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                                                                                             Department of the Treasury
                                                                                             Internal Revenue Service
Instructions for Form 5330

(Rev. December 2022)
Return of Excise Taxes Related to Employee Benefit Plans

Section references are to the Internal Revenue Code unless       1. A plan entity manager of a tax-exempt entity who 
otherwise noted.                                                 approves, or otherwise causes the entity to be party to, a 
                                                                 prohibited tax shelter transaction during the tax year and 
Future Developments                                              knows or has reason to know the transaction is a prohibited 
                                                                 tax shelter transaction under section 4965(a)(2).
For the latest information about developments related to         2. An employer liable for the tax under section 4971 for 
Form 5330 and its instructions, such as legislation enacted      failure to meet the minimum funding standards under
after they were published, go to IRS.gov/Form5330.               section 412.
                                                                 3. An employer liable for the tax under section 4971(f) for 
What’s New                                                       a failure to meet the liquidity requirement of section 430(j) (or 
                                                                 section 412(m)(5) as it existed prior to amendment by the 
New Schedule L.    Form 5330 has been updated to add a           Pension Protection Act of 2006 (PPA '06)), for plans with 
new Schedule L for a cooperative and small employer charity      delayed effective dates under PPA '06.
(CSEC) plan sponsor to report tax on failure to adopt a 
                                                                 4. An employer with respect to a multiemployer plan 
funding restoration plan if the plan is in funding restoration 
                                                                 liable for the tax under section 4971(g)(2) for failure to 
status for a plan year (section 4971(h)).
                                                                 comply with a funding improvement or rehabilitation plan 
                                                                 under section 432.
Reminders                                                        5. An employer with respect to a multiemployer plan 
Electronic filing. Electronic filing (e-filing) is available for liable for the tax under section 4971(g)(3) for failure to meet 
Form 5330. The IRS Modernized e-File (MeF) System is             the requirements for plans in endangered or critical status 
used to file through an IRS Authorized e-File Provider.          under section 432.
                                                                 6. A multiemployer plan sponsor liable for the tax under 
                                                                 section 4971(g)(4) for failure to adopt a rehabilitation plan 
General Instructions                                             within the time required under section 432.
Purpose of Form                                                  7. A CSEC plan sponsor liable for the tax under
                                                                 section 4971(h) for failure to adopt a funding restoration plan 
File Form 5330 to report the tax on:
                                                                 within the time required under section 433(j)(3).
A prohibited tax shelter transaction (section 4965(a)(2));
A minimum funding deficiency (section 4971(a) and (b));        8. An employer liable for the tax under section 4972 for 
A failure to pay liquidity shortfall (section 4971(f));        nondeductible contributions to qualified plans.
A failure to comply with a funding improvement or              9. An individual liable for the tax under section 4973(a)(3) 
rehabilitation plan (section 4971(g)(2));                        because an excess contribution to a section 403(b)(7)(A) 
A failure to meet requirements for plans in endangered or      custodial account was made for them and that excess has 
critical status (section 4971(g)(3));                            not been eliminated, as specified in sections 4973(c)(2)(A) 
A failure to adopt rehabilitation plan (section 4971(g)(4));   and (B).
A failure to adopt funding restoration plan                    10. A disqualified person liable for the tax under
(section 4971(h));                                               section 4975 for participating in a prohibited transaction 
Nondeductible contributions to qualified plans                 (other than a fiduciary acting only as such), or an individual or 
(section 4972);                                                  the individual’s beneficiary who engages in a prohibited 
Excess contributions to a section 403(b)(7)(A) custodial       transaction with respect to the individual’s retirement 
account (section 4973(a)(3));                                    account, unless section 408(e)(2)(A) or section 408(e)(4) 
A prohibited transaction (section 4975);                       applies, for each tax year or part of a tax year in the taxable 
A disqualified benefit provided by funded welfare plans        period applicable to such prohibited transaction.
(section 4976);
Excess fringe benefits (section 4977);                         11. An employer liable for the tax under section 4976 for 
Certain employee stock ownership plan (ESOP)                   maintaining a funded welfare benefit plan that provides a 
dispositions (section 4978);                                     disqualified benefit during any tax year.
Excess contributions to plans with cash or deferred            12. An employer who pays excess fringe benefits and has 
arrangements (section 4979);                                     elected to be taxed under section 4977 on such payments.
Certain prohibited allocations of qualified securities by an   13. An employer or worker-owned cooperative, as defined 
ESOP (section 4979A);                                            in section 1042(c)(2), that maintains an employee stock 
Reversions of qualified plan assets to employers               ownership plan (ESOP) that disposes of the qualified 
(section 4980); and                                              securities, as defined in section 1042(c)(1), within the 
A failure of an applicable plan reducing future benefit        specified 3-year period (see section 4978).
accruals to satisfy notice requirements (section 4980F).         14. An employer liable for the tax under section 4979 on 
                                                                 excess contributions to plans with a cash or deferred 
Who Must File
                                                                 arrangement, etc.
A Form 5330 must be filed by any of the following.

Dec 20, 2022                                              Cat. No. 11871X



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Table 1. Excise Tax Due Dates

IF the taxes are due under 
section . . .              THEN file Form 5330 by the . . .
                           15th day of the 5th month following the close of the entity manager's tax year during which the 
4965                       tax-exempt entity becomes a party to the transaction.
4971                       15th day of the 10th month after the last day of the plan year.
4971(f)                    15th day of the 10th month after the last day of the plan year.
4971(g)(2)                 15th day of the 10th month after the last day of the plan year.
4971(g)(3)                 15th day of the 10th month after the last day of the plan year.
4971(g)(4)                 15th day of the 10th month after the last day of the plan year.
4971(h)                    15th day of the 10th month after the last day of the plan year.
4972                       last day of the 7th month after the end of the tax year of the employer or other person who must file this 
                           return.
4973(a)(3)                 last day of the 7th month after the end of the tax year of the individual who must file this return.
4975                       last day of the 7th month after the end of the tax year of the employer or other person who must file this 
                           return.
4976                       last day of the 7th month after the end of the tax year of the employer or other person who must file this 
                           return.
4977                       last day of the 7th month after the end of the calendar year in which the excess fringe benefits were 
                           paid to your employees.
4978                       last day of the 7th month after the end of the tax year of the employer or other person who must file this 
                           return.
4979                       last day of the 15th month after the close of the plan year to which the excess contributions or excess 
                           aggregate contributions relate.
4979A                      last day of the 7th month after the end of the tax year of the employer or other person who must file this 
                           return.
4980                       last day of the month following the month in which the reversion occurred.
4980F                      last day of the month following the month in which the failure occurred.
If the filing due date falls on a Saturday, Sunday, or legal holiday, the return may be filed on the next business day.

  15. An employer or worker-owned cooperative that made                       instructions for Schedule C, line 2, columns (d) and (e), for a 
the written statement described in section 664(g)(1)(E) or                    definition of “taxable period.”
1042(b)(3)(B) and made an allocation prohibited under 
section 409(n) of qualified securities of an ESOP taxable                     When To File
under section 4979A; or, an employer or worker-owned                          File one Form 5330 to report all excise taxes with the same 
cooperative who made an allocation of S corporation stock of                  filing due date. However, if the taxes are from separate plans, 
an ESOP prohibited under section 409(p) taxable under                         file separate forms for each plan.
section 4979A.
                                                                              Generally, filing Form 5330 starts the statute of limitations 
  16. An employer who receives an employer reversion from                     running only with respect to the particular excise tax(es) 
a deferred compensation plan taxable under section 4980.                      reported on that Form 5330. However, statutes of limitations 
  17. An employer or multiemployer plan liable for the tax                    with respect to the prohibited transaction excise tax(es) are 
under section 4980F for failure to give notice of a significant               based on the filing of the applicable Form 5500, Annual 
reduction in the rate of future benefit accrual.                              Return/Report of Employee Benefit Plan.
  A Form 5330 and tax payment is required for any of the                      Use Table 1 to determine the due date of Form 5330.
following.
Each year any of the following under Who Must File,                         Extension. File Form 5558, Application for Extension of 
earlier, apply: (1), (2), (3), (5), (6), (7), (8), (9), (10), (11), (12),     Time To File Certain Employee Plan Returns, to request an 
(13), (14), or (16).                                                          extension of time to file. If approved, you may be granted an 
Each failure of an employer to make the required                            extension of up to 6 months after the normal due date of 
contribution to a multiemployer plan, as required by a funding                Form 5330.
improvement or rehabilitation plan under section 432.                                Form 5558 does not extend the time to pay your 
A reversion of plan assets from a qualified plan taxable                    !      taxes. See the instructions for Form 5558.
under section 4980.                                                           CAUTION
Each year or part of a year in the taxable period in which a 
prohibited transaction occurs under section 4975. See the 

