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                                                                                                      Department of the Treasury
                                                                                                      Internal Revenue Service
Instructions for Form 5330

(Rev. December 2021)
Return of Excise Taxes Related to Employee Benefit Plans

Section references are to the Internal Revenue Certain prohibited allocations of        been eliminated, as specified in 
Code unless otherwise noted.                   qualified securities by an ESOP (section   sections 4973(c)(2)(A) and (B).
                                               4979A);                                    9. A disqualified person liable for the 
Future Developments                            Reversions of qualified plan assets to   tax under section 4975 for participating 
For the latest information about               employers (section 4980); and              in a prohibited transaction (other than a 
developments related to Form 5330 and          A failure of an applicable plan          fiduciary acting only as such), or an 
its instructions, such as legislation          reducing future benefit accruals to        individual or his or her beneficiary who 
enacted after they were published, go to       satisfy notice requirements (section       engages in a prohibited transaction with 
IRS.gov/Form5330.                              4980F).                                    respect to his or her individual 
                                               Who Must File                              retirement account, unless section 
                                                                                          408(e)(2)(A) or section 408(e)(4) 
What’s New                                     A Form 5330 must be filed by any of the    applies, for each tax year or part of a tax 
Filing deadline for section 4971 ex-           following.                                 year in the taxable period applicable to 
cise taxes.  The filing due date for             1. A plan entity manager of a            such prohibited transaction.
section 4971 taxes is changed to the           tax-exempt entity who approves, or         10. An employer liable for the tax 
15th day of the 10th month after the last      otherwise causes the entity to be party    under section 4976 for maintaining a 
day of the plan year.                          to, a prohibited tax shelter transaction   funded welfare benefit plan that 
                                               during the tax year and knows or has 
Electronic filing expected to be                                                          provides a disqualified benefit during 
                                               reason to know the transaction is a 
available in 2022. Electronic filing of                                                   any tax year.
                                               prohibited tax shelter transaction under 
Form 5330 is expected to be available                                                     11. An employer who pays excess 
                                               section 4965(a)(2).
in 2022, and the IRS will announce the                                                    fringe benefits and has elected to be 
specific date of availability when the           2. An employer liable for the tax        taxed under section 4977 on such 
programming comes online.                      under section 4971 for failure to meet     payments.
                                               the minimum funding standards under 
                                               section 412.                               12. An employer or worker-owned 
                                                                                          cooperative, as defined in section 
General Instructions                             3. An employer liable for the tax        1042(c)(2), that maintains an employee 
                                               under section 4971(f) for a failure to     stock ownership plan (ESOP) that 
Purpose of Form                                meet the liquidity requirement of section  disposes of the qualified securities, as 
File Form 5330 to report the tax on:           430(j) (or section 412(m)(5) as it existed defined in section 1042(c)(1), within the 
A prohibited tax shelter transaction         prior to amendment by the Pension          specified 3-year period (see section 
(section 4965(a)(2));                          Protection Act of 2006 (PPA '06)), for     4978).
A minimum funding deficiency                 plans with delayed effective dates under 
(section 4971(a) and (b));                     PPA '06.                                   13. An employer liable for the tax 
A failure to pay liquidity shortfall                                                    under section 4979 on excess 
(section 4971(f));                               4. An employer with respect to a         contributions to plans with a cash or 
A failure to comply with a funding           multiemployer plan liable for the tax      deferred arrangement, etc.
improvement or rehabilitation plan             under section 4971(g)(2) for failure to 
(section 4971(g)(2));                          comply with a funding improvement or       14. An employer or worker-owned 
A failure to meet requirements for           rehabilitation plan under section 432.     cooperative that made the written 
                                                                                          statement described in section
plans in endangered or critical status           5. An employer with respect to a         664(g)(1)(E) or 1042(b)(3)(B) and made 
(section 4971(g)(3));                          multiemployer plan liable for the tax      an allocation prohibited under section 
A failure to adopt rehabilitation plan       under section 4971(g)(3) for failure to    409(n) of qualified securities of an 
(section 4971(g)(4));                          meet the requirements for plans in         ESOP taxable under section 4979A; or, 
Nondeductible contributions to               endangered or critical status under        an employer or worker-owned 
qualified plans (section 4972);                section 432.                               cooperative who made an allocation of 
Excess contributions to a section              6. A multiemployer plan sponsor          S corporation stock of an ESOP 
403(b)(7)(A) custodial account (section        liable for the tax under section           prohibited under section 409(p) taxable 
4973(a)(3));                                   4971(g)(4) for failure to adopt a          under section 4979A.
A prohibited transaction (section            rehabilitation plan within the time        15. An employer who receives an 
4975);                                         required under section 432.                employer reversion from a deferred 
A disqualified benefit provided by             7. An employer liable for the tax        compensation plan taxable under 
funded welfare plans (section 4976);           under section 4972 for nondeductible       section 4980.
Excess fringe benefits (section 4977);       contributions to qualified plans.          16. An employer or multiemployer 
Certain employee stock ownership 
plan (ESOP) dispositions (section                8. An individual liable for the tax      plan liable for the tax under section 
4978);                                         under section 4973(a)(3) because an        4980F for failure to give notice of a 
Excess contributions to plans with           excess contribution to a section           significant reduction in the rate of future 
cash or deferred arrangements (section         403(b)(7)(A) custodial account was         benefit accrual.
4979);                                         made for them and that excess has not 

Dec 22, 2021                                              Cat. No. 11871X



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  A Form 5330 and tax payment is                Table 1. Excise Tax Due Dates
required for any of the following.
Each year any of the following under          IF the taxes are due 
Who Must File, earlier, apply: (1), (2),        under section . . .     THEN file Form 5330 by the . . .
(3), (5), (6), (7), (8), (9), (10), (11), (12), 
(13), (14), or (16).                                                    15th day of the 5th month following the close of the entity 
Each failure of an employer to make                                   manager's tax year during which the tax-exempt entity becomes a 
the required contribution to a                  4965                    party to the transaction.
multiemployer plan, as required by a            4971                    15th day of the 10th month after the last day of the plan year.
funding improvement or rehabilitation 
plan under section 432.                         4971(f)                 15th day of the 10th month after the last day of the plan year.
A reversion of plan assets from a             4971(g)(2)              15th day of the 10th month after the last day of the plan year.
qualified plan taxable under section 
4980.                                           4971(g)(3)              15th day of the 10th month after the last day of the plan year.
Each year or part of a year in the            4971(g)(4)              15th day of the 10th month after the last day of the plan year.
taxable period in which a prohibited 
                                                4972                    last day of the 7th month after the end of the tax year of the 
transaction occurs under section 4975. 
                                                                        employer or other person who must file this return.
See the instructions for Schedule C, 
line 2, columns (d) and (e), for a              4973(a)(3)              last day of the 7th month after the end of the tax year of the 
definition of “taxable period.”                                         individual who must file this return.
When To File                                    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.
File one Form 5330 to report all excise 
taxes with the same filing due date.            4976                    last day of the 7th month after the end of the tax year of the 
However, if the taxes are from separate                                 employer or other person who must file this return.
plans, file separate forms for each plan.       4977                    last day of the 7th month after the end of the calendar year in 
  Generally, filing Form 5330 starts the                                which the excess fringe benefits were paid to your employees.
statute of limitations running only with        4978                    last day of the 7th month after the end of the tax year of the 
respect to the particular excise tax(es)                                employer or other person who must file this return.
reported on that Form 5330. However, 
                                                4979                    last day of the 15th month after the close of the plan year to which 
statutes of limitations with respect to the 
                                                                        the excess contributions or excess aggregate contributions relate.
prohibited transaction excise tax(es) are 
based on the filing of the applicable           4979A                   last day of the 7th month after the end of the tax year of the 
Form 5500, Annual Return/Report of                                      employer or other person who must file this return.
Employee Benefit Plan.                          4980                    last day of the month following the month in which the reversion 
  Use Table 1 to determine the due                                      occurred.
date of Form 5330.                              4980F                   last day of the month following the month in which the failure 
Extension. File Form 5558, Application                                  occurred.
for Extension of Time To File Certain           If the filing due date falls on a Saturday, Sunday, or legal holiday, the return may be filed on the next 
Employee Plan Returns, to request an            business day.
extension of time to file. If approved, you 
may be granted an extension of up to 6 
months after the normal due date of                                                                Private delivery services cannot 
                                                Where To File
Form 5330.                                                                                       ! deliver items to P.O. boxes. You 
        Form 5558 does not extend the                 File the paper Form 5330 at the   CAUTION    must use the U.S. Postal 
                                                      following address:                Service to mail any item to an IRS P.O. 
CAUTION instructions for Form 5558.
  !     time to pay your taxes. See the                                                 box address.
                                                Department of the Treasury
                                                Internal Revenue Service Center
How To File                                     Ogden, UT 84201                         Interest and Penalties
Paper forms for filing. Form 5330 can                                                   Interest.       We are required by law to 
be filed on paper. You can obtain the                                                   charge interest when you do not pay 
official IRS printed Form 5330 found on         Private delivery services (PDSs).       your liability on time. Generally, we 
the IRS website and download it to your         You can use certain private delivery    calculate interest on any unpaid balance 
computer to print and sign before               services (PDSs) designated by the IRS   from the due date of your return 
mailing to the address specified in these       to meet the “timely mailing as timely   (regardless of extensions of time to file) 
instructions. See Where To File below.          filing/paying” rule for tax returns and until you pay the amount you owe in full, 
You can complete paper Form 5330 by             payments. Go to IRS.gov/PDS for the     including accrued interest and any 
hand with pen or typewriter using only          current list of designated services.    penalty charges. Interest on some 
blue or black ink. Entries should not           The PDS can tell you how to get         penalties accrues on any unpaid 
exceed the lines provided on the form.          written proof of the mailing date.      balance from the date we notify you of 
                                                                                        the penalty until it is paid in full. Interest 
You can find Form 5330 and its                  For the IRS mailing address to use if   on other penalties, such as failure to file 
instructions by visiting the IRS Internet       you're using a PDS, go to IRS.gov/      a tax return, starts from the due date or 
website at IRS.gov/FormsPubs.                   PDSstreetAddresses.                     extended due date of the return. Interest 

