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  Attachment I for Application for Approval of Pre-approved Defined                                                      
  Contribution Plans (Revised 12/2017) 
                                                                                                                 
  Indicate the article or section and page number of the plan where the following       N/A  Article or Section  Change  For IRS Use 
  provisions are contained.  All questions must be answered.  If not applicable, check       and Page Number             Only 
  “N/A” column; otherwise complete the “Article or Section and Page  Number” 
  column.  Governmental and Non-electing church plans may not be subject to many 
  of the qualification requirements identified on this attachment.  If not applicable, 
  check “N/A” column. 

 Part I.  Provisions applicable to all plans                                                                     
                                                                                                                          
     a.   Definitions:                                                                                                   
  Where does the plan define the following terms- 

  (1)  Year of Service?                                                                                                  (1) 
  (2)  Break in Service?                                                                                                 (2) 
  (3)  Hour of service under Department of Labor Regulations, including                                                  
  service with all employers aggregated under sections 414(b), (c), (m), or (o), and                                     
  service of any individual considered an employee for purposes of this plan under                                       
  section 414(n) or (o)?                                                                                                 (3) 
  (4)  Elapsed time?                                                                                                     (4) 
  (5)  Plan year?                                                                                                        (5) 
  (6)  Compensation as defined in section 414(s) as limited by section                                                   (6) 
  401(a)(17)? 
  (7)  Earned income as defined in section 401(c)(2)?                                                                    (7) 
  (8)  Disability?                                                                                                       (8) 
  (9)  Employee as described in sections 414(b), (c), (m), (n), or (o)?                                                  (9) 
  (10)  Leased employee as described in section 414(n) or (o)?                                                           (10) 
  (11)  Highly compensated employee as defined in section 414(q)?                                                        (11) 
  (12)  Owner-Employee?                                                                                                  (12) 
  (13)  Self-employed individual?                                                                                        (13) 

  (14)  Normal retirement age?                                                                                           (14) 
  (15)  Benefiting?                                                                                                      (15) 
  (16)  Straight life annuity?                                                                                           (16) 
  b.   Minimum participation standards                                                                                   (17) 
  (1)  Are the requirements for participation under the plan determined without 
  regard to maximum age? 
  (2)   Will a new employee, otherwise eligible, participate on the earlier of the                                       (18) 
  first day of the first plan year after meeting the minimum age and 
  service requirements of section 410(a)(1) or 6 months after satisfying 
  such requirements? 
  (3)   Does the initial eligibility computation period begin with the date on                                           (19) 
  which the employee first performs an hour of service, and do 
  subsequent eligibility computation periods: (1) begin with the 
  anniversary of such date, or (2) shift to the plan year in accordance with 
  section 2530.202-2(b) of the Department of Labor regulations? 
  (4)   Is the computation period for determining a break in service the same                                            (20) 
  as is used to compute a year of service for eligibility after the initial 
  computation period? 
  (5)   If all years of service are not counted for participation purposes, is the                                       (21) 
  service not counted excludable under section 410(a)(5)(B), (C), or (D)? 
  (6)   Does this plan include the one-year hold-out rule?                                                               (22) 
  (7)   Will an employee otherwise eligible, who is in an ineligible class of                                            (23) 
  employees, immediately participate on becoming a member of an 
  eligible class? 



