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                                                                                            Department of the Treasury
                                                                                            Internal Revenue Service
Instructions for Form 5310

(Rev. May 2023)
Application for Determination for Terminating Plan

Section references are to the Internal Revenue Code unless              2. Any income, expenses, gains and losses, and any 
otherwise noted.                                                          forfeitures of accounts of other participants that may 
                                                                          be allocated to the participant's account.
Future Developments                                            A defined benefit (DB) plan is any plan that is not a DC 
For the latest information about developments related to         plan.
Form 5310 and its instructions, such as legislation enacted 
after they were published, go to IRS.gov/Form5310.             Who May File
                                                               This form may be filed by any of the following:
What’s New                                                     Any plan sponsor or administrator of any pension, 
The form and the instructions have been updated to include       profit-sharing, or 403(b) plan (other than a 
403(b) plans.                                                    multi-employer plan covered under Pension Benefit 
                                                                 Guaranty Corporation insurance) may file this form to ask 
Note. Rev. Proc. 2023-4 contains the guidance under which        the IRS to make a determination on the plan's 
the determination letter (DL) program is administered. The       qualification status at the time of the plan's termination.
Rev. Proc. is updated annually and can be found in the 
Internal Revenue Bulletin (I.R.B.). The application should be   Use Form 5300, Application for Determination for 
filed under Rev. Proc. 2022-40, 2022-47 I.R.B. 487 (with       Employee Benefit Plan, instead of Form 5310 if the plan 
respect to individually designed plans), available at          sponsor or administrator is filing for a determination but will 
IRS.gov/irb/2022-47_IRB#RP-2022-40, or Part III of Rev.        continue to maintain the trust after termination.
Proc. 2016-37, 2016-29 I.R.B. 136 (with respect to 
                                                               Who May Not File
pre-approved plans), available at IRS.gov/irb/
2016-29_IRB#RP-2016-37     .                                   This form may not be filed for the following:
                                                               A multi-employer plan covered by PBGC insurance.
Review these documents before completing the                     A request on a determination on the plan's qualification 
                                                               
application.                                                     status for a partial termination.
Disclosure Request by Taxpayers                                A member of an affiliated service group (ASG). A plan 
                                                                 sponsor who is not certain if they are a member of an 
A taxpayer can authorize the IRS to disclose and discuss the     ASG should not file Form 5310.
taxpayer's return and/or return information with any person(s) 
the taxpayer designates in a written request. Use Form 2848,     Note.    In the above cases, use Form 5300 instead of 
Power of Attorney and Declaration of Representative, or          Form 5310.
Form 8821, Tax Information Authorization, for this purpose.    An application that is not filed in connection with the plan 
See Pub. 947, Practice Before the IRS and Power of               termination.
Attorney, for more information.
                                                                 Note.    An application is deemed to be filed in connection 
Public Inspection                                                with plan termination if it is filed no later than the later of 1 
Form 5310 is open to public inspection if there are more than    year from the effective date of termination or 1 year from 
25 plan participants. The total number of participants must be   the date on which the action terminating the plan is 
shown on line 4e. See the instructions for line 4e for a         adopted. The application cannot be filed later than 12 
definition of participant.                                       months from the date of distribution of substantially all 
                                                                 plan assets in connection with the termination of the plan.

General Instructions                                           How To File
                                                               As of April 16, 2021, the IRS requires that Form 5310 be 
Purpose of Form                                                completed and submitted through Pay.gov.
File Form 5310 to request a DL as to the qualified status 
(under section 401(a) or section 403(a)) of a pension,          To submit Form 5310, you must:
profit-sharing, or other deferred compensation plan upon 
                                                               1. Register for an account on Pay.gov,
plan termination.
                                                               2. Enter “5310” in the search box, select Form 5310, and
Type of Plan
                                                               3. Complete the form.
A deferred compensation plan under section 403(b).
A defined contribution (DC) plan is a plan that provides      Pay.gov can accommodate only one uploaded file. 
  an individual account for each participant and for benefits  Consolidate your attachments into a single PDF file, which 
  based only on:                                               cannot exceed 15MB. If your PDF file exceeds 15MB, 
                                                               remove any items over the limit and fax documents to 
  1. The amount contributed to the participant's account; 
                                                               844-255-4818. Be sure the Pay.gov tracking ID number is 
      and
                                                               listed on the fax coversheet along with the EIN, applicant 
                                                               name, and plan name. Size of fax should not exceed 150MB. 
                                                               You may split a large fax by sending separate smaller faxes. 

