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<PAGE>
EXHIBIT 10.10
NON-STANDARDIZED 401(K) PROFIT SHARING PLAN
ADOPTION AGREEMENT FOR
ARS
NON-STANDARDIZED 401(K) PROFIT SHARING
PLAN AND TRUST
The undersigned Employer adopts Administaff Retirement Services,
L.P. Prototype
Non-Standardized Profit Sharing Plan and Trust and elects the
following
provisions:
CAUTION: Failure to properly fill out this Adoption Agreement
may result in
disqualification of the Plan
EMPLOYER INFORMATION
(An amendment to the Adoption Agreement is not needed solely to
reflect a change
in the information in this Employer Information Section.)
1. EMPLOYER'S NAME, ADDRESS AND TELEPHONE NUMBER
Name: Adam's Laboratories, Inc.
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-----------------------------------------------------------------
Address: 14801 Sovereign Rd
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Street
Fort Worth TX 76155
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City State Zip
Telephone: 817-354-3858
-----------------------------------------
2. EMPLOYER'S TAXPAYER IDENTIFICATION NUMBER 75-2725552
--------------------------------
3. TYPE OF ENTITY
a. [X] Corporation (including Tax-exempt or Non-profit
Corporation)
b. [ ] Professional Service Corporation
c. [ ] S Corporation
d. [ ] Limited Liability Company that is taxed as:
1. [ ] a partnership or sole proprietorship
2. [ ] a Corporation
3. [ ] an S Corporation
e. [ ] Sole Proprietorship
f. [ ] Partnership (including Limited Liability)
g. [ ] Other:
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AND, the Employer is a member of (select all that apply):
h. [ ] a controlled group
i. [ ] an affiliated service group
4. EMPLOYER FISCAL YEAR means the 12 consecutive month
period:
Beginning on July 1 (e.g., January 1st)
------------------------------
month day
and ending on June 30
------------------------------
month day
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NON-STANDARDIZED 401(K) PROFIT SHARING PLAN
PLAN INFORMATION
(An amendment to the Adoption Agreement is not needed solely to
reflect a change
in the information in Questions 9. through 11.)
5. PLAN NAME:
Adam's Laboratories, Inc. Retirement Savings Plan
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6. EFFECTIVE DATE
a. [X] This is a new Plan effective as of January 1, 2004
(hereinafter
called the "Effective Date").
b. [ ] This is an amendment and restatement of a previously
established
qualified plan of the Employer which was originally
effective
_____________ (hereinafter called the "Effective Date"). The
effective date of this amendment and restatement is
_________________
c. [N/A] FOR GUST RESTATEMENTS: This is an amendment and
restatement of a
previously established qualified plan of the Employer to
bring
the Plan into compliance with GUST (GATT, USERRA, SBJPA and
TRA
'97). The original Plan effective date was ____________
(hereinafter called the "Effective Date") Except as
specifically
provided in the Plan, the effective date of this amendment
and
restatement is____________. (May enter a restatement date that
is
the first day of the current Plan Year. The Plan contains
appropriate retroactive effective dates with respect to
provisions for the appropriate laws.)
7. PLAN YEAR means the 12 consecutive month period:
Beginning on 01 01 (e.g., January 1st)
------------------------------
month day
and ending on 12 31
--------------------------------------
month day
EXCEPT that there will be a Short Plan Year:
a. [ ] N/A
b. [X] Beginning on 12 31 2003 (e.g,. July 1, 2000)
-------------------------------
month day, year
and ending on 12 31 2003
----------------------------------------
month day, year
8. VALUATION DATE means:
a. [X] Every day that the Trustee, any transfer agent appointed
by the
Trustee or the Employer, and any stock exchange used by such
agent
are open for business (daily valuation).
b. [N/A] The last day of each Plan Year.
c. [N/A] The last day of each Plan Year half (semi-annual).
d. [N/A] The last day of each Plan Year quarter.
e. [N/A] Other (specify day or dates):____________ (must be at
least once
each Plan Year).
9. PLAN NUMBER assigned by the Employer
a. [X] 00l
b. [ ] 002
c. [ ] 003
d. [ ] Other:______________
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NON-STANDARDIZED 401(K) PROFIT SHARING PLAN
10. TRUSTEE(S):
a. [ ] Individual Trustee(s) who serve as discretionary
Trustee(s)
over assets not subject to control by a corporate Trustee
Name(s) Title(s)
-------------------------------
----------------------------------
-------------------------------
----------------------------------
Address and Telephone number
1. [ ] Use Employer address and telephone number
2. [ ] Use address and telephone number below:
Address:
------------------------------------------------------------
Street
------------------------------------------------------------
City State Zip
Telephone:
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b. [X] Corporate Trustee
Name: Reliance Trust Company
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Address: 3384 Peachtree Road NE, Suite 900
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Atlanta GA 30326-1106
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City Street Zip
Telephone: (800) 749-0752
-----------------------
AND, the corporate Trustee shall serve as:
1. [X] a directed (nondiscretionary) Trustee over all Plan
assets
except for the following:
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2. [ ] a discretionary Trustee over all Plan assets except for
the
following:
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AND, shall a separate trust agreement be used with this
Plan?
c. [ ] Yes
d. [X] No
NOTE: If Yes is selected, an executed copy of the trust
agreement between
the Trustee and the Employer must be attached to this Plan. The
Plan
and trust agreement will be read and construed together. The
responsibilities, rights and powers of the Trustee shall be
those
specified in the trust agreement.
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NON-STANDARDIZED 401(K) PROFIT SHARING PLAN
11. PLAN ADMINISTRATOR'S NAME, ADDRESS AND TELEPHONE NUMBER:
(If none is named, the Employer will become the
Administrator.)
a. [X] Employer (Use Employer address and telephone number)
b. [ ] Use name, address and telephone number below:
Name: Adam's Laboratories, Inc.
