Document:

Exhibit 10.2

 

FIRST AMENDMENT TO REVOLVING PROMISSORY NOTE
AGREEMENT

 

This First Amendment to Revolving Promissory Note
Agreement is made and entered into as of the 2nd day of June 2022, by and between Outdoor Specialty Products, Inc., a Nevada corporation
(“Borrower”), and Ed Bailey (“Noteholder”).

 

WHEREAS, Borrower and Noteholder entered into that
certain Revolving Promissory Note Agreement, dated December 1, 2021, in the original principal amount of $7,000.00 (the “Original
Note”); and

 

WHEREAS, Borrower and Noteholder desire to amend
the Original Note to increase the amount of Principal Indebtedness and extend the Maturity Date as provided herein.

 

NOW, THEREFORE, in consideration of the premises
and covenants set forth herein, the parties hereto agree as follows:

 

1. Increase in Principal Indebtedness. The
Original Note is hereby amended by changing the principal amount of the Note at the top of the first page from US $7,000 to US
$9,750 and by changing the amount of the Principal Indebtedness in the preamble of the Original Note from SEVEN THOUSAND AND NO/100
DOLLARS (US$7,000.00) to NINE THOUSAND SEVEN HUNDRED FIFTY AND NO/100 DOLLARS (US$9,750.00).

 

2. Extension of Maturity Date. Section 1(a)
of the Original Note captioned “Maturity Date,” is hereby amended by changing the Maturity Date from June 30, 2022, to December
31, 2022.

 

3. Defined Terms / No Further Modification.
Any terms used but not defined herein shall have the meanings ascribed to them in the Original Note. Except as expressly set forth herein,
the Original Note shall remain unmodified and shall continue in full force and effect.

 

Dated as of June 2, 2022.

 

	 	Borrower:
	 	 
		OUTDOOR SPECIALTY PRODUCTS, INC.
	 	 	 
	 	By 	/s/ Kirk Blosch
	 	Name: 	Kirk Blosch
	 	Title: 	President
	 	 	 
		Noteholder:
	 	 	 
	 	/s/ Ed Bailey
	 	Ed Baileyexhibit41aindependentfin

Principal Adoption Agreement 466998 This document was signed according to the records of Principal Life Insurance Company. The "This Document Was Electronically Signed By" heading displays the name of the person that electronically signed the document along with the date the electronic signature was received. Changes to your documents become effective the latter of the Effective Date or the Signed Date, unless an earlier date is required by law. The electronic signature(s) received by Principal Life Insurance Company (Principal Life) are in compliance with the electronic signature procedures established by Principal Life. Bret Taber Assistant Director-Document Services Principal Life Insurance Company This Document was Electronically Signed By: CORY NEWMAN 07/05/2022 9:59 AM 

 

PRINCIPAL FINANCIAL GROUP PRE-APPROVED DOCUMENT FOR SAVINGS PLANS THIS IS A 401(k) PROFIT SHARING PLAN.    ADOPTION AGREEMENT NONSTANDARD - PLUS IRS SERIAL NO. Q702477a ADOPTION AGREEMENT PLAN NO. 006 TO BE USED WITH BASIC PLAN NO. 04 APPROVED: June 30, 2020 240 

 

 

 

 

 

 

 

 

 

TABLE OF CONTENTS i A.     ADOPTION AGREEMENT STATUS 1 B.     EMPLOYER 1 C.     PLAN NAME AND PLAN NUMBER 2 D.     EFFECTIVE DATE 2 E.     YEARLY DATE 2 F.     FISCAL YEAR 2 G.     NAMED FIDUCIARY 2 H.     PLAN ADMINISTRATOR 3 I.      PREDECESSOR EMPLOYER AND PRIOR EMPLOYER 3 J.     ELIGIBLE EMPLOYEE 5 K.     ENTRY REQUIREMENTS AND ENTRY DATE 8 L.     HIGHLY COMPENSATED EMPLOYEE AND TESTING METHODS 11 M.    COMPENSATION 12 N.     ELECTIVE DEFERRAL CONTRIBUTIONS 15 O.     401(k) SAFE HARBOR AND QACA SAFE HARBOR 24 P.     MATCHING CONTRIBUTIONS 38 Q.     OTHER EMPLOYER CONTRIBUTIONS AND FORFEITURES 45 R.     NET PROFITS AND CONTRIBUTION REQUIREMENTS 56 S.     CONTRIBUTION MODIFICATIONS 57 T.     VOLUNTARY CONTRIBUTIONS, ROLLOVER CONTRIBUTIONS,          AND IN-PLAN ROTH ROLLOVERS 58 U.     INVESTMENTS 60 V.     VESTING PERCENTAGE 66 W.    VESTING SERVICE 69 X.     EQUIVALENCIES 70 Y.     WITHDRAWAL BENEFITS 71 Z.     RETIREMENT AND THE START OF BENEFITS 74 AA.    FORMS OF DISTRIBUTION FOR RETIREMENT BENEFITS 78 AB.    ADOPTING EMPLOYERS 81 AC.    MERGER OR SPIN-OFF 84 

 

ii 

 

Restatement Effective July 1, 2022 1 Plan ID No. 1063569    ( 4-66998) PRINCIPAL FINANCIAL GROUP PRE-APPROVED DOCUMENT FOR SAVINGS PLANS ADOPTION AGREEMENT – NONSTANDARDIZED FORM (Use black ink to complete the Adoption Agreement.) A.    This ADOPTION AGREEMENT together with the PRINCIPAL FINANCIAL GROUP  PRE-APPROVED BASIC SAVINGS PLAN - PLUS constitutes (Select (1), (2), or (3).  Select  (4), if applicable.) NOTE:  The effective date for a new plan or a restatement adding the cash or deferred  arrangement (CODA) must be on or after the date this Adoption Agreement is signed.  The  effective date for an amendment or restatement cannot be earlier than the first day of the Plan  Year in which the amended or restated Adoption Agreement is signed. 1)          a new plan.  (Cannot select if spin-off of an existing plan.  See Item AC(2).) 2)     x      a restatement of an existing plan.  Such existing plan was qualifiable under Code  Section 401(a).  Except as provided elsewhere in the Plan, the provisions of this  restatement are effective on    July 1, 2022  .  (Month, day and year.) This is the RESTATEMENT DATE.  (Select if not currently on this Plan No. 006, Basic  Plan No. 04 with the approval date shown on the cover page.) 3)          Amendment No.  to the Plan. It replaces all prior amendments to the Plan and  the first Adoption Agreement.  Except as provided elsewhere in the Plan, the provisions of  this amendment are effective on  .  (Month, day and year.  Select if currently on this Plan No. 006, Basic  Plan No. 04 with the approval date shown on the cover page.) 4)          The Plan is/was frozen effective  .  (Month, day and year. The initial  amendment to freeze the Plan must be prospective to comply with Code Section  411(d)(6).) NOTE:  No Contributions will be made to the Plan and no Employee, former Employee, or  Inactive Participant will become an Active Participant after such date. B.    The EMPLOYER is    Independent Bank  i  i  (Fill in exact legal name.) 

 

Restatement Effective July 1, 2022 2 Plan ID No. 1063569    ( 4-66998) C.    The PLAN NAME is Independent Financial 401(k) Profit i Sharing Plan i  i  i  (For example:  ABC, Inc. 401(k) Savings Plan.) The PLAN NUMBER is             001 . (3-digit number used for Form 5500 reporting.) D.    The Plan’s original EFFECTIVE DATE is    March 1, 1994  . (Month, day and year.) E. The YEARLY DATE is the first day of each Plan Year. (Fill in the Effective Date. If this is not a  new plan and the Yearly Date has changed more than once, fill in any Yearly Date that is not  later than the Restatement Date or amendment effective date.) The Yearly Date is      March 1, 1994   (Month, day and year.) and (Select one.) 1)          the same day of each following year. 2)     x      each following January 1. (The first Plan Year is short.) 3)          each following  .  (The first Plan Year is short.) 4)          (a) each following  through (b)               and (c) each following           .  (A later Plan Year is short. Complete (a) using the  same month and day as in Yearly Date above, (b) using the same month and day as in (a)  and the calendar year in which the short Plan Year begins, and (c) using the first day of  the new Plan Year.) If the first date in Item E is after the Effective Date, Yearly Dates before the first date in Item E  above shall be determined under the provisions of the (Prior) Plan before that date. F. The FISCAL YEAR is the Employer's taxable year and ends on December 31   . (Month and day or a specific day of the year such as the last Saturday of September.) G. The Employer is the NAMED FIDUCIARY, unless otherwise specified in (1) below. 1)     i    

 

Restatement Effective July 1, 2022 3 Plan ID No. 1063569    ( 4-66998) i    is the Named Fiduciary. (Neither Principal Life Insurance Company nor its affiliates can be  named.) H. The Employer is the PLAN ADMINISTRATOR, unless otherwise specified in (1) below. 1)    i    i    is the Plan Administrator.  (Neither Principal Life Insurance Company nor its affiliates can  be named.) If (1) is selected, complete the address, phone number, and tax filing number of the Plan  Administrator. Address      i    i   Phone No.   Tax Filing No.       I. PREDECESSOR EMPLOYER AND PRIOR EMPLOYER. 1) A PREDECESSOR EMPLOYER is a firm of which the Employer was once a part (e.g.,  due to a spin-off or a change of corporate status) or a firm absorbed by the Employer  because of a merger or acquisition (stock or asset, including a division or an operation of  such company).  No selections are needed for a Predecessor Employer that maintained  this Plan since the Employer is defined as including such Predecessor Employer, and  service with the Employer would therefore include service with such Predecessor  Employer. a) x  (Select to count service or compensation with a Predecessor Employer that did  not maintain this Plan.)  A Predecessor Employer that did not maintain this Plan is  deemed to be the Employer for purposes of determining: (Select at least one.) i) x Entry Service  NOTE: The Entry Date for an employee of such Predecessor Employer shall be the  earliest Entry Date on or after he has both met the entry requirements and is an  Eligible Employee. ii) Vesting Service iii) Hours of Service required to be eligible for an Employer Contribution 

 

Restatement Effective July 1, 2022 4 Plan ID No. 1063569    ( 4-66998) iv) Accrual Service for Discretionary Contributions (units formula) v) Compensation NOTE: The crediting of such compensation shall be determined on a reasonably  uniform basis for all similarly situated Employees based on all relevant facts and  circumstances so as not to discriminate in favor of Highly Compensated Employees. b) Service with and compensation from such Predecessor Employer shall only be  counted if service continued without interruption, unless otherwise specified in (i)  below. i) Service and compensation is counted even if service did not continue  without interruption. c)  Service with and compensation from such Predecessor Employer shall only be  counted for persons who are employees of a company acquired by the Employer as  of the acquisition date. d)   (Select if not counted for all such Predecessor Employers.)   Service with or  compensation from such Predecessor Employer shall be counted only as to a  Predecessor Employer that (Select (i), (ii), or both.) i) maintained a qualified pension or profit sharing plan (or) ii) is named below: (Exact legal name(s).) i    i    i    i    2) A PRIOR EMPLOYER is an Employee’s last employer immediately prior to the Employer  which is not a Predecessor Employer or a Controlled Group member, but for which  service credit is granted under the Plan. Service with such Prior Employer shall be  counted only if service continued without interruption. a)   (Select to count service with a Prior Employer.)   The following are Prior  Employers for which service credit is granted under the Plan: (Exact legal name(s).) i    i   

 

Restatement Effective July 1, 2022 5 Plan ID No. 1063569    ( 4-66998) i   i    b) Service with such Prior Employer shall be counted for purposes of determining: (If  (a) above is selected, select any that apply.) i) Entry Service NOTE: The Entry Date for an employee of such Prior Employer shall be the earliest  Entry Date on or after he has both met the entry requirements and is an Eligible  Employee. ii) Vesting Service iii) Accrual Service for Discretionary Contributions (units formula) J. ELIGIBLE EMPLOYEE. An Eligible Employee is any Employee of the Employer or of an Adopting Employer (See Item  AB.) who is not excluded in (1), (2), (3), (4), (5), or (6) below. An independent contractor is not an Employee.  If the Internal Revenue Service (or another  agency or court) determines that an individual who the Employer considered to be an  independent contractor is an Employee, such individual shall become an Eligible Employee as  soon as administratively feasible following the reclassification date, unless he is otherwise  excluded in this Item. 1) EXCLUDED EMPLOYEES.  (See Plan Section 1.02 for definitions of the capitalized  excluded classifications.) Classification All Contributions Elective Deferral Contributions Matching Contributions/ Safe Harbor Contributions Wage Rate Contributions All other Contributions An Employee paid on a salaried basis An Employee not paid on a salaried basis An Employee paid on a commission basis An Employee not paid on a commission basis An Employee paid on an hourly rate basis An Employee not paid on an hourly rate basis Bargaining Employee X Non-bargaining Employee Nonresident Alien X 

 

Restatement Effective July 1, 2022 6 Plan ID No. 1063569    ( 4-66998) NOTE:  Any exclusions entered in (4), (5), or (6) below cannot be structured to result in  the group of Nonhighly Compensated Employees participating in the Plan being only those  Nonhighly Compensated Employees with the lowest amount of Compensation and/or the  shortest service and who represent the minimum number of these Employees necessary  to satisfy the minimum coverage requirement of Code Section 410(b).  (2) - (6) below may  be repeated as necessary to identify additional excluded groups. Classification All Contributions Elective Deferral Contributions Matching Contributions/ Safe Harbor Contributions Wage Rate Contributions All other Contributions Part-time, Temporary, or Seasonal Employee Leased Employee Reclassified Employee X An Employee who is a resident of Puerto Rico An Employee who is not working under a contract subject to a Prevailing Rate Schedule An Employee covered under any other qualified profit sharing plan to which the Employer contributes An Employee covered under any qualified pension plan to which the Employer contributes 2) Represented for collective bargaining purposes by the specific bargaining unit(s)  named below: i  Applies to Contribution Types: All Contributions Elective Deferral Contributions Matching Contributions/ Safe Harbor Contributions Wage Rate Contributions All Other Contributions Specified Contributions ___________________________________________________________________________ 3) Not represented for collective bargaining purposes by the specific bargaining unit(s)  named below: i  

 

Restatement Effective July 1, 2022 7 Plan ID No. 1063569    ( 4-66998) Applies to Contribution Types: All Contributions Elective Deferral Contributions Matching Contributions/ Safe Harbor Contributions Wage Rate Contributions All Other Contributions Specified Contributions _____________________________________________________________________________ 4) Employed at one of the following location(s) or divisions: i  Applies to Contribution Types: All Contributions Elective Deferral Contributions Matching Contributions/ Safe Harbor Contributions Wage Rate Contributions All Other Contributions Specified Contributions _____________________________________________________________________________ 5) Employed in one of the following position(s) or classification(s):  (Cannot use an  exclusion classification that indirectly imposes an impermissible age or service  requirement.) i  Applies to Contribution Types: All Contributions Elective Deferral Contributions Matching Contributions/ Safe Harbor Contributions Wage Rate Contributions All Other Contributions Specified Contributions _____________________________________________________________________________ 6) Other:  (Cannot use an exclusion classification that indirectly imposes an  impermissible age or service requirement.) i  

 

Restatement Effective July 1, 2022 8 Plan ID No. 1063569    ( 4-66998) Applies to Contribution Types: All Contributions Elective Deferral Contributions Matching Contributions/ Safe Harbor Contributions Wage Rate Contributions All Other Contributions Specified Contributions _____________________________________________________________________________ K. ENTRY REQUIREMENTS AND ENTRY DATE.  An Employee is eligible to participate in the Plan in accordance with the provisions specified  below.  (Select at least one item for each grouping (service required and service method, age  required, and Entry Date).  Complete any applicable blanks for items selected.  If the hours  method for calculating Entry Service is selected for any Contributions, (3)(b) below may be  used to modify how service is determined.  Select (4) below if waiving age or service  requirements for the Employer named in Item B.) NOTE:  The earliest Entry Date shall be used to determine if a Participant is an Active  Participant for purposes of any minimum contribution under Plan Section 11.04.   If the Plan  permits Rollover Contributions in Item T(2), an Eligible Employee can make Rollover  Contributions to the Plan without satisfying the entry requirements, unless otherwise specified  in Item T(2)(b).  See Plan Section 3.03.     1) ENTRY REQUIREMENTS. If Item Q(4) is selected to allow Wage Rate Contributions, an Employee shall first become  an Active Participant (begin active participation in the Plan) for purposes of Wage Rate  Contributions on the earliest date on which he is an Eligible Employee. This date is his  Entry Date for purposes of Wage Rate Contributions. NOTE:  Entry for Contributions other than Wage Rate Contributions shall be determined in  the table below. Additional selections to this Item may be made in Item A of the Additional  Selections and Minor Modifications Addendum if (a) is selected below.  All service  selections in the table below are made in the context of Entry Service in (3) below and  selections in (3)(b) may only be made if the hours of service method is selected below.  To  provide immediate entry select “No age” and “No service” for “All Contributions” below and  “Day the entry requirements are satisfied” for “All Contributions” in (2) below.  If Item  (O)(1) or (2) is selected and different entry requirements are selected for purposes of  Elective Deferral Contributions and the Safe Harbor Contributions, an ADP Test and ACP  Test may be required. Entry Requirements All Contributions Elective Deferral Contributions Matching Contributions / Safe Harbor Contributions All other Contributions Age Required No Age  Age 18 (up to 21) x Service Required and Service Method No Service  

 

Restatement Effective July 1, 2022 9 Plan ID No. 1063569    ( 4-66998) NOTE:  Up to two years may be used. The vesting must be 100% if over one year is used  or if over 6 months and Entry Date is Yearly Date. NOTE:  Additional selections to this Item may be made in Item A of the Additional  Selections and Minor Modifications Addendum if (a) is selected below. a) Additional selections for this Item have been made in Item A of the attached  Additional Selections and Minor Modifications Addendum. 2) ENTRY DATE. NOTE:  If Yearly Date is selected above, the age and service required cannot be over 20  1/2 and 6 months, respectively.   NOTE:  Additional selections to this Item may be made in Item A of the Additional  Selections and Minor Modifications Addendum if (a) is selected below. a) Additional selections for this Item have been made in Item A of the attached  Additional Selections and Minor Modifications Addendum. 3) ENTRY SERVICE.  Subject to the provisions of Plan Section 1.02, Entry Service shall be  determined based on the selection(s) made above and in (b) below, if applicable: a) ELAPSED TIME METHOD.  Entry Service is the total of an Employee’s Periods of  Service without regard to Hours of Service. Entry Requirements All Contributions Elective Deferral Contributions Matching Contributions / Safe Harbor Contributions All other Contributions 1 year (elapsed time)  2 years (elapsed time)  1 year (hours)  2 years (hours)  ____ months (up to 12, elapsed time)  30 days (up to 120, elapsed time) x Entry Date All Contributions Elective Deferral Contributions Matching Contributions / Safe Harbor Contributions All other Contributions Day the entry requirements are satisfied Monthly Date Quarterly Date x Semi-yearly Date Yearly Date 

 

Restatement Effective July 1, 2022 10 Plan ID No. 1063569    ( 4-66998) b) HOURS METHOD.  A year of Entry Service is an Entry Service Period in which an  Employee has at least 1,000 Hours of Service, unless otherwise specified in (i)  below. i)       (Up to 999.) Hours of Service. ii) CREDITING DATE.  A year of Entry Service shall be credited at the end of the  Entry Service Period, unless otherwise specified in A below. A. A year of Entry Service shall be credited when the Employee has  reached the specified number of Hours of Service during the Entry Service  Period. iii) ENTRY SERVICE PERIOD is the consecutive 12-month period beginning on an  Employee’s Hire Date and the consecutive 12-month period ending on the last  day of each following Plan Year, unless otherwise specified in A below.  Following Plan Years shall include all Plan Years that begin after his Hire Date.   (See Plan Section 1.02 for the crediting of Entry Service during the first two  periods.) A. An Entry Service Period is the consecutive 12-month period beginning  on an Employee’s Hire Date and each following consecutive 12-month  period beginning on an anniversary of that Hire Date. NOTE:  The Entry Service Period for a rehired Employee who terminated  employment prior to satisfying the entry requirements is based on his original  Hire Date.  If the Entry Service Period shifts to the Plan Year and such  Employee is rehired after the first anniversary of his original Hire Date, his Entry  Service Period shall be the Plan Year. 4)     WAIVING ENTRY REQUIREMENTS.  The requirements for the Contributions  selected below shall be  waived on  .  (Month, day and year.)  This date shall be an Entry Date if the  Eligible Employee has met all the other entry requirements.   NOTE:  This waiver applies only (i) to the Employer named in Item B and (ii) on the date  filled in.  Must be the Effective Date or later.  See Item AB for the waiver of entry  requirements for an Adopting Employer. a) Additional selections for this Item have been made in Item A of the attached  Additional Selections and Minor Modifications Addendum. All Contributions Elective Deferral Contributions Matching Contributions / Safe Harbor Contributions All other Contributions Service requirement Age requirement 