                                                                    -2-                                      Instructions for Form 5330



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rates are variable and may change             employer, individual, or other entity who    employee organizations, or by two or 
quarterly. (See section 6601.)                is liable for the tax.                       more employers.
Penalty for late filing of return.     If you Include the suite, room, or other unit       Include the suite, room, or other unit 
do not file a return by the due date,         number after the street number. If the       number after the street number. If the 
including extensions, you may have to         post office does not deliver mail to the     post office does not deliver mail to the 
pay a penalty of 5% of the unpaid tax for     street address and you have a P.O. box,      street address and you have a P.O. box, 
each month or part of a month the return      show the box number instead of the           show the box number instead of the 
is late, up to a maximum of 25% of the        street address.                              street address.
unpaid tax. The penalty will not be           If the plan has a foreign address,           If the plan has a foreign address, 
imposed if you can show that the failure      enter the information in the following       enter the information in the following 
to file on time was due to reasonable         order: city or town, state or province,      order: city or town, state or province, 
cause. If you file late, you may attach a     country, and ZIP or foreign postal code.     and country. Follow the country's 
statement to Form 5330 explaining the         Follow the country's practice for            practice for entering the postal code. Do 
reasonable cause.                             entering the postal code. Do not             not abbreviate the country name.
Penalty for late payment of tax.       If     abbreviate the country name.
                                                                                           Item E. Plan sponsor's EIN.   Enter the 
you do not pay the tax when due, you          Item B. Filer's identifying number.          nine-digit EIN assigned to the plan 
may have to pay a penalty of  /  of 1% 1 2    Enter the filer's identifying number in the  sponsor. This should be the same 
of the unpaid tax for each month or part      appropriate section. The filer's             number used to file the Form 5500 
of a month the tax is not paid, up to a       identifying number is either the filer's     series return/report.
maximum of 25% of the unpaid tax. The         employer identification number (EIN) or 
penalty will not be imposed if you can        the filer's social security number (SSN),    Item F. Plan year ending.   “Plan year” 
show that the failure to pay on time was      but not both. The identifying number of      means the calendar or fiscal year on 
due to reasonable cause.                      an individual, other than a sole             which the records of the plan are kept. 
  Interest and penalties for late filing      proprietor with an EIN, is his or her SSN.   Enter eight digits in month/date/year 
and late payment will be billed               The identifying number for all other filers  order. This number assists the IRS in 
separately after the return is filed.         is their EIN. The EIN is the nine-digit      properly identifying the plan and time 
                                              number assigned to the plan sponsor/         period for which Form 5330 is being 
Claim for Refund or Credit/                   employer, entity, or individual on whom      filed. For example, a plan year ending 
Amended Return                                the tax is imposed.                          March 31, 2020, should be shown as 
                                                                                           03/31/2020.
File an amended Form 5330 for any of          Item C. Name of plan.  Enter the 
the following.                                formal name of the plan, name of the         Item G. Plan number.  Enter the 
To claim a refund of overpaid taxes         plan sponsor, or name of the insurance       three-digit number that the employer or 
reportable on Form 5330.                      company or financial institution of the      plan administrator assigned to the plan. 
To receive a credit for overpaid taxes.     direct filing entity (DFE). In the case of a This three-digit number is used with the 
To report additional taxes due within       group insurance arrangement (GIA),           EIN entered on item B and is used by 
the same tax year of the filer if those       enter the name of the trust or other         the IRS, the Department of Labor, and 
taxes have the same due date as those         entity that holds the insurance contract.    the Pension Benefit Guaranty 
previously reported. Check the box in         In the case of a master trust investment     Corporation as a unique 12-digit 
item H of the Entity Section and report       account (MTIA), enter the name of the        number to identify the plan.
the correct amount of taxes on                sponsoring employers.                                If the plan number is not 
                                              If the plan covers only the employees 
Schedule A through K, as appropriate,                                                      !       provided, this will cause a delay 
and on Part I, lines 1 through 16. See                                                     CAUTION in processing your return.
                                              of one employer, enter the employer's 
the instructions for Part II, lines 17 
                                              name or enough information to identify 
through 19.                                                                                Item H. Amended return.     If you are 
                                              the plan. This should be the same name 
  If you file an amended return to claim      indicated on the Form 5500 series            filing an amended Form 5330, check the 
a refund or credit, the claim must state      return/report if that form is required to be box on this line, and see the instructions 
in detail the reasons for claiming the        filed for the plan.                          for Part II, lines 17 through 19. Also, see 
                                                                                           Claim for Refund or Credit/Amended 
refund. In order for the IRS to promptly      Item D. Name and address of plan             Return, earlier.
consider your claim, you must provide         sponsor. The term “plan sponsor” 
the appropriate supporting evidence.          means:                                       Filer's signature. To reduce the 
See Regulations section 301.6402-2 for        1. The employer, for an employee             possibility of correspondence and 
more details.                                 benefit plan established or maintained       penalties, please sign and date the 
                                              by a single employer.                        form. Also, enter a daytime phone 
                                                                                           number where you can be reached.
Specific Instructions                         2. The employee organization, in 
Filer tax year. Enter the tax year of the     the case of a plan of an employee            Preparer's signature. Anyone who 
employer, entity, or individual on whom       organization.                                prepares your return and does not 
                                                                                           charge you should not sign your return. 
the tax is imposed by using the plan          3. The association, committee, joint 
                                                                                           For example, a regular full-time 
year beginning and ending dates               board of trustees, or other similar group 
                                                                                           employee or your business partner who 
entered in Part I of Form 5500 or by          of representatives of the parties who 
                                                                                           prepares the return should not sign.
using the tax year of the business return     establish or maintain the plan, if the plan 
filed.                                        is established or maintained jointly by      Generally, anyone who is paid to 
                                              one or more employers and one or more        prepare the return must sign the return 
Item A. Name and address of filer.                                                         in the space provided and fill in the Paid 
Enter the name and address of the 