Apr 24, 2023                                             Cat. No. 49984R



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You may fax the Employee Plans Customer Service line at 
855-244-1311 if you want to confirm your fax or faxes have         Specific Instructions
been delivered.
                                                                   Line 1. Enter the name, address, and telephone number of 
How To Complete the Application                                    the plan sponsor/employer.
The application must be completed and digitally signed by             A plan sponsor means:
the employer, plan administrator, or authorized                     In the case of a plan that covers the employees of one 
representative. The signature must be accompanied by the              employer, the employer;
title or authority of the signer and the date.                      In the case of a plan sponsored by two or more entities 
                                                                      required to be combined under section 414(b), (c), or 
Note. Rev. Proc. 2023-4 publishes the guidance under                  (m), one of the members participating in the plan; or
which the DL program is administered. It is updated annually        In the case of a plan that covers the employees and/or 
and can be found in the I.R.B.                                        partner(s) of a partnership, the partnership.
What To File                                                       Note.  The name of the plan sponsor/employer should be the 
All applications must be accompanied by the following:             same name that is used when the Form 5500 series annual 
                                                                   return/report is filed for this plan, if applicable. The type of 
1. A completed Form 5310.                                          employer that can sponsor a 403(b) plan is defined in 
2. A copy of the plan's last DL, if applicable.                    Regulations section 1.403(b)-2(b)(8). Line 1a is limited to 70 
                                                                   characters.
3. A copy of the opinion or advisory letter for the 
pre-approved plan, and/or adoption agreement and all               Line 1f. Enter the 9-digit employer identification number 
required attachments and statements.                               (EIN) assigned to the plan sponsor/employer or the 
                                                                   organization sponsoring the 403(b) plan. For a 401(a) plan, 
4. A copy of all amendments made since the last                    this should be the same EIN that is used when the Form 
cumulative list listed on the last DL or plan document, if         5500 series annual return/report is filed for this plan, if 
applicable.                                                        applicable. For a multiple-employer plan, the EIN should be 
                                                                   the same EIN that is used by the participating employer when 
Note. For 403(b) plans, documents prior to the 2009                Form 5500 is filed by the employer.
calendar year will not be requested. See Notice 2009-3.
                                                                           Do not use a social security number or the EIN of the 
5. A copy of any compliance statement(s) or closing                   !    trust.
agreement(s) regarding this plan made after the last DL.           CAUTION
6. A statement explaining how the amendments affect or             Line 1i. Enter the two digits representing the month the 
change this plan or any other plan maintained by the               employer's tax year ends.
employer.
                                                                   Lines 1j through 1m.  If a foreign entity, follow the country's 
7. Copies of all records of actions taken to terminate the         practice for entering the name of the city or town, province/
plan.                                                              county, and the postal code.
8. Form 6088, Distributable Benefits From Employee                 Line 2. The contact person will receive copies of all 
Pension Benefit Plans, for all DB plans or underfunded             correspondence as authorized in a Form 2848 or Form 8821. 
DC plans.                                                          Either complete the contact's information on this line, or mark 
                                                                   the box and attach a completed Form 2848 or Form 8821.
Note. A multiple-employer plan must submit a Form 
6088 for each employer who has adopted the plan.                   Lines 2h through 2k.  If a foreign contact, follow the 
                                                                   country's practice for entering the name of the city or town, 
Note. If the plan does not have a DL for the preceding RAC,        province/county, and the postal code.
the plan sponsor must include with this application filing         Line 3a. This field is limited to 70 characters, including 
copies of interim and discretionary amendments adopted for         spaces. Fill in the name as it should appear on the DL to the 
the preceding cycle.                                               extent permitted. Keep in mind that “Employees” and “Trust” 
Note. A terminating plan generally does not have to be             are not necessary in the plan name and will be left off if 
restated. However, the Service has the discretion to request       space does not permit.
copies of any amendments during its review of a terminating        Line 3b. Enter the three-digit plan number. This should be 
plan. A plan that terminates after the effective date of a         the same number that is used when the Form 5500 annual 
change in law, but prior to the date that amendments are           series return/report is filed.
otherwise required, must be amended to comply with the 
                                                                   Line 3c. Plan month means the month in which the plan year 
applicable provisions of law from the date on which such 
                                                                   ends. Enter the two-digit month (MM).
provisions become effective with respect to the plan. The 
plan must be amended in connection with the plan                   Line 3e. Enter the total number of participants. A participant 
termination to comply with those provisions of law that            is:
become effective with respect to the plan or before the date 
                                                                   1. Any employee participating in the plan, including 
of plan termination, including any amendments made after 
                                                                      employees under a section 401(k) qualified cash or 
the date of termination that were required in order to obtain a 
                                                                      deferred arrangement or 403(b) plan who are eligible but 
favorable DL. See also the instructions to line 3f.
                                                                      do not make elective deferrals,
See Procedural Requirements Checklist of this form to 
                                                                   2. Retirees and other former employees who have a 
ensure that your package is complete before submitting it.
                                                                      nonforfeitable right to benefits under the plan, and