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Address: 14801 Sovereign Rd
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Street
Fort Worth TX 76155
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City State Zip
Telephone: 817-354-3858
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12. CONSTRUCTION OF PLAN
This Plan shall be governed by the laws of the state or
commonwealth
where the Employer's (or, in the case of a corporate Trustee,
such
Trustee's) principal place of business is located unless another
state or
commonwealth is specified:
Texas
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ELIGIBILITY REQUIREMENTS
13. ELIGIBLE EMPLOYEES (Plan Section 1.18)
FOR ALL PURPOSES OF THE PLAN (EXCEPT AS ELECTED IN d. or e.
BELOW FOR
EMPLOYER CONTRIBUTIONS) means all Employees (including Leased
Employees)
EXCEPT:
NOTE: If different exclusions apply to Elective Deferrals than
to other
Employer contributions, complete this part a.-b. for the
Elective
Deferral component of the Plan.
a. [N/A] N/A No exclusions.
b. [X] The following are excluded, except that if b.3. is
selected, such
Employees will be included (select all that apply):
1. [X] Union Employees (as defined in Plan Section 1.18)
2. [X] Non-resident aliens (as defined in Plan Section 1.18)
3. [ ] Employees who became Employees as the result of a
"Code
Section 410(b)(6)(C) transaction" (as defined in Plan
Section
1.18)
4. [ ] Salaried Employees
5. [ ] Highly Compensated Employees
6. [X] Leased Employees
7. [ ] Other:_________________________
HOWEVER, different exclusions will apply (select c. OR d. and/or
e.):
c. [X] N/A The options elected in a.-b. above apply for all
purposes of
the Plan.
d. [N/A] For purposes of all Employer contributions (other than
Elective
Deferrals and matching contributions)...
e. [N/A] For purposes of Employer matching contributions...
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NON-STANDARDIZED 401(K) PROFIT SHARING PLAN
IF d. OR e. IS SELECTED, the following exclusions apply for such
purposes
(select f. or g.):
f. [N/A] N/A No exclusions
g. [N/A] The following are excluded, except that if g.3. is
selected,
such Employees will be included (select all that apply):
1. [ ] Union Employees (as defined in Plan Section 1.18)
2. [ ] Non-resident aliens (as defined in Plan Section 1.18)
3. [ ] Employees who became Employees as the result of a
"Code
Section 410(b)(6)(C) transaction" (as defined in Plan
Section
1.18)
4. [ ] Salaried Employees
5. [ ] Highly Compensated Employees
6. [ ] Leased Employees
7. [ ]
Other:_______________________________________________________
14. THE FOLLOWING AFFILIATED EMPLOYER (Plan Section 1.6) will
adopt this Plan
as a Participating Employer (if there is more than one, or if
Affiliated
Employers adopt this Plan after the date the Adoption Agreement
is
executed, attach a list to this Adoption Agreement of such
Affiliated
Employers including their names, addresses, taxpayer
identification
numbers and types of entities):
NOTE: Employees of an Affiliated Employer that does not adopt
this
Adoption Agreement as a Participating Employer shall not be
Eligible
Employees. This Plan could violate the Code Section 410(b)
coverage
rules if all Affiliated Employers do not adopt the Plan.
a. [X] N/A
b. [ ] Name of First Affiliated
Employer:_________________________________
Address:
_________________________________________________________
Street
_________________________________________________________
City State Zip
Telephone:_____________________
Taxpayer Identification Number__________________
AND, the Affiliated Employer is:
c. [ ] Corporation (including Tax-exempt, Non-profit or
Professional
Service Corporation)
d. [ ] S Corporation
e. [ ] Limited Liability Company that is taxed as:
1. [ ] a partnership or sole proprietorship
2. [ ] a Corporation
3. [ ] an S Corporation
f. [ ] Sole Proprietorship
g. [ ] Partnership (including Limited Liability)
h. [ ] Other:
_________________________________________________
15. CONDITIONS OF ELIGIBILITY (Plan Section 3.1)
Any Eligible Employee will be eligible to participate in the
Plan upon
satisfaction of the following:
NOTE: If the Year(s) of Service selected is or includes a
fractional year,
an Employee will not be required to complete any specified
number of
Hours of Service to receive credit for such fractional year.
If
expressed in months of service, an Employee will not be required
to
complete any specified number of Hours of Service in a
particular
month, unless elected in b.4. or i.4. below.
ELIGIBILITY FOR ALL PURPOSES OF THE PLAN (EXCEPT AS ELECTED IN
e.-k. BELOW
FOR EMPLOYER CONTRIBUTIONS) (select a. or all that apply of b.,
c., and
d.):
NOTE: If different conditions apply to Elective Deferrals than
to other
Employer contributions, complete this part a.-d. for the
Elective
Deferral component of the Plan.
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NON-STANDARDIZED 401(K) PROFIT SHARING PLAN
a. [ ] No age or service required (Go to e.-g. below)
b. [X] Completion of the following service requirement which is
based on
Years of Service (or Periods of Service if the Elapsed Time
Method
is elected):
1. [ ] No service requirement
2. [ ] 1/2 Year of Service or Period of Service
3. [ ] 1 Year of Service or Period of Service
4. [X] 1000 (not to exceed 1,000) Hours of Service within 12
(not
to exceed 12) months from the Eligible Employee's employment
commencement date. If an Employee does not complete the
stated Hours of Service during the specified time period,
the Employee is subject to the Year of Service requirement
in b.3 above.
5. [N/A]
Other:____________________________________________________
(may not exceed one (1) Year of Service
or Period of Service)
c. [X] Attainment of age:
1. [ ] No age requirement
2. [ ] 20 1/2
3. [ ] 21
4. [X] Other: 18 (may not exceed 21)
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d. [ ] The service and/or age requirements specified above shall
be
waived with respect to any Eligible Employee who was
employed
on______________and such Eligible Employee shall enter the Plan
as
of such date.
The requirements to be waived are (select one or both):
1. [ ] service requirement (will let part-time Eligible
Employees
in Plan)
2. [ ] age requirement
HOWEVER, DIFFERENT ELIGIBILITY CONDITIONS WILL APPLY (select e.