Instructions for Form 5330                                        -3-



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Preparer's Use Only area. See section       employer securities as of the disposition    shareholder of the employer maintaining 
7701(a)(36)(B) for exceptions.              (60% of the total value of all employer      the plan.
  In addition to signing and completing     securities in the case of any qualified        3. The accrual or allocation of S 
the required information, the paid          employer securities acquired in a            corporation shares in an ESOP during a 
preparer must give a copy of the            qualified gratuitous transfer to which       nonallocation year constituting a 
completed return to the taxpayer.           section 664(g) applied).                     prohibited allocation under section 
                                              See section 4978(b)(2) for the             409(p).
Note. If Form 5330 is filed on paper, a     limitation on the amount of tax.               4. A synthetic equity owned by a 
paid preparer may sign original or            The section 4978 tax must be paid by       disqualified person in any nonallocation 
amended returns by rubber stamp,            the employer or the eligible                 year.
mechanical device, or computer              worker-owned cooperative that made 
software program.                           the written statement described in             Prohibited allocations for ESOP 
                                            section 1042(b)(3)(B) on dispositions        or worker-owned cooperative.        For 
Part I. Taxes                               that occurred during their tax year.         purposes of items 1 and 2 above, a 
                                                                                         “prohibited allocation of qualified 
Line 4.  Enter the total amount of the        The section 4978 tax does not apply        securities by any ESOP or eligible 
disqualified benefit under section 4976.    to a distribution of qualified securities or worker-owned cooperative” is any 
Section 4976 imposes an excise tax on       sale of such securities if any of the        allocation of qualified securities 
employers who maintain a funded             following occurs.                            acquired in a nonrecognition-of-gain 
welfare benefit plan that provides a        The death of the employee.                 sale under section 1042, which violates 
disqualified benefit during any tax year.   The retirement of the employee after       section 409(n), and any benefit that 
The tax is 100% of the disqualified         the employee has reached age 59 / .1 2       accrues to any person in violation of 
benefit.                                    The disability of the employee (within     section 409(n).
  Generally, a disqualified benefit is      the meaning of section 72(m)(7)).
any of the following.                       The separation of the employee from          Under section 409(n), an ESOP or 
Any post-retirement medical benefit       service for any period that results in a     worker-owned cooperative cannot allow 
or life insurance benefit provided for a    1-year break in service, as defined in       any portion of assets attributable to 
key employee unless the benefit is          section 411(a)(6)(A).                        employer securities acquired in a 
                                                                                         section 1042 sale to accrue or be 
provided from a separate account              For purposes of section 4978, an           allocated, directly or indirectly, to the 
established for the key employee under      exchange of qualified securities in a        taxpayer, or any person related to the 
section 419A(d).                            reorganization described in section          taxpayer, involved in the transaction 
Any post-retirement medical benefit       368(a)(1) for stock of another               during the nonallocation period. For 
or life insurance benefit unless the plan   corporation will not be treated as a         purposes of section 409(n), 
meets the nondiscrimination                 disposition.                                 “relationship to the taxpayer” is defined 
requirements of section 505(b) for those                                                 under section 267(b).
benefits.                                           For section 4978 excise taxes, 
Any portion of the fund that reverts to           the amount entered on Part I,          The nonallocation period is the 
the benefit of the employer.                        line 5a, is the amount realized      period beginning on the date the 
                                            on the disposition of qualified securities,  qualified securities are sold and ending 
Lines 5a and 5b.   Section 4978             multiplied by 10%. Also, check the           on the later of:
imposes an excise tax on the sale or        appropriate box on line 5b.                  10 years after the date of sale, or
transfer of securities acquired in a sale                                                The date on which the final payment 
or qualified gratuitous transfer to which   Line 6. Section 4979A imposes a 50%          is made if acquisition indebtedness was 
section 1042 or section 664(g) applied,     excise tax on allocated amounts              incurred at the time of sale.
respectively, if the sale or transfer takes involved in any of the following.              The employer sponsoring the plan or 
place within 3 years after the date of the    1. A prohibited allocation of qualified    the eligible worker-owned cooperative is 
acquisition of qualified securities, as     securities by any ESOP or eligible           responsible for paying the tax.
defined in section 1042(c)(1) or a          worker-owned cooperative.                      For purposes of items 3 and 4, under 
section 664(g) transfer.
                                              2. A prohibited allocation described       Line 6, earlier, the excise tax on these 
  The tax is 10% of the amount              in section 664(g)(5)(A). Section             transactions under section 4979A is 
realized on the disposition of the          664(g)(5)(A) prohibits any portion of the    50% of the amount involved. The 
qualified securities if an ESOP or          assets of the ESOP attributable to           amount involved includes the following.
eligible worker-owned cooperative, as       securities acquired by the plan in a           1. The value of any synthetic equity 
defined in section 1042(c)(2), disposes     qualified gratuitous transfer to be          owned by a disqualified person in any 
of the qualified securities within the      allocated to the account of:                 nonallocation year. “Synthetic equity” 
3-year period described above, and 
either of the following applies.              a. Any person related to the               means any stock option, warrant, 
The total number of shares held by        decedent within the meaning of section       restricted stock, deferred issuance 
that plan or cooperative after the          267(b) or a member of the decedent's         stock right, or similar interest or right 
disposition is less than the total number   family within the meaning of section         that gives the holder the right to acquire 
of employer securities held immediately     2032A(e)(2); or                              or receive stock of the S corporation in 
after the sale, or                            b. Any person who, at the time of          the future. Synthetic equity may also 
Except to the extent provided in          the allocation or at any time during the     include a stock appreciation right, 
regulations, the value of qualified         1-year period ending on the date of the      phantom stock unit, or similar right to a 
securities held by the plan or              acquisition of qualified employer            future cash payment based on the value 
cooperative after the disposition is less   securities by the plan, is a 5%              of the stock or appreciation; and 
than 30% of the total value of all                                                       nonqualified deferred compensation as 

                                                              -4-                                 Instructions for Form 5330



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described in Regulations section             allocations described in items 1 through   Annuity plans described in section 
1.409(p)-1(f)(2)(iv). The value of a         4, earlier, under Line 6.                  403(a);
synthetic equity is the value of the                                                    Annuity contracts described in 
                                             Line 10a. Under section 4971(g)(2), 
shares on which the synthetic equity is                                                 section 403(b);
                                             each employer who contributes to a 
based or the present value of the                                                       Qualified tuition programs described 
                                             multiemployer plan and fails to comply 
nonqualified deferred compensation.                                                     in section 529;
                                             with a funding improvement or 
    2. The value of any S corporation        rehabilitation plan will be liable for an  Retirement plans maintained by a 
                                                                                        governmental employer described in 
shares in an ESOP accruing during a          excise tax for each failure to make a 
                                                                                        section 457(b);
nonallocation year or allocated directly     required contribution within the time 
or indirectly under the ESOP or any          frame under such plan. Enter the           Individual retirement accounts within 
                                                                                        the meaning of section 408(a);
other plan of the employer qualified         amount of each contribution the 
under section 401(a) for the benefit of a    employer failed to make in a timely        Individual retirement annuities within 
                                                                                        the meaning of section 408(b);
disqualified person. For additional          manner.
information, see Regulations section                                                    Archer medical savings accounts 
                                               A “funding improvement plan” is a 
1.409(p)-1(b)(2).                                                                       (MSAs) within the meaning of section 
                                             plan which consists of the actions,        220(d);
    3. The total value of all                including options or a range of options    Coverdell education savings 
deemed-owned shares of all                   to be proposed to the bargaining           accounts described in section 530; and
disqualified persons.                        parties, formulated to provide, based on   Health savings accounts within the 
    For purposes of determining a            reasonably anticipated experience and      meaning of section 223(d).
nonallocation year, the attribution rules    reasonable actuarial assumptions, for 
                                                                                          An entity manager is the person who 
of section 318(a) will apply; however,       the attainment of the following 
                                                                                        approves or otherwise causes the entity 
the option rule of section 318(a)(4) will    requirements by the plan during the 
not apply. Additionally, the attribution     funding improvement period.                to be a party to a prohibited tax shelter 
                                                                                        transaction.
rules defining family member are               1. The plan's funded percentage as 
modified to include the individual's:        of the close of the funding improvement      The excise tax under section
  Spouse,                                  period equals or exceeds a percentage      4965(a)(2) is $20,000 for each approval 
  Ancestor or lineal descendant of the     equal to the sum of:                       or other act causing the organization to 
                                                                                        be a party to a prohibited tax shelter 
individual or the individual's spouse,         a. The percentage as of the              transaction.
and                                          beginning of the funding improvement 
                                                                                          A “prohibited tax shelter transaction” 
  A brother or sister of the individual or period, plus
of the individual's spouse and any lineal                                               is any listed transaction and any 
                                               b. 33% of the difference between 
descendant of the brother or sister.                                                    prohibited reportable transaction, as 
                                             100% and the percentage as of the          defined, later.
    A spouse of an individual legally        beginning of the funding improvement 
separated from an individual under a         period (or 20% of the difference if the      1. A “listed transaction” is a 
decree of divorce or separate                plan is in seriously endangered status).   reportable transaction that is the same 
maintenance is not treated as the                                                       as, or substantially similar to, a 
                                               2. No accumulated funding 
individual's spouse.                                                                    transaction specifically identified by the 
                                             deficiency for any plan year during the    Secretary of the Treasury as a tax 
    An individual is a disqualified person   funding improvement period, taking into    avoidance transaction for purposes of 
if:                                          account any extension of the               section 6011.
  The total number of shares owned by      amortization period under section 
                                                                                          2. A “prohibited reportable 
the person and the members of the            431(d).
person's family, as defined in section                                                  transaction” is:
409(p)(4)(D), is at least 20% of the           A “rehabilitation plan” is a plan which    a. Any confidential transaction 
deemed-owned shares, as defined in           consists of actions, including options or  within the meaning of Regulations 
section 409(p)(4)(C), in the S               a range of options to be proposed to the   section 1.6011-4(b)(3), or
corporation; or                              bargaining parties, formulated to enable 
  The person owns at least 10% of the      the plan to cease to be in critical status   b. Any transaction with contractual 
deemed-owned shares, as defined in           by the end of the rehabilitation period.   protection within the meaning of 
                                                                                        Regulations section 1.6011-4(b)(4).
section 409(p)(4)(C), in the S                 All or part of this excise tax may be 
corporation.                                 waived under section 4971(g)(5).           Part II. Tax Due
        Under section 409(p)(7), the         Line 16. If a tax-exempt entity manager           If you are filing an amended 
    !   Secretary of the Treasury may,       approves or otherwise causes the entity           Form 5330 and you paid taxes 
CAUTION through regulations or other         to be a party to a prohibited tax shelter         with your original return and 
guidance of general applicability,           transaction during the year and knows      those taxes have the same due date as 
provide that a nonallocation year occurs     or has reason to know that the             those previously reported, check the 
in any case in which the principal           transaction is a prohibited tax shelter    box in item H and enter the tax reported 
purpose of the ownership structure of an     transaction, the entity manager must       on your original return in the entry space 
S corporation constitutes an avoidance       pay an excise tax under section            for line 18. If you file Form 5330 for a 
or evasion of section 409(p). See            4965(b)(2).                                claim for refund or credit, show the 
Regulations section 1.408(p)-1.                For purposes of section 4965, plan       amount of overreported tax in 
    For section 4979A excise taxes, the      entities are:                              parentheses on line 19. Otherwise, 
amount entered on Part I, line 6, is 50%     Qualified pension, profit-sharing, and   show the amount of additional tax due 
of the amount involved in the prohibited     stock bonus plans described in section 
                                             401(a);

