Exhibit 4.1
ADA-ES, INC. PROFIT SHARING
RETIREMENT PLAN
Nonstandardized 401(k) Plan
ADOPTION AGREEMENT
#005
NONSTANDARDIZED 401(k)
PLAN
[Related Employers
only]
The undersigned Employer, by
executing this Adoption Agreement, establishes a retirement plan
and trust (collectively “Plan”) under the American
Funds Distributors, Inc. Defined Contribution Prototype Plan and
Trust (basic plan document #01). The Employer, subject to the
Employer’s Adoption Agreement elections, adopts fully the
Prototype Plan and Trust provisions. This Adoption Agreement, the
basic plan document and any attached Appendices or agreements
permitted or referenced therein, constitute the Employer’s
entire plan and trust document. All “Election”
references within this Adoption Agreement are Adoption Agreement
Elections. All “Article” or “Section”
references are basic plan document references. Numbers in
parentheses which follow election numbers are basic plan
document references. Where an Adoption Agreement
election calls for the Employer to supply text, the Employer
(without altering the content of any existing printed text) may
lengthen any space or line, or create additional tiers. When
Employer-supplied text uses terms substantially similar to existed
printed options, all clarifications and caveats applicable to the
printed options apply to the Employer-supplied text unless the
context requires otherwise. The Employer makes the following
elections granted under the corresponding provisions of the basic
plan document.
ARTICLE I
DEFINITIONS
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1.
EMPLOYER ( 1.23 ).
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Name: ADA-ES,
Inc.
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Address: 8100
Southpark Way, Unit B, Littleton, Colorado 80120-4527
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Phone number:
303-734-1727
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E-mail
(optional) :
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Employer’s Taxable Year: December
31
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EIN:
84-1457385
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2. PLAN
( 1.40 ).
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Name: ADA-ES,
Inc. Profit Sharing Retirement Plan
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Plan number:
001 (3-digit number for Form 5500 reporting)
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Trust EIN
(optional) :
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3.
PLAN/LIMITATION YEAR (1.42/1.33) . Plan Year and
Limitation Year mean the 12 consecutive month period (except for a
short Plan/Limitation Year) ending every (Complete (a) and
(b)) :
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[ Note:
Complete any applicable blanks under Election 3 with a specific
date, e.g., “June 30” OR “the last day of
February” OR “the first Tuesday in January.” In
the case of a Short Plan Year or a Short Limitation Year, include
the year, e.g., “May 1, 2008.” ]
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(a)
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Plan
Year (Choose one of
(1) or (2) and choose (3) if applicable) :
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(1)
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x
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December
31.
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(2)
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¨
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Fiscal Plan
Year: ending:
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(3)
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¨
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Short Plan
Year: commencing:
and ending:
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(b)
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Limitation
Year (Choose one of
(1) or (2) and choose (3) if applicable) :
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(1)
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x
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Generally
same as Plan Year. The
Limitation Year is the same as the Plan Year except where the Plan
Year is a short year in which event the Limitation Year is always a
12 month period, unless the short Plan Year (and short Limitation
Year) result from a Plan amendment.
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(2)
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¨
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Different
Limitation Year: ending:
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(3)
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¨
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Short
Limitation Year: commencing:
and ending:
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4. EFFECTIVE
DATE (1.19) . The Employer’s adoption of the Plan
is a (Choose one of (a), (b), or (c). Choose (d) if
applicable) :
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(a)
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¨
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New
Plan. The Plan’s
Effective Date is:
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(b)
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x
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Restated
Plan. The Plan’s
restated Effective Date is: January 1, 2002. The Plan’s
original Effective Date was: January 1, 1988.
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[ Note: See Section 1.51 for
the definition of Restated Plan. If this Plan is an EGTRRA
restatement: (i) the EGTRRA restatement Effective Date must be
the later of the beginning of the 2002 Plan Year or the
Plan’s original Effective Date; and (ii) if specific
Plan provisions, as reflected in this Adoption Agreement, do not
date back to the EGTRRA restatement Effective Date, indicate as
such in Appendix A. ]
© 2008 American Funds Distributors,
Inc.
1
Nonstandardized 401(k) Plan
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(c)
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¨
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Restatement
of surviving and merging plans. The Plan restates two (or more) plans
(Complete (1) and (2). Choose (3) as applicable)
:
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(1)
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This
(surviving) Plan. The
Plan’s restated Effective Date is:
. The Plan’s original Effective Date was:
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[ Note: If
this Plan is an EGTRRA restatement: (i) the EGTRRA restatement
Effective Date must be the later of the beginning of the 2002 Plan
Year or the Plan’s original Effective Date; and (ii) if
specific Plan provisions, as reflected in this Adoption Agreement,
do not date back to the EGTRRA restatement Effective Date, indicate
as such in Appendix A. ]
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(2)
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Merging
plan. The
Plan was or will be merged into this surviving Plan as of:
. The merging plan’s restated Effective Date is:
. The merging plan’s original Effective Date was:
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[ See the
Note under Election 4(c)(1) if this document is the merging
plan’s EGTRRA restatement. ]
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(3)
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¨
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Additional
merging plans. The
following additional plans were or will be merged into this
surviving Plan (Complete a. and b. as applicable)
:
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(d)
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¨
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Special
Effective Date for Elective Deferral provisions:
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5.
TRUSTEE ( 1.65 ). The Trustee executing this Adoption
Agreement is (Choose one or more of (a), (b), or (c). Choose (d)
if applicable) :
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(a)
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¨
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A
discretionary Trustee. See Section 8.02(A).
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(b)
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¨
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A
nondiscretionary (directed) Trustee or Custodian.
See Section 8.02(B).
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(c)
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x
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A Trustee
under the: Capital
Bank and Trust Company Trust Agreement (specify name of trust) , a separate
trust agreement the Trustee has executed and that the IRS has
approved for use with this Plan. Under this Election 5(c) the
Trustee is not executing the Adoption Agreement and Article VIII of
the basic plan document does not apply, except as indicated
otherwise in the separate trust agreement. See Section
8.11(C).
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(d)
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¨
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Permitted
Trust amendments apply. Under Section 8.11 the Employer in Appendix C
has made certain permitted amendments to the Trust. Such amendments
do not constitute a separate trust under Election 5(c).
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6.
CONTRIBUTION TYPES ( 1.12 ). The Employer and/or
Participants, in accordance with the Plan terms, make the following
Contribution Types to the Plan/Trust (Choose one or more of (a)
through (h) as applicable. Choose (i) if applicable)
:
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(a)
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x
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Pre-Tax
Deferrals. See Section
3.02 and Elections 20-23.
