[Federal Register Volume 79, Number 217 (Monday, November 10, 2014)]
[Rules and Regulations]
[Pages 66617-66621]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-26498]


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DEPARTMENT OF LABOR

Employee Benefits Security Administration

29 CFR Part 2520

RIN 1210-AB66


Revisions to Annual Return/Report--Multiple-Employer Plans

AGENCY: Employee Benefits Security Administration, Labor.

ACTION: Interim final rule with request for comments.

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SUMMARY: This interim final rule describes revisions to the Form 5500 
Annual Return/Report of Employee Benefit Plan and Form 5500-SF Annual 
Return/Report of Small Employee Benefit Plan (together ``Form 5500 
Annual Return/Report'') to implement annual reporting changes for 
multiple-employer plans required by The Cooperative and Small Employer 
Charity Pension Flexibility Act (CSEC Act), enacted on April 7, 2014. 
The Form 5500 annual return/report is filed by employee benefit plans 
under the Employee Retirement Income Security Act of 1974 (ERISA) and 
sections 6047(e), 6057(b), 6058(a), and 6059 of the Internal Revenue 
Code (Code). The CSEC Act established additional annual reporting 
requirements for multiple-employer plans for plan years beginning after 
December 31, 2013, by adding new section 103(g) to Title I of ERISA. 
Specifically, the annual return/report of a multiple-employer plan must 
include a list of participating employers and a good faith estimate of 
the percentage of total contributions made by each participating 
employer during the plan year. This interim final rule also includes 
findings by the Department of Labor (Department) under the 
Administrative Procedure Act that good cause exists to adopt these 
revisions on an interim final basis without prior notice and public 
comments.

DATES: Effective Date. This interim final rule is effective on November 
10, 2014.
    Comment Date. Comments are due on or before January 9, 2015. We 
will consider public comments in connection with publishing a final 
rule that would apply no earlier than the 2015 Form 5500.
    Applicability Dates. The multiple-employer plan reporting 
requirements under the CSEC Act apply to plan years beginning after 
December 31, 2013, which created an immediate need for changes to the 
Form 5500 and Form 5500-SF. Accordingly, the CSEC Act form changes in 
this document will be applicable beginning with the 2014

[[Page 66618]]

Form 5500 Annual Returns/Reports filed for plan years beginning after 
December 31, 2013.

ADDRESSES: Written comments may be submitted to any of the addresses 
specified below. All comments will be made available to the public. 
Warning: Do not include any personally identifiable information (such 
as name, address, or other contact information) or confidential 
business information that you do not want publicly disclosed. All 
comments are posted on the Internet exactly as received, and can be 
retrieved by most Internet search engines. No deletions, modifications, 
or redactions will be made to the comments received, as they are public 
records. Comments may be submitted anonymously.
    Comments to the Department of Labor, identified by RIN 1210-AB66, 
by one of the following methods:
    Federal eRulemaking Portal: http://www.regulations.gov. Follow the 
instructions for submitting comments.
    Email: <a href="/cdn-cgi/l/email-protection#20650d6f726960444f4c0e474f56"><span class="__cf_email__" data-cfemail="62274f2d302b22060d0e4c050d14">[email protected]</span></a> with Subject Line: RIN 1210-AB66--CSEC Act 
Form 5500 Interim Final Rule.
    Mail or Hand Delivery: Office of Regulations and Interpretations, 
Employee Benefits Security Administration, Room N-5655, U.S. Department 
of Labor, 200 Constitution Avenue NW., Washington, DC 20210, Attention: 
RIN 1210-AB66--CSEC Act Form 5500 Interim Final Rule.
    Comments received by the Department of Labor will be posted without 
change to http://www.regulations.gov and http://www.dol.gov/ebsa and 
made available for public inspection at the Public Disclosure Room, N-
1513, Employee Benefits Security Administration, 200 Constitution 
Avenue NW., Washington, DC 20210.

FOR FURTHER INFORMATION CONTACT: Mara S. Blumenthal, Employee Benefits 
Security Administration, U.S. Department of Labor, (202) 693-8523, for 
questions relating to this document. Note that this is not a toll-free 
number.
    Customer service information: Individuals interested in obtaining 
information from the Department of Labor concerning the Employee 
Retirement Income Security Act may call the EBSA Toll-Free Hotline at 
1-866-444-EBSA (3272) or visit the Department of Labor's Web site 
(www.dol.gov/ebsa).