Instructions for Form 5330                                     -5-



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on line 19 and include the payment with      Although pre-1987 nondeductible            For these purposes, multiemployer 
the amended Form 5330.                     contributions are not subject to this      plans are not taken into consideration in 
                                           excise tax, they are taken into account    applying the overall limit on deductions 
Lines 17 through 19.    If you file Form   to determine the extent to which           where there is a combination of defined 
5330 on paper, make your check or          post-1986 contributions are deductible.    benefit and defined contribution plans.
money order payable to the “United         See section 4972 and Pub. 560, 
States Treasury” for the full amount due.  Retirement Plans for Small Business, for   Schedule B. Tax on 
Attach the payment to your return. Write   details.                                   Excess Contributions to 
your name, identifying number, plan 
number, and “Form 5330, Section ____”        Defined benefit plans exception.         Section 403(b)(7)(A) 
on your payment.                           For purposes of determining the amount 
                                                                                      Custodial Accounts 
                                           of nondeductible contributions subject 
File at the address shown under            to the 10% excise tax, the employer        (Section 4973(a)(3))
Where To File, earlier.                    may elect not to include any               Section 4973(a) imposes a 6% excise 
                                           contributions to a defined benefit plan    tax on excess contributions to section 
Schedule A. Tax on                         except, in the case of a multiemployer     403(b)(7)(A) custodial accounts at the 
Nondeductible Employer                     plan, to the extent those contributions    close of the tax year. The tax is paid by 
Contributions to Qualified                 exceed the full-funding limitation (as     the individual account holder.
                                           defined in section 431(c)(6)). This        Line 1. Enter total current year 
Employer Plans (Section                    election applies to terminated and         contributions, less any rollover 
4972)                                      ongoing plans. An employer making this     contributions described in section 
                                           election cannot also benefit from the 
Section 4972.  Section 4972 imposes                                                   403(b)(8) or 408(d)(3)(A).
                                           exceptions for terminating plans and for 
an excise tax on employers who make                                                   Line 2. Enter the amount excludable 
                                           certain contributions to defined 
nondeductible contributions to their                                                  under section 415(c) (limit on annual 
                                           contribution plans under section 4972(c)
qualified plans. The excise tax is equal                                              additions).
                                           (6). When determining the amount of 
to 10% of the nondeductible 
                                           nondeductible contributions, the 
contributions in the plan as of the end of                                                    To determine the amount 
                                           deductible limits under section 404(a)(7) 
the employer's tax year.                                                              TIP     excludable for a specific year, 
                                           must be applied first to contributions to          see Pub. 571, Tax-Sheltered 
A “qualified employer plan” for            defined contribution plans and then to     Annuity Plans (403(b) Plans), for that 
purposes of this section means any plan    contributions to defined benefit plans.    year.
qualified under section 401(a), any 
annuity plan qualified under section         Defined contribution plans 
403(a), and any simplified employee        exception. In determining the amount         The limit on annual additions under 
pension plan qualified under section       of nondeductible contributions subject     section 415(c)(1)(A) is subject to 
408(k) or any simple retirement account    to the 10% excise tax, do not include      cost-of-living adjustments as described 
under section 408(p). The term qualified   any of the following.                      in section 415(d). The dollar limit for a 
plan does not include certain              Employer contributions to one or         calendar year, as adjusted annually, is 
governmental plans and certain plans       more defined contribution plans which      published during the fourth quarter of 
maintained by tax-exempt                   are nondeductible solely because of        the prior calendar year in the Internal 
organizations.                             section 404(a)(7) that do not exceed the   Revenue Bulletin.
                                           matching contributions described in 
For purposes of section 4972,                                                         Schedule C. Tax on 
                                           section 401(m)(4)(A).
“nondeductible contributions” for the 
employer's current tax year are the sum    Contributions to a SIMPLE 401(k) or      Prohibited Transactions 
                                           a SIMPLE IRA considered 
of:                                                                                   (Section 4975)
                                           nondeductible because they are not 
1. The excess (if any) of the              made in connection with the employer's     Section 4975. Section 4975 imposes 
employer's contribution for the tax year   trade or business. However, this           an excise tax on a disqualified person 
less the amount allowable as a             provision pertaining to SIMPLEs does       who engages in a prohibited transaction 
deduction under section 404 for that       not apply to contributions made on         with the plan.
year; and                                  behalf of the employer or the employer's 
2. The total amount of the                 family.                                      Plan. For purposes of this section, 
                                                                                      the term “plan” means any of the 
employer's contributions for each            For purposes of this exception, the      following.
preceding tax year that was not            combined plan deduction limits are first   A trust described in section 401(a) 
allowable as a deduction under section     applied to contributions to the defined    that forms part of a plan.
404 for such preceding year, reduced       benefit plan and then to the defined       A plan described in section 403(a) 
by the sum of:                             contribution plan.                         that is exempt from tax under section 
a. The portion of that amount                Restorative payments to a defined        501(a).
available for return under the applicable  contribution plan are not considered       An individual retirement account 
qualification rules and actually returned  nondeductible contributions if the         described in section 408(a).
to the employer prior to the close of the  payments are made to restore some or       An individual retirement annuity 
current tax year; and                      all of the plan's losses due to an action  described in section 408(b).
b. The portion of such amount that         (or a failure to act) that creates a       An Archer MSA described in section 
became deductible for a preceding tax      reasonable risk of liability for breach of 220(d).
year or for the current tax year.          fiduciary duty. Amounts paid in excess     A Coverdell education savings 
                                           of the loss are not considered             account described in section 530.
                                           restorative payments.