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                                                                                              N/A                                    Article or   Change  For IRS 
                                                                                                                                     Section and          Use Only 
                                                                                                                                     Page 
                                                                                                                                     Number 
  c.   Employer contributions:                                                                                                                            
  (1)  If this is a money purchase plan, are contributions on behalf of each                                                                              
  participant determined under a definite, uniform formula?                                                                                               (24) 
  (2)   If this is a profit-sharing plan, are contributions allocated under a                                                                             
  definite, uniform formula?                                                                                                                              (25) 
  (3)   If the plan contains a uniform points allocation formula, does the                                                                                
  formula meet the requirements of section 1.401(a)(4)-2(b)(3)(i)(A) of                                                                                   
  the Regulations?                                                                                                                                        (25A) 
  (4)   If this is a target benefit plan, answer (i) and (ii)                                                                                             
        (i.)  Does the plan include a target benefit with permitted disparity?                                                                            
        (ii.) Does the plan provide for the calculation of employer                                                                                       (26),(27) 
              contributions?                                                                                                                              (28) 
  (5)   Does the contribution or allocation formula provide for permitted                                                                                 
  disparity per section 401(l)?                                                                                                                           (29) 
  (6)  Does the plan continue to allocate contributions to participants without                                                                           
  reduction in the rate of allocations on account of the attainment of any                                                                                
  specified age?                                                                                                                                          (30) 
  (7)   Are annual additions limited as required by section 415?                                                                                          (31) 
  (8)   Does a participant’s account balance not include the value of any QLAC                                                                             
  for purposes of computing the minimum required distribution that must be 
  made to a participant or beneficiary in each distribution calendar year to                                                                              (32) 
  satisfy IRC 401(a)(9)?  
                                                                                                                                                           
  (9)   Does the plan require separate accounting for each employee’s                                                                                     
  accrued benefit?                                                                                                                                        (34) 
  d.    Employee contributions:                                                                                                                           
  (1)  If the plan permits: 
  (a)  Does the plan comply with section 401(m)?                                                                                                          (35) 
  (b)   Does the plan either provide for separate accounts for employer                                                                                   
        contributions and nondeductible employee contributions, or identify                                                                               
        what portion of an account balance is attributable to employer                                                                                    
        contributions and nondeductible employee contributions according                                                                                  
        to section 411(c)(2)?                                                                                                                             (36) 
  (c)   Are all employee contributions and earnings thereon nonforfeitable                                                                                
        at all times?                                                                                                                                     (37) 
  (2)   Does the plan prohibit deductible voluntary employee contributions for                                                                            
  a tax year beginning after 1986?                                                                                                                        (38) 
  (3)   If the plan permits deemed IRAs:                                                                                                                   
  (a)  Does the plan meet the applicable requirements of section 408 and                                                                                  
        408A of the Code and address every applicable point of the IRA                                                                                    
        LRMs?                                                                                                                                             (38A) 
 e.  Forfeiture provisions:                                                                                                                                
  (1) Are forfeitures used either to reduce employer contributions or to                                                                                  
  increase  benefits according to a definite uniform formula?                                                                                             (39) 
  (2) If participants may withdraw employee contributions or the earnings on                                                                              
  them,  may the withdrawal be made without forfeiting vested benefits                                                                                    
  based on  employer contributions?                                                                                                                       (40) 
  (3)  If  benefits  under  the  plan  are  forfeited  when  a  participant  or  beneficiary                                                              
  cannot  be located, does the plan provide for a reinstatement of the benefit                                                                            
  if a claim is  made?                                                                                                                                    (41) 
 f.    Distribution provisions:                                                                                                                            
  (1)  (a) If this is not a profit-sharing plan described in (6) below, does a married                                                                    
        participant receive a qualified joint and survivor annuity (QJSA) and                                                                             
        an  unmarried participant a life annuity?                                                                                                         (42) 
         (b)  Does the plan define spouse in accordance with Notice 2014-19 for                                                                           (42) 
        purposes of the survivor annuity requirements of section 401(a)(11) 
        and 417? 



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                                                                                       N/A Article or  Change For IRS Use 
                                                                                                              Only 
                                                                                           Section and 
                                                                                           Page Number 