 

Restatement Effective July 1, 2022 11 Plan ID No. 1063569    ( 4-66998) L. HIGHLY COMPENSATED EMPLOYEE AND TESTING METHODS. 1) HIGHLY COMPENSATED EMPLOYEE.  The definition of Highly Compensated   Employee in Plan Section 1.02 is modified below.  (Select any that apply.) a) x TOP-PAID GROUP ELECTION.  (Select to limit the number of Highly  Compensated Employees to the top 20% of employees based on compensation  (top-paid group).)  In determining who is a Highly Compensated Employee, the  Employer makes a top-paid group election.  The effect of this election is that an  Employee (who is not a 5-percent owner at any time during the determination year or  the look-back year) with compensation in excess of $120,000 (as adjusted) for the  look-back year is a Highly Compensated Employee only if the Employee was in the  top-paid group for the look-back year. b) CALENDAR YEAR DATA ELECTION.  (Select to change the look-back year for  compensation determination. This election has no effect if the Plan Year begins on  January 1.)  In determining who is a Highly Compensated Employee (other than as a  5-percent owner), the Employer makes a calendar year data election.  The effect of  this election is that the look-back year is the calendar year beginning with or within  the look-back year. NOTE:  These elections must apply consistently to the determination years of all plans of  the Employer except as provided in the definition of Highly Compensated Employee in  Plan Section 1.02.  If this plan is a multiple employer plan, separate top-paid group and  calendar year data elections may be made in writing by each Employer Group. 2) TESTING METHODS.  This Plan shall use the current year testing method for purposes  of the ADP and ACP Tests, unless otherwise specified in (a) below. a) (Cannot select if 401(k) Safe Harbor Plan or QACA Safe Harbor Plan.)   This  Plan shall use the prior year testing method for purposes of the ADP and ACP Tests. NOTE:  The testing method cannot be changed from the current year testing method  to the prior year testing method for a Plan Year unless (i) the Plan has been using the  current year testing method for the preceding five Plan Years or, if less, the number  of Plan Years the Plan has been in existence or (ii) if, as a result of a merger or  acquisition described in Code Section 410(b)(6)(C)(i), the Employer maintains both a  plan using the prior year testing method and a plan using the current year testing  method and the change is made within the transition period described in Code  Section 410(b)(6)(C)(ii).  If this plan is a multiple employer plan, separate testing  method elections may be made in writing by each Employer Group. b) If this is not a successor plan and the Plan is using the prior year testing method, for  the first Plan Year this Plan permits any Participant to make Elective Deferral  Contributions, the prior year’s Nonhighly Compensated Employees’ ADP, as defined  in Plan Section 3.08, shall be three percent, unless otherwise specified in (i) below. i) (Only available if (a) above is selected.) The Plan Year’s ADP, as defined in  Plan Section 3.08, shall be used for the Nonhighly Compensated Employees’  ADP. 

 

Restatement Effective July 1, 2022 12 Plan ID No. 1063569    ( 4-66998) c) If this is not a successor plan and the Plan is using the prior year testing method, for  the first Plan Year this Plan permits any Participant to make Voluntary Contributions,  provides for Matching Contributions, or both, the prior year’s Nonhighly  Compensated Employees’ ACP, as defined in Plan Section 3.08, shall be three  percent, unless otherwise specified in (i) below. i) (Only available if (a) above is selected.) The Plan Year’s ACP, as defined in  Plan Section 3.08, shall be used for the Nonhighly Compensated Employees’  ACP. M. COMPENSATION. NOTE:  Compensation as defined in Plan Section 1.02, is used for contribution determinations  other than for top-heavy minimum contributions.  Compensation, as defined in Plan Section  3.07, for the Limitation Year is used to determine the limit on Annual Additions.  Compensation,  as defined in Plan Section 3.07, for the Plan Year is used to determine the amount of  top-heavy minimum contributions. 1) Compensation, as defined in Plan Sections 1.02 and 3.07, subject to any modifications  set forth in this Item M means the definition under Information Required to be Reported  Under Code Sections 6041, 6051, and 6052 ("Wages, Tips and Other Compensation" box  on Form W-2) shall apply, unless otherwise specified in (a) or (b) below and subject to any  modifications set forth in this Item M. a)        The definition under Code Section 3401(a) Wages shall apply. b)        The definition under Simplified 415 Compensation shall apply.  Simplified 415  Compensation shall exclude amounts received from a nonqualified unfunded  deferred compensation plan, unless otherwise specified in (i) below. i) Amounts received from a nonqualified unfunded deferred compensation  plan are included, to the extent includible in gross income. 2) POST-SEVERANCE COMPENSATION.  Post-severance Compensation shall exclude (i)  payments for unused accrued bona fide sick, vacation or other leave that the Employee  would have been able to use if employment had continued; (ii) payments received by the  Employee pursuant to a nonqualified unfunded deferred compensation plan and would  have been paid at the same time if employment had continued; and (iii) salary  continuation payments made for a Participant who is permanently and totally disabled, as  defined in Code Section 22(e)(3), unless otherwise specified in (a) below. a)     x    Post-severance Compensation shall include (Select at least one.) i) x Such payments for unused accrued bona fide sick, vacation or other leave. ii) x Such payments received pursuant to a nonqualified unfunded deferred  compensation plan, but only to the extent includible in gross income. iii) Such salary continuation payments (Select A or B.) 

 

Restatement Effective July 1, 2022 13 Plan ID No. 1063569    ( 4-66998) A. for all Participants who are permanently and totally disabled for a fixed  or determinable period. B. only for Participants who were Nonhighly Compensated Employees  immediately before becoming disabled. 3)     x    COMPENSATION EXCLUSIONS.  Compensation, as defined in Plan Section 1.02,  shall exclude the following.  If deemed Code Section 125 Compensation is excluded  below, it shall also be excluded in Plan Section 3.07. NOTE:  Exclusions (other than the Code Section 414(s) safe harbor exclusions, deemed  Code Section 125, and elective contributions) for purposes of any Contributions other than  Elective Deferral Contributions and Matching Contributions will require Code Section  414(s) nondiscrimination testing.  Exclusions for Discretionary Contributions with an  integrated allocation formula will require a general test. Excluded Compensation All Contributions Elective Deferral Contributions Matching Contributions Discretionary Contributions Additional Contributions Qualified Nonelective Contributions /QACA Nonelective Contributions Code Section 414(s) safe harbor exclusions (reimbursements or other expense allowances, fringe benefits (cash and noncash), moving expenses, deferred compensation (other than elective contributions), and welfare benefits) x deemed Code Section 125 Compensation x elective contributions (amounts that would otherwise be included but for an election under Code Section 125(a), 132(f)(4), 402(e)(3), 402(h)(1)(B), 402(k), or 457(b)) bonuses commissions overtime 

 

Restatement Effective July 1, 2022 14 Plan ID No. 1063569    ( 4-66998) NOTE:  Additional rows for other special compensation may be added above as  necessary. a) x other special compensation:  (Specify type of compensation excluded.  This  exclusion may be limited to specific Employee groups.  If additional rows are added  for other special compensation above, specify the contributions to which the  exclusion applies.) 4)        COMPENSATION INCLUDES.  In addition to the Compensation selected in (1)  above, the following shall be included in Compensation.  Any additional Compensation  identified in (b) below shall only be included as Compensation as defined in Plan Section  1.02. a) Amounts earned but not paid during the Compensation Year solely because of  the timing of payroll periods and pay dates, provided the amounts are paid during the  first few weeks of the next Compensation Year, the amounts are included on a  uniform and consistent basis with respect to all similarly situated Employees, and no  Compensation is included in more than one Compensation Year.  (Accrual  method/first few weeks rule.) NOTE:  (b) above may require Code Section 414(s) nondiscrimination testing and  may be repeated as necessary to identify additional amounts included in  Compensation. 5) ANNUAL COMPENSATION for a Plan Year is an Employee's Compensation for the  Compensation Year ending with or within the consecutive 12-month period ending on the  last day of the Plan Year.  (Annual Compensation is used for calculating annual  contributions and annual allocations of Qualified Nonelective Contributions, Additional  Contributions, and Discretionary Contributions.  Annual Compensation is not used for the  Qualified Nonelective Contributions or QACA Nonelective Contributions used to satisfy the  ADP Test Safe Harbor described in Items O(1) and O(2).) The COMPENSATION YEAR is the consecutive 12-month period ending on the last day  of each Plan Year, unless otherwise specified in (a), (b), or (c) below. other special compensation described in (a) below x Holiday bonus b) Other Compensation ________________________________________________          Applies to Contribution Types All Contributions Elective Deferral Contributions Matching Contributions Discretionary Contributions Additional Contributions Qualified Nonelective Contributions/QACA Nonelective Contributions 

 

Restatement Effective July 1, 2022 15 Plan ID No. 1063569    ( 4-66998) a)        The Compensation Year is the consecutive 12-month period  ending on each   .  (Month and day.)  For an Employee whose Hire Date is  less than 12 months before the end of the consecutive 12-month period designated,  Compensation shall be determined over the consecutive 12-month period ending on  the last day of the Plan Year. b)        The Compensation Year is the consecutive 12-month period ending on the last  day of each Fiscal Year. c)        The Compensation Year is the consecutive 12-month period ending on the last  day of each Limitation Year, as defined in Plan Section 3.07. ANNUAL COMPENSATION MODIFICATIONS: (Select any that apply.) d)        Annual Compensation shall not include Compensation over $       .  (Up  to the 401(a)(17) compensation limit.) e)     x    (Cannot use with (a), (b), or (c)  above.)   Annual Compensation shall exclude  Compensation for the portion of the Compensation Year in which an Employee is not  an Active Participant for purposes of Employer Contributions calculated using Annual  Compensation. 6) NO COMPENSATION LIMIT FOR DEFERRALS.  Elective Deferral Contributions may be  made with respect to Compensation that exceeds the annual compensation limit in the  definition of Compensation in Plan Section 1.02, provided such Elective Deferral  Contributions otherwise satisfy any applicable limitations, unless otherwise specified in (a)  below. a)        Elective Deferral Contributions cannot be made with respect to Compensation  that exceeds the annual compensation limit. N. ELECTIVE DEFERRAL CONTRIBUTIONS. Elective Deferral Contributions for a Participant are equal to a portion of Compensation as  specified in an Elective Deferral Agreement. Such Elective Deferral Contribution shall not be  made before the later of (i) the adoption or effective date of the cash or deferred arrangement  (CODA) or (ii) the date the Participant signs the Elective Deferral Agreement.  An Employee  who is eligible to participate in the Plan for purposes of Elective Deferral Contributions may file  an Elective Deferral Agreement with the Employer.  The Participant shall modify or terminate  an Elective Deferral Agreement by filing a new Elective Deferral Agreement.  An Elective  Deferral Agreement shall remain in effect until modified or terminated by the Participant.  An  Elective Deferral Agreement may also be terminated according to the terms of an automatic  contribution arrangement (if selected in Items N(6), N(7), O(2) or Item E in the Additional  Selections and Minor Modifications Addendum). An Elective Deferral Agreement to start or modify Elective Deferral Contributions shall be  effective as soon as administratively feasible on or after the Participant’s Entry Date (Reentry  Date, if applicable) or any following change date. 

 

Restatement Effective July 1, 2022 16 Plan ID No. 1063569    ( 4-66998) An Elective Deferral Agreement to start or modify Elective Deferral Contributions must be  entered into on or before the date it is effective. An Elective Deferral Agreement to stop Elective Deferral Contributions may be entered into on  any date.  Such Elective Deferral Agreement shall be effective as soon as administratively  feasible following the date on which the Elective Deferral Agreement is entered into. 1) The change date to increase or decrease the amount of Elective Deferral Contributions  shall be any date, unless otherwise specified in (a), (b), (c), or (d) below.  (Select one, if  applicable.) NOTE:  Additional selections to this Item may be made in Item B of the Additional  Selections and Minor Modifications Addendum if (f) is selected below. a)         Monthly Date. b)         Quarterly Date. c)         Semi-yearly Date. d)         Yearly Date. However, the change date for purposes of bonuses shall be any date, unless otherwise  specified in (e) below. e)      x    A separate change date for bonuses shall not be available. f)         Additional selections to this Item have been made in Item B of the attached  Additional Selections and Minor Modifications Addendum. 2)  (Cannot select if ADP Test Safe Harbor is satisfied using Qualified Matching  Contributions or QACA Matching Contributions.)    % of Compensation is the  minimum Elective Deferral Contribution.  (If the Plan includes an automatic contribution  arrangement in (6) or (7) below or in Item O(2), the minimum cannot be more than the  automatic Elective Deferral Contribution.) a)         Additional selections to this Item have been made in Item C of the attached  Additional Selections and Minor Modifications Addendum. 3) x 100   % of Compensation is the maximum Elective Deferral Contribution.   (If the Plan includes Matching Contributions in Items O, P, or Item F in the Additional  Selections and Minor Modifications Addendum, the maximum must be at least equal to  any stated percent of Compensation limit on Elective Deferral Contributions matched.) NOTE:  If the Plan allows Catch-up Contributions and the percent of Compensation  maximum is less than 75%, the maximum will not apply to a Participant who is eligible to  make Catch-up Contributions unless his Elective Deferral Contributions, including  

 

Restatement Effective July 1, 2022 17 Plan ID No. 1063569    ( 4-66998) Catch-up Contributions, exceeds the maximum percent of Compensation plus the dollar  limitation on Catch-up Contributions described in Plan Section 3.01. a)         Additional selections to this Item have been made in Item D of the attached  Additional Selections and Minor Modifications Addendum. 4) CATCH-UP CONTRIBUTIONS.  All Employees who are eligible to make Elective Deferral  Contributions and who are age 50 or older by the end of their taxable year shall be eligible  to make Catch-up Contributions, unless otherwise specified in (a) below.  Catch-up  Contributions are matched unless Item P(8)(a) is selected. a)         Catch-up Contributions are not permitted. 5) ROTH ELECTIVE DEFERRAL CONTRIBUTIONS.  All Participants who are eligible to  make Elective Deferral Contributions may elect to designate all or any portion of their  future Elective Deferral Contributions as Roth Elective Deferral Contributions, unless  otherwise specified in (a) below. a)         Roth Elective Deferral Contributions are not permitted. Distributions of Excess Amounts described in Plan Section 3.08 from the portion of the  Participant’s Account resulting from Elective Deferral Contributions shall be made on a  pro rata basis from the Participant’s Account resulting from Pre-tax Elective Deferral  Contributions and Roth Elective Deferral Contributions in the same proportion that such  Contributions were made for the applicable year, except as otherwise specified in (b) or  (c) below. b)        Distributions of Excess Amounts shall be made first from the Participant's  Account resulting from Pre-tax Elective Deferral Contributions, to the extent such  Contributions were made for the applicable year. c)        The Participant may elect a different order for distributions, in accordance with  nondiscriminatory procedures established by the Plan Administrator. 6)     x AUTOMATIC CONTRIBUTION ARRANGEMENT (ACA).  (Only available if EACA in  (7) below and QACA in Item O(2) are not selected.)   The Employer elects to have the  ACA provisions (including the annual notice requirements) described in Plan Section  3.01(a)(1) apply. The Plan provides for an automatic election to have Elective Deferral Contributions made,  subject to the provisions of Plan Section 3.01(a), for the Participants specified in (c) and  (d) below.  The automatic Elective Deferral Contributions shall be made as specified in (a)  below.  The Participant will be given a reasonable period to affirmatively elect a different  percentage, to elect not to make Elective Deferral Contributions, and if Roth Elective  Deferral Contributions are permitted in (5) above, to elect to designate all or any portion of  their Elective Deferral Contributions as Roth Elective Deferral Contributions. NOTE:  Additional selections to this Item may be made in Item E of the Additional  Selections and Minor Modifications Addendum if (e) is selected below. 

 

Restatement Effective July 1, 2022 18 Plan ID No. 1063569    ( 4-66998) a) AUTOMATIC ELECTIVE DEFERRAL CONTRIBUTION.  The automatic Elective  Deferral Contribution shall be a Pre-tax Elective Deferral Contribution equal to 6% of  Compensation, unless otherwise specified in (i), (ii), or (iii) below. i) (Only available if (5)(a) above is not selected.)  The automatic Elective  Deferral Contribution shall be a Roth Elective Deferral Contribution. ii) (Only available if (5)(a) above is not selected.)  The automatic Elective  Deferral Contribution shall be divided equally between Pre-tax Elective Deferral  Contributions and Roth Elective Deferral Contributions. iii)   % of Compensation shall be the automatic Elective Deferral  Contribution. b) AUTOMATIC INCREASE.  The automatic Elective Deferral Contribution shall  increase as described in (i) below, unless an election is made in (ii) below to not  include an automatic increase. i) The automatic Elective Deferral Contribution shall increase by 1% as soon as  administratively feasible on or after each subsequent Yearly Date up to a  maximum automatic Elective Deferral Contribution of 10%, unless a different  automatic increase percentage, increase date, or maximum is specified in A, B,  or C below.  (Select any that apply.) A.     % of Compensation shall be the automatic increase  percentage. B. x The increase date shall be (Select (1), (2), (3), (4), (5), or (6).) 1) x each Yearly Date. 2)   .  (Month and day.) 3)   ,  (Month and day.) beginning on  .  (Month, day, and year.) 4) the anniversary of the Participant's Entry Date or Reentry Date,  whichever applies, for purposes of Elective Deferral Contributions. 5) the anniversary of the Participant's Hire Date or Rehire Date,  whichever applies. 6) Other:    (Specify when the  automatic increase will occur and the Employee group impacted.) C. x  15 % of Compensation shall be the maximum automatic  Elective Deferral Contribution. 