                                                              -6-                                Instructions for Form 5330



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A Health Savings Account described       officers or directors), a 10% or more      or other property (rent, etc.) are of an 
in section 223(d).                         shareholder or highly compensated          ongoing nature and will be treated as a 
A trust described in section             employee (earning 10% or more of the       new prohibited transaction on the first 
501(c)(22).                                yearly wages of an employer) of a          day of each succeeding tax year or part 
                                           person described in (3), (4), (5), or (7). of a tax year that is within the taxable 
Note. For purposes of section 4975,        9. A 10% or more (in capital or            period.
the term “plan” does not include a         profits) partner or joint venturer of a    Line 2, column (b). List the date of all 
section 403(b) tax-sheltered annuity       person described in (3), (4), (5), or (7). prohibited transactions that took place 
plan. See section 4975(e).
                                           10. Any disqualified person, as            in connection with a particular plan 
        If the IRS determined at any       described in (1) through (9) above, who    during the current tax year. Also, list the 
  !     time that your plan was a plan     is a disqualified person with respect to   date of all prohibited transactions that 
CAUTION as defined above, it will always                                              took place in prior years unless either 
                                           any plan to which a section 501(c)(22) 
remain subject to the excise tax on        trust applies, that is permitted to make   the transaction was corrected in a prior 
prohibited transactions under section      payments under section 4223 of the         tax year or the section 4975(a) tax was 
4975. This also applies to the tax on      Employee Retirement Income Security        assessed in the prior tax year. A 
minimum funding deficiencies under         Act (ERISA).                               disqualified person who engages in a 
section 4971.                                                                         prohibited transaction must file a 
                                           Prohibited transaction.     A              separate Form 5330 to report the excise 
  Disqualified person.  A “disqualified    “prohibited transaction” is any direct or  tax due under section 4975 for each tax 
person” is a person who is any of the      indirect:                                  year.
following.                                 1. Sale or exchange, or leasing of 
                                                                                      Line 2, columns (d) and (e).       The 
  1. A fiduciary.                          any property between a plan and a 
                                                                                      “amount involved in a prohibited 
                                           disqualified person; or a transfer of real 
  2. A person providing services to                                                   transaction” means the greater of the 
                                           or personal property by a disqualified 
the plan.                                                                             amount of money and the fair market 
                                           person to a plan where the property is 
                                                                                      value (FMV) of the other property given, 
  3. An employer, any of whose             subject to a mortgage or similar lien 
                                                                                      or the amount of money and the FMV of 
employees are covered by the plan.         placed on the property by the 
                                                                                      the other property received. However, 
  4. An employee organization, any of      disqualified person within 10 years prior 
                                                                                      for services described in sections 
whose members are covered by the           to the transfer, or the property 
                                                                                      4975(d)(2) and (10), the amount 
plan.                                      transferred is subject to a mortgage or 
                                                                                      involved only applies to excess 
  5. A direct or indirect owner of 50%     similar lien which the plan assumes;
                                                                                      compensation. For purposes of section 
or more of:                                2. Lending of money or other               4975(a), FMV must be determined as of 
  a. The combined voting power of all      extension of credit between a plan and     the date on which the prohibited 
classes of stock entitled to vote, or the  a disqualified person;                     transaction occurs. If the use of money 
total value of shares of all classes of    3. Furnishing of goods, services, or       or other property is involved, the amount 
stock of a corporation;                    facilities between a plan and a            involved is the greater of the amount 
  b. The capital interest or the profits   disqualified person;                       paid for the use or the FMV of the use 
interest of a partnership; or              4. Transfer to, or use by or for the       for the period for which the money or 
  c. The beneficial interest of a trust    benefit of, a disqualified person of       other property is used. In addition, 
or unincorporated enterprise in (a), (b),  income or assets of a plan;                transactions involving the use of money 
                                                                                      or other property will be treated as 
or (c), which is an employer or an         5. Act by a disqualified person who        giving rise to a prohibited transaction 
employee organization described in (3)     is a fiduciary whereby he or she deals     occurring on the date of the actual 
or (4) above. A limited liability company  with the income or assets of a plan in his transaction, plus a new prohibited 
should be treated as a corporation or a    or her own interest or account; or         transaction on the first day of each 
partnership, depending on how the          6. Receipt of any consideration for        succeeding tax year or portion of a 
organization is treated for federal tax    his or her own personal account by any     succeeding tax year which is within the 
purposes.                                  disqualified person who is a fiduciary     taxable period. The “taxable period” for 
  6. A member of the family of any         from any party dealing with the plan       this purpose is the period of time 
individual described in (1), (2), (3), or  connected with a transaction involving     beginning with the date of the prohibited 
(5). A “member of a family” is the         the income or assets of the plan.          transaction and ending with the earliest 
spouse, ancestor, lineal descendant,                                                  of:
                                           Exemptions.    See sections 4975(d), 
and any spouse of a lineal descendant.                                                   1. The date the correction is 
                                           4975(f)(6)(B)(ii), and 4975(f)(6)(B)(iii) 
  7. A corporation, partnership, or        for specific exemptions to prohibited      completed,
trust or estate of which (or in which) any transactions. Also, see section               2. The date of the mailing of a notice 
direct or indirect owner holds 50% or      4975(c)(2) for certain other transactions  of deficiency, or
more of the interest described in (5a),    or classes of transactions that may           3. The date on which the tax under 
(5b), or (5c) of such entity. For this     become exempt.                             section 4975(a) is assessed.
purpose, the beneficial interest of the 
trust or estate is owned, directly or      Line 1. Check the box that best 
                                                                                      See the instructions for Schedule C, 
indirectly, or held by persons described   characterizes the prohibited transaction 
                                                                                      under Additional tax for failure to correct 
in (1) through (5).                        for which an excise tax is being paid. A 
                                                                                      the prohibited transaction (section 
                                           prohibited transaction is discrete unless 
                                                                                      4975(b)), for the definition of 
  8. An officer, director (or an           it is of an ongoing nature. Transactions 
                                                                                      “correction.”
individual having powers or                involving the use of money (loans, etc.) 
responsibilities similar to those of 

Instructions for Form 5330                                -7-



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Figure 1. Example for the Calendar 2020 Plan Year Used When Filing for the 2020 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)        7-1-20                      Loan                                                           $6,000                         $900
   (ii)
 (iii)
3 Add amounts in column (e). Enter here and on Part I, line 3a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .      $900

