Document:

Notice of Changes to Pacific Captial Bancorp 1998 Amended and Restated Health

 Exhibit 10.5.1 

 

 

 NON-KEY EMPLOYEES RETIREE HEALTH PLAN 
 This notice summarizes the recent changes that have been made to the Pacific Capital Bancorp Retiree Health Plan for Non-Key Employees (“Plan”). Please keep this summary of plan changes with
your copy of the Summary Plan Description. This new information reflects changes that have been made since January 1, 2010. Unless specified otherwise, the changes are effective as of March 1, 2010. 

1) Termination of medical and prescription coverage for retirees who are eligible for Medicare as of February 28, 2010. 

Retirees who are eligible for Medicare as of February 28, 2010 (which means that, as of February 28, 2010, the retiree is age 65 or older, has
end-stage renal disease or is disabled) and their spouses (“spouse” includes domestic partners), if applicable, will no longer be eligible for medical or prescription drug coverage under the Plan as of March 1, 2010. The last day of
coverage for such retiree and his/her spouse is February 28, 2010. 
 2) Change in Eligibility and Cost-Sharing Requirements for
Medical and Prescription Drug Coverage. 
 Effective as of March 1, 2010, the following persons are eligible for medical and
prescription drug coverage under the Plan: 
  

	 	•	 	 Retirees who are currently covered under the Plan and who are not eligible for Medicare; and 

 

	 	•	 	 Employees who satisfy all of the following requirements: (1) meet the eligibility requirements for participation in the Plan; (2) are not yet
eligible for Medicare as of the date of their retirement from Pacific Capital Bancorp; and (3) retire from service from Pacific Capital Bancorp on or before September 30, 2010. 

 

	 	•	 	 Briefly, the Plan requires, as of the date of retirement, (a) attainment of age 55; (b) service for PCB for at least 8 years; and
(c) the sum of the employee’s/retiree’s years of service with PCB or its affiliates and age must equal at least 75. 

 Eligible retirees and employees must properly enroll in the Plan. Currently covered retirees must enroll by February 12, 2010. Eligible employees must enroll upon retirement. The spouse or domestic
partner of an eligible retiree or employee may also be covered under the Plan, provided he or she is timely enrolled in the Plan. (Note: A spouse or domestic partner may be added during open enrollment or following a qualified status change).

 Medical and prescription drug coverage under the Plan shall terminate upon Medicare eligibility due to age (i.e., attainment of age 65),
disability or end stage renal disease. 

  
 summary of material
modification 2010 non-key retirees 

 Coverage for a spouse or domestic terminate shall terminate upon the earliest to occur of the
following: (1) the date the retiree ceases to be covered; (2) the date the spouse or domestic partner becomes eligible for Medicare; or (3) the date he or she ceases to a spouse or domestic partner. You and/or your spouse or domestic
partner are required to immediately notify the Plan if you become eligible for Medicare because of disability or end-stage renal disease. [Note: All coverage and benefits are subject to the terms of the plan document, summary plan description, and
any insurance policies, contracts and Evidences of Coverage.] 
 Cost-Sharing. Eligible individuals must pay 50% of the cost of medical
and prescription drug coverage for themselves and their spouse or domestic partner (if applicable). The 50% cost sharing arrangement is effective beginning March 1, 2010. If payment is not timely made, coverage will be terminated. Note:
Payments for coverage are handled through monthly ACH withdrawal as currently practiced. 
 3) Access to PPO Dental and Vision Coverage.
Dental and vision coverage under the Plan’s PPO option are available to retirees who are covered under the Plan as of February 28, 2010 and to employees who would be eligible for medical and prescription drug coverage under the Plan but
for their Medicare-eligibility. Eligible individuals must properly elect and pay 100% of the cost of such coverage for themselves and their spouse or domestic partner. Coverage under the Anthem DentalNet option will no longer be available to
retirees age 65 or older (and their dependents) as of March 1, 2010. For information regarding enrollment, contact Pacific Capital Bancorp, HR Benefits, MC 98-10 1 S. Los Carneros Rd., Goleta, CA 93117. Payments for coverage are handled through
monthly ACH withdrawal as currently practiced. 
 4) Termination of coverage for surviving spouses. 

Medical, prescription drug, dental and vision coverage under the Plan for all surviving spouses will cease to be available as of March 1,
2010. 
 5) Termination of non-spouse dependent coverage. 
 Coverage for non-spouse/domestic partner dependents will cease to be available as of March 1, 2010. 
 If you have any questions regarding this notice, contact Pacific Capital Bancorp, HR Benefits, MC 98-10 1, S. Los Carneros Rd., Goleta, CA 93117 

 

	
	Pacific Capital Bancorp continues to reserve the right to amend and/or terminate the Plan at any time. In accordance with the
requirements of the Employee Retirement
Income Security Act of 1974, as amended (“ERISA”), this document serves as a “summary
of material modifications (“SMM”) to the Pacific Capital Bancorp retiree health plans. In the event of any conflict between
this
document and any other written or oral statement regarding these Plan amendments, this document shall control.

  

			
	summary of material modification 2010 non-key retirees	  	2PCB Amended and Restated Incentive and Investment and Salary Savings Plan

 Exhibit 10.6 
 401(k) Non-Standardized Prototype 
 Adoption Agreement 

The Charles Schwab Defined 

Contribution Plan and Trust 
 Pacific
Capital Bancorp Amended and Restated 
 Incentive and Investment and Salary Savings Plan 

 

 

 401(k) NON-STANDARDIZED PROTOTYPE ADOPTION AGREEMENT #002 

FOR 
 THE
CHARLES SCHWAB DEFINED CONTRIBUTION PLAN AND TRUST #01 
  
  

 

							
	 Section 1.
	  	 General Plan Information
	  	 	2	  
			
	 Section 2.
	  	 Service Definitions for Eligibility, Vesting and Allocations
	  	 	3	  
			
	 Section 3.
	  	 Eligibility Requirements
	  	 	5	  
			
	 Section 4.
	  	 Elective Deferrals
	  	 	10	  
			
	 Section 5.
	  	 Safe Harbor Contributions
	  	 	11	  
			
	 Section 6.
	  	 Non-Safe Harbor Matching Contributions
	  	 	12	  
			
	 Section 7.
	  	 Non-Safe Harbor Non-Elective Contributions
	  	 	14	  
			
	 Section 8.
	  	 Rollovers and Employee Contributions
	  	 	15	  
			
	 Section 9.
	  	 Prevailing Wage Contributions
	  	 	16	  
			
	 Section 10.
	  	 Vesting Requirements
	  	 	16	  
			
	 Section 11.
	  	 Compensation Definitions
	  	 	19	  
			
	 Section 12.
	  	 Allocation of Forfeitures
	  	 	23	  
			
	 Section 13.
	  	 Allocation of Earnings and Losses
	  	 	25	  
			
	 Section 14.
	  	 Normal and Early Retirement Age
	  	 	25	  
			
	 Section 15.
	  	 Distribution Provisions
	  	 	25	  
			
	 Section 16.
	  	 Loans, Insurance and Directed Investments
	  	 	28	  
			
	 Section 17.
	  	 Top Heavy Allocations
	  	 	29	  
			
	 Section 18.
	  	 Testing Elections
	  	 	29	  
			
	 Section 19.
	  	 401(k) SIMPLE Provisions
	  	 	29	  
			
	 Section 20.
	  	 Miscellaneous Provisions
	  	 	30	  
			
	 Section 21.
	  	 Signature Provisions
	  	 	31	  

  

					
	Prototype 401(k) Non-Std.	 	Page 1 of 31	 	IRS Serial No: [—]

 Section 1. General Plan Information 

 
  

							
	1.1	 	Plan Name	 	 Pacific Capital Bancorp Amended and Restated Incentive and Investment and Salary Savings
Plan

		 		 	  
	 	Plan # 002

					
			
	1.2	 	Sponsoring Employer	 	   Pacific Capital Bancorp

		 		 	  

					
			
		 	Address	 	 1021 Anacapa Street

													
							
		 	City	 	   Santa Barbara
	 	State	 	   CA
	 	ZIP Code	 	   93101

													
							
		 	Telephone #	 	   (805) 564-6311
	 	  Tax ID	 	   #[—]
	 	Trust ID #	 	  

													
							
	1.3	 	Fiscal Year.	 	x	 	A 12-consecutive month period beginning	 	   Jan 1
	 	and ending	 	         Dec
31

											
						
		 		 		 	 ̈	 	Except for a short Fiscal Year beginning	 	  

											
						
		 		 	 ̈	 	A 52-53 week year     ̈  beginning     ̈  ending	 		 	  

									
				
	1.4	 	Type of Business Entity. (check one)	 	 x
  ̈

 ̈

 ̈

 ̈

 ̈

 ̈

 ̈
	 	 C-Corporation

S-Corporation
 Partnership

Sole Proprietorship
 Tax Exempt
Organization
 Limited Liability Company (LLC)
 Limited Liability Partnership (LLP)
 Other (must be a legal entity recognized under Federal
income lax laws)

		 		 		 	  

		
	1.5	 	Adopting Employers. Check here  x  if there are additional adopting employers and complete the
“Adopting Employer Addendum.”

					
			
	1.6	 	Plan Administrator	 	   Pacific Capital Bancorp

					
			
		 	Address	 	   1021 Anacapa
Street

													
							
		 	City	 	   Santa Barbara
	 	State	 	   CA
	 	ZIP Code	 	   93101

									
					
		 	Telephone #	 	   (805) 564-6311
	 	Fax #	 	  

											
		
	1.7	 	Trustees. The Trustees of the Plan are as selected below. (The use of a trust agreement other than one which has been approved by the Internal Revenue Service
for use with this Plan will remove the Plan from M&P status and render it individually designed)
						
		 	 ̈	 	Individual Trustees	 	  
	 	  
	 	  

						
		 		 		 	  
	 	  
	 	  

							
				
		 		 	Address	 	  

															
								
		 		 	City	 	  
	 	State	 	  
	 	ZIP Code	 	  

							
				
		 	x	 	Corporate Trustee	 	   Charles Schwab Trust Company, a division of Charles Schwab
Bank

							
				
		 		 	Address	 	   215 Fremont Street, 6th
Floor

															
								
		 		 	City	 	   San Francisco
	 	State	 	   CA
	 	ZIP Code	 	   94105

  

					
	Prototype 401(k) Non-Std.	 	Page 2 of 31	 	IRS Serial No: [—]

											
		 	 ̈	 	Discretionary Trustee. The corporate Trustee has full discretion in investing the assets of the Plan except as otherwise instructed by the Administrator. by the
Employer, by an Investment Manager, by another Named Fiduciary <  ̈ or by a Participant in accordance with Section 16.3 of the Adoption Agreement with regard to Participant directed investments
>.
			
		 	x	 	Directed Trustee. The corporate Trustee is only permitted to invest the assets of the Plan as directed by the Administrator, by the Employer, by an Investment
Manager, by another Named Fiduciary < x or by a Participant in accordance with Section 16.3 of the Adoption Agreement with regard to Participant directed investments >.
		
	1.8	 	Effective Dates
			
		 	 ̈	 	This is a new plan effective
                    .
			
		 	x	 	This is an amended plan effective Jan 1, 2009 with an original effective date of Jan 1, 1966.
			
		 	 ̈	 	This is a frozen plan which was frozen                     .
The Plan remains frozen and is being amended and restated effective                     . The original effective date of the Plan is
                                        
.
		
	1.9	 	Plan Year. A 12-consecutive month period beginning Jan 1 and ending Dec 31
						
		 		 		 		 	 ̈	 	Except for a short Plan Year beginning
                                        

		
	1.10	 	Anniversary Date. The Anniversary Date of the Plan is Dec 31
		
	1.11	 	Permitted Contribution. The contributions checked below are currently permitted under the terms of the Plan. (check all that apply)
			
		 	x	 	Pre-Tax Elective Deferrals (see Section 4 of the Adoption Agreement on page 11)
		 	 ̈	 	Roth Elective Deferrals (see Section 4 of the Adoption Agreement on page 11)
		 	x	 	ADP Safe Harbor Contributions (see Section 5 of the Adoption Agreement on page 11)
		 	 ̈	 	ACP Safe Harbor Contributions (see Section 5 of the Adoption Agreement on page 12)
		 	 ̈	 	Non-Safe Harbor Matching Contributions (see Section 6 of the Adoption Agreement on page 12)
		 	x	 	Non-Safe Harbor Non-Elective Contributions (see Section 7 of the Adoption Agreement on page 14)
		 	x	 	Qualified Matching Contributions (see Sections 3.7 of the Basic Plan)
		 	x	 	Qualified Non-Elective Contributions (see Sections 3.8 of the Basic Plan)
		 	x	 	Rollover Contributions (see Section 8 of the Adoption Agreement on page 15 )
		 	 ̈	 	Voluntary Employee Contributions (see Section 8 of the Adoption Agreement on page 16)
		 	 ̈	 	Deemed IRA Contributions (see Section 8 of the Adoption Agreement on page 16)
		 	 ̈	 	Prevailing Wage Contributions (see Section 9 of the Adoption Agreement on page 16)

 Section 2. Service Definitions for Eligibility, Vesting and Allocations 
  

 

											
	2.1	 	Method of Determining Service. An Employee’s Years of Service/Periods of Service (“Service”) is determined as follows:
				
		 	(a)	 	x	 	Counting of Hours Method Only. A Participant’s Service for all purposes is determined by the Counting of Hours Method, and a Year of Service for eligibility
and Vesting is determined as selected in (1) and (2) below.
					
		 		 		 	(1)	 	Eligibility to Participate. A Year of Service for eligibility purposes is 1,000 (max. 1,000) Hours of Service and a Break in Service for
eligibility purposes is 500 (max. 500) Hours of Service.
					
		 		 		 	(2)	 	Vesting. A Year of Service for Vesting purposes is 1,000 (max. 1,000) Hours of Service and a Break in Service for Vesting purposes is 500
(max. 500) Hours of Service.
				
		 	(b)	 	 ̈	 	Elapsed Time Method Only. A Participant’s Service for all purposes is determined by the Elapsed Time Method.
				
		 	(c)	 	 ̈	 	A Mixture of Methods. A Participant’s Service for each purpose is determined by the method selected below.
					
		 		 		 	(1)	 	For Eligibility Purposes: (check one)
		 		 		 		 	 ̈    Elapsed Time Method
		 		 		 		 	 ̈    Counting of Hours Method. A Year of Service for eligibility purposes is
     (max. 1,000) Hours of          Service and a Break in Service for eligibility purposes is      (max. 500) Hours of
Service.

  

					
	Prototype 401(k) Non-Std.	 	Page 3 of 31	 	IRS Serial No: [—]

											
		 		 		 	(2)	 	For Vesting Purposes: (check one)
		 		 		 		 	 ̈      Elapsed Time Method
		 		 		 		 	 ̈      Counting of Hours Method. A Year of Service for Vesting purposes is
             (max. 1,000) Hours of Service and a Break in Service for Vesting purposes is              (max. 500)
Hours of Service.
					
		 		 		 	(3)	 	For benefit accrual and allocation purposes: (check one)
		 		 		 		 	 ̈	 	Elapsed Time Method
		 		 		 		 	 ̈	 	Counting of Hours Method

									
		
	2.2	 	 Predecessor Service. x Service with the following entity or entities
will be credited as selected in (a), (b), (c), (d) and (e) below: (this section need only be completed if the Employer does not maintain the plan of the predecessor employer)

All acquired independent banks who merged into PCBNA

		 	  

		 	  

		 	  

		 	  

				
		 	(a)	 	x	 	Elective Deferrals, QMACs and QNECs. Service with an entity listed above will be given for eligibility purposes under Section 3.2(a) of the Adoption
Agreement.
				
		 	(b)	 	x	 	ADP Safe Harbor Contributions. Service with an entity listed above will be given for eligibility purposes under Section 3.2(b) of the Adoption
Agreement.
				
		 	(c)	 	 ̈	 	ACP Safe Harbor Matching Contributions. Service with an entity listed above will be credited for: (check all that apply)
		 		 		 	 ̈	 	Eligibility purposes under Section 3.2(c) of the Adoption Agreement
		 		 		 	 ̈	 	Vesting purposes under Section 10.3 of the Adoption Agreement
				
		 	(d)	 	 ̈	 	Non-Safe Harbor Matching Contributions. Service with an entity listed above will be credited for: (check all that apply)
		 		 		 	 ̈	 	Eligibility purposes under Section 3.2(d) of the Adoption Agreement
		 		 		 	 ̈	 	Vesting purposes under Section 10.4 of the Adoption Agreement
				
		 	(e)	 	x	 	Non-Safe Harbor Non-Elective Contributions. Service with an entity listed above will be credited for: (check all that apply)
		 		 		 	x	 	Eligibility purposes under Section 3.2(e) of the Adoption Agreement
		 		 		 	x	 	Vesting purposes under Section 10.5 of the Adoption Agreement
		
	2.3	 	Re-Hired Employees. The Service of an Eligible Employee who Terminates Employment and is rehired after incurring a Break in Service will be credited in accordance
with the provisions selected below.
				
		 	(a)	 	 ̈	 	One Year Holdout Rule. The One Year Holdout Rule will be applied to rehired Eligible Employees.
				
		 	(b)	 	x	 	Rule of Parity. The Rule of Parity will be applied to non-Vested rehired Eligible Employees.
		
	2.4	 	Computation Periods. If eligibility and/or Vesting are determined by the Counting of Hours Method, the following will apply:
				
		 	(a)	 	x	 	The eligibility computation period will: (check one)
		 		 		 	 ̈	 	Be based on an Employee’s 12-month employment year
		 		 		 	x	 	Switch to the Plan Year after an Employee’s initial 12-month employment year
				
		 	(b)	 	x	 	The Vesting computation period will be: (check one)
		 		 		 	x	 	The Plan Year
		 		 		 	 ̈	 	Based on an Employee’s 12-month employment year
				
		 	(c)	 	x	 	An Employee will be deemed to have been credited with a Year of Service for eligibility purposes: (check one)
		 		 		 	x	 	At the end of the eligibility computation period in which he or she is credited with the required Hours of Service
		 		 		 	 ̈	 	At the time he or she is actually credited with the required Hours of Service

  

					
	Prototype 401(k) Non-Std.	 	Page 4 of 31	 	IRS Serial No: [—]

 Section 3. Eligibility Requirements 

 
  

											
	3.1	 	Eligible Employees. All Employees are Eligible Employees < x except for the class or classes of Employees (as
defined in Section 2.1 of the Basic Plan) below who are excluded from participating for the purpose selected > (check all that apply)
				
		 	(a)	 	x	 	Ineligible Classes for Elective Deferrals, QMACs and QNECs.
		 		 		 	x	 	Union Employees
		 		 		 	 ̈	 	Non-Resident Alien Employees
		 		 		 	 ̈	 	“Merger and Acquisition” Employees (but only during the statutory exclusion period.
		 		 		 	 ̈	 	Highly Compensated Employees
1
		 		 		 	 ̈	 	Leased Employees (not otherwise excluded by statute) 1
		 		 		 	 ̈	 	Employees of an Affiliated Employer that does not adopt this Plan 1
		 		 		 	 ̈	 	Key Employees <  ̈ but only those who are also Highly Compensated Employees > 1
		 		 		 	 ̈	 	Employees who are paid primarily by salary
1
		 		 		 	 ̈	 	Employees who are paid primarily by the hour
1
		 		 		 	 ̈	 	Employees who are paid primarily by commissions 1
		 		 		 	 ̈	 	Other (cannot be age or service related) 1	 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

				
		 		 		 	 1   Even if checked, these employees are still included in determining if the Plan satisfies the
requirement of Code §410(b).

				
		 	(b)	 	 ̈	 	Ineligible Classes for ADP Safe Harbor Contributions. Any ineligible classes checked in (a) above are also ineligible for ADP Safe Harbor Contributions. In
addition, the classes checked below are ineligible for ADP Sale Harbor Contributions.
		 		 		 	 ̈	 	Union Employees (if not already checked in (a) above)
		 		 		 	 ̈	 	Key Employees who are also Highly Compensated Employees (if not already checked in (a) above) 1
		 		 		 	 ̈	 	Highly Compensated Employees (if not already checked in (a) above) 1
		 		 		 	 ̈	 	Other (cannot be age or service related) 1	 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

				
		 		 		 	 1   Even if checked, these employees are still included in determining if the Plan satisfies the
requirements of Code §410(b).

				
		 	(c)	 	 ̈	 	Ineligible Classes for ACP Safe Harbor Contributions. Any ineligible classes checked in (a) above are also ineligible for ACP Safe Harbor Contributions. In
addition, the classes checked below are ineligible for ACP Safe Harbor Contributions.
		 		 		 	 ̈	 	Union Employees (if not already checked in (a) above)
		 		 		 	 ̈	 	Key Employees who are also Highly Compensated Employees (if not already checked in (a) above) 1
		 		 		 	 ̈	 	Highly Compensated Employees (if not already checked in (a) above) 1
		 		 		 	 ̈	 	Other (cannot be age or service related) 1	 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

  

					
	Prototype 401(k) Non-Std.	 	Page 5 of 31	 	IRS Serial No: [—]

											
		 		 		 	  
 1  
 Even if checked, these employees are still included in determining if the Plan satisfies the requirements of Code §410(b).