SUPPLEMENTARY INFORMATION:

I. Background

A. Form 5500 Annual Return/Report

    Section 103 of ERISA, 29 U.S.C. 1023, and the regulations issued 
under that section, impose annual reporting and filing obligations on 
pension and welfare benefit plans, including multiple-employer plans. 
Plan administrators, employers, and others generally satisfy these 
annual reporting obligations by the filing of the Form 5500 Annual 
Return/Report of Employee Benefit Plan or Form 5500-SF Annual Return/
Report of Small Employee Benefit Plan, including any required schedules 
and attachments, (together ``Form 5500 Annual Return/Report''), in 
accordance with the instructions and related regulations.
    The Form 5500 Annual Return/Report is the principal source of 
information and data available to the Department, the Internal Revenue 
Service (IRS), and the Pension Benefit Guaranty Corporation (PBGC) 
concerning the operations, funding, and investments of pension and 
welfare benefit plans. The Form 5500 Annual Return/Report constitutes 
an integral part of each Agency's enforcement, research, and policy 
formulation programs, and is a source of information and data for use 
by other federal agencies, Congress, and the private sector in 
assessing employee benefit, tax, and economic trends and policies. The 
Form 5500 Annual Return/Report also serves as a primary means by which 
plan operations can be monitored by participants and beneficiaries and 
by the general public.

B. Cooperative and Small Employer Charity Pension Flexibility Act and 
Additional Reporting Requirements for Multiple-Employer Plans

    The Cooperative and Small Employer Charity Pension Flexibility Act 
(CSEC Act), Public Law 113-97, 128 Stat. 1101, enacted on April 7, 
2014, amended the funding rules for pension plans that are maintained 
by certain cooperatives or charities. In addition, the CSEC Act created 
additional annual reporting requirements for multiple-employer plans 
covered by Title I of ERISA. Specifically, section 104(c) of the CSEC 
Act amended section 103 of ERISA to require in section 103(g) that 
annual reports of multiple-employer plans include ``a list of 
participating employers'' and, with respect to each participating 
employer, ``a good faith estimate of the percentage of total 
contributions made by such participating employers during the plan 
year.'' \1\ These additional reporting requirements apply generally to 
a multiple-employer plan regardless of whether the plan is affected by 
the modifications to the minimum funding requirements made by the CSEC 
Act.\2\ The effective date provisions in section 3 of the CSEC Act make 
these new annual reporting requirements applicable for plan years 
beginning after December 31, 2013.
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    \1\ The Government Accountability Office also recommended that 
the Form 5500 be used to collect information about participating 
employers in multiple employer plans. See GAO Report to the 
Chairman, United States Senate Committee on Health, Education, 
Labor, and Pensions, entitled ``PRIVATE SECTOR PENSIONS: Federal 
Agencies Should Collect Data and Coordinate Oversight of Multiple 
Employer Plans,'' GAO 12-665 (Sept. 2012).
    \2\ This document is limited to the annual reporting changes 
required by section 104(c) of the CSEC Act and does not address 
possible guidance on completing the Schedule SB to reflect 
modifications to the minimum funding requirements made by the CSEC 
Act for multiple-employer plans affected by those modifications.
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    The CSEC Act did not define the terms included in the new annual 
reporting requirement or otherwise explain the purpose or objectives of 
the requirement. In light of the fact that the CSEC Act directed 
changes to Form 5500 reporting, the Department believes that it is 
appropriate to use existing Form 5500 definitions and requirements to 
implement the CSEC Act changes. This approach will also allow the 
Department to establish a uniform way for plan administrators and 
employers to comply with reporting requirements and ensure that 
consistent information about participating employers in multiple-
employer plans is available to the public as part of the Form 5500 
information collection.
    In order to implement the CSEC Act requirements in a timely 
fashion, this interim final rule changes the Form 5500 and Form 5500-SF 
generally for plan years beginning after December 31, 2013. First, 
certain conforming revisions to Part I (Annual Report Identification 
Information) of the Form 5500 Annual Return/Report are being made to 
enable multiple-employer plans to comply with the new requirements 
imposed by section 104(c) of the CSEC Act. Specifically, Part I, line 
A--Multiple-Employer Plan, of the Form 5500 and Form 5500-SF currently 
provides a box to check if the Form 5500 or Form 5500-SF is being filed 
for a multiple-employer plan. A parenthetical is being added next to 
the box that tells filers checking the box that they must attach a list 
of participating employers and related information and directs them to 
the form instructions for further information and directions on the 
filing requirements for the attachment.
    The instructions to the Form 5500 and Form 5500-SF for that box are 
also being amended to include information and specific directions on 
completing and filing the required attachment. The instructions to the 
Form 5500 and Form