        Temporary Regulations section     section 4975(a) has been mailed to the                                     Form 5330 would include both the 
 !      141.4975-13 states that, until    disqualified person and no assessment                                      prohibited transaction of July 1, 2020, 
CAUTION final regulations are written     of such excise tax has been made by                                        with an amount involved of $6,000, 
under section 4975(f), the definitions of the IRS before the time the disqualified                                   resulting in a tax due of $900 ($6,000 x 
amount involved and correction found in   person filed the Forms 5330.                                               15%), and the second prohibited 
Regulations section 53.4941(e)-1 will      Each prohibited transaction has its                                       transaction of January 1, 2021, with an 
apply.                                    own separate taxable period that begins                                    amount involved of $12,000 (12 months 
                                          on the date the prohibited transaction                                     x $1,000), resulting in a tax due of 
 Failure to transmit participant          occurred or is deemed to occur and                                         $1,800 ($12,000 x 15%). (See Figure 2, 
contributions. For purposes of            ends on the date of the correction. The                                    later.) The taxable period for the second 
calculating the excise tax on a           taxable period that begins on the date                                     prohibited transaction runs from 
prohibited transaction where there is a   the loan occurs runs from July 1, 2020                                     January 1, 2021, through December 31, 
failure to transmit participant           (date of loan), through December 31,                                       2021 (date of correction). Because 
contributions (elective deferrals) or     2021 (date of correction). When a loan                                     there are two prohibited transactions 
amounts that would have otherwise         is a prohibited transaction, the loan is                                   with taxable periods running during 
been payable to the participant in cash,  treated as giving rise to a prohibited                                     2021, the section 4975(a) tax is due for 
the amount involved is based on interest  transaction on the date the transaction                                    the 2021 tax year for both prohibited 
on those elective deferrals. See Rev.     occurs, and an additional prohibited                                       transactions.
Rul. 2006-38.                             transaction on the first day of each                                                   When a loan from a qualified 
 Column (e).   The initial tax on a       succeeding tax year (or portion of a tax                                     TIP       plan that is a prohibited 
prohibited transaction is 15% of the      year) within the taxable period that                                                   transaction spans successive 
amount involved in each prohibited        begins on the date the loan occurs.                                        tax years, constituting multiple 
transaction for each year or part of a    Therefore, in this example, there are two                                  prohibited transactions, and during 
year in the taxable period. Multiply the  prohibited transactions, the first                                         those years the first tier prohibited 
amount in column (d) by 15%.              occurring on July 1, 2020, and ending                                      transaction excise tax rate changes, the 
                                          on December 31, 2020, and the second                                       first tier excise tax liability for each 
 Example.   The example of a              occurring on January 1, 2021, and                                          prohibited transaction is the sum of the 
prohibited transaction below does not     ending on December 31, 2021.                                               products resulting from multiplying the 
cover all types of prohibited 
transactions. For more examples, see       Section 4975(a) imposes a 15%                                             amount involved for each year in the 
Regulations section 53.4941(e)-1(b)(4).   excise tax on the amount involved for                                      taxable period for that prohibited 
                                          each tax year or part thereof in the                                       transaction by the excise tax rate in 
 A disqualified person borrows money      taxable period of each prohibited                                          effect at the beginning of that taxable 
from a plan in a prohibited transaction   transaction.                                                               period. For more information, see Rev. 
under section 4975. The FMV of the use                                                                               Rul. 2002-43, 2002-32 I.R.B. 85 at 
of the money and the actual interest on    The Form 5330 for the year 
the loan is $1,000 per month (the actual  ending December 31, 2020. The                                              www.irs.gov/pub/irs-irbs/irb02-28.pdf. 
interest is paid in this example). The    amount involved to be reported in the                                      Unlike the previous example, the 
loan was made on July 1, 2020 (date of    Form 5330, Schedule C, line 2, column                                      example in Rev. Rul. 2002-43 contains 
transaction), and repaid on December      (d), for the 2020 plan year, is $6,000 (6                                  unpaid interest.
31, 2021 (date of correction). The        months x $1,000). The tax due is $900 
disqualified person's tax year is the     ($6,000 x 15%). (See Figure 1 above.)                                          Additional tax for failure to 
calendar year. On July 31, 2022, the      (Any interest and penalties imposed for                                    correct the prohibited transaction 
disqualified person files a delinquent    the delinquent filing of Form 5330 and                                     (section 4975(b)). To avoid liability for 
Form 5330 for the 2020 plan year          the delinquent payment of the excise tax                                   additional taxes and penalties, and in 
(which in this case is the calendar year) for 2020 will be billed separately to the                                  some cases further initial taxes, a 
and a timely Form 5330 for the 2021       disqualified person.)                                                      correction must be made within the 
                                                                                                                     taxable period. The term “correction” is 
plan year (which in this case is the       The Form 5330 for the year                                                defined as undoing the prohibited 
calendar year). No notice of deficiency   ending December 31, 2021. The                                              transaction to the extent possible, but in 
with respect to the tax imposed by        excise tax to be reported on the 2021                                      any case placing the plan in a financial 

                                                                               -8-                                                 Instructions for Form 5330



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Figure 2. 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)         7-1-20                        Loan                                                        $6,000                        $900
 (ii)        1-1-21                        Loan                                                      $12,000                         $1,800
 (iii)
3 Add amounts in column (e). Enter here and on Part I, line 3a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     $2,700

position not worse than that in which it     For this purpose, an “eligible                                              4. Transfer to, or use by or for the 
would be if the disqualified person were   investment advice arrangement” is an                                      benefit of, a disqualified person of 
acting under the highest fiduciary         arrangement which either:                                                 income or assets of a plan.
standards.                                 Provides that any fees, including any 
 If the prohibited transaction is not      commission or other compensation,                                             However, if at the time the 
corrected within the taxable period, an    received by the fiduciary adviser for                                     transaction was entered into, the 
additional tax equal to 100% of the        investment advice or with respect to the                                  disqualified person knew or had reason 
amount involved will be imposed under      sale, holding, or acquisition of any                                      to know that the transaction was 
section 4975(b). Any disqualified person   security or other property for the                                        prohibited, the transaction would be 
who participated in the prohibited         investment of plan assets do not vary                                     subject to the tax on prohibited 
transaction (other than a fiduciary acting depending on the basis of any                                             transactions.
only as such) must pay this tax imposed    investment option selected; or                                                For purposes of section 4975(d)(23), 
by section 4975(b). Report the             Uses a computer model under an                                          the term “correct” means to:
additional tax on Part I, Section A,       investment advice program, described                                        Undo the transaction to the extent 
line 3b.                                   in section 4975(f)(8)(C), in connection                                   possible and in all cases to make good 
                                           with investment advice provided by a                                      to the plan or affected account any 
Line 4.  Check “No” if there has not       fiduciary adviser to a participant or                                     losses resulting from the transaction, 
been a correction of all of the prohibited beneficiary.                                                              and
transactions by the end of the tax year    Additionally, the eligible investment                                       Restore to the plan or affected 
for which this Form 5330 is being filed.   advice arrangement must meet the                                          account any profits made through the 
Attach a statement including item          provisions of sections 4975(f)(8)(D), (E),                                use of assets of the plan.
number from line 2a and description        (F), (G), (H), and (I).                                                       The “correction period” is the 14-day 
indicating when the correction will be                                                                               period beginning on the date on which 
                                             For purposes of the statutory 
made.                                                                                                                the disqualified person discovers or 
                                           exemption on investment advice, a 
Line 5.  If more than one disqualified     “fiduciary adviser” is defined in section                                 reasonably should have discovered that 
person participated in the same            4975(f)(8)(J).                                                            the transaction constitutes a prohibited 
prohibited transaction, list on this                                                                                 transaction.
schedule the name, address, and SSN          Correcting certain prohibited 
or EIN of each disqualified person, other  transactions.                   Generally, if a                           Schedule D. Tax on Failure 
than the disqualified person who files     disqualified person enters into a direct 
this return.                               or indirect prohibited transaction, listed                                To Meet Minimum Funding 
                                           in (1) through (4) below, in connection                                   Standards (Section 
 For all transactions, complete            with the acquisition, holding, or                                         4971(a))
columns (a), (b), and (c). If the          disposition of certain securities or                                      In the case of a single-employer plan, 
transaction has been corrected,            commodities, and the transaction is                                       section 4971(a) imposes a 10% tax on 
complete columns (a) through (e). If       corrected within the correction period, it                                the aggregate unpaid minimum required 
additional space is needed, you may        will not be treated as a prohibited                                       contributions for all plan years 
attach a statement fully explaining the    transaction and no tax will be assessed.                                  remaining unpaid as of the end of any 
correction and identifying persons 
involved in the prohibited transaction.      1. Sale or exchange, or leasing of                                      plan year. In the case of a 
                                           any property between a plan and a                                         multiemployer plan, section 4971(a) 
Prohibited transactions and invest-        disqualified person.                                                      imposes a 5% tax on the amount of the 
ment advice. The prohibited                  2. Lending of money or other                                            accumulated funding deficiency 
transaction rules of section 4975(c) will  extension of credit between a plan and                                    determined as of the end of the plan 
not apply to any transaction in            a disqualified person.                                                    year.
connection with investment advice if the 
investment advice provided by a              3. Furnishing of goods, services, or                                        If a plan fails to meet the funding 
fiduciary adviser is provided under an     facilities between a plan and a                                           requirements under section 412, the 
eligible investment advice arrangement.    disqualified person.                                                      employer and all controlled group 
                                                                                                                     members will be subject to excise taxes 
                                                                                                                     under sections 4971(a) and (b).