                                                                          -2-                                          Instructions for Form 5330



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How To File                                                         paid, up to a maximum of 25% of the unpaid tax. The penalty 
                                                                    will not be imposed if you can show that the failure to pay on 
Electronic filing. An employer or an individual required to         time was due to reasonable cause.
file an excise tax return related to employee benefit plans can 
file Form 5330 electronically. All filers are encouraged to file      Interest and penalties for late filing and late payment will 
Form 5330 electronically because it is safe, easy to                be billed separately after the return is filed.
complete, and you have an immediate record that the return 
                                                                    Claim for Refund or Credit/Amended Return
was filed.
                                                                    File an amended Form 5330 for any of the following.
Paper forms for filing. Form 5330 can be filed on paper.            To claim a refund of overpaid taxes reportable on Form 
You can obtain the official IRS printed Form 5330 found on          5330.
the IRS website and download it to your computer to print           To receive a credit for overpaid taxes.
and sign before mailing to the address specified in these           To report additional taxes due within the same tax year of 
instructions. See Where To File below. You can complete             the filer if those taxes have the same due date as those 
paper Form 5330 by hand with pen or typewriter using only           previously reported. Check the box in item H of the Entity 
blue or black ink. Entries should not exceed the lines              Section and report the correct amount of taxes on 
provided on the form. You can find Form 5330 and its                Schedule A through L, as appropriate, and on Part I, lines 1 
instructions by visiting the IRS Internet website at IRS.gov/       through 16. See the instructions for Part II, lines 17 through 
FormsPubs.                                                          19.
Where To File                                                         If you file an amended return to claim a refund or credit, 
        File the paper Form 5330 at the following address:          the claim must state in detail the reasons for claiming the 
                                                                    refund. In order for the IRS to promptly consider your claim, 
        Department of the Treasury                                  you must provide the appropriate supporting evidence. See 
Internal Revenue Service Center                                     Regulations section 301.6402-2 for more details.
Ogden, UT 84201
                                                                    Specific Instructions
Private delivery services (PDSs).  You can use certain              Filer tax year. Enter the tax year of the employer, entity, or 
private delivery services (PDSs) designated by the IRS to           individual on whom the tax is imposed by using the plan year 
meet the “timely mailing as timely filing/paying” rule for tax      beginning and ending dates entered in Part I of Form 5500 or 
returns and payments. Go to IRS.gov/PDS for the current list        by using the tax year of the business return filed.
of designated services.
                                                                    Item A. Name and address of filer.   Enter the name and 
The PDS can tell you how to get written proof of the                address of the employer, individual, or other entity who is 
mailing date.                                                       liable for the tax.
For the IRS mailing address to use if you're using a PDS,             Include the suite, room, or other unit number after the 
go to IRS.gov/PDSstreetAddresses.                                   street number. If the post office does not deliver mail to the 
        Private delivery services cannot deliver items to P.O.      street address and you have a P.O. box, show the box 
                                                                    number instead of the street address.
!       boxes. You must use the U.S. Postal Service to mail 
CAUTION any item to an IRS P.O. box address.                          If the plan has a foreign address, enter the information in 
                                                                    the following order: city or town, state or province, country, 
Interest and Penalties                                              and ZIP or foreign postal code. Follow the country's practice 
                                                                    for entering the postal code. Do not abbreviate the country 
Interest. We are required by law to charge interest when            name.
you do not pay your liability on time. Generally, we calculate 
interest on any unpaid balance from the due date of your            Item B. Filer's identifying number.  Enter the filer's 
return (regardless of extensions of time to file) until you pay     identifying number in the appropriate section. The filer's 
the amount you owe in full, including accrued interest and          identifying number is either the filer's employer identification 
any penalty charges. Interest on some penalties accrues on          number (EIN) or the filer's social security number (SSN), but 
any unpaid balance from the date we notify you of the penalty       not both. The identifying number of an individual, other than a 
until it is paid in full. Interest on other penalties, such as      sole proprietor with an EIN, is the individual’s SSN. The 
failure to file a tax return, starts from the due date or           identifying number for all other filers is their EIN. The EIN is 
extended due date of the return. Interest rates are variable        the nine-digit number assigned to the plan sponsor/
and may change quarterly. (See section 6601.)                       employer, entity, or individual on whom the tax is imposed.
Penalty for late filing of return. If you do not file a return      Item C. Name of plan. Enter the formal name of the plan or 
by the due date, including extensions, you may have to pay a        enough information to identify the plan.
penalty of 5% of the unpaid tax for each month or part of a           This should be the same name indicated on the Form 
month the return is late, up to a maximum of 25% of the             5500 series return/report if that form is required to be filed for 
unpaid tax. The penalty will not be imposed if you can show         the plan.
that the failure to file on time was due to reasonable cause. If    Item D. Name and address of plan sponsor.          The term 
you file late, you may attach a statement to Form 5330              “plan sponsor” means:
explaining the reasonable cause.
                                                                      1. The employer, for an employee benefit plan 
Penalty for late payment of tax.   If you do not pay the tax        established or maintained by a single employer.
when due, you may have to pay a penalty of  /  of 1% of the 1 2
unpaid tax for each month or part of a month the tax is not           2. The employee organization, in the case of a plan of an 
                                                                    employee organization.

Instructions for Form 5330                                       -3-



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3. The association, committee, joint board of trustees, or            Generally, a disqualified benefit is any of the following.
other similar group of representatives of the parties who           Any post-retirement medical benefit or life insurance 
establish or maintain the plan, if the plan is established or       benefit provided for a key employee unless the benefit is 
maintained jointly by one or more employers and one or more         provided from a separate account established for the key 
employee organizations, or by two or more employers.                employee under section 419A(d).
                                                                    Any post-retirement medical benefit or life insurance 
Include the suite, room, or other unit number after the             benefit unless the plan meets the nondiscrimination 
street number. If the post office does not deliver mail to the      requirements of section 505(b) for those benefits.
street address and you have a P.O. box, show the box                  Any portion of the fund that reverts to the benefit of the 
                                                                    
number instead of the street address.                               employer.
If the plan has a foreign address, enter the information in 
the following order: city or town, state or province, and           Lines 5a and 5b.     Section 4978 imposes an excise tax on 
country. Follow the country's practice for entering the postal      the sale or transfer of securities acquired in a sale or qualified 
code. Do not abbreviate the country name.                           gratuitous transfer to which section 1042 or section 664(g) 
                                                                    applied, respectively, if the sale or transfer takes place within 
Item E. Plan sponsor's EIN. Enter the nine-digit EIN                3 years after the date of the acquisition of qualified securities, 
assigned to the plan sponsor. This should be the same               as defined in section 1042(c)(1) or a section 664(g) transfer.
number used to file the Form 5500 series return/report.               The tax is 10% of the amount realized on the disposition of 
Item F. Plan year ending.   “Plan year” means the calendar          the qualified securities if an ESOP or eligible worker-owned 
or fiscal year on which the records of the plan are kept. Enter     cooperative, as defined in section 1042(c)(2), disposes of the 
eight digits in month/date/year order. This number assists the      qualified securities within the 3-year period described above, 
IRS in properly identifying the plan and time period for which      and either of the following applies.
Form 5330 is being filed. For example, a plan year ending           The total number of shares held by that plan or 
March 31, 2021, should be shown as 03/31/2021.                      cooperative after the disposition is less than the total number 
                                                                    of employer securities held immediately after the sale; or
Item G. Plan number.  Enter the three-digit number that the 
employer or plan administrator assigned to the plan. This           Except to the extent provided in regulations, the value of 
                                                                    qualified securities held by the plan or cooperative after the 
three-digit number is used with the EIN entered on item B 
                                                                    disposition is less than 30% of the total value of all employer 
and is used by the IRS, the Department of Labor, and the 
                                                                    securities as of the disposition (60% of the total value of all 
Pension Benefit Guaranty Corporation as a unique 12-digit 
                                                                    employer securities in the case of any qualified employer 
number to identify the plan.
                                                                    securities acquired in a qualified gratuitous transfer to which 
        If the plan number is not provided, this will cause a       section 664(g) applied).
!       delay in processing your return.                              See section 4978(b)(2) for the limitation on the amount of 
CAUTION
                                                                    tax.
Item H. Amended return.     If you are filing an amended              The section 4978 tax must be paid by the employer or the 
Form 5330, check the box on this line, and see the                  eligible worker-owned cooperative that made the written 
instructions for Part II, lines 17 through 19. Also, see Claim      statement described in section 1042(b)(3)(B) on dispositions 
for Refund or Credit/Amended Return, earlier.                       that occurred during their tax year.
Filer's signature. To reduce the possibility of                       The section 4978 tax does not apply to a distribution of 
correspondence and penalties, please sign and date the              qualified securities or sale of such securities if any of the 
form. Also, enter a daytime phone number where you can be           following occurs.
reached.                                                            The death of the employee.
                                                                    The retirement of the employee after the employee has 
Preparer's signature. Anyone who prepares your return               reached age 59 / .1 2
and does not charge you should not sign your return. For              The disability of the employee (within the meaning of 
                                                                    
example, a regular full-time employee or your business              section 72(m)(7)).
partner who prepares the return should not sign.                      The separation of the employee from service for any 
                                                                    
Generally, anyone who is paid to prepare the return must            period that results in a 1-year break in service, as defined in 
sign the return in the space provided and fill in the Paid          section 411(a)(6)(A).
Preparer's Use Only area. See section 7701(a)(36)(B) for              For purposes of section 4978, an exchange of qualified 
exceptions.                                                         securities in a reorganization described in section 368(a)(1) 
In addition to signing and completing the required                  for stock of another corporation will not be treated as a 
information, the paid preparer must give a copy of the              disposition.
completed return to the taxpayer.
                                                                            For section 4978 excise taxes, the amount entered 
Note.  If Form 5330 is filed on paper, a paid preparer may                  on Part I, line 5a, is the amount realized on the 
sign original or amended returns by rubber stamp,                           disposition of qualified securities, multiplied by 10%. 
mechanical device, or computer software program.                    Also, check the appropriate box on line 5b.

