APPENDIXD 

CHECKLIST - IS THE SUBMISSION COMPLETE? 

Instructions. The application must include a completed checklist placed on top of the 

application. This will help ensure that the application is complete. Answer each 

question in the checklist by circling Y for yes, N for no or N/A for not applicable, as 

appropriate, in the blank next to the item. Also insert in the appropriate blank next to 

each item the page number or numbers where the item appears in the application. 

APPLICATION FOR APPROVAL OF BENEFIT SUSPENSION FOR [INSERT NAME 

OF PLAN} 

Response Item Description of item Page number 

number in 

- aoolication 

~ 1. Does the application Include an original signature of the plan sponsor or an 

No authorized representative of the plan sponsor? See section 2.01 of this 5 

NIA revenue orocedure. 

~ 

- 2. Does the application include a description of the proposed benefit 6-7 No suspension - calculated as if no other limitations apply - that includes: 

NIA • the suspension's effective date (and its expiration date, if· 

applicable), 

• whether the suspension provides for different treatment of 

participants and beneficiaries, 

• a description of the different categories or groups of individuals 

affected, and 

• how the suspension affects these individuals differently? 

See section 2.02 of this revenue procedure. 

-

I~ 3. Does the application include a penalties-of-perjury statement signed by an 

authorized trustee on behalf of the board of trustees? See Section 2.03 of 8 

NIA this revenue procedure. 

-

~ 4. Does the application include a statement, signed by an authorized trustee 8 No on behalf of the board of trustees, acknowledging that the application and 

N/A the application's supporting material will be publicly disclosed on the 

Treasury Department's website? See section 2.04 of this revenue 

procedure. 

~ 5. Does the application include the plan actuary's certification of critical and 17-31 declining status and the supporting Illustrations, including: 

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

insolvency during the relevant period, and 

• 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 of this revenue orocedure. 

38 
~ 6. Does the application include the plan actuary's certification that, taking into 

No account the proposed suspension and, if applicable, a proposed partition, 32-65 

NIA the plan is projected to avoid insolvency if the suspension takes effect, and 

the supporting illustrations, including: 

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

solvency during the relevant period, 

• separately identifying the available resources (and the market 

value of assets and changes in cash flow) during each of those 

years? 

See section 3.02 of this revenue procedure. 

-

~ 7. Does the application include the plan sponsor's determination of projected 9-16 

No insolvency that includes the documentation set forth In section 5 of the 

NIA revenue orocedure? See section 3.03 of this revenue orocedure. 

~ 8 Does the application include a demonstration that the limitations on 

No individual suspensions are satisfied, including a description of each benefit 84-92 

N/A based on disability, as defined under the plan, that is paid to an individual 

under the plan (without regard to whether the disability benefits are . 

available to newly disabled participants) and calculations regarding: 

• the guarantee-based limitation, 

• the disability-based limitation, 

• the age-based limitation, taking into account the guarantee-based 

limitation, and 

• if applicable, the age-based limitation taking Into account both the 

guarantee-based limitation and the disability-based limitation? 

See section 4.01 of this revenue procedure. 

'f;p 9. Does the application include a demonstration that the proposed 38 

suspension is reasonably estimated to achieve the level necessary to 

NIA avoid insolvency for the extended period, including illustrations regarding 

the plan's solvency ratio and available resources? See section 4.02(1) of 

this revenue orocedure. 

Yes 10. Does the application include an Illustration that the proposed suspension is 

~ reasonably estimated to achieve the level necessary to avoid insolvency Not 

for the extended period utilizing stochastic projections? (This illustration is 

optional if the plan is not required to appoint a retiree representative under Needed 

S 432(e)(9)(B}(v)(I}.) See section 4.02(2) of this revenue procedure. 

~ 11. Does the application Include a demonstration that the proposed 38 No suspension ls not projected to materially exceed the level necessary to 

NIA avoid insolvency, including: 

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

Insolvency during the relevant period, and 

• a separate identification of the available resources (and the 

market value of assets and changes in cash flow) during each of 

those years? 

See section 4.03 of this revenue orocedure. 