[[Page 66619]]

5500-SF will now provide that the Annual Return/Report filed for a 
multiple-employer plan must include an attachment that identifies the 
participating employers in the plan by name and employer identification 
number (EIN) and includes for each participating employer an estimate 
of the percentage of the contributions made by each employer (including 
employer and participant contributions) relative to the total 
contributions made by all participating employers during the plan year. 
This attachment, entitled ``Multiple-Employer Plan Participating 
Employer Information,'' supplements and does not replace other Form 
5500 filing requirements that apply to multiple-employer plans.
    For purposes of defining the employee benefit plans subject to the 
CSEC Act reporting requirement, the interim final rule uses the 
existing definition of ``multiple-employer plan'' in the instructions 
for the Form 5500 Annual Return/Report. Specifically, a multiple-
employer plan in this context is a plan that is maintained by more than 
one employer and is not a ``single employer plan'' or a ``multiemployer 
plan'' for Form 5500 filing purposes.\3\ Multiple-employer plans can be 
collectively bargained and collectively funded, but if covered by PBGC 
termination insurance, they must have properly elected before September 
27, 1981, not to be treated as a multiemployer plan under Code section 
414(f)(5) or ERISA sections 3(37)(E) and 4001(a)(3), and have not 
revoked that election or made an election to be treated as a 
multiemployer plan under Code section 414(f)(6) or ERISA section 
3(37)(G). A plan is treated as a single-employer plan for Form 5500 
purposes if all of the employers maintaining the plan are members of 
the same controlled group or affiliated service group under Code 
sections 414(b), (c), or (m). See Form 5500 and Form 5500-SF 
Instructions for Line A--Box (available at www.dol.gov/ebsa/5500main.html#2013).
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    \3\ Unlike the Form 5500, which excludes multiple employer plans 
from the definition of single-employer plans, ERISA section 3(41) 
defines all plans, with the sole exception of multiemployer plans, 
as single-employer plans. The Form 5500 multiple-employer plan 
definition is the relevant definition for purposes of this interim 
final rule.
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    Although the CSEC Act was focused on amendments to the funding 
rules for certain defined benefit pension plans, the annual reporting 
amendment to section 103 of ERISA did not limit the new reporting 
requirement to defined benefit pension plans. Rather, the new 
requirement applies generally to ``any multiple-employer plan.'' 
Accordingly, the interim final rule adds instructions for the Form 5500 
and Form 5500-SF requiring all multiple-employer plans (defined benefit 
pension plans, defined contribution plans, and welfare plans) required 
to file the Form 5500 or Form 5500-SF to include with their annual 
report the new ``Multiple-Employer Plan Participating Employer 
Information'' attachment. The form instructions further provide that 
welfare plans that are exempt under 29 CFR 2520.104-44 from the 
obligation to file financial statements with their annual report are 
required to include a ``Multiple-Employer Plan Participating Employer 
Information'' attachment, but are permitted to report only a list of 
participating employers in the attachment filed with their Form 5500 
Annual Return/Report.
    The CSEC Act required information to be reported on ``participating 
employers.'' That term, however, was not defined in the CSEC Act, and 
it is not otherwise defined in Title I of ERISA or used elsewhere in 
ERISA section 103 or the Department's regulations implementing the 
ERISA annual reporting requirements. However, the Department has used 
the term ``participating employer'' in other contexts generally to 
describe employers that are obligated to make contributions to a plan, 
made contributions to the plan, or whose employees are covered under 
the plan. See, e.g., DOL Advisory Opinion 81-44A. The Department uses a 
similar concept in its regulation on content requirements for summary 
plan descriptions (SPD), 29 CFR 2520.102-3. Specifically, 29 CFR 
2520.102-3(b)(4) requires that the SPD of a plan established or 
maintained by two or more employers must contain a statement that a 
complete list of the employers sponsoring the plan may be obtained by 
participants and beneficiaries on request and a statement that the list 
is available for examination by participants and beneficiaries at the 
plan administrator's office. The term ``sponsoring employer'' includes 
employers that are obligated to make contributions to a plan or whose 
employees are covered under the plan. Accordingly, because employee 
benefit plans must maintain a list of employers that are obligated to 
make contributions to the plan or whose employees are covered under the 
plan, the Department believes that interpreting the term 
``participating employer'' to include all employers that are obligated 
to make contributions to the plan, that make contributions to the plan, 
or whose employees are covered under the plan would be consistent with 
the CSEC Act annual reporting changes and the least burdensome 
alternative for filers.
    In addition to requiring disclosure of a list of participating 
employers, the CSEC Act requires ``a good faith estimate of the 
percentage of total contributions made by such participating employers 
during the plan year.'' In the case of many employee benefit plans, in 
addition to employer contributions, participants (and in some cases 
beneficiaries) may pay amounts to the employer for contribution to the 
plan and the employer may withhold amounts from wages or other 
compensation for contribution to the plan. Under Title I of ERISA, the 
Department generally classifies such contributions as ``employee 
contributions'' or ``participant contributions,'' while under the 
Internal Revenue Code such contributions may be classified for some 
purposes as ``employer contributions.'' The Form 5500 Annual Return/
Report generally follows the Title I classification system and includes 
several distinct reporting requirements that call for employer and 
participant contributions to be accounted for and reported separately. 
The Department believes that the CSEC Act should be interpreted 
consistently with existing Form 5500 Annual Return/Report requirements 
regarding contributions and require that multiple-employer plans 
include both employer and participant contributions in calculating the 
percentage of each employer's contributions relative to those made by 
all participating employers. Particularly in the case of defined 
contribution and welfare plans, requiring reporting of both employer 
and participant contributions will help the Department better 
understand the role of each participating employer in the overall 
funding of the plan.
    The Department similarly believes the ``during the plan year'' 
concept should be interpreted consistent with other financial reporting 
requirements on the Form 5500 Annual Return/Report. The instructions 
for the Form 5500 Annual Return/Report allow filers to report financial 
information using ``the cash, modified cash, or accrual basis for 
recognition of transactions, as long as you use one method 
consistently.'' A literal interpretation of the phrase ``during the 
plan year'' might suggest that Congress intended that the CSEC 
percentage calculation be done using a cash basis. There is nothing in 
the CSEC Act, however, that indicates that Congress intended to impose 
such a burden on plans that currently use an accrual approach to 
measuring contributions for the plan year. In fact, elsewhere in the 
Form 5500 the