Part I. Taxes                                                       Line 6. Section 4979A imposes a 50% excise tax on 
                                                                    allocated amounts involved in any of the following.
Line 4. Enter the total amount of the disqualified benefit 
                                                                      1. A prohibited allocation of qualified securities by any 
under section 4976. Section 4976 imposes an excise tax on 
                                                                    ESOP or eligible worker-owned cooperative.
employers who maintain a funded welfare benefit plan that 
provides a disqualified benefit during any tax year. The tax is       2. A prohibited allocation described in
100% of the disqualified benefit.                                   section 664(g)(5)(A). Section 664(g)(5)(A) prohibits any 
                                                                    portion of the assets of the ESOP attributable to securities 

                                                                -4-                                Instructions for Form 5330



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acquired by the plan in a qualified gratuitous transfer to be          For purposes of determining a nonallocation year, the 
allocated to the account of:                                         attribution rules of section 318(a) will apply; however, the 
   a. Any person related to the decedent within the meaning          option rule of section 318(a)(4) will not apply. Additionally, 
of section 267(b) or a member of the decedent's family within        the attribution rules defining family member are modified to 
the meaning of section 2032A(e)(2); or                               include the individual's:
                                                                     Spouse,
   b. Any person who, at the time of the allocation or at any          Ancestor or lineal descendant of the individual or the 
                                                                     
time during the 1-year period ending on the date of the              individual's spouse, and
acquisition of qualified employer securities by the plan, is a         A brother or sister of the individual or of the individual's 
                                                                     
5% shareholder of the employer maintaining the plan.                 spouse and any lineal descendant of the brother or sister.
   3. The accrual or allocation of S corporation shares in an          A spouse of an individual legally separated from an 
ESOP during a nonallocation year constituting a prohibited           individual under a decree of divorce or separate maintenance 
allocation under section 409(p).                                     is not treated as the individual's spouse.
   4. A synthetic equity owned by a disqualified person in             An individual is a disqualified person if:
any nonallocation year.                                                The total number of shares owned by the person and the 
                                                                     
  Prohibited allocations for ESOP or worker-owned                    members of the person's family, as defined in
cooperative. For purposes of items 1 and 2 above, a                  section 409(p)(4)(D), is at least 20% of the deemed-owned 
“prohibited allocation of qualified securities by any ESOP or        shares, as defined in section 409(p)(4)(C), in the S 
eligible worker-owned cooperative” is any allocation of              corporation; or
qualified securities acquired in a nonrecognition-of-gain sale       The person owns at least 10% of the deemed-owned 
under section 1042, which violates section 409(n), and any           shares, as defined in section 409(p)(4)(C), in the S 
benefit that accrues to any person in violation of                   corporation.
section 409(n).                                                              Under section 409(p)(7), the Secretary of the 
   Under section 409(n), an ESOP or worker-owned                       !     Treasury may, through regulations or other guidance 
cooperative cannot allow any portion of assets attributable to       CAUTION of general applicability, provide that a nonallocation 
employer securities acquired in a section 1042 sale to accrue        year occurs in any case in which the principal purpose of the 
or be allocated, directly or indirectly, to the taxpayer, or any     ownership structure of an S corporation constitutes an 
person related to the taxpayer, involved in the transaction          avoidance or evasion of section 409(p). See Regulations 
during the nonallocation period. For purposes of                     section 1.408(p)-1.
section 409(n), “relationship to the taxpayer” is defined under 
section 267(b).                                                        For section 4979A excise taxes, the amount entered on 
                                                                     Part I, line 6, is 50% of the amount involved in the prohibited 
   The nonallocation period is the period beginning on the 
                                                                     allocations described in items 1 through 4, earlier, under 
date the qualified securities are sold and ending on the later 
                                                                     Line 6.
of:
10 years after the date of sale, or                                Line 10a. Under section 4971(g)(2), each employer who 
The date on which the final payment is made if acquisition         contributes to a multiemployer plan and fails to comply with a 
indebtedness was incurred at the time of sale.                       funding improvement or rehabilitation plan will be liable for an 
   The employer sponsoring the plan or the eligible                  excise tax for each failure to make a required contribution 
worker-owned cooperative is responsible for paying the tax.          within the time frame under such plan. Enter the amount of 
                                                                     each contribution the employer failed to make in a timely 
   For purposes of items 3 and 4, under Line 6, earlier, the         manner.
excise tax on these transactions under section 4979A is 50% 
of the amount involved. The amount involved includes the               A “funding improvement plan” is a plan which consists of 
following.                                                           the actions, including options or a range of options to be 
                                                                     proposed to the bargaining parties, formulated to provide, 
   1. The value of any synthetic equity owned by a                   based on reasonably anticipated experience and reasonable 
disqualified person in any nonallocation year. “Synthetic            actuarial assumptions, for the attainment of the following 
equity” means any stock option, warrant, restricted stock,           requirements by the plan during the funding improvement 
deferred issuance stock right, or similar interest or right that     period.
gives the holder the right to acquire or receive stock of the S 
corporation in the future. Synthetic equity may also include a         1. The plan's funded percentage as of the close of the 
stock appreciation right, phantom stock unit, or similar right to    funding improvement period equals or exceeds a percentage 
a future cash payment based on the value of the stock or             equal to the sum of:
appreciation; and nonqualified deferred compensation as                a. The percentage as of the beginning of the funding 
described in Regulations section 1.409(p)-1(f)(2)(iv). The           improvement period, plus
value of a synthetic equity is the value of the shares on which        b. 33% of the difference between 100% and the 
the synthetic equity is based or the present value of the            percentage as of the beginning of the funding improvement 
nonqualified deferred compensation.                                  period (or 20% of the difference if the plan is in seriously 
   2. The value of any S corporation shares in an ESOP               endangered status).
accruing during a nonallocation year or allocated directly or          2. No accumulated funding deficiency for any plan year 
indirectly under the ESOP or any other plan of the employer          during the funding improvement period, taking into account 
qualified under section 401(a) for the benefit of a disqualified     any extension of the amortization period under
person. For additional information, see Regulations                  section 431(d).
section 1.409(p)-1(b)(2).
   3. The total value of all deemed-owned shares of all                A “rehabilitation plan” is a plan which consists of actions, 
disqualified persons.                                                including options or a range of options to be proposed to the 