39 
-

~ 12. Does the application include a demonstration that the proposed suspension is equitably distributed, including: 93 NIA • 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 Hst of the factors taken into account, 

• an explanation of why none of the factors listed In 

§ 432(e)(9)(D}(vi) 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 

• an explanation of how any difference in treatment among 

categories or groups of individuals results from a reasonable 

application of the relevant factors? 

See section 4.04 of this revenue orocedure. 

~ 13. Does the application Include a copy of the notices (excluding personally 71-83 

No identifiable information) that meet the requirements under§ 432(e)(9)(F)? 

NIA See section 4.05(1) of this revenue procedure. 

-

~ 14. Does the application include a description of the efforts that are being 66 No taken to contact participants, beneficiaries in pay status, and alternate 

NIA payees? See section 4.05(2) of this revenue procedure. 

~ 15. Does the application describe the steps the plan sponsor has taken to 

ensure that notices delivered electronlcally are reasonably accessible to 66 

N/A the recipients? See section 4.05(3) of this revenue procedure. 

-

~ 16. Does the application include a list of each employer who has an obligation 

No 68-70 to contribute under the plan and each employee organization representing 

NIA participants under the plan? See section 4.05(4) of this revenue 

orocedure. 

-

I~ 17. Does the application include Information on past and current measures 9-10 

No taken to avoid insolvency? See section 5.01 of this revenue procedure. 

NIA 

i~ 18. Does the application include information regarding the plan factors 

No described in§ 432(e}(9XC)(ii), for the past 10 plan years immediately 10-13 

N/A preceding the plan year in which the application is submitted? See section 

5.02 of this revenue procedure. 

~ 19. Does the application describe how the plan sponsor took into account- or 

No did not take into account - the factors listed in section 5.02 of this revenue 13-15 

NIA procedure in the determination that all reasonable measure.s were taken to 

avoid insolvency? See section 5.03 of this revenue procedure. 

~ 20. Does the application describe how the plan sponsor took into account - or 

No did not take into account - in the determination that all reasonable 15 

N/A measures have been taken to avoid insolvency, the impact ot 

• benefit and contribution levels on retaining active participants 

and bargaining groups under the plan, and 

• past and anticipated contribution increases under the plan on 

employer attrition and retention levels? 

See section 5.03 of this revenue procedure. 

40 
Yes 21. Does the application Include a discussion of any other factors the plan No other C! sponsor took into account including how and why those factors were taken 

into account? See section 5.04 of this revenue procedure. factors 

~ 22. Does the application include a copy of the proposed ballot, excluding the 94-95 information regarding the st~tement in opposition. the individualized 

N/A estimate, and the voting procedures? See section 6.01 of this revenue 

orocedure. 

-

W! 23. Does the application indicate whether the plan sponsor is requesting 1 approval from PBGC of a proposed partition under section 4233 of ERISA? 

N/A See section 6.02 of this revenue procedure. 

Yes 24. If the answer to item 23 Is yes, does the application specify the effective N/A 

~ date of the proposed partition and include a plan-year-by-plan-year 

projection of the amount of the reduction in benefit payments attributable ta 

the partition? See section 6.02 of this revenue procedure. 

-

~ 25. Does the application include: 

• a description of each of the assumptions used In the projections 97-120 

N/A required under sections 3.01, 3.02, 4.02(1), 4.02(2), and 4.03 of 

this revenue procedure, 

• supporting evidence for the selection of those assumptions, and 

• an explanation of any differences among the assumptions used 

for various purposes? 

See section 6.03 and Aooendix B of this revenue Procedure. 

--

~ 26. Does the application describe the plan's experience with certain critical 

assumptions, including a disclosure for each of the 10 plan years 49 

NIA Immediately preceding the application that separately identifies: 

• the total contributions, 

• the total contribution base units • 

• the average contribution rates, 

• the withdrawal liability payments, and 

• the rate of return on plan assets? 

See section 6,04 of this revenue Procedure. 

-

~ 27. Does the application include deterministic projections of the sensitivity of 50-59 the plan's solvency ratio throughout the extended period by taking into 

NIA account the more conservative assumptions of investment experience and 

future contribution base units than assumed elsewhere in the application? 

See section 6.05 of this revenue procedure. 