				
		 	(d)	 	 ̈	 	Ineligible Classes for Non-Safe Harbor Matching Contributions.
		 		 		 	 ̈	 	Union Employees
		 		 		 	 ̈	 	Non-Resident Alien Employee
		 		 		 	 ̈	 	“Merger and Acquisition” Employees (but only during the statutory exclusion period.
		 		 		 	 ̈	 	Highly Compensated Employees
1
		 		 		 	 ̈	 	Leased Employees (not otherwise excluded by statute) 1
		 		 		 	 ̈	 	Employees of an Affiliated Employer that does not adopt this Plan 1
		 		 		 	 ̈	 	Key Employees <  ̈ but only those who are also Highly Compensated Employees > 1
		 		 		 	 ̈	 	Employees who are paid primarily by salary
1
		 		 		 	 ̈	 	Employees who are paid primarily by the hour
1
		 		 		 	 ̈	 	Employees who are paid primarily by commissions 1
		 		 		 	 ̈	 	Other (cannot be age or service related) 1	 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

				
		 		 		 	 1   Even if checked, these employees are still included in determining if the Plan satisfies the
requirement of Code §410(b).

				
		 	(e)	 	x	 	Ineligible Classes for Non-Safe Harbor Non-Elective Contributions.
		 		 		 	x	 	Union Employees
		 		 		 	 ̈	 	Non-Resident Alien Employees
		 		 		 	 ̈	 	“Merger and Acquisition” Employees (but only during the statutory exclusion period)
		 		 		 	 ̈	 	Highly Compensated Employees
1
		 		 		 	 ̈	 	Leased Employees (not otherwise excluded by statute) 1
		 		 		 	 ̈	 	Employees of an Affiliated Employer that does not adopt this Plan 1
		 		 		 	 ̈	 	Key Employees <  ̈ but only those who are also Highly Compensated Employees > 1
		 		 		 	 ̈	 	Employees who are paid primarily by salary
1
		 		 		 	 ̈	 	Employees who are paid primarily by the hour
1
		 		 		 	 ̈	 	Employees who are paid primarily by commissions 1
		 		 		 	 ̈	 	Other (cannot be age or service related) 1	 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	  

		 		 		 	 1   Even if checked, these employees are still included in determining if the Plan satisfies the
requirements of Code §410(b).

													
		
	3.2	 	Minimum Age and Service Requirements. An Eligible Employee (see Section 3.1 above) will be eligible to enter the Plan as a
		 	Participant for the selected purpose on the applicable Entry Date upon satisfying the following age and/or service requirements:
				
		 	(a) 	 	x	 	Requirements for Elective Deferrals, QMACs and QNECs:
					
		 		 		 	(1)	 	Age Requirement 18 (max. 21 – enter zero if none)
					
		 		 		 	(2)	 	Service Requirement (check one)
		 		 		 		 	 ̈	 	A)	 	None
		 		 		 		 	 ̈	 	B)	 	1-Year Period of Service

  

					
	Prototype 401(k) Non-Std.	 	Page 6 of 31	 	IRS Serial No: [—]

													
		 		 		 		 	 ̈	 	C)	 	            -month Period of Service (max. 12)
		 		 		 		 	 ̈	 	D)	 	            -week Period of Service (max. 12)
		 		 		 		 	 ̈	 	E)	 	            -day Period of Service (max. 365)
		 		 		 		 	 ̈	 	F)	 	1 Year of Service
		 		 		 		 	 ̈	 	G)	 	1 Year of Service, or if earlier,              (max. 11) consecutive calendar months of
employment
		 		 		 		 		 		 	 ̈  in which the Employee is credited with at least
             Hours of Service per month
		 		 		 		 	 ̈	 	H)	 	1 Year of Service, or if earlier,              (max. 51) consecutive weeks of employment
		 		 		 		 		 		 	 ̈  in which the Employee is credited with at
             least Hours of Service per week
		 		 		 		 	x	 	I)	 	1 Year of Service, or if earlier, 90 (max. 364) consecutive days of employment
		 		 		 		 		 		 	 ̈  in which the Employee is credited with at least
             Hours of Service per day
				
		 	(b)	 	x	 	Requirements for ADP Safe Harbor Contributions:
					
		 		 		 	(1)	 	Age Requirement 18 (max. 21- enter zero if none)
					
		 		 		 	(2)	 	Service Requirement (check one)
		 		 		 		 	 ̈	 	A)	 	None
		 		 		 		 	 ̈	 	B)	 	1-Year Period of Service
		 		 		 		 	 ̈	 	C)	 	            -month Period of Service (max. 12)
		 		 		 		 	 ̈	 	D)	 	            -week Period of Service (max. 52)
		 		 		 		 	 ̈	 	E)	 	            -day Period of Service (max. 365)
		 		 		 		 	 ̈	 	F)	 	1 Year of Service
		 		 		 		 	 ̈	 	G)	 	1 Year of Service, or if earlier,              (max. 11) consecutive calendar months of
employment
		 		 		 		 		 		 	 ̈  in which the Employee is credited with at least
             Hours of Service per month
		 		 		 		 	 ̈	 	H)	 	1 Year of Service, or if earlier,              (max. 51) consecutive weeks of employment
		 		 		 		 		 		 	 ̈  in which the Employee is credited with at least
             Hours of Service per week
		 		 		 		 	x	 	I)	 	1 Year of Service, or if earlier, 90 (max. 364) consecutive days of employment
		 		 		 		 		 		 	 ̈  in which the Employee is credited with at least
             Hours of Service per day
				
		 	(c)	 	 ̈	 	Requirements for ACP Safe Harbor Contributions:
					
		 		 		 	(1)	 	Age Requirement              (max. 21- enter zero if none)
					
		 		 		 	(2)	 	Service Requirement (check one)
		 		 		 		 	 ̈	 	A)	 	None
		 		 		 		 	 ̈	 	B)	 	1-Year Period of Service
		 		 		 		 	 ̈	 	C)	 	            -month Period of Service (max. 12)
		 		 		 		 	 ̈	 	D)	 	            -week Period of Service (max. 52)
		 		 		 		 	 ̈	 	E)	 	            -day Period of Service (max. 365)
		 		 		 		 	 ̈	 	F)	 	1 Year of Service
		 		 		 		 	 ̈	 	G)	 	1 Year of Service, or if earlier,              (max. 11) consecutive calendar months of
employment
		 		 		 		 		 		 	 ̈  in which the Employee is credited with at least
             Hours of Service per month
		 		 		 		 	 ̈	 	H)	 	1 Year of Service, or if earlier,              (max. 51) consecutive weeks of employment
		 		 		 		 		 		 	 ̈  in which the Employee is credited with at least
             Hours of Service per week
		 		 		 		 	 ̈	 	I)	 	1 Year of Service, or if earlier,              (max. 364) consecutive days of employment
		 		 		 		 		 		 	 ̈  in which the Employee is credited with at least
             Hours of Service per day
				
		 	(d)	 	 ̈	 	Requirements for Non-Safe Harbor Matching Contributions:
					
		 		 		 	(1)	 	Age Requirement              (max. 21- enter zero if none)
					
		 		 		 	(2)	 	Service Requirement (check one)
		 		 		 		 	 ̈	 	A)	 	None
		 		 		 		 	 ̈	 	B)	 	            -Year Period of Service (max. 2, but Vesting must be 100% if more than 1 year is
used)
		 		 		 		 	 ̈	 	C)	 	            -month Period of Service (max. 24, but Vesting must be 100% if more than 12 months are
used)
		 		 		 		 	 ̈	 	D)	 	            -week Period of Service (max. 104, but Vesting must be 100% if more than 52 weeks are
used)

  

					
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		 		 		 		 	 ̈	 	E)	 	            -day Period of Service (max 730, but Vesting must be 100% if more than 365 days are
used)
		 		 		 		 	 ̈	 	F)	 	            -Year(s) of Service (max 2, but Vesting must be 100% if more than 1 year is
used)
		 		 		 		 	 ̈	 	G)	 	1 Year of Service, or if earlier,              (max. 11) consecutive calendar months of
employment
		 		 		 		 		 		 	 ̈  in which the Employee is credited with at least
             Hours of Service per month
		 		 		 		 	 ̈	 	H)	 	1 Year of Service, or if earlier,              (max. 51) consecutive weeks of employment
		 		 		 		 		 		 	 ̈  in which the Employee is credited with at least
             Hours of Service per week
		 		 		 		 	 ̈	 	I)	 	1 Year of Service, or if earlier,              (max. 364) consecutive days of employment
		 		 		 		 		 		 	 ̈  in which the Employee is credited with at least
             Hours of Service per day
				
		 	(e)	 	x	 	Requirements for Non-Safe Harbor Non-Elective Contributions:
					
		 		 		 	(1)	 	Age Requirement 18 (max. 21- enter zero if none)
					
		 		 		 	(2)	 	Service Requirement (check one)
		 		 		 		 	 ̈	 	A)	 	None
		 		 		 		 	 ̈	 	B)	 	            -Year Period of Service (max. 2, but Vesting must be 100% if more than 1 year is
used)
		 		 		 		 	 ̈	 	C)	 	            -month Period of Service (max. 24, but Vesting must be 100% if more than 12 months are
used)
		 		 		 		 	 ̈	 	D)	 	            -week Period of Service (max. 104, but Vesting must be 100% if more than 52 weeks are
used)
		 		 		 		 	 ̈	 	E)	 	            -day Period of Service (max. 730, but Vesting must be 100% if more than 365 days are
used)
		 		 		 		 	x	 	F)	 	1-Year(s) of Service (max. 2, but Vesting must be 100% if more than 1 year is used)
		 		 		 		 	 ̈	 	G)	 	1 Year of Service, or if earlier,              (max. 11) consecutive calendar months of
employment
		 		 		 		 		 		 	 ̈  in which the Employee is credited with at least
             Hours of Service per month
		 		 		 		 	 ̈	 	H)	 	1 Year of Service, or if earlier,              (max. 51) consecutive weeks of employment
		 		 		 		 		 		 	 ̈  in which the Employee is credited with at least
             Hours of Service per week
		 		 		 		 	 ̈	 	I)	 	1 Year of Service, or if earlier,              (max. 364) consecutive days of employment
		 		 		 		 		 		 	 ̈  in which the Employee is credited with at least
             Hours of Service per day
		
	3.3	 	Entry Dates. An Eligible Employee who has satisfied the applicable age and service requirements selected in Section 3.2 will enter the Plan as a Participant for
the applicable purpose on the Entry Date (as defined in Section 2.2 of the Basic Plan) selected below.
				
		 	(a)	 	x	 	Entry Date for Elective Deferrals, QMACs and QNECs: (check one)
				
		 		 		 	Note: If Section 3.2(a)(2)(G), (H) or (I) is checked, an Eligible Employee who is entering the Plan as a Participant after satisfying the 1 Year of Service component
of such service requirement will enter the Plan as a Participant on the earlier of (1) the first day of the Plan Year that occurs after the date he or she satisfies the 1 Year of Service requirement (and any applicable age requirement) or (2) the
date that occurs six months after the date he or she satisfies the 1 Year of Service requirement (and any applicable age requirement). The Entry Date or Entry Dates selected below will only apply to an Eligible Employee who is entering the Plan as a
Participant after satisfying the months, days or weeks component of such service requirement (and any applicable age requirement).
					
		 		 		 	 ̈	 	The first day of the Plan Year coincident with or following the date the requirements are satisfied. 1
		 		 		 	 ̈	 	The last day of the Plan Year coincident with or following the date the requirements are satisfied. 1
		 		 		 	 ̈	 	The first day of the month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the payroll period coincident with or following the date the requirements are satisfied.
		 		 		 	x	 	The same day the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the 1st or 7th month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The last day of the 6th or 12th month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the 1st, 4th, 7th or 10th month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The last day of the 3rd, 6th, 9th or 12th month coincident with or following the date the requirements are satisfied.
				
		 		 		 	 1     This option cannot be checked if the age requirement in 3.2(a)(1) is 21 and/or
if one of the following service requirements is checked: 3.2(a)(2)(B); 3.2(a)(2)(C) and the number of months is more than 6; 3.2(a)(2)(D) and the number of weeks is more than 26; 3.2(a)(2)(E) and the number of days is more than 182; or
3.2(a)(2)(F).

				
		 	(b)	 	x	 	Entry Date for ADP Safe Harbor Contributions: (check one)
				
		 		 		 	Note: If Section 3.2(b)(2)(G), (H) or (I) is checked, an Eligible Employee who is entering the Plan as a Participant after satisfying the 1 Year of Service component
of such service requirement will enter the Plan as a Participant on the earlier of (1) the first day of the Plan Year that occurs after the date he or she satisfies the 1 Year of Service requirement (and any applicable age requirement) or (2) the
date that occurs six months after the date he or she satisfies the 1 Year of

  

					
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		 		 		 	Service requirement (and any applicable age requirement). The Entry Date or Entry Dales selected below will only apply to an Eligible Employee who is entering the
Plan as a Participant after satisfying the months, days or weeks component of such service requirement (and any applicable age requirement).
					
		 		 		 	 ̈	 	Retroactive to the first day of the Plan Year in which the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the Plan Year coincident with or following the date the requirements are satisfied. 1
		 		 		 	 ̈	 	The first day of the Plan Year nearest the date the requirements are satisfied.
		 		 		 	 ̈	 	The last day of the Plan Year coincident with or following the date the requirements are satisfied. 1
		 		 		 	 ̈	 	The last day of the Plan Year nearest the date the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the payroll period coincident with or following the date the requirements are satisfied.
		 		 		 	x	 	The same day the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the 1st or 7th month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The last day of the 6th or 12th month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the 1st, 4th, 7th or 10th month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The last day of the 3rd, 6th, 9th or 12th month coincident with or following the date the requirements are satisfied.
				
		 		 		 	 1   This option cannot be checked if the age requirement in 3.2(b)(1) is 21 and/or if one of the following
service requirements is checked: 3.2(b)(2)(B); 3.2(b)(2)(C) and the number of months is more than 6; 3.2(b)(2)(D) and the number of weeks is more than 26; 3.2(b)(2)(E) and the number of days is more than 182; or 3.2(b)(2)(F).

				
		 	(c)	 	 ̈	 	Entry Date for ACP Safe Harbor Contributions: (check one)
				
		 		 		 	Note: If Section 3.2(c)(2)(G), (H) or (I) is checked, an Eligible Employee who is entering the Plan as a Participant after satisfying the 1 Year of Service component
of such service requirement will enter the Plan as a Participant on the earlier of (1) the first day of the Plan Year that occurs after the date he or she satisfies the 1 Year of Service requirement (and any applicable age requirement) or (2) the
date that occurs six months after the date he or she satisfies the 1 Year of Service requirement (and any applicable age requirement). The Entry Date or Entry Dates selected below will only apply to an Eligible Employee who is entering the Plan as a
Participant after satisfying the months, days or weeks component of such service requirement (and any applicable age requirement).
					
		 		 		 	 ̈	 	Retroactive to the first day of the Plan Year in which the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the Plan Year coincident with or following the date the requirements are satisfied. 1
		 		 		 	 ̈	 	The first day of the Plan Year nearest the date the requirements are satisfied.
		 		 		 	 ̈	 	The last day of the Plan Year coincident with or following the date the requirements are satisfied. 1
		 		 		 	 ̈	 	The last day of the Plan Year nearest the date the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the payroll period coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The same day the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the 1st or 7th month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The last day of the 6th or 12th month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the 1st, 4th, 7th or 10th month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The last day of the 3rd, 6th, 9th or 12th month coincident with or following the date the requirements are satisfied.
				
		 		 		 	 1   This option cannot be checked if the age requirement in 3.2(c)(1) is 21 and/or if one of the following
service requirements is checked: 3.2(c)(2)(B); 3.2(a)(2)(C) and the number of months is more than 6; 3.2(c)(2)(D) and the number of weeks is more than 26; 3.2(c)(2)(E) and the number of days is more than 182; or 3.2(c)(2)(F).

				
		 	(d)	 	 ̈	 	Entry Date for Non-Safe Harbor Matching Contributions: (check one)
				
		 		 		 	Note: If Section 3.2(d)(2)(G), (H) or (I) is checked, an Eligible Employee who is entering the Plan as a Participant after satisfying the 1 Year of Service component
of such service requirement will enter the Plan as a Participant on the earlier of (1) the first day of the Plan Year that occurs after the date he or she satisfies the 1 Year of Service requirement (and any applicable age requirement) or (2) the
date that occurs six months after the date he or she satisfies the 1 Year of Service requirement (and any applicable age requirement). The Entry Date or Entry Dates selected below will only apply to an Eligible Employee who is entering the Plan as a
Participant after satisfying the months, days or weeks component of such service requirement (and any applicable age requirement).

  

					
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		 		 		 	 ̈	 	Retroactive to the first day of the Plan Year in which the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the Plan Year coincident with or following the date the requirements are satisfied. 1
		 		 		 	 ̈	 	The first day of the Plan Year nearest the date the requirements are satisfied.
		 		 		 	 ̈	 	The last day of the Plan Year coincident with or following the date the requirements are satisfied. 1
		 		 		 	 ̈	 	The last day of the Plan Year nearest the date the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the payroll period coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The same day the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the 1st or 7th month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The last day of the 6th or 12th month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the 1st, 4th, 7th or 10th month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The last day of the 3rd, 6th, 9th or 12th month coincident with or following the date the requirements are satisfied.
				
		 		 		 	 1   This option cannot be checked if the age requirement in 3.2(d)(1) is 21 and/or if one of the following
service requirements is checked: 3.2(a)(2)(B); 3.2(d)(2)(C) and the number of months is more than 6; 3.2(d)(2)(D) and the number of weeks is more than 26; 3.2(d)(2)(E) and the number of days is more than 182; or 3.2(d)(2)(F).

				
		 	(e)	 	x	 	Entry Date for Non-Safe Harbor Non-Elective Contributions: (check one)
				
		 		 		 	Note: If Section 3.2(e)(2)(G), (H) or (I) is checked, an Eligible Employee who is entering the Plan as a Participant after satisfying the 1 Year of Service component
of such service requirement will enter the Plan as a Participant on the earlier of (1) the first day of the Plan Year that occurs after the date he or she satisfies the 1 Year of Service requirement (and any applicable age requirement) or (2) the
date that occurs six months after the date he or she satisfies the 1 Year of Service requirement (and any applicable age requirement). The Entry Date or Entry Dates selected below will only apply to an Eligible Employee who is entering the Plan as a
Participant after satisfying the months, days or weeks component of such service requirement (and any applicable age requirement).
					
		 		 		 	 ̈	 	Retroactive to the first day of the Plan Year in which the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the Plan Year coincident with or following the date the requirements are satisfied. 1
		 		 		 	 ̈	 	The first day of the Plan Year nearest the date the requirements are satisfied.
		 		 		 	 ̈	 	The last day of the Plan Year coincident with or following the date the requirements are satisfied. 1
		 		 		 	 ̈	 	The last day of the Plan Year nearest the date the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the payroll period coincident with or following the date the requirements are satisfied.
		 		 		 	x	 	The same day the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the 1st or 7th month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The last day of the 6th or 12th month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The first day of the 1st, 4th, 7th or 10th month coincident with or following the date the requirements are satisfied.
		 		 		 	 ̈	 	The last day of the 3rd, 6th, 9th or 12th month coincident with or following the date the requirements are satisfied.
				
		 		 		 	 1   This option cannot be checked if the age requirement in 3.2(e)(1) is 21 and/or if one of the following
service requirements is checked: 3.2(e)(2)(B); 3.2(a)(2)(C) and the number of months is more than 6; 3.2(e)(2)(D) and the number of weeks is more than 26; 3.2(e)(2)(E) and the number of days is more than 182; or 3.2(e)(2)(F).

 Section 4. Elective Deferrals 

 
  

							
	4.1	 	Elective Deferral Percentage. A Participant can make Elective Deferrals <  ̈ beginning
                     (must be on or after the date this Adoption Agreement is signed by the Sponsoring Employer) > in accordance
with the provisions selected below.
			
		 	(a)	 	Minimum and Maximum Percentage. The minimum permitted Elective Deferral percentage is 1% (enter zero if there is no minimum %) of Compensation and
the maximum permitted Elective Deferral percentage is 80% (max. 100%) of Compensation. Any other Elective Deferral provisions will be set forth in an administrative policy regarding Elective Deferrals as promulgated by the
Administrator from time to time. Such administrative policy may include, but is not limited to, setting the maximum Elective Deferral percentage for Participants who are Highly Compensated Employees (if such percentage is less than the maximum
percentage set forth above) and describing a program of automatic increases to a Participants’ Elective Deferral percentage as elected by the Administrator and/or the
Participant.