       (c)  Is the participant given an opportunity to make a Qualified Election to                            
            waive the QJSA and to elect to receive a qualified optional survivor                               
            annuity  in a manner which satisfies section 417(a)(2) during an                                   
            election  period beginning no earlier than 180 days before the                                     
            annuity starting  date?                                                                            (42) 
  (2)  (a)   Does the plan provide that the spouse of a deceased participant                                   
            will  receive a qualified preretirement survivor annuity (QPSA) that                               
            requires  payments not less than the amount specified in section                                   
            417(c)(2) in the  event of death before the annuity starting date?                                 (42) 
       (b)   Is the participant given an opportunity to make a Qualified Election to                           
            waive the QPSA in a manner which satisfies section 417(a)(2) during                                
            the  election period beginning on the first day of the plan year in                                
            which the  participant attains 35 and ending on the date of the                                    (42) 
  (3)  Does the plan designate   or enable the employer to elect the percentage                                
       (not  less than 50% nor more than 100%) of the survivor annuity provided                                
       under the  QJSA?                                                                                        (42) 
  (4)  Does the plan define annuity starting date in a manner that satisfies Q                                 
       & A  10(b) of Regulations section 1.401(a)-20?                                                          (42) 
  (5)  (a)  Does the plan provide for a written explanation of the QJSA in a                                   
            manner  which satisfies section 417(a)(3)(A)?                                                      (42) 
       (b)  Does the plan provide for a written explanation of the QPSA in a                                   
            manner which satisfies section 417(a)(3)(B)?                                                       (42) 
  (6)  If this is a profit-sharing plan which does not offer a life annuity form of                            
       payment, does the plan satisfy the conditions described in Q & A 3 of                                   
       section 1.401(a)-20 of the Regulations, including the requirement that the                              
       value of  the participant’s vested account balance on the date of death be                              
       paid in full to  the surviving spouse?                                                                  (42) 
   (7)  If the plan permits distributions prior to 5 consecutive 1-year breaks in                              
       service  (upon termination of employment, hardship distributions, change to                             
       an ineligible  class, etc.), does the plan contain either (A) cashout, buy-                             
       back, or (B) separate  account provisions required under section 1.411(a)-                              
       7(d)(4) and (5) of the Regulations?                                                                     (43) 
  (8)  If the vested account balance is greater than $5,000, is consent of the                                 
       participant and spouse (if applicable) required when benefits are                                       
       immediately  distributable within the meaning of section 1.411(a)-11 of                                 (44) 
  (9)  If the plan is a money purchase pension plan (including a target benefit                                
       plan),  may distributions be made only upon the participant’s attainment of                             
       age 62, or,  if earlier, separation from employment, attainment of normal                               (44A) 
       retirement age,  death, or disability, or termination of the plan?                                      
 (10)  Do benefits underth  the plan begin, unless otherwise elected in writing, no                                  
       later  than the 60 day after the latest of the close of the plan year in                                
       which: (i) the                                                                                          (45) 
       participantthattains the earlier of age 65 or the plan’s normal retirement age,                         
       (ii)  the 10 anniversary of the year in which the participant began                                     
       participation                                                                                           
                                                                                                                



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                                                                                         N/A  Article or   Change  For IRS 
                                                                                              Section and          Use Only 
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 (11)  If the plan contains an early retirement provision which requires or could                                  
  require both a minimum age and service for eligibility, does a participant who                                   (46) 
  meets the service requirement but separates from service before meeting the                                      
  age requirement begin to receive benefits (unless otherwise elected) upon                                        
  meeting the age requirement?                                                                                     
 (12) Are annuity contracts nontransferable when distributed?                                                      (47)   

 (13)  Does the plan provide that the terms of any annuity contract purchased and                                  (48) 
  distributed by the plan to a participant or spouse shall comply with the 
  requirements of the plan? 
 (14)  Does the plan require, in accordance with section 401(a)(9) that:                                           
  (a)  Distributions be made beginning not later than the required beginning                                       
  date?                                                                                                            (49) 
  (b)  Payment of the participant’s interest be made at least as rapidly as under                                  
  the method used prior to death, when the participant dies after                                                  
  distribution has started, using the participant’s remaining life expectancy                                      
  if there is no designated beneficiary and if there is a designated                                               
  beneficiary using the remaining life expectancy of either the participant or                                     
  the designated beneficiary, whichever is longer?                                                                 (49) 
  (c)  Payment of the participant’s interest be made either within 5 years of the                                  
  participant’s death or over the life expectancy method under either                                              
  sections 401(a)(9)(B)(iii) or (iv) when payment of the participant’s interest                                    
  has not begun prior to death?                                                                                    (49) 
  (d)  Distributions, if not made in a single sum, will satisfy minimum distribution                               
  rules of section 401(a)(9) and the regulations thereunder, including the                                         
  minimum distribution incidental benefit requirement of section                                                   
  1.401(a)(9)-6, Q&A-2 of the Regulations?                                                                         (49) 
  (e)  Does the plan define spouse in accordance with Notice 2014-19 for                                           (49) 
  purposes of the requirements of section 401(a)(9)? 
 (15)  Are optional forms of benefit:                                                                              