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(b)
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x
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Roth
Deferrals. See Section
3.02(E) and Elections 20, 21, and 23. [ Note: The Employer may
not limit Elective Deferrals to Roth Deferrals only
.]
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(c)
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x
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Matching. See Sections 1.34 and 3.03 and Elections 24-26.
[ Note: The Employer may make an Operational QMAC without
electing 6(c). See Section 3.03(C)(2). ]
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(d)
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x
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Nonelective. See Sections 1.37 and 3.04 and Elections 27-29.
[ Note: The Employer may make an Operational QNEC without
electing 6(d). See Section 3.04(C)(2). ]
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(e)
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¨
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Safe
Harbor/Additional Matching. The Plan is (or pursuant to a delayed election,
may be) a safe harbor 401(k) Plan. The Employer will make (or under
a delayed election, may make) Safe Harbor Contributions as it
elects in Election 30. The Employer may or may not make Additional
Matching Contributions as it elects in Election 30. See Election 26
as to matching Catch-Up Deferrals. See Section 3.05.
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(f)
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¨
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Employee
(after-tax). See Section
3.09 and Election 35.
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(g)
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¨
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SIMPLE
401(k). The Plan is a
SIMPLE 401(k) Plan. See Section 3.10. The Employer operationally
will elect for each Plan Year to make a SIMPLE Matching
Contribution or a SIMPLE Nonelective Contribution as described in
Section 3.10(E). The Employer must notify Participants of the
Employer’s SIMPLE contribution election and of the
Participants’ deferral election rights and limitations within
a reasonable period of time before the 60th day prior to the
beginning of the Plan Year. [ Note: The Employer electing 6(g)
may not elect any other Contribution Types except under Elections
6(a), 6(b), and 6(h). ]
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(h)
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¨
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Designated
IRA. See Section 3.12 and
Election 36.
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(i)
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None (frozen
plan). The Plan is/was
frozen effective as of:
. See Sections 3.01(J) and 11.04.
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[ Note: Elections 20 through 30
and Elections 35 through 37 do not apply to any Plan Year in which
the Plan is frozen. ]
© 2008 American Funds Distributors,
Inc.
2
Nonstandardized 401(k) Plan
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7.
DISABILITY ( 1.15 ). Disability means (Choose one
of (a) or (b)):
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(a)
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x
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Basic
Plan. Disability as
defined in Section 1.15(A).
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(b)
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¨
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Describe:
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[ Note: The
Employer may elect an alternative definition of Disability for
purposes of Plan distributions. However, the use of an alternative
definition may result in loss of favorable tax treatment of the
Disability distribution. ]
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8. EXCLUDED
EMPLOYEES ( 1.21(D) ). The following Employees are not
Eligible Employees but are Excluded Employees (Choose one of
(a) or (b)) :
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[ Note:
Regardless of the Employer’s elections under Election 8:
(i) Employees of any Related Employers (excluding the
Signatory Employer) are Excluded Employees unless the Related
Employer becomes a Participating Employer; and
(ii) Reclassified Employees and Leased Employees are Excluded
Employees unless the Employer in Appendix B elects otherwise. See
Sections 1.21(B), 1.21(D)(3) and 1.23(D). ]
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(a)
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x
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No Excluded
Employees. All Employees
are Eligible Employees as to all Contribution Types.
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(b)
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¨
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Exclusions. The following Employees are Excluded Employees
(either as to all Contribution Types or to the
designated
Contribution Type) (Choose one or
more of (1) through (7) as applicable) :
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[ Note: For this Election 8,
unless described otherwise in Election 8(b)(7), Elective Deferrals
includes Pre-Tax Deferrals, Roth Deferrals, Employee Contributions
and Safe Harbor Contributions. Matching includes all Matching
Contributions except Safe Harbor Matching Contributions.
Nonelective includes all Nonelective Contributions except Safe
Harbor Nonelective Contributions. ]
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(1)
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(2)
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(3)
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(4)
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All
Contributions
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Elective
Deferrals
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Matching
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Nonelective
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(1)
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¨
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No
exclusions. No exclusions
as to the designated Contribution Type.
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N/A
(See Election
8(a))
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¨
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¨
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¨
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(2)
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¨
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Collective Bargaining (union)
Employees.
As described in Code
§410(b)(3)(A). See Section 1.21(D)(1).
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¨
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OR
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¨
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¨
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¨
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(3)
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¨
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Non-Resident Aliens. As described in Code
§410(b)(3)(C). See Section
1.21(D)(2).
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¨
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OR
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¨
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¨
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¨
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(4)
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¨
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HCEs. See Section 1.21(E). See Election
30(e)
as to exclusion of some or all HCEs
from Safe Harbor Contributions.
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¨
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OR
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¨
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¨
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¨
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(5)
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¨
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Hourly paid
Employees.
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¨
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OR
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¨
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¨
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¨
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(6)
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¨
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Part-Time/Temporary/Seasonal
Employees. See Section
1.21(D)(4). A Part-Time, Temporary or Seasonal Employee is an
Employee whose regularly scheduled Service is less than
(specify a maximum of 1,000)
Hours of Service in the relevant
Eligibility
Computation Period.
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¨
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OR
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¨
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¨
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¨
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[ Note: If
the Employer under Election 8(b)(6) elects to treat Part-Time,
Temporary and Seasonal Employees as Excluded Employees and any such
an Employee actually completes at least 1,000 Hours of Service
during the relevant Eligibility Computation Period, the Employee
becomes an Eligible Employee. See Section 1.21(D)(4).
]
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(7)
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¨
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Describe exclusion category and/or Contribution
Type:
(e.g., Exclude Division B
Employees OR Exclude salaried Employees from Discretionary Matching
Contributions.)
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[ Note: Any exclusion under
Election 8(b)(7), except as to Part-Time/Temporary/Seasonal
Employees, may not be based on age or Service or level of
Compensation. See Election 14 for eligibility conditions based on
age or Service. ]
© 2008 American Funds Distributors,
Inc.
3
Nonstandardized 401(k) Plan
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9.
