APPLICATION FOR APPROVAL OF BENEFIT SUSPENSION FOR BRICKLAYERS 7 ALLIED 

CRAFTSMEN LOCAL NO. 7 PENSION PLAN 

CHECKLIST COVER PAGES 

Response Item Description of item Page number 

number in application 

Yes Checklist Does the application include a cover checklist? j .. vj 

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 lim"ations apply - that includes: 

• the suspension's effective date (and its expiration date, if applicable), 

• whether the suspension provides for different treatment of participants 

Yes 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 au1horized trustee on behalf of the board of trustees? See Section 2.03. 

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

Yes 14. behalf of the board of trustees, acknowledging that the application and the 4.1-4.3 application's supporting material will be publicly disclosed on the Treasury 

Oepartmenfs websije? See seclion 2.04. 

Does the application Include the plan actuary's certification of critical and 

declining status and the supporting illustrations, including: 

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

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

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

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

See section 3.01. 

\Yes 

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

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 

projected to avoid insolvency if the suspension takes effect and the supporting 

illustrations. including: 

Yes 7. 7.1-7.25 

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

solvency during the relevant period, 

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

profile, the total contribution base units, and the average contribution 
Response Item Description of item Page number 

number In application 

rates, and 

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

assets and changes in cash now) 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: 

~es • the guarantee-based limitation, 9.1.g.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 

N/A 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 

were not used in making the tegyired determination.) See section 4.02(2}. 

~es 12. 

Does the application include a demonstration that the proposed suspension is 

rot projected to matenaRy exceed the level necessal)' to avoid insolVency, 

ncluding illustrations regarding the plan's solvency ratio and available 12.1-12.2 

esources? See section 4.03. 

Does the application inClude a demonstration that the proposed suspension is 

equ~ably 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 resuhs from a reasonable application of the relevant 

factors? 

See section 4.04. -

~ 14. Does the application Include e copy of the notices (excluding personally 14.1-14.92 

ii 
~esponse Item Doscrtptlon of item Page number 

number In application 

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

1-

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 organization representing 17.1-17.5 

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

~es 18. Does the application include information on past and current measures taken to 18.1-18.6 avoid insolvency? See section 5.o1. 

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 acoounl - in the determination that all reasonable measures heve 

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 employe. 

attrition and retention levels? 

See section 5.03. 

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

Yes 22. took into account including how and why those factors were taken into acoount? 22.1-22.2 

See section 5.04. 

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

Yes 23. information regarding the statement in opposition, the individualized estimate. 23.1-23.5 

and the voting procedures? See section 6.01. 

Does the application indicate whether the plan sponsor is requesting approval 

N/A 24. rom PBGC of a proposed partition under section 4233 of ERISA? See &eetion 24.1-24.2 

6.02. 

If the answer to nem 24 is yes. does the application specify the effective date of 

NIA 25. he proposed partition 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. 

iii 
~esponse Item De11cription of item Page number 

number In application 

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

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

preceding the application that separately identifies: 

• total contributions, 

Yes 26. • total contribution base units, 26.1-26.3 

• average contribution rates • 

• withdrawal liability payments. and 

• the rate of return on plan assets? 

rSee section 6.03. 

Does the application include deterministic projections of the sensitivity of the 

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

Yes 27. more conservative assumptions of investment experience and future 27.1-27.12 

contribution base urvts than assumed elsewhere in the appication? See section 

6.04. 

Does the plan include deterministic projections for each year in the e>ctended 

period of: 

28. • the value of plan assets, Yes 28.1-28.4 

• the plan's accrued liability, and 

• the plan's funded percentage? 

See section 6.05. 

Does the application Include the plan sponsO(s representation that, if it receives 

he Treasury Department's finalauthorizstion to suspend and then chooses to 

'mplement the suspension, it will also amend the plan: 

• to indicate that the suspension wilt cease upon the plan sponsO(s 

failure to determine that both all reasonable measures continue to be 

Yes 29. taken to avoid insolvency and that the plan would not be projected lo 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 described in § 

~/A ~0. 432(e)(9)(D)(vii) and, if so, 110w Is lhatlact reftected in the propOsed benefit 30.1-30.2 

1- suspension? See section 6.07. 

Does the approcation include the required plan sponsor information, including 

Yes . • name 31.1-31.2 

• address 

• telephone number 

Jv 
Response Item Description of Item Page number 

number in application 

• email address 

• fax numl>er 

• employer identification number (EIN) and 

• 3-digil plan number (PN)? 

1-

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 ~- 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 attorney 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 A~pendlx B. 

Does the application include: 

• the required plan documents, 

• any recent amendments, 

Yes 36. • the summary plan description (SPO), 36.1-36.139 

• the summary of material modifications, and 

• the most recent determination letter? 

See section 7.06. 

~es 37. ~s the application include the required excerpts from the relevant collective 

bargaining agreements and side agreements? See section 7.07. 37.1-37.24 

r.-es 38. Does the application include the required excerpts from the most recenUy 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 7.1 0. -

~es ~0. Does the application include this checklist. completed and placed on top of the 40.1-40.8 "ppication? See section 7.11 and Appendix C. ·- r- II the application is l>eing submitted for resubmission review, does the 

application Include: 

• a statement that the appfication is being submitted for resubmission 

Yes ~1. rev1ew, and 41 .1-41.2 

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

an application for resubmission review? 

See section 8. 

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

n rick layers & All icd Craft' sm L ;;;- clf;;,,",I,J~r ,;;;l rr _____ _ ' en oc·· 1 N '1 ' 0 • 7 Pension Plan 

vi