  (a)  Stated in the plan?                                                                                         (50) 
  (b)  Made available to employees in a manner that does not discriminate in                                       
  favor of highly compensated employees?                                                                           (50) 
  (c)  Not subject to employer discretion?                                                                         (50) 
 (16)    (a)  Does the plan provide for the direct rollover of an eligible rollover                                
  distribution  to an eligible retirement plan?                                                                    (51) 
  (b)  Does the plan provide for the automatic rollover of a mandatory                                             
  distribution over $1,000 to an individual retirement plan, unless the                                            
  participant elects otherwise?                                                                                    (51) 
  (c)  If provided in the adoption agreement, does the plan specify the types of                                   
  plans that it will accept rollovers from?                                                                        (51) 
 g.   Vesting provisions:                                                                                           
  (1)  Is a computation period for vesting purposes specified in the plan?                                         (52) 
  (2)  Is the computation period for determining a break in service the same as is                                 
  used to compute a year of service for vesting?                                                                   (52) 
  (3)  Does the plan provide that an employee will be fully vested on reaching                                     
  normal retirement age?                                                                                           (53) 
  (4)  If the plan contains vesting options, are they limited so that at all times they                            
  will provide a percentage of nonforfeitable rights which is not less than the                                    
  percentage that would be provided under one of the options under section                                         
  411(a)(2)?                                                                                                       (54) 
  (5)  If all years of service are not counted for vesting purposes, is the service not                            
  counted excludable under section 411(a)(4)?                                                                      (55) 
  (6)  If the plan contains the vesting break in service rules, does the plan comply                               
  with sections 411(a)(6)(B), (C), or (D), as applicable?                                                          (56, 57, 58) 



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                                                                                           N/A  Article or   Change  For IRS 
                                                                                                Section and          Use Only 
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  (7)  Does the participant who has at least 3 years of service have a reasonable                                    
  period of time after the adoption of an amendment which directly or indirectly                                     
  affects the calculation of his or her nonforfeitable percentage (including a                                       
  change to or from a top-heavy vesting schedule) to elect to have his or her                                        
  nonforfeitable percentage computed without regard to the amendment?                                                (59) 
  (8)  Does the plan provide protection against cutback of vested rights or rights to                                
  accrue benefits under sections 411(a)(10)(A) and 411(d)(6)?                                                        (60) 
 h.  Top-heavy:                                                                                                       
  (1)  If this plan is not designed to operate as if it were top-heavy at all times, does                            
  the plan define the following terms-                                                                               (61) 
  (a)  Key employee?                                                                                                 (61) 
  (b)  Top-heavy plan?                                                                                               (61) 
  (c)  Top-heavy ratio (as defined in section 416(g))?                                                               (61) 
  (d)  Permissive aggregation group?                                                                                 (61) 
  (e)  Required aggregation group?                                                                                   (61) 
  (f)  Determination date?                                                                                           (61) 
  (g)  Valuation date?                                                                                               (61) 
  (h)  Present value?                                                                                                (61) 
  (2)  Does the adoption agreement provide a section for the employer to specify the                                 
  interest rate and mortality table used in determining the top-heavy ratio                                          
  because of the required aggregation of multiple plans?                                                             (61) 
  (3)  Does the plan provide that for the purpose of determining the top-heavy ratio,                                
  the accrual rate used will be that used to accrue benefits under all defined                                       
  benefit plans of the employer, or where there is no such uniform rate, the                                         
  slowest accrual rate permitted under section 411(b)(1)(C)?                                                         (61) 
  (4)  Does the plan provide for a minimum contribution (determined without regard                                   
  to social security) for each non-key employee participant, who has not 
  separated from service at the end of the plan year, equal to the lesser of : (a) 
  3% of compensation, or (b) the highest contribution rate applicable to any key 
  employee, including minimum contributions for non-key employees who: 
  (a)  fail to complete 1,000 hours of service?                                                                      (62) 
  (b)  fail to make mandatory contributions, or in the case of a cash or                                             
  deferred arrangement, elective contributions to the plan?                                                          (62) 
  (5)  Does the plan prohibit forfeitures of required minimum contributions because of                               
  withdrawal of mandatory contributions described in section 411(a)(3)(B) or 411                                     
  (a)(3)(D)?                                                                                                         (63) 
   (6)   Does the plan provide for vesting not less favorable than the vesting described                             
  in section 416(b)?                                                                                                 (64) 
 i.  Death  benefits:                                                                                                
  (1)  If life insurance is provided, are premiums properly limited?                                                 (65) 
  (2)  If ordinary life insurance contracts are purchased, will such contracts be either                             
  converted to cash or an annuity contract at or before retirement, or distributed                                   
  to the participant?                                                                                                (66) 
  (3)  Are insurance contracts owned and held by the trustee or custodian, if                                        
  applicable, in accordance with the terms of the plan, including joint and                                          
  survivor annuity requirements, if any?                                                                             (67) 
 j.  Plan Asset Issues:                                                                                              
  (1)  Are assets valued at least annually, on a specified date, and at current fair                                 (68) 
  market value, if this requirement is contained in the plan? 