COMPENSATION ( 1.11(B) ). The following base
Compensation (as adjusted under Elections 10 and 11) applies in
allocating Employer Contributions (or the designated Contribution
Type) (Choose one or more of (a) through (d) as
applicable) :
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[ Note: For this Election 9 all
definitions include Elective Deferrals unless excluded under
Election 11. See Section 1.11(D). Unless described otherwise
in Election 9(d), Elective Deferrals includes Pre-Tax Deferrals,
Roth Deferrals and Employee Contributions, Matching includes all
Matching Contributions and Nonelective includes all Nonelective
Contributions. In applying any Plan definition which references
Section 1.11 Compensation, where the Employer in this Election
9 elects more than one Compensation definition for allocation
purposes, the Plan Administrator will use W-2 Wages for such other
Plan definitions if the Employer has elected W-2 Wages for any
Contribution Type or Participant group under Election 9. If the
Employer has not elected W-2 Wages, the Plan Administrator for such
other Plan definitions will use 415 Compensation. ]
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(1)
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(2)
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(3)
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(4)
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All
Contributions
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Elective
Deferrals
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Matching
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Nonelective
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(a)
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x
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W-2 Wages (plus Elective
Deferrals).
See Section 1.11(B)(1).
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x
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OR
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¨
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¨
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¨
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(b)
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¨
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Code
§3401 Federal Income Tax Withholding Wages (plus Elective
Deferrals). See Section
1.11(B)(2).
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¨
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OR
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¨
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¨
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¨
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(c)
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¨
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415 Compensation (simplified).
See Section 1.11(B)(3).
[ Note: The Employer may elect an
alternative “general 415 Compensation” definition by
electing 9(c) and by electing the alternative definition in
Appendix B. See Section 1.11(B)(4). ]
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¨
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OR
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¨
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¨
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¨
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(d)
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¨
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Describe
Compensation by Contribution Type or by Participant group:
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[ Note: Under Election 9(d), the
Employer may: (i) elect Compensation from the elections
available under Elections 9(a), (b), or (c), or a combination
thereof as to a Participant group (e.g., W-2 Wages for Matching
Contributions for Division A Employees and 415 Compensation in all
other cases); and/or (ii) define the Contribution Type column
headings in a manner which differs from the
“all-inclusive” description in the Note immediately
preceding Election 9(a) (e.g., Compensation for Safe Harbor
Matching Contributions means W-2 Wages and for Additional Matching
Contributions means 415 Compensation). ]
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10.
PRE-ENTRY/POST-SEVERANCE COMPENSATION ( 1.11(H)/(I)
). Compensation under Election 9 (Complete (a). Choose (b). if
applicable) :
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[ Note: The Plan does not take
into account Post-Severance Compensation unless the Employer elects
otherwise in Appendix B or except as otherwise specified in a Plan
amendment. For this Election 10, unless described otherwise in
Election 10(b), Elective Deferrals includes Pre-Tax Deferrals, Roth
Deferrals and Employee Contributions, Matching includes all
Matching Contributions and Nonelective includes all Nonelective
Contributions. ]
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(1)
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(2)
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(3)
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(4)
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All
Contributions
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Elective
Deferrals
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Matching
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Nonelective
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(a)
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x
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Pre-Entry Compensation. Includes (Choose
(1) and (2) as
applicable) :
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(1)
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x
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Plan
Year. Compensation for
the entire Plan Year which includes the Participant’s Entry
Date.
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¨
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OR
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x
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¨
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¨
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(2)
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x
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Participating Compensation.
Only Participating Compensation. See
Section 1.11(H)(1).
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¨
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OR
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¨
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x
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x
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[ Note:
Under a Participating Compensation election, in applying any
Adoption Agreement elected contribution limit or formula, the Plan
Administrator will count only the Participant’s Participating
Compensation. See Section 1.11(H)(1) as to plan
disaggregation. ]
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(b)
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¨
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Describe
Pre-Entry Compensation by Contribution Type or by Participant
group:
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[ Note: Under Election 10(b), the
Employer may: (i) elect Compensation from the elections
available under Election 10(a) or a combination thereof as to a
Participant group (e.g., Participating Compensation for all
Contribution Types as to Division A Employees, Plan Year
Compensation for all Contribution Types to Division B Employees);
and/or (ii) define the Contribution Type column headings in a
manner which differs from the “all-inclusive”
description in the Note immediately preceding Election 10(a) (e.g.,
Compensation for Nonelective Contributions is Participating
Compensation and for Safe Harbor Nonelective Contributions is Plan
Year Compensation). ]
© 2008 American Funds Distributors,
Inc.
4
Nonstandardized 401(k) Plan
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11. EXCLUDED
COMPENSATION ( 1.11(G) ). Apply the following
Compensation exclusions to Elections 9 and 10 (Choose one of
(a) or (b)):
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(a)
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¨
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No
exclusions. Compensation
as to all Contribution Types means Compensation as elected in
Elections 9 and 10.
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(b)
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x
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Exclusions. Exclude the following (Choose one or more of
(1) through (9) as applicable) :
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[ Note: In a safe harbor 401(k)
plan, allocations qualifying for the ADP or ACP test safe harbors
must be based on a non-discriminatory definition of Compensation.
If the Plan applies permitted disparity, allocations also must be
based on a non-discriminatory definition of Compensation if the
Plan is to avoid more complex testing. Elections 11(b)(4) through
(b)(9) may cause allocation Compensation to fail to be
non-discriminatory. In a non-safe harbor 401(k) plan, Elections
11(b)(4) through (b)(9) which result in Compensation failing to be
non-discriminatory may result in more complex nondiscrimination
testing. For this Election 11, unless described otherwise in
Election 11(b)(9), Elective Deferrals includes Pre-Tax Deferrals,
Roth Deferrals and Employee Contributions, Matching includes all
Matching Contributions and Nonelective includes all Nonelective
Contributions. ]
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(1)
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(2)
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(3)
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(4)
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All
Contributions
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Elective
Deferrals
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Matching
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Nonelective
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(1)
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¨
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No
exclusions-limited. No
exclusions as to the designated Contribution Type(s).
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N/A
(See
Election 11(a))
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¨
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¨
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¨
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(2)
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¨
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Elective
Deferrals. See Section
1.20.
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N/A
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N/A
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¨
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¨
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(3)
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x
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Fringe
benefits. As described in
Treas. Reg. §1.414(s)-1(c)(3).
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x
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OR
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¨
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¨
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¨
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(4)
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¨
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Compensation exceeding $
.
Apply this election to (Choose
one of a. or b.) :
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¨
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OR
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¨
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¨
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¨
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a.
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¨
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All
Participants. [ Note:
If the Employer elects Safe Harbor Contributions under Election
6(e), the Employer may not elect 11(b)(4)a. to limit the Safe
Harbor Contribution allocation to the NHCEs. ]
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b.
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¨
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HCE
Participants only.
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(5)
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¨
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Bonus.
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¨
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OR
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¨
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¨
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¨
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(6)
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¨
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Commission.
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¨
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OR
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¨
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¨
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¨
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(7)
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¨
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Overtime.