Instructions for Form 5330                                        -5-



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bargaining parties, formulated to enable the plan to cease to           File at the address shown under Where To File, earlier.
be in critical status by the end of the rehabilitation period.
  All or part of this excise tax may be waived under                 Schedule A. Tax on Nondeductible 
section 4971(g)(5).                                                  Employer Contributions to Qualified 
Line 16. If a tax-exempt entity manager approves or                  Employer Plans (Section 4972)
otherwise causes the entity to be a party to a prohibited tax 
shelter transaction during the year and knows or has reason          Section 4972. Section 4972 imposes an excise tax on 
to know that the transaction is a prohibited tax shelter             employers who make nondeductible contributions to their 
transaction, the entity manager must pay an excise tax under         qualified plans. The excise tax is equal to 10% of the 
section 4965(b)(2).                                                  nondeductible contributions in the plan as of the end of the 
  For purposes of section 4965, plan entities are:                   employer's tax year.
Qualified pension, profit-sharing, and stock bonus plans              A “qualified employer plan” for purposes of this section 
described in section 401(a);                                         means any plan qualified under section 401(a), any annuity 
Annuity plans described in section 403(a);                         plan qualified under section 403(a), and any simplified 
Annuity contracts described in section 403(b);                     employee pension plan qualified under section 408(k) or any 
Qualified tuition programs described in section 529;               simple retirement account under section 408(p). The term 
Retirement plans maintained by a governmental employer             qualified plan does not include certain governmental plans 
described in section 457(b);                                         and certain plans maintained by tax-exempt organizations.
Individual retirement accounts within the meaning of                  For purposes of section 4972, “nondeductible 
section 408(a);                                                      contributions” for the employer's current tax year are the sum 
Individual retirement annuities within the meaning of              of:
section 408(b);                                                         1. The excess (if any) of the employer's contribution for 
Archer medical savings accounts (MSAs) within the                  the tax year less the amount allowable as a deduction under 
meaning of section 220(d);                                           section 404 for that year; and
Coverdell education savings accounts described in
section 530; and                                                        2. The total amount of the employer's contributions for 
Health savings accounts within the meaning of                      each preceding tax year that was not allowable as a 
section 223(d).                                                      deduction under section 404 for such preceding year, 
                                                                     reduced by the sum of:
  An entity manager is the person who approves or 
otherwise causes the entity to be a party to a prohibited tax           a. The portion of that amount available for return under 
shelter transaction.                                                 the applicable qualification rules and actually returned to the 
                                                                     employer prior to the close of the current tax year; and
  The excise tax under section 4965(a)(2) is $20,000 for 
each approval or other act causing the organization to be a             b. The portion of such amount that became deductible for 
party to a prohibited tax shelter transaction.                       a preceding tax year or for the current tax year.
  A “prohibited tax shelter transaction” is any listed                  Although pre-1987 nondeductible contributions are not 
transaction and any prohibited reportable transaction, as            subject to this excise tax, they are taken into account to 
defined, later.                                                      determine the extent to which post-1986 contributions are 
  1. A “listed transaction” is a reportable transaction that is      deductible. See section 4972 and Pub. 560, Retirement 
the same as, or substantially similar to, a transaction              Plans for Small Business, for details.
specifically identified by the Secretary of the Treasury as a          Defined benefit plans exception.    For purposes of 
tax avoidance transaction for purposes of section 6011.              determining the amount of nondeductible contributions 
                                                                     subject to the 10% excise tax, the employer may elect not to 
  2. A “prohibited reportable transaction” is:
                                                                     include any contributions to a defined benefit plan except, in 
  a. Any confidential transaction within the meaning of              the case of a multiemployer plan, to the extent those 
Regulations section 1.6011-4(b)(3), or                               contributions exceed the full-funding limitation (as defined in 
  b. Any transaction with contractual protection within the          section 431(c)(6)). This election applies to terminated and 
meaning of Regulations section 1.6011-4(b)(4).                       ongoing plans. An employer making this election cannot also 
                                                                     benefit from the exceptions for terminating plans and for 
Part II. Tax Due                                                     certain contributions to defined contribution plans under 
                                                                     section 4972(c)(6). When determining the amount of 
     If you are filing an amended Form 5330 and you paid             nondeductible contributions, the deductible limits under 
     taxes with your original return and those taxes have            section 404(a)(7) must be applied first to contributions to 
     the same due date as those previously reported,                 defined contribution plans and then to contributions to 
check the box in item H and enter the tax reported on your           defined benefit plans.
original return in the entry space for line 18. If you file Form       Defined contribution plans exception. In determining 
5330 for a claim for refund or credit, show the amount of            the amount of nondeductible contributions subject to the 10% 
overreported tax in parentheses on line 19. Otherwise, show          excise tax, do not include any of the following.
the amount of additional tax due on line 19 and include the            Employer contributions to one or more defined contribution 
                                                                     
payment with the amended Form 5330.                                  plans that are nondeductible solely because of
                                                                     section 404(a)(7) that do not exceed the matching 
Lines 17 through 19. If you file Form 5330 on paper, make 
                                                                     contributions described in section 401(m)(4)(A).
your check or money order payable to the “United States 
Treasury” for the full amount due. Attach the payment to your        Contributions to a SIMPLE 401(k) or a SIMPLE IRA 
                                                                     considered nondeductible because they are not made in 
return. Write your name, identifying number, plan number, 
                                                                     connection with the employer's trade or business. However, 
and “Form 5330, Section ____” on your payment.

                                                                 -6-                               Instructions for Form 5330



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this provision pertaining to SIMPLEs does not apply to             Note. For purposes of section 4975, the term “plan” does not 
contributions made on behalf of the employer or the                include a section 403(b) tax-sheltered annuity plan. See 
employer's family.                                                 section 4975(e).
  For purposes of this exception, the combined plan                        If the IRS determined at any time that your plan was 
deduction limits are first applied to contributions to the         !       a plan as defined above, it will always remain subject 
defined benefit plan and then to the defined contribution plan.    CAUTION to the excise tax on prohibited transactions under 
  Restorative payments to a defined contribution plan are          section 4975. This also applies to the tax on minimum 
not considered nondeductible contributions if the payments         funding deficiencies under section 4971.
are made to restore some or all of the plan's losses due to an     Disqualified person.     A “disqualified person” is a person 
action (or a failure to act) that creates a reasonable risk of     who is any of the following.
liability for breach of fiduciary duty. Amounts paid in excess 
of the loss are not considered restorative payments.               1. A fiduciary.
  For these purposes, multiemployer plans are not taken            2. A person providing services to the plan.
into consideration in applying the overall limit on deductions     3. An employer, any of whose employees are covered by 
where there is a combination of defined benefit and defined        the plan.
contribution plans.                                                4. An employee organization, any of whose members are 
                                                                   covered by the plan.
Schedule B. Tax on Excess 
                                                                   5. A direct or indirect owner of 50% or more of:
Contributions to Section 403(b)(7)(A)                              a. The combined voting power of all classes of stock 
Custodial Accounts                                                 entitled to vote, or the total value of shares of all classes of 
                                                                   stock of a corporation;
(Section 4973(a)(3))
                                                                   b. The capital interest or the profits interest of a 
Section 4973(a) imposes a 6% excise tax on excess                  partnership; or
contributions to section 403(b)(7)(A) custodial accounts at 
the close of the tax year. The tax is paid by the individual       c. The beneficial interest of a trust or unincorporated 
account holder.                                                    enterprise in (a), (b), or (c), which is an employer or an 
                                                                   employee organization described in (3) or (4) above. A 
Line 1. Enter total current year contributions, less any           limited liability company should be treated as a corporation or 
rollover contributions described in section 403(b)(8) or           a partnership, depending on how the organization is treated 
408(d)(3)(A).                                                      for federal tax purposes.
Line 2. Enter the amount excludable under section 415(c)           6. A member of the family of any individual described in 
(limit on annual additions).                                       (1), (2), (3), or (5). A “member of a family” is the spouse, 
                                                                   ancestor, lineal descendant, and any spouse of a lineal 
        To determine the amount excludable for a specific          descendant.
TIP     year, see Pub. 571, Tax-Sheltered Annuity Plans 
        (403(b) Plans), for that year.                             7. A corporation, partnership, or trust or estate of which 
                                                                   (or in which) any direct or indirect owner holds 50% or more 
  The limit on annual additions under section 415(c)(1)(A) is      of the interest described in (5a), (5b), or (5c) of such entity. 
subject to cost-of-living adjustments as described in              For this purpose, the beneficial interest of the trust or estate 
section 415(d). The dollar limit for a calendar year, as           is owned, directly or indirectly, or held by persons described 
adjusted annually, is published during the fourth quarter of       in (1) through (5).
the prior calendar year in the Internal Revenue Bulletin.          8. An officer, director (or an individual having powers or 
                                                                   responsibilities similar to those of officers or directors), a 
Schedule C. Tax on Prohibited                                      10% or more shareholder or highly compensated employee 
Transactions (Section 4975)                                        (earning 10% or more of the yearly wages of an employer) of 
                                                                   a person described in (3), (4), (5), or (7).
Section 4975.   Section 4975 imposes an excise tax on a            9. A 10% or more (in capital or profits) partner or joint 
disqualified person who engages in a prohibited transaction        venturer of a person described in (3), (4), (5), or (7).
with the plan.
                                                                   10. Any disqualified person, as described in (1) through 
  Plan. For purposes of this section, the term “plan” means 
                                                                   (9) above, who is a disqualified person with respect to any 
any of the following.
                                                                   plan to which a section 501(c)(22) trust applies, that is 
A trust described in section 401(a) that forms part of a 
                                                                   permitted to make payments under section 4223 of the 
plan.
                                                                   Employee Retirement Income Security Act (ERISA).
A plan described in section 403(a) that is exempt from tax 
under section 501(a).                                              Prohibited transaction.     A “prohibited transaction” is any 
An individual retirement account described in                    direct or indirect:
section 408(a).                                                    1. Sale or exchange, or leasing of any property between 
An individual retirement annuity described in                    a plan and a disqualified person; or a transfer of real or 
section 408(b).                                                    personal property by a disqualified person to a plan where 
An Archer MSA described in section 220(d).                       the property is subject to a mortgage or similar lien placed on 
A Coverdell education savings account described in               the property by the disqualified person within 10 years prior 
section 530.                                                       to the transfer, or the property transferred is subject to a 
A Health Savings Account described in section 223(d).            mortgage or similar lien which the plan assumes;
A trust described in section 501(c)(22).
                                                                   2. Lending of money or other extension of credit between 
                                                                   a plan and a disqualified person;