  

					
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		 	(b)	 	Salary Reduction Agreements. A Participant can change his or her Salary Reduction Agreement: (check one)
				
		 		 	 ̈	 	At any time
		 		 	 ̈	 	Annually on the date established by the Administrator
		 		 	 ̈	 	Semi-annually on the date established by the Administrator
		 		 	 ̈	 	Quarterly on the date established by the Administrator
		 		 	 ̈	 	Monthly on the day established by the Administrator
		 		 	x	 	On the date or dates as established by the Administrator
				
		 	(c)	 	 ̈	 	Automatic Enrollment. Automatic enrollment is permitted, The terms of the automatic enrollment, including but not limited to the percentage, automatic increases to that
percentage, the proportion that is considered a Pre-Tax Elective Deferral and/or a Roth Elective Deferral, and the Participants to whom it applies, will be set forth in an administrative policy regarding Elective Deferrals as promulgated from time
to time by the Administrator.
			
	4.2	 	x	 	Catch-Up Contributions. Catch-Up Contributions are permitted in accordance with Section 3.2(e) of the Basic Plan.
			
	4.3	 	 ̈	 	Roth Elective Deferrals. A Participant may designate all or a portion or his or her Elective Deferrals as Roth Elective Deferrals in accordance with Section
3.2(c) of the Basic Plan.

 Section 5. x Safe Harbor
Contributions 
  
  

							
	5.1	 	 ̈	 	“Mandatory” ADP Safe Harbor Non-Elective Contributions. Subject to Section 3.20 of the Basic Plan, the Employer will make an ADP Safe Harbor
Non-Elective Contribution for each Safe Harbor Participant in an amount equal to 3% (or such higher percentage as may be elected by the Employer by resolution) of Compensation, except as may be indicated below.
				
		 		 	 ̈	 	The ADP Safe Harbor Non-Elective Contribution will be used to offset the allocation that would otherwise be made to the Participant under Section 7 of the Adoption Agreement. If
Section 7.2(d) of the Adoption Agreement is checked, this offset applies only to the second step of the Two-Step Formula or the fourth step of the Four-Step Formula, as applicable.
				
		 		 	 ̈	 	This contribution will be made to the following defined contribution plan in lieu of this Plan:
		 		 		 	  

		 		 		 	  

			
	5.2	 	 ̈	 	“Contingent” ADP Safe Harbor Non-Elective Contributions. Subject to Section 3.20 of the Basic Plan, the Employer may make an ADP Safe Harbor
Non-Elective Contribution for each Safe Harbor Participant in an amount equal to 3% (or such higher percentage as may be elected by the Employer by resolution) of Compensation, except as may be indicated below.
				
		 		 	 ̈	 	The ADP Safe Harbor Non-Elective Contribution will be used to offset the allocation that would otherwise be made to the Participant under Section 7 of the Adoption Agreement. If
Section 7.2(d) of the Adoption Agreement is checked, this offset applies only to the second step of the Two-Seep Formula or the fourth step of the Four-Step Formula, as applicable.
				
		 		 	 ̈	 	This contribution will be made to the following defined contribution plan in lieu of this Plan:
		 		 		 	  

		 		 		 	  

			
	5.3	 	 ̈	 	ADP Safe Harbor Basic Matching Contributions. The Employer will make a Matching Contribution for each Safe Harbor Participant equal to the sum of (1) 100% of the
Participant’s Elective Deferrals that do not exceed 3% of Compensation for the Allocation Period, plus (2) 50% of the Participant’s Elective Deferrals that exceed 3% of Compensation for the Allocation Period but do not exceed 5%
percent of Compensation for the Allocation Period.
			
	5.4	 	x	 	ADP Safe Harbor Enhanced Matching Contributions. The Employer will make a Matching Contribution for each Safe Harbor Participant equal to the sum of (1) 100% of
the Participant’s Elective Deferrals that do not exceed 3% of Compensation for the Allocation Period, plus (2) 50% of the Participant’s Elective Deferrals that exceed 3% of Compensation but do not
exceed 6% of Compensation for the Allocation Period. (Note: In the blank in (1) and the second blank in (2), insert a number that is 3 but not greater than 6. The first and last blanks in (2) 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 ADP Safe Harbor Basic Matching Contributions, but the rate of match cannot increase as deferrals
increase.)
				
		 		 		 	Note: You can only select Sections 5.5, 5.6 and/or 5.7 below if you also selected Section 5.1, 5.2, 5.3 or 5.4 above.
			
	5.5	 	 ̈	 	ACP Safe Harbor Discretionary Non-Tiered Matching Contributions. The Employer’s ACP Safe Harbor Discretionary Non-Tiered Matching Contribution is totally
discretionary, but when made will be a percentage determined by the Employer of

  

					
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		 		 	a Safe Harbor Participant’s Elective Deferrals that do not exceed 4% of his or her Compensation for the Allocation Period. (Note: Any ACP Safe Harbor
Discretionary Non-Tiered Matching Contribution that exceeds 4% of a Participant’s Compensation is considered a Non-Safe Harbor Matching Contribution and is subject to the ACP Test.)
			
	5.6	 	 ̈	 	ACP Safe Harbor Mandatory Non-Tiered Matching Contributions. The Employer must make an ACP Safe Harbor Mandatory Non-Tiered Matching Contribution equal to
            % of a Safe Harbor Participant’s Elective Deferrals which do not exceed             % (max. 6)
of a Safe Harbor Participant’s Compensation for the Allocation Period.
			
	5.7	 	 ̈	 	ACP Safe Harbor Mandatory Tiered Matching Contributions. The Employer must make an ACP Safe Harbor. Mandatory Tiered Matching Contribution for each Safe Harbor
Participant equal to the amount determined below, provided the ratio of Matching Contributions for a Safe Harbor Participant to his or her Elective Deferrals and Employee Contributions does not increase as the amount of his or her Elective Deferrals
and Employee Contributions increases. In no event can Elective Deferrals that exceed 6% of Compensation for the Allocation Period be matched. (Note: The blanks must be completed so that, at any rate of Elective Deferrals, the rate of Matching
Contributions cannot increase as Elective Deferrals increase.)
					
		 		 	 ̈	 	1st tier	 	            % of Elective Deferrals that do not exceed
            % of Compensation
		 		 	 ̈	 	2nd tier	 	            % of Elective Deferrals that exceed
            % but not             % of Compensation
		 		 	 ̈	 	3rd tier	 	            % of Elective Deferrals that exceed
            % but not             % of Compensation
		 		 	 ̈	 	4th tier	 	            % of Elective Deferrals that exceed
            % but not             % of Compensation

Section 6.  ̈ Non-Safe Harbor Matching Contributions 

 
  

											
	6.1	 	Determination of Amount. Non-Safe Harbor Matching Contributions are permitted <  ̈ beginning
                     (must be after the later of the Plan’s original effective date or the restatement date) >, subject to the
provisions selected below.
				
		 	(a)	 	 ̈	 	Totally Discretionary Formula (Non-Tiered). Subject to the requirements set forth in Section 3.4(f) of the Basic Plan, the Employer’s Non-Safe Harbor
Matching Contribution for any Allocation Period is totally discretionary.
				
		 	(b)	 	 ̈	 	Discretionary Formula (Tiered or Non-Tiered) With Fixed Maximum. Subject to the requirements set forth in Section 3.4(f) of the Basic Plan, the Employer may make
a Non-Safe Harbor Matching Contribution for any Allocation Period equal to a discretionary percentage of each Benefiting Participant’s Elective Deferrals, not to exceed the following amount for any Allocation Period on behalf of any Benefiting
Participant:
					
		 		 		 	 ̈	 	            % (max. 100%) of a Benefiting Participant’s Elective
Deferrals
		 		 		 	 ̈	 	            % of a Benefiting Participant’s Compensation (this % cannot exceed the minimum
deferral % in -1.4(a))
		 		 		 	 ̈	 	$             for a Benefiting Participant
		 		 		 	 ̈	 	The lesser of             % of a Benefiting Participant’s Compensation or
$            
		 		 		 	 ̈	 	            % (max. 100%) of a Participant Elective Deferrals that do not exceed
            % of his or her Compensation
				
		 	(c)	 	 ̈	 	Mandatory Non-Tiered Formula. The Employer must make a Non-Safe Harbor Matching Contribution equal to
            % (max. 100%) of each Benefiting Participant’s Elective Deferrals  ̈ not to exceed the following for an
Allocation Period:
					
		 		 		 	 ̈	 	Elective Deferrals in excess of             % of each Benefiting Participant’s
Compensation
		 		 		 	 ̈	 	$             for each Benefiting Participant
		 		 		 	 ̈	 	The lesser of Elective Deferrals in excess of             % of each Benefiting Participant’s
Compensation or $            
				
		 	(d)	 	 ̈	 	Mandatory Tiered Formula. The Employer must make a Non-Safe Harbor Matching Contribution for each Benefiting Participant equal to the amount determined by the
tiered formula below. (check each tier that applies, but note that the rate of Non-Safe Harbor Matching Contributions cannot increase as Elective Deferrals increase)
						
		 		 		 	 ̈	 	1st tier	 	            % of Elective Deferrals that do not exceed
            % of Compensation
		 		 		 	 ̈	 	2nd tier	 	            % of Elective Deferrals that exceed
            % but not             % of Compensation
		 		 		 	 ̈	 	3rd tier	 	            % of Elective Deferrals that exceed
            % but not             % of Compensation
		 		 		 	 ̈	 	4th tier	 	            % of Elective Deferrals that exceed
            % but not             % of Compensation
		 		 		 	 ̈	 	5th tier	 	            % of Elective Deferrals that exceed
            % but not             % of Compensation
		 		 		 	 ̈	 	6th tier	 	            % of Elective Deferrals that exceed
            % but not             % of Compensation
		 		 		 	 ̈	 	7th tier	 	            % of Elective Deferrals that exceed
            % but not             % of Compensation
		 		 		 	 ̈	 	8th tier	 	            % of Elective Deferrals that exceed
            % but not             % of Compensation

  

					
	Prototype 401(k) Non-Std.	 	Page 12 of 31	 	IRS Serial No: [—]

											
		 		 		 	 ̈	 	9th tier	 	            % of Elective Deferrals that exceed
            % but not             % of Compensation
		 		 		 	 ̈	 	10th tier	 	            % of Elective Deferrals that exceed
            % but not             % of
Compensation

											
				
		 	(e)	 	 ̈	 	Mandatory Years/Periods of Service Formula. The Employer must make a Non-Safe Harbor Matching Contribution for each Benefiting Participant equal to the Matching
percentage indicated below of each Benefiting Participant’s Elective Deferrals based on the Benefiting Participant’s <  ̈ 1-Year Periods of Service > <  ̈ Years of Service, and a Year of Service for purposes of this Section is a Plan Year in which a Participant is credited with
             (max. 1,000)k Hours of Service >, subject to any limitations indicated below. (check each tier that applies)
						
		 		 		 	Years/Periods of Service	 	Matching %	 	
						
		 		 		 	                 to           
      	 	            %	 	<  ̈ up to $             > <  ̈ up to             % of Compensation >
		 		 		 	                 to           
      	 	            %	 	<  ̈ up to $             > <  ̈ up to             % of Compensation >
		 		 		 	                 to           
      	 	            %	 	<  ̈ up to $             > <  ̈ up to             % of Compensation >
		 		 		 	                 to           
      	 	            %	 	<  ̈ up to $             > <  ̈ up to             % of Compensation >
		 		 		 	                 to           
      	 	            %	 	<  ̈ up to $             > <  ̈ up to             % of Compensation >
		
	6.2	 	Benefiting Participants. Any Employee who has entered the Plan as a Participant for Non-Safe Harbor Matching Contribution purposes and makes an Elective Deferral
in an Allocation Period <  ̈ and who is an NHCE for that Allocation Period > will be a Benefiting Participant under this Section for an Allocation Period based on the conditions below <  ̈ provided the Participant is still an Eligible Employee under Section 3.1(d) on the last day of the Allocation Period (or earlier Termination of Employment) >.
			
		 	(a)	 	Participants who are still Employees on the last day of the Allocation Period (check one)
		 		 	 ̈	 	Will always be Benefiting Participants regardless of Service
		 		 	 ̈	 	Must be credited with              (max. 1,000) Hours of Service in the Allocation
Period
		 		 	 ̈	 	Must be credited with a              (max. 6) month Period of Service in the Allocation
Period
		 		 	 ̈	 	Must be credited with              (max. 6) consecutive calendar months of employment in the
Allocation Period
		 		 	 ̈	 	Must be credited with              (max. 182) consecutive days of employment in the Allocation
Period
			
		 	(b)	 	Participants who Terminate Employment before the last day of the Allocation Period because of retirement on or after Normal Retirement Age <  ̈ or Early Retirement Age >, or because of death or Disability (check one)
		 		 	 ̈	 	Will not be Benefiting Participants for that Allocation Period
		 		 	 ̈	 	Will always be Benefiting Participants regardless of Service
		 		 	 ̈	 	Must be credited with              (max. 1,000) Hours of Service in the Allocation
Period
		 		 	 ̈	 	Must be credited with a              (max. 6) month Period of Service in the Allocation
Period
		 		 	 ̈	 	Must be credited with              (max. 6) consecutive calendar months of employment in the
Allocation Period
		 		 	 ̈	 	Must be credited with              (max. 182) consecutive days of employment in the Allocation
Period
			
		 	(c)	 	Participants who Terminate Employment before the last day of the Allocation Period for any other reason (check one)
		 		 	 ̈	 	Will not be Benefiting Participants for that Allocation Period
		 		 	 ̈	 	Will always be Benefiting Participants regardless of Service
		 		 	 ̈	 	Must be credited with              (max. 1,000) Hours of Service in the Allocation
Period
		 		 	 ̈	 	Must be credited with a              (max. 6) month Period of Service in the Allocation
Period
		 		 	 ̈	 	Must be credited with              (max. 6) consecutive calendar months of employment in the
Allocation Period
		 		 	 ̈	 	Must be credited with              (max. 182) consecutive days of employment in the Allocation
Period
			
	6.3	 	 ̈	 	Catch-Up Contributions. Catch-Up Contributions will be matched under the formula selected in Section 6.1 <  ̈
but any limitations selected in such formula will be ignored >.
			
	6.4	 	 ̈	 	Voluntary Employee Contributions. Voluntary Employee Contributions will be matched under the formula selected in Section 6.1 <  ̈ but any limitations selected in such formula will be ignored.
			
	6.5	 	 ̈	 	Additional Non-Safe Harbor Matching Contributions. An Employer may make additional Non-Safe Harbor Matching Contributions as selected in the “Additional
Non-Safe Harbor Matching Contribution Addendum” attached hereto.

  

					
	Prototype 401(k) Non-Std.	 	Page 13 of 31	 	IRS Serial No: [—]

 Section 7. x Non-Safe Harbor
Non-Elective Contributions 
  
  

															
	7.1    	 	Determination of Amount. Non-Safe Harbor Non-Elective Contributions are permitted <  ̈ beginning
                     (must be after the later of the Plan’s original effective date or the restatement date) >, and the amount made
by the Employer for any Allocation Period will be determined by the formula below. (check one)
			
		 	x    	 	Totally discretionary on the part of the Employer
		 	 ̈	 	Equal to at least             % of the Compensation of all Benefiting Participants
		 	 ̈	 	Equal to at least $            
		 	 ̈	 	As required by the following collective bargaining agreement
                                         
                                         
      
		 	 ̈	 	Other (describe how the amount is determined)
                                         
                                         
                             
		
	7.2    	 	Allocation Method. Non-Safe Harbor Non-Elective Contributions made to the Plan will be allocated in the manner selected below.
				
		 	(a)    	 	x    	 	Pro-rata based on the Compensation for the Allocation Period of all Benefiting Participants.
				
		 	(b)	 	 ̈	 	Per capita (same dollar amount) for the Allocation Period to all Benefiting Participants.
				
		 	(c)	 	 ̈	 	Pro-rata based on the allocation points of all Benefiting Participants. Each Participant’s allocation points for each Allocation Period will be the sum of
the points selected below. (check all that apply, but 1) or 2) must be checked)
				
		 		 		 	 ̈    1)            points for each year of a
Participant’s age
		 		 		 	 ̈    2)            points for each of a
Participant’s credited Years/Periods of Service <  ̈ to a maximum of            years >
		 		 		 	 ̈    3)            points per each
$           (max. $200) of a Participant’s Compensation paid in the Allocation Period
				
		 	(d)	 	 ̈	 	Using permitted disparity in <  ̈ a 2-step allocation only > <
 ̈ a 4-step allocation only > <  ̈ a 2-step allocation in non-Top Heavy Plan Years and a 4-step allocation in Top Heavy Plan Years >, in
accordance with Section 3.5(a)(4) of the Basic Plan, based on the integration percentage and the integration level selected below.
					
		 		 		 	Integration %	 	        Integration Level
		 		 		 	 ̈    5.7%	 	 ̈    	 	The Taxable Wage Base
		 		 		 		 	 ̈    	 	            % of the Taxable Wage Base (must be 20% or less of the Taxable Wage
Base)
		 		 		 		 	 ̈    	 	$             (amount must be 20% or less of the Taxable Wage Base)
						
		 		 		 	 ̈    5.4%	 	 ̈    	 	80% of the Taxable Wage Base rounded up <  ̈ $1 > <  ̈ $100 >
<  ̈ $1,000 >
		 		 		 		 	 ̈    	 	            % of the Taxable Wage Base (must be more than 80% but less than
100%)
		 		 		 		 	 ̈    	 	$             (amount must be more than 80% but less than 100% of the Taxable Wage
Base)
						
		 		 		 	 ̈    4.3%	 	 ̈    	 	20% of the Taxable Wage Base rounded up <  ̈ $1> <  ̈ $100 >
<  ̈ $1,000 >
		 		 		 		 	 ̈    	 	            % of the Taxable Wage Base (must be more than 20% but not more than
80%)
		 		 		 		 	 ̈    	 	$             (amount must be more than 20% but not more than 80% of the Taxable Wage
Base)
				
		 	(e)	 	 ̈	 	Using the Participant Group Allocation method as set forth in the “Allocation Group Addendum” attached hereto.
				
		 	(f)	 	 ̈	 	Using the Age-Weighted Allocation method determined with the assumption indicated below.
						
		 		 		 	Pre-Retirement Interest             %	 	Pre-Retirement Mortality:	 	  

		 		 		 	Post-Retirement Interest             %	 	Post-Retirement Mortality:	 	  

		
	7.3	 	Benefiting Participants. An Employee who is a Participant for Non-Safe Harbor Non-Elective Contribution purposes will be a Benefiting Participant under this
Section for an Allocation Period based on the conditions below < x provided the Participant is still an Eligible Employee under Section 3.1(e) on the last day of the Allocation Period (or earlier
Termination of Employment) >.
			
		 	(a)	 	Participants who are still Employees on the last day of the Allocation Period (check one)
		 		 	 ̈	 	Will always be Benefiting Participants regardless of Service
		 		 	x	 	Must be credited with 1,000 (max. 1,000) Hours of Service in the Allocation Period
		 		 	 ̈	 	Must be credited with a              (max. 6) month Period of Service in the Allocation
Period
		 		 	 ̈	 	Must be credited with              (max. 6) consecutive calendar months of employment in the
Allocation Period
		 		 	 ̈	 	Must be credited with              (max. 182) consecutive days of employment in the Allocation
Period

  

					
	Prototype 401(k) Non-Std.	 	Page 14 of 31	 	IRS Serial No: [—]

									
		 	(b)	 	Participants who Terminate Employment before the last day of the Allocation Period because of retirement on or after Normal Retirement Age < x or Early Retirement Age >, or because of death or Disability (check one)
		 		 	 ̈	 	Will not be Benefiting Participants for that Allocation Period
		 		 	x	 	Will always be Benefiting Participants regardless of Service
		 		 	 ̈	 	Must be credited with              (max. 1,000) Hours of Service in the Allocation
Period
		 		 	 ̈	 	Must be credited with a              (max. 6) month Period of Service in the Allocation
Period
		 		 	 ̈	 	Must be credited with              (max. 6) consecutive calendar months of employment in the
Allocation Period
		 		 	 ̈	 	Must be credited with              (max. 182) consecutive days of employment in the
Allocation Period
			
		 	(c)	 	Participants who Terminate Employment before the last day of the Allocation Period for any other reason (check one)
		 		 	x	 	 Will not be Benefiting Participants for that Allocation Period

		 		 	 ̈	 	Will always be Benefiting Participants regardless of Service
		 		 	 ̈	 	Must be credited with              (max. 1,000) Hours of Service in the Allocation
Period
		 		 	 ̈	 	Must be credited with a              (max. 6) month Period of Service in the Allocation
Period
		 		 	 ̈	 	Must be credited with              (max. 6) consecutive calendar months of employment in the
Allocation Period
		 		 	 ̈	 	Must be credited with              (max. 182) consecutive days of employment in the
Allocation Period
			
	7.4	 	 ̈	 	Additional Non-Safe Harbor Non-Effective Contributions. An Employer may make additional Non-Safe Harbor Non-Elective Contributions as selected in the
“Additional Non-Safe Harbor Non-Elective Contribution Addendum” attached hereto.