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3. The beneficiaries of a deceased employee who is                  A church plan (for which no special election under section 
     receiving or will in the future receive benefits under the     410(d) has been made) is ordinarily not subject to various 
     plan. Include one beneficiary for each deceased                qualification requirements. Section provisions that do not 
     employee regardless of the number of individuals               apply to a nonelecting church plan include section 410 
     receiving benefits.                                            (relating to minimum participation standards), section 411 
                                                                    (relating to minimum vesting standards), section 412 (relating 
Example.    Payment of a deceased employee's benefit to             to minimum funding standards for pension plans), and 
three children is considered a payment to one beneficiary.          section 4975 (relating to prohibited transactions). In addition, 
Line 3f and g. See Notice 2002-1, 2002-2 I.R.B. 283 (as             provisions relating to joint and survivor annuities, mergers 
amplified by Notice 2003-49, 2003-32 I.R.B. 294, and Notice         and consolidations, assignment or alienation of benefits, time 
2017-1, 2017-2 I.R.B. 367), for further details, including how      of benefit commencement, certain social security increases, 
to determine compensation.                                          withdrawals of employee contributions, and distributions after 
                                                                    plan termination, respectively, also do not apply.
Line 4b. An individually designed plan is eligible for the 
6-year remedial amendment cycle (RAC) if the employer that          Line 9. If “Yes,” attach a statement that provides the 
sponsors the plan and the sponsor of a pre-approved M&P or          following:
VS plan document jointly executed Form 8905, Certification 
                                                                    1. Name of plans involved,
of Intent To Adopt a Pre-approved Plan, before the end of the 
plan's 5-year RAC. An individually designed plan is also            2. Type of plan,
eligible for the 6-year cycle under certain other 
circumstances set forth in section 17 of Rev. Proc. 2007-44.        3. Date of merger, consolidation, spinoff, or a transfer of 
                                                                    plan assets or liabilities, and
Line 5. Attach copies of records of all actions taken to 
terminate the plan, such as board of directors’ resolutions,        4. Verification that each plan involved was qualified at the 
etc.                                                                time of the merger, consolidation, spinoff, or a transfer of 
                                                                    plan assets or liabilities.
Line 5b(1). Check “No” only if there will be no reversion of 
plan assets to the employer.                                        Note.     Verification includes a copy of a prior DL, if any, 
Line 6a. A Pension Equity Plan (PEP) is a DB plan which,            the appropriate opinion or advisory letter, and adoption 
rather than or in addition to expressing the accrued benefit as     agreement/plan document. Otherwise, provide a signed 
a life annuity commencing at normal retirement age, defines         and dated copy of the most recent restatement and any 
benefits for each employee as an amount equal to an                 subsequent amendments.
accumulated percentage of final pay. Benefits are generally         The plan and amendments submitted to verify the 
described as a percentage of final pay with the percentage          plan was qualified prior to the merger, consolidation, 
determined as the accumulation of percentage points or              spinoff, or a transfer of plan assets or liabilities are for 
lump-sum credits received for each year of service.                 information purposes only and will not be ruled on.
Generally, the accumulated percentage points or lump-sum            If applicable, file Form 5310-A, Notice of Plan Merger 
credits are multiplied by final average or career average           or Consolidation, Spinoff, or Transfer of Plan Assets or 
compensation to determine the lump-sum amount.                      Liabilities; Notice of Qualified Separate Lines of 
A cash balance plan is a DB plan which, rather than or in           Business, 30 days prior to the merger, consolidation, or 
addition to expressing the accrued benefit as a life annuity        transfer of assets or liabilities.
commencing at normal retirement age, defines benefits for 
each employee in terms more common to a DC plan, that is,           Note.     A termination/reestablishment transaction occurs 
as a single-sum distribution amount equal to the employee’s         when an employer terminates an overfunded DB plan, 
hypothetical account balance. Benefits consist of an                receives the excess assets, and then establishes a new 
accumulation of hypothetical allocation credits to an account       DB plan covering the active employee.
plus hypothetical accumulated interest credits on that 
                                                                    Line 10.  Check “Yes” and attach an explanation if the plan 
account.
                                                                    has any matter pending before:
Line 6b(2). If the plan’s normal retirement age is below 62, 
the employer (or trustees in the case of a multi-employer           1. The Internal Revenue Service (including the Voluntary 
plan) must submit a signed statement that this is a good faith      Compliance Program),
determination of the typical retirement age for the industry in     2. The Department of Labor,
which the covered workforce is employed. See Regulations 
section 1.401(a)-1. If this is a governmental plan, leave blank.    3. The Pension Benefit Guaranty Corporation (PBGC), or
Line 7. If “Yes,” complete only applicable sections of this         4. Any court (including bankruptcy court).
form. Governmental plans under section 414(d) are exempt            The attachment should include a contact person's name 
from certain qualification requirements and are deemed to           and telephone number and agency or court.
satisfy certain other qualification requirements under certain 
conditions. For example, the nondiscrimination rules,               Line 16.  If “Yes,” attach a statement identifying the plan 
minimum participation rules, top heavy rules, and minimum           sections that satisfy the safe harbor (including, if applicable, 
funding standards do not apply to governmental plans. In            permitted disparity requirements) and specify which of the 
addition, such plans meet the vesting rules if they meet the        following regulations is intended to be satisfied.
pre-ERISA vesting requirements.                                     1.401(a)(4)-2(b)(2) DC plan with uniform allocation 
Line 8. If a church plan has not made such an election,             formula.
complete only the portions of this form that apply.                 1.401(a)(4)-3(b)(3) unit credit DB plan.