Instructions for Form 5330                                      -7-



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3. Furnishing of goods, services, or facilities between a                    Temporary Regulations section 141.4975-13 states 
plan and a disqualified person;                                      !       that, until final regulations are written under section 
4. Transfer to, or use by or for the benefit of, a                   CAUTION 4975(f), the definitions of amount involved and 
disqualified person of income or assets of a plan;                   correction found in Regulations section 53.4941(e)-1 will 
                                                                     apply.
5. Act by a disqualified person who is a fiduciary dealing 
with the income or assets of a plan in the disqualified              Failure to transmit participant contributions.       For 
person’s own interest or account; or                                 purposes of calculating the excise tax on a prohibited 
6. Receipt of any consideration for a disqualified person’s          transaction where there is a failure to transmit participant 
own personal account by any disqualified person who is a             contributions (elective deferrals) or amounts that would have 
fiduciary from any party dealing with the plan connected with        otherwise been payable to the participant in cash, the 
a transaction involving the income or assets of the plan.            amount involved is based on interest on those elective 
                                                                     deferrals. See Rev. Rul. 2006-38.
Exemptions.    See sections 4975(d), 4975(f)(6)(B)(ii), and          Column (e). The initial tax on a prohibited transaction is 
4975(f)(6)(B)(iii) for specific exemptions to prohibited             15% of the amount involved in each prohibited transaction for 
transactions. Also, see section 4975(c)(2) for certain other         each year or part of a year in the taxable period. Multiply the 
transactions or classes of transactions that may become              amount in column (d) by 15%.
exempt.
                                                                     Example.  The example of a prohibited transaction below 
Line 1. Check the box that best characterizes the prohibited         does not cover all types of prohibited transactions. For more 
transaction for which an excise tax is being paid. A prohibited      examples, see Regulations section 53.4941(e)-1(b)(4).
transaction is discrete unless it is of an ongoing nature.           A disqualified person borrows money from a plan in a 
Transactions involving the use of money (loans, etc.) or other       prohibited transaction under section 4975. The FMV of the 
property (rent, etc.) are of an ongoing nature and will be           use of the money and the actual interest on the loan is 
treated as a new prohibited transaction on the first day of          $1,000 per month (the actual interest is paid in this example). 
each succeeding tax year or part of a tax year that is within        The loan was made on July 1, 2021 (date of transaction), and 
the taxable period.                                                  repaid on December 31, 2022 (date of correction). The 
Line 2, column (b). List the date of all prohibited                  disqualified person's tax year is the calendar year. On July 
transactions that took place in connection with a particular         31, 2023, the disqualified person files a delinquent Form 
plan during the current tax year. Also, list the date of all         5330 for the 2021 plan year (which in this case is the 
prohibited transactions that took place in prior years unless        calendar year) and a timely Form 5330 for the 2022 plan year 
either the transaction was corrected in a prior tax year or the      (which in this case is the calendar year). No notice of 
section 4975(a) tax was assessed in the prior tax year. A            deficiency with respect to the tax imposed by section 4975(a) 
disqualified person who engages in a prohibited transaction          has been mailed to the disqualified person and no 
must file a separate Form 5330 to report the excise tax due          assessment of such excise tax has been made by the IRS 
under section 4975 for each tax year.                                before the time the disqualified person filed the Forms 5330.
Line 2, columns (d) and (e). The “amount involved in a               Each prohibited transaction has its own separate taxable 
prohibited transaction” means the greater of the amount of           period that begins on the date the prohibited transaction 
money and the fair market value (FMV) of the other property          occurred or is deemed to occur and ends on the date of the 
given, or the amount of money and the FMV of the other               correction. The taxable period that begins on the date the 
property received. However, for services described in                loan occurs runs from July 1, 2021 (date of loan), through 
sections 4975(d)(2) and (10), the amount involved only               December 31, 2022 (date of correction). When a loan is a 
applies to excess compensation. For purposes of                      prohibited transaction, the loan is treated as giving rise to a 
section 4975(a), FMV must be determined as of the date on            prohibited transaction on the date the transaction occurs, and 
which the prohibited transaction occurs. If the use of money         an additional prohibited transaction on the first day of each 
or other property is involved, the amount involved is the            succeeding tax year (or portion of a tax year) within the 
greater of the amount paid for the use or the FMV of the use         taxable period that begins on the date the loan occurs. 
for the period for which the money or other property is used.        Therefore, in this example, there are two prohibited 
In addition, transactions involving the use of money or other        transactions, the first occurring on July 1, 2021, and ending 
property will be treated as giving rise to a prohibited              on December 31, 2021, and the second occurring on 
transaction occurring on the date of the actual transaction,         January 1, 2022, and ending on December 31, 2022.
plus a new prohibited transaction on the first day of each           Section 4975(a) imposes a 15% excise tax on the amount 
succeeding tax year or portion of a succeeding tax year              involved for each tax year or part thereof in the taxable period 
which is within the taxable period. The “taxable period” for         of each prohibited transaction.
this purpose is the period of time beginning with the date of        The Form 5330 for the year ending December 31, 
the prohibited transaction and ending with the earliest of:          2021. The amount involved to be reported in the Form 5330, 
1. The date the correction is completed,                             Schedule C, line 2, column (d), for the 2021 plan year, is 
2. The date of the mailing of a notice of deficiency, or             $6,000 (6 months x $1,000). The tax due is $900 ($6,000 x 
                                                                     15%). (See Figure 1, later.) (Any interest and penalties 
3. The date on which the tax under section 4975(a) is 
                                                                     imposed for the delinquent filing of Form 5330 and the 
assessed.
                                                                     delinquent payment of the excise tax for 2021 will be billed 
See the instructions for Schedule C, under Additional tax for        separately to the disqualified person.)
failure to correct the prohibited transaction (section 4975(b)), 
                                                                     The Form 5330 for the year ending December 31, 
for the definition of “correction.”
                                                                     2022. The excise tax to be reported on the 2022 Form 5330 
                                                                     would include both the prohibited transaction of July 1, 2021, 
                                                                     with an amount involved of $6,000, resulting in a tax due of 

                                                                 -8-                                     Instructions for Form 5330



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Figure 1. Example for the Calendar 2021 Plan Year Used When Filing for the 2021 Tax Year
 Schedule C. Tax on Prohibited Transactions (Section 4975) (see instructions) Reported by the last day of the 7th 
month after the end of the tax year of the employer (or other person who must file the return)
 (a)        (b) Date of                                                                  (d) Amount involved in prohibited         (e) Initial tax on prohibited 
Transaction transaction    (c) Description of prohibited transaction                       transaction (see instructions)          transaction (multiply each 
 number        (see                                                                                                                transaction in column (d) by the 
            instructions)                                                                                                             appropriate rate (see 
                                                                                                                                      instructions))
 (i)        7-1-21                   Loan                                                                $6,000                       $900
 (ii)
 (iii)
3 Add amounts in column (e). Enter here and on Part I, line 3a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .    $900

Figure 2. Example for the Calendar 2022 Plan Year Used When Filing for the 2022 Tax Year
Schedule C. Tax on Prohibited Transactions (Section 4975) (see instructions) Reported by the last day of the 7th 
month after the end of the tax year of the employer (or other person who must file the return)
 (a)        (b) Date of                                                                (d) Amount involved in prohibited           (e) Initial tax on prohibited 
Transaction transaction    (c) Description of prohibited transaction                     transaction (see instructions)            transaction (multiply each 
 number        (see                                                                                                                transaction in column (d) by the 
            instructions)                                                                                                          appropriate rate (see 
                                                                                                                                      instructions))
 (i)        7-1-21                   Loan                                                              $6,000                         $900
 (ii)       1-1-22                   Loan                                                            $12,000                          $1,800
 (iii)
3 Add amounts in column (e). Enter here and on Part I, line 3a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      $2,700