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¨
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OR
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¨
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¨
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¨
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(8)
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¨
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Related
Employers. See Section
1.23(C). (If there are Related Employers, choose one or both of
a. and b. as applicable) :
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a.
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¨
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Non-Participating. Compensation paid to Employees by a Related
Employer that is not a Participating Employer.
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¨
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OR
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¨
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¨
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¨
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b.
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¨
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Participating. As to the Employees of any Participating
Employer, Compensation paid by any other Participating Employer to
its Employees. See Election 28(g)(2)a.
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¨
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OR
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¨
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¨
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¨
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(9)
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¨
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Describe Compensation exclusion(s):
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[ Note: Under Election 11(b)(9),
the Employer may: (i) describe Compensation from the elections
available under Elections 11(b)(1) through (8), or a combination
thereof as to a Participant group (e.g. , No exclusions as
to Division A Employees and exclude bonus as to Division B
Employees); (ii) define the Contribution Type column headings
in a manner which differs from the “all-inclusive”
description in the Note immediately preceding Election 11(b)(1)
(e.g., Elective Deferrals means §125 cafeteria deferrals only
OR No exclusions as to Safe Harbor Contributions and exclude bonus
as to Nonelective Contributions); and/or (iii) describe
another exclusion (e.g., Exclude shift differential pay).
]
© 2008 American Funds Distributors,
Inc.
5
Nonstandardized 401(k) Plan
12. HOURS OF SERVICE (1.31) . The
Plan credits Hours of Service for the following purposes (and to
the Employees described in Elections 12(d) or (e)) as follows
(Choose one or more of (a) through (e) as
applicable) :
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(1)
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(2)
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(3)
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(4)
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All
Purposes
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Eligibility
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Vesting
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Allocation
Conditions
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(a)
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x
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Actual
Method. See Section
1.31(A)(1).
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x
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OR
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¨
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¨
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¨
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(b)
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¨
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Equivalency
Method:
(e.g., daily, weekly,
etc.) .
See Section 1.31(A)(2).
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¨
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OR
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¨
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¨
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¨
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(c)
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¨
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Elapsed Time
Method. See Section
1.31(A)(3).
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¨
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OR
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¨
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¨
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¨
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(d)
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¨
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Actual (hourly) and Equivalency
(salaried).
Actual Method for hourly paid Employees and
Equivalency Method:
(e.g., daily, weekly,
etc.) for salaried
Employees.
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¨
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OR
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¨
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¨
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¨
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[ Note: Under Election 12(e), the
Employer may describe Hours of Service from the elections available
under Elections 12(a) through (d), or a combination thereof as to a
Participant group and/or Contribution Type (e.g., For all purposes,
Actual Method applies to office workers and Equivalency Method
applies to truck drivers). ]
13. ELECTIVE SERVICE
CREDITING (1.56(C)) . The Plan must credit Related
Employer Service under Section 1.23(C) and also must credit
certain Predecessor Employer/Predecessor Plan Service under
Section 1.56(B). The Plan also elects under
Section 1.56(C) to credit as Service the following Predecessor
Employer service (Choose one of (a) or (b))
:
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(a)
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x
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Not
applicable. No elective
Predecessor Employer Service crediting applies.
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(b)
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¨
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Applies. The Plan credits the specified service with the
following designated Predecessor Employers as Service for the
Employer for the purposes indicated (Choose (1) and (2) as
applicable. Complete (3). Choose (4) if applicable):
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[ Note: Any elective Service
crediting under this Election 13 must be nondiscriminatory.
]
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(1)
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¨
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All
purposes. Credit Service
for all purposes with Predecessor Employer(s):
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(insert as many names as needed).
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(2)
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¨
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Designated
purposes. Credit Service with the following Predecessor Employer(s)
for
the designated purpose(s):
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(1)
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(2)
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(3)
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Eligibility
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Vesting
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Contribution
Allocation
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a.
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Employer:
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¨
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¨
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¨
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b.
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Employer:
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¨
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¨
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¨
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c.
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Employer:
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¨
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¨
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¨
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(3)
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Time
period. Under Elections
13(b)(1) or (2), the Plan credits (Choose one or more of a., b.,
and c. as applicable) :
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a.
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¨
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All. All Service under Election(s) 13(b)
,
regardless of when rendered.
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b.
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¨
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Service after. All Service under Election(s) 13(b)
, which is
or was rendered after:
(specify date)
.
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c.
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¨
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Service before. All Service under Election(s) 13(b)
, which is
or was rendered before:
(specify date)
.
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(4)
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¨
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Describe
elective Predecessor Employer Service crediting:
.
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[ Note: Under Election 13(b)(4),
the Employer may describe service crediting from the elections
available under Elections 13(b)(1) through (3), or a combination
thereof as to a Participant group and/or Contribution Type (e.g.,
For all purposes credit service with X only on/after 1/1/05 OR
Credit all service for all purposes with entities the Employer
acquires after 12/31/04 OR Service crediting for X Company applies
only for purposes of Nonelective Contributions and not for Matching
Contributions). ]
© 2008 American Funds Distributors,
Inc.
6
Nonstandardized 401(k) Plan
ARTICLE II
ELIGIBILITY
REQUIREMENTS
14. ELIGIBILITY (2.01)
. To become a Participant in the Plan, an Eligible Employee must
satisfy (Choose one of (a) or (b)) :
[ Note: If the Employer under a
safe harbor plan elects “early” eligibility for
Elective Deferrals (e.g., less than one Year of Service and age
21), but does not elect early eligibility for any Safe Harbor
Contributions, also see Election 30(f). ]
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(a)
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¨
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No
conditions. No
eligibility conditions as to all Contribution Types. Entry is on
the Employment Commencement Date (if that date is also an Entry
Date), or if later, upon the next following Plan Entry
Date.
|
[ Note: No eligibility conditions
apply to Prevailing Wage Contributions unless the Prevailing Wage
Contract provides otherwise. See Section 2.01(D).