 

Restatement Effective July 1, 2022 19 Plan ID No. 1063569    ( 4-66998) ii) An automatic increase shall not apply. c) APPLICATION OF ACA PROVISIONS.  The automatic Elective Deferral  Contribution shall apply to Participants at the time they enter or reenter the Plan,  unless otherwise specified in (i) below. i) DELAY PERIOD FOR ACA PROVISIONS.  The automatic Elective  Deferral Contribution shall apply to Participants as soon as administratively  feasible  (Up to 365.) days after the time they enter or reenter the Plan. An automatic Elective Deferral Contribution may also apply to current Participants as  specified in (ii), (iii), (iv), or (v) below. ii) APPLY TO CURRENT PARTICIPANTS WHEN ACA IS ESTABLISHED.  If  an ACA is added after the Plan's original Effective Date, the automatic Elective  Deferral Contribution shall also apply to all Active Participants as of the date the  ACA is added who (Select A, B, or C.) A. are deferring less than 6% (or the percentage in (a)(iii) above, if  applicable) or who are not deferring (have not completed an Elective  Deferral Agreement or elected to defer 0%). B. are not deferring (have not completed an Elective Deferral Agreement  or elected to defer 0%). C. have not completed an Elective Deferral Agreement. iii) ANNUAL EXPIRATION OF ELECTIVE DEFERRAL AGREEMENTS.  All  Elective Deferral Agreements shall  expire on each   (Month and day.) for Participants who (Select A or B.) A. are deferring less than 6% (or the percentage in (a)(iii) above, if  applicable) or who are not deferring (have not completed an Elective  Deferral Agreement or elected to defer 0%). B. are not deferring (have not completed an Elective Deferral Agreement  or elected to defer 0%). The automatic Elective Deferral Contribution shall apply to Participants with an  expired election, unless they file a new Elective Deferral Agreement during the  applicable notice period. iv) APPLY TO CURRENT PARTICIPANTS AFTER THE DATE THE ACA  WAS ESTABLISHED.  The automatic Elective Deferral Contribution shall also  apply to all Active Participants as of the effective date of the amendment to  

 

Restatement Effective July 1, 2022 20 Plan ID No. 1063569    ( 4-66998) apply the ACA provisions to current Participants who, as of such date, (Select A,  B or C.) A. are deferring less than 6% (or the percentage in (a)(iii) above, if  applicable) or who are not deferring (have not completed an Elective  Deferral Agreement or elected to defer 0%). B. are not deferring (have not completed an Elective Deferral Agreement  or elected to defer 0%). C. have not completed an Elective Deferral Agreement. v) EXPIRATION AND AUTOMATIC INCREASE OF AFFIRMATIVE  ELECTIONS.  (Only available if (b)(ii) above is not selected.)  Elective Deferral  Agreements for Participants who have affirmatively elected to defer an amount  of Compensation that is less than the maximum automatic increase percentage  in (b) above shall expire.  An automatic election shall apply to these  Participants.  This automatic election shall increase the amount specified in the  Participant's Elective Deferral Agreement (immediately prior to the expiration)  on the automatic increase date specified in (b) as follows: If (a)(i) and (a)(ii) are not selected above, the Participant’s automatic Elective  Deferral Contribution shall be determined by increasing the Pre-tax Elective  Deferral Contribution amount specified in the Participant’s Elective Deferral  Agreement (immediately prior to the expiration) by the automatic increase  percentage in (b) above.  If the Participant’s Elective Deferral Agreement  (immediately prior to the expiration) includes Roth Elective Deferral  Contributions, the Participant’s automatic Elective Deferral Contribution shall  include the Roth Elective Deferral Contribution amount specified. If (a)(i) is selected above, the Participant’s automatic Elective Deferral  Contribution shall be determined by increasing the Roth Elective Deferral  Contribution amount specified in the Participant’s Elective Deferral Agreement  (immediately prior to the expiration) by the automatic increase percentage in (b)  above.  If the Participant's Elective Deferral Agreement (immediately prior to the  expiration) includes Pre-tax Elective Deferral Contributions, the Participant's  automatic Elective Deferral Contribution shall include the Pre-tax Elective  Deferral Contribution amount specified. If (a)(ii) is selected above, the Participant's automatic Elective Deferral  Contribution shall be determined by increasing both the Pre-tax Elective  Deferral Contribution amount and the Roth Elective Deferral Contribution  amount specified in the Participant's Elective Deferral Agreement (immediately  prior to the expiration) by one-half of the automatic increase percentage in (b)  above. This automatic Elective Deferral Contribution and increase shall apply to  Participants with any affirmative election, including 0%, unless otherwise  specified in A or B below. 

 

Restatement Effective July 1, 2022 21 Plan ID No. 1063569    ( 4-66998) A. This automatic Elective Deferral Contribution and increase shall not  apply to Participants who have elected to defer 0%. B. This automatic Elective Deferral Contribution and increase shall not  apply to Participants who have elected to defer less than  %  (Must be less than the maximum automatic increase percentage in (b)  above.) of Compensation. This automatic Elective Deferral Contribution and increase shall apply to  Participants with an expired election, unless they file a new Elective Deferral  Agreement during the applicable notice period. d) APPLICATION OF ACA PROVISIONS WHEN AUTOMATIC ELECTIVE DEFERRAL  CONTRIBUTION CHANGED.  Amendments to the automatic Elective Deferral  Contribution shall apply as described in (i) and (ii) below. i) INCREASES.  If this is an amendment that increases the amount of the  automatic Elective Deferral Contribution in (a) or (b) above, the new amount  shall apply to Participants as follows.  The higher percentage shall apply to  Participants at the time they enter or reenter the Plan on or after the effective  date of such amendment and to Participants who were automatically enrolled  under the ACA provisions as of the effective date of this amendment, unless  otherwise specified in A below. A. The higher percentage shall only apply to Participants at the time they  enter or reenter the Plan on or after the effective date of this amendment. ii) DECREASES.  If this is an amendment that decreases the amount of the  automatic Elective Deferral Contribution in (a) or (b) above, the new amount  shall only apply to Participants at the time they enter or reenter the Plan on or  after the effective date of such amendment.  The lower percentage shall not  apply to any Participants who were automatically enrolled under the ACA  provisions prior to the effective date of this amendment, unless otherwise  specified in A below. A. The lower percentage shall also apply to Participants who were  automatically enrolled under the ACA provisions as of the effective date of  this amendment. e) Additional selections for this Item have been made in Item E of the attached  Additional Selections and Minor Modifications Addendum. 7)     ELIGIBLE AUTOMATIC CONTRIBUTION ARRANGEMENT (EACA).  (Only available  if ACA in (6) above and QACA in Item O(2) are not selected or if QACA is selected in Item  O(2), the QACA Matching Contributions or QACA Nonelective Contributions were revoked  during the Plan Year.)  The Employer elects to have the EACA provisions (including the  annual notice requirements) described in Plan Section 3.10 apply. NOTE:  The effective date for electing to apply the EACA provisions must be the  beginning of a Plan Year. 

 

Restatement Effective July 1, 2022 22 Plan ID No. 1063569    ( 4-66998) The Plan provides for an automatic election to have Elective Deferral Contributions made  for the Participants specified in (c) below.  The automatic Elective Deferral Contributions  shall be Pre-tax Elective Deferral Contributions in an amount specified in (a) below.  The  Participant will be given a reasonable period to affirmatively elect a different percentage,  to elect not to make Elective Deferral Contributions, and if Roth Elective Deferral  Contributions are permitted in (5) above, to elect to designate all or any portion of their  Elective Deferral Contributions as Roth Elective Deferral Contributions. a) AUTOMATIC ELECTIVE DEFERRAL CONTRIBUTION.  The automatic Elective  Deferral Contribution shall be 6% of Compensation, unless otherwise specified in (i)  below. i)     % of Compensation shall be the automatic Elective Deferral  Contribution. b) AUTOMATIC INCREASE.  The automatic Elective Deferral Contribution shall  increase as described in (i) below, unless an election is made in (ii) below to not  include an automatic increase. i) The automatic Elective Deferral Contribution shall increase by 1% as soon as  administratively feasible on or after each subsequent Yearly Date up to a  maximum automatic Elective Deferral Contribution of 10%, unless a different  increase percentage, increase date, or maximum is specified in A, B, or C  below.  (Select any that apply.) A.     % of Compensation shall be the automatic increase  percentage. B. The increase date shall be (Select (1), (2), (3), (4), (5), or (6).) 1) each Yearly Date. 2)   .  (Month and day.) 3)   ,  (Month and day.) beginning on  .  (Month, day, and year.) 4) the anniversary of the Participant's Entry Date or Reentry Date,  whichever applies, for purposes of Elective Deferral Contributions. 5) the anniversary of the Participant's Hire Date or Rehire Date,  whichever applies. 6) Other:    (Specify when the  automatic increase will occur.  Must meet the uniformity requirements.) C.    % of Compensation shall be the maximum automatic  Elective Deferral Contribution. 

 

Restatement Effective July 1, 2022 23 Plan ID No. 1063569    ( 4-66998) ii) An automatic increase shall not apply. c) APPLICATION OF EACA PROVISIONS.  The automatic Elective Deferral  Contribution shall apply to Participants at the time they enter or reenter the Plan,  unless otherwise specified in (i) below. i) DELAY PERIOD FOR EACA PROVISIONS.  The automatic Elective  Deferral Contribution shall apply to Participants as soon as administratively  feasible     (Up to 365.) days after the time they enter or reenter the Plan. NOTE:  The extended period for distributing Excess Contributions and Excess  Aggregate Contributions may be unavailable if (c)(i) above is selected. If an EACA is added after the Plan’s original Effective Date, the automatic Elective  Deferral Contribution shall also apply to all Active Participants as of the date the  EACA is added who  (Select (ii), (iii), or (iv), (v), and (vi), as applicable.) ii) are deferring less than 6% (or the percentage in (a)(i) above, if applicable)  or who are not deferring (have not completed an Elective Deferral Agreement or  elected to defer 0%). iii) are not deferring (have not completed an Elective Deferral Agreement or  elected to defer 0%). iv) have not completed an Elective Deferral Agreement. v) ELECTIVE DEFERRAL AGREEMENTS EXPIRE WITH AMENDMENT.  As  of the effective date of the amendment, all Elective Deferral Agreements shall  expire for Participants who, as of such date,  (Select A or B.) A. have elected to defer less than 6% (or the percentage in (a)(i) above,  if applicable) or who have elected to defer 0%. B. have elected to defer 0%. The automatic Elective Deferral Contribution shall apply to Participants with an  expired election, unless they file a new Elective Deferral Agreement during the  applicable notice period. vi) ELECTIVE DEFERRAL AGREEMENTS EXPIRE ANNUALLY.  All Elective  Deferral Agreements shall expire on  each    (Month and day.) for Participants who, as of such date,  (Select  A or B.) A. have elected to defer less than 6% (or the percentage in (a)(i) above,  if applicable) or who have elected to defer 0%. 

 

Restatement Effective July 1, 2022 24 Plan ID No. 1063569    ( 4-66998) B. have elected to defer 0%. d) APPLICATION OF EACA PROVISIONS WHEN AUTOMATIC ELECTIVE  DEFERRAL CONTRIBUTION CHANGED.  Amendments to the automatic Elective  Deferral Contribution shall apply as described in (i) and (ii) below. i) INCREASES.  If this is an amendment that increases the amount of the  automatic Elective Deferral Contribution in (a) or (b) above, the new amount  shall apply to Participants at the time they enter or reenter the Plan on or after  the effective date of such amendment and to Participants who were  automatically enrolled under the EACA provisions as of the effective date of this  amendment. ii) DECREASES.  If this is an amendment that decreases the amount of the  automatic Elective Deferral Contribution in (a) or (b) above, the new amount  shall apply to Participants at the time they enter or reenter the Plan on or after  the effective date of such amendment and to any Participants who were  automatically enrolled under the EACA provisions prior to the effective date of  this amendment. e) Permissible Withdrawals are not permitted, unless otherwise specified in (i) below. i) Permissible Withdrawals are permitted. O. 401(k) SAFE HARBOR AND QACA SAFE HARBOR. 1) x 401(k) SAFE HARBOR.  (Only available if QACA in (2) below is not selected.)   The  Plan is a 401(k) Safe Harbor Plan and the 401(k) safe harbor provisions (including the  annual notice requirements) described in Plan Section 3.09 apply.  (Select (b) or (c).   Select (d), if applicable.) a) The Plan will satisfy the ADP Test Safe Harbor only, unless otherwise specified in (i)  below. i) x The Plan will satisfy the ADP Test Safe Harbor and the ACP Test Safe  Harbor.  (Only available if the Plan permits Matching Contributions in (b)(i) below  or Item P and the ACP Test Safe Harbor limits on Matching Contributions are  met.) NOTE:  The effective date for electing to apply the 401(k) safe harbor provisions must be  the beginning of a Plan Year, unless the exception described in Plan Section 3.09(a)(2) for  adding a cash or deferred arrangement to an existing profit sharing, stock bonus, or  pre-ERISA money purchase pension plan applies.  Electing to no longer have the 401(k)  safe harbor provisions apply must be effective at the beginning of the Plan Year, except as  provided in (b)(i)I or (b)(ii)E below.  A Plan is deemed to not be a Top-heavy Plan, as  defined in Plan Section 11.02, for a Plan Year, if the exception under Code Section  416(g)(4)(H) applies for such year.  See Plan Section 3.09(f). b) x CONTRIBUTIONS FOR ALL PLAN YEARS.  (Any changes to the selections or  contribution formulas under this (b) must be effective at the beginning of the Plan  

 

Restatement Effective July 1, 2022 25 Plan ID No. 1063569    ( 4-66998) Year, except as provided in (i)I or (ii)E below.)  The Employer will make the 401(k)  safe harbor Contributions for all Plan Years.  (Select (i) or (ii).) NOTE: The 401(k) safe harbor Contribution selected in (i) or (ii) below can only be  removed during a Plan Year if the Employer is operating at an economic loss as  described in Code Section 412(c) for such Plan Year, or the annual notice included a  statement that the Plan may be amended during the Plan Year to revoke the 401(k)  safe harbor Contribution. i) x QUALIFIED MATCHING CONTRIBUTIONS.  The ADP Test Safe Harbor  shall be satisfied using Qualified Matching Contributions.  The amount of  Qualified Matching Contributions shall be equal to (Select A or B.) A.     BASIC MATCHING FORMULA.  100% of Elective Deferral  Contributions that are not over 3% of Compensation, plus 50% of Elective  Deferral Contributions which are over 3% but are not over 5% of  Compensation. B.     x ENHANCED MATCHING FORMULA.  100% of Elective Deferral  Contributions that are not over 4% of Compensation, unless otherwise  specified in (1) or (2) below. 1) x STATED MATCH.  (Complete (a) and (b).  For example: 100% of  Elective Deferral Contributions that are not over 5% of Compensation.) a) 100 % of Elective Deferral Contributions that are not over b)  6 % of Compensation. NOTE:  Must complete (a) using at least 100%.  The product of the  percentages in (a) and (b) must equal at least 4%.  For example, 100%  x 5% = 5% or 150% x 3% = 4.5%.  If satisfying ACP Test Safe Harbor,  must complete (b) with a percentage not more than 6%. 2) STATED TIERED MATCH.  (Complete (a) through (d).  For  example: 100% of Elective Deferral Contributions that are not over 4%  of Compensation, plus 50% of Elective Deferral Contributions that are  over 4% but are not over 6% of Compensation.) a)  % of Elective Deferral Contributions that are not over b)  % of Compensation, plus (First limit on Elective  Deferral Contributions.) c)  % (Must be less than (a).) of Elective Deferral  Contributions that are over the percentage of Compensation  specified in (b) but are not over 

 

Restatement Effective July 1, 2022 26 Plan ID No. 1063569    ( 4-66998) d)  % (Must be more than (b).) of Compensation.  (Second  limit on Elective Deferral Contributions.) NOTE:  Must complete (a) using at least 100%.  The product of the  percentages in (a) and (b) must equal at least 3%.  In addition, if the  product of the percentages in (a) and (b) does not equal at least 4%,  (c) must be completed using at least 50% and, using the percentages  in (a), (b), (c), and (d), the sum of [((d) – (b)) x (c)] and [(a) x (b)] must  equal at least 4%.  If satisfying ACP Test Safe Harbor, must complete  (b) with a percentage less than 6% and (d) with a percentage not more  than 6%. C. CALCULATION PERIOD.  Qualified Matching Contributions are calculated  based on Elective Deferral Contributions and Compensation for the period  specified below, unless otherwise modified in (6) below.  (Refers to  calculation of the amount of Qualified Matching Contributions, not when  contributed.  If the Employer contributes Qualified Matching Contributions to  the Plan more often than the calculation period selected below, a true-up  contribution will need to be made for any Participant at the end of the Plan  Year if the actual Qualified Matching Contributions allocated prior to the  true-up do not equal what Qualified Matching Contributions would be when  calculated using the Participant's Compensation and Elective Deferral  Contributions for each calculation period.  (Select (1), (2), (3), (4), or (5).   Select (6), if applicable.) 1) PAYROLL PERIOD.  Qualified Matching Contributions shall be  made for all persons who were Active Participants at any time during  that payroll period. 2) PAYROLL PERIODS ENDING WITH OR WITHIN EACH  MONTH.  Qualified Matching Contributions shall be made for all  persons who were Active Participants at any time during the month. 3) MONTH.  Qualified Matching Contributions shall be made for all  persons who were Active Participants at any time during the month. 4) PAYROLL PERIODS ENDING WITH OR WITHIN EACH  PLAN-YEAR QUARTER.  Qualified Matching Contributions shall be  made for all persons who were Active Participants at any time during  the Plan-year Quarter. NOTE:  If (1), (2), (3), or (4) is selected, Qualified Matching Contributions  must be contributed to the Plan by the last day of the following Plan-year  Quarter. 5) x PLAN YEAR.  Qualified Matching Contributions shall be made for  all persons who were Active Participants at any time during the Plan  Year. The calculation periods in (2), (3), (4), or (5) above are modified as follows: 

 

Restatement Effective July 1, 2022 27 Plan ID No. 1063569    ( 4-66998) 6) x BASED ON DEFERRALS AND COMPENSATION WHILE  ACTIVE.  (Only available if (2), (3), (4), or (5) above is selected.)    Qualified Matching Contributions shall be calculated excluding  Elective Deferral Contributions and Compensation for any portion of  the month, Plan-year Quarter, or Plan Year, whichever applies, in  which an Employee is not an Active Participant. D. ADDITIONAL MATCH.  (Only available if (a)(i) above is selected.)  The  Employer may make additional Matching Contributions.  If the Employer  makes additional Matching Contributions to the Plan, the Employer shall  provide the Plan Administrator (or Trustee, as applicable), written  instructions describing (i) how the additional Matching Contribution formula  will be allocated to Participants (e.g., a uniform percentage of Elective  Deferrals or a flat dollar amount), (ii) the calculation period(s) to which the  discretionary Matching Contribution formula applies, and (iii) if applicable, a  description of each business location, business classification, or employee  group subject to separate additional Matching Contribution allocation  formulas.  Such instructions must be provided no later than the date on  which the additional Matching Contribution is made to the Plan.  A  summary of these instructions must be communicated to Participants who  receive additional Matching Contributions.  The summary must be  communicated to Participants no later than 60 days following the date on  which the last additional Matching Contribution is made to the Plan for a  Plan Year.  Additional Matching Contributions, if made, shall be made for  each person who was an Active Participant at any time during the  applicable calculation period(s). The calculation period selected in C above shall not apply to this additional  match.  The calculation period(s) specified in the instructions above shall  apply.  If the applicable calculation period is not Plan Year, additional  Matching Contributions must be contributed to the Plan by the last day of  the following Plan-year Quarter. The rate of additional match will not increase as the amount of Elective  Deferral Contributions increases, no Highly Compensated Employee will be  entitled to a greater rate of match than any Nonhighly Compensated  Employee, Elective Deferral Contributions that are over 6% of  Compensation will not be matched, and the additional Matching  Contribution for a Participant will not exceed 4% of his Compensation for  the Plan Year. Additional Matching Contributions will be Qualified Matching Contributions,  unless otherwise specified in (1) below. 1) Additional Matching Contributions will be subject to the vesting  schedule selected for Matching Contributions. E. HEART ACT MATCH.  The Employer shall also make Matching  Contributions for a Participant who dies or becomes Totally Disabled while  performing Qualified Military Service.  The amount of such Matching  Contribution shall be based on the Participant's average actual Elective  Deferral Contributions for the lesser of (i) the 12-month period of service  with the Employer immediately prior to Qualified Military Service, or (ii) if  

 

Restatement Effective July 1, 2022 28 Plan ID No. 1063569    ( 4-66998) service with the Employer is less than such 12-month period, the actual  length of continuous service with the Employer, in accordance with Code  Section 414(u)(9) and any subsequent guidance. F. Qualified Matching Contributions and additional Matching  Contributions, if applicable, shall be made only for Nonhighly Compensated  Employees. G. x Qualified Matching Contributions and additional Matching  Contributions, if applicable, shall not be made for (Select (1), (2), or both.) 1) x Bargaining Employees. 2) Other  .  (Specify the  Employee group.  Must be a group that is mandatorily disaggregated  or that can be permissively disaggregated.) H. Qualified Matching Contributions and additional Matching  Contributions, if applicable, shall be made to a different plan as specified  below. Qualified Matching Contributions and additional Matching Contributions, if  applicable, shall be made to the:  .  (Fill in plan name.) I. The 401(k) safe harbor election and the corresponding Qualified  Matching Contributions shall be revoked as of  .   (Month, day and year.)  Such date cannot be earlier than the later of (i) 30  days after the date Active Participants are given the supplemental notice  described in Plan Section 3.09(e) and (ii) the date the amendment revoking  such provisions is adopted.  Qualified Matching Contributions shall be  made for the period prior to the revocation. ii) QUALIFIED NONELECTIVE CONTRIBUTIONS.  The ADP Test Safe  Harbor shall be satisfied using Qualified Nonelective Contributions. The amount of Qualified Nonelective Contributions shall be equal to   % (Must be at least 3%.) of Compensation for the Plan Year for  persons who were Active Participants at any time during the Plan Year, unless  otherwise specified in A, B, or C below.  (The Compensation used for these  Contributions is not necessarily the same as Annual Compensation defined in  Item M.  Select any that apply.) A. Compensation shall be determined excluding Compensation for the  portion of the Plan Year in which an Employee is not an Active Participant. NOTE:  Excluding Compensation while not an Active Participant may result in  additional Contributions needed to satisfy the top-heavy requirements, described  

 

Restatement Effective July 1, 2022 29 Plan ID No. 1063569    ( 4-66998) in Plan Section 11.04, during any Plan Year in which this Plan is a Top-heavy  Plan. B. Qualified Nonelective Contributions shall be made only for Nonhighly  Compensated Employees. C. Qualified Nonelective Contributions shall not be made for (Select (1),  (2), or both) 1) Bargaining Employees. 2) Other  . (Specify the  Employee group.  Must be a group that is mandatorily disaggregated  or that can be permissively disaggregated.) D. Qualified Nonelective Contributions shall be made to a different plan  as specified below. Qualified Nonelective Contributions shall be made to the:  .  (Fill in plan name.) E. The 401(k) safe harbor election and the corresponding Qualified  Nonelective Contributions shall be revoked as of  .   (Month, day and year.)  Such date cannot be earlier than the later of (i) 30  days after the date Active Participants are given the supplemental notice  described in Plan Section 3.09(e) and (ii) the date the amendment revoking  such provisions is adopted.  Qualified Nonelective Contributions shall be  made with respect to Compensation paid through the effective date of the  revocation. c) CONTRIBUTIONS FOR PLAN YEARS IN WHICH THE PLAN IS AMENDED.   The Employer may amend the Plan to provide a Qualified Nonelective Contribution  to satisfy the ADP Test Safe Harbor for a Plan Year. d) PLAN IS AMENDED.  (Only available if (c) above is selected.)  The Plan is  amended to provide a Qualified Nonelective Contribution for the Plan Year beginning  . (Month, day and year.) i) The amount of Qualified Nonelective Contributions for such Plan Year  shall be equal to  % (Must be at least 3%.) of Compensation for the Plan  Year for persons who were Active Participants at any time during the Plan Year,  unless otherwise specified in A and B below.  (The Compensation used for these  Contributions is not necessarily the same as Annual Compensation defined in  Item M.  Select any that apply.) A. Compensation shall be determined excluding Compensation for the  portion of the Plan Year in which an Employee is not an Active Participant. 

