ ] Not applicable. Do not apply 100% vesting. The Participant's vesting is in accordance with the applicable Plan vesting schedule. |
(c) | [ ] Limited application. Apply 100% vesting, but only if a Participant incurs a Severance from Employment as a result of (Choose one of (1) or (2).): |
(1) | [ ] Death. |
(2) | [ ] Disability. |
(a) | [ ] Immediate vesting. 100% Vested at all times in all Accounts. |
(a) | Year of Service. An Employee must complete at least 1,000 Hours of Service during a Vesting Computation Period to receive credit for a Year of Service under Article V. [Note: The number may not exceed 1,000. If left blank, the requirement is 1,000.] |
(b) | Vesting Computation Period. The Plan measures a Year of Service based on the following 12‑consecutive month period (Choose one of (1) or (2).): |
(1) | [X] Plan Year. |
(2) | [ ] Anniversary Year. |
(a) | [X] None. None other than as specified in Section 5.05(C)(1). |
(b) | [ ] Exclusions. The Plan excludes the following Years of Service for purposes of vesting (Choose one or more of (1) through (4).): |
(1) | [ ] Age 18. Any Year of Service before the Vesting Computation Period during which the Participant attained the age of 18. |
(2) | [ ] Prior to Plan establishment. Any Year of Service during the period the Employer did not maintain this Plan or a predecessor plan. |
(3) | [ ] Rule of Parity. Any Year of Service excluded under the rule of parity. See Plan Section 5.06(C). |
(4) | [ ] Additional exclusions. The following Years of Service: |
(a) | [ ] No Mandatory Distribution. The Plan will not make a Mandatory Distribution following Severance from Employment. |
(b) | [X] Mandatory Distribution. The Plan will make a Mandatory Distribution following Severance from Employment. (Complete (1) and (2). Choose (3) unless the Employer elects to limit Mandatory Distributions to $1,000 including Rollover Contributions under Elections 45(b)(1)b. and 45(b)(2)b.): |
(1) | Amount limit. As to a Participant who incurs a Severance from Employment and who will receive distribution before attaining the later of age 62 or Normal Retirement Age, the Mandatory Distribution maximum amount is equal to (Choose one of a., b., or c.): |
(3) | [X] Amount of Mandatory Distribution subject to Automatic Rollover. A Mandatory Distribution to a Participant before attaining the later of age 62 or Normal Retirement Age is subject to Automatic Rollover under Section 6.08(D) (Choose one of a. or b.): |
a. | [X] Only if exceeds $1,000. Only if the amount of the Mandatory Distribution exceeds $1,000, which for this purpose must include any Rollover Contributions Account. |
b. | [ ] Specify lesser amount. Only if the amount of the Mandatory Distribution is at least: $ (specify $1,000 or less), which for this purpose must include any Rollover Contributions Account. |
(c) | [ ] Required distribution at Normal Retirement Age. A severed Participant may not elect to delay distribution beyond the later of age 62 or Normal Retirement Age. |
(1) | [ ] Disability. If Severance from Employment is on account of Disability or if the Participant incurs a Disability following Severance from Employment. |
(2) | [ ] Hardship. If the Participant incurs a hardship under Section 6.07(B) following Severance from Employment. |
(a) | [ ] None. The Plan does not permit any In‑Service Distributions except as to any of the following (if applicable): (i) RMDs under Section 6.02; (ii) Protected Benefits; and (iii) Designated IRA Contributions. Also see Section 6.01(C)(4)(e) with regard to Rollover Contributions, Employee Contributions and DECs. |
(b) | [X] Permitted. In‑Service Distributions are permitted as follows from the designated Contribution Type Accounts (Choose one or more of (1) through (9).): |
(9) | [ ] Describe: |
(a) | [ ] Additional conditions. (Choose one or more of (1) through (3) as applicable.): |
b. | [ ] Other In‑Service. In‑Service distributions other than distributions based on hardship. |