~ 28. Does the plan include deterministic projections for each year in the 60 extended period of: 

N/A • the value of plan assets, 

• the plan's accrued liability, and 

• the plan's funded percentage? • 

See section 6.06 of this revenue orocedure. 

41 
~ 29. Does the application Include the plan sponsor's representation that, if It 

receives the Treasury Department's final authorization to suspend and 124 N/A then chooses to implement the suspension, it will also amend the plan: 

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

failure to maintain a written record of its annual determination that 

(i) all reasonable measures continue to be taken to avoid 

Insolvency and (U) the plan would not be projected to 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 6.07 of this revenue procedure. 

~ 30. Does the application Indicate whether the plan is a plan described in 

No § 432(e)(9)(D)(vii) and, if it is, how that is reflected in the proposed benefit 1 

N/A suspension? See section 6.08. • 

~ 31 Does the application include a narrative statement of the reasons the plan 125 is in critical and declining status? 

NIA See section 6.09. 

-

~ 32. Does the application include the required plan sponsor identification and 126 contact information? See section 7.01 of this revenue procedure. 

N/A 

·-

'~ 33. Does the application include the required plan identification Information? 

See section 7.02 of this revenue procedure. 126 

N/A 

Yes 34. Does the application include the required retiree representative infonnation NIA 

~ (if applicable)? See section 7 .03 of this revenue procedure. 

~ 

~ 35. Does the application include the required enrolled actuary information? 126 

No See section 7 .04 of this revenue procedure. 

N/A 

~ 36. Does the application Include a designation of power of attorney for each 128-131 No authorized representative who will represent the plan sponsor In 

NIA connection with the application? See section 7 .05 and Appendix C of this 

revenue procedure. 

/""'-,.. 

~ 37. Does the application include: 132-240 No • the required plan documents 

NIA • any recent amendments 

• the summary plan descripjion (SPD) 

• any summary of material modifications, and 

• the most recent determination letter? 

See section 7.06 of this revenue orocedure. . -. . ~ 38. Does the application include the required excerpts from the relevant 241-567 No collective bargaining agreements and side agreements? See section 7.07 

NIA of this revenue orocedure. 

. 

42 
,..--.... 

..:tw 39. Does the application include the required excerpts from the most recently 568-651 

No flied Form 5500? See section 7.08 of this revenue procedure. 

NIA 

-

~ 40. Does the application include the most recently updated rehabilitation plan? 652-696 No See section 7.09 of this revenue procedure. 

N/A 

~ 

~ 41 Does the application include the two most recent actuarial valuation 

reports? See section 7 .10 of this revenue procedure. 

697-826 

N/A 

'f;) 42. Does the application include this checklist, completed and placed on top of 

the appllcation? See section 7.11 of this revenue procedure and this Yes 

N/A AooendixD. 

Yes · 43. If the appUcation is being .submitted for resubmission review, does the 

No application include: N/A 

~ • cross-references to information in the prior application with 

respect to information that has not changed from the prior 

application, 

• a statement that the application is being submitted for 

resubmission review, and 

• the date on which the Treasury Department indicated that the 

application is a candidate for resubmission review? 

See section 8 of this revenue rocedure. 

Typed or printed name of person signing checklist 

.. 

43 .-
LOCAL 807 LABOR-MANAGEMENT 

HEALTH & PENSION FUNDS 

TEL (718) 274-5353 32-43 49" STREET LONG ISLAND CITY, NEW YORK 11103 FAX (718) 728-4413 

UNION TRUSTEES 

John Sullivan 

FUND ADMINISTRATOR 

Teresa Casanova 

Anthony Storz 

Luis Herrera 

By E Mail: www.treasurv.gov/mpra 

Department of the Treasury 

1500 Pennsylvania Avenue, NW 

Washington, DC 20220 

To Whom It May Concern: 

June 29, 2018 

EMPLOYER TRUSTEES 

John Zak 

Allen Swerdlick 

Robert Holden 

Re: Application for Approval of Suspension and Reduction of Benefits for the 

Local 807 Labor-Management Pension Plan 

The Board of Trustees of the Local 807 Labor-Management Pension Plan (the "Plan") 

hereby submit this application to the Secretary of the Treasury requesting approval of a benefit 

suspension and reduction in accordance with section 20 I of the Multi employer Pension Reform 

Act of 2014 (the "Act"), Revenue Procedure 2017-43 (the "Rev. Proc.") and other applicable 

guidance from the Treasury Department and Internal Revenue Service. The Trustees will mail a 

notice to participants, beneficiaries, alternate payees, contributing employers and the union that 

represents the participants, that this application has been filed within two business days after the 

Treasury Department notifies the Trustees that the application is complete. 