 

Restatement Effective July 1, 2022 30 Plan ID No. 1063569    ( 4-66998) NOTE:  Excluding Compensation while not an Active Participant may result in  additional Contributions needed to satisfy the top-heavy requirements, described  in Plan Section 11.04, during any Plan Year in which this Plan is a Top-heavy  Plan. B. Qualified Nonelective Contributions shall be made only for Nonhighly  Compensated Employees. 2)     QUALIFIED AUTOMATIC CONTRIBUTION ARRANGEMENT (QACA) SAFE  HARBOR.  (Only available if 401(k) safe harbor in (1) above is not selected.  Only  available if ACA and EACA in Items N(6) and (7) are not selected or if EACA in Item N(7)  is selected, the QACA Matching Contributions or QACA Nonelective Contributions have  been revoked during the Plan Year.)  The Plan is a QACA Safe Harbor Plan and the  QACA safe harbor provisions (including the annual notice requirements) described in Plan  Section 3.11 apply. NOTE:  The effective date for electing to apply the QACA safe harbor provisions must be  the beginning of a Plan Year, unless the exception described in Plan Section 3.11(a)(8) for  adding a cash or deferred arrangement to an existing profit sharing, stock bonus, or  pre-ERISA money purchase pension plan applies.  Electing to no longer have the QACA  safe harbor provisions apply must be effective at the beginning of the Plan Year, except as  provided in (g)(i)I or (g)(ii)E below.  A Plan is deemed to not be a Top-heavy Plan, as  defined in Plan Section 11.02, for a Plan Year, if the exception under Code Section  416(g)(4)(H) applies for such year.  See Plan Section 3.11(g). The Plan provides for an automatic election to have Elective Deferral Contributions made  for the Participants specified in (c) below.  The automatic Elective Deferral Contributions  shall be Pre-tax Elective Deferral Contributions in an amount specified in (a) below.  The  Participant will be given a reasonable period to affirmatively elect a different percentage,  to elect not to make Elective Deferral Contributions, and if Roth Elective Deferral  Contributions are permitted in Item N(5), to elect to designate all or any portion of their  Elective Deferral Contributions as Roth Elective Deferral Contributions. a) AUTOMATIC ELECTIVE DEFERRAL CONTRIBUTION.  The automatic Elective  Deferral Contribution shall be 6% of Compensation, unless otherwise specified in (i)  below. i)     %  (Must be at least 3% and no more than 10%.)  of  Compensation shall be the automatic Elective Deferral Contribution. b) AUTOMATIC INCREASE.  (Must be selected if (a)(i) is selected and the  percentage is less than 6%.)  The automatic Elective Deferral Contribution shall  increase by 1% as soon as administratively feasible on or after each subsequent  Yearly Date up to a maximum automatic Elective Deferral Contribution of 10%,  unless a different increase percentage, increase date, or maximum is specified in (i),  (ii), or (iii) below.  (Select any that apply.) i)     % of Compensation shall be the automatic increase percentage. ii) The increase date shall be (Select A, B, C, D, E, or F.) 

 

Restatement Effective July 1, 2022 31 Plan ID No. 1063569    ( 4-66998) A. each Yearly Date. B.   .  (Month and day.) C.     (Month and day.) beginning on  .  (Month, day, and year.) D. the anniversary of the Participant's Entry Date or Reentry Date,  whichever applies, for purposes of Elective Deferral Contributions. E. the anniversary of the Participant's Hire Date or Rehire Date,  whichever applies. F. Other:    (Specify when the  automatic increase will occur.  Must meet the uniformity requirements.) iii)    %  (Up to 10%.) of Compensation shall be the maximum  automatic Elective Deferral Contribution. c) APPLICATION OF QACA PROVISIONS.  The automatic Elective Deferral  Contribution shall apply to Participants at the time they enter or reenter the Plan,  unless otherwise specified in (i) below.  The automatic Elective Deferral Contribution  for a Participant who reenters the Plan shall be determined based on the provisions  of Plan Section 3.11(b). i) DELAY PERIOD FOR QACA PROVISIONS.  The automatic Elective  Deferral Contribution shall apply to Participants as soon as administratively  feasible     (Up to 30.) days after the time they enter or reenter the Plan.   Notwithstanding the foregoing, the automatic Elective Deferral Contribution shall  be effective no later than the earlier of (1) the pay date for the second payroll  period that begins after the notice is provided or (2) the first pay date that occurs  at least 30 days after the notice is provided. NOTE:  The period for distributing Excess Contributions and Excess Aggregate  Contributions cannot be extended if (c)(i) above is selected. If a QACA is added after the Plan’s original Effective Date, the automatic Elective  Deferral Contribution shall also apply to all Active Participants as of the date the  QACA is added who  (Select (ii), (iii), or (iv), (v), and (vi), as applicable.) ii) are deferring less than 6% (or the percentage in (a)(i) above, if applicable)  or who are not deferring (have not completed an Elective Deferral Agreement or  elected to defer 0%). iii) are not deferring (have not completed an Elective Deferral Agreement or  elected to defer 0%). 

 

Restatement Effective July 1, 2022 32 Plan ID No. 1063569    ( 4-66998) iv) have not completed an Elective Deferral Agreement. v) ELECTIVE DEFERRAL AGREEMENTS EXPIRE WITH AMENDMENT.  As  of the effective date of the amendment, all Elective Deferral Agreements shall  expire for Participants who, as of such date,  (Select A or B.) A. have elected to defer less than 6% (or the percentage in (a)(i) above,  if applicable) or who have elected to defer 0%. B. have elected to defer 0%. The automatic Elective Deferral Contribution shall apply to Participants with an  expired election, unless they file a new Elective Deferral Agreement during the  applicable notice period. vi) ELECTIVE DEFERRAL AGREEMENTS EXPIRE ANNUALLY.  All Elective  Deferral Agreements shall expire on  each    (Month and day.) for Participants who, as of such date,  (Select  A or B.) A. have elected to defer less than 6% (or the percentage in (a)(i) above,  if applicable) or who have elected to defer 0%. B. have elected to defer 0%. d) APPLICATION OF QACA PROVISIONS WHEN AUTOMATIC ELECTIVE  DEFERRAL CONTRIBUTION CHANGED.  Amendments to the automatic Elective  Deferral Contribution shall apply as described in (i) and (ii) below. i) INCREASES.  If this is an amendment that increases the amount of the  automatic Elective Deferral Contribution in (a) or (b) above, the new amount  shall apply to Participants at the time they enter or reenter the Plan on or after  the effective date of such amendment and to Participants who were  automatically enrolled under the QACA provisions as of the effective date of this  amendment. ii) DECREASES.  If this is an amendment that decreases the amount of the  automatic Elective Deferral Contribution in (a) or (b) above, the new amount  shall apply to Participants at the time they enter or reenter the Plan on or after  the effective date of such amendment and to any Participants who were  automatically enrolled under the QACA provisions prior to the effective date of  this amendment. e) Permissible Withdrawals are not permitted, unless otherwise specified in (i) below. i) Permissible Withdrawals are permitted. 

 

Restatement Effective July 1, 2022 33 Plan ID No. 1063569    ( 4-66998) f) The Plan will satisfy the ADP Test Safe Harbor only, unless otherwise specified in (i)  below. i) The Plan will satisfy the ADP Test Safe Harbor and the ACP Test Safe  Harbor.  (Only available if the Plan permits Matching Contributions in (g)(i) below  or Item P and the ACP Test Safe Harbor limits on Matching Contributions are  met.) g) CONTRIBUTIONS FOR ALL PLAN YEARS.  (Any changes to the selections or  contribution formulas under this (g) must be effective at the beginning of the Plan  Year, except as provided in (i)I or (ii)E below.)  The Employer will make the QACA  safe harbor Contributions for all Plan Years.  (Select (i) or (ii).) NOTE:  The safe harbor contribution selected in (i) or (ii) below can only be removed  during a Plan Year if the Employer is operating at an economic loss as described in  Code Section 412(c) for such Plan Year, or the annual notice included a statement  that the Plan may be amended during the Plan Year to revoke the safe harbor  contribution. i) QACA MATCHING CONTRIBUTIONS.  The ADP Test Safe Harbor shall  be satisfied using QACA Matching Contributions.  The amount of QACA  Matching Contributions shall be equal to (Select A or B.) A. BASIC MATCHING FORMULA.  100% of Elective Deferral  Contributions that are not over 1% of Compensation, plus 50% of Elective  Deferral Contributions which are over 1% but are not over 6% of  Compensation. B. ENHANCED MATCHING FORMULA.  100% of Elective Deferral  Contributions that are not over 3.5% of Compensation, unless otherwise  specified in (1) or (2) below. 1) STATED MATCH.  (Complete (a) and (b).  For example: 100% of  Elective Deferral Contributions that are not over 5% of Compensation.) a)  % of Elective Deferral Contributions that are not over b)  % of Compensation. NOTE:  Must complete (a) using at least 100%.  The product of the  percentages in (a) and (b) must equal at least 3.5%.  For example,  100% x 5% = 5% or 150% x 3% = 4.5%.  If satisfying ACP Test Safe  Harbor, must complete (b) with a percentage not more than 6%. 2) STATED TIERED MATCH.  (Complete (a) through (d).  For  example: 100% of Elective Deferral Contributions that are not over 4%  of Compensation, plus 50% of Elective Deferral Contributions that are  over 4% but are not over 6% of Compensation.) 

 

Restatement Effective July 1, 2022 34 Plan ID No. 1063569    ( 4-66998) a)   % of Elective Deferral Contributions that are not over b)  % of Compensation, plus (First limit on Elective  Deferral Contributions.) c)  % (Must be less than (a).) of Elective Deferral  Contributions that are over the percentage of Compensation  specified in (b) but are not over d)  % (Must be more than (b).) of Compensation.  (Second  limit on Elective Deferral Contributions.) NOTE:  Must complete (a) using at least 100%.  The product of the  percentages in (a) and (b) must equal at least 1%.  In addition, if the  product of the percentages in (a) and (b) does not equal at least 3.5%,  (c) must be completed using at least 50% and, using the percentages  in (a), (b), (c), and (d), the sum of [((d) - (b)) x (c)] and [(a) x (b)] must  equal at least 3.5%.  If satisfying ACP Test Safe Harbor, must  complete (b) with a percentage less than 6% and (d) with a percentage  not more than 6%. C. CALCULATION PERIOD.  QACA Matching Contributions are calculated  based on Elective Deferral Contributions and Compensation for the period  specified below, unless otherwise modified in (6) below. (Refers to  calculation of the amount of QACA Matching Contributions, not when  contributed.  If the Employer contributes QACA Matching Contributions to  the Plan more often than the calculation period selected below, a true-up  contribution will need to be made for any Participant at the end of the Plan  Year if the actual QACA Matching Contributions allocated prior to the  true-up do not equal what QACA Matching Contributions would be when  calculated using the Participant’s Compensation and Elective Deferral  Contributions for each calculation period.  Select (1), (2), (3), (4), or (5).  Select (6), if applicable.) 1) PAYROLL PERIOD.  QACA Matching Contributions shall be  made for all persons who were Active Participants at any time during  that payroll period. 2) PAYROLL PERIODS ENDING WITH OR WITHIN EACH  MONTH.  QACA Matching Contributions shall be made for all persons  who were Active Participants at any time during the month. 3) MONTH.  QACA Matching Contributions shall be made for all  persons who were Active Participants at any time during the month. 4) PAYROLL PERIODS ENDING WITH OR WITHIN EACH  PLAN-YEAR QUARTER.  QACA Matching Contributions shall be  made for all persons who were Active Participants at any time during  the Plan-year Quarter. 

 

Restatement Effective July 1, 2022 35 Plan ID No. 1063569    ( 4-66998) NOTE:  If (1), (2), (3), or (4) is selected, QACA Matching Contributions  must be contributed to the Plan by the last day of the following Plan-year  Quarter. 5) PLAN YEAR.  QACA Matching Contributions shall be made for all  persons who were Active Participants at any time during the Plan  Year. The calculation periods in (2), (3), (4), or (5) above are modified as follows: 6) BASED ON DEFERRALS AND COMPENSATION WHILE  ACTIVE.  (Only available if (2), (3), (4), or (5) above is selected.)    QACA Matching Contributions shall be calculated excluding Elective  Deferral Contributions and Compensation for any portion of the month,  Plan-year Quarter, or Plan Year, whichever applies, in which an  Employee is not an Active Participant. D. ADDITIONAL MATCH.  (Only available if (f)(i) above is selected.)  The  Employer may make additional Matching Contributions.  If the Employer  makes additional Matching Contributions to the Plan, the Employer shall  provide the Plan Administrator (or Trustee, as applicable), written  instructions describing (i) how the additional Matching Contribution formula  will be allocated to Participants (e.g., a uniform percentage of Elective  Deferrals or a flat dollar amount), (ii) the calculation period(s) to which the  discretionary Matching Contribution formula applies, and (iii) if applicable, a  description of each business location, business classification, or employee  group subject to separate additional Matching Contribution allocation  formulas.  Such instructions must be provided no later than the date on  which the additional Matching Contribution is made to the Plan.  A  summary of these instructions must be communicated to Participants who  receive additional Matching Contributions.  The summary must be  communicated to Participants no later than 60 days following the date on  which the last additional Matching Contribution is made to the Plan for a  Plan Year.  Additional Matching Contributions, if made, shall be made for  each person who was an Active Participant at any time during the  applicable calculation period(s). The calculation period selected in C above shall not apply to this additional  match.  The calculation period(s) specified in the instructions above shall  apply.  If the applicable calculation period is not Plan Year, additional  Matching Contributions must be contributed to the Plan by the last day of  the following Plan-year Quarter. The rate of additional match will not increase as the amount of Elective  Deferral Contributions increases, no Highly Compensated Employee will be  entitled to a greater rate of match than any Nonhighly Compensated  Employee, Elective Deferral Contributions that are over 6% of  Compensation will not be matched, and the additional Matching  Contribution for a Participant will not exceed 4% of his Compensation for  the Plan Year. 

 

Restatement Effective July 1, 2022 36 Plan ID No. 1063569    ( 4-66998) Additional Matching Contributions will be subject to the vesting schedule  selected for QACA Contributions in Item V(2), unless otherwise specified in  (1) below. 1) Additional Matching Contributions will be subject to the vesting  schedule selected for Matching Contributions. E. HEART ACT MATCH.  The Employer shall also make Matching  Contributions for a Participant who dies or becomes Totally Disabled while  performing Qualified Military Service.  The amount of such Matching  Contribution shall be based on the Participant’s average actual Elective  Deferral Contributions for the lesser of (i) the 12-month period of service  with the Employer immediately prior to Qualified Military Service, or (ii) if  service with the Employer is less than such 12-month period, the actual  length of continuous service with the Employer, in accordance with Code  Section 414(u)(9) and any subsequent guidance. F. QACA Matching Contributions and additional Matching Contributions,  if applicable, shall be made only for Nonhighly Compensated Employees. G. QACA Matching Contributions and additional Matching Contributions,  if applicable, shall not be made for (Select (1), (2), or both.) 1) Bargaining Employees. 2) Other  .  (Specify the  Employee group.  Must be a group that is mandatorily disaggregated  or that can be permissively disaggregated.) H. QACA Matching Contributions and additional Matching Contributions,  if applicable, shall be made to a different plan as specified below. QACA Matching Contributions and additional Matching Contributions, if  applicable, shall be made to the:  .  (Fill in plan name.) I. The QACA safe harbor election and corresponding QACA Matching  Contributions shall be revoked as of  .  (Month, day  and year.)  Such date cannot be earlier than the later of (i) 30 days after the  date Eligible Employees are given the supplemental notice described in  Plan Section 3.11(d) and (ii) the date the amendment revoking such  provisions is adopted.  QACA Matching Contributions shall be made for the  period prior to the revocation. ii) QACA NONELECTIVE CONTRIBUTIONS.  The ADP Test Safe Harbor  shall be satisfied using QACA Nonelective Contributions. The amount of QACA Nonelective Contributions shall be equal to 

 

Restatement Effective July 1, 2022 37 Plan ID No. 1063569    ( 4-66998)   % (Must be at least 3%.) of Compensation for the Plan Year for  persons who were Active Participants at any time during the Plan Year, unless  otherwise specified in A, B, and C below.  (The Compensation used for these  Contributions is not necessarily the same as Annual Compensation defined in  Item M.  Select any that apply.) A. Compensation shall be determined excluding Compensation for the  portion of the Plan Year in which an Employee is not an Active Participant. NOTE:  Excluding Compensation while not an Active Participant may result in  additional Contributions needed to satisfy the top-heavy requirements, described  in Plan Section 11.04, during any Plan Year in which this Plan is a Top-heavy  Plan. B. QACA Nonelective Contributions shall be made only for Nonhighly  Compensated Employees. C. QACA Nonelective Contributions shall not be made for (Select (1), (2),  or both) 1) Bargaining Employees. 2) Other  . (Specify the  Employee group.  Must be a group that is mandatorily disaggregated  or that can be permissively disaggregated.) D. QACA Nonelective Contributions shall be made to a different plan as  specified below. QACA Nonelective Contributions shall be made to the:  .  (Fill in plan name.) E. The QACA safe harbor election and the corresponding QACA  Nonelective Contributions shall be revoked as of  .   (Month, day and year.)  Such date cannot be earlier than the later of (i) 30  days after the date Eligible Employees are given the supplemental notice  described in Plan Section 3.11(d) and (ii) the date the amendment revoking  such provisions is adopted.  QACA Nonelective Contributions shall be  made with respect to Compensation paid through the effective date of the  revocation. h) CONTRIBUTIONS FOR PLAN YEARS IN WHICH THE PLAN IS AMENDED.   The Employer may amend the Plan to provide a QACA Nonelective Contribution to  satisfy the ADP Test Safe Harbor for a Plan Year. i) PLAN IS AMENDED.  (Only available if (h) above is selected.)  The Plan is  amended to provide a QACA Nonelective Contribution for the Plan Year beginning  . (Month, day and year.) 