(3) | [ ] Describe other conditions: |
(b) | [X] No other conditions. A Participant may elect to receive an In‑Service Distribution upon any Election 47(b) event without further condition, provided that the amount distributed may not exceed the Vested amount in the distributing Account. |
(b) | [ ] Installments only if Participant subject to lifetime RMDs. A Participant who is required to receive lifetime RMDs may receive installments payable in monthly, quarterly or annual installments equal to or exceeding the annual RMD amount. See Sections 6.02(A) and 6.03(A)(4)(a). |
(c) | [X] Installments. See Section 6.03(A)(4). |
(d) | [ ] Alternative Annuity: . See Section 6.03(A)(5). |
(f) | [ ] Describe distribution method(s): |
(a) | [ ] Immediate. As soon as practical following the Participant's death. |
(b) | [ ] Next Calendar Year. At such time as the Beneficiary may elect, but in any event on or before the last day of the calendar year which next follows the calendar year of the Participant's death. |
(c) | [X] As Beneficiary elects. At such time as the Beneficiary may elect, consistent with Section 6.02. |
(d) | [ ] Describe: |
(a) | [X] Profit sharing exception. Do not apply to an Exempt Participant, as described in Section 6.04(G)(1), but apply to any other Participants (or to a portion of their Account as described in Section 6.04(G)) (Complete (1).): |
(1) | One‑year marriage rule. Under Section 7.05(A)(3) relating to an Exempt Participant's Beneficiary designation under the profit sharing exception (Choose one of a. or b.): |
a. | [ ] Applies. The one‑year marriage rule applies. |
b. | [X] Does not apply. The one‑year marriage rule does not apply. |
(b) | [ ] Joint and survivor annuity applicable. Section 6.04 applies to all Participants (Complete (1).): |
(1) | One‑year marriage rule. Under Section 6.04(B) relating to the QPSA (Choose one of a. or b.): |
a. | [ ] Applies. The one‑year marriage rule applies. |
b. | [ ] Does not apply. The one‑year marriage rule does not apply. |
(a) | [X] Not applicable. The Plan is not a Multiple Employer Plan and Article XII does not apply. |
(b) | [ ] Applies. The Plan is a Multiple Employer Plan and the Article XII Effective Date is: . The Employer makes the following additional elections (Choose (1) if applicable.): |
(1) | [ ] Participating Employer may modify. See Section 12.03. A Participating Employer in the Participation Agreement may modify Adoption Agreement elections applicable to each Participating Employer (including electing to not apply Adoption Agreement elections) as follows (Choose one of a. or b. Choose c. if applicable.): |
a. | [ ] All. May modify all elections. |
b. | [ ] Specified elections. May modify the following elections: (specify by election number). |
c. | [ ] Restrictions. May modify subject to the following additional restrictions: (Specify restrictions. Any restrictions must be definitely determinable and may not violate Code §412 or the regulations thereunder.). |
(a) | [X] Not applicable. The Employer does not elect any Appendix A special Effective Dates. |
(b) | [ ] Trustee (1.67). The Trustee provisions under Election 5 or Appendix C are effective: . |
(c) | [ ] Contribution Types (1.12). The Contribution Types under Election(s) 6 are effective: . |
(d) | [ ] Excluded Employees (1.22(D)). The Excluded Employee provisions under Election(s) 8 are effective: |
(e) | [ ] Compensation (1.11). The Compensation definition under Election(s) (specify 9‑11 as applicable) are effective: |
(f) | [ ] Hour of Service/Elective Service Crediting (1.32/1.59(C)). The Hour of Service and/or elective Service crediting provisions under Election(s) (specify 12‑13 as applicable) are effective: . |
(g) | [ ] Eligibility (2.01‑2.03). The eligibility provisions under Election(s) (specify 14‑19 as applicable) are effective: |
(i) | [ ] Matching Contributions (3.03). The Matching Contribution provisions under Election(s) (specify 24‑26 as applicable) are effective: . |