Instructions for Form 5330                                                     -9-



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   Except in the case of a multiemployer  contribution or the accumulated funding      of the rehabilitation period, or has 
plan, all members of a controlled group   deficiency on Part I, Section B, line 8b.    received certification under section 
are jointly and severally liable for this                                              432(b)(3)(A)(ii) for 3 consecutive plan 
tax. A “controlled group” in this case    Schedule E. Tax on Failure                   years that the plan is not making the 
means a controlled group of               To Pay Liquidity Shortfall                   scheduled progress in meeting its 
corporations under section 414(b), a                                                   requirements under the rehabilitation 
group of trades or businesses under       (Section 4971(f)(1))                         plan, will be treated as having an 
common control under section 414(c),      If your plan has a liquidity shortfall for   accumulated funding deficiency for the 
an affiliated service group under section which an excise tax under section            last plan year in such period and each 
414(m), and any other group treated as    4971(f)(1) is imposed for any quarter of     succeeding plan year until the funding 
a single employer under section 414(o).   the plan year, complete lines 1 through      requirements are met.
                                          4.
        If the IRS determined at any                                                     In both cases, the accumulated 
                                          Line 1.  Enter the amount of the liquidity   funding deficiency is an amount equal to 
CAUTION as defined on Schedule C, it will 
  !     time that your plan was a plan    shortfall(s) for each quarter of the plan    the greater of the amount of the 
always remain subject to the excise tax   year.                                        contributions necessary to meet the 
                                                                                       benchmarks or requirements, or the 
on failure to meet minimum funding        Line 2.  Enter the amount of any 
                                                                                       amount of the accumulated funding 
standards.                                contributions made to the plan by the 
                                                                                       deficiency without regard to this rule. 
                                          due date of the required quarterly 
                                                                                       The existence of an accumulated 
Line 1. Enter the amount (if any) of the  installment(s) that partially corrected the 
                                                                                       funding deficiency triggers the initial 5% 
aggregate unpaid minimum required         liquidity shortfall(s) reported on line 1.
contributions (or in the case of a                                                     excise tax under section 4971(a).
multiemployer plan, an accumulated        Line 3.  Enter the net amount of the           A plan is in “endangered status” if 
funding deficiency as defined in section  liquidity shortfall. (Subtract line 2 from   either of the following occurs.
431(a) (or section 418B if a              line 1.)                                     The plan's actuary timely certifies that 
multiemployer plan in reorganization).      Additional tax for failure to              the plan is not in critical status for that 
Line 2. Multiply line 1 by the applicable correct liquidity shortfall. If the plan     plan year and at the beginning of that 
tax rate shown below and enter the        has a liquidity shortfall as of the close of plan year the plan's funded percentage 
result.                                   any quarter and as of the close of the       for the plan year is less than 80%.
10% for plans other than                following 4 quarters, an additional tax      The plan has an accumulated funding 
multiemployer plans.                      will be imposed under section 4971(f)(2)     deficiency for the plan year or is 
5% for all multiemployer plans.         equal to the amount on which tax was         projected to have such an accumulated 
                                          imposed by section 4971(f)(1) for such       funding deficiency for any of the 6 
   Additional tax for failure to          quarter. Report the additional tax on        succeeding plan years, taking into 
correct. For single-employer plans,       Part I, Section B, line 9b.                  account any extension of amortization 
when an initial tax is imposed under                                                   periods under section 431(d).
section 4971(a) on any unpaid minimum                                                    A plan is in “critical status” if it is 
required contribution and the unpaid      Schedule F. Tax on 
minimum required contribution remains     Multiemployer Plans in                       determined by the multiemployer plan's 
                                                                                       actuary that one of the four formulas in 
unpaid as of the close of the taxable     Endangered or Critical                       section 432(b)(2) is met for the 
period, an additional tax of 100% of the                                               applicable plan year.
                                          Status (Sections
amount that remains unpaid is imposed 
under section 4971(b).                    4971(g)(3) & 4971(g)(4))                       All or part of this excise tax may be 
   For multiemployer plans, when an       For years beginning after 2007, section      waived due to reasonable cause.
initial tax is imposed under section      4971(g) imposes an excise tax on             Line 2. Under section 4971(g)(4), the 
4971(a)(2) on an accumulated funding      employers who contribute to                  plan sponsor of a multiemployer plan in 
deficiency and the accumulated funding    multiemployer plans for failure to comply    critical status, as defined above, will be 
deficiency is not corrected within the    with a funding improvement or                liable for an excise tax for failure to 
taxable period, an additional tax equal   rehabilitation plan, failure to meet         adopt a rehabilitation plan within the 
to 100% of the accumulated funding        requirements for plans in endangered or      time prescribed under section 432. The 
deficiency, to the extent not corrected,  critical status, or failure to adopt a       tax is equal to the greater of:
is imposed under section 4971(b).         rehabilitation plan. See the instructions    The amount of tax imposed under 
                                          for line 10a, earlier.
   For this purpose, the “taxable period”                                              section 4971(a)(2); or
is the period beginning with the end of   Line 1.  Under section 4971(g)(3), a         An amount equal to $1,100, 
the plan year where there is an unpaid    multiemployer plan that is in seriously      multiplied by the number of days in the 
minimum required contribution or an       endangered status when it fails to meet      tax year which are included in the period 
accumulated funding deficiency and        its applicable benchmarks by the end of      that begins on the first day following the 
ending on the earlier of:                 the funding improvement period will be       close of the 240-day period that a 
The date the notice of deficiency for   treated as having an accumulated             multiemployer plan has to adopt a 
the section 4971(a) excise tax is mailed, funding deficiency for the last plan year    rehabilitation plan once it has entered 
or                                        in such period and each succeeding           critical status and that ends on the day 
The date the section 4971(a) excise     year until the funding benchmarks are        that the rehabilitation plan is adopted. 
tax is assessed.                          met.                                         Section 432(e)(1)(A) allows the plan 
   Report the tax for failure to correct    Similarly, a plan that is in critical      sponsor to adopt a rehabilitation plan 
the unpaid minimum required               status and either fails to meet the          within the 240-day period following the 
                                          requirements of section 432 by the end       required date for the actuarial 

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certification of critical status in section so elects, was in the top-paid group for       4980(d)(1)(A) or (B) for more 
432(b)(3)(A).                               the preceding year.                            information.
Liability for this tax is imposed on        An employee is in the “top-paid                  An “employer reversion” is the 
each plan sponsor. This excise tax may      group” for any year if the employee is in      amount of cash and the FMV of property 
not be waived.                              the group consisting of the top 20% of         received, directly or indirectly, by an 
        Follow the instructions as          employees when ranked on the basis of          employer from a qualified plan. For 
                                            compensation paid. An employee (who            exceptions to this definition, see section 
CAUTION and completing line 2b.
!       defined above for counting days     is not a 5% owner) who has                     4980(c)(2)(B) and section 4980(c)(3).
                                            compensation in excess of $130,000 is 
Complete line 2b as instructed below.       not a highly compensated employee if             A “qualified plan” is:
Enter the number of days during the tax     the employer elects the top-paid group         Any plan meeting the requirements of 
year which are included in the period       limitation and the employee is not a           section 401(a) or 403(a), other than a 
beginning on the first day following the    member of the top-paid group.                  plan maintained by an employer if that 
close of the 240-day period and ending                                                     employer has at all times been exempt 
on the day the rehabilitation plan is       The excess contributions subject to            from federal income tax; or
adopted.                                    the section 4979 excise tax are equal to         A governmental plan within the 
                                                                                           
