Bricklayers & Allied Craftsmen Loclll No. 7 Pension Plan 

Checklist Item #40 

Docs the application include this checkli~t. completed and placed on top of the application? Sec 

section 7 .I I and Appendix C. 

Document 40. 1 provides a copy of the completed checklist, m compliance with Revenue 

Proccdurc20 16-27,section 7.ll, and Appendix C. 

40. 1 
7.11 Completed Checklist (see Appendix q 

Sec the following pages. 

Document 40.1 

Completed Checklist 

40.2 
APPLICATION FOR APPROVAL OF BENEFIT SUSPENSION FOR BRICKLAYERS 7 ALLIED 

CRAFTSMEN LOCAL NO. 7 PENSION PLAN 

CHECKLIST ITEM #40 

Response Item Description of Item Page number 

number In application 

Yes Checklist Does the application include a cover checklist? i-vi 

Yes 1. Does the application include an original signature of the plan sponsor or an 1.1·1.3 authorized representative of the plan sponsor? See section 2.01 . 

Does the application include a description of the proposed benefit suspension • 

calculated as if no other limitations apply - that includes: 

• the suspension's effective date (and ~s e)(j)iration dale, ff applocable), 

• whether the suspension ptovldes for different treatment or participants 

~es 2. and beneficiaries, 2.1·2.8 

• a description of the different categories or groups of individuals 

affected, and 

• how the suspension affects these individuals differently? 

See section 2.02. 

Yes 3. Does the application include a penalties-of-perjury statement signed by an 3.1·3.3 authorized trustee on behalf of the board of trustees? See Section 2.03. 

Does the application include a statement, signed by an authorized trustee on 

es · behalf of the board of trustees, acknowledging that the application and the 4.1-4.3 application's supporting material wilt be publicly disclosed on the Treasury 

Department's website? See section 2.04. 

Does the application include the plan actuary's certification of ~icat and 

declining status and the supporting illustf8tions, including: 

• the plan-year-by·plan-year projections demonstrating projected 

Yes 5. insolvency during tha relevant period, and 5.1-5.11 

• separately identifying the available resources (and the market value of 

assets and changes In cash flow) during each of those years? 

See section 3.01. 

- Does the application describe the assumptions used, including the new entrant 

Yes 6. profile, the total contribution base units, and the average contribution rates? SeE 6.1-6.6 

section 3.01 . 

Does the application include the plan actuary's certification that the plan is 

Jl<Ojected to avoid insolvency if the suspension takes effect and the supporting 

llustralions. including: 

Yes 7 . 7.1·7.25 

• the plan-year-by-plan-year projections demonstf8ting projected 

solvency during lhe relevant period, 

• a description of the assumptions used, including the new entrant 

profile, the total contribution base units, and the average oontributlon 

40.3 
Response Item Description of item Page number 

number in application 

rates, and 

• separstely identifying the available resources (and the mar1<et value of 

assets and changes in cash flow) during each of those years? 

See section 3.02. 

Does the application include the plan sponsor's determination of projected 

Yes 8. insolvency that includes the documentation set forth in section 5 of the revenue 8.1-8.3 

procedure? See section 3.03. 

Does the application include a demonstration that the limitations on individual 

suspensions are satisfied, including calculations regarding: 

• the guarantee-based limitation, Yes 9. 9.1-9.32 • the disability-based limitation. and 

• the age-based limitation? 

See section 4.01. 

Does the application include a demonstration that the proposed suspension is 

Yes 10. reasonably estimated to achieve the level necessary to avoid insolvency for the 10.1-10.2 extended period, including illustrations regarding the plan's solvency ratio and 

available resources? See section 4.02(1): 

Does the application include the required illustration utilizing stochastic 

NIA 11. projections? (This illustration is not required if the plan is not required to appoint 11.1 -11.2 a retiree representative under§ 432(e)(9)(B)(v)(l) and stochastic projections 

/Here not used in making the required determination.) See section 4.02(2). 

Does the application include a demonstrstion that the proposed suspension is 

Yes 12. not projected to materially exceed the level necessary to avoid insolvency, 12.1-12.2 including illustrations regarding the plan's solvency ratio and available 

resources? See section 4.03. 

Does the application include a demonstrstion that the proposed suspension is 

equitably distributed, inCluding: 

• information on the effect of the suspension on the plan in the 

aggregate, 

• information on the effect of the suspension for different categories or 

groups, 

• a list of the factors taken into account, 

Yes 13. • an explanation of why none of the factors listed in § 432(e)(9)(D)(vi) 13.1-13.12 

were taken into account (if applicable), 

• for each factor taken into account that is not one of the factors listed in 

§ 432(e)(9)(D)(vi), an explanation why the factor is relevant, and 

• how any difference in treatment among categories or groups of 

individuals results from a reasonable application of the relevant 

factors? 

See section 4.04. 

Yes 14. Does the application include a copy of the notices (excluding personally 14.1-14.92 

40.4 
Response Item Description of item Page number 

number In application 

identifiable information) that meet the requirements under§ 432(e)(9)(F)? See 

section 4.05(1 ). 

Does the application include a description of the efforts that are being taken to 

Yes 15. contact participants, beneficiaries in pay status, and alternate payees? See 15.1-15.7 

section 4.05(2). 

Does the application describe the steps the plan sponsor has taken to ensure 

Yes 16. that notices delivered electronically are reasonably accessible to the recipients? 16.1-16.2 

See section 4.05(3) 

Does the application include a list of each employer who has an obligation to 

Yes 17. contribute under the Plan and each employee organilation representing 17.1-17.5 

participants under the Plan? See section 4.05(4). 