(m) | [ ] Forfeitures (3.07). The forfeiture allocation provisions under Election(s) 33 are effective: |
(n) | [ ] Employee Contributions (3.09). The Employee Contribution provisions under Election(s) 36 are effective: |
(o) | [ ] Testing elections (4.06(B)). The testing elections under Election(s) 38 are effective: . |
(p) | [ ] Vesting (5.03). The vesting provisions under Election(s) (specify 39-44 as applicable) are effective: |
(q) | [ ] Distributions (6.01, 6.03 and 6.04). The distribution elections under Election(s) (specify 45-51 as applicable) are effective: . |
(r) | [ ] Earnings/Trust valuation (7.04(B)/8.02(C)(4)). The Earnings allocation and Trust valuation provisions under Election(s) (specify 52-53 as applicable) are effective: . |
(s) | [ ] Special Effective Date(s) for other elections (specify elections and dates): . |
(a) | [X] Not applicable. The Employer does not elect to override any basic plan provisions. |
(1) | [ ] W‑2 Compensation exclusion of paid/reimbursed moving expenses (1.11(B)(1)). W‑2 Compensation excludes amounts paid or reimbursed by the Employer for moving expenses incurred by an Employee, but only to the extent that, at the time of payment, it is reasonable to believe that the Employee may deduct these amounts under Code §217. |
(2) | [ ] Alternative (general) 415 Compensation (1.11(B)(4)). The Employer elects to apply the alternative (general) 415 definition of Compensation in lieu of simplified 415 Compensation. |
(3) | [ ] Inclusion of Deemed 125 Compensation (1.11(C)). Compensation under Section 1.11 includes Deemed 125 Compensation. |
(4) | [ ] Pre‑Regulatory inclusion of Post‑Severance Compensation (1.11(I) and 4.05(F)). Prior to the first Limitation Year beginning on or after July 1, 2007 (the Effective Date of the final 415 regulations), the Plan includes Post‑Severance Compensation within the meaning of Prop. Treas. Reg. §1.415(c)‑2(e) as described in Sections 1.11(I) and 4.05(F) as follows (Choose one or both of a. and b.): |
a. | [ ] Include for 415 testing. Include for 415 testing and for other testing which uses 415 Compensation. This provision applies effective as of (specify a date which is no earlier than January 1, 2005). |
b. | [ ] Include for allocations. Include for allocations as follows (specify affected Contribution Type(s) and any adjustments to Post‑Severance Compensation used for allocation): . |
a. | [ ] NHCEs only. Apply only to disabled NHCEs. |
b. | [ ] All Participants. Apply to all disabled Participants. The Employer will make Employer Contributions for such disabled Participants for: (specify a fixed or determinable period). |
(6) | [ ] Treatment of Differential Wage Payments (1.11(L)). In lieu of the provisions of Section 1.11(L), the Employer elects the following (Choose one or more of a., b., c., and d. as applicable.): |
a. | [ ] Effective date. The inclusion is effective for Plan Years beginning after (may not be earlier than December 31, 2008). |
a. | [ ] Inclusion of Leased Employees (1.22(B)). The Employer for purposes of the following Contribution Types, does not exclude Leased Employees: (specify Contribution Types). |
b. | [ ] Offset if contributions to leasing organization plan (1.22(B)(2)). The Employer will reduce allocations to this Plan for any Leased Employee to the extent that the leasing organization contributes to or provides benefits under a leasing organization plan to or for the Leased Employee and which are attributable to the Leased Employee's services for the Employer. The amount of the offset is as follows: |
(8) | [ ] Inclusion of Reclassified Employees (1.22(D)(3)). The Employer for purposes of the following Contribution Types, does not exclude Reclassified Employees (or the following categories of Reclassified Employees): (specify Contribution Types and/or categories of Reclassified Employees). |