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                                                                                         N/A  Article or   Change For IRS 
                                                                                              Section and         Use Only 
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  (2)  If the plan, as adopted by an employer, is an “applicable defined contribution                             (70A) 
  plan” within the meaning of Treasury regulation 1.401(a)(35)-1(f), does the 
  plan  give participants (to the extent required by the regulations) the 
  opportunity to elect to diversify the portion of their accounts invested in 
  employer securities  and offer such participants at least three investment 
  options (other than  employer securities)? 
 k.    Amendment and termination:                                                                                 (71) 
  (1)  Is there a provision for the provider to amend the plan? 
  (2)  Is there a provision for the employer to amend the plan to  satisfy sections 415                           (72) 
  and 416 because of the required aggregation of multiple  plans? 
  (3)  Is there a provision for the employer to amend the plan to add certain model                               (72) 
  or  sample amendments that specifically provide that  their adoption will not 
  cause such plan to fail to be identical to the Pre-approved plan? 
  (4)  Is there are provision for the employer to add interim or discretionary                                     
  amendments that are related to a change in qualification requirements?  

  (5)  Are amounts credited to participants’ accounts nonforfeitable upon termination                             (73) 
  or partial termination of the plan? 
  (6)  Under a profit-sharing plan, are the employees’ rights under the plan                                      (74) 
  nonforfeitable upon complete discontinuance of contributions? 
  (7)  Does the plan provide that after merger or consolidation with, or transfer of                              (75) 
  assets or liabilities to any other plan, benefits on a termination basis will be no 
  less than before the merger, consolidation, or transfer? 
 l.  Miscellaneous plan provisions:                                                                               (76) 
  (1)  Does the plan prohibit the assignment or alienation of benefits except as 
  provided by sections 401(a)(13) and 414(p)? 
  (2)  Do loans to plan participants satisfy the requirements of section 4975(d)(1)                               (77) 
  and the joint and survivor requirements, if any? 

  (3)  Does the plan provide that corpus or income may not be diverted for purposes                               (78) 
  other than the exclusive benefit of employees or their beneficiaries? 
  (4)  If a nontrusteed plan, do insurance contracts provide for refunds or credits for                           (79) 
  the exclusive benefit of the participants? 
  (5)  Does the plan provide that if the employer’s plan does not attain or retain                                (80) 
  qualification, the employer can no longer participate under the plan? 
  (6)  Does the plan provide that in the event of any conflict between the terms                                  (81) 
  of the plan and any provision contained in any associated trust 
  document, custodial account document, or any other document 
  incorporated by reference, the terms of the plan will govern?  
  (7)  Does the plan provide that if the employer maintains a plan of a predecessor                               (83) 
  employer, service with the predecessor employer is counted as service with 
  the employer? 
  (8)  Does the adoption agreement contain the provider’s name,  address, and                                     (85) 
  telephone number for the purpose of answering employer’s  inquiries? 