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1.401(a)(4)-3(b)(4)(i)(C)(1) unit credit DB fractional rule              a. The amount(s) of any reversion(s),
plan.
                                                                         b. The date(s) of termination, and
1.401(a)(4)-3(b)(4)(i)(C)(2) flat benefit DB plan.
                                                                         c. The reason(s) for termination.
1.401(a)(4)-3(b)(5) insurance contract plan.
Line 17. If “Yes,” attach a separate statement providing the         Line 37. Enter the number that corresponds to the 403(b) 
name, EIN, and plan type of the other plan, and a copy of            eligible employer defined in Regulations Section 
pertinent plan provisions from the related plan regarding the        1.403(b)-2(b)(8):
offset.                                                              Enter 1 if the eligible employer is a tax-exempt organization 
Line 18. If this is a request for an individually designed plan      under 501(c)(3) including but not limited to a church defined 
that consists of a DB plan and a qualified cash or deferred          under 3121(w)(3)(A) or Qualified church-controlled 
arrangement, submit two Forms 5300 and two applicable                organizations under 3121(w)(3)(B).
user fees and provide an attachment with the plan sponsor/           Enter 2 if the eligible employer is a State, as defined by 
employer EIN and plan number of the other plan.                      Regulations Section 1.403(b)-2(b)(20), a political subdivision 
Line 19. Section 3001 of the Employee Retirement Income              of a State, or any agency or instrumentality of a State with 
Security Act (ERISA) requires the applicants subject to              respect to an employee performing services in a public 
section 410 to provide evidence that each employee who               school, as defined by Regulations Section 1.403(b)-2(b)(14).
qualifies as an interested party has been notified of the filing     Enter 3 if the eligible employer is the employer of a minister 
of the application. If “Yes” is checked, it means that each          described in section 414(e)(5)(A), but only with respect to the 
employee has been notified as required by Regulations                minister or a self-employed minister described in 414(e)(5)
section 1.7476-1. If this is a one-person plan or if this plan is    (A).
not subject to section 410, a copy of the notice is not required 
to be attached to this application. If “No” is checked or this       Line 38. Check “Yes” if the eligible employer is a 501(c)(3) 
line is blank, the application will be returned.                     organization that satisfies the requirements of section 
                                                                     3121(w)(3)(B).
Rules defining “interested parties” and the form of 
notification are in Regulations section 1.7476-1.                    Line 39. Check “Yes” if the church-controlled organization is 
                                                                     a non-QCCO as defined in section 414(c)(2)(B).
Line 20. If the plan involves a section 401(h) feature, 
reference the feature in the cover letter and note that this         Note: A “Yes” answer means the plan is maintained by a 
feature is part of the termination application. The cover letter     church-controlled tax-exempt organization under 501(c)(3) 
must specifically state the location of plan provisions that         that is not a qualified church-controlled organization.
relate to the section 401(h) feature.
                                                                     Line 40. Check “Yes” if the plan is a church plan under 