(d) | [ ] Contribution/allocation (Article III) overrides. (Choose one or more of (1) through (9) as applicable.): |
a. | [ ] Treatment of Automatic Deferrals as Roth Deferrals (3.02(B)). The Employer elects to treat Automatic Deferrals as Roth Deferrals in lieu of treating Automatic Deferrals as Pre‑Tax Deferrals. |
b. | [ ] In‑Plan Roth Rollovers limited to In‑Service only (3.08(E)(2)(a)). Only Participants who are Employees may elect to make an In‑Plan Roth Rollover Contribution. |
c. | [ ] Vested In‑Plan Roth Rollovers (3.08(E)(2)(b)). Distributions related to In‑Plan Roth Rollovers may only be made from accounts which are fully Vested. |
d. | [ ] Source of In‑Plan Roth Rollover Contribution (3.08(E)(3)(b)). The Plan permits an In‑Plan Roth Rollover only from the following qualifying sources (Choose one or more.): |
(i) | [ ] Elective Deferrals |
(ii) | [ ] Matching Contributions (including any Safe Harbor Matching Contributions and Additional Matching Contributions) |
(iii) | [ ] Nonelective Contributions |
(iv) | [ ] QNECs (including any Safe Harbor Nonelective Contributions) |
(v) | [ ] Rollovers |
(vi) | [ ] Transfers |
(vii) | [ ] Other: (specify account(s) and conditions in a manner that is definitely determinable and not subject to Employer discretion) |
(2) | [ ] No offset of Safe Harbor Contributions to other allocations (3.05(E)(12)). Any Safe Harbor Nonelective Contributions allocated to a Participant's account will not be applied toward (offset) any allocation to the Participant of a non‑Safe Harbor Nonelective Contribution. |
a. | [ ] No pro‑ration. Will not pro‑rate Hours of Service in any short allocation period. |
b. | [ ] Pro‑ration based on months. Will pro‑rate any Hour of Service requirement based on the number of months in the short allocation period. |
(4) | [ ] Limited waiver of allocation conditions for rehired Participants (3.06(G)). The allocation conditions the Employer has elected in the Adoption Agreement do not apply to rehired Participants in the Plan Year they resume participation, as described in Section 3.06(G). |
(5) | [ ] Associated Match forfeiture timing (3.07(A)(1)(c)). Forfeiture of associated matching contributions occurs in the Testing Year. |
a. | [ ] 2007 Effective Date. The first day of the 2007 Plan Year. |
b. | [ ] Other Effective Date. (may not be earlier than the first day of the 2007 Plan Year). |
c. | [ ] No longer effective. The provisions no longer apply effective as of . |
a. | [ ] Months in each classification. Pro rata based on the number of months the Participant spent in each classification. |
b. | [ ] Days in each classification. Pro rata based on the number of days the Participant spent in each classification. |
c. | [ ] One classification only. The Employer in a nondiscriminatory manner will direct the Plan Administrator to place the Participant in only one classification for the entire Plan Year during which the shift occurs. |
(9) | [ ] Suspension (3.06(F)(3)). The Plan Administrator in applying Section 3.06(F) will (Choose one or more of a., b., and c. as applicable.): |
a. | [ ] Re‑order tiers. Apply the suspension tiers in Section 3.06(F)(2) in the following order: (specify order). |
b. | [ ] Hours of Service tie‑breaker. Apply the greatest Hours of Service as the tie‑breaker within a suspension tier in lieu of applying the lowest Compensation. |
c. | [ ] Additional/other tiers. Apply the following additional or other tiers: (specify suspension tiers and ordering). |
(1) | [ ] First few weeks rule for Code §415 testing Compensation (4.05(F)(1)). The Plan applies the first few weeks rule in Section 4.05(F)(1). |
(2) | [ ] Post‑Severance Compensation for Code §415 testing Compensation (4.05(F)). The Employer elects the following adjustments to Post-Severance Compensation for purposes of determining 415 testing Compensation (Choose one or more of a. through d.): |
a. | [ ] Exclude leave cash‑outs. See Section 1.11(I)(1)(b). |