OR f.
and/or g.):
e. [X] N/A The options elected in a.-d. above apply for all
purposes
of the Plan.
f. [N/A] For purposes of all Employer contributions (other than
Elective
Deferrals and matching contributions).
g. [N/A] For purposes of Employer matching contributions.
If f. OR g. IS SELECTED, the following eligibility conditions
apply for
such purposes:
h. [N/A] No age or service requirements
i. [N/A] Completion of the following service requirement which
is based
on Years of Service (or Periods of Service if the Elapsed
Time
Method is elected):
1. [ ] No service requirement
2. [ ] 1/2 Year of Service or Period of Service
3. [ ] 1 Year of Service or Period of Service
4. [ ] _____ (not to exceed 1,000) Hours of Service
within______(not
to exceed 12) months from the Eligible Employee's employment
commencement date. If an Employee does not complete the
stated Hours of Service during the specified time period,
the
Employee is subject to the Year of Service requirement in
i.3. above
5. [ ] 1 1/2 Years of Service or Periods of Service
6. [ ] 2 Years of Service or Periods of Service
7. [ ]
Other:_____________________________________________________
(may not exceed two (2) Years of Service or Periods
of Service)
NOTE: If more than one (l) Year of Service is elected 100%
immediate
vesting is required.
j. [N/A] Attainment of age:
1. [ ] No age requirement
2. [ ] 20 1/2
3. [ ] 21
4. [ ] Other:________________________________(may not exceed
21)
k. [N/A] The service and/or age requirements specified above
shall be
waived with respect to any Eligible Employee who was
employed
on___________and such Eligible Employee shall enter the Plan
as
of such date.
The requirements to be waived are (select one or both):
1. [ ] service requirement (will let part-time Eligible
Employees in
Plan)
2. [ ] age requirement
(C) Copyright 2001 ARS
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NON-STANDARDIZED 401(K) PROFIT SHARING PLAN
16. EFFECTIVE DATE OF PARTICIPATION (Plan Section 3.2)
An Eligible Employee who has satisfied the eligibility
requirements will
become a Participant for all purposes of the Plan (except as
elected in
g.-p. below for Employer contributions):
NOTE: If different entry dates apply to Elective Deferrals than
to other
Employer contributions, complete this part a.-f. for the
Elective
Deferral component of the Plan.
a. [N/A] the day on which such requirements are satisfied.
b. [X] the first day of the month coinciding with or next
following the
date on which such requirements are satisfied.
c. [ ] the first day of the Plan Year quarter coinciding with or
next
following the date on which such requirements are satisfied.
d. [ ] the earlier of the first day of the seventh month or the
first
day of the Plan Year coinciding with or next following the
date
on which such requirements are satisfied.
e. [ ] the first day of the Plan Year next following the date on
which
such requirements are satisfied. (Eligibility must be 1/2
Year
of Service (or Period of Service) or less and age must be 20
1/2
or less).
f. [N/A]
other:________________________________________________________
provided that an Eligible Employee who has satisfied the
maximum age (21) and service requirements (one (1) Year or
Period of Service) and who is otherwise entitled to
participate, shall commence participation no later than the
earlier of (a) 6 months after such requirements are
satisfied, or (b) the first day of the first Plan Year after
such requirements are satisfied, unless the Employee
separates
from service before such participation date.
HOWEVER, different entry dates will apply (select g. OR h.
and/or i.):
g. [X] N/A The options elected in a.-f. above apply for all
purposes of
the Plan.
h. [N/A] For purposes of all Employer contributions (other
than
Elective Deferrals and matching contributions).
i. [N/A] For purposes of Employer matching contributions.
IF h. OR i. IS SELECTED, the following entry dates apply for
such purposes
(select one):
j. [N/A] the first day of the month coinciding with or next
following
the date on which such requirements are satisfied.
k. [N/A] the first day of the Plan Year quarter coinciding with
or next
following the date on which such requirements are satisfied.
1. [N/A] the first day of the Plan Year in which such
requirements are
satisfied.
m. [N/A] the first day of the Plan Year in which such
requirements are
satisfied, if such requirements are satisfied in the first 6
months of the Plan Year, or as of the first day of the next
succeeding Plan Year if such requirements are satisfied in
the
last 6 months of the Plan Year.
n. [N/A] the earlier of the first day of the seventh month or
the first
day of the Plan Year coinciding with or next following the
date on which such requirements are satisfied.
o. [N/A] the first day of the Plan Year next following the date
on
which such requirements are satisfied. (Eligibility must be
1/2 (or 1 1/2 if 100% immediate Vesting is selected) Year of
Service (or Period of Service) or less and age must be 20
1/2
or less).
p. [N/A]
other:________________________________________________,
provided that an Eligible Employee who has satisfied the
maximum age (21) and service requirements (one (1) Year or
Period of Service (or more than one (1) year if full and
immediate vesting)) and who is otherwise entitled to
participate, shall commence participation no later than the
earlier of (a) 6 months after such requirements are
satisfied,
or (b) the first day of the first Plan Year after such
requirements are satisfied, unless the Employee separates
from
service before such participation date.
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NON-STANDARDIZED 401(K) PROFIT SHARING PLAN
SERVICE
17. RECOGNITION OF SERVICE WITH PREDECESSOR EMPLOYER (Plan
Sections 1.57 and
1.85)
a. [N/A] No service with a predecessor Employer shall be
recognized
b. [X] Service with Administaff
will be recognized except as follows (select 1. or all that
apply of 2. through 4.):
1. [X] N/A, no limitations.
2. [N/A] service will only be recognized for vesting
purposes.
3. [N/A] service will only be recognized for eligibility
purposes.
4. [N/A] service prior to____________________will not be
recognized.
NOTE: If the predecessor Employer maintained this qualified
Plan, then Years of Service (and/or Periods of Service)
with such predecessor Employer shall be recognized
pursuant to Plan Sections 1.57 and 1.85 and b.1. will
apply.