Line 21. If the plan has been restated to change the type of         section 414(e) that hasn't made a section 410(d) election.
plan under Regulations section 1.401-1, check “Yes” and 
attach a statement explaining the change.                            Line 41. Check “Yes” if this plan allows for employee 
                                                                     after-tax contributions.
Line 22. The accrued benefits of a plan participant may not 
be reduced on plan termination. A plan amendment                     Line 42. Check “Yes” if this plan offers elective deferrals.
(including an amendment terminating a plan) that effectively         Line 43. Check “Yes” if this plan offers matching 
eliminates or reduces an early retirement benefit or a               contributions.
retirement type subsidy for benefits attributable to 
pre-amendment service is treated as reducing the accrued             Line 44. Check “Yes” if this plan allows for non-elective 
benefit of a participant if subsequent to termination the            employer contributions other than matching contributions.
participant could satisfy the conditions necessary to receive        Line 45. Check “Yes” if this plan sponsor has less than 
such benefits. See section 411(d)(6), Regulations section            1,000 employees.
1.411(d)-3, and Rev. Rul. 85-6, 1985-1 C.B. 133.
                                                                     Line 46. Check “Yes” if this plan is sponsored by an 
Line 23. This question applies to single employer DB plans           educational organization as defined in section 170(b)(1)(A) in 
that must comply with section 436. Skip to line 26 if this does      which the employee contributions were contributed to a 
not apply. A DB plan must attach copies of the Adjusted              credit union described in section 501(c)(14) that maintains 
Funding Target Attainment Percentage (AFTAP)                         separate nonforfeitable special share accounts for each 
certification(s) and the Schedule SB (Form 5500),                    employee. A plan established on or before May 17, 1982 has 
Single-Employer Defined Benefit Plan Actuarial Information,          grandfathered status for accounts administered by the credit 
for the year of termination and the prior two years. Also, see       union but no employee first covered by the plan after May 17, 
Notice 2012-46, 2012-30 I.R.B. 86 for additional information         1982 is covered by Revenue Ruling 82-102, 1982-1 C.B. 62. 
concerning notice requirements of ERISA 101(j).                      A “Yes” answer is also required if the submitted plan was 
Line 28. If the answer to this item is “Yes,” attach a list that     established by a church-related organization and was a 
includes the:                                                        defined benefit plan effective September 3, 1982 when 
                                                                     403(b) treatment was established.
1. Name(s) of the plan sponsor(s),
                                                                     Line 47. Check “Yes” if distributions of all accounts have 
2. Employer or sponsor(s) EIN(s),                                    been made as either (1) delivery of a fully paid (individual) 
3. Administrator's identification number(s),                         annuity contract, (2) delivery of a certificate of fully paid 
                                                                     benefits under a group annuity contract, or (3) distributions in 
4. Plan number(s),                                                   cash or in kind of the investments held in section 403(b)(7) 
5. An explanation of the transaction(s) including:                   custodial accounts.