b. | [ ] Exclude deferred compensation. See Section 1.11(I)(1)(c). |
c. | [ ] Include salary continuation for military service. See Section 1.11(I)(2). |
d. | [ ] Include salary continuation for disabled Participants. See Section 1.11(I)(3). (Choose one of (i) or (ii).): |
(i) | [ ] For Nonhighly Compensated Employees only. |
(ii) | [ ] For all Participants. In which case the salary continuation will continue for the following fixed or determinable period: . |
(1) | [ ] Application of non‑top‑heavy vesting and top‑heavy vesting (5.03(A)(2)). The Employer makes the following elections regarding the application of non‑top‑heavy vesting and top‑heavy vesting (Choose a., b., and c. as applicable.): |
a. | [ ] Election of non‑top‑heavy vesting. As to Plan Years where permitted and in such Plan Years when the Plan is not top‑heavy, the following vesting schedule(s) apply. See Section 5.03(B). (Choose one or more of (i), (ii), or (iii) as applicable and complete (iv) and (v).): |
(i) | [ ] 5‑year cliff. |
(ii) | [ ] 7‑year graded. |
(iii) | [ ] Modified non‑top‑heavy. A modified non‑top‑heavy schedule as follows: |
(iv) | Application to Contribution Types. Apply the elected non‑top‑heavy vesting schedule (Choose one of A. or B.): |
A. | [ ] All. To all Contribution Types subject to vesting (other than QACA Safe Harbor Contributions). |
B. | [ ] Describe application to affected Contribution Type(s): |
(v) | Application of top‑heavy and non‑top‑heavy schedules. (Choose one of A. or B.): |
A. | [ ] Apply top‑heavy schedule in all Plan Years once top‑heavy. |
B. | [ ] Apply top‑heavy schedule only in top‑heavy Plan Years. |
b. | [ ] Election to eliminate HOS requirement post‑EGTRRA or post‑PPA for top‑heavy vesting. The top‑heavy vesting schedule(s) apply (Choose one or both of (i) and (ii).): |
(i) | [ ] No post‑EGTRRA HOS requirement for Matching. To all Participants even if they do not have one Hour of Service in a Plan Year beginning after December 31, 2001. |
(ii) | [ ] No post‑PPA HOS requirement for affected other Employer Contributions. To all Participants even if they do not have one Hour of Service in a Plan Year beginning after December 31, 2006. |
(i) | [ ] Post‑EGTRRA Matching Contributions. Only to Regular Matching Contributions and Additional Matching Contributions made in Plan Years beginning after December 31, 2001 and to the associated Earnings. |
(ii) | [ ] Post‑PPA other Employer Contributions. Only to non‑Matching Contributions made in Plan Years beginning after December 31, 2006, and to the associated Earnings. |
(2) | [ ] Alternative "grossed‑up" vesting formula (5.03(C)(2)). The Employer elects the alternative vesting formula described in Section 5.03(C)(2). |
(3) | [ ] Source of Cash‑Out forfeiture restoration (5.04(B)(5)). To restore a Participant's Account Balance as described in Section 5.04(B)(5), the Plan Administrator, to the extent necessary, will allocate from the following source(s) and in the following order (Specify, in order, one or more of the following: Forfeitures, Earnings, and/or Employer Contribution): . |
(4) | [ ] Deemed Cash‑Out of 0% Vested Participant (5.04(C)). The deemed cash‑out rule of Section 5.04(C) does not apply to the Plan. |
(5) | [ ] Accounting for Cash‑Out repayment; Contribution Type (5.04(D)(2)). In lieu of the accounting described in Section 5.04(D)(2), the Plan Administrator will account for a Participant's Account Balance attributable to a Cash‑Out repayment (Choose one of a. or b.): |
a. | [ ] Nonelective rule. Under the nonelective rule. |
b. | [ ] Rollover rule. Under the rollover rule. |
(6) | [ ] One‑year hold‑out rule ‑ vesting (5.06(D)). The one‑year hold‑out Break in Service rule under Code §411(a)(6)(B) applies. |
(1) | [ ] Restriction on In‑Service Rollover Distributions (6.01(C)). A Participant shall be entitled to receive a distribution of Rollover Contributions, Employee Contributions and DECs (Choose one or more of a. through d. as applicable.): |