  (9)  Does the adoption agreement contain a cautionary statement describing the                                  (85) 
  limitations on employer reliance on an opinion letter without a 
  determination letter and that the failure to properly fill out the adoption 
  agreement may result in disqualification of the plan? 
 (10)  Does the adoption agreement contain a statement which provides that the                                    (85) 
  provider will inform the adopting employer of any amendments made to the 
  plan or of the discontinuance or abandonment of the plan? 
 (11)  Does the adoption agreement contain an employer signature line?                                            (85) 
 (12)  Does the plan contain a provision that incorporates the requirements of                                    (86) 
  sections 414(u) and 401(a)(37) of the Code (USERRA)? 



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 (13)  If the plan may be adopted as a multiple employer plan within the meaning of                     (86A) 
 section 413(c), does the plan: 
 
 (i) include, as an addendum to the adoption agreement, a participation agreement, 
 to be signed by any employer that adopts the plan (other than the “lead” employer 
 that signs the adoption agreement), which provides that the participating employer 
 agrees to be bound by the terms of the plan and trust as adopted by the lead 
 employer, including any amendments thereto and any elections made by the lead 
 employer, except to the extent the participation agreement allows for, and the 
 participating employer makes, separate elections with respect to its employees; and 
 
 (ii) provide that for purposes of participation and vesting the adopting employer and 
 all participating employers are considered a single employer, and an employee’s 
 service includes all service with the adopting employer or any participating 
 employer? 
 Part II.  Complete This Part if you Are Filing for a Standardized Plan                                 

        With respect to this standardized plan:                                                          
 a.         Does the plan cover all employees (including individuals required to be                     (87) 
            considered employees according to section 414(n) or (o) and employees of 
            other members of groups aggregated under sections 414(b), (c), (m), or (o)) 
            other than employees who may be excluded under sections 410(a)(1) or 
            (b)(3)? 
        b.   Are the eligibility requirements not more favorable for highly                             (88) 
        compensated  employees as defined in section 414(q) than for other 
                                                                                                        (89) 
        c.  Does the contribution formula satisfy the safe harbor requirements of 
        section 1.401(a)(4)-2(b)(2) or section 1.401(a)(4)-8(b)(3) of the 
        Regulations? 
        d. Does the adoption agreement contain, in close proximity to the employer’s                    (90) 
        signature line, the circumstances under which the adopting employer may not 
        rely on the opinion letter (as set forth in section 5.08 of Rev. Proc. 2017-41), 
        including a statement that the employer, in order to obtain or retain reliance, 
        must obtain a determination letter if the employer ever has maintained any 
        other plan (including a welfare benefit plan)? 
        e.  Does the plan prohibit adopting employers from amending  other than elective                (72) 
provisions (except to the extent necessary to satisfy  section 415 and 416 because of 
the required aggregation of multiple plans,  and other amendments as permitted by 
section 5.05 of Rev. Proc. 2017-41) unless the employer wants to cease participation in 
the plan? 

 Part III.  Complete This Part if you Are Filing for a                                                   
 Nonstandardized Plan 

   With respect to this nonstandardized plan:                                                            
 a. Does the plan meet the minimum age and service requirements of section                              (91) 
        410(a)(1)? 
 b. Does the adoption agreement contain, in close proximity to the employer’s                           (92) 
        signature line, the circumstances under which adopting employers may not rely 
        on an opinion letter issued by EP Rulings and Agreements, with respect to the 
        qualification of the plan unless they apply to EP Determinations for a 
        determination letter? 
 c. Does the plan give the employer the option to select total compensation?                            (93) 
 d. If the plan contains language that allows adopting employers to adopt an                            (94) 
        allocation formula designed to be cross-tested for nondiscrimination on the 
        basis of equivalent benefits under section 1.401(a)(4)-8 of the Regulations, 
        does the employer’s allocation formula meet the cross-testing rules? 
      e. Does the plan give the employer the option to select a design-based safe                        (95) 
 contribution/allocation formula and/or a uniform points allocation formula? 