 

Restatement Effective July 1, 2022 38 Plan ID No. 1063569    ( 4-66998) i) The amount of our QACA Nonelective Contributions for such Plan Year  shall be equal to  % (Must be at least 3%.) of Compensation for the Plan  Year for persons who were Active Participants at any time during the Plan Year,  unless otherwise specified in A and B below.  (The Compensation used for these  Contributions is not necessarily the same as Annual Compensation defined in  Item M.  Select any that apply.) A. Compensation shall be determined excluding Compensation for the  portion of the Plan Year in which an Employee is not an Active Participant. NOTE:  Excluding Compensation while not an Active Participant may result in  additional Contributions needed to satisfy the top-heavy requirements, described  in Plan Section 11.04, during any Plan Year in which this Plan is a Top-heavy  Plan. B. QACA Nonelective Contributions shall be made only for Nonhighly  Compensated Employees. P. MATCHING CONTRIBUTIONS.  (Select any that apply.) NOTE:  Consider using the current year testing method if the Plan is being amended to add  Matching Contributions back into the Plan after the Plan Year in which it was removed. NOTE:  Additional selections to this Item may be made in Item F of the Additional Selections  and Minor Modifications Addendum if (16) is selected below. 1) STATED MATCH (ALL ELIGIBLE EMPLOYEES).  The Employer shall make  Matching Contributions. The percentage of Elective Deferral Contributions matched is  %. NOTE:  If satisfying ACP Test Safe Harbor, (7) below must be selected and Matching  Contributions must be limited as described in (7) below. 2) STATED TWO-TIERED MATCH.  The Employer shall make Matching Contributions  in an amount equal to (Complete (a) through (d).  For example: 100% of Elective Deferral  Contributions that are not over 3% of Compensation, plus 50% of Elective Deferral  Contributions that are over 3% but are not over 5% of Compensation.) a)   % of Elective Deferral Contributions that are not over b)   % of Compensation, plus (First limit on Elective Deferral Contributions.) c)   % (Must be less than (a).) of Elective Deferral Contributions that are over  the percentage of Compensation specified in (b) but are not over d)   % (Must be more than (b).) of Compensation.  (Second limit on Elective  Deferral Contributions.) 

 

Restatement Effective July 1, 2022 39 Plan ID No. 1063569    ( 4-66998) NOTE:  If satisfying ACP Test Safe Harbor, must complete (b) with a percentage less than  6% and (d) with a percentage not more than 6%. 3) STATED THREE-TIERED MATCH.  The Employer shall make Matching  Contributions in an amount equal to (Complete (a) through (f).  For example: 100% of  Elective Deferral Contributions that are not over 3% of Compensation, plus 50% of  Elective Deferral Contributions that are over 3% but are not over 5% of Compensation,  plus 25% of Elective Deferral Contributions that are over 5% but are not over 7% of  Compensation.) a)   % of Elective Deferral Contributions that are not over b)   % of Compensation, plus (First limit on Elective Deferral Contributions.) c)   % (Must be less than (a).) of Elective Deferral Contributions that are over  the percentage of Compensation specified in (b) but are not over d)   % (Must be more than (b).) of Compensation, plus (Second limit on  Elective Deferral Contributions.) e)   % (Must be less than (c).) of Elective Deferral Contributions that are over  the percentage of Compensation specified in (d) but are not over f)   % (Must be more than (d).) of Compensation.  (Third limit on Elective  Deferral Contributions.) NOTE:  If satisfying ACP Test Safe Harbor, must complete (b) and (d) with a percentage  less than 6% and (f) with a percentage not more than 6%. 4) STATED MATCH (EMPLOYEE GROUPS).  The Employer shall make Matching  Contributions.  (Complete (a) and (b).  Complete (c) and (d), if applicable.  Additional  formulas may be added as necessary if additional groups are added below.) a) For Group 1, the percentage of Elective Deferral Contributions matched is %. Elective Deferral Contributions that are over % of Compensation won't be matched. b) For Group 2, the percentage of Elective Deferral Contributions matched is %. Elective Deferral Contributions that are over % of Compensation won't be matched. c) For Group 3, the percentage of Elective Deferral Contributions matched is %. Elective Deferral Contributions that are over % of Compensation won't be matched. d) For Group 4, the percentage of Elective Deferral Contributions matched is %. Elective Deferral Contributions that are over % of Compensation won't be matched. 

 

Restatement Effective July 1, 2022 40 Plan ID No. 1063569    ( 4-66998) NOTE:  If satisfying ACP Test Safe Harbor, Elective Deferral Contributions over 6% of  Compensation won't be matched and no Highly Compensated Employee shall receive a  higher rate of Matching Contribution than a Nonhighly Compensated Employee is eligible  to receive. The Employee groups for Matching Contributions shall be:  (Complete (e) and (f).   Complete (g) and (h), if applicable.  Additional groups may be added as necessary.   Complete with titles or classifications.) NOTE:  The criteria for determining the make-up of each Employee group cannot be  subject to Employer discretion, which would cause the Plan to fail to have a definite  allocation formula.  The Employee groups cannot be structured to limit participation to only  the shortest service and lowest paid Nonhighly Compensated Employees while excluding  all other Nonhighly Compensated Employees. 5) YEARS OF SERVICE MATCH.  (Cannot select if ACP Test Safe Harbor.)   The  Employer shall make Matching Contributions in an amount equal to the following  percentage of Elective Deferral Contributions as stated below:  (Additional rows may be  added as necessary.) YEARS OF SERVICE (whole years) MATCHING PERCENTAGE Less than _____ _____ _____ or more _____ % _____ % _____ % NOTE:  Complete with the matching percentage that corresponds to the Years of Service  (e.g., less than 3 Years of Service is 25%, 4 Years of Service is 50%, and 5 or more  Years of Service is 75%).  The availability of each rate of match must be tested for  nondiscriminatory availability under sections 1.401(a)(4)-4 and 1.410(b)-4 of the  regulations. 6) DISCRETIONARY MATCH.  The Employer may make discretionary Matching  Contributions.  If the Employer makes discretionary Matching Contributions to the Plan,  the Employer shall provide the Plan Administrator (or Trustee, as applicable), written  instructions describing (i) how the discretionary Matching Contribution formula will be  allocated to Participants (e.g., a uniform percentage of Elective Deferral or a flat dollar  amount), (ii) the calculation period(s) to which the discretionary Matching Contribution  formula applies, and (iii) if applicable, a description of each business location, business  classification, or employee group subject to separate discretionary Matching Contribution  allocation formulas.  Such instructions must be provided no later than the date on which  the discretionary Matching Contribution is made to the Plan.  A summary of these  e) Group 1 ________________________________________________________________ f) Group 2 ________________________________________________________________ g) Group 3 ________________________________________________________________ h) Group 4 ________________________________________________________________ 

 

Restatement Effective July 1, 2022 41 Plan ID No. 1063569    ( 4-66998) instructions must be communicated to Participants who receive discretionary Matching  Contributions.  The summary must be communicated to Participants no later than 60 days  following the date on which the last discretionary Matching Contribution is made to the  Plan for a Plan Year. If limitations on Elective Deferral Contributions matched are selected in (7) below, those  limits may apply to this discretionary match or the Employer may determine different  limitations for each discretionary match.  The limitations that apply shall be specified in  the instructions above. If the discretionary match is the only Matching Contribution selected and a calculation  period is selected in (10) below, that calculation period and the associated contribution  requirements shall apply to this discretionary match, if made. If a calculation period is not selected in (10) below or multiple Matching Contributions are  selected, the calculation period(s) specified in the instructions above shall apply and  discretionary Matching Contributions, if made, shall be made for each person who was an  Active Participant at any time during the applicable calculation period(s), unless additional  contribution requirements are specified in (a), (b), or (c) below.  (Select (a), (b), and/or  (c).) a)  (Cannot use if satisfying ACP Test Safe Harbor.)   Each person must be an  Active Participant on the last day of the applicable calculation period(s). b)  (Cannot use if satisfying ACP Test Safe Harbor.)   Each person must have at  least a specified number of Hours of Service during the applicable calculation  period(s).  (Cannot exceed 1,000 in a Plan Year.)  The Hours of Service  requirement(s) will be included in the instructions provided above. c)  (Cannot use if satisfying ACP Test Safe Harbor.)   For any formula determined  using a Plan Year calculation period, additional Matching Contributions shall be  made for persons meeting the requirements in Item R.  The selections in (a) or (b)  above, if any, shall not apply to any formula(s) determined using a Plan Year  calculation period. NOTE:  If satisfying ACP Test Safe Harbor, the rate of discretionary match will not  increase as the amount of Elective Deferral Contributions increases, no Highly  Compensated Employee will be entitled to a greater rate of match than any Nonhighly  Compensated Employee, Elective Deferral Contributions over 6% of Compensation won’t  be matched and the maximum discretionary Matching Contribution for a Participant will not  be more than 4% of Compensation.  If the applicable calculation period is not Plan Year,  discretionary Matching Contributions must be contributed to the Plan by the last day of the  following Plan-year Quarter. 7) LIMIT ON ELECTIVE DEFERRALS MATCHED.  (Cannot use with (2), (3), or (4)  above.  Limit could help pass the ADP and ACP Tests for non-401(k) Safe Harbor Plans  or non-QACA Safe Harbor Plans.)  Elective Deferral Contributions that are over the  percentage of Compensation below won’t be matched.  (Select (a) or (b).) NOTE:  If satisfying ACP Test Safe Harbor, Elective Deferral Contributions over 6% of  Compensation won't be matched and the maximum discretionary Matching Contribution  for a Participant will not be more than 4% of Compensation. To meet this requirement, if  

 

Restatement Effective July 1, 2022 42 Plan ID No. 1063569    ( 4-66998) (1) above is used, (a) or (b)(ii) must be selected and completed with a percentage not  more than 6%. a)   % of Compensation. b) A percentage determined by the Employer.  (Select any that apply.  If both (i)  and (ii) are selected, the percentage in (ii) must be more than the percentage in (i).) i) The percentage shall be at least   %. ii) The percentage shall not be more than   %. 8) CATCH-UP CONTRIBUTIONS MATCHED.  If Catch-up Contributions are permitted in  Item N(4), all Elective Deferral Contributions shall be matched, unless otherwise specified  in (a) below. a) CATCH-UP CONTRIBUTIONS NOT MATCHED.  (Cannot use if satisfying ACP  Test Safe Harbor.)  Elective Deferral Contributions that are Catch-up Contributions  shall not be matched. 9) VOLUNTARY CONTRIBUTIONS NOT MATCHED.  If Voluntary Contributions are  permitted in Item T(1)(a), Voluntary Contributions shall not be matched, unless otherwise  specified in (a) below. a) VOLUNTARY CONTRIBUTIONS MATCHED.  Voluntary Contributions shall be  matched.  For purposes of this Item, Voluntary Contributions will be included in the  calculation of Matching Contributions in the same manner as Elective Deferral  Contributions. 10) CALCULATION PERIOD.  (Must be completed if the selections above include any  selection of (1)-(5).  May also be completed if the only selection above is (6) and the  discretionary Matching Contribution(s) uses a single calculation period.)  Matching  Contributions are calculated based on Elective Deferral Contributions, Voluntary  Contributions (if (9)(a) above is selected), and Compensation for the period specified  below, unless otherwise modified in (f) below.  If multiple Matching Contributions are  selected above, the period below shall not apply to (6) above.  (Refers to calculation of  the amount of Matching Contribution, not when contributed.  If the Employer contributes  Matching Contributions to the Plan more often than the calculation period selected below,  a true-up contribution will need to be made for any Participant at the end of the Plan Year  if the actual Matching Contributions allocated prior to the true-up do not equal what  Matching Contributions would be when calculated using the Participant's Compensation  and Elective Deferral Contributions for each calculation period.  Select (a), (b), (c), (d), or  (e).  Select (f), if applicable.) a) PAYROLL PERIOD.  Matching Contributions shall be made for each person who  was an Active Participant at any time during that payroll period, unless additional  contribution requirements are specified in (i) or (ii) below.  (Select (i), (ii), or both) 

 

Restatement Effective July 1, 2022 43 Plan ID No. 1063569    ( 4-66998) i)  (Cannot use if satisfying ACP Test Safe Harbor.)   Each person must be an  Active Participant on the last day of that payroll period. ii)  (Cannot use if satisfying ACP Test Safe Harbor.)   Each person must have  at least 19 Hours of Service during that payroll period, unless otherwise  specified in A below. A. Have at least   (Up to 83.  Cannot exceed 1,000 in a Plan  Year.) Hours of Service. b) PAYROLL PERIODS ENDING WITH OR WITHIN EACH MONTH.  Matching  Contributions shall be made for each person who was an Active Participant at any  time during that month, unless additional contribution requirements are specified in  (i) or (ii) below.  (Select (i), (ii) or both.) i)  (Cannot use if satisfying ACP Test Safe Harbor.)   Each person must be an  Active Participant on the last day of that month. ii)  (Cannot use if satisfying ACP Test Safe Harbor.)   Each person must have  at least 83 Hours of Service during that month, unless otherwise specified in A  below. A. Have at least   (Up to 82.) Hours of Service. c) MONTH.  Matching Contributions shall be made for each person who was an  Active Participant at any time during that month, unless additional contribution  requirements are specified in (i) or (ii) below.  (Select (i), (ii) or both.) i)  (Cannot use if satisfying ACP Test Safe Harbor.)   Each person must be an  Active Participant on the last day of that month. ii)  (Cannot use if satisfying ACP Test Safe Harbor.)   Each person must have  at least 83 Hours of Service during that month, unless otherwise specified in A  below. A. Have at least   (Up to 82.) Hours of Service. d) PAYROLL PERIODS ENDING WITH OR WITHIN EACH PLAN-YEAR  QUARTER.  Matching Contributions shall be made for each person who was an  Active Participant at any time during the Plan-year Quarter, unless additional  contribution requirements are specified in (i) or (ii) below.  (Select (i), (ii) or both.) i)  (Cannot use if satisfying ACP Test Safe Harbor.)   Each person must be an  Active Participant on the last day of that Plan-year Quarter. ii)  (Cannot use if satisfying ACP Test Safe Harbor.)   Each person must have  at least 250 Hours of Service during that Plan-year Quarter, unless otherwise  specified in A below. 

 

Restatement Effective July 1, 2022 44 Plan ID No. 1063569    ( 4-66998) A. Have at least   (Up to 249.) Hours of Service. e) PLAN YEAR.  Matching Contributions shall be made for each person who was  an Active Participant at any time during the Plan Year, unless additional contribution  requirements are specified in (i), (ii) or (iii) below.  (Select (i), (ii), or both, or (iii).) i)  (Cannot use if satisfying ACP Test Safe Harbor.)   Each person must be an  Active Participant on the last day of the Plan Year. ii)  (Cannot use if satisfying ACP Test Safe Harbor.)   Each person must have  at least 1,000 Hours of Service during the Plan Year, unless otherwise specified  in A below. A. Have at least   (Up to 999.) Hours of Service. iii)  (Cannot use if satisfying ACP Test Safe Harbor.)   Each person must meet  the requirements in Item R. NOTE:  If satisfying ACP Test Safe Harbor and (a), (b), (c), or (d) is selected, Matching  Contributions must be contributed to the Plan by the last day of the following Plan-year  Quarter. The calculation periods in (b), (c), (d), or (e) above are modified as follows: f) BASED ON DEFERRALS AND COMPENSATION WHILE ACTIVE.  (Only  available if (b), (c), (d), or (e) above is selected.)   Matching Contributions shall be  calculated excluding Elective Deferral Contributions, Voluntary Contributions, and  Compensation for any portion of the month, Plan-year Quarter, or Plan Year,  whichever applies, in which an Employee is not an Active Participant for purposes of  Matching Contributions. 11) HEART ACT MATCH.  The Employer shall also make Matching Contributions for a  Participant who dies or becomes Totally Disabled while performing Qualified Military  Service.  The amount of such Matching Contribution shall be based on the Participant’s  average actual Elective Deferral Contributions for the lesser of (i) the 12-month period of  service with the Employer immediately prior to Qualified Military Service, or (ii) if service  with the Employer is less than such 12-month period, the actual length of continuous  service with the Employer, in accordance with Code Section 414(u)(9) and any  subsequent guidance. 12) LIMITED TO NONHIGHLY COMPENSATED EMPLOYEES.  Matching Contributions  shall be made only for Nonhighly Compensated Employees. 13) LIMITED TO SPECIFIC ELECTIVE DEFERRAL CONTRIBUTIONS.  (Cannot use if  satisfying ACP Test Safe Harbor.)   Matching Contributions shall not be made for Elective  Deferral Contributions resulting from the following type(s) of Compensation:  (Select any  that apply.) a) bonuses 

 

Restatement Effective July 1, 2022 45 Plan ID No. 1063569    ( 4-66998) b) commissions c) other   .  (Specify type of  Compensation.)  14) QUALIFIED MATCH.  (Must be selected if Matching Contributions are to be tested in  the ADP Test for a non-401(k) Safe Harbor Plan or non-QACA Safe Harbor Plan.)    Matching Contributions are Qualified Matching Contributions. 15) DOLLAR LIMIT.  (Cannot use if satisfying ACP Test Safe Harbor.)   The maximum  Matching Contribution is (Select (a) or (b).) a)  $  for a person for the Plan Year. b)  $  for a person for each payroll period.  (Only available if 10(a) above is  selected.) NOTE:  This dollar limit applies to all Matching Contributions in this Item P. 16) Additional selections for this Item have been made in Item F of the attached  Additional Selections and Minor Modifications Addendum. Q. OTHER EMPLOYER CONTRIBUTIONS AND FORFEITURES. NOTE:  Unless Item Q(3)(h) or (i) are selected, all of the contribution and allocation formulas in  this Item Q except (3)(c) and 3(d) are design-based safe harbors under Code Section  401(a)(4), unless selections are made in Item M or R that are specifically identified as requiring  nondiscrimination testing.  Additionally, if more than one Employer Contribution is selected in  this Item Q, the requirements to receive each Contribution selected should be the same.  Providing different requirements will require testing to determine if the nondiscrimination  requirement of Code Section 401(a)(4) is met.  For example, a Qualified Nonelective  Contribution made to each person who is an Active Participant on the last day of the payroll  period and a Discretionary Contribution allocated to each person who was an Active Participant  at any time during the Plan Year will require nondiscrimination testing.  If the ADP Test Safe  Harbor is satisfied using Qualified Nonelective Contributions or QACA Nonelective  Contributions, Item O(1)(b)(ii) or (c) or Item O(2)(g)(ii) or (h), the Additional Contributions and  Discretionary Contributions selected under this item should be made for or allocated to each  person who is an Active Participant at any time during the Plan Year to avoid nondiscrimination  testing. 1) QUALIFIED NONELECTIVE CONTRIBUTIONS.  (Cannot select if ADP Test Safe  Harbor is satisfied using Qualified Nonelective Contributions or QACA Nonelective  Contributions for all Plan Years, Item O(1)(b)(ii) or O(2)(g)(ii).)  The Qualified Nonelective  Contributions shall be equal to the amount determined or specified in (a), (b), (c), (d) or (f)  below.  (Select at least one of (a), (b), (c), (d), or (f).  Only one of (a), (b), (c), or (d) may  be selected.  Select (e), if applicable.) NOTE:  If the prior year testing method is used, Qualified Nonelective Contributions may  not be included in the ADP Test. 

