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Advisory Committee on Tax Exempt and Government Entities (ACT ...

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Improving the Employee Plans Compliance Resoluti<strong>on</strong> System: A Roadmap For Greater ComplianceEXHIBIT C EPCRS Notice of Intent to File VCP Applicati<strong>on</strong> Who May Complete: Each Plan Sp<strong>on</strong>sor who intends to voluntarily correct a Plan Document orOperati<strong>on</strong>al Failure <strong>and</strong> who is not Under Examinati<strong>on</strong> (within the meaning of IRS Notice 2007-46) mayfile this Notice of Voluntary Correcti<strong>on</strong> to inform the IRS of a Voluntary Compliance Applicati<strong>on</strong> to besubmitted within 180 days. Two copies of the Notice are to be filed with: Internal Revenue Service,EPCU, Washingt<strong>on</strong>, DC. It should be accompanied by an extensi<strong>on</strong> of the statute of limitati<strong>on</strong>s for six (6)m<strong>on</strong>ths for all years involved.Retenti<strong>on</strong> of This Form: A copy of this form is to be retained <strong>and</strong> attached to the VCP filing.Effect of this Notice Filing: This Notice puts the IRS <strong>on</strong> Notice that the Plan Sp<strong>on</strong>sor will be filing aVCP Applicati<strong>on</strong> within 180 days of the date this Notice is filed. During such 180-day period, theFailure(s) identified in the Notice will be exempt from audit. If a VCP Applicati<strong>on</strong> or Notice of Self-Correcti<strong>on</strong> is not filed within the 180-day period, this Notice shall expire <strong>and</strong> no additi<strong>on</strong>al notices (otherthan the VCP) may be filed with regard to the identified defects. The Service may for good cause extendsuch 180-day period. The Service may also refer the Plan for audit if the VCP submissi<strong>on</strong> is not madewithin the 180-day period. If additi<strong>on</strong>al defects or years involved are later determined, an amendedNotice can be filed, but it will not extend the six m<strong>on</strong>ths period. Only <strong>on</strong>e Notice may be outst<strong>and</strong>ing atany time with regard to a Plan.1. Name of Plan 2. Employer Identificati<strong>on</strong> Numberof Plan (or if n<strong>on</strong>e, Sp<strong>on</strong>sor)3. Plan Number4. Name <strong>and</strong> Address ofPlan Administrator5. Name <strong>and</strong> Address of PlanSp<strong>on</strong>sor6.□□InitialAmendment7. Name, address <strong>and</strong> teleph<strong>on</strong>e number of c<strong>on</strong>tact pers<strong>on</strong>/authorized representativeif informati<strong>on</strong> needed:8 List defects identified (additi<strong>on</strong>al sheet may be attached) with specificity, includingyears involved:I certify that the above informati<strong>on</strong> is true <strong>and</strong> correct to the best of my knowledge.Plan Sp<strong>on</strong>sor or Plan AdministratorBy: ________________________________________________________Date SignedName of Plan Sp<strong>on</strong>sor or Plan Administrator (Please Print)____________________________Signature of Pers<strong>on</strong> Signing_____________________________________Title of Pers<strong>on</strong> Signing_________________________________________ADVISORY COMMITTEE ON TAX EXEMPT AND GOVERNMENT ENTITIES (<strong>ACT</strong>) June 11, 2008 52

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