18. SERVICE CREDITING METHOD (Plan Sections 1.57 and 1.85)
NOTE: If no elections are made in this Section, then the Hours
of Service
Method will be used and the provisions set forth in the
definition
of Year of Service in Plan Section 1.85 will apply.
ELAPSED TIME METHOD shall be used for the following purposes
(select all
that apply):
a. [X] N/A. Plan only uses the Hours of Service Method.
b. [N/A] all purposes. (If selected, skip to Question 19.)
c. [ N/A] eligibility to participate.
d. [ N/A] vesting.
e. [ N/A] sharing in allocations or contributions.
HOURS OF SERVICE METHOD shall be used for the following purposes
(select
all that apply):
f. [N/A] N/A. Plan only uses the Elapsed Time Method.
g. [X] eligibility to participate in the Plan. The
eligibility
computation period after the initial eligibility computation
period
shall...
1. [X] shift to the Plan Year after the initial computation
period.
2. [ ] be based on the date an Employee first performs an Hour
of
Service (initial computation period) and subsequent
computation periods shall be based on each anniversary date
thereof.
h. [X] vesting. The vesting computation period shall be...
1. [X] the Plan Year.
2. [ ] the date an Employee first performs an Hour of Service
and
each anniversary thereof.
i. [X] sharing in allocations or contributions (the computation
period
shall be the Plan Year.)
AND, IF THE HOURS OF SERVICE METHOD IS BEING USED, the Hours of
Service
will be determined on the basis of the method selected below.
Only one
method may be selected. The method selected below will be
applied to
(select j. or k.):
j. [N/A] all Employees.
k. [X] salaried Employees only (for hourly Employees, actual
Hours of
Service will be used).
ON THE BASIS OF:
l. [N/A] actual hours for which an Employee is paid or entitled
to
payment.
m. [N/A] days worked. An Employee will be credited with ten (10)
Hours
of Service if under the Plan such Employee would be credited
with at
least one (1) Hour of Service during the day.
n. [N/A] weeks worked. An Employee will be credited with
forty-five
(45) Hours of Service if under the Plan such Employee would
be
credited with at least one (1) Hour of Service during the
week.
o. [N/A] semi-monthly payroll periods worked. An Employee will
be
credited with ninety-five (95) Hours of Service if under the
Plan
such Employee would be credited with at least one (1) Hour
of
Service during the semi-monthly payroll period.
p. [X] months worked. An Employee will be credited with one
hundred
ninety (190) Hours of Service if under the Plan such Employee
would
be credited with at least one (1) Hour of Service during the
month.
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NON-STANDARDIZED 401(K) PROFIT SHARING PLAN
AND, a Year of Service means the applicable computation period
during
which an Employee has completed at least:
q. [X] __1000__ (may not be more than 1,000) Hours of Service
(if left
blank, the Plan will use 1,000 Hours of Service).
VESTING
19. VESTING OF PARTICIPANT'S INTEREST (Plan Section 6.4(b))
Vesting for Employer Contributions (except as otherwise elected
in j -q
below for matching contributions). The vesting schedule, based
on a
Participant's Years of Service (or Periods of Service if the
Elapsed Time
Method is elected), shall be as follows:
a. [ ] 100% upon entering Plan (Required if eligibility
requirement is
greater than one (1) Year of Service or Period of Service )
b. [ ] 3 Year Cliff:
0-2 years 0%
3 years 100%
c. [N/A] 5 Year Cliff:
0-4 years 0%
5 years 100%
d. [N/A] 6 Year Graded:
0-1 year 0%
2 years 20%
3 years 40%
4 years 60%
5 years 80%
6 years 100%
e. [N/A] 4 Year Graded:
1 year 25%
2 years 50%
3 years 75%
4 years 100%
f. [X] 5 Year Graded:
1 year 20%
2 years 40%
3 years 60%
4 years 80%
5 years 100%
g. [N/A] 7 Year Graded:
0-2 years 0%
3 years 20%
4 years 40%
5 years 60%
6 years 80%
7 years 100%
h. [N/A] Other - Must be at least as liberal as either c. or g.
above
Service Percentage
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NON-STANDARDIZED 401(k) PROFIT SHARING PLAN
VESTING FOR EMPLOYER MATCHING CONTRIBUTIONS
The vesting schedule for Employer matching contributions, based
on a
Participant's Years of Service (or Periods of Service if the
Elapsed Time
Method is elected) shall be as follows:
i. [N/A] N/A. There are no matching contributions subject to a
vesting
schedule OR the schedule in a.-h. above shall also apply to
matching contributions
j. [N/A] 100% upon entering Plan. (Required if eligibility
requirement
is greater than one (1) Year of Service or Period of
Service).
k. [N/A] 3 Year Cliff
1. [N/A] 5 Year Cliff
m. [N/A] 6 Year Graded
n. [N/A] 4 Year Graded
o. [N/A] 5 Year Graded
p. [N/A] 7 Year Graded
q. [N/A] Other - Must be at least as liberal as either i. or p.
above
Service Percentage
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------------------- ---------------------
------------------- ---------------------
------------------- ---------------------
------------------- ---------------------
20. FOR AMENDED PLANS (Plan Section 6.4(f))
If the vesting schedule has been amended to a less favorable
schedule,
enter the pre-amended schedule below:
a. [X] Vesting schedule has not been amended, amended schedule
is more
favorable in ALL years or prior schedule was immediate 100%
vesting.
b. [ ] Pre-amended schedule:
Service Percentage
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21. TOP HEAVY VESTING (Plan Section 6.4(c))
If this Plan becomes a Top Heavy Plan, the following vesting
schedule,
based on number of Years of Service (or Periods of Service if
the Elapsed
Time Method is elected), shall apply and shall be treated as a
Plan
amendment pursuant to this Plan. Once effective, this schedule
shall also
apply to any contributions made before the Plan became a Top
Heavy Plan
and shall continue to apply if the Plan ceases to be a Top Heavy
Plan
unless an amendment is made to change the vesting schedule.
a. [X] N/A (the regular vesting schedule already satisfies one
of the
minimum top heavy schedules).