b. | [ ] Match. Under the same provisions which apply to Matching Contributions. |
c. | [ ] Nonelective. Under the same provisions which apply to Nonelective Contributions. |
d. | [ ] Other: |
a. | [ ] In‑Service Roth Rollover events. The Employer elects to permit In‑Service Distributions under the following conditions solely for purposes of making an In‑Plan Roth Rollover Contribution (Choose one or more of (i) through (iv); select (v) if applicable.): |
(i) | [ ] Age. The Participant has attained age . |
(ii) | [ ] Participation. The Participant has months of participation (specify minimum of 60 months). Section 6.01(C)(4)(a)(ii). |
(iii) | [ ] Seasoning. The amounts being distributed have accumulated in the Plan for at least years (at least 2). See Section 6.01(C)(4)(a)(i). |
(iv) | [ ] Other (describe): (must be definitely determinable and not subject to Employer discretion (e.g., age 50, but only with respect to Nonelective Contributions, and not Matching Contributions)) |
(v) | [ ] Distribution for withholding. A Participant may elect to have a portion of the amount that may be distributed as an In‑Plan Roth Rollover Contribution distributed solely for purposes of federal or state income tax withholding related to the In‑Plan Roth Rollover Contribution. |
b. | [ ] Minimum amount. The minimum amount that may be rolled over is (may not exceed $1,000). |
c. | [ ] No transfer of loans. Loans may not be distributed as part of an In‑Plan Roth Rollover Contribution. (if not selected, any loans may be transferred) |
a. | [ ] RMD overrides if Participant dies before DCD (6.02(B)(1)(e)). If the Participant dies before the DCD and the Beneficiary is a designated Beneficiary, the RMD distribution rules are modified as follows (Choose one of (i) through (iv).): |
(i) | [ ] Election of 5‑year rule. If a Designated Beneficiary does not make a timely election, the 5‑year rule applies in lieu of the Life Expectancy rule. |
(ii) | [ ] Life Expectancy rule. The Life Expectancy rule applies to the Designated Beneficiary. See Section 6.02(B)(1)(d). |
(iii) | [ ] 5‑year rule. The 5‑year rule applies to the Beneficiary. See Section 6.02(B)(1)(c). |
(iv) | [ ] Other: (Describe, e.g., the 5‑year rule applies to all Beneficiaries other than a surviving spouse Beneficiary.) |
b. | [ ] RBD definition (6.02(E)(7)(c)). In lieu of the RBD definition in Section 6.02(E)(7)(a) and (b), the Plan Administrator (Choose one of (i) or (ii).): |
(i) | [ ] SBJPA definition indefinitely. Indefinitely will apply the pre‑SBJPA RBD definition. |
(ii) | [ ] SBJPA definition to specified date. Will apply the pre‑SBJPA definition until (the stated date may not be earlier than January 1, 1997), and thereafter will apply the RBD definition in Sections 6.02(E)(7)(a) and (b). |
(i) | [ ] RMDs continued unless election. 2009 RMDs are continued as provided in Section 6.02(F)(2), unless a Participant or Beneficiary otherwise elects. |
(ii) | [ ] RMDs continued ‑ no election. 2009 RMDs are continued as provided in Section 6.02(F)(3), without regard to a waiver. No election is available to Participants or Beneficiaries. |
(iii) | [ ] Other: (Describe, e.g., the Plan suspended 2009 RMDs and did not offer an election or the Plan changed from one treatment of 2009 RMDs to another treatment during 2009.) |
(iv) | [ ] 2009 RMDs and Extended 2009 RMDs, both as defined in Section 6.02(F). |
(v) | [ ] 2009 RMDs, as defined in Section 6.02(F), but only if paid with an additional amount that is an Eligible Rollover Distribution without regard to Code §401(a)(9)(H). |
a. | [ ] Default Distribution Methods (6.03(B)(2)). If a Participant or Beneficiary does not make a timely election as to distribution method and timing the Plan Administrator will direct the Trustee to distribute using the following method and timing: (Describe, e.g., Installments sufficient to satisfy RMD beginning at the Required Beginning Date. The selected method and timing must not be discriminatory and must be an option the plan makes available to participants and/or beneficiaries.) |