[[Page 66620]]

Department has used the terms ``during the plan year'' and ``for the 
plan year'' interchangeably in a way that allows plans to use cash or 
accrual approaches to recognizing contribution amounts. Specifically, 
the Schedule R requires that multiemployer plans report the dollar 
amount contributed by each employer that contributed more than five 
percent (5%) of total contributions to the plan ``during the plan year 
(measured in dollars).'' The instructions state that the plan should 
enter information for any employer that contributed more than five 
percent (5%) of the plan's total contributions ``for the plan year.'' 
Accordingly, in the Department's view, it is an appropriate reading of 
the CSEC Act requirements to allow filers to use the same method (cash, 
modified cash, or accrual) for calculating the good faith estimate that 
they use for recognizing other financial transactions on the Form 5500 
Annual Return/Report.

II. Good Cause for Exemption From Public Notice and Comment and 
Immediate Effective Date

    To issue an interim final rule without prior public notice and 
comment, an agency must find good cause that notice and comment are 
impracticable, unnecessary, or contrary to the public interest. 5 
U.S.C. 553(b). To issue a rule that is immediately effective, an agency 
similarly must find good cause for dispensing with the 30-day delay 
required by the Administrative Procedure Act (APA). The multiple-
employer plan reporting requirements under the CSEC Act apply to plan 
years beginning after December 31, 2013, thus creating an immediate 
need for changes to the Form 5500 and Form 5500-SF. Without these 
changes to the Form 5500 and related instructions, multiple-employer 
plans would have no uniform way to comply with the CSEC Act 
requirements and nor would there be any assurance that uniform 
information about participating employers in multiple-employer plans 
would be available to the public. In addition, the Department would be 
hampered in its ability to comply with the Congressional directive in 
the CSEC Act to collect the reported information. Moreover, only 
multiple-employer plans, which are a relatively small percentage of 
Form 5500 Annual Return/Report filers, are affected by this change,\4\ 
and the requirements are limited in scope to the information 
specifically required under the CSEC Act.
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    \4\ The Department estimates that 5,527 multiple employer plans 
are subject to the requirements of the CSEC Act Amendment (280 
defined benefit plans, 4,739 defined contribution plans, and 508 
welfare plans).
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    Further, reporting the basic information about participating 
employers required by the CSEC Act should not be burdensome for 
multiple-employer plans because they are already required to maintain a 
list of participating employers and records of the contributions made 
by each employer. As noted above, the Department's regulation on 
content requirements for summary plan descriptions, 29 CFR 2520.102-3, 
requires in the case of a plan established or maintained by two or more 
employers that the SPD contain a statement that a complete list of the 
employers sponsoring the plan may be obtained by participants and 
beneficiaries on request and a statement that the list is available for 
examination by participants and beneficiaries at the plan 
administrator's office. In addition, the Form 5500 Annual Return/Report 
currently requires that plans report information on employer and 
participant contributions as part of the financial information required 
to be filed. Section 107 of ERISA requires the plan administrator to 
keep records in sufficient detail to allow the information on the Form 
5500 Annual Return/Report to be ``verified, explained, or clarified, 
and checked for accuracy and completeness.'' In the Department's view, 
this would require the plan to keep records sufficient to identify the 
participating employers and the amount of the contributions 
attributable to each individual employer, participant or beneficiary.
    The Department thus finds for good cause that it would be 
impracticable and contrary to the public interest to delay putting the 