The Board of Trustees is not requesting approval from the Pension Benefit Guaranty. 

Corporation of a partition under section 4233 ofERISA. 

The Plan is not a plan which is described in Code§ 432(e)(9)(D)(vii). 

In support of this application, the Trustees include the following: 

I. Under Tab I, a description of the proposed benefit suspension, which is provided in 

accordance with section 2.02 of the Rev. Proc. The description includes: 

(a) the effective date of the proposed suspension; 

001 
Department of the Treasury 

June 29, 2018 

Page 2 of5 

(b) a statement that the proposed suspension, once implemented, will not expire; and 

( c) a statement that the proposed suspension does not provide for different treatment of 

participants and beneficiaries ( other than as a result of application of the individual 

limitations of Code§ 432(e)(9)(D)(i), (ii) and (iii) (the "Individual Limitations"). 

2. Under Tab 2, the statement made under penalties of perjury and the statement pertaining 

to public disclosure, as required by sections 2.03 and 2.04 of the Rev. Proc. 

3. Under Tab 3, information providing support for the Trustee's method of satisfying the 

benefit suspension criteria under Code§ 432(e)(9), required by section 3 of the Rev. Proc. This 

information includes: 

(a) the actuary's certification required under Code§ 432(b)(3)(A) that the Plan is in critical 

and declining status (as defined in Code § 432(b)(6)) for the plan year in which the 

application is submitted, and the supporting documentation required; 

(b) the actuary's certification to the Trustees under Code§ 432(e)(9)(C)(i) that the Plan is 

projected to avoid insolvency within the meaning of Code§ 418E, taking into account 

the proposed benefit suspension, along with the required supporting documentation; 

and 

(c) the Trustee's determination under Code§ 432(e)(9)(C)(ii) that the Plan is not projected 

to avoid insolvency if no suspension of benefits were applied, even though all 

reasonable measures to avoid insolvency have been taken, along with the required 

supporting documentation, including the documentation and information set forth in section 

5 of the Rev. Proc. 

4. Under Tab 4, information which demonstrates that certain statutory limitations and notice 

requirements are satisfied with respect to the proposed suspension of benefits, in accordance with 

section 4 of the Rev. Proc. This information includes: 

(a) the demonstration of how the proposed suspension satisfies the Individual Limitations, 

in accordance with section 4.01 of the Rev. Proc.; · 

4815-8620-4767. v.1 

002 
Department of the Treasury 

June 29, 2018 

Page 3 of5 

(b) a demonstration that, in accordance with Code§ 432(e)(9)(D)(iv), the proposed benefit 

suspension is reasonably estimated to enable the Plan to avoid insolvency, in 

accordance with section 4.02 of the Rev. Proc.; 

(c) a demonstration that, in accordance with Code § 432(e)(9)(D)(iv), that the proposed 

suspension is reasonably estimated.to not materially exceed the level necessary to avoid 

insolvency, in accordance with Section 4.03 of the Rev. Proc.; 

(d) a demonstration that, in accordance with Code§ 432(e)(9)(D)(vi), the proposed benefit 

suspension is distributed in an equitable manner across the participant and beneficiary 

population, in accordance with section 4.04 of the Rev. Proc.; and 

(e) a description of the Trustees' method for satisfying the notice requirements under Code 

§ 432(e)(9)(F), in accordance with section 4.05 of the Rev. Proc. 

S. Under Tab 5, a proposed ballot to conduct the participant and beneficiary vote on the 

suspension, prepared in accordance with section 6.01 of the Rev. Proc. 

6. Under Tab 6, the actuarial assumptions used for projections, required by section 6.03 of 

the Rev. Proc. 