 

Restatement Effective July 1, 2022 46 Plan ID No. 1063569    ( 4-66998) a) SET AMOUNT, COMPENSATION FORMULA.  (Only available if the  Contributions for Plan Years in which the Plan is amended choices in Items O(1)(c)  and O(2)(h) are not selected.)  The Employer shall make Qualified Nonelective  Contributions in an amount equal to (Select one.) i)   % of Compensation for the payroll period for each person who is  an Active Participant on the last day of that period. ii)   % of Compensation for the month for each person who is an  Active Participant on the last day of that month, unless otherwise specified in A  below. A. Compensation shall be determined excluding Compensation for any  portion of the month in which an Employee is not an Active Participant for  purposes of Qualified Nonelective Contributions. iii)   % of Annual Compensation for the Plan Year for persons who  meet the requirements in Item R. iv)   % of Annual Compensation for the Plan Year for persons who  were Active Participants at any time during the Plan Year. b) SET AMOUNT, SAME DOLLAR AMOUNT.  (Only available if the Contributions  for Plan Years in which the Plan is amended choices in Items O(1)(c) and O(2)(h) are  not selected.)  The Employer shall make Qualified Nonelective Contributions in an  amount equal to (Select one.) i)  $ for the payroll period for each person who is an Active  Participant on the last day of that period. ii)  $ for the month for each person who is an Active Participant on  the last day of that month. iii)  $ for the Plan Year for persons who meet the requirements in Item  R. iv)  $ for the Plan Year for persons who were Active Participants at  any time during the Plan Year. c) DISCRETIONARY, COMPENSATION FORMULA.  (Only available if the  Contributions for Plan Years in which the Plan is amended choices in Items O(1)(c)  and O(2)(h) are not selected.)  Qualified Nonelective Contributions may be made for  each Plan Year in an amount determined by the Employer.  The amount allocated to  each eligible person shall be equal to the Qualified Nonelective Contributions  multiplied by the ratio of such person’s Annual Compensation for the Plan Year to the  total Annual Compensation of all such persons.  The Qualified Nonelective  Contributions shall be allocated to each person meeting the requirements in Item R,  unless otherwise specified in (i) or (ii) below. 

 

Restatement Effective July 1, 2022 47 Plan ID No. 1063569    ( 4-66998) i) The Qualified Nonelective Contributions shall be allocated to each person  who was an Active Participant at any time during the Plan Year. ii) The Qualified Nonelective Contributions shall be allocated to each person  who is an Active Participant on the last day of the Plan Year. d) DISCRETIONARY, SAME DOLLAR AMOUNT.  (Only available if the  Contributions for Plan Years in which the Plan is amended choices in Items O(1)(c)  and O(2)(h) are not selected.)  Qualified Nonelective Contributions may be made for  each Plan Year in an amount determined by the Employer.  The amount allocated to  each eligible person shall be a same dollar amount for the Plan Year.  The Qualified  Nonelective Contributions shall be allocated to each person meeting the  requirements in Item R, unless otherwise specified in (i) or (ii) below. i) The Qualified Nonelective Contributions shall be allocated to each person  who was an Active Participant at any time during the Plan Year. ii) The Qualified Nonelective Contributions shall be allocated to each person  who is an Active Participant on the last day of the Plan Year. e)  (Only available if (a), (b), (c), or (d) is selected above.)   Qualified Nonelective  Contributions in (a), (b), (c), or (d) above shall be made only for, or allocated only to,  Nonhighly Compensated Employees. f) DISCRETIONARY, BOTTOM UP.  (Only available if the prior year testing  method is not selected in Item L(2)(a) and safe harbor Matching Contributions in  Items O(1)(b)(i) and O(2)(g)(i) are not selected.)   Qualified Nonelective Contributions  may be made for each Plan Year in an amount determined by the Employer, but not  to exceed 5% of the sum of all eligible person’s Compensation.  For purposes of this  limit, Compensation shall be the Compensation used for purposes of the ADP and  ACP Tests for such Plan Year.  If the Contributions for Plan Years in which the Plan  is amended choice in Item O(1)(c) or O(2)(h) is selected, these Qualified Nonelective  Contributions may only be made for Plan Years in which the Plan is not so amended.   If (a), (b), (c), or (d) above is selected, these Qualified Nonelective Contributions are  in addition to those specified in (a), (b), (c), or (d).  If the Plan is treated as separate  plans because it is mandatorily disaggregated under the regulations of Code Section  401(k), a separate Qualified Nonelective Contribution may be determined for each  separate plan. These Qualified Nonelective Contributions may be used to reduce the Excess  Aggregate Contributions or Excess Contributions, as defined in Plan Section 3.08.   Such Contributions shall be allocated first to the eligible person under the Plan (or  separate plan) with the lowest Compensation used for purposes of the ADP and ACP  Tests for such Plan Year, then to the eligible person under the Plan (or separate  plan) with the next lowest Compensation, and so forth, in each case subject to  applicable limits of Plan Section 3.07.  Such allocation shall not exceed 5% of such  person’s Compensation used for purposes of the ADP and ACP Tests for such Plan  Year.  (See Plan Section 3.08.)   These Qualified Nonelective Contributions shall be  allocated only to Nonhighly Compensated Employees who meet the requirements in  Item R, unless otherwise specified in (i) or (ii) below. 

 

Restatement Effective July 1, 2022 48 Plan ID No. 1063569    ( 4-66998) i) These Qualified Nonelective Contributions shall be allocated only to  Nonhighly Compensated Employees who were Active Participants at any time  during the Plan Year. ii) These Qualified Nonelective Contributions shall be allocated only to  Nonhighly Compensated Employees who are Active Participants on the last day  of the Plan Year. 2) ADDITIONAL CONTRIBUTIONS.  The Employer shall make Additional Contributions  equal to the following: (Select (a) or (b).)  a) PERCENT OF COMPENSATION FORMULA.  An amount equal to (Select one.) i)   % of Compensation for the payroll period for each person who is  an Active Participant on the last day of that period. ii)   % of Compensation for the payroll period for each person who  was an Active Participant at any time during that period. iii)    % of Compensation for the month for each person who is an  Active Participant on the last day of that month. iv)   % of Compensation for the month for each person who was an  Active Participant at any time during that month. v)   % of Annual Compensation for the Plan Year for persons who  meet the requirements in Item R. vi)   % of Annual Compensation for the Plan Year for persons who  were Active Participants at any time during the Plan Year. b) DOLLAR AMOUNT / SERVICE FORMULA.  An amount equal to (Select one.) i) $   for the payroll period for each person who is an Active  Participant on the last day of that period. ii) $  for the payroll period for each person who was an Active  Participant at any time during that period. iii) $  for the month for each person who is an Active Participant on the  last day of that month. iv) $    for the month for each person who was an Active Participant at  any time during that month. v) $    for the Plan Year for persons who meet the requirements in Item  R. 

 

Restatement Effective July 1, 2022 49 Plan ID No. 1063569    ( 4-66998) vi) $  for the Plan Year for persons who were Active Participants at any  time during the Plan Year. vii) $  for each Hour of Service he has performed during the payroll  period for each person who was an Active Participant during that period.  (No  contribution for paid nonworking hours, such as vacation.) viii) $    for each Hour of Service he has performed during the payroll  period for each person who is an Active Participant on the last day of that  period.  (No contribution for paid nonworking hours, such as vacation.) ix) $    for each Hour of Service credited during the payroll period for  each person who was an Active Participant during that period.  (Contribution is  made for paid nonworking hours, such as vacation.) x) $  for each Hour of Service credited during the payroll period for  each person who is an Active Participant on the last day of that period.   (Contribution is made for paid nonworking hours, such as vacation.) 3) x DISCRETIONARY CONTRIBUTIONS.  Discretionary Contributions may be made for  each Plan Year in an amount determined by the Employer.  Discretionary Contributions  and Forfeitures, if applicable, shall be allocated for the Plan Year.  The amount allocated  shall be equal to the amount determined in (a), (b), (c), (d), or (e) below.  (Select (a), (b),  (c), (d), or (e).  Select (f), (g), or (h), if applicable.) NOTE:  Additional selections to this Item may be made in Item G of the Additional  Selections and Minor Modifications Addendum if (i) is selected below. a) x COMPENSATION FORMULA. PROVIDE TOP-HEAVY MINIMUM CONTRIBUTION.  Discretionary Contributions  shall be allocated to provide the top-heavy minimum contribution under Plan Section  11.04, unless otherwise specified in (f) below. In years in which the Plan is a Top-heavy Plan, as defined in Plan Section 11.02, and  the minimum contribution under Plan Section 11.04 is not being provided by other  contributions to this Plan or another plan of the Employer, the allocation shall be  made to each person meeting the requirements in Item R and each person entitled to  a minimum contribution under Plan Section 11.04.  In all other years, the allocation  shall be made for each person meeting the requirements in Item R.  The amount  allocated shall be equal to the Discretionary Contributions multiplied by the ratio of  such person’s Annual Compensation to the total Annual Compensation for all such  persons.  The allocation for any person who does not meet the requirements in Item  R shall be limited to the amount necessary to fund the minimum contribution. In years in which the Plan is a Top-heavy Plan, the minimum contribution under Plan  Section 11.04 is not being provided by other contributions to this Plan or another plan  of the Employer, and the allocation described above (or any subsequent allocation  described below) would provide an allocation for any person less than the minimum  contribution required for such person under Plan Section 11.04, such minimum  contribution shall first be allocated to all such persons.  Then any amount remaining  

 

Restatement Effective July 1, 2022 50 Plan ID No. 1063569    ( 4-66998) shall be allocated to the remaining persons sharing in the allocation based on Annual  Compensation as described above, as if they were the only persons sharing in the  allocation for the Plan Year. b) INTEGRATED FORMULA.  (Only available if Adopting Employers Separate  Plans are not selected in Item AB.) PROVIDE TOP-HEAVY MINIMUM CONTRIBUTION.  Discretionary Contributions  shall be allocated to provide the top-heavy minimum contribution under Plan Section  11.04, unless otherwise specified in (f) below. Subject to the overall permitted disparity limits, Discretionary Contributions shall be  allocated using Annual Compensation for the Plan Year as follows: STEP ONE:  This step one shall only apply in years in which the Plan is a Top-heavy  Plan, as defined in Plan Section 11.02, and the minimum contribution under Plan  Section 11.04 is not being provided by other contributions to this Plan or another plan  of the Employer. The allocation in this step one shall be made to each person meeting the  requirements in Item R and each person who is entitled to a minimum contribution  under Plan Section 11.04.  Each such person’s allocation shall be an amount equal  to the Discretionary Contributions multiplied by the ratio of such person’s Annual  Compensation to the total Annual Compensation of all such persons.  Such amount  shall not exceed 3% of such person’s Annual Compensation.  The allocation for any  person who does not meet the requirements in Item R shall be limited to the amount  necessary to fund the minimum contribution. STEP TWO:  This step two shall only apply in years in which step one applies.  The  allocation in this step two shall be made to each person meeting the requirements in  Item R.  Each such person’s allocation shall be equal to any amount remaining after  the allocation in step one multiplied by the ratio of such person’s Annual  Compensation over the Integration Level to the total Annual Compensation over the  Integration Level of all such persons.  Such amount shall not exceed 3% of such  person’s Annual Compensation over the Integration Level. For purposes of this step two, in the case of any person who has exceeded the  cumulative permitted disparity limit described below, such person’s total Annual  Compensation shall be taken into account and the applicable allocation limit for such  person shall be 3% of such person’s total Annual Compensation. STEP THREE:  The allocation in this step three shall be made to each person  meeting the requirements in Item R.  Each such person’s allocation shall be equal to  any amount remaining after the allocation in step two multiplied by the ratio of the  sum of such person’s total Annual Compensation and his Annual Compensation over  the Integration Level to the total of such sums for all such persons.  Such amount  shall not exceed an amount equal to a percentage (equal to the Maximum Integration  Rate) of the sum of such person’s total Annual Compensation and his Annual  Compensation over the Integration Level. 

 

Restatement Effective July 1, 2022 51 Plan ID No. 1063569    ( 4-66998) If steps one and two apply, the Maximum Integration Rate minus 3% shall be  substituted for the Maximum Integration Rate wherever it appears in this step three. For purposes of this step three, in the case of any person who has exceeded the  cumulative permitted disparity limit described below, two times such person’s total  Annual Compensation shall be taken into account and the applicable allocation limit  for such person shall be a percentage (equal to the Maximum Integration Rate) of  two times such person’s total Annual Compensation. STEP FOUR:  The allocation in this step four shall be made to each person meeting  the requirements in Item R.  Each such person’s allocation shall be equal to any  amount remaining after the allocation in step three multiplied by the ratio of such  person’s Annual Compensation to the total Annual Compensation of all such persons. The INTEGRATION LEVEL is the Taxable Wage Base as in effect on the latest  Yearly Date, unless otherwise specified in (i) or (ii) below. i) $  . (Must be less than such Taxable Wage Base.) ii)   % of such Taxable Wage Base. (Must be more than 19% and  less than 100%.) The MAXIMUM INTEGRATION RATE shall be determined according to the following  schedule: MAXIMUM INTEGRATION LEVEL INTEGRATION RATE 100% of TWB 5.7% Less than 100% but more than 80% of TWB 5.4% More than 20% of TWB but not more than 80% of TWB 4.3% Not more than 20% of TWB 5.7% "TWB" means the Taxable Wage Base as in effect on the latest Yearly Date. On any date the portion of the rate of tax under Code Section 3111(a) (in effect on  the latest Yearly Date) that is attributable to old age insurance exceeds 5.7%, such  rate shall be substituted for 5.7%.  5.4% and 4.3% shall be increased proportionately. OVERALL PERMITTED DISPARITY LIMITS: ANNUAL OVERALL PERMITTED DISPARITY LIMIT:  Notwithstanding the preceding  paragraphs, for any Plan Year any person eligible for an allocation under this formula  benefits under another qualified plan or simplified employee pension, as defined in  Code Section 408(k), maintained by the Employer or any other employer required to  

 

Restatement Effective July 1, 2022 52 Plan ID No. 1063569    ( 4-66998) be aggregated with the Employer under Code Sections 414(b), (c), (m), or (o) that  provides for permitted disparity (or imputes disparity), Discretionary Contributions  shall be allocated using (i) only step one, if applicable, and step four above if  providing top-heavy minimum contribution and (ii) only step two in Plan Section  3.06(b) if not providing top-heavy minimum contribution. CUMULATIVE PERMITTED DISPARITY LIMIT:  The cumulative permitted disparity  limit for a person is 35 total cumulative permitted disparity years.  Total cumulative  permitted disparity years means the number of years credited to the person for  allocation or accrual purposes under this Plan, any other qualified plan or simplified  employee pension plan (whether or not terminated) ever maintained by the Employer  or any other employer required to be aggregated with the Employer under Code  Sections 414(b), (c), (m), or (o).  For purposes of determining the person’s  cumulative permitted disparity limit, all years ending in the same calendar year are  treated as the same year.  If the person has not benefited under a defined benefit or  target benefit plan maintained for any year beginning on or after January 1, 1994, the  person has no cumulative permitted disparity limit. c) AGE WEIGHTED (WAVE), PROVIDE TOP-HEAVY MINIMUM  CONTRIBUTION.  Discretionary Contributions shall be allocated to provide the  top-heavy minimum contribution under Plan Section 11.04, unless otherwise  specified in (f) below. Discretionary Contributions shall be allocated using Benefit Factors for the Plan  Year.  In years in which the Plan is a Top-heavy Plan, as defined in Plan Section  11.02, and the minimum contribution under Plan Section 11.04 is not being provided  by other contributions to this Plan or another plan of the Employer, the allocation  shall be made to each person meeting the requirements in Item R and each person  entitled to a minimum contribution under Plan Section 11.04.  In all other years the  allocation shall be made to each person meeting the requirements in Item R.  Each  such person’s allocation shall be an amount equal to Discretionary Contributions  multiplied by the ratio of such person’s Benefit Factor to the total Benefit Factors for  all such persons.  The allocation for any person who does not meet the requirements  in Item R shall be limited to the amount necessary to fund the minimum contribution. In years in which the Plan is a Top-heavy Plan, as defined in Plan Section 11.02, the  minimum contribution under Plan Section 11.04 is not being provided by other  contributions to this Plan or another plan of the Employer, and the allocation  described above (or any subsequent allocation described below) would provide an  allocation for any person less than the minimum contribution required for such  person in Plan Section 11.04, such minimum contribution shall first be allocated to all  such persons.  Then any amount remaining shall be allocated to the remaining  persons sharing in the allocation based on Benefit Factors as described above, as if  they were the only persons sharing in the allocation for the Plan Year. 8.5% INTEREST.  The actuarial factor used to determine a person’s Benefit Factor  shall be the actuarial factor for the Plan Year determined in Appendix A (based on an  interest rate assumption of 8.5% and the mortality assumptions in the UP-1984  Table), unless a different appendix is specified in (i) or (ii) below. i) 7.5% INTEREST.  Appendix B (based on an interest rate assumption of  7.5% and the mortality assumptions in the UP-1984 Table). 

 

Restatement Effective July 1, 2022 53 Plan ID No. 1063569    ( 4-66998) ii) 8.0% INTEREST.  Appendix C (based on an interest rate assumption of  8.0% and the mortality assumptions in the UP-1984 Table). The allocation above meets the requirements in section 1.401(a)(4)-8(b)(1)(i)(B)(2) of  the regulations, therefore a minimum gateway contribution is not required. d) PARTICIPANT GROUP ALLOCATION (COMPARABILITY), PROVIDE  TOP-HEAVY MINIMUM CONTRIBUTION.  Discretionary Contributions shall be  allocated to provide the top-heavy minimum contribution under Plan Section 11.04,  unless otherwise specified in (f) below. The Employer shall notify the Plan Administrator in writing, by the due date of the  Employer's tax return for the year to which the Discretionary Contribution relates, the  portion of such Contribution to be allocated to each Allocation Group.  Discretionary  Contributions determined for an Allocation Group shall be allocated using Annual  Compensation for the Plan Year to each person in the Allocation Group meeting the  requirements in Item R.  Each such person’s allocation shall be equal to the  Discretionary Contribution determined for the Allocation Group multiplied by the ratio  of such person’s Annual Compensation to the total Annual Compensation of all such  person’s in the Allocation Group. NOTE:  In the case of a Self-employed Individual, the requirements of section  1.401(k)-1(a)(6) of the regulations continue to apply, and the allocation above shall  not be such that a cash or deferred election is created for a Self-employed Individual. ALLOCATION GROUPS.  The Allocation Groups shall be:  (Select (i), (ii), or (iii).) i) Each Highly Compensated Employee shall be in a separate Allocation  Group and all Nonhighly Compensated Employees shall be in one Allocation  Group. ii) Each Employee shall be in a separate Allocation Group. iii) Specified Allocation Groups:  (Complete A and B.  Complete C and D, if  applicable.  Additional groups may be added as necessary.  Complete with titles  or classifications) NOTE:  The criteria for determining the make-up of each Allocation Group cannot be  subject to Employer discretion, which would cause the Plan to fail to have a definite  allocation formula.  The Allocation Groups cannot be structured to limit participation  A. Group 1 ________________________________________________ B. Group 2 ________________________________________________ C. Group 3 ________________________________________________ D. Group 4 ________________________________________________ 

 

Restatement Effective July 1, 2022 54 Plan ID No. 1063569    ( 4-66998) to only the shortest service and lowest paid Nonhighly Compensated Employees  while excluding all other Nonhighly Compensated Employees. e) SAME DOLLAR AMOUNT. PROVIDE TOP-HEAVY MINIMUM CONTRIBUTION.  Discretionary Contributions  shall be allocated to provide the top-heavy minimum contribution under Plan Section  11.04, unless otherwise specified in (f) below. Discretionary Contributions shall be allocated using a same dollar amount for the  Plan Year.  In years in which the Plan is a Top-heavy Plan, as defined in Plan  Section 11.02, and the minimum contribution under Plan Section 11.04 is not being  provided by other contributions to this Plan or another plan of the Employer, the  allocation shall be made to each person meeting the requirements in Item R and  each person entitled to a minimum contribution under Plan Section 11.04.  In all  other years, the allocation shall be made for each person meeting the requirements  in Item R.  The allocation for any person who does not meet the requirements in Item  R shall be limited to the amount necessary to fund the minimum contribution. In years in which the Plan is a Top-heavy Plan, the minimum contribution under Plan  Section 11.04 is not being provided by other contributions to this Plan or another plan  of the Employer, and the allocation described above (or any subsequent allocation  described below) would provide an allocation for any person less than the minimum  contribution required for such person under Plan Section 11.04, such minimum  contribution shall first be allocated to all such persons.  Then any amount remaining  shall be allocated in the same dollar amount to the remaining persons sharing in the  allocation, as if they were the only persons sharing in the allocation for the Plan Year. f) DO NOT PROVIDE TOP-HEAVY MINIMUM CONTRIBUTION.  Subject to the  provisions of Plan Section 3.06, Discretionary Contributions shall not be allocated to  provide the top-heavy minimum contribution under Plan Section 11.04.  In years in  which the Plan is a Top-heavy Plan, a minimum contribution shall be made in  accordance with Plan Section 11.04. g) SEPARATE DISCRETIONARY CONTRIBUTIONS FOR EACH ADOPTING  EMPLOYER.  (Only available if a formula is selected in (a) – (e) above or (i) below is  selected and a formula is specified in Item G of the Additional Selections and Minor  Modifications Addendum.)  The Employer named in Item B and each Adopting  Employer may determine different amounts of Discretionary Contributions to be  allocated separately to their respective Employees.  The Employer shall notify the  Plan Administrator in writing of the amount of Discretionary Contributions, if any,  determined by the Employer and each Adopting Employer. h) OFFSET BY WAGE RATE CONTRIBUTIONS.  (Only available if (4) below is  selected and (d) above is not selected.)  Discretionary Contributions for each person  shall be reduced by the amount of Wage Rate Contributions allocated to such person  for the Plan Year.  If the amount of Wage Rate Contributions allocated to a person  exceed the amount of Discretionary Contributions that would be allocated to such  person, no Discretionary Contributions will be allocated to that person. 