                                            the amount by which employer                   meaning of section 414(d).
                                            contributions actually paid over to the 
Schedule G. Tax on                          trust exceed the employer contributions          Terminated defined benefit plan.
Excess Fringe Benefits                      that could have been made without              If a defined benefit plan is terminated, 
(Section 4977)                              violating the special nondiscrimination        and an amount in excess of 25% of the 
If you made an election to be taxed         requirements of section 401(k)(3) or           maximum amount otherwise available 
under section 4977 to continue your         section 408(k)(6) in the instance of           for reversion is transferred from the 
nontaxable fringe benefit policy that was   certain SEPs.                                  terminating defined benefit plan to a 
                                                                                           defined contribution plan, the amount 
in existence on or after January 1, 1984,   The excess aggregate contributions             transferred is not treated as an 
check “Yes” on line 1 and complete          subject to the section 4979 excise tax         employer reversion for purposes of 
lines 2 through 4.                          are equal to the amount by which the           section 4980. However, the amount the 
Line 3. Excess fringe benefits are          aggregate matching contributions of the        employer receives is subject to the 20% 
calculated by subtracting 1% of the         employer and the employee                      excise tax. For additional information, 
aggregate compensation paid by you to       contributions (and any qualified               see Rev. Rul. 2003-85, 2003-32 I.R.B. 
your employees during the calendar          nonelective contribution or elective           291 at www.irs.gov/irb/2003-32_IRB/
year that was includible in their gross     contribution taken into account in             ar11.html.
income from the aggregate value of the      computing the contribution percentage 
nontaxable fringe benefits under            under section 401(m)) actually made on         Lines 1 through 4. Enter the date of 
sections 132(a)(1) and (2).                 behalf of the highly compensated               reversion on line 1. Enter the reversion 
                                            employees for each plan year exceed            amount on line 2a and the applicable 
Schedule H. Tax on                          the maximum amount of contributions            excise tax rate on line 2b. If you use a 
                                            permitted in the contribution percentage       tax percentage other than 50% on 
Excess Contributions to                     computation under section                      line 2b, explain on line 4 why you qualify 
Certain Plans (Section                      401(m)(2)(A).                                  to use a rate other than 50%.
4979)
                                            However, there is no excise tax                Schedule J. Tax on Failure 
Any employer who maintains a plan           liability if the excess contributions or the 
                                                                                           To Provide Notice of 
described in section 401(a), 403(a),        excess aggregate contributions and any 
403(b), 408(k), or 501(c)(18) may be        income earned on the contributions are         Significant Reduction in 
subject to an excise tax on excess          distributed (or, if forfeitable, forfeited) to Future Accruals (Section 
aggregate contributions made on behalf      the participants for whom the excess           4980F)
of highly compensated employees. The        contributions were made within 2 /1 2 
employer may also be subject to an          months after the end of the plan year.         Section 204(h) notice.  Section 4980F 
excise tax on excess contributions to a                                                    imposes an excise tax on an employer 
cash or deferred arrangement                                                               (or, in the case of a multiemployer plan, 
connected with the plan.                    Schedule I. Tax on 
                                                                                           the plan) for failure to give section 
                                            Reversion of Qualified 
The tax is on the excess                                                                   204(h) notice of plan amendments that 
contributions and the excess aggregate      Plan Assets to an                              provide for a significant reduction in the 
contributions made to or on behalf of the   Employer (Section 4980)                        rate of future benefit accrual or the 
highly compensated employees as             Section 4980 imposes an excise tax on          elimination or significant reduction of an 
defined in section 414(q).                  an employer reversion of qualified plan        early retirement benefit or 
Generally, a “highly compensated            assets to an employer. Generally, the          retirement-type subsidy. The tax is $100 
employee” is an employee who:               tax is 20% of the amount of the                per day per each applicable individual 
                                            employer reversion. The excise tax rate        and each employee organization 
1. Was a 5% owner at any time               increases to 50% if the employer does          representing participants who are 
during the year or the preceding year; or   not establish or maintain a qualified          applicable individuals for each day of 
2. For the preceding year, had              replacement plan following the plan            the noncompliance period. This notice 
compensation from the employer in           termination or provide certain pro-rata        is called a “section 204(h) notice” 
excess of a dollar amount for the year      benefit increases in connection with the       because section 204(h) of ERISA has 
($130,000 for 2021) and, if the employer    plan termination. See section                  parallel notice requirements.

Instructions for Form 5330                                -11-



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    An “applicable individual” is a          responsible for the tax) knew, or           information on this form to carry out the 
participant in the plan, or an alternate     exercising reasonable diligence would       Internal Revenue laws of the United 
payee of a participant under a qualified     have known, that the failure existed.       States. This form is required to be filed 
domestic relations order, whose rate of                                                  under sections 4965, 4971, 4972, 4973, 
future benefit accrual (or early             Generally, section 204(h) notice must       4975, 4976, 4977, 4978, 4979, 4979A, 
retirement benefit or retirement-type        be provided at least 45 days before the     4980, and 4980F of the Internal 
subsidy) under the plan may reasonably       effective date of the section 204(h)        Revenue Code. Section 6109 requires 
be expected to be significantly reduced      amendment. For exceptions to this rule,     you to provide your identifying number. 
by a plan amendment. (For plan years         see Regulations section 54.4980F-1,         If you fail to provide this information in a 
beginning after December 31, 2007, the       Q&A 9.                                      timely manner, you may be liable for 
requirement to give 204(h) notice was        If the person subject to liability for the  penalties and interest. Routine uses of 
extended to an employer who has an           excise tax exercised reasonable             this information include giving it to the 
obligation to contribute to a                diligence to meet the notice                Department of Justice for civil and 
multiemployer plan.)                         requirement, the total excise tax           criminal litigation, and cities, states, and 
    Whether a participant, alternate         imposed during a tax year of the            the District of Columbia for use in 
payee, or an employer (as described in       employer will not exceed $500,000.          administering their tax laws. We may 
the above paragraph) is an applicable        Furthermore, in the case of a failure due   also disclose this information to federal 
individual is determined on a typical        to reasonable cause and not to willful      and state or local agencies to enforce 
business day that is reasonably              neglect, the Secretary of the Treasury is   federal nontax criminal laws and to 
approximate to the time the section          authorized to waive the excise tax to the   combat terrorism.
204(h) notice is provided (or on the         extent that the payment of the tax would 
latest date for providing section 204(h)     be excessive relative to the failure        You are not required to provide the 
notice, if earlier), based on all relevant   involved. See Rev. Proc. 2013-4,            information requested on a form that is 
facts and circumstances. For more            2013-1 I.R.B. 123, as revised by            subject to the Paperwork Reduction Act 
information in determining whether an        subsequent documents, available at          unless the form displays a valid OMB 
individual is a participant or alternate     www.irs.gov/irb/2013-01_IRB/ar09.html,      control number. Books or records 
payee, see Regulations section               for procedures to follow in applying for a  relating to a form or its instructions must 
54.4980F-1, Q&A 10.                          waiver of part or all of the excise tax due be retained as long as their contents 
                                             to reasonable cause.                        may become material in the 
    The “noncompliance period” is the                                                    administration of any Internal Revenue 
period beginning on the date the failure     Line 4. A failure occurs on any day that 
                                                                                         law. Generally, tax returns and return 
first occurs and ending on the date the      any applicable individual (AI) is not 
                                                                                         information are confidential, as required 
notice of failure is provided or the failure provided section 204(h) notice.
                                                                                         by section 6103.
is corrected.                                Example.   There are 1,000 AIs. The 
    Exceptions. The section 4980F            plan administrator fails to give section    The time needed to complete and file 
excise tax will not be imposed for a         204(h) notice to 100 AIs for 60 days,       this form will vary depending on 
failure during any period in which the       and to 50 of those AIs for an additional    individual circumstances. The estimated 
following occurs.                            30 days. In this case, there are 7,500      average time is:
                                             failures ((100 AIs x 60 days) + (50 AIs x 
    1. Any person subject to liability for   30 days) = 7,500).                          Recordkeeping. . .        30 hr., 22 min.
the tax did not know that the failure 
                                                                                         Learning about 
existed and exercised reasonable             Schedule K. Tax on                          the law or the 
diligence to meet the notice 
requirement. A person is considered to       Prohibited Tax Shelter                      form. . . . . . . . . . . 15 hr., 45 min.
have exercised reasonable diligence          Transactions (Section                       Preparing and 
but did not know the failure existed only    4965)                                       sending the form 
if:                                          Section 4965 provides that an entity        to the IRS. . . . . . .   18 hr., 08 min.
    a. The responsible person                manager of a tax-exempt organization 
exercised reasonable diligence in            may be subject to an excise tax on 
attempting to deliver section 204(h)         prohibited tax shelter transactions under   If you have comments concerning the 
notice to applicable individuals by the      section 4965. In the case of a plan         accuracy of these time estimates or 
latest date permitted; or                    entity, an entity manager is any person     suggestions for making this form 
    b. At the latest date permitted for      who approves or otherwise causes the        simpler, we would be happy to hear 
delivery of section 204(h) notice, the       tax-exempt entity to be a party to a        from you. You can send us comments 
person reasonably believed that section      prohibited tax shelter transaction. The     from IRS.gov/FormsComments. Or you 
204(h) notice was actually delivered to      excise tax is $20,000 and is assessed       can write to the Internal Revenue 
each applicable individual by that date.     for each approval or other act causing      Service, Tax Forms and Publications 
    2. Any person subject to liability for   the organization to be a party to the       Division, 1111 Constitution Ave. NW, 
the tax exercised reasonable diligence       prohibited tax shelter transaction.         IR-6526, Washington, DC 20224. Do 
to meet the notice requirement and                                                       not send Form 5330 to this address. 
corrects the failure within 30 days after    Privacy Act and Paperwork Reduc-            Instead, see Where To File, earlier.
the employer (or other person                tion Act Notice. We ask for the 

                                                              -12-                                     Instructions for Form 5330



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

                                                         -13-






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