above described revisions to the Form 5500 and Form 5500-SF required by 
the CSEC Act into place until completion of a full notice and public 
comment process. For the same reasons, the Department also finds good 
cause to adopt an effective date that would be less than 30 days after 
the publication in the Federal Register pursuant to the APA. 5 U.S.C. 
553(d). The adoption of the changes affecting the 2014 Form 5500 Annual 
Return/Report will be effective as of the date of publication of this 
document in the Federal Register. The same or related information for 
multiple-employer plans will continue to be required to be provided on 
the 2015 and later Form 5500 Annual Returns/Reports, but for 2015 and 
later, the format for providing this information may be different.
    Although the revisions in this document will be effective beginning 
with the 2014 Form 5500 and 2014 Form 5500-SF, and related 
instructions, the Department seeks comments on this interim final rule. 
The comments will be considered in connection with final revisions that 
will be adopted in connection with the 2015 or later year forms.

III. Executive Order 12866

    This Interim Final Regulation does not constitute a ``significant 
regulatory action'' for purposes of Executive Order 12866. Therefore, 
this action has not been reviewed by OMB pursuant to the Executive 
Order.

IV. Paperwork Reduction Act

    In accordance with the requirements of the Paperwork Reduction Act 
of 1995 (PRA) (44 U.S.C. 3501 et seq.), the Form 5500 information 
collection request (ICR) has been approved by OMB under control number 
1210-0110, which currently is scheduled to expire on April 30, 2015. On 
September 8, 2014, the Department submitted an ICR revision reflecting 
the CSEC Act revision to OMB utilizing the emergency PRA clearance 
procedures in accordance with 5 CFR 1320.13. OMB approved the emergency 
submission on October 7, 2014.
    Based on data from the 2012 Form 5500 filings (the latest year for 
which complete data are available), the Department estimates that 5,527 
multiple-employer plans are subject to the requirements of the CSEC Act 
amendment (280 defined benefit plan, 4,739 defined contribution plans, 
and 508 welfare plans). The Department assumes that plan administrators 
will comply with the new requirements; therefore, the entire burden is 
hour burden.
    Reporting the basic information about participating employers 
required by the CSEC Act should not be burdensome for multiple-employer 
plan administrators, because as discussed in detail above, current 
requirements under ERISA already require them to maintain a list of 
participating employers and records of the contributions made by each 
employer. Therefore, the Department assumes that on average, it will 
take a financial professional thirty (30) minutes to comply the CSEC 
Act amendments by creating an attachment containing the list of 
participating employers, their EINs, and their percentage of total plan 
contributions. Based on the foregoing, the Department estimates that 
5,527 multiemployer plan administrators will spend approximately 2,764 
hours complying with the CSEC Act requirements at an equivalent cost of 
approximately $173,000 (2,764 hours times $69 for the

[[Page 66621]]

services of an in-house financial professional).\5\
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    \5\ The Department calculated the hourly labor rate using 
published survey data from the Bureau of Labor Statistics, 
Occupational Employment Statistics Survey (May 2013), and Employment 
Cost Index (March 2014) to estimate the cost of benefits in total 
compensation. A calculation of the 2014 hourly labor cost for 
financial professionals was estimated at $69 an hour including wage, 
benefits, and overhead.
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    The OMB emergency approval expires on April 30, 2015. Therefore, 
contemporaneously with the publication of the interim final rule, the 
Department has published a notice elsewhere in this issue of the 
Federal Register informing the public of its intention to extend the 
OMB approval for three years. The notice solicits comments on the 
revisions to the ICR and provides the public with 60 days to comment as 
required by 5 CFR 1320.8(d).