7. Under Tab 7, information pertaining to the Plan's ten-year experience for certain critical 

assumptions, required by section 6.04 of the Rev. Proc. 

8. Under Tab 8, deterministic projections of the sensitivity of the Plan's solvency ratio 

throughout the extended period to certain key assumptions, made in accordance with section 6.05 

of the Rev. Proc. 

9. Under Tab 9, an illustration, prepared on a deterministic basis, of the projected value of the 

Plan's assets, accrued liability (calculated using the unit credit funding method) and the funded 

percentage for each year in the extended period, prepared in accordance with section 6.06 of the 

Rev. Proc. 

4815-8620-4767, V. 1 

003 
Department of the Treasury 

June 29, 2018 

.•. 

-. 

Page 4 ofS 

I 0. Under Tab I 0, a certification by the Trustees as to the adoption of certain amendments, as 

required by section 6.07 of the Rev. Proc. 

11. Under Tab 11, a narrative statement of the reasons the Plan is in critical and declining 

status,' in accordance with section 6.09 of the Rev. Proc. · 

12. Under Tab 12, the following documents and information, required by section 7 of the Rev. 

Proc.: 

a. Identification and other information about the Plan, the Trustees as plan sponsor, retiree 

representative, and enrolled actuary; 

b. Power of Attorney, appointing Susan Bruno, Larry Cary and Charles Pergue of Cary 

Kane LLP as the authorized representatives of the Plan in this matter; 

c. A copy of the most recent plan document (including all amendments adopted since the 

last restatement), the most recent summary plan description (and a summary of material 

modification), and the most recent determination letter issued to the Plan by the IRS; 

d. Excerpts from collective bargaining agreements and side agreements that pertain to the 

Plan; 

e. Per section 7.08 of the Rev. Proc., excerpts from the most recently filed Form 5500 

(filed for year ending August 31, 2017), consisting of pages I and 2 of the Form 5500, 

Vl(ithout attachments or schedules, the Schedule MB, including attachments, the 

Schedule R, including attachments, and the accountant's report; 

f. Per section 7.09 of the Rev. Proc., a copy of the initial rehabilitation plan along with 

its three subsequent iterations; 

g. The two most recent actuarial valuation reports for the Plan; and 

h. A completed checklist of information, from Appendix C of the Rev. Proc. 

4815-8620-4767, V. 1 

004 
Department of the Treasury 

June 29, 2018 

Page 5 of5 

As the survival of the Plan is dependent on this application, we ask for your immediate 

attention. Pursuant to the enclosed power of attorney, please contact Ms. Susan Bruno, at 212-

871-0540 or sbruno@carykane.com at your earliest convenience. 

On Behalf of the Trustees of the Local 807 Labor-Management Pension Plan, 

4815-8620-4767, v. 1 

005 



 













 





 





















 

 


 


 

 





 


 
 













 

 









 

 

 

 

 

 

 

 

 

 

 

 

 

 

Local 807 Labor-Management Pension Plan 

Application for benefit suspension 

Demonstration that limitations on individual suspension are satisfied 

Example #10, retired participant under age 75 with benefit lower than 110% 

of PBGC guarantee 

Demographic Information 

1. Date of birth 01/01/1952 

2. Age at end of month that includes suspension date (May 31, 2019) 67 years 4 months 

3. Total accrued benefit payable as of May 1, 2019 at normalretirement age $122.00 

4. Total years of credited service as of May 1, 2019 at normal retirement age 13.00 

5. Type of participant (retiree, active, terminated vested, beneficiary, disability) Retiree 

6. Form of payment for pension Single Life Annuity 

Calculation of PBGC Guarantee 

7. Plan implied accrual rate [(3) / (4)] $9.38 

8. PBGC guaranteed accrual rate [100% of first $11 + 75% of next $33 of (7)] $9.38 

9. PBGC guaranteed benefit [(4) x (8)] $122.00 

10. 110% of PBGC guaranteed benefit [(9) x 110%, not to exceed (3)] $122.00 

Calculation of Proposed Suspension 

11. Proposed suspension factor (same for everyone) 39.5% 

12. Initial proposed benefit suspension [(3) x (11)] $48.19 

13. Guarantee based limitation [(3) - (10)] $0.00 

14. Maximum suspendable benefit [lesser of (12) or (13)] $0.00 

15. Months below age 80 (at suspension date), but no more than 60 months 60 

(zero if awarded a disability pension) 