 

Restatement Effective July 1, 2022 55 Plan ID No. 1063569    ( 4-66998) i) Additional selections for this Item have been made in Item G of the attached  Additional Selections and Minor Modifications Addendum. 4) WAGE RATE CONTRIBUTIONS.  The Employer shall make Wage Rate  Contributions.  The amount of the Wage Rate Contribution shall be equal to the fringe  benefit amount determined according to the Prevailing Rate Schedule for each Eligible  Employee reduced by contributions made to other plans that count towards satisfying the  fringe rate stated in the Prevailing Rate Schedule.  Wage Rate Contributions shall be  made as of each Contribution Date.  Wage Rate Contributions will not be Qualified  Nonelective Contributions, unless otherwise specified in (a) below. a) Wage Rate Contributions are Qualified Nonelective Contributions. b) Wage Rate Contributions shall be made only for Nonhighly Compensated  Employees. CONTRIBUTION DATE.  Wage Rate Contributions shall be calculated each payroll period  as of the last day of the payroll period, unless otherwise specified in (c), (d), (e), or (f)  below. c) Wage Rate Contributions shall be calculated each payroll period as of the first  day of the payroll period. d) Wage Rate Contributions shall be calculated each bi-weekly payroll period as of  (Select (i) or (ii).) i) the first day of the bi-weekly payroll period. ii) the last day of the bi-weekly payroll period. e) Wage Rate Contributions shall be calculated monthly as of (Select (i) or (ii).) i) the first day of each month. ii) the last day of each month. f) Wage Rate Contributions shall be calculated quarterly as of (Select (i) or (ii).) i) each Quarterly Date. ii) the last day of each Plan-year Quarter. 5) FORFEITURE APPLICATION. Forfeitures of Nonvested Accounts when a Participant receives a distribution of his entire  Vested Account, as described in Plan Section 3.05, shall occur as of the date the  

 

Restatement Effective July 1, 2022 56 Plan ID No. 1063569    ( 4-66998) Participant receives, or is deemed to receive, the distribution, unless otherwise specified  in (a) below.  a) Such Forfeitures shall occur on the first day of the Plan Year following the Plan  Year in which the Participant receives, or is deemed to receive, the distribution. R. NET PROFITS AND CONTRIBUTION REQUIREMENTS. 1) Employer Contributions shall be made without regard to current or accumulated NET  PROFITS, unless otherwise specified in (a) below. a)  (Cannot use if 401(k) Safe Harbor Plan or QACA Safe Harbor Plan.)   Employer  Contributions, in excess of Elective Deferral Contributions and Wage Rate  Contributions, shall be made out of current or accumulated Net Profits in excess of  Elective Deferral Contributions and Wage Rate Contributions. 2) REQUIREMENTS FOR CONTRIBUTIONS.  Employer Contributions that are subject to  the requirements of this Item R and Forfeitures, if applicable, shall be made for or  allocated to each person who was an Active Participant at any time during the Plan Year,  unless otherwise specified in (a), (b), (c), or (d) below.  NOTE:  Selections may affect testing done to determine if the minimum coverage  requirement of Code Section 410(b) is met, unless otherwise indicated. a) Such amounts shall be made for or allocated to each person who was an Active  Participant at any time during the Plan Year and either is an Active Participant on the  last day of the Plan Year or has more than 500 Hours of Service during the latest  Accrual Service Period ending on or before the last day of the Plan Year, unless a  lesser number of Hours of Service is specified in (i) below.  (This selection does not  affect coverage testing if the Accrual Service Period is the Plan Year.) i) Has more than     (Up to 499.) Hours of Service. b) Such amounts shall be made for or allocated to each person who is an Active  Participant on the last day of the Plan Year. c) Such amounts shall be made for or allocated to each person who was an Active  Participant at any time during the Plan Year and has at least 1,000 Hours of Service  during the latest Accrual Service Period ending on or before the last day of the Plan  Year, unless otherwise specified in (i) below. i) Has at  least     (Up to 999.) Hours of Service. d) x Such amounts shall be made for or allocated to each person who is an Active  Participant on the last day of the Plan Year and has at least 1,000 Hours of Service  during the latest Accrual Service Period ending on or before that date, unless  otherwise specified in (i) below. i) Has at least     (Up to 999.) Hours of Service. 

 

Restatement Effective July 1, 2022 57 Plan ID No. 1063569    ( 4-66998) The requirements in (a), (b), (c), or (d) above are modified as follows: e) x Such amounts shall also be made for or allocated to each person who was an  Active Participant at any time during the Plan Year and (i) dies or (ii) has a  Severance from Employment after he reaches his Normal Retirement Date or  becomes disabled.  Such amounts shall also be made for or allocated to each person  who was an Active Participant at any time during the Plan Year and has died or  become disabled while performing Qualified Military Service during the Plan Year.   For purposes of this paragraph, disabled means the disability is subsequently  determined to meet the definition of Totally Disabled. f) Such amounts shall also be made for or allocated to .(Specify the Employee Group.) 3) The ACCRUAL SERVICE PERIOD is the consecutive 12-month period ending on the last  day of each Plan Year. S. CONTRIBUTION MODIFICATIONS. CONTRIBUTION LIMITATIONS.  The Annual Additions for a Participant during a Limitation  Year shall not be more than the Maximum Annual Addition.  (See Plan Section 3.07.) 1) The LIMITATION YEAR is the consecutive 12-month period ending on the last day of  each Plan Year, unless otherwise specified in (a) below. a) The Limitation Year is the consecutive 12-month period ending on each     .  (Month and day.)  NOTE:  The same limitation year must be used in all plans maintained by the Employer. 2) MULTIPLE DEFINED CONTRIBUTION PLANS.  (This item applies if the Employer, as  defined in Plan Section 1.02, or an Employer, as defined in Plan Section 3.07, maintain  another qualified defined contribution plan that is not a Pre-approved Plan in which any  Participant in this Plan is or was or could become a participant.)   If the Participant is  covered under another qualified defined contribution plan maintained by the Employer, as  defined in Plan Section 3.07, the provisions of (c) through (f) of Plan Section 3.07 shall  apply as if the other plan were a Pre-approved Plan, unless otherwise specified in (a)  below.  (Plan Section 3.07 limits the last Annual Additions.) a) The method described on the attached page(s) shall be used to limit total  Annual Additions to the Maximum Annual Addition and shall properly reduce the  excess amounts in a manner that precludes Employer discretion.  (If selected, the  Employer will provide the method for limiting Annual Additions on the attached  page(s).) 3) TOP-HEAVY PLAN REQUIREMENTS.  The amount and allocation of Contributions shall  be subject to the provisions of Article XI of the Basic Plan in Plan Years when this is a  Top-heavy Plan, as defined in Plan Section 11.02.  Plan Section 11.04 provides that  during any Plan Year in which this Plan is a Top-heavy Plan, the Employer shall make a  minimum contribution for the Plan Year on behalf of each Nonkey Employee who is an  

 

Restatement Effective July 1, 2022 58 Plan ID No. 1063569    ( 4-66998) Employee on the last day of the Plan Year and who was an Active Participant at any time  during the Plan Year.  The top-heavy minimum contribution is modified as follows:   (Select all that apply.) a) The minimum contribution will be made for Nonkey Employees and Key  Employees. b) The minimum contribution will be made in all Plan Years. c) MULTIPLE PLANS.  (Use this item to specify which plan will provide the  minimum contribution or benefit for participants who are covered under this Plan and  any other plan or plans of the Employer.  If selected, the Employer must provide  wording on the attached page(s).)  The method described on the attached page(s)  shall be used to meet the minimum contribution and benefit requirements in Plan  Years when this is a Top-heavy Plan, in a manner that precludes Employer  discretion. T. VOLUNTARY CONTRIBUTIONS, ROLLOVER CONTRIBUTIONS, AND IN-PLAN ROTH  ROLLOVERS. 1) VOLUNTARY CONTRIBUTIONS are not permitted, unless otherwise specified in (a)  below. a)  (If selected, the Plan is subject to an ACP Test even if the Plan satisfies the  ACP Test Safe Harbor.) Voluntary Contributions are permitted. (Select any that  apply.) i)      % of Compensation is the minimum Voluntary Contribution. (Must be more than 0% and less than 50%.) ii)        % of Compensation is the maximum Voluntary Contribution. (Must be more than 0% and less than 100%.)  This maximum applies to all  Employees, unless otherwise specified in A below. A) The maximum amount of Voluntary Contributions shall apply to Highly  Compensated Employees only. iii)        % of Compensation is the maximum sum of Elective Deferral  Contributions and Voluntary Contributions.  (Must be more than 0% and less  than 100%.) 2) ROLLOVER CONTRIBUTIONS may be made by an Eligible Employee or Inactive  Participant and may be accepted from all qualified sources described in Plan Section  3.03, unless otherwise specified in (a), (b), or (e) below.  If the Plan allows loans in Item  U(3)(a), a Rollover Contribution may include a direct rollover of an outstanding loan  balance that is not in default, in accordance with nondiscriminatory procedures set up by  the Loan Administrator as described in Plan Section 3.03, unless otherwise specified in (c)  or (d) below. a) Rollover Contributions shall be limited to the qualified sources selected below. 

 

Restatement Effective July 1, 2022 59 Plan ID No. 1063569    ( 4-66998) (Select all that apply.) Type of rollover A qualified plan described in Code Section 401(a) or 403(b) An Annuity contract described in Code Section 403(b) An eligible plan under Code Section 457(b) Include any portion of a designated Roth account Include after-tax employee contributions An individual retirement account or individual retirement annuity described in Code Section 408(a) or (b) Direct rollover Participant rollover from other plans Participant rollover from an IRA b) Rollover Contributions may only be made by a Participant. c) The ability to include an outstanding loan in a Rollover Contribution shall not be  limited to Participants impacted by a business event. d) x Rollover Contributions shall not include an outstanding loan balance. e) Rollover Contributions are not permitted. 3) IN-PLAN ROTH ROLLOVERS are not permitted, unless otherwise specified in (a) below. a)  (Only available if the Plan allows Rollover Contributions in (2) above and Roth  Elective Deferral Contributions in Item N(5).) In-plan Roth Rollovers of otherwise  distributable amounts are permitted subject to the provisions of Plan Section 3.04. To  allow an In-plan Roth Rollover of otherwise distributable amounts, the Plan may limit  withdrawals as specified below. NOTE:  To comply with Code Section 411(d)(6), limited withdrawals cannot be  selected if the Plan already includes the type of withdrawal (five years as Active  Participant or age 59 1/2). i) WITHDRAWALS LIMITED TO IN-PLAN ROTH ROLLOVERS.  In-service  withdrawals shall be limited to In-plan Roth Rollovers as follows: (Select A, B, or  both.) A. LIMITED FIVE YEARS AS AN ACTIVE PARTICIPANT. (Only  available if the Plan does not already allow five years as an Active  Participant withdrawals in Item Y(5).) A Participant may withdraw any part  of his Vested Account resulting from Matching Contributions (other than  Qualified Matching Contributions and QACA Matching Contributions),  Additional Contributions, and Discretionary Contributions at any time after  he has been an Active Participant for at least five years only for purposes  

 

Restatement Effective July 1, 2022 60 Plan ID No. 1063569    ( 4-66998) of In-plan Roth Rollovers.  A Participant may make such a withdrawal at  any time. NOTE:  A Participant's earliest Entry Date shall be used to determine his  eligibility for such a withdrawal. B. LIMITED AGE 59 1/2.  (Only available if the Plan does not already  allow age 59 1/2 withdrawals in Item Y(4).) A Participant may withdraw any  part of his Vested Account resulting from Elective Deferral Contributions,  Matching Contributions, Qualified Nonelective Contributions, QACA  Nonelective Contributions, Additional Contributions, and Discretionary  Contributions at any time after he attains age 59 1/2 only for purposes of  In-plan Roth Rollovers.  A Participant may make such a withdrawal at any  time. b)  (Only available if (a) above is selected.)  In-plan Roth Rollovers of otherwise  nondistributable amounts are permitted at any time, subject to the provisions of Plan  Section 3.04. U. INVESTMENTS. 1) The Plan does not have a Trust Agreement in effect, unless otherwise specified in (a)  below. a) x TRUST AGREEMENT.  The Plan has at least one Trust Agreement in effect. 2) INVESTMENT DIRECTION.  Subject to the provisions of Article IV of the Basic Plan, the  Annuity Contract, and if applicable, the Trust Agreement, the investment of a Participant’s  Account shall be directed by (Select one.) a) x the Participant for all Contributions. b) the Employer for all Contributions. c) the Participant for Elective Deferral Contributions, Participant Contributions, and  Rollover Contributions.  The Employer for Employer Contributions other than  Elective Deferral Contributions. d) the Participant for Elective Deferral Contributions and Rollover Contributions.   The Employer for Contributions other than Elective Deferral Contributions and  Rollover Contributions. e) the Participant for Elective Deferral Contributions and Participant Contributions.   The Employer for Contributions other than Elective Deferral Contributions and  Participant Contributions. f) the Participant for Elective Deferral Contributions.  The Employer for  Contributions other than Elective Deferral Contributions. 

 

Restatement Effective July 1, 2022 61 Plan ID No. 1063569    ( 4-66998) g) the Participant for Participant Contributions and Rollover Contributions.  The  Employer for Employer Contributions including Elective Deferral Contributions. h) (Only available if (5)(a) below is selected.)  The Participant for all Contributions  including the transfer of amounts resulting from those Contributions, other than  Employer Contributions made in the form of Qualifying Employer Securities.  The  Employer for Employer Contributions made in the form of Qualifying Employer  Securities, however, the Participant shall direct the transfer of amounts resulting  from those Contributions. i) (Only available if (5)(a) below is selected.)  The Participant for all Contributions  including the transfer of amounts resulting from those Contributions, other than  Employer Contributions made in the form of Qualifying Employer Securities.  The  Employer for Employer Contributions made in the form of Qualifying Employer  Securities including the transfer of amounts resulting from those Contributions. 3) LOANS.  Loans to a Participant are not permitted, unless otherwise specified in (a) below. a) (Only available if (1)(a) above is selected and the Trustee agrees to hold the  promissory note.)  Loans are available to a Participant subject to the provisions of  Plan Section 5.06. i) The Loan Administrator(s) is/are:  (Fill in the person(s) or position(s) authorized  to administer the Participant loan program.  Neither Principal Life Insurance  Company nor its affiliates can be named.) i  i  i  i  i  ii) The minimum amount of any loan is $1,000, unless otherwise specified in A or B  below. A. The minimum amount of any loan is $   .  (Up to $999.) B. No minimum loan amount applies. iii) The maximum amount of any loan is the lesser of 50% of the Participant’s  Vested Account, reduced by any outstanding loan balance or $    (Up to $49,999.), reduced by the highest outstanding loan balance  during the one-year period ending on the day before the loan is made. 

 

Restatement Effective July 1, 2022 62 Plan ID No. 1063569    ( 4-66998) NOTE:  If not selected, the maximum is the lesser of (i) 50% of the Participant’s  Vested Account, reduced by any outstanding loan balance or (ii) $50,000,  reduced by the highest outstanding loan balance during the one-year period  ending on the day before the loan is made. iv) The number of outstanding loans for a Participant shall be limited to one, unless  otherwise specified in A below. A. The number shall be limited to  .  (Up to 5.) v) The number of loans approved for a Participant in a rolling 12-month period  shall be limited to one, unless a different number or 12-month period is specified  in A or B below.  If a loan is approved for a Participant shortly after another loan  has been repaid or approved, the newly approved loan will be processed,  subject to the limitations of this Item, as soon as administratively practicable,  unless otherwise specified in C below. A. The number shall be limited to  .  (Up to 5.) B. The 12-month period shall be the (Select (1), (2), or (3).) 1) Plan Year. 2) calendar year. 3) deposit year as defined in the Annuity Contract. C.  DELAY BETWEEN LOANS.  In addition to the limitations of this Item,  after the repayment of an outstanding loan or approval of a loan, no  additional loans will be approved for a Participant for     (Up to 365.) days. vi) The term of the loan shall be limited to five years, unless otherwise specified in  A below. A. The term of the loan shall not be limited to five years for the purchase  of a Participant’s principal residence.  Such loan term shall be limited to a  period consistent with commercial home loan practices, unless otherwise  specified in (1) below. 1) SPECIFIED LIMIT FOR PRINCIPAL RESIDENCE.  The term of  the loan shall be limited to the lesser of (i)     (Up to 25.) years or  (ii) a period of years consistent with commercial home loan practices. vii) SOURCE OF LOAN LIMITED.  Loans shall only be available from the  portion of the Participant's Vested Account resulting from (Select A or B.) 

 

Restatement Effective July 1, 2022 63 Plan ID No. 1063569    ( 4-66998) A. specified Contributions (Select at least one.) 1) Elective Deferral Contributions. 2) Rollover Contributions. 3) Participant Contributions. B.  (Only available if Item AA(4)(a) is selected.) all Contributions,  excluding any amounts resulting from a direct or indirect transfer after  December 31, 1984, of a defined benefit plan, money purchase plan, target  benefit plan, stock bonus plan, or profit sharing plan that is subject to the  survivor annuity requirements of Code Sections 401(a)(11) and 417. NOTE:  The Participant's Vested Account is used to determine the maximum  amount of any loan.  The amount a Participant may receive as a loan is limited  to the Participant's Vested Account resulting from the Contributions selected  above. viii) LIMITED TO HARDSHIP.  Loans are available only for hardship reasons as  described in Plan Section 5.05, except as otherwise specified in A below. A. The hardship reasons shall include an immediate and heavy financial  need relating to medical, tuition, and funeral expenses of a Primary  Beneficiary. ix) QUALIFYING EMPLOYER SECURITIES.  If investment in Qualifying Employer  Securities is allowed in (5)(a) below, the portion of the Participant’s Account held  in the Qualifying Employer Securities Fund may be redeemed for purposes of a  loan, except as specified in A or B below. A. The Qualifying Employer Securities Fund may be redeemed only after  the amount held in other investment options has been depleted. B. The Qualifying Employer Securities Fund may not be redeemed. x) TIMING OF A LOAN DEFAULT.  If any payment of principal and interest, or any  portion thereof, remains unpaid for more than 90 days after due, the loan shall  be in default, unless otherwise specified in A or B below. A. The loan shall be in default    (Up to 89.) days after due. B. The loan shall be in default at the end of the calendar-year quarter  following the calendar-year quarter in which the missed payment was due. xi) SEVERANCE FROM EMPLOYMENT.  An outstanding loan shall become due  and payable in full 60 days after a Participant has a Severance from  

 

Restatement Effective July 1, 2022 64 Plan ID No. 1063569    ( 4-66998) Employment and ceases to be a party-in-interest as defined in ERISA or after  complete termination of the Plan, unless otherwise specified in A or B below. A. An outstanding loan will become due and payable in full    (Up to  90.) days after a Participant has a Severance from Employment. B. An outstanding loan will become due and payable in full at the end of  the calendar-year quarter following the calendar-year quarter in which a  Participant has a Severance from Employment. However, subject to the provisions of Plan Section 5.06 and in accordance with  nondiscriminatory procedures set up by the Loan Administrator, an outstanding  loan balance shall not be due and payable at such time as modified in C, or D  below. C. An outstanding loan shall not be due and payable at such time if a  Participant impacted by a business event, as described in Plan Section  5.06, elects a Direct Rollover to another qualified plan that includes the  loan note, unless otherwise specified in (1) or (2) below. 1) The ability to roll over an outstanding loan note shall not be  limited to Participants impacted by a business event. 2) Rollovers of an outstanding loan note are not permitted. D. A Participant may continue to repay an outstanding loan balance after  Severance from Employment. 4) LIFE INSURANCE coverage is not provided under this Plan, unless otherwise specified in  (a) below. a) (Only available if (1)(a) above is selected.)  Subject to the limits and provisions  of Plan Section 4.04, an Active Participant may elect to have part of his Account  applied to purchase life insurance coverage on his life, unless otherwise specified in  (i) below. i) An Active Participant may elect to have part of his account resulting from  Employer Contributions applied to purchase life insurance coverage on his life. 5) QUALIFYING EMPLOYER SECURITIES.  Investment in Qualifying Employer Securities  is not available, unless otherwise specified in (a) below. a) x (Only available if (1)(a) above is selected.)  Subject to the limits and provisions  of Plan Section 4.02, any portion of the Participant's Account may be invested in  Qualifying Employer Securities, unless otherwise specified in (i) below. i) x Investment  in Qualifying Employer Securities will be limited to any portion  of the Participant’s Account resulting from the following:  (Select at least one.) 