 Section 8. x Rollovers and Employee Contributions 
  

 

									
	 8.1
	 	x	 	Rollover Contributions. Rollover Contributions are permitted <  ̈ beginning
                     (must be after the later of the Plan’s original effective date or the restatement date)>, subject to the
provisions selected below.
				
		 		 	(a)	 	Rollover Contributions can be made to the Plan by: (check one)
					
		 		 		 	 ̈	 	Any Employee (including those who are not Eligible Employees)
		 		 		 	x	 	Any Eligible Employee (whether a Participant or not)
		 		 		 	 ̈	 	Any Eligible Employee who has become a Participant for Elective Deferral purposes
		 		 		 	 ̈	 	Any Eligible Employee who has become a Participant for Non-Safe Harbor Matching Contribution purposes
		 		 		 	 ̈	 	Any Eligible Employee who has become a Participant for Non-Safe Harbor Non-Elective Contribution purposes
				
		 		 	(b)	 	Rollover Contributions will be accepted from the following types of plans: (check any that apply)
					
		 		 		 	 x
	 	Code §401(a) plans (qualified retirement plans)
		 		 		 	 x
	 	Code §403(a) plans (qualified annuity plans)
		 		 		 	 x
	 	Code §403(b) plans (annuities purchased by a Code §501(c)(3) organization and certain educational institutions)
		 		 		 	  ̈
	 	Code §408(a) plans (individual retirement accounts)
		 		 		 	  ̈
	 	Code §408(b) plans (individual retirement annuities)
		 		 		 	 x
	 	Code §457(b) plans (governmental only)
				
		 		 	(c)	 	Rollover Contributions can also include the following: (check all that apply)
					
		 		 		 	  ̈
	 	Roth Elective Deferrals (Note: Can be checked only if this Plan also permits Roth Elective Deferrals)
		 		 		 	  ̈
	 	Voluntary Employee Contributions
		 		 		 	  ̈
	 	Mandatory Employee Contributions
		 		 		 	  ̈
	 	Participant loans
		 		 		 	  ̈
	 	In kind distributions (other than Participant loans)
				
		 		 	(d)	 	Rollover Contributions can be withdrawn from the Plan: (check one)

  

					
	Prototype 401(k) Non-Std.	 	Page 15 of 31	 	IRS Serial No: [—]

									
		 		 		 	 ̈	 	At any time
		 		 		 	 ̈	 	Annually on a date set by the Administrator
		 		 		 	 ̈	 	Semi-annually on dates set by the Administrator
		 		 		 	 ̈	 	Quarterly on dates set by the Administrator
		 		 		 	 ̈	 	Monthly on dates set by the Administrator
		 		 		 	x	 	Only upon Termination of Employment and only at the time selected in Section 15.5 of the Adoption Agreement
				
		 		 	(e)	 	Rollover Contributions which are withdrawn from the Plan < x can > <
 ̈ cannot > be redeposited in the Plan.
			
	 8.2
	 	 ̈	 	Voluntary Employee Contributions. Voluntary Employee Contributions are permitted <  ̈ beginning
                     (must be after the later of the Plan’s original effective date or the restatement date) >, subject to the
provisions selected below.
				
		 		 	(a)	 	Voluntary Employee Contributions can be made to the Plan by: (check one)
					
		 		 		 	 ̈	 	Any Eligible Employee who has become a Participant for Elective Deferral purposes
		 		 		 	 ̈	 	Any Eligible Employee who has become a Participant for Non-Safe Harbor Matching Contribution purposes
		 		 		 	 ̈	 	Any Eligible Employee who has become a Participant for Non-Safe Harbor Non-Elective Contribution purposes
				
		 		 	(b)	 	Minimum and Maximum Contribution. The minimum permitted Voluntary Employee Contribution is
            % (enter zero if no minimum) of Compensation and the maximum permitted contribution is
            % (max. 100) of Compensation. Voluntary Employee Contributions can be made <  ̈ annually > <  ̈ monthly > <  ̈ each payroll period >.
				
		 		 	(c)	 	Voluntary Employee Contributions can be withdrawn from the Plan: (check one)
					
		 		 		 	 ̈	 	At any time
		 		 		 	 ̈	 	Annually on a date set by the Administrator
		 		 		 	 ̈	 	Semi-annually on dates set by the Administrator
		 		 		 	 ̈	 	Quarterly on dates set by the Administrator
		 		 		 	 ̈	 	Monthly on dates set by the Administrator
		 		 		 	 ̈	 	Only upon Termination of Employment and only at the time selected in Section 15.5 of the Adoption Agreement
			
	8.3	 	 ̈	 	Deemed IRAs. Deemed Individual Retirement Accounts are permitted <  ̈ beginning
                     (must be after the later of the Plan’s original effective date or the restatement date) >, subject to the
provisions selected below. (check one)
				
		 		 	 ̈	 	Any Eligible Employee who has become a Participant for Elective Deferral purposes
		 		 	 ̈	 	Any Eligible Employee who has become a Participant for Non-Safe Harbor Matching Contribution purposes
		 		 	 ̈	 	Any Eligible Employee who has become a Participant for Non-Safe Harbor Non-Elective Contribution purposes

Section 9.  ̈ Prevailing Wage Contributions 

 
  

									
	9.1	  	Prevailing Wage Contributions. Subject to Section 3.6 of the Basic Plan, the Employer will make contributions to the Plan for the Prevailing Wage Service of
each Participant <  ̈ who is an NHCE >. The Administrator may promulgate additional rules and procedures regarding Prevailing Wage Contributions in an administrative policy regarding Prevailing
Wage Contributions.
		
	9.2	  	Vesting. Prevailing Wage contributions are 100% Vested at all times unless they are “annualized” pursuant to Department of Labor Regulations, in
which case they will be Vested in accordance with the schedule selected in Section 10.6 of the Adoption Agreement. Notwithstanding the foregoing, to the extent a Prevailing Wage contribution is used to offset an Employer contribution that is
required to be 100% Vested at all times, such Prevailing Wage contribution will also be 100% Vested at all times.

Section 10. Vesting Requirements 

 
  

											
	10.1	 	Full and Immediate Vesting Upon Retirement, Death or Disability. A Participant’s Vested Interest in his or her Participant’s Account will be 100%
upon reaching Normal Retirement Age and upon the occurrence of the following: (check all that apply)
			
		 	x	 	Reaching Early Retirement Age
		 	x	 	Death prior to Termination of Employment
		 	x	 	Disability prior to Termination of Employment
		
	10.2	 	Elective Deferrals, QMACs, QNECs and ADP Safe Harbor Contributions. A Participant’s Vested Interest in all Elective Deferrals, QMACS, QNECs and ADP Safe
Harbor Contributions allocated to him or her will be 100% at all times.

  

					
	Prototype 401(k) Non-Std.	 	Page 16 of 31	 	IRS Serial No: [—]

											
	10.3	 	 ̈	 	ACP Safe Harbor Matching Contributions. A Participant’s Vested Interest in his or her ACP Safe Harbor Matching Contribution Account will be determined by the
provisions selected below.
				
		 		 	(a)	 	The Vesting schedule for ACP Safe Harbor Matching Contributions in a non-Top Heavy Plan Year is: (check one)
					
		 		 		 	 ̈	 	100% full and immediate
		 		 		 	 ̈	 	The schedule set forth below
					
		 		 		 		 	1 Year / Period of Service                %
		 		 		 		 	2 Years / Periods of Service             % (must be at least 20% unless 100% Vesting occurs after 3
years)
		 		 		 		 	3 Years / Periods of Service             % (must be at least 40%)
		 		 		 		 	4 Years / Periods of Service             % (must be at least 60%)
		 		 		 		 	5 Years / Periods of Service             % (must be at least 80%)
		 		 		 		 	6 Years / Periods of Service             % (must be 100%)
				
		 		 	(b)	 	The Vesting schedule for ACP Safe Harbor Matching Contributions in a Top Heavy Plan Year is: (check one)
					
		 		 		 	 ̈	 	100% full and immediate
		 		 		 	 ̈	 	The schedule set forth below
					
		 		 		 		 	1 Year / Period of Service                %
		 		 		 		 	2 Years / Periods of Service             % (must be at least 20% unless 100% Vesting occurs after 3
years)
		 		 		 		 	3 Years / Periods of Service             % (must be at least 40%)
		 		 		 		 	4 Years / Periods of Service             % (must be at least 60%)
		 		 		 		 	5 Years / Periods of Service             % (must be at least 80%)
		 		 		 		 	6 Years / Periods of Service             % (must be 100%)
					
		 		 	(c)	 	 ̈	 	Vesting Schedule for Pre-EGTRRA Contributions. Notwithstanding paragraphs (a) and (b) above, a Participant’s Vested Interest in ACP Safe Harbor
Contributions which were made to the Plan prior to January 1, 2001 will be determined in accordance with the Vesting schedule in effect when such contributions were made to the Plan.
					
		 		 	(d)	 	 ̈	 	Service Excluded for Vesting. All Service with the Employer is counted in determining a Participant’s Vested interest in the ACP Safe Harbor Matching
Contribution Account except the following: (check all that apply)
						
		 		 		 		 	 ̈	  	Service before age 18
		 		 		 		 	 ̈	  	Service before the Employer maintained this Plan or a predecessor plan
		 		 		 		 	 ̈	  	Service during a period for which the Employee made no mandatory contributions to the Plan
			
	10.4	 	 ̈	 	Non-Safe Harbor Matching Contributions. A Participant’s Vested Interest in his or her Non-Safe Harbor Matching Contribution Account will be determined by
the provisions below selected below.
				
		 		 	(a)	 	The Vesting schedule for Non-Safe Harbor Matching Contributions in a non-Top Heavy Plan Year is: (check one)
					
		 		 		 	 ̈	 	100% full and immediate
		 		 		 	 ̈	 	The schedule set forth below
					
		 		 		 		 	1 Year / Period of Service                %
		 		 		 		 	2 Years / Periods of Service             % (must be at least 20% unless 100% Vesting occurs after 3
years)
		 		 		 		 	3 Years / Periods of Service             % (must be at least 40%)
		 		 		 		 	4 Years / Periods of Service             % (must be at least 60%)
		 		 		 		 	5 Years / Periods of Service             % (must be at least 80%)
		 		 		 		 	6 Years / Periods of Service             % (must be 100%)
				
		 		 	(b)	 	The Vesting schedule for Non-Safe Harbor Matching Contributions in a Top Heavy Plan Year is: (check one)
					
		 		 		 	 ̈	 	100% full and immediate
		 		 		 	 ̈	 	The schedule set forth below
					
		 		 		 		 	1 Year / Period of Service                %
		 		 		 		 	2 Years / Periods of Service             % (must be at least 20% unless 100% Vesting occurs after 3
years)
		 		 		 		 	3 Years / Periods of Service             % (must be at least 40%)
		 		 		 		 	4 Years / Periods of Service             % (must be at least 60%)
		 		 		 		 	5 Years / Periods of Service             % (must be at least 80%)
		 		 		 		 	6 Years / Periods of Service             % (must be 100%)
					
		 		 	(c)	 	 ̈	 	Vesting Schedule for Pre-EGTRRA Contributions. Notwithstanding paragraphs (a) and (b) above, a Participant’s

  

					
	Prototype 401(k) Non-Std.	 	Page 17 of 31	 	IRS Serial No: [—]

											
		 		 		 		 	Vested Interest in Non-Safe Harbor Matching Contributions which were made to the Plan prior to January 1, 2001 will be determined in accordance with the Vesting
schedule in effect when such contributions were made to the Plan.
					
		 		 	(d)	 	 ̈	 	Service Excluded for Vesting. All Service with the Employer is counted in determining a Participant’s Vested Interest in the Non-Safe Harbor Matching
Contribution Account except the following: (check all that apply)
						
		 		 		 		 	 ̈	 	Service before age 18
		 		 		 		 	 ̈	 	Service before the Employer maintained this Plan or a predecessor plan
		 		 		 		 	 ̈	 	Service during a period for which the Employee made no mandatory contributions to the Plan
			
	10.5	 	x	 	Non-Safe Harbor Non-Elective Contributions. A Participant’s Vested Interest in all Non-Safe Harbor Non-Elective Contributions allocated to him or her will
be determined by the provisions selected below.
				
		 		 	(a)	 	The Vesting schedule for Non-Safe Harbor Non-Elective Contributions in a non-Top Heavy Plan Year is: (check one)
					
		 		 		 	 ̈	 	100% full and immediate
		 		 		 	 ̈	 	7 Year Graded
		 		 		 	 ̈	 	5 Year Cliff
		 		 		 	x	 	The schedule set forth below
					
		 		 		 		 	1 Year / Period of Service 0%
		 		 		 		 	2 Years / Periods of Service 20% (must be at least 20% unless 100% Vesting occurs after 3 years)
		 		 		 		 	3 Years / Periods of Service 40% (must be at least 40%)
		 		 		 		 	4 Years / Periods of Service 60% (must be at least 60%)
		 		 		 		 	5 Years / Periods of Service 80% (must be at least 80%)
		 		 		 		 	6 Years / Periods of Service 100% (must be 100%)
				
		 		 	(b)	 	The Vesting schedule for Non-Safe Harbor Non-Elective Contributions in a Top Heavy Plan Year is: (check one)
					
		 		 		 	 ̈	 	100% full and immediate
		 		 		 	x	 	The schedule set forth below
					
		 		 		 		 	1 Year / Period of Service 0%
		 		 		 		 	2 Years / Periods of Service 20% (must be at least 20% unless 100% Vesting occurs after 3 years)
		 		 		 		 	3 Years / Periods of Service 40% (must be at least 40%)
		 		 		 		 	4 Years / Periods of Service 60% (must be at least 60%)
		 		 		 		 	5 Years / Periods of Service 80% (must be at least 80%)
		 		 		 		 	6 Years / Periods of Service 100% (must be 100%)
					
		 		 	(c)	 	 ̈	 	Service Excluded for Vesting. All Service with the Employer is counted in determining a Participant’s Vested Interest in the Non-Safe Harbor Non-Elective
Contribution Account except the following: (check all that apply)
						
		 		 		 		 	 ̈	 	Years of Service before age 18
		 		 		 		 	 ̈	 	Years of Service before the Employer maintained this Plan or a predecessor plan
		 		 		 		 	 ̈	 	Years of Service during a period for which the Employee made no mandatory contributions to the Plan
			
	10.6	 	 ̈	 	Prevailing Wage Contributions. Except as otherwise provided in Section 9.2 of the Adoption Agreement, a Participants Vested Interest in all Prevailing Wage
contributions allocated to him or her will be determined by the provisions below.
				
		 		 	(a)	 	The Vesting schedule for Prevailing Wage Contributions In a non-Top Heavy Plan Year is: (check one)
					
		 		 		 	 ̈	 	100% full and immediate
		 		 		 	 ̈	 	7 Year Graded
		 		 		 	 ̈	 	5 Year Cliff
		 		 		 	 ̈	 	The schedule set forth below
					
		 		 		 		 	1 Year / Period of Service                %
		 		 		 		 	2 Years / Periods of Service             % (must be at least 20% unless 100% Vesting occurs after 3
years)
		 		 		 		 	3 Years / Periods of Service             % (must be at least 40%)
		 		 		 		 	4 Years / Periods of Service             % (must be at least 60%)
		 		 		 		 	5 Years / Periods of Service             % (must be at least 80%)
		 		 		 		 	6 Years / Periods of Service             % (must be 100%)

  

					
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		 		 	(b)	 	The Vesting schedule for Prevailing Wage Contributions in a Top Heavy Plan Year is: (check one)
					
		 		 		 	  ̈
	  	100% full and immediate
		 		 		 	  ̈
	  	The schedule set forth below
					
		 		 		 		  	1 Year / Period of Service                %
		 		 		 		  	2 Years / Periods of Service             % (must be at least 20% unless 100% Vesting occurs after 3
years)
		 		 		 		  	3 Years / Periods of Service             % (must be at least 40%)
		 		 		 		  	4 Years / Periods of Service             % (must be at least 60%)
		 		 		 		  	5 Years / Periods of Service             % (must be at least 80%)
		 		 		 		  	6 Years / Periods of Service             % (must be 100%)
					
		 		 	 (c)
	 	 ̈	  	Service Excluded for Vesting. All Service with the Employer is counted in determining a Participant’s Vested Interest in the Prevailing Wage Contribution
Account except the following: (check all that apply)
						
		 		 		 		  	 ̈	 	Years of Service before age 18
		 		 		 		  	 ̈	 	Years of Service before the Employer maintained this Plan or a predecessor plan
		 		 		 		  	 ̈	 	Years of Service during a period for which the Employee made no mandatory contributions to the Plan

 Section 11. Compensation Definitions 
  

 

															
	 11.1
	 	x	 	Elective Deferrals. A Participant’s Compensation for Elective Deferral purposes will be determined as selected below.
				
		 		 	(a)	 	Compensation is defined as: (check one)
					
		 		 		 	 x
	 	Form W-2 Compensation
		 		 		 	  ̈
	 	Code §3401 Compensation
		 		 		 	  ̈
	 	Safe Harbor Code §415 Compensation
				
		 		 	(b)	 	Elective contributions under Code §125, §132(f)(4), §402(h), §403(b), §457(b) and §414(h)(2) will: (check one)
					
		 		 		 	 x
	 	Be included as Compensation
		 		 		 	  ̈
	 	Not be included as Compensation
				
		 		 	(c)	 	The Compensation measuring period is the: (check one)
					
		 		 		 	 x
	 	Plan Year
		 		 		 	  ̈
	 	Fiscal Year ending on or within the Plan Year
		 		 		 	  ̈
	 	Calendar year ending on or within the Plan Year
					
		 		 	(d)	 	x	 	The following categories of remuneration will not be counted as Compensation: (check all that apply)
							
		 		 		 		 	  ̈
	 	1)	 	Compensation received prior to becoming a Participant
		 		 		 		 	  ̈
	 	2)	 	Compensation received while an ineligible Employee under Section 3.1 (a) of the Adoption Agreement
		 		 		 		 	  ̈
	 	3)	 	All items in Regulation §1.414(s)-1(c)(3) (i.e., expense allowances, fringe benefit, moving expenses, etc.)
		 		 		 		 	  ̈
	 	4)	 	Post-Severance Compensation1
		 		 		 		 	  ̈
	 	5)	 	Deemed 125 Compensation1
		 		 		 		 	  ̈
	 	6)	 	Bonuses1
		 		 		 		 	  ̈
	 	7)	 	Overtime1
		 		 		 		 	  ̈
	 	8)	 	Commissions1

															
		 		 		 		 	 x
	 	 9)	 	 Other (describe)1	 	 See 1 in Addendum

		 		 		 		 		 		 	  

						
		 		 		 		 	1	 	If checked, the Plan’s definition of compensation may fail to satisfy the safe harbor requirements unless such compensation is excluded only with respect to
Highly Compensated Employees under paragraph (e) below.
					
		 		 	(e)	 	 ̈	 	The amounts excluded under (d)(4) — (9) will only be excluded with respect to: (check all that apply)

  

					
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		 		 		 		  	 ̈	  	Highly Compensated Employees
		 		 		 		  	 ̈	  	Other (cannot be a class that only includes NHCEs)	 	  

		 		 		 		  		  	  

																	
			
	11.2	 	x	 	ADP Safe Harbor Contributions. A Participant’s Compensation for purposes of any ADP Safe Harbor Contributions contributed under Section 5 of the Adoption
Agreement will be determined as selected below.
				