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                                                                                           N/A  Article or Change For IRS Use 
 Part IV.  Complete This Part if you Are Filing for a Profit-Sharing/401(k) 
 Plan                                                                                       Section and           Only 
                                                                                            Page Number 
   With respect to this section 401(k) plan Cash or Deferred Arrangement (CODA):                                   
 a.  Are contributions pursuant to an election permitted before the related                                 
                                                                                                                   (I) 
     compensation is earned? 
 b.  Is an employee’s eligibility to make elective deferrals conditioned on no more                         
                                                                                                                   (II) 
      than one year of service or attainment of no more than age 21? 
 c.  Does the plan provide for a reasonable period during which participants may                            
                                                                                                                   (III) 
     once a year elect to commence elective deferrals? 
 d.  Are participants’ elective deferrals limited to the dollar limit in effect in section                  
                                                                                                                   (IV) 
     402(g)? 
 e.  Will elective deferrals be distributed no later than April 15 to any participant                       
                                                                                                                   (V) 
     who has excess elective deferrals for the preceding tax year? 
 f.  Do the elective deferrals meet the nondiscrimination test of section 401(k)(3)?                        
                                                                                                                   (VI) 
 g.  Does the plan provide for the distribution of excess contributions no later than                       
                                                                                                                   (VII) 
     12 months after the plan year, if such excess contributions were allocated to 
     the previous plan year? 
 h.  May a participant recharacterize an excess contribution?                                               
                                                                                                                   (VIII) 
 i.  Can the employer make matching contributions?                                                          
                                                                                                                   (IX) 
 j. Do matching contributions satisfy the minimum vesting requirements of section                           
                                                                                                                   (X) 
     411(a)(2)? 
 k.  Can the employer make qualified matching contributions?                                                
                                                                                                                   (XI) 
 l.  Do employee contributions and matching contributions meet the ACP test of                              
                                                                                                                   (XII) 
     section 401(m)? 
 m.  Are the excess aggregate contributions distributed or forfeited no later than 12                       
                                                                                                                   (XIII) 
     months after the plan year? 
 n.  May the employer make qualified non-elective contributions?                                            
                                                                                                                   (XIV) 
 o.  Are the participant’s rights to his or her accrued benefit derived from employee                              (XV) 
     contributions, qualified non-elective contributions, qualified matching 
     contributions, and elective deferrals nonforfeitable?  Proposed regulations 
     issued January 18, 2017 allow for employer contributions to qualify as qualified 
     non-elective contributions or qualified matching contributions if they satisfy the 
     nonforfeitability and distribution requirements at the time they are allocated to a 
     participant’s account, but need not meet these requirements when they are 
     contributed to the plan. 
 p.  Do distributions of elective deferrals, qualified non-elective contributions,                                 (XVI) 
     qualified matching contributions, and income allocable to each comply with 
     section 401(k)(2)(B)? 
 q.  Does the plan permit hardship distributions of elective deferrals?                                     
                                                                                                                   (XVII) 
 r.  Does the plan provide that elective deferrals are not taken into account to                            
                                                                                                                   (XVIII) 
     satisfy the minimum top-heavy contribution requirements? 
 s.  Does the plan contain section 401(k) SIMPLE provisions?                                                
                                                                                                                   (XIX) 
 t.  Does the plan contain section 401(k) safe harbor provisions?                                           
                                                                                                                   (XX) 
 u. Does the plan allow the employer to elect to provide a qualified automatic                              
                                                                                                                   (XX) 
 contribution arrangement? 
  v.  Does the plan allow the employer to elect to provide an eligible automatic                            
                                                                                                                   (XXI) 
     contribution arrangement? 
 






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