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

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EXHIBIT D (CONTINUED)Instructi<strong>on</strong>s for VCP Submissi<strong>on</strong>Item by Item Instructi<strong>on</strong>sIf John Doe submissi<strong>on</strong>, check box <strong>and</strong> skip to Questi<strong>on</strong> 51. Name <strong>and</strong> Address of Plan Sp<strong>on</strong>sor as shown <strong>on</strong> IRS Form 5500.2. Insert 9 digit <strong>Tax</strong>payer Identificati<strong>on</strong> Number shown <strong>on</strong> IRS Form 5500.3. Name of Plan from Plan document4. Three digit Plan Number assigned under Department of Labor regulati<strong>on</strong>s <strong>and</strong> shown <strong>on</strong> IRSForm 5500.5. Name of authorized representative. If not an employee of the Plan Sp<strong>on</strong>sor, attached IRS Form2848 Power of Attorney.6. Type of Plan – for Qualified Plans Only use the following 2-digit CodeDefined Benefit QP 1401(k) QP 2M<strong>on</strong>ey Purchase QP 3Profit Sharing QP 4Stock B<strong>on</strong>us QP 5ESOP QP 6Cash Balance QP 7Other QP 87. See Rev. Proc. 2007-27 for Special Submissi<strong>on</strong>s.An Orphan Plan is <strong>on</strong>e where the Plan Sp<strong>on</strong>sor no l<strong>on</strong>ger exists, cannot be located, is unable to maintainthe Plan or has ab<strong>and</strong><strong>on</strong>ed the Plan pursuant to DOL regulati<strong>on</strong>s, as determined by an Eligible Party.See secti<strong>on</strong> 5.06 of Rev. Proc. 2006-27 for more informati<strong>on</strong>.8. Qualificati<strong>on</strong> Failure – Use the following 2-digit CodePlan Document FailureDisqualifying Provisi<strong>on</strong>Missing Provisi<strong>on</strong>Operati<strong>on</strong>al FailureQualified Plan Minimum Top-Heavy Benefit – 416Qualified Plan ADP Test - 401(k)(3)Qualified Plan ACP Test - 401(m)(2)Qualified Plan Multiple Use Test prior to January 1, 2002 - 401(m)(9)Qualified Plan Excess Deferrals - 402(g)Qualified Plan Exclusi<strong>on</strong> of Eligible Employee from c<strong>on</strong>tributi<strong>on</strong>s or accruals – not 401(k)/(m)Qualified Plan Exclusi<strong>on</strong> of Eligible Employee from c<strong>on</strong>tributi<strong>on</strong>s or accruals – 401(k)/(m)Qualified Plan Minimum Distributi<strong>on</strong> - 401(a)(9)Qualified Plan Participant or Spouse C<strong>on</strong>sent – 401(a)(11), 411(a)(11), 417Qualified Plan Excess 415 – Defined C<strong>on</strong>tributi<strong>on</strong> PlanQualified Plan LoanQualified Plan Excess Distributi<strong>on</strong>SARSEP deferral percentage Failure (408)(k)(6)(A)(iii)SEP or SIMPLE under c<strong>on</strong>tributi<strong>on</strong> FailureSEP or SIMPLE Excess Failure403(b) Plan - 403(b)(12)(A)(ii) relating to universal availability of salary reducti<strong>on</strong> c<strong>on</strong>tributi<strong>on</strong>s403(b) Plan - 401(m) test per 403(b)(12)(A)(i)403(b) Plan - 401(a)(17) relating to compensati<strong>on</strong> limit per 403(b)(12)(A)(i)403(b) Plan – 403(b)(7) or (11) relating to distributi<strong>on</strong> restricti<strong>on</strong>s403(b) Plan – 403(b)(10) relating to incidental death benefits403(b) Plan – 403(b)(10) relating to minimum required distributi<strong>on</strong>sADVISORY COMMITTEE ON TAX EXEMPT AND GOVERNMENT ENTITIES (<strong>ACT</strong>) June 11, 2008 61 CodeP1P2CodeOF1OF2OF3OF4OF5OF6OF7OF8OF9OF10OF11OF12OF13OF14OF15OF16OF17OF18OF19OF20OF21

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