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NON-STANDARDIZED 401(k) PROFIT SHARING PLAN
b. [ ] 6 Year Graded:
0-1 year 0%
2 years 20%
3 years 40%
4 years 60%
5 years 80%
6 years 100%
c. [ ] 3 Year Cliff:
0-2 years 0%
3 years 100%
d. [ ] Other - Must be at least as liberal as either b. or c.
above.
Service Percentage
------------------- ---------------------
------------------- ---------------------
------------------- ---------------------
------------------- ---------------------
------------------- ---------------------
NOTE: This Section does not apply to the account balances of
any
Participant who does not have an Hour of Service after the Plan
has
initially become top heavy. Such Participant's Account
balance
attributable to Employer contributions and Forfeitures will
be
determined without regard to this Section.
22. EXCLUDED VESIING SERVICE
a. [ ] No exclusions.
b. [ ] Service prior to the Effective Date of the Plan or a
predecessor
plan.
c. [X] Service prior to the time an Employee has attained age
18.
23. VESTING FOR DEATH AND TOTAL AND PERMANENT DISABILITY
Regardless of the vesting schedule, Participants shall become
fully Vested
upon (select a. or all that apply of b. and c.)
a. [X] N/A. Apply vesting schedule, or all contributions to the
Plan
are fully Vested.
b. [N/A] Death.
c. [N/A] Total and Permanent Disability.
24. NORMAL RETIREMENT AGE ("NRA") (Plan Section 1.45) means
the:
a. [X] date of a Participant's 65 birthday (not to exceed
65th).
b. [ ] later of a Participant's ___ birthday (not to exceed
65th) or
the (not to exceed 5th) anniversary of the first day of the
Plan
Year in which participation in the Plan commenced.
25. NORMAL RETIREMENT DATE (Plan Section 1.46) means the:
a. [X] Participant's "NRA."
OR (select one)
b. [ ] first day of the month coinciding with or next following
the
Participant's "NRA."
c. [N/A] first day of the month nearest the Participant's
"NRA."
d. [N/A] Anniversary Date coinciding with or next following
the
Participant's "NRA."
e. [N/A] Anniversary Date nearest the Participant's "NRA."
(C)Copyright 2001 ARS
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NON-STANDARDIZED 401(k) PROFIT SHARING PLAN
26. EARLY RETIREMENT DATE (Plan Section 1.15) means the:
a. [ ] No Early Retirement provision provided
b. [X] date on which a Participant...
c. [N/A] first day of the month coinciding with or next
following the
date on which a Participant
d. [N/A] Anniversary Date coinciding with or next following the
date on
which a Participant...
AND, if b., c. or d. is selected
e. [ ] attains age________
f. [X] attains age_55_______and completes at least_5____Years
of
Service (or Periods of Service) for vesting purposes.
AND, if b., c. or d. is selected, shall a Participant become
fully Vested
upon attainment of the Early Retirement Date?
g. [X] Yes
h. [ ] No
COMPENSATION
27. COMPENSATION (Plan Section 1.11) with respect to any
Participant means:
a. [X] Wages, tips and other compensation on Form W-2.
b. [ ] Section 3401(a) wages (wages for withholding
purposes).
c. [ ] 415 safe-harbor compensation.
COMPENSATION shall be based on the following determination
period:
d. [X] the Plan Year.
e. [N/A] the Fiscal Year coinciding with or ending within the
Plan
Year.
f. [N/A] the calendar year coinciding with or ending within the
Plan
Year.
NOTE: The Limitation Year for Code Section 415 purposes shall be
the same
as the determination period for Compensation unless an
alternative
period is specified:_____________(must be a consecutive twelve
month
period).
ADJUSTMENTS TO COMPENSATION
g. [ ] N/A, No adjustments.
h. [X] Compensation shall be adjusted by: (select all that
apply)
1. [X] including compensation which is not currently
includible
in the Participant's gross income by reason of the
application of Code Sections 125 (cafeteria plan), 132(f)(4)
(qualified transportation fringe), 402(e)(3) (401(k) plan),
402(h)(l)(B) (simplified employee pension plan), 414(h)
(employer pickup contributions under a governmental plan),
403(b) (tax sheltered annuity) or 457(b) (eligible deferred
compensation plan)
2. [X] excluding reimbursements or other expense allowances,
fringe benefits (cash or non-cash), moving expenses,
deferred
compensation (other than deferrals specified in 1. above)
and
welfare benefits
3. [ ] excluding Compensation paid during the determination
period while not a Participant in the component of the Plan
for which the definition is being used
4. [ ] excluding overtime
5. [X] excluding bonuses
6. [X] excluding commissions
7. [N/A] other:
----------------------------------------------------------------
NOTE: Options 4., 5., 6. or 7. may not be selected if an
integrated
allocation formula is selected (i.e., if 33.f. is selected).
In addition, if 4., 5., 6., or 7. is selected, the
definition
of Compensation could violate the nondiscrimination rules.
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NON-STANDARDIZED 401(K) PROFIT SHARING PLAN
HOWEVER, FOR SALARY DEFERRAL, AND MATCHING PURPOSES Compensation
shall be
adjusted by (for such purposes, the Plan automatically includes
Elective
Deferrals and other amounts in h.1. above):
i. [X] N/A. No adjustments or same adjustments as in above
j. [N/A] Compensation shall be adjusted by: (select all that
apply)
1. [ ] excluding reimbursements or other expense allowances,
fringe benefits (cash or non-cash), moving expenses,
deferred compensation (other than deferrals specified in
h. 1. above) and welfare benefits
2. [ ] excluding Compensation paid during the determination
period while not a Participant in the component of the
Plan for which the definition is being used
3. [ ] excluding overtime
4. [ ] excluding bonuses
5. [ ] excluding commissions
6. [ ]
other_____________________________________________________
CONTRIBUTIONS AND ALLOCATIONS
28. SALARY REDUCTION ARRANGEMENT - ELECTIVE DEFERRALS (Plan
Section 12.2)
Each Participant may elect to have Compensation deferred by:
a. [N/A] ___________%.
b. [X] up to _______80_____%.
c. [N/A] from_____________% to___________%.
d. [N/A] up to the maximum percentage allowable not to
exceed
the limits of Code Sections 401(k), 402(g), 404 and 415
AND, Participants who are Highly Compensated Employees
determined as
of the beginning of a Plan Year may only elect to defer
Compensation
by:
e. [X] Same limits as specified above
f. [N/A] The percentage equal to the deferral limit in
effect
under Code Section 402(g)(3) for the calendar year that
begins with or within the Plan Year divided by the
annual compensation limit in effect for the Plan Year
under Code Section 401(a)(17)
MAY PARTICIPANTS make a special salary deferral election
with
respect to bonuses?
g. [X] No
h. [N/A] Yes, a Participant may elect to defer up to ___% of
any
bonus.