]
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(b)
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x
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Conditions. The following eligibility conditions (either as
to all Contribution Types or as to the designated Contribution
Type) (Choose one or more of (1) through (8) as
applicable):
|
[ Note: For this Election 14,
unless described otherwise in Election 14(b)(8)), or the context
otherwise requires, Elective Deferrals includes Pre-Tax Deferrals,
Roth Elective Deferrals and Employee Contributions, Matching
includes all Matching Contributions (except Safe Harbor Matching
Contributions under Section 3.05(E)(3) and Operational QMACs
under Section 3.03(C)(2)) and Nonelective includes all
Nonelective Contributions (except Safe Harbor Nonelective
Contributions under Section 3.05(E)(2) and Operational QNECs
under Section 3.04(C)(2)). Safe Harbor includes Safe Harbor
Nonelective and Safe Harbor Matching Contributions. If the Employer
elects more than one Year of Service as to Additional Matching, the
Plan will not satisfy the ACP test safe harbor. See
Section 3.05(F)(3). ]
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(1)
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(2)
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(3)
|
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(4)
|
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(5)
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All
Contributions
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Elective
Deferrals
|
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Matching
|
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Nonelective
|
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Safe
Harbor
|
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(1)
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¨
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|
None. Entry on the Employment Commencement Date (if
that date is also an Entry Date) or if later, upon the next
following Plan Entry Date.
|
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N/A
(See Election
14(a))
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¨
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¨
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¨
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¨
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(2)
|
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x
|
|
Age 21
(not to exceed age 21) .
|
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x
|
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OR
|
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¨
|
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¨
|
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¨
|
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¨
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(3)
|
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x
|
|
One Year of
Service. See Election
16(a).
|
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¨
|
|
OR
|
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¨
|
|
x
|
|
x
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¨
|
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(4)
|
|
¨
|
|
Two Years of
Service (without an
intervening Break in Service). 100% vesting is required. [ Note:
Two Years of Service does not apply to Elective Deferrals, Safe
Harbor Contributions or SIMPLE Contributions. ]
|
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N/A
|
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|
N/A
|
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¨
|
|
¨
|
|
N/A
|
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(5)
|
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¨
|
|
month(s)
(not exceeding 12
months
for Elective Deferrals, Safe
Harbor Contributions and SIMPLE Contributions and not exceeding
24 months for other
contributions) . If more than 12 months, 100% vesting is
required. Service need not be continuous (no minimum Hours of
Service required, and is mere passage of time).
|
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¨
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OR
|
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¨
|
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¨
|
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¨
|
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¨
|
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(6)
|
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¨
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|
month(s) with at least
Hours of
Service in each month (not exceeding 12 months for Elective Deferrals,
Safe Harbor Contributions and SIMPLE Contributions and
not exceeding 24 months for other
contributions) . If more than 12 months, 100% vesting is
required. If the Employee does not complete the designated Hours of
Service each month during the specified monthly time period, the
Employee is subject to the one Year of Service (or two Years of
Service if elect more than 12 months) requirement with 1,000 Hours
of Service per Year of Service. The months during which the
Employee completes the specified Hours of Service (Choose one of
a. or b.) :
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¨
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|
OR
|
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¨
|
|
¨
|
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¨
|
|
¨
|
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a.
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|
¨
Consecutive.
Must be consecutive.
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b.
|
|
¨
Not consecutive.
Need not be consecutive.
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© 2008 American Funds Distributors,
Inc.
7
Nonstandardized 401(k) Plan
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(7)
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¨
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|
Hours of Service within
the time period following the Employee’s Employment
Commencement Date (not exceeding 12 months for Elective
Deferrals, Safe Harbor Contributions and SIMPLE Contributions and
not exceeding 24 months for other contributions). If more than
12 months, 100% vesting is required. If the Employee does not
complete the designated Hours of Service during the specified time
period (if any), the Employee is subject to the one Year of Service
(or two Years of Service if elect more than 12 months) requirement
with 1,000 Hours of Service per Year of Service.
|
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¨
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|
OR
|
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¨
|
|
¨
|
|
¨
|
|
¨
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|
[ Note: The
Employer may complete the second blank in Election 14(b)(7) with
“N/A” if the Employer wishes to impose an Hour of
Service requirement without specifying a time period within which
an Employee must complete the required Hours of Service.
]
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(8)
|
|
¨
|
|
Describe eligibility conditions:
|
|
|
[ Note: The Employer may use Election
14(b)(8) to describe different eligibility conditions as to
different Contribution Types or Employee groups (e.g., As to all
Contribution Types, no eligibility requirements for Division A
Employees and one Year of Service as to Division B Employees). The
Employer also may elect different ages for different Contribution
Types and/or to specify different months or Hours of Service
requirements under Elections 14(b)(5), (b)(6), or (b)(7) as to
different Contribution Types. Any election must satisfy Code
§410(a). ]
15. SPECIAL ELIGIBILITY EFFECTIVE DATE (DUAL
ELIGIBILITY) (2.01(E)) . The eligibility conditions of
Election 14 (Choose (a) or choose (b) and
(c) as applicable) :
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|
(a)
|
|
x
|
|
No
exceptions. Apply to all
Employees.
|
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|
[ Note: Elections 15(b) or (c) may
trigger a coverage failure under Code §410(b).
]
|
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|
|
(b)
|
|
¨
|
|
Waiver of
eligibility conditions for certain Employees
. For all Contribution Types, apply
solely to an Eligible Employee employed or reemployed by the
Employer after
(specify date) . If the Eligible Employee was employed or
reemployed by the Employer by the specified date, the Employee will
become a Participant on the latest of: (i) the Effective Date; (ii)
the restated Effective Date; (iii) the Employee’s Employment
Commencement Date or Re-Employment Commencement Date; or (iv) on
the date the Employee attains age
(not
exceeding age 21).
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|
[ Note: If the Employer does not wish to
impose an age condition under clause (iv) as part of the
requirements for the eligibility conditions waiver, leave the age
blank. ]
|
|
(c)
|
|
¨
|
|
Describe special eligibility Effective Date(s):
|
|
|
[ Note: Under Election 15(c), the Employer
may describe special eligibility Effective Dates as to a
Participant group and/or Contribution Type (e.g., Eligibility
conditions apply only as to Nonelective Contributions and solely as
to the Eligible Employees of Division B who were hired or
reemployed by the Employer after January 1, 2007).
]
16. YEAR OF SERVICE - ELIGIBILITY
(2.02(A)) . (Choose (a), (b), and (c) as
applicable) :
[ Note: If the Employer under
Election 14 elects a one or two Year(s) of Service condition
(including any requirement which defaults to such conditions under
Elections 14(b)(6), (7), and (8)) or elects to apply a Year of
Service for eligibility under any other Adoption Agreement
election, the Employer should complete Election 16. The Employer
should not complete Election 16 if it elects the Elapsed Time
Method for eligibility. ]
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|
|
(a)
|
|
x
|
|
Year of
Service . An Employee
must complete 1,000 Hour(s) of Service during the relevant
Eligibility Computation Period to receive credit for one Year of
Service under Article II. [ Note: The number may not exceed
1,000. If left blank, the requirement is 1,000 Hours of Service.