		 		 	(a)	 	Compensation Is defined as: (check one)
					
		 		 		 	x	 	Form W-2 Compensation
		 		 		 	 ̈	 	Code §3401 Compensation
		 		 		 	 ̈	 	Safe Harbor Code §415 Compensation
				
		 		 	(b)	 	Elective contributions under Code §125, §132(f)(4), §401(k), §402(h), §403(b), §457(b) and §414(h)(2) will: (check
one)
					
		 		 		 	x	 	Be included as Compensation
		 		 		 	 ̈	 	Not be included as Compensation
				
		 		 	(c)	 	The Compensation measuring period is the: (check one)
					
		 		 		 	x	 	Plan Year
		 		 		 	 ̈	 	Fiscal Year ending on or within the Plan Year
		 		 		 	 ̈	 	Calendar year ending on or within the Plan Year
					
		 		 	(d)	 	x	 	The following categories of remuneration will not be counted as Compensation: (check all that apply)
					
		 		 		 	 ̈	 	1) Compensation received prior to becoming a Participant
		 		 		 	 ̈	 	2) Compensation received while an ineligible Employee under Sections 3.1(a) and (b) of the Adoption Agreement
		 		 		 	 ̈	 	3) All items in Regulation §1.414(s)-1(e)(3) (i.e., expense allowances, fringe benefit, moving expenses, etc.)
		 		 		 	 ̈	 	4) Post-Severance
Compensation1
		 		 		 	 ̈	 	5) Deemed 125 Compensation1
		 		 		 	 ̈	 	6) Bonuses1
		 		 		 	 ̈	 	7) Overtime1
		 		 		 	 ̈	 	8) Commissions1
		 		 		 	x	 	9) Other 
(describe)1	  	 See 2 in Addendum

		 		 		 		 		  	  

		 	  
 1 If checked, the Plan’s definition of compensation may fail to satisfy the safe harbor requirements unless such
compensation is excluded only with respect to Highly Compensated Employees under paragraph (e) below.

					
		 		 	(e)	 	  ̈
	 	
The amounts excluded under (d))(4) — (9) will only be excluded with respect to: 
(check all that apply) 

		 		 		 	 ̈	 	 Highly Compensated Employees 

		 		 		 	 ̈	 	 Other (cannot be a class that only includes NHCEs) 

		 		 		 		 	  

																	
			
	11.3	 	 ̈	 	ACP Safe Harbor Contributions. A Participant’s Compensation for purposes of any ACP Safe Harbor Contributions contributed under Section 5 of the Adoption
Agreement will be determined as selected below.
				
		 		 	(a)	 	Compensation is defined as: (check one)
					
		 		 		 	 ̈	  	Form W-2 Compensation
		 		 		 	 ̈	  	Code §3401 Compensation
		 		 		 	 ̈	  	Safe Harbor Code §415 Compensation
				
		 		 	(b)	 	Elective contributions under Code §125, §132(f)(4), §401(k), §402(h), §403(b), §457(b) and §414(h)(2) will:
(check one)
					
		 		 		 	 ̈	  	Be included as Compensation
		 		 		 	 ̈	  	Not be included as Compensation
				
		 		 	(c)	 	The Compensation measuring period is the: (check one)

  

					
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		 		 		 		  	 ̈	 	Plan Year
		 		 		 		  	 ̈	 	Fiscal Year ending on or within the Plan Year
		 		 		 		  	 ̈	 	Calendar year ending on or within the Plan Year
						
		 		 		 	(d)	  	 ̈	 	The following categories of remuneration will not be counted as Compensation: (check all that apply)
						
		 		 		 		  	 ̈	 	1) Compensation received prior to becoming a Participant
		 		 		 		  	 ̈	 	2) Compensation received while an ineligible Employee under Sections 3.1(a) and (c) of the Adoption Agreement
		 		 		 		  	 ̈	 	3) All items in Regulation §1.414(s)-1(c)(3) (i.e., expense allowances, fringe benefit, moving expenses, etc.)
		 		 		 		  	 ̈	 	4) Post-Severance Compensation1
		 		 		 		  	 ̈	 	5) Deemed 125 Compensation1
		 		 		 		  	 ̈	 	6) Bonuses1
		 		 		 		  	 ̈	 	7) Overtime1
		 		 		 		  	 ̈	 	8) Commissions1

																	
		 		 		 		  	 ̈	 	9) Other (describe)1	 	  

		 		 		 		  		 	  

																	
		
		 	1 If checked, the Plan’s definition of compensation may fail to satisfy the safe harbor requirements unless such compensation is excluded only with respect to Highly Compensated Employees under
paragraph (e) below.
						
		 		 	(e)	 		  	 ̈	 	The amounts excluded under (d)(4) — (9) will only be excluded with respect to: (check all that apply)
						
		 		 		 		  		 	 ̈    Highly Compensated Employees
		 		 		 		  		 	 ̈    Other (cannot be a class that only includes 
NHCEs)	  	  

					
	11.4	 	 ̈	 		 		  	Non-Safe Harbor Matching Contributions. A Participant’s Compensation for purposes of Non-Safe Harbor Matching Contributions contributed under Section 6 of
the Adoption Agreement will be determined as selected below.
					
		 		 	(a)	 		  	Compensation is defined as: (check one)
						
		 		 		 		  	 ̈	 	Form W-2 Compensation
		 		 		 		  	 ̈	 	Code §3401 Compensation
		 		 		 		  	 ̈	 	Safe Harbor Code §415 Compensation
					
		 		 	(b)	 		  	Elective contributions under Code §125, §132(f){4), §401(k), §402(h), §403(b), §457(b) and §414{h)(2) will: (check
one)
						
		 		 		 		  	 ̈	 	Be included as Compensation
		 		 		 		  	 ̈	 	Not be included as Compensation
					
		 		 	(c)	 		  	The Compensation measuring period is the: (check one)
						
		 		 		 		  	 ̈	 	Plan Year
		 		 		 		  	 ̈	 	Fiscal Year ending on or within the Plan Year
		 		 		 		  	 ̈	 	Calendar year ending on or within the Plan Year
						
		 		 	(d)	 		  	 ̈	 	The following categories of remuneration will not be counted as Compensation: (check all that apply)
						
		 		 		 		  	 ̈	 	1) Compensation received prior to becoming a Participant for Non-Safe Harbor Matching Contributions
		 		 		 		  	 ̈	 	2) Compensation received while an ineligible Employee under Section 3.1(d) of the Adoption Agreement
		 		 		 		  	 ̈	 	3) All items in Regulation §1.414(s)-1(c)(3) (i.e., expense allowances, _fringe benefit, moving expenses, etc.)
		 		 		 		  	 ̈	 	4) Post-Severance
Compensation1
		 		 		 		  	 ̈	 	5) Deemed 125 Compensation1
		 		 		 		  	 ̈	 	6) Bonuses1
		 		 		 		  	 ̈	 	7) Overtime1
		 		 		 		  	 ̈	 	8) Commissions1
		 		 		 		  	 ̈	 	9) Other (describe)1
					
		 		 		 		  	1 If checked, the Plan’s definition of compensation may fail to satisfy the safe harbor requirements unless such compensation is excluded only with respect to
Highly Compensated Employees under paragraph (e) below.
						
		 		 	(e)	 		  	 ̈	 	The amounts excluded under (d)(4) — (9) will only be excluded with respect to: (check all that apply)

  

					
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		 		 		 	  ̈	 	Highly Compensated Employees

											
		 		 		 	  ̈	 	Other (cannot be a class that only includes NHCEs)	 	  

		 		 		 		 	  

									
				
	11.5	 	x	 		 	Non-Safe Harbor Non-Elective Contributions. A Participant’s Compensation for purposes of Non-Safe Harbor Non-Elective Contributions contributed under Section
7 of the Adoption Agreement will be determined as selected below.
				
		 		 	(a)	 	Compensation is defined as: (check one)
					
		 		 		 	x	 	Form W-2 Compensation
		 		 		 	 ̈	 	Code §3401 Compensation
		 		 		 	 ̈	 	Safe Harbor Code §415 Compensation
				
		 		 	(b)	 	Elective contributions under Code §125, §132(f)(4), §401(k), §402(h), §403(b), §457(b) and §414(h)(2) will: (check
one)
					
		 		 		 	x	 	Be included as Compensation
		 		 		 	 ̈	 	Not be included as Compensation
				
		 		 	(c)	 	The Compensation measuring period is the: (check. one)
					
		 		 		 	x	 	Plan Year
		 		 		 	 ̈	 	Fiscal Year ending on or within the Plan Year
		 		 		 	 ̈	 	Calendar year ending on or within the Plan Year
					
		 		 	(d)	 	x	 	The following categories of remuneration will not be counted as Compensation: (check all that apply)
					
		 		 		 	 ̈	 	1) Compensation received prior to becoming a Participant for Non-Safe Harbor Non-Elective Contributions
		 		 		 	x	 	2) Compensation received while an ineligible Employee under Section 3.1(e) of the Adoption Agreement
		 		 		 	 ̈	 	3) All items in Regulation §1.414(s)-1(e)(3) (i.e., expense allowances, fringe benefit, moving expenses, etc)
		 		 		 	 ̈	 	4) Post-Severance Compensation1
		 		 		 	 ̈	 	5) Deemed 125 Compensation1
		 		 		 	 ̈	 	6) Bonuses1
		 		 		 	 ̈	 	7) Overtime1
		 		 		 	 ̈	 	8) Commissions1

											
		 		 		 	 x	 	 9) Other 
(describe)1	 	 See 3 in Addendum

		 		 		 		 	  

									
				
		 		 		 	1 If checked, the Plan’s definition of compensation may fail to satisfy the safe harbor requirements unless such compensation is excluded only with respect to
Highly Compensated Employees under paragraph (e) below.
					
		 		 	(e)	 	 ̈	 	The amounts excluded under (d)(4) — (9) will only be excluded with respect: (check all that apply)
					
		 		 		 	 ̈	 	Highly Compensated Employees

											
		 		 		 	 ̈	 	Other (cannot be a class that only includes NHCEs)	 	  

		 		 		 		 	  

									
		 		 	(f)	 	 ̈	 	Imputed Compensation During Periods of Disability. Subject to Section 1.39(c) and Section 1.41(g) of the Basic Plan, a Participant’s Compensation will be imputed
during periods of total disability (as defined in Code §22(e)(3)) in determining or allocating Non-Safe Harbor Non-Elective Contributions. Any such imputation will be limited to the number of Plan Years (and Limitation Years) specified in an
administrative policy, and the number of such Plan Years and Limitations Years can be different for affected Participants who are HCEs and those who are NHCEs.
				
	11.6	 	 ̈	 		 	Voluntary Employee Contributions. A Participant’s Compensation for purposes of any Voluntary Employee Contributions contributed under Section 82 of the
Adoption Agreement will be determined as selected below.
				
		 		 	(a)	 	Compensation is defined as: (check one)
					
		 		 		 	 ̈	 	Form W-2 Compensation
		 		 		 	 ̈	 	Code §3401 Compensation
		 		 		 	 ̈	 	Safe Harbor Code §4 I 5 Compensation
				
		 		 	(b)	 	Elective contributions under Code §125, §132(f)(4), §401(k), §402(h), §403(b), §457(b) and §414{h)(2) will: (check
one)

  

					
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		 		 	 ̈	 	Be included as Compensation
		 		 	 ̈	 	Not be included as Compensation
			
		 	(c)	 	The Compensation measuring period is the: (check one)
				
		 		 	 ̈	 	Plan Year
		 		 	 ̈	 	Fiscal Year ending on or within the Plan Year
		 		 	 ̈	 	Calendar year ending on or within the Plan Year
				
		 	(d)	 	 ̈	 	The following categories of remuneration will not be counted as Compensation: (check all that apply)
				
		 		 	 ̈	 	1) Compensation received prior to becoming a Participant
		 		 	 ̈	 	2) Compensation received while an ineligible Employee under Section 3.1(a) of the Adoption Agreement
		 		 	 ̈	 	3) All items in Regulation §1.414(s)1(c)(3) (i.e., expense allowances, fringe benefit, moving expenses, etc.)
		 		 	 ̈	 	4) Post-Severance Compensation1
		 		 	 ̈	 	5) Deemed 125 Compensation1
		 		 	 ̈	 	6•) Bonuses1
		 		 	 ̈	 	7) Overtime1
		 		 	 ̈	 	8•) Commissions1

									
		 		 	 ̈	 	9) Other (describe)	 	  

		 		 		 	  

							
			
		 		 	1 If checked, the Plan’s definition of compensation may fail to satisfy the safe harbor requirements unless’ such compensation is excluded only with respect to Highly Compensated Employees under
paragraph (e) below.
				
		 	(e)	 	 ̈	 	The amounts excluded under (d)(4) — (9) will only be excluded with respect: (check all that apply)
				
		 		 	 ̈	 	Highly Compensated Employees
		 		 	 ̈	 	Other (cannot be a class that only includes NHCEs)
                                         
                                         
                      
		
	11.7	 	 Code §415(c)(3) Compensation for Top Heavy Allocation Purposes and Key Employee Determinations. An
Employee’s Code §415(c)(3) Compensation used to determine any Top Heavy Minimum Allocations and whether an Employee is also a Key Employee is based on the selection below.

				
		 		 	x	 	Form W-2 Compensation
		 		 	 ̈	 	Code §3401 Compensation
		 		 	 ̈	 	Safe Harbor Code §415 Compensation
		 		 	 ̈	 	Statutory Code §415 Compensation
		
	11.8	 	 Code §415(c){3) Compensation for Code §415 Limitation Determinations. An Employee’s Code
§415(c)(3) Compensation used to determine the Employee’s Annual Addition limitation under Article 6 of the Basic Plan is based on the selection below.

				
		 		 	x	 	Form W-2 Compensation
		 		 	 ̈	 	Code §3401 Compensation
		 		 	 ̈	 	Safe Harbor Code §415 Compensation
		 		 	 ̈	 	Statutory Code §415 Compensation
		
	11.9	 	 Code §415(c)(3) Compensation for Highly Compensated Employee Determinations and Other Statutory Purposes.
An Employee’s Code §415(c)(3) Compensation used to determine whether the Employee is also a Highly Compensated Employee, and for other statutory purposes that do not appear elsewhere in this Adoption Agreement, is based on the
selection below.

				
		 		 	x	 	Form W-2 Compensation
		 		 	 ̈	 	Code §3401 Compensation
		 		 	 ̈	 	Safe Harbor Code §415 Compensation
		 		 	 ̈	 	Statutory Code §415 Compensation

 Section 12.
x Allocation of Forfeitures 
  

 

			
	12.1	 	Time When Forfeitures Occur. Forfeitures of any kind will occur: (check one)

  

					
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		 		 	x	 	When a Terminated Participant’s entire Vested Account has been distributed (or after 5 consecutive Breaks in Service, if earlier)
				
		 		 	 ̈	 	After a Terminated Participant incurs              (max. 5) consecutive Breaks in
Service
				
	12.2	 	 ̈	 		 	ACP Safe Harbor Matching Contributions. Forfeitures of ACP Safe Harbor Matching Contributions which are not used to pay administrative expenses as permitted under
Section 3.13(b) of the Basic Plan will be allocated (or used) as follows:
				
		 		 	(a)	 	Forfeitures attributable to ACP Safe Harbor Matching Contributions will be: (check one)
					
		 		 		 	 ̈	 	1) Used to reduce Employer contributions as described in Section 3.13(b)(2) of the Basic Plan
		 		 		 	 ̈	 	2) Added to Employer contributions as described in Section 3.13(b)(2) of the Basic Plan
		 		 		 	 ̈	 	3) Allocated to Benefiting Participants pro-rata based on his or her Compensation for the Plan Year
					
		 		 	(b)	 	 ̈	 	Participants Eligible to Be Benefiting Participants. The following are eligible to be Benefiting Participants for an Allocation Period with respect to Forfeitures allocated
under paragraph (a)(3) above:
					
		 		 		 	 ̈	 	Those who are Participants for Elective Deferral purposes (whether they defer or not)
		 		 		 	 ̈	 	Those who are Participants for Non-Safe Harbor Matching Contribution purposes
		 		 		 	 ̈	 	Those who are Participants for Non-Safe Harbor Non-Elective Contribution purposes
				
	12.3	 	 ̈	 		 	Non-Safe Harbor Matching Contributions. Forfeitures of Non-Safe Harbor Matching Contributions which are not used to pay administrative expenses us permitted under
Section 3.13(b) of the Basic Plan will be allocated (or used) as follows:
				
		 		 	(a)	 	Forfeitures attributable to Non-Safe Harbor Matching Contributions will be: (check one)
					
		 		 		 	 ̈	 	1) Used to reduce Employer contributions as described in Section 3.13(b)(2) of the Basic Plan
		 		 		 	 ̈	 	2) Added to Employer contributions as described in Section 3.13(b)(2) of the Basic Plan
		 		 		 	 ̈	 	3) Allocated to Benefiting Participants in the manner selected in paragraphs (b), (c) and (d) below
					
		 		 	(b)	 	 ̈	 	Method of Allocation. Forfeitures allocated under (a)(3) will be allocated to each Benefiting Participant as follows:
					
		 		 		 	 ̈	 	Pro-rata based on his or her Compensation for the Plan Year
		 		 		 	 ̈	 	Pro-rata based on his or her Elective Deferrals for the Plan Year
		 		 		 	 ̈	 	Pro-rata based on his or her Non-Safe Harbor Matching Contributions for the Plan Year
		 		 		 	 ̈	 	Pro-rata based on his or her Non-Safe Harbor Matching Contribution Account balance
					
		 		 	(c)	 	 ̈	 	Participants Eligible to Be Benefiting Participants. The following are eligible to be Benefiting Participants for an Allocation Period with respect to Forfeitures allocated
under paragraph (a)(3) above:
					
		 		 		 	 ̈	 	Those who are Participants for Elective Deferral purposes
		 		 		 	 ̈	 	Those who are Participants for Non-Safe Harbor Matching Contribution purposes
		 		 		 	 ̈	 	Those who are Participants for Non-Safe Harbor Non-Elective Contribution purposes
					
		 		 	(d)	 	 ̈	 	Benefiting Participants. Any Participant selected in paragraph (c) <  ̈ who is a NHCE for the Allocation Period > will be
a Benefiting Participant for purposes of the allocations under paragraph (a)(3) above, provided the Participant also satisfies the applicable requirements in Section 6.2 of the Adoption Agreement.
				
	12.4	 	x	 		 	Non-Safe Harbor Non-Elective Contributions. Forfeitures of Non-Safe Harbor Non-Elective Contributions which are not used to pay administrative expenses as
permitted under Section 3.13(b) of the Basic Plan will be allocated (or used) as follows:
				
		 		 	(a)	 	Forfeitures attributable to Non-Safe Harbor Non-Elective Contributions will be: (check one)
					
		 		 		 	 ̈	 	1) Used to reduce Employer contributions as described in Section 3.13(b)(2) of the Basic Plan
		 		 		 	 ̈	 	2) Added to Employer contributions as described in Section 3.13(b)(2) of the Basic Plan
		 		 		 	x	 	3) Allocated to Benefiting Participants in the manner selected in paragraphs (b), (c) and (d) below
					
		 		 	(b)	 	x	 	Method of Allocation. Forfeitures allocated under (a)(3) will be allocated to each Benefiting Participant as follows:

  

					
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		 		 		 	x	 	Pro-rata based on his or her Compensation for the Plan Year
		 		 		 	 ̈	 	Pro-rata based on his or her Elective Deferrals for the Plan Year
		 		 		 	 ̈	 	Pro-rata based on his or her Non-Safe Harbor Non-Elective Contributions for the Plan Year
		 		 		 	 ̈	 	Pro-rata based on his or her Non-Safe Harbor Non-Elective Contribution Account balance
					
		 		 	(c)	 	x	 	Participants Eligible to Be Benefiting Participants. The following are eligible to be Benefiting Participants for an Allocation Period with respect to Forfeitures allocated
under paragraph (a)(3) above:
					
		 		 		 	 ̈	 	Those who are Participants for Elective Deferral purposes
		 		 		 	 ̈	 	Those who are Participants for Non-Safe Harbor Matching Contribution purposes
		 		 		 	x	 	Those who are Participants for Non-Safe Harbor Non-Elective Contribution purposes
					
		 		 	(d)	 	x	 	Benefiting Participants. Any Participant selected in paragraph (c) <  ̈ who is a NHCE for the Allocation Period > will be
a Benefiting Participant for purposes of the allocations under paragraph (a)(3) above, provided the Participant also satisfies the applicable requirements in Section 7.3 of the Adoption Agreement.

Section 13. Allocation of Earnings and Losses 

 
  

			
	13.1	 	Allocation Method. Investment earnings and losses will be allocated to each Participant’s Account in a non-discriminatory manner in accordance with the terms of Section
3.12 of the Basic Plan.