16. Applicable percentage for age based limitation [(15) / 60] 100.00% 

17. Final proposed benefit suspension [(14) x (16)] $0.00 

May 1, 2019 monthly benefit under Proposed Suspension [(3) - (17)] $122.00 

0092.a
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Local 807 Labor-Management Pension Plan 

Application for benefit suspension 

Demonstration that limitations on individual suspension are satisfied 

Example #11, 50% Contingent Beneficiary 

Demographic Information 

1. Beneficiary’s date of birth 

2. Participant’s date of birth 

3. Participant’s age at end of month that includes suspension date (May 31, 2019) 

4. Participant’s total accrued benefit payable at normalretirement age 

5. Future benefit payable to beneficiary 

6. Participant’s total years of credited service at death

7. Type of participant (retiree, active, terminated vested, beneficiary, disability) 

12/01/1982 

02/01/1952 

67 years 3 months 

 $258.62 

$129.31 

 5.00 

Contingent Beneficiary 

8. Form of payment for pension Single Life Annuity Upon Participant’s Death 

Calculation of PBGC Guarantee 

9. Plan implied accrual rate [(5) / (6)] $25.86 

10. PBGC guaranteed accrual rate [100% of first $11 + 75% of next $33 of (9)] $22.15 

11. PBGC guaranteed benefit [(6) x (10)] $110.75 

12. 110% of PBGC guaranteed benefit [(11) x 110%] $121.83 

Calculation of Proposed Suspension 

13. Proposed suspension factor (same for everyone) 39.5% 

14. Initial proposed benefit suspension [(5) x (13)] $51.08 

15. Guarantee based limitation [(5) - (12)] $7.48 

16. Maximum suspendable benefit [lesser of (14) or (15)] $7.48 

17. Participant months below age 80 (at suspension date), but no more than 60 months 60 

(zero if awarded a disability pension) 

18. Applicable percentage for age based limitation [(17) / 60] 100.00% 

19. Final proposed benefit suspension [(16) x (18)] $7.48 

May 1, 2019 monthly benefit under Proposed Suspension [(5) - (19)] $121.83 

0092.a 0092.b
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Local 807 Labor-Management Pension Plan 

Application for benefit suspension 

Demonstration that limitations on individual suspension are satisfied 

Example #12, Beneficiary of Disabled Retiree 

Demographic Information 

1. Beneficiary’s date of birth 

2. Participant’s date of birth 

3. Participant’s age at end of month that includes suspension date (May 31, 2019) 

4. Participant’s total accrued benefit payable at normal retirement age 

5. Future benefit payable to beneficiary 

6. Participant’s total years of credited service at death 

7. Type of participant (retiree, active, terminated vested, beneficiary, disability)

02/01/1942 

03/01/1942 

77 years 2 months 

$1,881.00 

$940.50 

20.00 

 Contingent Beneficiary 

8. Form of payment for pension Single Life Annuity Upon Participant’s Death 

Calculation of PBGC Guarantee 

9. Plan implied accrual rate [(5) / (6)] $47.03 

10. PBGC guaranteed accrual rate [100% of first $11 + 75% of next $33 of (9)] $35.75 

11. PBGC guaranteed benefit [(6) x (10)] $715.00 

12. 110% of PBGC guaranteed benefit [(11) x 110%] $786.50 

Calculation of Proposed Suspension 

13. Proposed suspension factor (same for everyone) 39.5% 

14. Initial proposed benefit suspension [(5) x (13)] $371.50 

15. Guarantee based limitation [(5) - (12)] $154.00 

16. Maximum suspendable benefit [lesser of (14) or (15)] $154.00 

17. Months below age 80 (at suspension date), but no more than 60 months 0 

(zero if participant awarded a disability pension) 

18. Applicable percentage for age based limitation [(17) / 60] 0.00% 

19. Final proposed benefit suspension [(16) x (18)] $0.00 

May 1, 2019 monthly benefit under Proposed Suspension [(5) - (19)] $940.50 

0092.c a