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Line 48. Check “Yes” if the plan administrator will distribute         Include and clearly identify all liabilities (other than 
to an individual custodial account in-kind per Rev. Rul.            liabilities for benefit payments due after the date of plan 
2020-23, 2020-47 I.R.B. 1028 if the participants or                 termination) that are unpaid as of the proposed termination 
beneficiary does not elect a distribution.                          date or that are paid or payable from plan assets after the 
                                                                    proposed date of plan termination under the provisions of the 
Line 49. Check “Yes” if all participants are fully vested in        plan.
accordance with 1.403(b)-10(a). To the extent a contract fails 
                                                                       Liabilities include expenses, fees, other administrative 
to satisfy the nonforfeitability requirement of 1.403(b)-3(a)(2) 
                                                                    costs, and benefit payments due and not paid before the 
as of the date of plan termination, the contract is not, and 
                                                                    proposed termination date or latest valuation date.
cannot later become, a 403(b) contract.
                                                                    Line 59c(4). Include investment securities issued by a 
Line 50. Check “Yes” to attest that the employer satisfies the 
                                                                    corporate entity at a stated interest rate repayable on a 
applicable termination requirements provided in Regulations 
                                                                    particular future date such as most bonds, debentures, 
section 1.403(b)-10(a).
                                                                    convertible debentures, commercial paper, and zero coupon 
Line 51. Check “Yes” if a plan-to-plan transfer has occurred        bonds. Do not include debt securities of governmental units 
as defined under 1.403(b)-10(b).                                    or municipalities.
Line 52.                                                            Line 59c(7)(A).   Include the current value of real property 
1. A custodial account is defined in 1.403(b)-8(d)(2) as a          owned by the plan which produces income from rentals, etc. 
                                                                    Do not include this property on line 21e (building equipment, 
plan, or separate account under a plan, in which an 
                                                                    and other property used in plan operations).
amount attributable to section 403(b) contributions (or 
amounts rolled into a section 403(b) contract, as                   Line 59c(9) and (10). Attach a list of outstanding loans from 
described in 1.403(b)-10(d) is held by a bank or a person           the plan. Include the following information:
who satisfies the conditions in section 401(f)(2) if the 
                                                                    1. Signed and dated loan agreement.
conditions in 1.403(b)-8(d)(2)(i) through (iv) are satisfied.
                                                                    2. Dollar amount of each loan(s).
2. Individual annuity contracts are annuity contracts 
defined in 1.403(b)-8(c).                                           3. Date of loan.
3. A Group Annuity Contract is a single annuity contract            4. Balance of the loan at the date of termination.
which separately accounts for the assets at the 
participant level.                                                  5. Account balance prior to the date of the loan.
4. A retirement income account is a defined contribution            6. Identify all disqualified persons as described by section 
sponsored or maintained by a church, or a                              4975(e).
church-related organization, pursuant to a plan defined             7. Amortization.
in Regulations Section 1.403(b)-9(a).
                                                                    8. Repayment Schedule.
Line 53. If “adverse business conditions” is checked as the 
reason for termination, attach an explanation detailing the         Line 59c(12). Include allocated and unallocated contracts 
conditions that require termination of the plan.                    including plan-owned life insurance.
Line 55a. A dropped participant means any participant who           Line 59i. “Acquisition indebtedness” for debt-financed 
has terminated employment even if their benefits have not           property other than real property, means the outstanding 
been distributed.                                                   amount of the principal debt incurred:
Enter the number of participants who separated from                 1. By the organization in acquiring or improving the 
vesting service with less than 100% vesting in their accrued           property,
benefit or account balance. If there is a 20% reduction in          2. Before the acquisition or improvement of the property if 
participants for any period, attach an explanation as to why           the debt was incurred only to acquire or improve the 
this would not constitute a partial termination.                       property, or
Line 56b. Regulations section 1.401(a)-20, Q&A-2 provides, 
                                                                    3. After the acquisition or improvement of the property if the 
in part, that the requirements of sections 401(a)(11) and 417 
                                                                       debt was incurred only to acquire or improve the 
apply to the payments under annuity contracts, not to the 
                                                                       property and was reasonably foreseeable at the time of 
distributions of annuity contracts.
                                                                       such acquisition or improvement. For more details, see 
Line 57b. Enter the amount of forfeitures for each of the plan         section 514(c).
years on the chart. If these forfeitures resulted from a cashout 
for a year not listed on line 19, attach a statement indicating     How To Get Forms,
the year of the cashout.
                                                                    Publications, and Assistance
Line 57c. Enter the amount of transfers and rollovers               Getting tax forms, instructions, and publications.          Go 
received from qualified plans (under section 401(a) and/or          to IRS.gov/Forms to view, download, or print all the forms, 
conduit IRAs) for each of the plan years entered. Submit            instructions, and publications you may need. Or, you can go 
proof that any rollovers or asset transfers received were from      to IRS.gov/OrderForms to place an order.
a qualified plan or IRA (for example, DL and timely interim 
                                                                    Getting answers to your tax questions.      If you have a 
amendments).
                                                                    tax question not answered by this publication, go to the IRS 
Line 59. Complete the statement showing the estimated fair          Interactive Tax Assistant page at IRS.gov/Help/ITA where 
market value of the plan assets and liabilities as of the           you can find topics by using the search feature or viewing the 
proposed date of termination or the latest valuation date.          categories listed