Under Elections 14(b)(6) and (b)(7) and under Election 14(b)(8) if
it incorporates Elections 14(b)(6) or (7), the number is 1,000 and
the Employer should not supply any other number in the blank.
]
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|
(b)
|
|
x
|
|
Subsequent
Eligibility Computation Periods. After the Initial Eligibility Computation Period
described in Section 2.02(C)(2), the Plan measures Subsequent
Eligibility Computation Periods as (Choose one of (1), (2), or
(3)) :
|
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|
|
|
(1)
|
|
x
|
|
Plan
Year. The Plan Year,
beginning with the Plan Year which includes the first anniversary
of the Employee’s Employment Commencement Date.
|
|
|
|
|
|
|
(2)
|
|
¨
|
|
Anniversary
Year. The Anniversary
Year, beginning with the Employee’s second Anniversary
Year.
|
|
|
|
|
|
|
(3)
|
|
¨
|
|
Split. The Plan Year as described in Election 16(b)(1)
as to:
(describe Contribution Type(s)) and the Anniversary Year as
described in Election 16(b)(2) as to:
(describe Contribution Type(s)) .
|
[ Note: To maximize delayed entry
under a two Years of Service condition for Nonelective
Contributions or Matching Contributions, the Employer should
elect to remain on the Anniversary Year for such contributions.
]
© 2008 American Funds Distributors,
Inc.
8
Nonstandardized 401(k) Plan
|
|
|
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|
(c)
|
|
¨
|
|
Describe:
(e.g., Anniversary Year as to Division A and Plan Year as to
Division B.)
|
17. ENTRY DATE
(2.02(D)) . Entry Date means the Effective Date and
(Choose one or more of (a) through (f) as
applicable) :
[ Note: For this Election 17,
unless described otherwise in Election 17(f), Elective Deferrals
includes Pre-Tax Deferrals, Roth Elective Deferrals and Employee
Contributions, Matching includes all Matching Contributions (except
Operational QMACs under Section 3.03(C)(2)) and Nonelective
includes all Nonelective Contributions (except Operational QNECs
under Section 3.04(C)(2)). Entry as to Prevailing Wage
Contributions is on the Employment Commencement Date unless the
Prevailing Wage Contract provides otherwise. See
Section 2.02(D). ]
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(1)
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(2)
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(3)
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(4)
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|
All
Contributions
|
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|
Elective
Deferrals
|
|
Matching
|
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Nonelective
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(a)
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¨
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Semi-annual. The first day of the first month and of the
seventh month of the Plan Year.
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¨
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OR
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¨
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¨
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¨
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(b)
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¨
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First day of
Plan Year
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¨
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OR
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¨
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¨
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¨
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(c)
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¨
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|
First day of
each Plan Year quarter
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¨
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OR
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¨
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¨
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¨
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(d)
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¨
|
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The first
day of each month
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¨
|
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OR
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¨
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¨
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¨
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(e)
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x
|
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Immediate. Upon Employment Commencement Date or if later,
upon satisfaction of eligibility conditions.
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x
|
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OR
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¨
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¨
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¨
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(f)
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¨
|
|
Describe
Entry Date(s):
|
[ Note: Under Election 17(f), the
Employer may describe Entry Dates from the elections available
under Elections 17(a) through (e), or a combination thereof as to a
Participant group and/or Contribution Type or may elect additional
Entry Dates (e.g., As to Matching Contributions excluding
Additional Matching, immediate as to Division A Employees and
semi-annual as to Division B Employees OR the earlier of the
Plan’s semi-annual Entry Dates or the entry dates under the
Employer’s medical plan). ]
18. PROSPECTIVE/RETROACTIVE ENTRY
DATE (2.02(D)) . An Employee after satisfying the
eligibility conditions in Election 14 will become a Participant
(unless an Excluded Employee under Election 8) on the Entry Date
(if employed on that date) (Choose one or more of
(a) through (f) as applicable) :
[ Note: Unless otherwise excluded
under Election 8, an Employee who remains employed by the Employer
on the relevant date must become a Participant by the earlier of:
(i) the first day of the Plan Year beginning after the date
the Employee completes the age and service requirements of Code
§410(a); or (ii) 6 months after the date the Employee
completes those requirements. For this Election 18, unless
described otherwise in Election 18(f), Elective Deferrals includes
Pre-Tax Deferrals, Roth Deferrals and Employee Contributions,
Matching includes all Matching Contributions (except Operational
QMACs under Section 3.03(C)(2)) and Nonelective includes all
Nonelective Contributions, (except Operational QNECs under
Section 3.04(C)(2)). ]
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(1)
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(2)
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(3)
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(4)
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All
Contributions
|
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|
|
Elective
Deferrals
|
|
Matching
|
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Nonelective
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(a)
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¨
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Immediately following or coincident
with the date
the Employee completes the
eligibility conditions.
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¨
|
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OR
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¨
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¨
|
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¨
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(b)
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¨
|
|
Immediately
following the date the
Employee completes the eligibility conditions.
|
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¨
|
|
OR
|
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¨
|
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¨
|
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¨
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(c)
|
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¨
|
|
Immediately
preceding or coincident with the date the Employee completes the eligibility
conditions.
|
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N/A
|
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|
N/A
|
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¨
|
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¨
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(d)
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¨
|
|
Immediately
preceding the date the
Employee completes the eligibility conditions.
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N/A
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N/A
|
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¨
|
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¨
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(e)
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¨
|
|
Nearest the date the Employee completes the eligibility
conditions.
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N/A
|
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|
N/A
|
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¨
|
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¨
|
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(f)
|
|
¨
|
|
Describe
retroactive/prospective entry relative to Entry Date:
|
[ Note: Under Election 18(f), the
Employer may describe the timing of entry relative to an Entry Date
from the elections available under Elections 18(a) through (e), or
a combination thereof as to a Participant group and/or Contribution
Type (e.g., As to Matching Contributions excluding Additional
Matching nearest as to Division A Employees and immediately
following as to Division B Employees). ]
© 2008 American Funds Distributors,
Inc.