PARTICIPANTS MAY commence salary deferrals on the effective date
of
participation and on (must be at least once each calendar
year).
Participants may modify salary deferral elections:
1. [X] As of each payroll period
2. [N/A] On the first day of the month
3. [N/A] On the first day of each Plan Year quarter
4. [N/A] On the first day of the Plan Year or the first
day of the 7th month of the Plan Year
5. [N/A] Other: (must be at least once each calendar year)
AUTOMATIC ELECTION: Shall Participants who do not
affirmatively
elect to receive cash or have a specified amount contributed to
the
Plan automatically have Compensation deferred?
i. [X] No.
j. [ ] Yes, by ________% of Compensation
SHALL THERE BE a special effective date for the salary
deferral
component of the Plan?
k. [X] No.
l. [N/A] Yes, the effective date of the salary deferral
component of the Plan is ________ (enter month, day,
year)
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Non-Standardized 401(k) Profit Sharing Plan
29. SIMPLE 401(k) PLAN ELECTION (Plan Section 13.1)
Shall the simple 401(k) provisions of Article XIII apply?
a. [ X ] No. The simple 401(k) provisions will not apply
b. [N/A] Yes. The simple 401(k) provisions will apply
30. 401(k) SAFE HARBOR PROVISIONS (Plan Section 12.8)
Will the ADP and/or ACP test safe harbor provisions be used?
(select a, b
or c)
a. [X] No. (If selected, skip to Question 31.)
b. [N/A] Yes, but only the ADP (and NOT the ACP). Test Safe
Harbor
provisions will be used.
c. [ ] Yes, both the ADP and ACP Test Safe Harbor provisions
will be
used
IF c. is selected, does the Plan permit matching contributions
in
addition to any safe harbor Contributions elected in d. or e.
below?
1. [ ] No or N/A. Any matching contributions, other than any
Safe
Harbor Matching Contributions elected in d. below, will be
suspended in any Plan Year in which the safe harbor
provisions
are used
2. [ ] Yes, the Employer may make matching contributions in
addition to any Safe Harbor Matching contributions elected
in
d. below. (If elected, complete the provisions of the
Adoption
Agreement relating to matching contributions (i.e.,
Questions
31, and 32.) that will apply in addition to any elections
made
in d, below. NOTE: Regardless of any election made in
Question
31 , the Plan automatically provides that only Elective
Deferrals up to 6% of Compensation are taken into account in
applying the match set forth in that Question and that the
maximum discretionary matching contribution that may be made
on behalf of any Participant is 4% of Compensation
THE EMPLOYER WILL MAKE THE FOLLOWING ADP TEST SAFE HARBOR
CONTRIBUTION FOR
THE PLAN YEAR:
NOTE: The ACP Test Safe Harbor is automatically satisfied if the
only
matching contribution made to the Plan is either (1) a Basic
Matching Contribution or (2) an Enhanced Matching Contribution
that
does not provide a match on Elective Deferrals in excess of 6%
of
Compensation
d. [ ] Safe Harbor Matching Contribution (select 1. or 2. AND
3.)
1. [ ] Basic Matching Contribution The Employer will make
Matching Contributions to the account of each "Eligible
Participant" in an amount equal to the sum of 100% of the
amount of the Participant's Elective Deferrals that do not
exceed 3% of the Participant's Compensation, plus 50% of the
amount of the Participant's Elective Deferrals that exceed
3%
of the Participant's Compensation but do not exceed 5% of
the
Participant's Compensation.
2. [ ] Enhanced Matching Contribution. The Employer will
make
Matching Contributions to the account of each "Eligible
Participant" in an amount equal to the sum of:
a. [ ]_100__% (may not be less than 100%) of the
Participant's Elective Deferrals that do not
exceed_______% (if over 6% or if left blank, the ACP
test will still apply) of the Participant's
Compensation, plus
b. [ ]________% of the Participant's Elective Deferrals
that exceed___% of the Participant's Compensation but do
not exceed_____% (if over 6% or if left blank the ACP
test will still apply) of the Participant's Compensation
NOTE: a and b must be completed so that, at any rate of
Elective Deferrals, the matching contribution is at
least equal to the matching contribution receivable if
the Employer were making Basic Matching Contributions,
but the rate of match cannot increase as deferrals
increase. For example, if a. is completed to provide a.
match equal to 100% of deferrals up to 4% of
Compensation, then b. need not be completed.
3. [ ] The safe harbor matching contribution will be
determined on the following basis (and Compensation for
such purpose will be based on the applicable period):
a. [ ] the entire Plan Year.
b. [ ] each payroll period.
c. [N/A] all payroll periods ending with or within
each month.
d. [N/A] all payroll periods ending with or within
the Plan Year quarter.
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NON-STANDARDIZED 401(K) PROFIT SHARING PLAN
e. [ ] Nonelective Safe Harbor Contributions (select one)
1. [ ] The Employer will make a Safe Harbor Nonelective
Contribution to the account of each "Eligible Participant"
in
an amount equal to_____% (may not be less than 3%) of the
Employee's Compensation for the Plan Year.