b. | [ ] Beneficiary Distribution Methods (6.03(A)(2)). The Plan will distribute to the Beneficiary under the following distribution method(s). If more than one method is elected, the Beneficiary may choose the method of distribution: |
(i) | [ ] Lump‑Sum. See Section 6.03(A)(3). |
(ii) | [ ] Installments sufficient to satisfy RMD. See Section 6.03(A)(4)(a). |
(iii) | [ ] Ad‑Hoc sufficient to satisfy RMD. See Section 6.03(A)(6). |
(iv) | [ ] Other: (Describe, e.g., Lump‑Sum or Installments for surviving spouse Beneficiaries, Lump‑Sum only for all other Beneficiaries.) |
(5) | [ ] Annuity Distributions (6.04). (Choose one or both of a. and b. if applicable.): |
a. | [ ] Modification of QJSA (6.04(A)(3)). The Survivor Annuity percentage will be %. (Specify a percentage between 50% and 100%.) |
b. | [ ] Modification of QPSA (6.04(B)(2)). The QPSA percentage will be %. (Specify a percentage between 50% and 100%.) |
a. | [ ] Restriction on hardship source; grandfathering (6.07(E)). The hardship distribution limit includes grandfathered amounts. |
b. | [ ] Hardship acceleration. The existence of a hardship occurring after Separation from Service/Severance from Employment will be determined under the non‑safe harbor rules of Section 6.07(B). |
(8) | [ ] Beneficiary's hardship need (6.07(H)). Effective (Specify date not earlier than August 17, 2006), a Participant's hardship includes an immediate and heavy financial need of the Participant's primary Designated Beneficiary under the Plan, as described in Section 6.07(H). |
(9) | [ ] Non‑spouse beneficiary rollover not permitted before required (6.08(G)). For distributions after December 31, 2006, and before (Specify a date not later than January 1, 2010), the Plan does not permit a Designated Beneficiary other than the Participant's surviving spouse to elect to roll over a death benefit distribution. |
(1) | [ ] Contributions prior to accrual or precise determination (7.04(B)(5)(b)). The Plan Administrator will allocate Earnings described in Section 7.04(B)(5)(b) as follows (Choose one of a., b., or c.): |
a. | [ ] Treat as contribution. Treat the Earnings as an Employer Matching or Nonelective Contribution and allocate accordingly. |
b. | [ ] Balance forward. Allocate the Earnings using the balance forward method described in Section 7.04(B)(4)(b). |
c. | [ ] Weighted average. Allocate the Earnings on Matching Contributions using the weighted average method in a manner similar to the method described in Section 7.04(B)(4)(d). |
(2) | [ ] Automatic revocation of spousal designation (7.05(A)(1)). The automatic revocation of a spousal Beneficiary designation in the case of divorce does not apply. |
(3) | [ ] Limitation on frequency of Beneficiary designation changes (7.05(A)(4)). Except in the case of a Participant incurring a major life event, a period of at least must elapse between Beneficiary designation changes. (Specify a period of time, e.g., 90 days OR 12 months.) |
(4) | [ ] Definition of "spouse" (7.05(A)(5)). The following definition of "spouse" applies: (Specify a definition.) |
(5) | [ ] Administration of default provision; default Beneficiaries (7.05(C)). The following list of default Beneficiaries will apply: (Specify, in order, one or more Beneficiaries who will receive the interest of a deceased Participant.) |
(6) | [ ] Subsequent restoration of forfeiture‑sources and ordering (7.07(A)(3)). Restoration of forfeitures will come from the following sources, in the following order (Specify, in order, one or more of the following: Forfeitures, Employer Contribution, Trust Fund Earnings.) |
(7) | [ ] State law (7.10(H)). The law of the following state will apply: (Specify one of the 50 states or the District of Columbia, or other appropriate legal jurisdiction, such as a territory of the United States or an Indian tribal government.) |