 Section 14. Normal and Early Retirement Age 

 
  

							
		
	14.1	 	Normal Retirement Age. The Plan’s Normal Retirement Age is Age 65 (max. 65)
				
		 		 	 ̈	 	Or the              (max. 5th) anniversary of becoming a Participant in the Plan, if later
				
		 		 	 ̈	 	Or the date the Participant is credited with at least              Years/Periods of Service, if later, but in no
event later than the later of Age 65 or the 5th anniversary of becoming a Participant in the Plan
		
	14.2	 	Normal Retirement Date. The Plan’s Normal Retirement Date is as selected below. (check one)
				
		 		 	 ̈	 	The Anniversary Date following the date a Participant reaches Normal Retirement Age
				
		 		 	 ̈	 	The Anniversary Date nearest the date a Participant reaches Normal Retirement Age
				
		 		 	 ̈	 	The first day of the month following the date a Participant reaches Normal Retirement Age
				
		 		 	 ̈	 	The first day of the month nearest the date a Participant reaches Normal Retirement Age
				
		 		 	x	 	The same date a Participant reaches Normal Retirement Age
				
	14.3	 	x	 		 	Early Retirement Age. Early Retirement is permitted, and the Plan’s Early Retirement Age is Age 55 (max. 64)
				
		 		 	 ̈	 	Or if later, the date the Participant is credited with at least
                     Years/Periods of Service
				
		 		 	x	 	Provided the Participant is also credited with at least 20 Years/Periods of Service
				
	14.4	 	x	 		 	Early Retirement Date. The Early Retirement Date is as selected below. (check one)
				
		 		 	 ̈	 	Any Anniversary Date after a Participant reaches Early Retirement Age 1
				
		 		 	 ̈	 	The first day of any month after a Participant reaches Early Retirement Age
				
		 		 	x	 	Any date after a Participant reaches Early Retirement Age

Section 15. Distribution Provisions 

 
  

									
	15.1	 	Normal Form of Distribution for Distributions Other Than Death Benefits. The benefit payable to a Participant who Terminates Employment with the Employer for
reasons other than death will be distributed in the manner selected below.
					
		 		 	(a)	 	x	 	Lump Sum Payment <x and the Optional Forms of Distribution are: (check all that apply) >

  

					
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		 		 		 	x	 	Installment payments
		 		 		 	x	 	Partial payments as requested from time to time by the Participant
		 		 		 	x	 	Any form of annuity which can be purchased from an insurance company (subject to the QJSA rules)
					
		 		 	(b)	 	 ̈	 	Installment Payments <  ̈ and the Optional Forms of Distribution are: (check all that apply) >
					
		 		 		 	 ̈	 	A lump sum payment
		 		 		 	 ̈	 	Partial payments as requested from time to time by the Participant
		 		 		 	 ̈	 	Any form of annuity which can be purchased from an insurance company (subject to the QJSA rules)
					
		 		 	(c)	 	 ̈	 	Qualified Joint and Survivor Annuity <  ̈ and the Optional Forms of Distribution are: (check all that apply)
>
					
		 		 		 	 ̈	 	A lump sum payment
		 		 		 	 ̈	 	Installment payments
		 		 		 	 ̈	 	Partial payments as requested from time to time by the Participant
		 		 		 	 ̈	 	Any other form of annuity which can be purchased from an insurance company
		
	15.2	 	Distribution of Benefits Because of Retirement. With respect to a Participant who Terminates Employment because of retirement or on or after his or her Normal (or
Early) Retirement Date, distribution will be made in a form permitted under Section 15.1 and will occur within an administratively reasonable time after the Participant’s Normal (or Early) Retirement Date.
		
	15.3	 	Distribution of Benefits Because of Disability. With respect to a Participant who Terminates Employment because of his or her Disability, distribution will be
made in a form permitted under Section 15.1 and in accordance with the provisions selected below.
				
		 		 	(a)	 	Time of Distribution. Distribution of a Disability Benefit will be made: (check one)
					
		 		 		 	 ̈	 	Within an administratively reasonable time after Termination of Employment
		 		 		 	x	 	In accordance with the distribution requirements in Section 15.5 below
				
		 		 	(b)	 	Definition of Disability. A Participant will be considered to have suffered a Disability for Plan purposes if the Participant suffers a mental or physical
impairment while still an Employee which: (check all that apply)
					
		 		 		 	 ̈	 	In the opinion of a physician acceptable to the Administrator, totally and permanently prevents the Participant from engaging in any occupation for pay or profit.
		 		 		 	 ̈	 	In the opinion of a physician acceptable to the Administrator, totally and permanently prevents the Participant from performing customary and usual duties for the
Employer
		 		 		 	x	 	In the opinion of the Social Security Administration, qualifies the Participant for disability benefits under the Social Security Act in effect on the date the Participant suffers
the mental or physical impairment.
		 		 		 	 ̈	 	In the opinion of the insurance company, qualifies the Participant for benefits under an Employer-sponsored long-term disability plan which is administered by an independent third
party.
					
		 		 	(c)	 	 ̈	 	Exceptions. Notwithstanding (b) above, a Participant will not be considered to have suffered a Disability for purposes of the Plan if the mental or physical impairment is the
result of: (check all that apply)
					
		 		 		 	 ̈	 	The illegal use of drugs or intoxicants
		 		 		 	 ̈	 	An intentionally self-inflicted injury or sickness
		 		 		 	 ̈	 	An injury suffered as a result of an unlawful or criminal act by the Participant
		
	15.4	 	Distribution of Benefits Upon Death. With respect to any portion of a deceased Participant’s Vested Aggregate Account which is subject to the QJSA
requirements, any death benefit payable therefrom to such deceased Participant’s surviving Spouse will be distributed as a Qualified Pre-Retirement Survivor Annuity unless the QPSA has been waived by the Participant in accordance with Section
5.8 of the Basic Plan (or has been waived by the surviving Spouse if elected in paragraph (c) below). With respect to any death benefit payable to a non-Spouse Beneficiary, any death benefit payable to a surviving Spouse where the QPSA has been
waived, or any death benefit payable from a portion of a deceased Participant’s Vested Aggregate Account which is not subject to the QJSA requirements, any such death benefit will be distributed in the form of distribution selected in paragraph
(a) below.
				
		 		 	(a)	 	Form of distribution (other than a required QPSA). A Beneficiary can elect to have a death benefit (other than a QPSA) to which he or she is entitled distributed
in the following manner: (check all that apply)

  

					
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		 		 		 	x	 	In a lump sum payment
		 		 		 	x	 	In installment payments (if elected by the Beneficiary)
		 		 		 	 ̈	 	In partial payments as requested from time to time by the Beneficiary
		 		 		 	 ̈	 	Any form of annuity which can be purchased from an insurance company (subject to the QPSA rules)
				
		 		 	(b)	 	Value of QPSA. With respect to any portion of a deceased Participant’s Vested Aggregate Account which is subject to the QJSA requirements, the value of a
QPSA is:
					
		 		 		 	 ̈	 	50% of the deceased Participant’s Vested Aggregate Account
		 		 		 	 ̈	 	100% of the deceased Participant’s Vested Aggregate Account
				
		 		 	(c)	 	Spousal Waiver of QPSA. With respect to any portion of a deceased Participant’s Vested Aggregate Account which is subject to the QJSA requirements, if a
Participant did not waive the QPSA prior to death, the deceased Participant’s surviving Spouse is <  ̈ not > permitted to waive the QPSA after the Participant’s death.
		
	15.5	 	Distribution of Benefits for Reasons Other than Retirement, Death or Disability. With respect to a Participant who Terminates Employment for reasons other than
retirement, death or Disability, distribution will be made in a form permitted under Section 15.1 and will occur within an administratively reasonable time after the date selected below.
				
		 		 	 ̈	 	The Participant has a 1-year Break in Service
				
		 		 	 ̈	 	The Participant has              (max. 5) consecutive 1-year Breaks in Service
				
		 		 	 ̈	 	The end of the Plan Year in which the Participant Terminates Employment
				
		 		 	 ̈	 	The Participant Terminates Employment
				
		 		 	 ̈	 	The Participant Terminates Employment, but not more than              days after Termination of
Employment
				
		 		 	 ̈	 	The Participant Terminates Employment, but not earlier than              days after Termination of
Employment
				
		 		 	 ̈	 	The next Valuation Date of the Plan
				
		 		 	x	 	The Participant requests payment
				
		 		 	 ̈	 	The date the Participant reaches his or her Normal (or Early) Retirement Age under the Plan
				
	15.6	 	x	 		 	Mandatory Cash-Outs. Subject to Section 5.5 of the Basic Plan, the Administrator will distribute a Vested Aggregate Account without the consent of any Participant
who Terminates Employment based on the threshold selected below.
				
		 		 	x	 	$5,000 < x including > <  ̈ excluding > Rollover
Contributions
				
		 		 	 ̈	 	$1,000 including Rollover Contributions
				
		 		 	 ̈	 	$             (must be less than $5,000 but more than $1,000) including Rollover
Contributions
				
		 		 	 ̈	 	$             (must be less than $1,000) including Rollover Contributions
				
	15.7	 	x	 		 	In-Service Distributions. Distributions may be made to a Participant <  ̈ who is a NHCE > while he or she is
still employed by the Employer as selected below.
					
		 		 	(a)	 	x	 	Distributions to Participants Still Employed After Normal Retirement Age. Subject to Section 4.2 of the Basic Plan, a Participant who has reached Normal Retirement Age but
has not Terminated Employment with the Employer can withdraw all or any portion of his or her Vested Aggregate Account balance.
					
		 		 	(b)	 	x	 	Distributions to Participants Still Employed Before Normal Retirement Age. Subject to Section 5.17 of the Basic Plan, a Participant who has not reached Normal Retirement Age
and has not Terminated Employment with the Employer can withdraw all or any portion of his or her Vested Interest in the account or accounts selected below.

  

					
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		 		 		 	(1)	 	Elective Deferral, QMAC/QNEC Accounts and ADP Safe Harbor Contribution Accounts. A Participant who has reached Age 59 1/2 (at least 59 1/2) can withdraw all or a portion of his or her: (check all that
apply)
		 		 		 	x	 	Elective Deferral Account
		 		 		 	 ̈	 	Qualified Matching Contribution Account
		 		 		 	 ̈	 	Qualified Non-Elective Contribution Account
		 		 		 	 ̈	 	ADP Safe Harbor Contribution Account
		 		 		 	(2)	 	Non-Safe Harbor Matching Contribution Accounts, Non-Safe Harbor Non-Elective Contribution Accounts and ACP Safe Harbor Contribution Accounts. A Participant who has satisfied
the conditions selected in subparagraph (3) below can withdraw all or a portion of his or her: (check all that apply)
		 		 		 	 ̈	 	Vested Non-Safe Harbor Matching Contribution Account
		 		 		 	 ̈	 	Vested Non-Safe Harbor Non-Elective Contribution Account
		 		 		 	 ̈	 	Vested ACP Safe Harbor Contribution Account
		 		 		 	(3)	 	Conditions for Withdrawals Under Subparagraph (2). A Participant must satisfy the conditions selected below in order to make a withdrawal as selected in subparagraph (2)
above. (check all that apply)
		 		 		 	 ̈	 	The Participant must have a 100% Vested Interest in the account
		 		 		 	 ̈	 	The Participant must have reached Age             
		 		 		 	 ̈	 	The Participant must have been a Participant for at least 5 years
		 		 		 	 ̈	 	The amount being distributed must have accumulated in the account for at least 2 years
		 		 		 	 ̈	 	Other
                                         
                                         
                                         
                                         
          
		
	15.8	 	x     Financial Hardship Distributions. A Participant <
x who is still an Employee > can take a hardship distribution from the Plan, subject to Section 5.16 of the Basic Plan and subject to the terms and conditions set forth in an administrative policy
regarding financial hardship distributions.
		
	15.9	 	Definition of Spouse. For purposes of the Plan, a Spouse is the person to whom a Participant is legally married <
 ̈ throughout the one year period ending on the earlier of the Annuity Starting Date or the date of the Participant’s death >,
		
	15.10	 	QDRO Distributions. Benefits payable pursuant to a Qualified Domestic Relations Order are distributable as selected below.
				
		 		 	 ̈	 	Such benefits cannot be distributed until the affected Participant has reached the Earliest Retirement Age
				
		 		 	x	 	Such benefits can be distributed at any time (even if the affected Participant has not yet reached the Earliest Retirement Age)
		
	15.11	 	Required Minimum Distributions. In applying the required minimum distribution requirements set forth in Section 5.9 of the Basic Plan, the following provisions
will apply:
				
		 		 	(a)	 	Required Beginning Date. The Required Beginning Date for Participants who are not 5% owners is: (check one)
					
		 		 		 	 ̈	 	(1) April 1st of the calendar year following the calendar year in which the Employee reaches Age
70 1/2
		 		 		 	x	 	(2) April 1st of the calendar year following the later of the calendar year in which the Employee reaches Age 70 1/2 or the calendar year in which the Employee retires
				
		 		 	(b)	 	Required Distributions After Death. If a Participant dies before distributions are required to begin and there is a Designated Beneficiary, Section 5.9 of the
Basic Plan requires that a Participant’s entire interest be distributed to the Designated Beneficiary by December 31st of the calendar year containing the 5th anniversary of the Participant’s death <x but the Participant
or Designated Beneficiary may elect the Life Expectancy method as described in Section 5.9 of the Basic Plan >.
				
		 		 	(c)	 	Effective Date. The required minimum distribution rules apply to distributions made on or after January 1, 2003 <
 ̈ and also to distributions made on or after
                             (must be on or after January 1, 2002)>.

Section 16. x Loans, Insurance and Directed Investments 

 
  

							
	16.1	 	x	 		 	Loans to Participants. Subject to Section 7.1 of the Basic Plan and a written procedure established by the Employer, loans can be made to Participants from the Plan <  ̈ beginning                      (must be after the later of the Plan’s original effective date
or the restatement date) >.
				
	16.2	 	 ̈	 		 	Purchase of Insurance. Subject to Section 7.2 of the Basic Plan, insurance Policies can be purchased on the life of a Participant at the direction of the following: (check
all that apply)

  

					
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		 		 		 	 ̈	 	The Administrator
		 		 		 	 ̈	 	The Participant
				
	16.3	 	x	 		 	Directed Investment Accounts. Subject to Section 7.4 of the Basic Plan and a written procedure established by the Employer, Participants can direct the investment
of one or more of the their accounts maintained by the Plan <  ̈ beginning
                     (must be after the later of the Plan’s original effective date or the restatement
date)>.

 Section 17. Top Heavy Allocations 

 
  

									
	17.1	 	Who Receives the Allocation. Subject to Section 3.14 of the Basic Plan, a Top Heavy Allocation will be made in each Top Heavy Plan Year to each Participant who is
employed on the last day of the Plan Year < x and is a Non-Key Employee >.
		
	17.2	 	Top Heavy Ratio. In determining the Top Heavy Ratio, the interest and mortality factors set forth in Section 1.191(d) of the Basic Plan will be used <  ̈ except as selected below (check all that apply)>.
					
		 		 		 	 ̈	 	            % interest will used prior to reaching Normal Retirement Age.
		 		 		 	 ̈	 	            % interest will used after reaching Normal Retirement Age.
		 		 		 	 ̈	 	The
                                         
                    mortality table will be used after reaching Normal Retirement Age.
		
	17.3	 	Participation in Multiple Plans. An eligible Participant as described in Section 17.1 above who participates in this Plan and in one or more defined benefit plans
or in one or more other defined contribution Plans that are part of a Top Heavy Required Aggregation Group will receive the minimum Top Heavy benefit in the manner described in Section 3.14 of the Basic Plan.

Section 18. Testing Elections 

 
  

									
	18.1	 	ADP Testing. The ADP Test will be determined as selected below. (check one)
					
		 		 		 	x	 	Current year testing
		 		 		 	 ̈	 	Prior year testing
		 		 		 	 ̈	 	Prior year testing for the first Plan Year and current year testing thereafter, subject to Section 1.7 of the Basic Plan
		
	18.2	 	ACP Testing. The ACP Test (if applicable) will be determined as selected below. (check one)
					
		 		 		 	x	 	Current year testing
		 		 		 	 ̈	 	Prior year testing
		 		 		 	 ̈	 	Prior year testing for the first Plan Year and current year testing thereafter, subject to Section 1.5 of the Basic Plan
		
	18.3	 	Hypothetical Entry Date for Otherwise Excludable Participants. For any Plan Year in which a determination of Otherwise Excludable Participants must be made, the
Hypothetical Entry Date related to any determination of an Otherwise Excludable Participant for purposes that include, but are not limited to, the ACP Test and/or the application of the general nondiscrimination test under Code §401(a)(4)
(including determining the amount of, and which Participants are subject to, the Minimum Aggregate Allocation Gateway or Minimum Allocation Gateway requirement) is: (check one)
					
		 		 		 	 ̈	 	The date that the Employee satisfies the maximum statutory age and service requirements under Code §410(a)(1)(A)
		 		 		 	x	 	The Employee’s maximum statutory entry date under Code §410(a)(4) after the Employee satisfies the maximum statutory age and service requirements under Code
§410(a)(1)(A)
		 		 		 	 ̈	 	The Employee’s Entry Date(s) under Section 3.3 for the component of the Plan for which the determination relates
				
	18.4	 	 ̈	 		 	Calendar Year Election. The calendar year election is being made for the purpose of determining who is a HCE.
				
	18.5	 	 ̈	 		 	Top Paid Group Election. The top paid group election is being made for the purpose of determining who is a HCE.

Section 19.  ̈ 401(k) SIMPLE Provisions 

 
  

									
	19.1	 	 ̈	 		 	Election of SIMPLE Provisions. The Sponsoring Employer elects to have the 401(k) SIMPLE Provisions described in Section 3.16 of the Basic Plan apply, and the
Employer will make the contribution selected in (a) or (b) below.
					
		 		 	(a)	 	 ̈	 	Matching Contributions. The Employer will make a Matching Contribution equal to each “eligible employee’s” Elective Deferral up to a limit of <  ̈ 3% > <  ̈             %> of Compensation determined without regard to Code
§401(a)(17). If the percentage is less than 3%, the restrictions in Section 3.16(f) of the Basic Plan apply.

  

					
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		 		 	(b)	 	 ̈	 	Non-Elective Contributions. The Employer will make a Non-Elective Contribution equal to 2% of the compensation of each “eligible employee” who makes at least
$             (max. $5,000) of Compensation for the year.
				
	19.2	 	 ̈	 		 	Revocation of SIMPLE Provisions. The Sponsoring Employer revokes the 401(k) SIMPLE Provisions previously elected, effective as of January 1 next following the
date this Section 19.2 is signed and dated below by the Sponsoring Employer.
			
		 		 	By
                                         
                                         
           (on behalf of the Employer) Dated
                                        

 Section 20. Miscellaneous Provisions 

 
  

									
	20.1	 	Limitation Year. In applying the limitations under Code §415, the Limitation Year will be:
				
		 		 	x	 	Plan Year
				
		 		 	 ̈	 	The Fiscal Year ending on or within the Plan Year
				
		 		 	 ̈	 	The calendar year ending on or within the Plan Year
				
		 		 	20.2	 	 Failsafe Allocations.  ̈ For any Plan Year in which the Plan
fails to satisfy the average benefit percentage test of Code §410(b)(2) or the average benefits test of Regulation §1.401(a)(4), in accordance with Section 3.15 of the Basic Plan to the extent necessary to insure that the Plan satisfies
one of the tests set forth in Code §410(b)(1)(A) (in which the Plan initially fails to benefit at least 70% of Non-Highly Compensated Employees) or Code §410(b)(1)(B) (in which the Plan initially fails to benefit a percentage of Non-Highly
Compensated Employees that is at least 70% of the percentage of Highly Compensated Employees who benefit under the Plan), an additional Employer contribution may be made and allocated for certain Participants who are not Benefiting Participants for
that Plan Year pursuant to the rankings below.

				
		 		 	(a)	 	Participants eligible for the failsafe allocation will first be ranked by their: (check one)
					
		 		 		 	 ̈	 	Hours of Service (or months of Service if Elapsed Time) beginning with the <  ̈ highest > <
 ̈ lowest > number
		 		 		 	 ̈	 	Compensation beginning with the <  ̈ highest > <  ̈ lowest >
amount
					
		 		 	(b)	 	 ̈	 	Before an allocation is made, the Participants in (a) will be further ranked: (check one)
					
		 		 		 	 ̈	 	Beginning with those who are employed on the last day of Plan Year
		 		 		 	 ̈	 	Beginning with those who are credited with at least 1,000 hours of service (6 months of service if elapsed time)
		
	20.3	 	Multiple Defined Contribution Plans. If a Participant (a) is or was covered under two or more current or terminated plans sponsored by the same Employer (or
Employers in the same controlled or affiliated service group); or (b) is covered under either a welfare benefit fund as defined in Code §419(e), or an individual medical account as defined in Code §415(I)(2) under which amounts are treated
as Annual Additions with respect to any Participant in this Plan, Annual Additions will be adjusted as follows:
					
		 		 		 	x	 	As set forth in Article 6 of the Basic Plan so the Annual Additions under this Plan will be reduced first
		 		 		 	 ̈	 	As set forth in the Annual Addition Adjustment Addendum.
			
	20.4	 	x	 	  Protected Benefits. The benefits set forth in the “Protected Benefits Addendum” are also permitted,
			
	20.5	 	 ̈	 	  Domestic Partners. A Participant’s Domestic Partner is treated as a Spouse under the terms of Plan.
		