2. [N/A] The Employer will make a Safe Harbor Nonelective
Contribution to another defined contribution plan maintained
by the Employer (specify the name of the other plan):
FOR PURPOSES OF THE ADP Test Safe Harbor contribution, the term
"Eligible
Participant" means any Participant who is eligible to make
Elective
Deferrals with the following exclusions:
f. [ ] Highly Compensated Employees.
g. [ ] Employees who have not satisfied the greatest minimum age
and
service conditions permitted under Code Section 410(a).
h. [N/A ]
Other:_______________________________________________
(must be a category that could be excluded under the
permissive or mandatory disaggregation rules of Regulations
1
401(k)-l(b)(3) and 1.401(m)-l(b)(3)).
SPECIAL EFFECTIVE DATE OF ADP AND ACP TEST SAFE HARBOR
PROVISIONS
i. [ ] N/A The safe harbor provisions are effective as of the
later of
the Effective Date of this Plan or, if this is an amendment
or
restatement, the effective date of the amendment or
restatement
j. [ ] The ADP and ACP Test Safe Harbor provisions are effective
for
the Plan Year beginning:
_________________________________________(enter the first day of
the
Plan Year for which the provisions are (or, for GUST updates,
were)
effective and, if necessary, enter any other special effective
dates
that apply with respect to the provisions
31. FORMULA FOR DETERMINING EMPLOYER MATCHING CONTRIBUTIONS
(Plan Section
12.1(a)(2))
NOTE: Regardless of any election below, if the ACP test safe
harbor is
being used (i e, Question 30.c is selected), then the Plan
automatically provides that only Elective Deferrals up to 6%
of
Compensation are taken into account in applying the match set
forth
below and that the maximum discretionary matching contribution
that
may be made on behalf of any Participant is 4% of
Compensation.
a. [ ] N/A There will not be any matching contributions (Skip
to
Question 33).
b. [X] The Employer ... (select 1. or 2.)
1. [X] may make matching contributions equal to a
discretionary
percentage, to be determined by the Employer, of the
Participant's Elective Deferrals.
2. [ ] will make matching contributions equal to___% (e g ,
50)
of the Participant's Elective Deferrals, plus:
a. [ ] N/A
b. [ ] an additional discretionary percentage, to be
determined by the Employer
AND, in determining the matching contribution above, only
Elective
Deferrals up to the percentage or dollar amount specified below
will
be matched: (select 3 and/or 4. OR 5.)
3. [ ]__________% of a Participant's Compensation.
4. [N/A]$__________________.
5. [ X ] a discretionary percentage of a Participant's
Compensation or a discretionary dollar amount, the
percentage
or dollar amount to be determined by the Employer on a
uniform
basis to all Participants.
c. [ ] The Employer may make matching contributions equal to
a
discretionary percentage, to be determined by the Employer, of
each
tier, to be determined by the Employer, of the Participant's
Elective Deferrals.
d. [ ] The Employer will make matching contributions equal to
the sum
of ___% of the portion of the Participant's Elective Deferrals
which
do not exceed _____% of the Participant's Compensation or
$________________ plus ___________% of the portion of the
Participant's Elective Deferrals which exceed ___________% of
the
Participant's Compensation or $____________, but does not
exceed
___________________________% of the Participant's Compensation
or
$____________.
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NON-STANDARDIZED 401(K) PROFIT SHARING PLAN
NOTE: If c. or d. above is elected, the Plan may violate the
Code Section
401(a)(4) nondiscrimination requirements if the rate of
matching
contributions increases as a Participant's Elective Deferrals
or
Years of Service (or Periods of Service) increase.
PERIOD OF DETERMINING MATCHING CONTRIBUTIONS
Matching contributions will be determined on the following basis
(and any
Compensation or dollar limitation used in determining the match
will be
based on the applicable period):
e. [X] the entire Plan Year.
f. [ ] each payroll period.
g. [N/A] all payroll periods ending within each month.
h. [N/A] all payroll periods ending with or within the Plan
Year
quarter.
THE MATCHING CONTRIBUTION MADE ON BEHALF OF ANY PARTICIPANT for
any Plan
Year will not exceed:
i. [X] N/A.
j. [N/A] $_______________
MATCHING CONTRIBUTIONS WILL BE MADE ON BEHALF OF:
k. [X] all Participants.
1. [ ] only Non-Highly Compensated Employees.
SHALL THE MATCHING CONTRIBUTIONS BE QUALIFIED MATCHING
CONTRIBUTIONS?
m. [ ] Yes. If elected, ALL matching contributions will be fully
Vested
and will be subject to restrictions on withdrawals. In
addition,
Qualified Matching Contributions may be used in either the ADP
or
ACP test.
n. [X] No.
32 ONLY PARTICIPANTS WHO SATISFY THE FOLLOWING CONDITIONS WILL
BE ELIGIBLE TO
SHARE IN THE ALLOCATION OF MATCHING CONTRIBUTIONS:
REQUIREMENTS FOR PARTICIPANTS WHO ARE ACTIVELY EMPLOYED AT THE
END OF THE
PLAN YEAR.
a. [X] N/A.
b. [N/A] No service requirement.
c. [N/A] A Participant must complete a Year of Service (or
Period of
Service if the Elapsed Time Method is elected). (Could cause
the
Plan to violate coverage requirements under Code Section
410(b).)
d. [N/A] A Participant must complete at least_______(may not be
more
than 1,000) Hours of Service during the Plan Year. (Could cause
the
Plan to violate coverage requirements under Code Section
410(b).)
REQUIREMENTS FOR PARTICIPANTS WHO ARE NOT ACTIVELY EMPLOYED AT
THE END OF
THE PLAN YEAR.
(except as otherwise provided in i. through k. below).
e. [X] A Participant must complete more than___500_____Hours of
Service
(not more than 500) (or,________months of service (not more
than
three (3)) if the Elapsed Time Method is elected).
f. [N/A] A Participant must complete a Year of Service (or
Period of
Service if the Elapsed Time Method is elected). (Could cause
the
Plan to violate coverage requirements under Code Section
410(b).)
g. [N/A] Participants will NOT share in such allocations,
regardless of
service. (Could cause the Plan to violate coverage
requirements
under Code Section 410(b).)
h. [ ] Participants will share in such allocations, regardless
of
service.