V. Changes to the Form 5500 and Form 5500-SF and Instructions

    On the Form 5500 and Form 5500-SF, in ``Part I Annual Report 
Identification Information''--Box for Multiple-Employer Plan add the 
following parenthetical:

(Filers checking this box must attach a list of participating 
employer information in accordance with the form instructions).

    In the Form 5500 Instructions for Part I Annual Report 
Identification Information--Box for Multiple-Employer Plan add the 
following instructions as a new second paragraph:

    Except as provided below, multiple-employer pension plans and 
multiple-employer welfare plans required to file a Form 5500 must 
include an attachment using the format below that (1) lists each 
participating employer in the plan during the plan year, identified 
by name and employer identification number (EIN), and (2) includes a 
good faith estimate of each employer's percentage of the total 
contributions (including employer and participant contributions) 
made by all participating employers during the year. Any employer 
who was obligated to make contributions to the plan for the plan 
year, made contributions to the plan for the plan year, or whose 
employees were covered under the plan is a ``participating 
employer'' for this purpose. If a participating employer made no 
contributions, enter ``-0-'' in element (c).
    The attachment must be properly identified at the top with the 
label ``Multiple-Employer Plan Participating Employer Information,'' 
and the name of the plan, EIN, and plan number (PN) as found on the 
plan's Form 5500.
    Multiple-employer welfare plans that are exempt under 29 CFR 
Sec.  2520.104-44 from the obligation to file financial statements 
with their annual report are required to include only a list of 
participating employers with the corresponding EIN/PN numbers in 
elements (a) and (b) of the ``Multiple-Employer Plan Participating 
Employer Information'' attachment included with their Form 5500.
    Complete as many entries as needed to report the required 
information for all participating employers.

                            Multiple-Employer Plan Participating Employer Information
                           [Insert Name of Plan and EIN/PN as shown on the Form 5500]
----------------------------------------------------------------------------------------------------------------
 
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(a) Name of participating employer.  (b) EIN..............  (c) Percent of Total Contributions.
(a) Name of participating employer.  (b) EIN..............  (c) Percent of Total Contributions.
----------------------------------------------------------------------------------------------------------------

    In the Form 5500-SF Instructions for Part I Annual Report 
Identification Information--Box for Multiple-Employer Plan add the 
following instructions as a new second paragraph:

    Multiple-employer pension plans required to file a Form 5500-SF 
must include an attachment using the format below that (1) lists 
each participating employer in the plan during the plan year, 
identified by name and employer identification number (EIN), and (2) 
includes a good faith estimate of each employer's percentage of the 
total contributions (including employer and participant 
contributions) made by all participating employers during the year. 
Any employer who was obligated to make contributions to the plan for 
the plan year, made contributions to the plan for the plan year, or 
whose employees were covered under the plan is a ``participating 
employer'' for this purpose. If a participating employer made no 
contributions, enter ``-0-'' in element (c).
    The attachment must be properly identified at the top with the 
label ``Multiple-Employer Plan Participating Employer Information,'' 
and the name of the plan, EIN, and plan number (PN) as found on the 
plan's Form 5500-SF.
    Complete as many entries as needed to report the required 
information for all participating employers.

                            Multiple-Employer Plan Participating Employer Information
                          [Insert Name of Plan and EIN/PN as shown on the Form 5500-SF]
----------------------------------------------------------------------------------------------------------------
 
----------------------------------------------------------------------------------------------------------------
(a) Name of participating employer.  (b) EIN..............  (c) Percent of Total Contributions.
(a) Name of participating employer.  (b) EIN..............  (c) Percent of Total Contributions.
----------------------------------------------------------------------------------------------------------------


    Signed at Washington, DC, this 30th day of October 2014.
Phyllis C. Borzi,
Assistant Secretary, Employee Benefits Security Administration, U.S. 
Department of Labor.
[FR Doc. 2014-26498 Filed 11-7-14; 8:45 am]
BILLING CODE P


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