9
Nonstandardized 401(k) Plan
|
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19.
|
|
BREAK IN
SERVICE – PARTICIPATION (2.03) . The one year hold-out rule
described in Section 2.03(C) (Choose one of (a), (b), or
(c)) :
|
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|
|
(a)
|
|
x
|
|
Does not
apply.
|
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|
|
|
(b)
|
|
¨
|
|
Applies. Applies to the Plan and to all
Participants.
|
|
|
|
|
(c)
|
|
¨
|
|
Limited
application. Applies to
the Plan, but only to a Participant who has incurred a Severance
from Employment.
|
|
|
[ Note: The
Plan does not apply the rule of parity under Code
§410(a)(5)(D) unless the Employer in Appendix B specifies
otherwise. See Section 2.03(D). ]
|
|
ARTICLE III
PLAN CONTRIBUTIONS AND
FORFEITURES
|
|
20.
|
|
ELECTIVE
DEFERRAL LIMITATIONS (3.02(A)) . The following limitations
apply to Elective Deferrals under Elections 6(a) and 6(b), which
are in addition to those limitations imposed under the basic plan
document (Choose (a) or choose (b) and (c) as applicable)
:
|
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|
|
(a)
|
|
x
|
|
None. No additional Plan imposed limits.
|
|
|
[ Note: The
Employer under Election 20 may not impose a lower deferral limit
applicable only to Catch-Up Eligible Participants and the
Employer’s elections must be nondiscriminatory. The elected
limits apply to Pre-Tax Deferrals and to Roth Deferrals unless
described otherwise. Under a safe harbor plan: (i) NHCEs must be
able to defer enough to receive the maximum Safe Harbor Matching
and Additional Matching Contribution under the plan and must be
permitted to defer any lesser amount; and (ii) the Employer may
limit Elective Deferrals to a whole percentage of Compensation or
to a whole dollar amount. See Section 1.54(C) as to administrative
limitations on Elective Deferrals. ]
|
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|
|
|
(b)
|
|
¨
|
|
Additional
Plan limit(s). (Choose
(1) and (2) as applicable. Complete (3) if (1) or (2) is
chosen) :
|
|
|
|
|
|
|
(1)
|
|
¨
|
|
Maximum
deferral amount. A
Participant’s Elective Deferrals may not exceed:
(specify dollar amount or percentage of
Compensation).
|
|
|
|
|
|
|
(2)
|
|
¨
|
|
Minimum
deferral amount. A
Participant’s Elective Deferrals may not be less than:
(specify dollar amount or percentage of Compensation)
.
|
|
|
|
|
|
(3)
|
|
Application
of limitations. The
Election 20(b)(1) and (2) limitations apply based on Elective
Deferral Compensation described in Elections 9 – 11. If the
Employer elects Plan Year/Participation Compensation under column
(1) and in Election 10 elects Participating Compensation, in the
Plan Years commencing after an Employee becomes a Participant,
apply the elected minimum or maximum limitations to the Plan Year.
Apply the elected limitation based on such Compensation during the
designated time period and only to HCEs as elected below.
(Choose a. or choose b. and c. as applicable. Under each of a.,
b. or c. choose one of (1) or (2). Choose (3) if applicable)
:
|
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(1)
|
|
(2)
|
|
(3)
|
|
|
|
|
|
|
|
|
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|
|
Plan Year/Participating
Compensation
|
|
Payroll period
|
|
HCEs only
|
|
|
|
|
a.
|
|
¨
|
|
Both. Both limits under Elections 20(b)(1) and
(2).
|
|
¨
|
|
¨
|
|
¨
|
|
|
|
|
|
|
|
|
|
|
|
|
b.
|
|
¨
|
|
Maximum
limit. The maximum amount
limit under Election 20(b)(1).
|
|
¨
|
|
¨
|
|
¨
|
|
|
|
|
|
|
|
|
|
|
|
|
c.
|
|
¨
|
|
Minimum
limit. The minimum amount
limit under Election 20(b)(2).
|
|
¨
|
|
¨
|
|
¨
|
|
|
|
|
|
|
(c)
|
|
¨
|
|
Describe
Elective Deferral limitation(s):
|
|
|
[ Note:
Under Election 20(c), the Employer: (i) may describe limitations on
Elective Deferrals from the elections available under Elections
20(a) and (b) or a combination thereof as to a Participant group
(e.g., No limit applies to Division A Employees. Division B
Employees may not defer in excess of 10% of Plan Year
Compensation); (ii) may elect a different time period to which the
limitations apply; and/or (iii) may apply a different limitation to
Pre-Tax Deferrals and to Roth Deferrals. ]
|
© 2008 American Funds Distributors,
Inc.
10
Nonstandardized 401(k) Plan
|
|
|
|
|
|
|
|
|
|
|
|
21.
|
|
AUTOMATIC
DEFERRAL (3.02(B))
. The Automatic Deferral provisions of Section 3.02(B) (Choose
one of (a) or (b)) :
|
|
|
|
|
(a)
|
|
¨
|
|
Do not
apply.
|
|
|
|
|
(b)
|
|
x
|
|
Apply. The Automatic Deferral Effective Date is:
November 1, 2007 (specify date) . (Complete (1), (2), and
(3). Choose (4) as applicable) :
|
|
|
|
|
|
(1)
|
|
Automatic
Deferral Amount. The
Employer, as to each Participant affected, will withhold as the
Automatic Deferral Amount, 2 % from the Participant’s
Compensation each payroll period unless the Participant makes a
Contrary Election.
|
|
|
|
|
|
(2)
|
|
Participants
affected. The Automatic
Deferral applies to (Choose one of a., b., c., or d.)
:
|
|
|
|
|
|
|
|
|
|
a.
|
|
¨
|
|
All
Participants. All
Participants, regardless of any prior Salary Reduction Agreement,
unless and until they make a Contrary Election after the Automatic
Deferral Effective Date.
|
|
|
|
|
|
|
|
|
|
b.
|
|
¨
|
|
Election of
at least Automatic Deferral amount. All Participants, except those who have in
effect a Salary Reduction Agreement on the Automatic Deferral
Effective Date provided that the Elective Deferral amount under the
Agreement is at least equal to the Automatic Deferral
Amount.
|
|
|
|
|
|
|
|
|
|
c.
|
|
¨
|
|
No existing
Salary Reduction Agreement. All Participants, except those who have in
effect a Salary Reduction Agreement on the Automatic Deferral
Effective Date regardless of the Elective Deferral amount under the
Agreement.
|
|
|
|
|
|
|
|
|
|
d.
|
|
x
|
|
New
Participants. Each
Employee whose Entry Date is on or following the Automatic Deferral
Effective Date.
|
|
|
|
|
|
(3)
|
|
Scheduled
increases. The Automatic
Deferral Amount will or will not increase (as a percentage of
Compensation) in Plan Years following the Plan Year containing the
Automatic Deferral Effective Date (or, if later, the Plan Year in
which the Automatic Deferral first applies to a Participant) as
follows (Choose one of a., b., or c.) :
|
|
|
|
|
|
|
|
|
|
a.
|
|
x
|
|
No scheduled
increase. The Automatic
Deferral Amount applies in all Plan Years.
|
|
|
|
|
|
|
|
|
|
b.