Yes 18. Does the application include information on past and current measures taken to 18.1-18.6 avoid insolvency? See section 5.01. 

Yes 19. Does the application include the plan information required by section 5.02? 19.1-19.6 

Does the application describe how the plan sponsor took into account- or did 

Yes 20. not take into account- the factors listed in section 5.02 in the determination that 20.1-20.3 

all reasonable measures were taken to avoid insolvency? See section 5.03. 

Does the application describe how the plan sponsor took into account- or did 

not take into account - in the determination that all reasonable measures have 

been taken to avoid insolvency the impact of: 

Yes 21. • benefit and contribution levels on retaining active participants and 21.1-21.3 bargaining groups under the plan, and 

• past and anticipated contribution increases under the plan on employer 

attrition and retention levels? 

See section 5.03. 

Does the application include a discussion of any other factors the plan sponsor 

Yes ~2 took into account including how and why those factors were taken into account? 22.1-22.2 

See section 5.04. 

~3-

Does the application include a copy of the proposed ballot, excluding the 

Yes information regarding the statement in opposition, the individualized estimate, 23.1-23.5 

and the voting procedures? See section 6.01. 

~4. 

Does the application indicate whether the plan sponsor is requesting approval 

N/A from PBGC of a proposed partition under section 4233 of ERISA? See section 24.1-24.2 

6.02. 

If the answer to item 24 is yes, does the applicat.ion specify the effective date of 

N/A 25. he proposed partijion and include a plan-year-by-plan-year projection of the 25.1-25.2 amount of the reduction in benefit payments attributable to the partition? See 

section 6.02. 

40.5 
Response Item Description of item Page number 

number In application 

Does the application describe the plan's experience with certain critical 

assumptions. including a disdosure for each of the 10 plan years immediately 

preceding the application that separately identifies: 

• total contributions, 

~es 26. • total contribution base units, 26.1-26.3 

• average contribution rates • 

• withdrawal liability payments, and 

• the rate of return on plan assets? 

See section 6.03. 

Does the application include deterministic projections of the sensitivity of the 

~7. plan's solvency ratio throughout the extended period by taking into account the 

Yes more conservative assumptions of investment experience and future 27.1-27.1 2 

contribution base units than assumed elsewhere in the application? See seclion 

6.04. 

Does the plan include deterministic projections for each year in the extended 

period of: 

• the value of plan assets, Yes 28. 28.1-28.4 • the plan's accrued li abil~y . and 

• the plan's funded percentage? 

See section 6.05. 

Does the application include the plan sponsor's representation that, if it receives 

lhe Treasury Department's final authorization to suspend and then chooses to 

implement the suspension, it will also amend the plan: 

• to indicate that the suspension will cease upon the plan sponsor's 

failure to determine lhat both all reasonable measures continue to be 

'-'es ~9. taken to avoid insolvency and that the plan would not be projected to 

29.1-29.4 avoid insolvency without a suspension, 

• to require that any future benefit improvements must satisfy § 

432(e)(9)(E), and 

• to specify that the plan sponsor will not modify these amendments, 

notwithstanding any other provision of the plan document? 

See section 6.06. 

Does the application indicate whether the plan is a plan desetibed in § 

N/A 30. 432(e)(9)(D)(vii) and, if so. how is that fact reflected in the proposed benefit 30.1-30.2 

suspension? See section 6.07. 

Does the application include lhe required plan sponsor information, including 

lves 31. • name 31.1-31 .2 

• address 

• telephone number 

40.6 
Response Item Description of item Page number 

number in application 

• email address 

• fax number 

• employer identification number (EIN) and 

• 3-digit plan number (PN)? 

See section 7.01. 

Yes 32. Does the application include the required plan identification information? See 32.1-32.2 section 7.02. 

N/A 33. Does the application include the required retiree representative information (if 33.1-33.2 applicable)? See section 7.03. 

Yes 34. Does the application include the required enrolled actuary information? See 34.1·34.2 section 7.04. 

Does the application include a designation of power of at1orney for each 

Yes 35. authorized representative who will represent the plan sponsor in connection with 35.1 -35.5 

the application? See section 7.05 and Appendix B. 

Does the application include: 

• the required plan documents, 

• any recent amendments, 

¥es 36. • lhe summary plan description (SPD) • 36.1-36.139 

• the summary of material modifications. and 

• the most recent determination letler? 

See section 7.06. 

Yes 37. Does the application include the required excerpts from the relevant collective 37.1 -37.24 baraainina aareements and side agreements? See section 7.07. 

Yes 38. Does the application include the required excerpts from the most recently filed 38.1·38.37 Form 5500? See section 7.08. 

Yes 39. Does the application include the most recently updated rehabilitation plan and 39.1-39.137 last two valuation reports? See sections 7.09 and 7.10. 

Yes 40. Does the application include this checklist, completed and placed on top of the 40.1-40.8 application? See section 7.11 and Appendix C. 

If the application is being submitted for resubmission review. does the 

application include: 

• a statement thallhe application is being submitled for resubmission 

Yes 41 . review. and 41.1-41.2 

• the date on which the Treasury Department gave approval to submit 

an application for resubmission review? 

See section 8. 

40.7 
Redacted by the U.S. Department of the Treasury

Respectfully subrnillcd. 

on behalf of 

Bricklayers & Allictl Craf\smcn Local Nn. 7 Pen<ion l'lan 

40.8 

Date