PARTICIPANTS WHO ARE NOT ACTIVELY EMPLOYED AT THE END OF THE
PLAN YEAR due
to the following shall be eligible to share in the allocation of
matching
contributions regardless of the above conditions (select all
that apply):
i. [ X ] Death.
j. [ X ] Total and Permanent Disability.
k. [ X ] Early or Normal Retirement.
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NON-STANDARDIZED 401(K) PROFIT SHARING PLAN
AND, if 32 c., d., f., or g. is selected, shall the 410(b)
ratio
percentage fail safe provisions apply (Plan Section
12.3(f))?
l. [X] No or N/A
m. [N/A] Yes (If selected, the Plan must satisfy the ratio
percentage
test of Code Section 410(b)).
33. FORMULA FOR DETERMINING EMPLOYER'S PROFIT SHARING
CONTRIBUTION (Plan
Section 12.l(a)(3))
(d. may be selected in addition to b. or c.)
a. [ ] N/A No Employer Profit Sharing Contributions may be made
(other
than top heavy minimum contributions)(Skip to Question 34).
b. [X] Discretionary, to be determined by the Employer, not
limited to
current or accumulated Net Profits.
c. [ ] Discretionary, to be determined by the Employer, out of
current
or accumulated Net Profits.
d. [ ] Prevailing Wage Contribution. The Employer will make
a
Prevailing Wage Contribution on behalf of each Participant
who
performs services subject to the Service Contract Act,
Davis-Bacon
Act or similar Federal, State, or Municipal Prevailing Wage
statutes. The Prevailing Wage Contribution shall be an amount
equal
to the balance of the fringe benefit payment for health and
welfare
for each Participant (after deducting the cost of cash
differential
payments for the Participant) based on the hourly contribution
rate
for the Participant's employment classification, as designated
on
Schedule A as attached to this Adoption Agreement.
Notwithstanding
anything in the Plan to the contrary, the Prevailing Wage
Contribution shall be fully Vested. Furthermore, the Prevailing
Wage
Contribution shall not be subject to any age or service
requirements
set forth in Question 15, nor to any service or employment
conditions set forth in Question 35.
AND, if d. is selected, is the Prevailing Wage Contribution
considered a Qualified Non-Elective Contribution?
1. [ ] Yes.
2. [ ] No.
AND, if d. is selected, shall the amounts allocated on behalf of
a
Participant for a Plan Year pursuant to e. or f. below be
reduced
(offset) by the Prevailing Wage Contribution made on behalf of
such
Participant for the Plan Year under this Plan?
3. [ ] No. (If selected, then the Prevailing Wage
Contribution
will be added to amounts allocated pursuant to e. or f.
below.)
4. [ ] Yes.
CONTRIBUTION ALLOCATIONS
If b. or c. above is selected, the Employer's discretionary
profit sharing
contribution for a Plan Year will be allocated as follows:
e. [X] NON INTEGRATED ALLOCATION
1. [X] In the same ratio as each Participant's Compensation
bears to the total of such compensation of all Participants.
2. [N/A] In the same dollar amount to all Participants (per
capita).
3. [N/A] In the same dollar amount per Hour of Service
completed
by each Participant.
4. [N/A] In the same proportion that each Participant's
points
bears to the total of such points of all participants. A
Participant's points with respect to any Plan Year shall be
computed as follows (select all that apply):
a. [ ]____point(s) shall be allocated for each Year of
Service (or Period of Service if the Elapsed Time Method
is elected). However, the maximum Years of Service (or
Periods of Service) taken into account shall not
exceed__(leave blank if no limit on service applies).
b. [ ]____point(s) shall be allocated for each full
$___(may not exceed $200) of Compensation.
c. [ ]____point(s) shall be allocated for each year of age
as of the end of the Plan Year.
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NON-STANDARDIZED 401(K) PROFIT SHARING PLAN
f. [N/A] INTEGRATED ALLOCATION
In accordance with Plan Section 4. 3(b)(2) based on a
Participant's
Compensation in excess of:
1. [ ] The Taxable Wage Base.
2. [ ] _______% (not to exceed 100%) of the Taxable Wage
Base
(See Note below).
3. [ ] 80% of the Taxable Wage Base plus $1.00.
4. [ ] $_______(not greater than the Taxable Wage Base) (See
Note below).
NOTE: The integration percentage of 5.7% shall be reduced
to:
1. 4.3% if 2. or 4. above is more than 20% and less
than or equal to 80% of the Taxable Wage Base.
2. 5.4% if 3. is elected or if 2. or 4. above is more
than 80% of the Taxable Wage Base.
3.
34. QUALIFIED NON-ELECTIVE CONTRIBUTIONS (Plan Section
12.1(a)(4))
NOTE: Regardless of any election made in this Question, the
Plan
automatically permits Qualified Non-Elective Contributions
to
correct a failed ADP or ACP test.
a. [ ] N/A. There will be no additional Qualified
Non-Elective
Contributions except as otherwise provided in the Plan.
b. [ ] The Employer will make a Qualified Non-Elective
Contribution
equal to _____% of the total Compensation of those
Participants eligible to share in the allocations.
c. [ X ] The Employer may make a Qualified Non-Elective
Contribution in
an amount to be determined by the Employer, to be allocated
in
proportion to the Compensation of those Participants
eligible
to share in the allocations.
d. [ ] The Employer may make a Qualified Non-Elective
Contribution in
an amount to be determined by the Employer, to be allocated
equally to all Participants eligible to share in the
allocations (per capita).
AND, if b., c. or d. is selected, the Qualified Non-Elective
Contributions
above will be made on behalf of:
e. [ ] all Participants.
f. [ X ] only Non-Highly Compensated Employees.
35. REQUIREMENTS TO SHARE IN ALLOCATIONS OF EMPLOYER
DISCRETIONARY PROFIT
SHARING CONTRIBUTION, QUALIFIED NON-ELECTIVE CONTRIBU
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