|
|
¨
|
|
Scheduled
increase. The Automatic
Deferral Amount will increase as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Plan Year of application to a
Participant
|
|
Automatic Deferral Amount
|
|
|
|
|
|
|
|
|
1
|
|
3%
|
|
|
|
|
|
|
|
|
2
|
|
3%
|
|
|
|
|
|
|
|
|
3
|
|
4%
|
|
|
|
|
|
|
|
|
4
|
|
5%
|
|
|
|
|
|
|
|
|
5 and thereafter
|
|
6%
|
|
|
|
|
|
|
|
|
|
c.
|
|
¨
|
|
Other
scheduled increase. The
Automatic Deferral Amount will increase as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Plan Year of application to a
Participant
|
|
Automatic Deferral Amount
|
|
|
|
|
|
|
|
|
|
|
%
|
|
|
|
|
|
|
|
|
|
|
%
|
|
|
|
|
|
|
|
|
|
|
%
|
|
|
|
|
|
|
|
|
|
|
%
|
|
|
|
|
|
|
|
|
|
|
%
|
|
|
|
|
|
|
(4)
|
|
¨
|
|
Describe
Automatic Deferral:
|
|
|
[ Note:
Under Election 21(b)(4), the Employer may describe Automatic
Deferral provisions from the elections available under Election 21
and/or a combination thereof as to a Participant group (e.g.,
Automatic Deferrals do not apply to Division A Employees. All
Division B Employee/Participants are subject to an Automatic
Deferral Amount equal to 3% of Compensation effective as of January
1, 2008). ]
|
|
|
|
22.
|
|
CODA (3.02(C)) . The CODA provisions of
Section 3.02(C) (Choose one of (a) or (b)) :
|
|
|
|
|
(a)
|
|
x
|
|
Do not
apply.
|
|
|
|
|
(b)
|
|
¨
|
|
Apply. For each Plan Year for which the Employer makes
a designated CODA contribution under Section 3.02(C), a Participant
may elect to receive directly in cash not more than the following
portion (or, if less, the Elective Deferral Limit) of his/her
proportionate share of that CODA contribution (Choose one of (1)
or (2)) :
|
|
|
|
|
|
|
(1)
|
|
¨
|
|
All or any
portion.
|
|
|
|
|
|
|
(2)
|
|
¨
|
|
%
|
|
|
|
23.
|
|
CATCH-UP
DEFERRALS (3.02(D)) . A Catch-Up Eligible
Participant (Choose one of (a) or (b)) :
|
|
|
|
|
(a)
|
|
x
|
|
Permitted. May make Catch-Up Deferrals to the
Plan.
|
|
|
|
|
(b)
|
|
¨
|
|
Not
Permitted. May not make
Catch-Up Deferrals to the Plan.
|
© 2008 American Funds Distributors,
Inc.
11
Nonstandardized 401(k) Plan
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
24. MATCHING
CONTRIBUTIONS (EXCLUDING SAFE HARBOR MATCH AND ADDITIONAL MATCH
UNDER SECTION 3.05) (3.03(A)). The Employer Matching
Contributions under Election 6(c) are subject to the following
additional elections regarding type (discretionary/fixed),
rate/amount, limitations and time period (collectively, such
elections are “the matching formula”) and the
allocation of Matching Contributions is subject to Section 3.06
except as otherwise provided (Choose one or more of (a) through
(g) as applicable; then, for the elected match, complete (1), (2),
and/or (3) as applicable. If the Employer completes (2) or (3),
also complete one of (4), (5), or (6)):
|
|
|
[ Note: If
the Employer wishes to make any Matching Contributions that satisfy
the ADP or ACP safe harbor, the Employer should make these
Elections under Election 30, and not under this Election 24.
]
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1)
Match
Rate/Amt [$/%
of Elective
Deferrals]
|
|
(2) Limit
on
Deferrals
Matched
[$/% of
Compensation]
|
|
(3)
Limit on
Match Amount
[$/% of
Compensation]
|
|
(4)
Apply
limit(s) per
Plan Year
[“true-up”]
|
|
(5) Apply
limit(s) per
payroll
period [no
“true-up”]
|
|
(6) Apply
limit(s) per
designated
time period
[no
“true-up”]
|
|
|
|
|
|
|
|
|
|
|
(a)
|
|
x
|
|
Discretionary – see
|
|
|
|
|
|
|
|
¨
|
|
¨
|
|
x
Plan
|
|
|
|
|
Section 1.34(B)
( The Employer may, but is not required to complete (a)(1)-(6).
See the “Note”following Election 24. )
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Quarter
|
|
|
|
|
|
|
|
|
|
|
(b)
|
|
¨
|
|
Fixed – uniform rate/amount
|
|
|
|
|
|
|
|
¨
|
|
¨
|
|
¨
|
|
|
|
|
|
|
|
|
|
|
|
(c)
|
|
¨
|
|
Fixed – tiered
|
|
Elective
Deferral %
|
|
Matching
Rate
|
|
|
|
|
|
¨
|
|
¨
|
|
¨
|
|
|
|
|
|
|
%
|
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
%
|
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
%
|
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
%
|
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(d)
|
|
¨
|
|
Fixed – Years of Service
|
|
Years
of Service
|
|
Matching
Rate
|
|
|
|
|
|
¨
|
|
¨
|
|
¨
|
|
|
|
|
|
|
|
|
|
|
%
|
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
%
|
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
%
|
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
%
|
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1)
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“Years of
Service” under this Election 24(d) means (Choose one of a.
or b.) :
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a.
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¨
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Eligibility. Years of Service for eligibility in Election
16.
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b.
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¨
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Vesting. Years of Service for vesting in Elections 42 and
43.
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(e)
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¨
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Fixed – multiple formulas
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Formula 1:
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¨
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¨
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¨
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Formula 2:
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¨
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¨
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¨
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Formula 3:
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¨
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¨
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¨
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(f)
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¨
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Related and
Participating Employers. If any Related and Participating Employers
contribute Matching Contributions to the Plan, the following apply
(Complete (1) and (2)) :
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(1)
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Matching
formula. The matching
formula for the Participating Employer(s) (Choose one of a. or
b.) :
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a.
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¨
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All the
same. Is (are) the same
as for the Signatory Employer under this Election 24.
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b.
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¨
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At least one
different. Is (are) as
follows:
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(2)
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Allocation
sharing. The Plan
Administrator will allocate the Matching Contributions made by the
Signatory Employer and by any Participating Employer (Choose one
of a. or b.) :
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a.
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¨
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Employer by
Employer. Only to the
Participants directly employed by the contributing
Employer.
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