$900 ($6,000 x 15%), and the second prohibited transaction                               If the prohibited transaction is not corrected within the 
of January 1, 2022, with an amount involved of $12,000 (12                           taxable period, an additional tax equal to 100% of the amount 
months x $1,000), resulting in a tax due of $1,800 ($12,000 x                        involved will be imposed under section 4975(b). Any 
15%). (See Figure 2, above.) The taxable period for the                              disqualified person who participated in the prohibited 
second prohibited transaction runs from January 1, 2022,                             transaction (other than a fiduciary acting only as such) must 
through December 31, 2022 (date of correction). Because                              pay this tax imposed by section 4975(b). Report the 
there are two prohibited transactions with taxable periods                           additional tax on Part I, Section A, line 3b.
running during 2022, the section 4975(a) tax is due for the 
                                                                                     Line 4.     Check “No” if there has not been a correction of all of 
2022 tax year for both prohibited transactions.
                                                                                     the prohibited transactions by the end of the tax year for 
      When a loan from a qualified plan that is a prohibited                         which this Form 5330 is being filed. Attach a statement 
TIP   transaction spans successive tax years, constituting                           including item number from line 2a and description indicating 
      multiple prohibited transactions, and during those                             when the correction will be made.
years the first tier prohibited transaction excise tax rate 
                                                                                     Line 5.     If more than one disqualified person participated in 
changes, the first tier excise tax liability for each prohibited 
                                                                                     the same prohibited transaction, list on this schedule the 
transaction is the sum of the products resulting from 
                                                                                     name, address, and SSN or EIN of each disqualified person, 
multiplying the amount involved for each year in the taxable 
                                                                                     other than the disqualified person who files this return.
period for that prohibited transaction by the excise tax rate in 
effect at the beginning of that taxable period. For more                                 For all transactions, complete columns (a), (b), and (c). If 
information, see Rev. Rul. 2002-43, 2002-32 I.R.B. 85 at                             the transaction has been corrected, complete columns (a) 
www.irs.gov/pub/irs-irbs/irb02-28.pdf. Unlike the previous                           through (e). If additional space is needed, you may attach a 
example, the example in Rev. Rul. 2002-43 contains unpaid                            statement fully explaining the correction and identifying 
interest.                                                                            persons involved in the prohibited transaction.
 Additional tax for failure to correct the prohibited                                Prohibited transactions and investment advice.                 The 
transaction (section 4975(b)).   To avoid liability for                              prohibited transaction rules of section 4975(c) will not apply 
additional taxes and penalties, and in some cases further                            to any transaction in connection with investment advice if the 
initial taxes, a correction must be made within the taxable                          investment advice provided by a fiduciary adviser is provided 
period. The term “correction” is defined as undoing the                              under an eligible investment advice arrangement.
prohibited transaction to the extent possible, but in any case                           For this purpose, an “eligible investment advice 
placing the plan in a financial position not worse than that in                      arrangement” is an arrangement that either:
which it would be if the disqualified person were acting under                         Provides that any fees, including any commission or other 
the highest fiduciary standards.                                                     compensation, received by the fiduciary adviser for 

Instructions for Form 5330                                                     -9-



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investment advice or with respect to the sale, holding, or        corporations under section 414(b), a group of trades or 
acquisition of any security or other property for the             businesses under common control under section 414(c), an 
investment of plan assets do not vary depending on the basis      affiliated service group under section 414(m), and any other 
of any investment option selected; or                             group treated as a single employer under section 414(o).
Uses a computer model under an investment advice 
                                                                          If the IRS determined at any time that your plan was 
program, described in section 4975(f)(8)(C), in connection 
                                                                          a plan as defined on Schedule C, it will always 
with investment advice provided by a fiduciary adviser to a       CAUTION!
                                                                          remain subject to the excise tax on failure to meet 
participant or beneficiary.
                                                                  minimum funding standards.
Additionally, the eligible investment advice arrangement 
must meet the provisions of sections 4975(f)(8)(D), (E), (F),     Line 1. Enter the amount (if any) of the aggregate unpaid 
(G), (H), and (I).                                                minimum required contributions (or in the case of a 
  For purposes of the statutory exemption on investment           multiemployer plan, an accumulated funding deficiency as 
advice, a “fiduciary adviser” is defined in                       defined in section 431(a) (or section 418B if a multiemployer 
section 4975(f)(8)(J).                                            plan in reorganization)).
  Correcting certain prohibited transactions.      Generally, 
                                                                  Line 2. Multiply line 1 by the applicable tax rate shown 
if a disqualified person enters into a direct or indirect 
                                                                  below and enter the result.
prohibited transaction, listed in (1) through (4) below, in 
connection with the acquisition, holding, or disposition of          10% for plans other than multiemployer plans.
certain securities or commodities, and the transaction is            5% for all multiemployer plans.
corrected within the correction period, it will not be treated as      Additional tax for failure to correct. For 
a prohibited transaction and no tax will be assessed.             single-employer plans, when an initial tax is imposed under 
                                                                  section 4971(a) on any unpaid minimum required 
  1. Sale or exchange, or leasing of any property between         contribution and the unpaid minimum required contribution 
a plan and a disqualified person.                                 remains unpaid as of the close of the taxable period, an 
  2. Lending of money or other extension of credit between        additional tax of 100% of the amount that remains unpaid is 
a plan and a disqualified person.                                 imposed under section 4971(b).
  3. Furnishing of goods, services, or facilities between a            For multiemployer plans, when an initial tax is imposed 
plan and a disqualified person.                                   under section 4971(a)(2) on an accumulated funding 
  4. Transfer to, or use by or for the benefit of, a              deficiency and the accumulated funding deficiency is not 
disqualified person of income or assets of a plan.                corrected within the taxable period, an additional tax equal to 
                                                                  100% of the accumulated funding deficiency, to the extent 
  However, if, at the time the transaction was entered into,      not corrected, is imposed under section 4971(b).
the disqualified person knew or had reason to know that the            For this purpose, the “taxable period” is the period 
transaction was prohibited, the transaction would be subject      beginning with the end of the plan year where there is an 
to the tax on prohibited transactions.                            unpaid minimum required contribution or an accumulated 
  For purposes of section 4975(d)(23), the term “correct”         funding deficiency and ending on the earlier of:
means to:                                                            The date the notice of deficiency for the section 4971(a) 
Undo the transaction to the extent possible and in all          excise tax is mailed, or
cases to make good to the plan or affected account any               The date the section 4971(a) excise tax is assessed.
losses resulting from the transaction, and                             Report the tax for failure to correct the unpaid minimum 
Restore to the plan or affected account any profits made        required contribution or the accumulated funding deficiency 
through the use of assets of the plan.                            on Part I, Section B, line 8b.
  The “correction period” is the 14-day period beginning on 
the date on which the disqualified person discovers or            Schedule E. Tax on Failure To Pay 
reasonably should have discovered that the transaction 
constitutes a prohibited transaction.                             Liquidity Shortfall (Section 4971(f)(1))
                                                                  If your plan has a liquidity shortfall for which an excise tax 
Schedule D. Tax on Failure To Meet                                under section 4971(f)(1) is imposed for any quarter of the 
                                                                  plan year, complete lines 1 through 4.
Minimum Funding Standards
                                                                  Line 1. Enter the amount of the liquidity shortfall(s) for each 
(Section 4971(a))                                                 quarter of the plan year.
In the case of a single-employer plan, section 4971(a) 
                                                                  Line 2. Enter the amount of any contributions made to the 
imposes a 10% tax on the aggregate unpaid minimum 
                                                                  plan by the due date of the required quarterly installment(s) 
required contributions for all plan years remaining unpaid as 
                                                                  that partially corrected the liquidity shortfall(s) reported on 
of the end of any plan year. In the case of a multiemployer 
                                                                  line 1.
plan, section 4971(a) imposes a 5% tax on the amount of the 
accumulated funding deficiency determined as of the end of        Line 3. Enter the net amount of the liquidity shortfall. 
the plan year.                                                    (Subtract line 2 from line 1.)
  If a plan fails to meet the funding requirements under               Additional tax for failure to correct liquidity shortfall. 
section 412, the employer and all controlled group members        If the plan has a liquidity shortfall as of the close of any 
will be subject to excise taxes under sections 4971(a) and        quarter and as of the close of the following 4 quarters, an 
(b).                                                              additional tax will be imposed under section 4971(f)(2) equal 
                                                                  to the amount on which tax was imposed by
  Except in the case of a multiemployer plan, all members of      section 4971(f)(1) for such quarter. Report the additional tax 
a controlled group are jointly and severally liable for this tax. on Part I, Section B, line 9b.
A “controlled group” in this case means a controlled group of 