(k) | [ ] Code Section 416 (Article XI) override (11.02(A)(1), 10.03(D)). Because of the required aggregation of multiple plans, to satisfy Code §416, the following overriding provisions apply: (Specify such language as necessary to satisfy §416, e.g., If an Employee participates in this Plan and another Plan the Employer maintains, the Employer will satisfy any Top-Heavy Minimum Allocation in this Plan and not the other plan.) |
(1) | [ ] No involuntary termination for Participating Employer (12.11). The Lead Employer may not involuntarily terminate the participation of any Participating Employer under Section 12.11. |
(a) | [ ] Investments. The Employer amends the Trust provisions relating to Trust investments as follows: |
(b) | [ ] Duties. The Employer amends the Trust provisions relating to Trustee (or Custodian) duties as follows: |
(c) | [ ] Other administrative provisions. The Employer amends the other administrative provisions of the Trust as follows: |
(1) | Accounts affected. (Choose a. or choose one or more of b. through f.): |
(2) | Restrictions on Participant direction (Choose one of a. or b.): |
a. | [X] None. Provided the investment does not result in a prohibited transaction, give rise to UBTI, create administrative problems or violate the Plan terms or Applicable Law. |
(3) | ERISA §404(c). (Choose one of a. or b.): |
(4) | QDIA (Qualified Default Investment Alternative). (Choose one of a. or b.): |
(1) | Who may roll over. (Choose one of a. or b.): |
a. | [X] Participants only. |
b. | [ ] Eligible Employees or Participants. |
(2) | Sources/Types. The Plan will accept a Rollover Contribution (Choose one of a. or b.): |
a. | [ ] All. From any Eligible Retirement Plan and as to all Contribution Types eligible to be rolled into this Plan. |
b. | [X] Limited. Only from the following types of Eligible Retirement Plans and/or as to the following Contribution Types: From any Eligible Retirement Plan, excluding Voluntary After-Tax contributions and IRA. . |
(a) | [ ] Employer pays all expenses except those intrinsic to Trust assets which the Plan will pay (e.g., brokerage commissions). |
(2) | [X] Name(s) of Related Employers: Western Hydro, LLC; 2M Company Inc.; Drillers Service Incorporated |
(2) | [X] Name(s) of Participating Employers: Western Hydro, LLC; 2M Company Inc.; Drillers Service Incorporated See SFC Election 76 for details. |
(2) | [ ] Applies. The Signatory Employer is the Lead Employer and at least one Participating Employer is not a Related Employer. (Complete a.) |
a. | Name(s) of Participating Employers (other than Related Employers described above): . See SFC Election 76 for details. |
(1) | [ ] To this Plan. |
(2) | [ ] To another Defined Contribution Plan: (plan name) |
(c) | [ ] If one or more Defined Benefit Plans. Make the Top‑Heavy Minimum Allocation or provide the top‑heavy minimum benefit (Choose one of (1), (2), or (3).): |
(1) | [ ] To this Plan. Increase the Top‑Heavy Minimum Allocation to 5%. |
(2) | [ ] To another Defined Contribution Plan. Increase the Top‑Heavy Minimum Allocation to 5% and provide under the: (name of other Defined Contribution Plan). |
(3) | [ ] To a Defined Benefit Plan. Provide the 2% top‑heavy minimum benefit under the: (name of Defined Benefit Plan) and applying the following interest rate and mortality assumptions: . |
(b) | [X] Applies. Protected Benefits have been eliminated as follows (Choose one or more of rows (1) through (4) as applicable. Choose one of columns (1), (2), or (3), and complete column (4).): |
(1) All Participants/ Accounts | (2) Post‑E.D. Contribution Accounts only | (3) Post‑E.D. Participants only | (4) Effective Date (E.D.) | |
(1) [ ] QJSA/QPSA distributions | [ ] | [ ] | [ ] | |
(2) [ ] Installment distributions | [ ] | [ ] | [ ] | |
(3) [ ] In‑kind distributions | [ ] | [ ] | [ ] |
(4) | [X] Specify: 2M Company Normal Retirment Age is Age 60 if hired prior to July 1, 2015. |