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For questions regarding this form, call Employee Plans 
Customer Service toll free at 877-829-5500.

Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue 
laws of the United States. Under sections 401, 403, 410, 411, 412, and 414 and their regulations, it is our legal right to ask for 
this information. Section 6109 requires you to provide your identifying number. You are not required to have your plan's 
qualification status determined by the IRS. However, if you want your plan's qualification status determined by the IRS, you are 
required to give us the information on this form. We need it to determine your plan's qualification status at the time of the plan's 
termination. Your failure to provide all of the information requested may prevent processing of this form. Providing false 
information may subject you to penalties. We may disclose this information to the Department of Justice for civil or criminal 
litigation, and to cities, states, the District of Columbia, and U.S. commonwealths or possessions for use in the administration of 
their tax laws. We may also disclose this information to federal and state agencies to enforce federal nontax criminal laws, or to 
federal law enforcement and intelligence agencies to combat terrorism.
You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless 
the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long 
as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return 
information are confidential, as required by section 6103.
The time needed to complete and file the forms listed below will vary depending on individual circumstances. The estimated 
average times are:

                                           Recordkeeping     Learning about the law or the Preparing, copying, 
                                                                           form            assembling, and 
                                                                                           sending the form to the 
                                                                                           IRS
Form 5310                                  57 hr., 9 min.             18 hr., 58 min.      20 hr., 44 min.
Form 6088                                  5 hr., 44 min.             1 hr., 12 min.       1 hr., 20 min.

Comments and suggestions. We welcome your comments about this publication and suggestions for future editions.
You can send us comments through IRS.gov/FormComments. Or, you can write to the Internal Revenue Service, Tax Forms 
and Publications, 1111 Constitution Ave. NW, IR-6526, Washington, DC 20224.
Although we can't respond individually to each comment received, we do appreciate your feedback and will consider your 
comments and suggestions as we revise our tax forms, instructions, and publications. Don’t send tax questions, tax returns, or 
payments to the above address.

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