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                                                                       the 240-day period following the required date for the 
Schedule F. Tax on Multiemployer 
                                                                       actuarial certification of critical status in section 432(b)(3)(A).
Plans in Endangered or Critical                                        Liability for this tax is imposed on each plan sponsor. This 
Status (Sections                                                       excise tax may not be waived.
                                                                               Follow the instructions as defined above for counting 
4971(g)(3) and 4971(g)(4))
                                                                               days and completing line 2b.
For years beginning after 2007, section 4971(g) imposes an             CAUTION!
excise tax on employers who contribute to multiemployer 
plans for failure to comply with a funding improvement or              Complete line 2b as instructed below. Enter the number of 
rehabilitation plan, failure to meet requirements for plans in         days during the tax year which are included in the period 
endangered or critical status, or failure to adopt a                   beginning on the first day following the close of the 240-day 
rehabilitation plan. See the instructions for line 10a, earlier.       period and ending on the day the rehabilitation plan is 
                                                                       adopted.
Line 1. Under section 4971(g)(3), a multiemployer plan that 
is in seriously endangered status when it fails to meet its            Schedule G. Tax on Excess Fringe 
applicable benchmarks by the end of the funding 
improvement period will be treated as having an                        Benefits (Section 4977)
accumulated funding deficiency for the last plan year in such          If you made an election to be taxed under section 4977 to 
period and each succeeding year until the funding                      continue your nontaxable fringe benefit policy that was in 
benchmarks are met.                                                    existence on or after January 1, 1984, check “Yes” on line 1 
  Similarly, a plan that is in critical status and either fails to     and complete lines 2 through 4.
meet the requirements of section 432 by the end of the                 Line 3. Excess fringe benefits are calculated by subtracting 
rehabilitation period, or has received certification under             1% of the aggregate compensation paid by you to your 
section 432(b)(3)(A)(ii) for 3 consecutive plan years that the         employees during the calendar year that was includible in 
plan is not making the scheduled progress in meeting its               their gross income from the aggregate value of the 
requirements under the rehabilitation plan, will be treated as         nontaxable fringe benefits under sections 132(a)(1) and (2).
having an accumulated funding deficiency for the last plan 
year in such period and each succeeding plan year until the            Schedule H. Tax on Excess 
funding requirements are met.
  In both cases, the accumulated funding deficiency is an              Contributions to Certain Plans 
amount equal to the greater of the amount of the                       (Section 4979)
contributions necessary to meet the benchmarks or                      Any employer who maintains a plan described in section 
requirements, or the amount of the accumulated funding                 401(a), 403(a), 403(b), 408(k), or 501(c)(18) may be subject 
deficiency without regard to this rule. The existence of an            to an excise tax on excess aggregate contributions made on 
accumulated funding deficiency triggers the initial 5% excise          behalf of highly compensated employees. The employer may 
tax under section 4971(a).                                             also be subject to an excise tax on excess contributions to a 
  A plan is in “endangered status” if either of the following          cash or deferred arrangement connected with the plan.
occurs.
The plan's actuary timely certifies that the plan is not in          The tax is on the excess contributions and the excess 
critical status for that plan year and at the beginning of that        aggregate contributions made to or on behalf of the highly 
plan year the plan's funded percentage for the plan year is            compensated employees as defined in section 414(q).
less than 80%.                                                         Generally, a “highly compensated employee” is an 
The plan has an accumulated funding deficiency for the               employee who:
plan year or is projected to have such an accumulated 
funding deficiency for any of the 6 succeeding plan years,             1. Was a 5% owner at any time during the year or the 
taking into account any extension of amortization periods              preceding year; or
under section 431(d).                                                  2. For the preceding year, had compensation from the 
  A plan is in “critical status” if it is determined by the            employer in excess of a dollar amount for the year ($135,000 
multiemployer plan's actuary that one of the four formulas in          for 2022) and, if the employer so elects, was in the top-paid 
section 432(b)(2) is met for the applicable plan year.                 group for the preceding year.
  All or part of this excise tax may be waived due to                  An employee is in the “top-paid group” for any year if the 
reasonable cause.                                                      employee is in the group consisting of the top 20% of 
                                                                       employees when ranked on the basis of compensation paid. 
Line 2. Under section 4971(g)(4), the plan sponsor of a                An employee (who is not a 5% owner) who has 
multiemployer plan in critical status, as defined above, will be       compensation in excess of $135,000 is not a highly 
liable for an excise tax for failure to adopt a rehabilitation plan    compensated employee if the employer elects the top-paid 
within the time prescribed under section 432. The tax is equal         group limitation and the employee is not a member of the 
to the greater of:                                                     top-paid group.
The amount of tax imposed under section 4971(a)(2); or
An amount equal to $1,100, multiplied by the number of               The excess contributions subject to the section 4979 
days in the tax year which are included in the period that             excise tax are equal to the amount by which employer 
begins on the first day following the close of the 240-day             contributions actually paid over to the trust exceed the 
period that a multiemployer plan has to adopt a rehabilitation         employer contributions that could have been made without 
plan once it has entered critical status and that ends on the          violating the special nondiscrimination requirements of 
day the rehabilitation plan is adopted. Section 432(e)(1)(A)           section 401(k)(3) or section 408(k)(6) in the instance of 
allows the plan sponsor to adopt a rehabilitation plan within          certain SEPs.

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  The excess aggregate contributions subject to the section     rate of future benefit accrual or the elimination or significant 
4979 excise tax are equal to the amount by which the            reduction of an early retirement benefit or retirement-type 
aggregate matching contributions of the employer and the        subsidy. The tax is $100 per day per each applicable 
employee contributions (and any qualified nonelective           individual and each employee organization representing 
contribution or elective contribution taken into account in     participants who are applicable individuals for each day of 
computing the contribution percentage under section             the noncompliance period. This notice is called a “section 
401(m)) actually made on behalf of the highly compensated       204(h) notice” because section 204(h) of ERISA has parallel 
employees for each plan year exceed the maximum amount          notice requirements.
of contributions permitted in the contribution percentage            An “applicable individual” is a participant in the plan, or an 
computation under section                                       alternate payee of a participant under a qualified domestic 
401(m)(2)(A).                                                   relations order, whose rate of future benefit accrual (or early 
  However, there is no excise tax liability if the excess       retirement benefit or retirement-type subsidy) under the plan 
contributions or the excess aggregate contributions and any     may reasonably be expected to be significantly reduced by a 
income earned on the contributions are distributed (or, if      plan amendment. (For plan years beginning after December 
forfeitable, forfeited) to the participants for whom the excess 31, 2007, the requirement to give 204(h) notice was 
contributions were made within 2 /  months after the end of 1 2 extended to an employer who has an obligation to contribute 
the plan year.                                                  to a multiemployer plan.)
                                                                     Whether a participant, alternate payee, or an employer (as 
Schedule I. Tax on Reversion of                                 described in the above paragraph) is an applicable individual 
Qualified Plan Assets to an Employer                            is determined on a typical business day that is reasonably 
                                                                approximate to the time the section 204(h) notice is provided 
(Section 4980)                                                  (or on the latest date for providing section 204(h) notice, if 
Section 4980 imposes an excise tax on an employer               earlier), based on all relevant facts and circumstances. For 
reversion of qualified plan assets to an employer. Generally,   more information in determining whether an individual is a 
the tax is 20% of the amount of the employer reversion. The     participant or alternate payee, see Regulations
excise tax rate increases to 50% if the employer does not       section 54.4980F-1, Q&A 10.
establish or maintain a qualified replacement plan following         The “noncompliance period” is the period beginning on 
the plan termination or provide certain pro-rata benefit        the date the failure first occurs and ending on the date the 
increases in connection with the plan termination. See          notice of failure is provided or the failure is corrected.
section 4980(d)(1)(A) or (B) for more information.                   Exceptions. The section 4980F excise tax will not be 
  An “employer reversion” is the amount of cash and the         imposed for a failure during any period in which the following 
FMV of property received, directly or indirectly, by an         occurs.
employer from a qualified plan. For exceptions to this               1. Any person subject to liability for the tax did not know 
definition, see section 4980(c)(2)(B) and section 4980(c)(3).   that the failure existed and exercised reasonable diligence to 
  A “qualified plan” is:                                        meet the notice requirement. A person is considered to have 
Any plan meeting the requirements of section 401(a) or        exercised reasonable diligence but did not know the failure 
403(a), other than a plan maintained by an employer if that     existed only if:
employer has at all times been exempt from federal income            a. The responsible person exercised reasonable 
tax; or                                                         diligence in attempting to deliver section 204(h) notice to 
A governmental plan within the meaning of section 414(d).     applicable individuals by the latest date permitted; or
  Terminated defined benefit plan. If a defined benefit              b. At the latest date permitted for delivery of section 
plan is terminated, and an amount in excess of 25% of the       204(h) notice, the person reasonably believed that section 
maximum amount otherwise available for reversion is             204(h) notice was actually delivered to each applicable 
transferred from the terminating defined benefit plan to a      individual by that date.
defined contribution plan, the amount transferred is not             2. Any person subject to liability for the tax exercised 
treated as an employer reversion for purposes of                reasonable diligence to meet the notice requirement and 
section 4980. However, the amount the employer receives is      corrects the failure within 30 days after the employer (or other 
subject to the 20% excise tax. For additional information, see  person responsible for the tax) knew, or exercising 
Rev. Rul. 2003-85, 2003-32 I.R.B. 291 at www.irs.gov/irb/       reasonable diligence would have known, that the failure 
2003-32_IRB/ar11.html.                                          existed.
Lines 1 through 4. Enter the date of reversion on line 1.            Generally, section 204(h) notice must be provided at least 
Enter the reversion amount on line 2a and the applicable        45 days before the effective date of the section 204(h) 
excise tax rate on line 2b. If you use a tax percentage other   amendment. For exceptions to this rule, see Regulations 
than 50% on line 2b, explain on line 4 why you qualify to use   section 54.4980F-1, Q&A 9.
a rate other than 50%.
                                                                     If the person subject to liability for the excise tax exercised 
Schedule J. Tax on Failure To Provide                           reasonable diligence to meet the notice requirement, the total 
                                                                excise tax imposed during a tax year of the employer will not 
Notice of Significant Reduction in                              exceed $500,000. Furthermore, in the case of a failure due to 
Future Accruals (Section 4980F)                                 reasonable cause and not to willful neglect, the Secretary of 
                                                                the Treasury is authorized to waive the excise tax to the 
Section 204(h) notice.   Section 4980F imposes an excise        extent that the payment of the tax would be excessive 
tax on an employer (or, in the case of a multiemployer plan,    relative to the failure involved. See Rev. Proc. 2013-4, 
the plan) for failure to give section 204(h) notice of plan     2013-1 I.R.B. 123, as revised by subsequent documents, 
amendments that provide for a significant reduction in the 