	20.6	 	Prototype Sponsor Information. The Prototype Sponsor certifies that it will inform the Sponsoring Employer of any amendments to the Plan or of the Prototype
Sponsor’s discontinuance or abandonment of the Plan. For more information about the Plan, a Sponsoring Employer may contact the Prototype Sponsor (or its authorized representative) at the following address:
		
		 	Prototype Sponsor Charles Schwab Trust
Co.                                         
                                         
                                         
  
		
		 	Address 215 Fremont
Street                                        
                                         
                                         
                                 
		
		 	City San Francisco                    State
CA                    ZIP Code
94105                    Phone (888) 444-4015
		
	20.7	 	Reliance. The adopting Employer may rely on an opinion letter issued by the Internal Revenue Service as evidence that the plan is qualified under Code §401
only to the extent provided in Revenue Procedure 2005-16. The Employer may not rely on the opinion letter in certain other circumstances or with respect to certain qualification requirements that are specified in the opinion letter issued with
respect to the plan and in Revenue Procedure 2005-16. In order to have reliance in such circumstances or with respect to such qualification requirements, application for a determination letter must be made to Employee Plans Determinations of
the

  

					
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		 	Internal Revenue Service. This Adoption Agreement may be used only in conjunction with Basic Plan #01. The appropriateness of the adoption of this Plan and the terms of the Adoption
Agreement, its qualification with the IRS, and the tax and employee benefit consequences are the responsibility of the Employer and its tax and legal advisors. Failure to properly complete this Adoption Agreement may result in disqualification of
the Plan.

 Section 21. Signature Provisions 

 
  

											
	21.1	 	Signature of the Sponsoring Employer

											
						
		 	By	 	 /s/ Noma Bruton
	 		 	Date	 	12/24/09

											
						
		 	Print Name	 	 Noma Bruton
	 		 	Title	 	 EVP, Chief People Officer

											
		
	21.2	 	Signature of the Individual Trustees (the individual Trustees may sign here in lieu of executing the separate trust
document)

											
						
		 	Trustee #1	 	  
	 		 	Date	 	  

						
		 	Print Name	 	  
	 		 		 	
						
		 	Trustee #2	 	  
	 		 	Date	 	  

						
		 	Print Name	 	  
	 		 		 	
						
		 	Trustee #3	 	  
	 		 	Date	 	  

						
		 	Print Name	 	  
	 		 		 	
						
		 	Trustee #4	 	  
	 		 	Date	 	  

						
		 	Print Name	 	  
	 		 		 	
						
		 	Trustee #5	 	  
	 		 	Date	 	  

						
		 	Print Name	 	  
	 		 		 	
						
		 	Trustee #6	 	  
	 		 	Date	 	  

						
		 	Print Name	 	  
	 		 		 	

											
		
	21.3	 	Signature of the Corporate Trustee (the Corporate Trustee may sign here in lieu of executing the separate trust document)

											
						
		 	By	 	 /s/ William Dallas
	 		 	Date	 	1/4/10

											
						
		 	Print Name	 	 William Dallas
	 		 	Title	 	 Trust Officer

 

											
	21.4	 	Signature of the Custodian (complete only if a custodian has been appointed)

											
						
		 	By	 	  
	 		 	Date	 	  

											
						
		 	Print Name	 	  
	 		 	Title	 	  

  

					
	Prototype 401(k) Non-Std.	 	Page 31 of 31	 	IRS Serial No: [—]

 ADDITIONAL EMPLOYER ADDENDUM 

 

			
	PLAN NAME	 	 See 4 in Addendum

 The following have adopted the Plan on behalf of their eligible Employees as permitted under Section 1.5 of the Adoption Agreement: 

 

									
	1.	 	Name Pacific Capital Bank, N.A.	 	
					
		 	EIN	 	[—]	 	Adoption Date (or Re-Adoption Date)	 	January 1, 2009
			
	2.	 	Name Morton Capital Management	 	
					
		 	EIN	 	[—]	 	Adoption Date (or Re-Adoption Date)	 	January 1, 2009
			
	3.	 	Name RE Wacker Associates, Inc.	 	
					
		 	EIN	 	[—]	 	Adoption Date (or Re-Adoption Date)	 	January 1, 2009
			
	4.	 	Name	 	  

					
		 	EIN	 	  
	 	Adoption Date (or Re-Adoption Date)	 	  

			
	5.	 	Name	 	  

					
		 	EIN	 	  
	 	Adoption Date (or Re-Adoption Date)	 	  

			
	6.	 	Name	 	  

					
		 	EIN	 	  
	 	Adoption Date (or Re-Adoption Date)	 	  

			
	7.	 	Name	 	  

					
		 	EIN	 	  
	 	Adoption Date (or Re-Adoption Date)	 	  

			
	8.	 	Name	 	  

					
		 	EIN	 	  
	 	Adoption Date (or Re-Adoption Date)	 	  

			
	9.	 	Name	 	  

					
		 	EIN	 	  
	 	Adoption Date (or Re-Adoption Date)	 	  

			
	10.	 	Name	 	  

					
		 	EIN	 	  
	 	Adoption Date (or Re-Adoption Date)	 	  

 SIGNATURE OF THE SPONSORING EMPLOYER 
  

									
	By	 	 /s/ Noma Bruton
	 		 	Title	 	 EVP, Chief People Officer

									
					
	Print Name	 	 Noma Bruton
	 		 	Date	 	12/24/09

  

					
	Prototype 401(k) Non-Std.	 	Page 1 of 1	 	IRS Serial No: [—]

 PROTECTED BENEFITS ADDENDUM 

 

			
	PLAN NAME	 	 See 5 in Addendum

 The following forms of distribution which are not accommodated in this Adoption Agreement are nevertheless permitted under this Plan. 

 

			
	1.	  	See 6 in Addendum
		  	 
		  	
	2.	  	See 7 in Addendum
		  	 
		  	
	3.	  	Notwithstanding Section 8.2(c) Voluntary After-Tax Contributions may be withdrawn at any
time if the Participant is still employed with the Employer.
		  	 
		  	
	4.	  	 
		  	 
		  	
	5.	  	 
		  	 
		  	
	6.	  	 
		  	 
		  	
	7.	  	 
		  	 
		  	
	8.	  	 
		  	 
		  	
	9.	  	 
		  	 
		  	
	10.	  	 
		  	 

SIGNATURE OF THE PLAN SPONSOR 

 

									
	By	 	 /s/ Noma Bruton
	 		 	Title	 	 EVP, Chief People Officer

									
					
	Print Name	 	 Noma Bruton
	 		 	Date	 	12/24/09

  

					
	Prototype 401(k) Non-Std.	 	Page 1 of 1	 	IRS Serial No: [—]

 POST-EGTRRA “GOOD FAITH” AMENDMENT 

ELECTION FORM 
  

			
	PLAN NAME	 	 See 8 in Addendum

 All references to the “Amendment” are to the Post-EGTRRA “Good Faith” Amendment. This Amendment is a “good faith” amendment, is not part of the pre-approved EGTRRA
document, and has not been reviewed by the IRS for compliance with various post-EGTRRA statutory and Regulatory changes. However, pursuant to the provisions of Revenue Procedure 2007- 44, this Amendment does not affect the status of reliance upon
the Plan. 
 Section 1. Post-EGTRRA Provisions Effective 2006 And Earlier 

 
  

													
	1.1	 	 ̈	 	Revised Definition of Financial Hardship. Section 1.5 of the Amendment regarding hardship distributions to a Participant’s Primary Beneficiary is adopted
effective                     .
			
	1.2	 	 ̈	 	Distributions to a Qualified Reservist. Section 1.6 of the Amendment regarding distributions to a Qualified Reservist is adopted effective
                    .
			
	1.3	 	 ̈	 	Hurricane Provisions. Section 1.7 of the Amendment regarding distributions made from the Plan on account of Hurricanes Katrina, Rita, or Wilma is adopted, subject
to the following elections: (check any that apply)
						
		 		 		 		 	 ̈	 	The special financial hardship distribution provision in Section 1.7(c) of the Amendment applies
						
		 		 		 		 	 ̈	 	The Participant loan provision in Section 1.7(d) of the Amendment applies
						
		 		 		 		 	 ̈	 	The re-contribution of Qualified Hurricane Distributions provision in Section 1.7(e) of the Amendment applies
						
		 		 		 		 	 ̈	 	The re-contribution of Qualified Distributions provision in Section 1.7(f) of the Amendment applies
			
	1.4	 	 ̈	 	Revocation of Prior Amendment On Account Of Heinz. Section 1.8 of the Amendment regarding the revocation of an Original Amendment on account of the Heinz decision
is adopted effective                     . The Original Amendment is hereby revoked retroactively with respect to: (check
one)
						
		 		 		 		 	 ̈	 	All accrued benefits, which are allocations that were accrued as of the Applicable Amendment Date and allocations that were accrued after the Applicable Amendment
Date.
						
		 		 		 		 	 ̈	 	Only accrued benefits as of the Applicable Amendment Date, which are allocations that were accrued as of the Applicable Amendment Date. Allocations accrued after the
Applicable Amendment Date will continue to be subject to the restrictions on the form or timing of distributions as set forth in the Original Amendment.
			
	1.5	 	 ̈	 	Exclusion of 403(b) Participants. Section 1.9 of the Amendment regarding the exclusion from the Plan of certain Employees who participate in a 403(b) plan
sponsored by the tax-exempt Employer is adopted.

 Section 2. Post-EGTRRA Provisions Effective 2007 

 
  

											
	2.1	 	Code §415 Limitations under the Final §415 Regulations.
				
		 		 	(a)	 	Code §415(c)(3) Compensation for Top Heavy Allocation Purposes and Key Employee Determinations. Pursuant to Section 2.5(c)(2) of the Amendment, an
Employee’s Code §415(c)(3) Compensation which is used to determine any Top Heavy Minimum Allocations and whether an Employee is also a Key Employee is: (check one)
						
		 		 		 		 	x	 	Form W-2 Compensation
						
		 		 		 		 	 ̈	 	Code §3401 Compensation
						
		 		 		 		 	 ̈	 	Safe Harbor Code §415 Compensation
						
		 		 		 		 	 ̈	 	Statutory Code §415 Compensation
				
		 		 	(b)	 	Code §415(c)(3) Compensation for Code §415 Limitation Determinations. Pursuant to Section 2.5(c)(2) of the Amendment, an Employee’s Code
§415(c)(3) Compensation used to determine the Employee’s Annual Addition limitation under Article 6 of the Basic Plan is based on the selection below.

  

					
	Post-EGTRRA Election Form	 	Page 1	 	July 2008

											
		 		 		 		 	x	 	Form W-2 Compensation
						
		 		 		 		 	 ̈	 	Code §3401 Compensation
						
		 		 		 		 	 ̈	 	Safe Harbor Code §415 Compensation
						
		 		 		 		 	 ̈	 	Statutory Code §415 Compensation
				
		 		 	(c)	 	Code §415(c)(3) Compensation for Highly Compensated Employee Determinations and Other Statutory Purposes. Pursuant to Section 2.5(c)(2) of the Amendment, an
Employee’s Code §415(c)(3) Compensation used to determine whether the Employee is also a Highly Compensated Employee, and for other statutory purposes that do not appear elsewhere in this Adoption Agreement, is based on the selection
below.
						
		 		 		 		 	x	 	Form W-2 Compensation
						
		 		 		 		 	 ̈	 	Code §3401 Compensation
						
		 		 		 		 	 ̈	 	Safe Harbor Code §415 Compensation
						
		 		 		 		 	 ̈	 	Statutory Code §415 Compensation
					
		 		 	(d)	 	  ̈
	 	Compensation Earned in Limitation Year but Paid in Next Limitation Year. Section 2.5(c)(2)(E) of the Amendment defines Code §415(c)(3) Compensation for a
Limitation Year to include any amounts earned during that Limitation Year but not paid until the next Limitation Year.
				
		 		 	(e)	 	 Post-Severance Compensation. For all Plan purposes, Section 2.5(c)(6) of the Amendment defines Post-Severance Compensation
as including regular pay after Termination of Employment during the timeframe permitted by the Regulations, plus any/all of the items selected below: (check all that apply)

						
		 		 		 		 	x	 	Leave cash-outs and deferred compensation under Section 2.5(c)(6)(B) of the Amendment
						
		 		 		 		 	 ̈	 	Imputed compensation when the Participant becomes disabled under Section 2.5(c)(6)(C) of the Amendment
						
		 		 		 		 	 ̈	 	Continuation of compensation while in qualified military service under Section 2.5(c)(6)(D) of the Amendment
					
	2.2	 		 	x	 		 	Vesting of Non-Safe Harbor Non-Elective Contributions. Pursuant to Section 2.6 of the Amendment and PPA §904, the Vesting Schedule that applies to Non-Safe
Harbor Non-Elective Contribution Accounts is effective as of the first day of the first Plan Year beginning after December 31, 2006, subject to the following elections:
				
		 		 	(a)	 	Participants to Whom the Post-2006 Vesting Schedule Relates. Under Section 2.6(a) of the Amendment, the Post-2006 Vesting Schedule applies to the Non-Safe Harbor
Non-Elective Contribution Account of:
						
		 		 		 		 	 ̈	 	Any Participant who completes an Hour of Service in any Plan Year beginning after December 31, 2006.
						
		 		 		 		 	x	 	Any Participant (regardless of whether he or she has Terminated Employment) who has a Non-Safe Harbor Non-Elective Contribution Account balance in any Plan Year beginning after
December 31, 2006 and whose Non-Safe Harbor Non-Elective Contribution Account has not become subject to the Forfeiture provisions of the Plan prior to the first day of the first Plan Year beginning after December 31, 2006.
				
		 		 	(b)	 	Account Balances to Which the Post-2006 Vesting Schedule Relates. Under Section 2.6(b) of the Amendment, the Post- 2006 Vesting Schedule applies
to:
						
		 		 		 		 	x	 	The entire Non-Safe Harbor Non-Elective Contribution Account.
						
		 		 		 		 	 ̈	 	The portion of the Non-Safe Harbor Non-Elective Contribution Account to which is allocated Non-Safe Harbor Non- Elective Contributions, Forfeitures, and earnings for Plan Years
beginning after December 31, 2006 (and subsequent earnings attributable to such allocations). The portion of the Non-Safe Harbor Non-Elective Contribution Account to which was allocated Non-Safe Harbor Non-Elective Contributions, Forfeitures,
and earnings for Plan Years beginning prior to January 1, 2007 (and subsequent earnings attributable to such allocations) will remain subject to the Pre-2007 Vesting Schedule, without regard to this Section or the Vesting schedule enumerated in the
current Plan document that applies to Non-Safe Harbor Non-Elective Contribution Accounts.
				
		 		 	(c)	 	Pre-2007 Vesting Schedule. Under Section 2.6(f)(3) of the Amendment, the Pre-2007 Vesting Schedule was:

  

					
	Post-EGTRRA Election Form	 	Page 2	 	 July 2008

											
		 		 		 		 	 ̈	 	7 Year Graded
						
		 		 		 		 	 ̈	 	5 Year Cliff
						
		 		 		 		 	x	 	The schedule set forth below
		 		 		 		 	1 Year / Period of Service 0%
		 		 		 		 	2 Years / Periods of Service 20%
		 		 		 		 	3 Years / Periods of Service 30% (must be at least 20% unless- 100% Vesting occurs at 5 years)
		 		 		 		 	4 Years / Periods of Service 40% (must be at least 40% unless 100% Vesting occurs at 5 years)
		 		 		 		 	5 Years / Periods of Service 60% (must be at least 60%)
		 		 		 		 	6 Years / Periods of Service 80% (must be at least 80%)
		 		 		 		 	7 Years / Periods of Service 100% (must be 100%)
					
	2.3	 		 	x	 		 	Rollovers by a Non-Spouse Beneficiary. Section 2.9 of the Amendment regarding rollovers by a Non-Spouse Designated Beneficiary is adopted effective Dec 11,
2008.
					
	2.4	 		 	 ̈	 		 	Money Purchase or Target Benefit Plan In-Service Distributions. Section 2,10 of the Amendment regarding in service distributions from a money purchase or target
benefit plan is adopted effective             . A Participant who has reached Age              (cannot be earlier
than Age 62) and who has not yet Terminated Employment may elect to receive a distribution of his or her Vested Account Balance.
					
	2.5	 		 	x	 		 	QDIA. If the Plan has an Eligible Automatic Contribution Arrangement as described in Code §414(w)(3), then Section 2.11 of the Amendment regarding QDIAs is
adopted effective as of the effective date of the Eligible Automatic Contribution Arrangement (unless an earlier effective date is indicated in the next sentence). Otherwise, Section 2.11 of the Amendment regarding QDIAs is adopted effective Dec
24, 2007.
					
	2.6	 		 	 ̈	 		 	Modification of Normal Retirement Age. Section 2.12 of the Amendment regarding the definition of Normal Retirement Age is adopted effective
                            , subject to the following provisions:
						
		 		 		 		 	(a)	 	Normal Retirement Age Amended in Plan or this Amendment. Under Section 2.12(a) of the Amendment, the definition of Normal Retirement Age is amended as of the effective date
above to be:
						
		 		 		 		 	 ̈	 	The definition selected in the Adoption Agreement.
						
		 		 		 		 	 ̈	 	Age              (max. 65)
						
		 		 		 		 	 ̈	 	Or the              (max. 5th) anniversary of becoming a Participant in the Plan, if
later.
						
		 		 		 		 	 ̈	 	Or the date the Participant is credited with at least              Years of Service/Periods of Service, if later,
but in no event later than the later of Age 65 or the 5th anniversary of becoming a Participant.
						
		 		 		 		 	 ̈	 	Or
                                        ,
but in no event later than the later of Age 65 or the 5th anniversary of becoming a Participant in the Plan.
						
		 		 		 		 	(b)	 	 ̈ Plan Provisions for Code §411(a)(10) and/or Code §411(d)(6) Compliance. Under Section 2.12(c) of the
Amendment, the Plan is amended by the following additional
provisions:                                       
             
						
		 		 		 		 		 	  

 Section 3. Post-EGTRRA Provisions Effective 2008 
  

 

									
	3.1	 		 	x	 		 	Elimination of Gap Period Income for Excess Contributions. Section 3.1 of the Amendment regarding the elimination of gap period income for Excess Contributions is adopted
effective Jan 1, 2008.
					
	3.2	 		 	x	 		 	Elimination of Gap Period Income for Excess Aggregate Contributions. Section 3.2 of the Amendment regarding the elimination of gap period income for Excess Aggregate
Contributions is adopted by the Plan effective Jan 1, 2008.
					
	3.3	 		 	 ̈	 		 	Qualified Automatic Contribution Arrangement. Section 3.3 of the Amendment regarding a Qualified Automatic Contribution Arrangement is adopted effective
                    , subject to the following:
				
		 		 	(a)	 	QACA Contribution Requirement. Pursuant to Section 3.3(a) of the Amendment, the Employer will make the following QACA Contribution to the following Participants:
(check one)
				
		 		 	 ̈	 	QACA Non-Elective Contribution. The Employer will make a QACA Non-Elective Contribution equal to 3% (or such higher percentage as may be elected by the Employer
by resolution) of Compensation for the Plan Year. Such QACA Non-Elective Contribution will be made on behalf of: (check one)

  

					
	Post-EGTRRA Election Form	 	Page 3	 	 July 2008

													
		 		 		 	 ̈	 	Any Participant in the Elective Deferral component of the Plan who is a NHCE, regardless of whether he or she makes Elective Deferrals or Voluntary Employee
Contributions.
					
		 		 		 	 ̈	 	Any Participant in the Elective Deferral component of the Plan, regardless of whether such Participant makes Elective Deferrals or Voluntary Employee
Contributions.
					
		 		 		 	 ̈	 	The following Participants
                                         
                                         
                                         
             
		 		 		 		 	(Any Participant in the Elective Deferral component of the Plan who is a NHCE must be included regardless of whether he or she makes Elective Deferrals or Voluntary
Employee Contributions)
				
		 		 	 ̈	 	QACA “Basic” Matching Contributions. The Employer will make a QACA Matching Contribution equal to the sum of (1) 100% of the Participant’s Elective
Deferrals that do not exceed 1% of Compensation for the Allocation Period, plus (2) 50% of the Participant’s Elective Deferrals that exceed 1% of Compensation for the Allocation Period but do not exceed 6% percent of Compensation for the
Allocation Period. Such QACA Matching Contribution will be made on behalf of: (check one)
					
		 		 		 	 ̈	 	Any Participant in the Elective Deferral component of the Plan who is a NHCE and on whose behalf Elective Deferrals are made to the Plan.
					
		 		 		 	 ̈	 	Any Participant in the Elective Deferral component of the Plan and on whose behalf Elective Deferrals are made to the Plan.
					