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available at www.irs.gov/irb/2013-01_IRB/ar09.html, for               percentage means the ratio that the value of plan assets 
procedures to follow in applying for a waiver of part or all of       bears to the plan's funding liability.
the excise tax due to reasonable cause.
                                                                      Line 1. Under section 4971(h)(2), the excise tax amount 
Line 4. A failure occurs on any day that any applicable               with respect to any CSEC plan sponsor for any tax year 
individual (AI) is not provided section 204(h) notice.                should be the amount equal to $100 multiplied by the number 
  Example.   There are 1,000 AIs. The plan administrator              of days during the tax year that are included in the period 
fails to give section 204(h) notice to 100 AIs for 60 days, and       beginning on the day following the close of the 180-day 
to 50 of those AIs for an additional 30 days. In this case,           period described in section 433(j)(3) and ending on the day 
there are 7,500 failures ((100 AIs x 60 days) + (50 AIs x 30          on which the funding restoration plan is adopted.
days) = 7,500).                                                       Line 2. Calculate the excise tax amount by multiplying days 
                                                                      entered on line 1 by $100. Enter the excise tax amount on 
Schedule K. Tax on Prohibited Tax                                     line 2 and on Part I, line 10d.
Shelter Transactions (Section 4965)                                   All or part of this excise tax may be waived if the IRS 
Section 4965 provides that an entity manager of a                     determines that a failure is due to reasonable cause and not 
tax-exempt organization may be subject to an excise tax on            to willful neglect.
prohibited tax shelter transactions under section 4965. In the 
case of a plan entity, an entity manager is any person who            Privacy Act and Paperwork Reduction Act Notice.           We 
approves or otherwise causes the tax-exempt entity to be a            ask for the information on this form to carry out the Internal 
party to a prohibited tax shelter transaction. The excise tax is      Revenue laws of the United States. This form is required to 
$20,000 and is assessed for each approval or other act                be filed under sections 4965, 4971, 4972, 4973, 4975, 4976, 
causing the organization to be a party to the prohibited tax          4977, 4978, 4979, 4979A, 4980, and 4980F of the Internal 
shelter transaction.                                                  Revenue Code. Section 6109 requires you to provide your 
                                                                      identifying number. If you fail to provide this information in a 
Schedule L. Tax on Failure of a                                       timely manner, you may be liable for penalties and interest. 
Cooperative and Small Employer                                        Routine uses of this information include giving it to the 
                                                                      Department of Justice for civil and criminal litigation, and to 
Charity Plan Sponsor To Adopt                                         cities, states, and the District of Columbia for use in 
                                                                      administering their tax laws. We may also disclose this 
Funding Restoration Plan                                              information to federal and state or local agencies to enforce 
(Section 4971(h))                                                     federal nontax criminal laws and to combat terrorism.
A cooperative and small employer charity (CSEC) plan is:              You are not required to provide the information requested 
a defined benefit plan (other than a multiemployer plan)            on a form that is subject to the Paperwork Reduction Act 
including an eligible cooperative plan (as defined in section         unless the form displays a valid OMB control number. Books 
104 of the PPA ‘06);                                                  or records relating to a form or its instructions must be 
a plan that, as of June 25, 2010, was maintained by more            retained as long as their contents may become material in 
than one section 501(c)(3) organization;                              the administration of any Internal Revenue law. Generally, 
a plan that, as of June 25, 2010, was maintained by a               tax returns and return information are confidential, as 
single employer that was a 501(c)(3) organization chartered           required by section 6103.
under Part B, Subtitle II, Title 36 of the U.S.C., whose primary 
exempt purpose is to provide services with respect to                 The time needed to complete and file this form will vary 
children, and which has employees in at least 40 states; or           depending on individual circumstances. The estimated 
any plan that, as of January 1, 2000, was maintained by an          average time is:
employer that is a 501(c)(3) organization, has been in 
existence since at least 1938, conducts medical research              Recordkeeping. . . . . . . . . . .      30 hr., 22 min.
directly or indirectly through grant making, and has a primary        Learning about the law or 
exempt purpose to provide services with respect to mothers            the form. . . . . . . . . . . . . . . . 15 hr., 45 min.
and children (section 414(y)(1), amended by section 3609 of 
the Coronavirus Aid, Relief, and Economic Security (CARES)            Preparing and sending the 
Act (P.L. 116-136)).                                                  form to the IRS. . . . . . . . . . .    18 hr., 08 min.
  Section 433(j)(3) requires a CSEC plan sponsor to 
establish a written funding restoration plan within 180 days of 
the receipt by the plan sponsor of a certification from the plan      If you have comments concerning the accuracy of these 
actuary that the plan is in funding restoration status for a plan     time estimates or suggestions for making this form simpler, 
year. Section 4971(h) imposes an excise tax on the CSEC               we would be happy to hear from you. You can send us 
plan sponsor for the plan in funding restoration status for the       comments from IRS.gov/FormsComments. Or you can write 
failure to adopt a funding restoration plan within the time           to the Internal Revenue Service, Tax Forms and Publications 
prescribed under section 433(j)(3).                                   Division, 1111 Constitution Ave. NW, IR-6526, Washington, 
  A CSEC plan is treated as being in funding restoration              DC 20224. Do not send Form 5330 to this address. Instead, 
status for a plan year if the plan's funded percentage as of          see Where To File, earlier.
the beginning of such plan year is less than 80%. Funded 

Instructions for Form 5330                                        -13-



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Index
 
                                     Listed transaction   6
A                                                                            Q
Amended return    3 6,               M                                       Qualified ESOP securities                   4
Amount involved    5                 Minimum funding standards, 
                                       failure 10                            R
C                                                                            Reversion of qualified plan 
Claim for refund  3                  N                                        assets 12
                                     Nonallocation period    5                Qualified plan 12
D                                    Nondeductible employer                   Terminated defined benefit plan              12
Disqualified benefit, funded welfare   contributions  6
  plans  4                             Exception, defined benefit plan   6   S
Disqualified person  9                 Exception, defined contribution       Section 403(b) plan  7
Due dates   2                          plan    6                             Section 4965  6 13, 
                                       Nondeductible contributions     6     Section 4971(a) 10
E                                      Qualified plan 6                      Section 4971(b)  10
                                     Notice of significant reduction in      Section 4971(f) 10
Eligible investment advice             future accruals    12
  arrangement    9                                                           Section 4971(g)  11
                                       Applicable individual 12
Employer reversion   12                                                      Section 4971(g)(2)  5
Entity manager   6                   P                                       Section 4971(g)(3)  11
ESOP 5                                                                       Section 4971(g)(4)  11
  Prohibited allocations 4           Payment of taxes   6                    Section 4971(h)  13
ESOP dispositions    4               Penalty 3                               Section 4972  6
Excess contributions:                  Late payment   3                      Section 4973(a)(3)  7
  403(b)(7) plans  7                 Private delivery services 3             Section 4975  7
  Section 4979   11                  Prohibited allocation:                  Section 4976  4
Excise tax due dates   2 4,            Disqualified person  5                Section 4977  11
Extension   2                          ESOP  4 5,                            Section 4979  11
                                       Nonallocation period  5               Section 4979A  4
F                                      Synthetic equity 5                    Section 4980  12
                                       Worker-owned cooperative  5
Form 5558   2                                                                Section 4980F  12
                                     Prohibited reportable transaction     6
Funded welfare plans   4                                                     Summary of taxes due  4
                                     Prohibited tax shelter transaction    6 Synthetic equity 5
                                       Entity manager 6
I                                                                             Amount involved    5
                                     Prohibited transaction   7
Interest 3                             Correcting 10                         T
Investment advice    9                 Correction period  10
                                                                             Table of due dates  2
                                       Definition 7
L                                      Disqualified person  7
                                                                             W
Late filing 3                          Exemptions  8
  Interest 3                           Failure to correct 9                  When to file 2
  Penalty  3                           Investment advice  9                  Where to file 3
Late payment  3                      Purpose of form  1                      Who must file 1
Liquidity shortfall:                                                         Worker-owned cooperative                     5
  Additional tax 10

                                                      -14-






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