		 		 		 	 ̈	 	The following Participants
                                         
                                         
                                         
             
		 		 		 		 	(Any Participant in the Elective Deferral component of the Plan who is a NHCE must be included regardless of whether he or she makes Elective Deferrals or Voluntary
Employee Contributions)
				
		 		 	 ̈	 	QACA “Enhanced” Matching Contributions. The Employer will make a QACA Matching Contribution equal to (1) 100% of the Participant’s Elective
Deferrals that do not exceed             % (must be at least 1% but not greater than 6%) of Compensation for the Allocation Period; plus, if applicable,
(2)            % of Elective Deferrals that exceed             % (must be at least 1% but not greater than 6%) of
Compensation but do not exceed             % (must be greater than 1% but not greater than 6%) of Compensation for the Allocation Period; plus, if applicable, (3)
            % of Elective Deferrals that exceed             % (must be greater than 1% but not greater than 6%) of
Compensation but do not exceed             % (must be greater than 1% but not greater than 6%) of Compensation for the Allocation Period.
				
		 		 		 	Note: If applicable, the first blank in (2) and the first blank in (3) must be completed so that, at any rate of elective deferrals, the QACA “Enhanced”
Matching Contribution is at least equal to the Matching Contribution receivable if the Employer was making the QACA “Basic” Matching Contributions, but the rate of Matching Contributions cannot increase as Elective Deferrals
increase.
			
		 		 	Such QACA Matching Contribution will be made on behalf of:
				
		 		 	 ̈	 	Any Participant in the Elective Deferral component of the Plan who is a NHCE and on whose behalf Elective Deferrals are made to the Plan.
				
		 		 	 ̈	 	Any Participant in the Elective Deferral component of the Plan and on whose behalf Elective Deferrals are made to the Plan.
				
		 		 	 ̈	 	The following Participants
                                         
                                         
                                         
                     
		 		 		 	(Any Participant in the Elective Deferral component of the Plan who is a NHCE must be included regardless of whether he or she makes Elective Deferrals or Voluntary
Employee Contributions)
				
		 		 	(b)	 	Plan to Which QACA Contribution Will Be Made. Pursuant to Section 3.3(a)(2) of the Amendment, the QACA Contribution will be made to: (check one)
					
		 		 		 	 ̈	 	This Plan
					
		 		 		 	 ̈	 	The following plan, so long as that other plan meets the requirements of Code §401(k)(12)(F) and the Regulations thereunder
                                         
                                         
                                         
             .
				
		 		 	(c)	 	Compensation for QACA Contribution Purposes. Pursuant to Section 3.3(a)(5) of the Amendment, a Participant’s Compensation for QACA Contribution purposes is
determined by the provisions selected below:
		
	(1)	 	Compensation is defined as: (check one)
					
		 		 		 	 ̈	 	Form W-2 Compensation

  

					
	Post-EGTRRA Election Form	 	Page 4	 	July 2008

											
		 		 		 	 ̈	 	Code §3401 Compensation
					
		 		 		 	 ̈	 	Safe Harbor Code §415 Compensation
				
		 		 	(2)	 	Elective contributions under Code §125, §132(f)(4), §401(k), §402(h), §403(b), §457(b) and §414(h)(2) will: (check
one)
					
		 		 		 	 ̈	 	Be included as Compensation
		 		 		 	 ̈	 	Not be included as Compensation
				
		 		 	(3)	 	The Compensation measuring period is the: (check one)
					
		 		 		 	 ̈	 	Plan Year
		 		 		 	  
  ̈
	 	  
 Fiscal Year ending on or within the Plan
Year

		 		 		 	  
  ̈
	 	  
 Calendar year ending on or within the Plan
Year

					
		 		 	(4)	 	 ̈	 	The following categories will not be counted as Compensation: (check all that apply)
					
		 		 		 	 ̈	 	A) Compensation received prior to becoming a Participant
		 		 		 	  
  ̈
	 	  
 B) Compensation received while an ineligible
Employee

		 		 		 	  
  ̈
	 	  
 C) All items in Regulation §1.414(s)-1(c)(3)
(i.e., expense allowances, fringe benefit, etc.)

		 		 		 	  
  ̈
	 	  
 D) Post-Severance Compensation1

		 		 		 	  
  ̈
	 	  
 E) Deemed 125 Compensation1

		 		 		 	  
  ̈
	 	  
 F) Bonuses1

		 		 		 	  
  ̈
	 	  
 G) Overtime1

		 		 		 	  
  ̈
	 	  
 H) Commissions1

		 		 		 	  
  ̈
	 	  
 I) Other (describe)1
	  	  

											
		 		 		 		 	  

		 		 		 	  
 1. if checked, the Plan’s definition of compensation may fail to
satisfy the safe harbor requirements unless such compensation is excluded only with respect to HCEs under paragraph (5) below.

					
		 		 	(5)	 	 ̈	 	The amounts excluded under (4)(D)-(I) are only excluded with respect to: (check all that apply)
					
		 		 		 	 ̈	 	Highly Compensated Employees
		 		 		 	 ̈	 	Other (cannot be a class that only includes NHCEs)	 	  

		 		 		 		 	  

				
		 		 	(d)	 	Vesting of QACA Contribution Account. Pursuant to Section 3.3(b) of the Amendment, a Participant’s Vested Interest in his or her QACA Contribution Account
will be determined by the provisions selected below:
			
	(1)	 		 	The Vesting schedule for the QACA Contribution Account is: (check one)
					
		 		 		 	 ̈	 	100% full and immediate
		 		 		 	  
  ̈
	 	  
 2-year cliff Vesting (1 year/0%; 2
years/100%)

		 		 		 	  
  ̈
	 	  
 The Vesting schedule set forth
below:

		 		 		 	1 Year/Period of Service          %
		 		 		 	2 Years/Periods of Service 100 %
				
	(2)	 		 	 ̈	 	Service Excluded for Vesting. All Service with the Employer is counted in determining a Participant’s Vested Interest in the QACA Contribution Account except
the following: (check all that apply)
					
		 		 		 	 ̈	 	Service before age 18
		 		 		 	  
  ̈
	 	  
 Service before the Employer maintained this Plan or a
predecessor plan

				
		 		 	(e)	 	Usage of Forfeitures of QACA Contribution Account. If the Vesting schedule selected in Section 3.3(d) above is other than 100% full and immediate, then pursuant
to Section 3.3(c) of the Amendment, Forfeitures that are not used for the purposes described in Section 3.3(c) of the Amendment will be: (check one)

  

					
	Post-EGTRRA Election Form	 	Page 5	 	July 2008

									
		 		 		 	 ̈	 	Used to reduce any, or any combination of, Employer contributions, as determined by the Administrator
		 		 		 	  
  ̈
	 	  
 Added to any, or any combination of, Employer contributions, as
determined by the Administrator

			
	3.4	 	 ̈	 	Eligible Automatic Contribution Arrangement. Section 3.4 of the Amendment regarding an Eligible Automatic Contribution Arrangement is adopted effective
                    .
			
	3.5	 	 ̈	 	Eligible Participant’s Election for Permissible Withdrawal. Section 3.5 of the Amendment regarding a Participant’s election for a Permissible Withdrawal
is adopted effective                     . (the date cannot be earlier than the effective date of either Section 3.3 or Section 3.4
above)

 SIGNATURE OF THE SPONSORING EMPLOYER

  

									
	By	 	 /s/ Noma Bruton
	 		 	Title	 	 EVP, Chief People Officer

									
					
	Print Name	 	 Noma Bruton
	 		 	Date	 	12/24/09

  

					
	Post-EGTRRA Election Form	 	Page 6	 	July 2008

 Addendum 
  

	1.	the value of any qualified or non-qualified stock option granted to the Participant by his Employer to the extent such value is includible in the Participant’s
taxable income; and (ii) amounts received when restricted stock held by the Participant becomes freely transferable or is no longer subject to substantial risk of forfeiture. 

 

	2.	the value of any qualified or non-qualified stock option granted to the Participant by his Employer to the extent such value is includible in the Participant’s
taxable income; and (ii) amounts received when restricted stock held by the Participant becomes freely transferable or is no longer subject to substantial risk of forfeiture. 

 

	3.	the value of any qualified or non-qualified stock option granted to the Participant by his Employer to the extent such value is includible in the Participant’s
taxable income; and (ii) amounts received when restricted stock held by the Participant becomes freely transferable or is no longer subject to substantial risk of forfeiture. 

 

	4.	Pacific Capital Bancorp Amended and Restated Incentive and Investment and Salary Savings Plan 

 

	5.	Pacific Capital Bancorp Amended and Restated Incentive and Investment and Salary Savings Plan 

 

	6.	The vested interest of a Participant in his Prior Employer Discretionary Contributions Sub-Account shall be determined in accordance with the following schedule:

 Less than 1 YOS - 0%; less than 2 YOS - 33.33%; less than 3 YOS - 66.67%; 3 or more YOS - 100% 

 

	7.	A Participant’s vested interest in his prior Pacific Capital Bancorp Profit Sharing Contributions Sub-Accounts with respect to such contributions made on and after
the respective mergers shall be determined in accordance with the following schedule: 

 Less than 1 YOS - 0%; Less
than 2 YOS - 20%; Less than 3 YOS - 40%; Less than 4 YOS - 60%; Less than 5 YOS - 80%; 5 or more YOS - 100% 
  

	8.	Pacific Capital Bancorp Amended and Restated Incentive and Investment and Salary Savings Plan 

 Pacific Capital Bancorp Amended and Restated Incentive and Investment and Salary

 Savings Plan 
 Administrative Policy Regarding the Claims Procedure 
 In accordance with Section 8.9
of the Pacific Capital Bancorp Amended and Restated Incentive and Investment and Salary Savings Plan (the “Plan”), Pacific Capital Bancorp (the “Sponsoring Employer”) hereby implements the rules and procedures set forth below to
govern claims for benefit under the Plan. The procedures set forth in the policy here are the sole and exclusive remedy for an Employee, Participant or Beneficiary (“Claimant”) to make a claim for benefits, and these procedures will be
administered and interpreted in a manner consistent with the requirements of ERISA §503 and the regulations thereunder. All claims determinations that are made by the Administrator, the Appropriate Named Fiduciary, and/or the Committee (if one
has been appointed under Section 8.3 of the Plan) will be made in accordance with this procedure and will be applied consistently to similarly situated Claimants. The terms used in this procedure will have the same meaning ascribed to those
terms in the Plan. 
 Definitions 

 
 In applying the terms of
this Policy, any terms used herein which are also used in the Plan will have the same meaning ascribed to them under this Policy as ascribed to them under the terms of the Plan except as may otherwise be provided in this Policy. In addition, the
following terms specific to this Policy will have the following meanings: 
 Appropriate Named Fiduciary. For purposes of
this Policy, the term “Appropriate Named Fiduciary” means (a) if a Committee has been appointed by the Sponsoring Employer under Section 8.3 of the Plan, the Committee; or (b) if a Committee has not been appointed pursuant
to Section 8.3 of the Plan, the Administrator (and if a Committee has not been appointed, any reference to Committee will be considered a reference to the Administrator). 
 Initial Determination of a Claim 
  

A Claimant (or the Claimant’s authorized representative) may file a claim for a Plan benefit to which the Claimant believes he or she
is entitled. Claims must be filed in writing with the Administrator. The Administrator, in its sole and complete discretion, will make all initial determinations as to the right of any person to benefits. If the claim is denied in whole or in part,
the Administrator will send the Claimant a written or electronic notice (which electronic notice must comply with the standards imposed by Department of Labor Regulation §2520.104b-1(c)(1)(i), (iii), and (iv)) informing the Claimant of the
denial. The notice of denial will be given as provided in the next section below. 
 Notice of a Claim Denial 

 
 The written or electronic notice
of the denial will be given within a reasonable period of time (but no later than 90 days) from the date the Administrator receives the written claim, unless special circumstances require an extension of time for processing the claim. In no event
may the extension exceed 90 days from the end of the initial 90-day period. If an extension is necessary, the Administrator will send the Claimant a written notice prior to the expiration of the initial 90-day period in which the Administrator
indicates the special circumstances requiring an extension and the date by which the Administrator expects to render a decision. The notice must be written in a manner calculated to be understood by the Claimant and must contain the following
information: (a) the specific reason or reasons for the denial; (b) reference to the specific plan provisions on which the denial is based; (c) a description of any additional material or information necessary for the Claimant to
perfect the claim and an explanation of why such material or information is necessary; and (d) a description of the Plan’s review (i.e., appeal) procedures and the time limits applicable to such procedures, including a statement of the
Claimant’s right to bring a civil action under ERISA §502(a) following an adverse benefit determination on review. 
 Appealing the
Denial of a Claim 
  

If the Administrator denies a claim in whole or in part, the Claimant may elect to appeal the denial. If the Claimant does not appeal the
denial pursuant to the procedures set forth in this Policy, the denial will be final, binding and unappealable. Appeals will be filed in accordance with, and will be determined subject to, the following provisions: 

 

	 	(a)	When the Appeal Must Be Filed. The written request for appeal must be filed by the Claimant (or by the Claimant’s authorized representative) with the
Appropriate Named Fiduciary within 60 days after the date on which the Claimant receives the Administrator’s notice of denial. 

  

	 	(b)	Review of the Claim Following an Appeal. If a request for an appeal is timely filed, the Appropriate Named Fiduciary will conduct a full and fair review of the
claim and the denial. As part of this review, the Claimant may submit written comments, documents, records, and other information relating to the claim, and the review will take into account all such comments, documents, records, or other
information submitted by the Claimant, without regard to whether such information was submitted or considered in the Administrator’s initial benefit determination. The Claimant also may obtain, free of charge and upon request, records and other
information relevant to the claim, without regard to whether such information was relied upon by the Administrator in making the initial benefit determination. As a result of this review, the Appropriate Named Fiduciary will, in its sole and
complete discretion, determine whether to uphold all or part of the initial claim denial. 

  
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	 	(c)	Notice of Denial of the Claim. If the Appropriate Named Fiduciary determines pursuant the review under paragraph (b) above that all or part of the initial
denial should be upheld, the Administrator will send the Claimant a written or electronic notice informing the Claimant of its decision to uphold all or part of the initial denial. The notice of denial must be written in a manner calculated to be
understood by the Claimant and must contain (a) the specific reason or reasons for the denial; (b) a specific reference to pertinent Plan provisions on which the denial is based; (c) a statement that the Claimant is entitled to
receive, upon request and free of charge, reasonable access to and copies of all documents and other information relevant to the claim; and (d) an explanation of the Claimant’s right to request arbitration and the applicable time limits
for doing so. 

  

	 	(d)	When the Notice Must Be Given. If the Administrator is serving as the Appropriate Named Fiduciary, the notice will be given within a reasonable period of time
(but no later than 60 days) after the date the Appropriate Named Fiduciary receives the request for appeal, unless special circumstances require an extension of time for reviewing the claim. In no event may the extension exceed 60 days from the end
of the initial 60-day period. If an extension is necessary, prior to the expiration of the initial 60-day period, the Administrator will send the Claimant a written notice, indicating the special circumstances requiring an extension and the date by
which the Appropriate Named Fiduciary expects to render a decision. However, if the Committee is serving as the Appropriate Named Fiduciary and the Committee holds regularly scheduled meetings on a quarterly or more frequent basis, notice will be
given at the next regularly scheduled meeting if the Committee receives the written request for appeal more than 30 days prior to its next regularly scheduled meeting, or at the regularly scheduled meeting immediately following the next regularly
scheduled meeting if the Committee receives the written request for appeal within 30 days of the next regularly scheduled meeting. If special circumstances require an extension, the decision may be postponed to the third regularly scheduled meeting
following the Committee’s receipt of the written request for appeal if, prior to the expiration of the initial time period for review, the Claimant is provided with written notice indicating the special circumstances requiring an extension and
the date by which the Committee expects to render a decision. If the extension is required because the Claimant has not provided information that is necessary to decide the claim, the Committee may suspend the review period from the date on which
notice of the extension is sent to the Claimant until the date the Claimant responds to the request for additional information. The Committee must notify the Claimant of its decision as soon as possible, but not later than 5 days after the decision
is made. 

 Voluntary Arbitration 

 
 If (a) a Claimant wishes to
contest a final decision of the Appropriate Named Fiduciary, and (b) the Claimant voluntarily chooses not to bring a civil action under ERISA §502(a) following an adverse benefit determination on appeal, then the Claimant and the
Appropriate Named Fiduciary may agree to arbitration. If a Claimant agrees to arbitration, then a written request for arbitration must be filed by the Claimant (or the Claimant’s authorized representative) with the Administrator within 60 days
(or such additional time as the Administrator may deem appropriate) after the date the Claimant receives the written decision of the Appropriate Named Fiduciary. The Claimant and the Administrator will each name an arbitrator within 20 days after
the Administrator receives the Claimant’s written request for arbitration. The two arbitrators will jointly name a third arbitrator within 15 days after their appointment. If either party fails to select an arbitrator within the 20 day period,
or if the two arbitrators fail to select a third arbitrator within 15 days after their appointment, then the Administrator will determine that either (a) the arbitration will cease, or (b) the presiding judge of the county court (or its
equivalent) in the county in which the principal office of the Sponsoring Employer is located will appoint the other arbitrator or arbitrators. The arbitrators will render a decision within 60 days after the appointment of the third arbitrator and
will conduct all proceedings pursuant to the laws of the state in which the Sponsoring Employer’s principal place of business is located and the then current Rules of the American Arbitration Association governing commercial transactions, to
the extent such rules are not inconsistent with applicable state law. The cost of arbitration will be borne by the losing party or, if the decision is not clearly in favor of one party or the other, in the manner determined by the arbitrators.
Pursuant to the Claimant’s voluntary choice to pursue arbitration, the arbitrators’ decision will be final, binding and unappealable. 
  

									
	By:	 	 /s/ Noma Bruton
	 		 	Date:	 	 12-24-09

		 	For the Plan Administrator	 		 		 	
		 	Noma Bruton	 		 		 	

  
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 Pacific Capital Bancorp Amended and Restated Incentive and Investment and Salary Savings

 Plan 
 Administrative Policy Regarding Financial Hardship Distributions 
 In accordance with
Section 5.16 of the Basic Plan Document of the Pacific Capital Bancorp Amended and Restated Incentive and Investment and Salary Savings Plan (the “Plan”), Pacific Capital Bancorp (the “Sponsoring Employer”) hereby implements
the rules and procedures set forth below to govern financial hardship distributions. The terms used in this administrative policy will have the same meaning ascribed to those terms in the Plan (or in some cases, in the summary plan description).

 AMOUNT AND FORM OF DISTRIBUTION 

 
 A Participant who is still an
Employee can take a distribution from the Plan because of financial hardship. The amount distributable cannot exceed the amount required to relieve the hardship, including amounts needed to pay any federal, state or local income taxes or penalties
reasonably anticipated to result from the distribution. A hardship distribution will only be made in one lump sum payment. Hardship distributions can be made from the following accounts in which the Participant has a 100% Vested Interest:

  

	 	•	 	 From up to 100% of the Participant’s 401(k) Contributions 

 DEFINITION OF FINANCIAL HARDSHIP 
  

Financial hardship means an immediate and heavy financial need of the Participant which he or she lacks available resources to satisfy.
The following financial needs will be considered immediate and heavy: 
  

	 	•	 	 Expenses for (or expenses necessary to obtain) medical care that would be deductible under Internal Revenue Code §213(d) (determined without
regard to whether the expenses exceed 7.5% of adjusted gross income) 

  

	 	•	 	 Costs directly related to the purchase (excluding mortgage payments) of a principal residence for the Participant 

 

	 	•	 	 Payment of tuition, related educational fees, and room and board expenses, for up to the next 12 months of post-secondary education for the
Participant, and the Participant’s spouse, children, or dependents (as defined in Code §152, and without regard to Code §152(b)(1), (b)(2) and (d)(1)(B)) 

 

	 	•	 	 Payments necessary to prevent the eviction of the Participant from the Participant’s principal residence or the foreclosure on the mortgage on
that residence 

  

	 	•	 	 Payments for burial or funeral expenses for the Participant’s deceased parent, spouse, children or dependents (as defined in Code §152, and
without regard to Code §152(d)(1)(B)) 

  

	 	•	 	 Expenses for repair of damage to the Participant’s principal residence that would qualify for the casualty deduction under Code §165 (without
regard to whether the loss exceeds 10% of adjusted gross income) 

 SAFE HARBOR DEEMED DISTRIBUTIONS 

 
 Any hardship distribution will be
deemed to be necessary to satisfy a financial hardship if the Participant has obtained all distributions (other than financial hardship distributions) and all nontaxable loans currently available under all plans maintained by the Employer.
Furthermore, the Participant cannot make elective deferrals or after-tax contributions to this Plan or any other plan maintained by the Employer for at least 6 months after receipt of the hardship distribution. 

Hardship distributions made pursuant to this policy are intended to satisfy the safe harbor provisions under
IRS Reg.§ 1.401(k)-1(d)(3)(iv)(E) [deemed immediate and heavy financial need] and 1.401(10-1(d)(3)(A)(E) [deemed necessary to satisfy immediate need]. 

 

									
	By:	 	 /s/ Noma Bruton
	 		 	Date:	 	 12-24-09

		 	For the Plan Administrator	 		 		 	
		 	Noma Bruton	 		 		 	

  
 Page -1-

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