 

Restatement Effective July 1, 2022 65 Plan ID No. 1063569    ( 4-66998) A. x Elective Deferral Contributions B. x Matching Contributions C. Qualified Nonelective Contributions D. QACA Nonelective Contributions E. Additional Contributions F. x Discretionary Contributions G. Wage Rate Contributions H. Participant Contributions I. Rollover Contributions ii) Voting rights for Qualifying Employer Securities will be passed through to  Participants and the Participants will be allowed to direct the voting rights of  Qualifying Employer Securities for any matter put to the vote of the  shareholders, unless otherwise specified in A, B, or C below. A. Participants will be allowed to direct the voting rights for Significant  Corporate Events only.  The Employer (or the Named Fiduciary or the  Investment Manager as designated by the Employer) will have the voting  rights for all other matters, unless otherwise specified in (1) below. 1) The Trustee will have the voting rights for all other matters. B. The Employer (or the Named Fiduciary or the Investment Manager as  designated by the Employer) will have the voting rights for any matter put  to the vote of the shareholders. C. The Trustee will have the voting rights for any matter put to the vote of  the shareholders. iii) Tender rights or exchange offers for Qualifying Employer Securities will be  passed through to the Participants, unless otherwise specified in A or B below. A. Tender rights or exchange offers for Qualifying Employer Securities  will be determined by the Employer (or the Named Fiduciary or the  Investment Manager as designated by the Employer). B. Tender rights or exchange offers for Qualifying Employer Securities  will be determined by the Trustee. 

 

Restatement Effective July 1, 2022 66 Plan ID No. 1063569    ( 4-66998) iv) (Only available if (2)(a) above is not selected.)  The Employer may make all  or any portion of the Employer Contributions (excluding Elective Deferral  Contributions and Wage Rate Contributions) which are to be invested in  Qualifying Employer Securities, to the Trustee in the form of Qualifying  Employer Securities. V. VESTING PERCENTAGE. Vesting Percentage is used to determine the nonforfeitable percentage of a Participant’s  Account resulting from Employer Contributions. The Vesting Percentage for a Participant who is an Employee on or after the date he reaches  Normal Retirement Age or Early Retirement Age shall be 100%.  The Vesting Percentage for a  Participant who is an Employee on the date he dies or the date he becomes disabled shall be  100%.  The Vesting Percentage shall also be 100% for a Participant who dies or becomes  disabled while performing Qualified Military Service.  For purposes of this paragraph, disabled  means the disability is subsequently determined to meet the definition of Totally Disabled. 1) 100% VESTED CONTRIBUTIONS.  Elective Deferral Contributions, Wage Rate  Contributions Qualified Matching Contributions, and Qualified Nonelective Contributions  are 100% vested.  The following Employer Contribution(s) are also 100% vested at all  times.  (Select any that apply.) a) Matching Contributions (other than QACA Matching Contributions) b) Additional Contributions c) x Discretionary Contributions d) QACA Matching Contributions or QACA Nonelective Contributions The Additional Contributions created to allocate Forfeitures remaining at the end of the Plan  Year when a Plan does not allow Discretionary Contributions in Item Q(3) shall follow the  vesting schedule for Additional Contributions if the Plan allows Additional Contributions in Item  Q(2).  If the Plan does not allow Additional Contributions in Item Q(2), the Additional  Contributions created to allocate Forfeitures remaining at the end of the Plan Year shall be  100% vested at all times. 2) VESTING SCHEDULE.  A Participant’s Account resulting from Employer Contributions  that are not 100% vested when made is subject to the vesting schedule(s) selected below.   (Select (a), (b), or (c) if some Employer Contributions are not 100% vested.  Select (d), if  applicable.) a) One schedule for all Employer Contributions (including QACA Matching  Contributions and QACA Nonelective Contributions). NOTE: The custom schedule for Contributions other than QACA Matching  Contributions and QACA Nonelective Contributions must provide 100% vesting after  3 years of Vesting Service or must at all times be as great as the Vesting Percentage  that the 6-year graded schedule would provide. 

 

Restatement Effective July 1, 2022 67 Plan ID No. 1063569    ( 4-66998) (Select one.  If QACA Safe Harbor Plan and QACA Matching Contributions or QACA  Nonelective Contributions are not 100% vested in (1) above, must select either 2-year  cliff or a custom schedule that is 100% vested no later than 2 years.) Vesting Schedule Vesting Service (whole years) and Vesting Percentage <1 1 2 3 4 5 6 2-year cliff 0% 0% 100% 3-year cliff 0% 0% 0% 100% 6-year graded 0% 0% 20% 40% 60% 80% 100% Custom % % % % % % % b) Different schedules for Employer Contributions (including QACA Matching  Contributions and QACA Nonelective Contributions). Contribution Type Vesting Service (whole years) and Vesting Percentage 2-year cliff 3-year cliff 6-year graded Custom Matching Contributions (other than QACA Matching Contributions) Additional Contributions Discretionary Contributions QACA Matching Contributions QACA Nonelective Contributions NOTE:  The custom schedule for Contributions other than QACA Matching  Contributions and QACA Nonelective Contributions must provide 100% vesting after  3 years of Vesting Service or must at all times be as great as the Vesting Percentage  that the 6-year graded schedule would provide. If QACA Safe Harbor Plan and QACA Matching Contributions or QACA Nonelective  Contributions are selected, must select either 2-year cliff or a custom schedule that is  100% vested no later than 2 years. 

 

Restatement Effective July 1, 2022 68 Plan ID No. 1063569    ( 4-66998) (Enter a schedule for each contribution type that has custom selected above.) Contribution Type Vesting Service (whole years) and Vesting Percentage <1 1 2 3 4 5 6 Matching Contributions (other than QACA Matching Contributions)  %  %  %  %  %   %  % Additional Contributions  %  %  %  %  %   %  % Discretionary Contributions  %  %  %  %  %   %  % QACA Matching Contributions  %  %  % QACA Nonelective Contributions  %  %  % c) Different vesting schedules for different Employee groups. NOTE:  The custom schedule for Contributions other than QACA Matching  Contributions and QACA Nonelective Contributions must provide 100% vesting after  3 years of Vesting Service or must at all times be as great as the Vesting Percentage  that the 6-year graded schedule would provide. If QACA Safe Harbor Plan and QACA Matching Contributions or QACA Nonelective  Contributions are not 100% vested in (1) above, must select either 2-year cliff or a  custom schedule that is 100% vested no later than 2 years. Employee Group Vesting Service (whole years) and Vesting Percentage <1 1 2 3 4 5 6 NOTE:  The Employee groups shall be determined based on all relevant facts and  circumstances and may not discriminate in favor of Highly Compensated Employees.   (Additional groups may be added above as necessary.) d) Different vesting schedules apply for past contributions made prior to the date  the vesting schedule was changed. Contribution Type Date Schedule Changed Vesting Schedule 2-year cliff 3-year cliff 6-year graded Custom Matching Contributions (other than QACA Matching Contributions) __/__/__ Additional Contributions __/__/__ Discretionary Contributions __/__/__ Other __/__/__ 

 

Restatement Effective July 1, 2022 69 Plan ID No. 1063569    ( 4-66998) NOTE:  The custom schedule must provide 100% vesting after 3 years of Vesting  Service or must at all times be as great as the Vesting Percentage that the 6-year  graded schedule would provide.  Additional lines for other contributions may be added  above and below as necessary. (Enter a schedule for each contribution type that has custom selected above.) Contribution Type Vesting Service (whole years) and Vesting Percentage <1 1 2 3 4 5 6 Matching Contributions (other than QACA Matching Contributions)    %    %    %    %    %    %    % Additional Contributions    %    %    %    %    %    %    % Discretionary Contributions    %    %    %    %    %    %    % Other % % % % % % % 3) TOP-HEAVY VESTING.  A Participant’s Account resulting from additional Employer  Contributions made to satisfy the minimum contribution requirements of Plan Section  11.04 shall be subject to the vesting schedule selected below.  (Select one if the Plan  does not allow any Employer Contributions other than Elective Deferral Contributions,  Qualified Matching Contributions, and Qualified Nonelective Contributions.) NOTE:  The custom schedule must provide 100% vesting after 3 years of Vesting Service  or must at all times be as great as the Vesting Percentage that the 6-year graded  schedule would provide. Vesting Schedule Vesting Service (whole years) and Vesting Percentage <1 1 2 3 4 5 6 100% immediate 100% 3-year cliff 0% 0% 0% 100% 6-year graded 0% 0% 20% 40% 60% 80% 100% Custom    %   %   %   %   %   %   % A Participant’s Vesting Percentage determined above shall never be reduced in later years. 4) EVENT SPECIFIC ACCELERATED VESTING.  The Vesting Percentage for a  Participant who is an Employee impacted by  .   (Specify the event. e.g. the sale of ABC Company shall be 100%.) W. VESTING SERVICE. Vesting Service, subject to the provisions of Plan Section 1.02, shall be the total of an  Employee's countable Periods of Service without regard to Hours of Service (elapsed time  method), unless otherwise specified in (1) below. 

 

Restatement Effective July 1, 2022 70 Plan ID No. 1063569    ( 4-66998) 1) HOURS METHOD.  A year of Vesting Service is a Vesting Service Period in which  an Employee has at least 1,000 Hours of Service, unless otherwise specified in (a) below. a)     (Up to 999.)  Hours of Service. b) A VESTING SERVICE PERIOD is the consecutive 12-month period ending on the  last day of each Plan Year, unless otherwise specified in (i), (ii), or (iii) below. i) The consecutive 12-month period ending on each   . (Month and day.) ii) The consecutive 12-month period ending on the last day of each Fiscal  Year. iii) The consecutive 12-month period beginning on an Employee's Hire Date or  Rehire Date (whichever applies) and on each anniversary thereof. c) A VESTING BREAK, when the hours method is used, is a Vesting Service Period in  which an Employee is credited with not more than one-half of the Hours of Service  required for a year of Vesting Service, unless otherwise specified in (i) below. i)       or fewer Hours of Service. (Fill in up to 500 hours but less than  hours required for a year of Vesting Service.) NOTE: If the hours method is used, the date completed in (2) below should be the first day of a  Vesting Service Period. If the first day of such period is not used, service during the period in  which the date occurs shall not be excluded because of that modification. If the hours method  is used and (3) is selected, service during the period in which the Employee attains the age  completed in (3) shall not be excluded because of that modification. If the Employer had a  previous plan that terminated within five years of the Effective Date of this Plan, the Employer  must treat the effective date of the terminated plan as the Effective Date of this Plan for  purposes of the selection in (2) below. VESTING SERVICE MODIFICATIONS: 2) Service before   (Month, day and year.)  shall not be counted. NOTE: If selected, fill in a date on or before the date the Plan became subject to ERISA.   A new plan becomes subject to ERISA on its Effective Date. 3) Service before an Employee attains age    (Up to 18.) shall not be counted. X. EQUIVALENCIES. Hours of Service shall be determined on the basis of actual Hours of Service that an Employee  is paid or entitled to payment if the Employer maintains hourly records for such Employee.  If  the Employer does not maintain hourly records for an Employee, Hours of Service shall be  determined on the basis of months worked.  Such Employee shall be credited with 190 Hours  

 

Restatement Effective July 1, 2022 71 Plan ID No. 1063569    ( 4-66998) of Service for each month in which he would otherwise be credited with at least one Hour of  Service, unless otherwise specified in (1), (2), (3), or (4) below. NOTE:  If selected, the equivalency shall be used only when a record of actual Hours of  Service is not available for an Employee, unless otherwise specified in (4) below. 1) DAYS. On the basis of days worked.  An Employee shall be credited with 10 Hours of  Service for each day in which he would otherwise be credited with at least one Hour of  Service. 2) WEEKS. On the basis of weeks worked.  An Employee shall be credited with 45  Hours of Service for each week in which he would otherwise be credited with at least one  Hour of Service. 3) SEMI-MONTHLY. On the basis of semi-monthly payroll periods worked.  An  Employee shall be credited with 95 Hours of Service for each semi-monthly payroll period  in which he would otherwise be credited with at least one Hour of Service. 4) ALL EMPLOYEES. The equivalency shall be used for all Employees. Y. WITHDRAWAL BENEFITS. NOTE:  Additional selections to this Item may be made in Item H of the Additional Selections  and Minor Modifications Addendum if (8) is selected below. 1) VOLUNTARY.  A Participant may withdraw any part of his Vested Account resulting from  Voluntary Contributions, unless such withdrawals are not permitted in (d) below. A Participant may make two such withdrawals in any 12-month period, unless otherwise  specified in (a) or (b) below. a) A Participant may make such a withdrawal at any time. b) A Participant may make   such withdrawal(s) in any 12-month period. No minimum withdrawal amount applies, unless otherwise specified in (c) below. c) The minimum amount of any such withdrawal is $       .  (Up to $1,000.) d) x Withdrawal of Voluntary Contributions is not permitted. 2) ROLLOVER.  A Participant may withdraw any part of his Vested Account resulting from  Rollover Contributions, unless such withdrawals are not permitted in (d) below. A Participant may make two such withdrawals in any 12-month period, unless otherwise  specified in (a) or (b) below. a) x A Participant may make such a withdrawal at any time. 

 

Restatement Effective July 1, 2022 72 Plan ID No. 1063569    ( 4-66998) b) A Participant may make   such withdrawal(s) in any 12-month period. No minimum withdrawal amount applies, unless otherwise specified in (c) below. c) The minimum amount of any such withdrawal is $       .  (Up to $1,000.) d) Withdrawal of Rollover Contributions is not permitted. 3) x 401(k) HARDSHIP.  A Participant may withdraw any part of his Vested Account  resulting from Elective Deferral Contributions in the event of hardship due to an  immediate and heavy financial need.  Withdrawals from the Participant's Account  resulting from Elective Deferral Contributions shall be limited to the amount of the  Participant's Elective Deferral Contributions (and earnings thereon accrued as of  December 31, 1988). A Participant may also withdraw any part of his Vested Account resulting from any of the  following Contributions:  (Select any that apply.) a) x Matching Contributions (other than Qualified Matching Contributions and QACA  Matching Contributions) b) Additional Contributions c) x Discretionary Contributions d) Wage Rate Contributions that are not designated as Qualified Nonelective  Contributions e) Rollover Contributions f) Other: (Specify the contributions.) HARDSHIP WITHDRAWAL MODIFICATIONS: g) x Hardship distributions relating to medical, tuition, and funeral expenses of a  Primary Beneficiary are permitted. h) The amount of an allowable hardship distribution will be determined using the  non-safe harbor (general) rules.  (Suspension of Elective Deferral Contributions and  Participant Contributions is not required.) i) The minimum amount of any such withdrawal is $      .  (Up to $1,000.) This withdrawal is subject to the provisions of Plan Section 5.05. 

 

Restatement Effective July 1, 2022 73 Plan ID No. 1063569    ( 4-66998) 4) x AGE 59 1/2.  (Only available if the Plan does not allow limited age 59 1/2 withdrawals  in Item T(3)(a)(i)B.)  A Participant may withdraw any part of his eligible Vested Account  after he attains age 59 1/2, unless otherwise specified in (a) or (b) below. a) The withdrawal will be available any time after the Participant attains age      .  (Must be greater than 59 1/2 and less than Normal Retirement Age.) b) x A Participant may only withdraw any part of his Vested Account resulting from  the following Contributions:  (Select any that apply.) i) x Elective Deferral Contributions ii) x Matching Contributions iii) Qualified Nonelective Contributions iv) QACA Nonelective Contributions v) Additional Contributions vi) x Discretionary Contributions vii) Wage Rate Contributions viii) Rollover Contributions ix) Voluntary Contributions x) Other: (Specify the contributions.) A Participant may make two such withdrawals in any 12-month period, unless otherwise  specified in (c) or (d) below. c) x A Participant may make such a withdrawal at any time. d) A Participant may make   such withdrawal(s) in any 12-month period. No minimum withdrawal amount applies, unless otherwise specific in (e) below. e) The minimum amount of any such withdrawal is $   .  (Up to $1,000.) 5) FIVE YEARS AS AN ACTIVE PARTICIPANT.  (Only available if the Plan does not  allow limited five years as an Active Participant withdrawals in Item T(3)(a)(i)A.)   A  Participant may withdraw any part of his Vested Account resulting from the following  Contributions at any time after he has been an Active Participant for at least five years.   (Select at least one.) 

 

Restatement Effective July 1, 2022 74 Plan ID No. 1063569    ( 4-66998) a) Matching Contributions (other than Qualified Matching Contributions and QACA  Matching Contributions) b) Additional Contributions c) Discretionary Contributions d) Wage Rate Contributions that are not designated as Qualified Nonelective  Contributions e) Rollover Contributions NOTE:  A Participant's earliest Entry Date shall be used to determine his eligibility for such  a withdrawal. A Participant may make two such withdrawals in any 12-month period, unless otherwise  specified in (f) or (g) below. f) A Participant may make such a withdrawal at any time. g) A Participant may make   such withdrawal(s) in any 12-month period. No minimum withdrawal amount applies, unless otherwise specific in (h) below. h) The minimum amount of any such withdrawal is $     .  (Up to $1,000.) 6) x QUALIFIED RESERVIST DISTRIBUTION.  A Participant may withdraw any part of  his Vested Account resulting from Elective Deferral Contributions if such distribution  meets the requirements to be a Qualified Reservist Distribution. 7) QUALIFYING EMPLOYER SECURITIES.  (Only available if the Plan allows  investment in Qualifying Employer Securities in Item U(5)(a).)  The portion of the  Participant's Account held in the Qualifying Employer Securities Fund may not be  redeemed for purposes of withdrawals. 8) Additional selections for this Item have been made in Item H of the attached  Additional Selections and Minor Modifications Addendum. NOTE:  Withdrawals are subject to the distribution of benefits provisions of Article VI or VIA of  the Basic Plan, whichever applies. Z. RETIREMENT AND THE START OF BENEFITS. 1) NORMAL RETIREMENT AGE is the age at which the Participant’s Account becomes  nonforfeitable if he is an Employee.  A Participant’s Normal Retirement Age is age 65,  unless otherwise specified in (a) or (b) below. 

 

Restatement Effective July 1, 2022 75 Plan ID No. 1063569    ( 4-66998) a) Age  .  (At least 55, and no more than 64.) b) The older of age     (At least 55 and no more than 65.) or his age on the  (Select (i), (ii), (iii), or (iv).) i) date   (Up to 5.) years after the first day of the Plan Year in which  his earliest Entry Date occurred. ii) earlier of the date    (Up to 5.) years after his Hire Date or the date 5  years after the first day of the Plan Year in which his earliest Entry Date  occurred. iii) (Only available if (c) below is selected.) date    (Up to 5.) years after  his earliest Entry Date. iv) date   (Up to 5.) years after his Hire Date. The provisions of (b) are modified as follows: c) A Participant’s Normal Retirement Age shall not be older than age    .  (At least the age in (b) and no more than 70.) NOTE:  If the Plan includes monies from a money purchase plan or another direct or  indirect transfer described in Item AA(5), and (a) or (b) is selected, the age entered cannot  be less than 62. 2) NORMAL RETIREMENT DATE, DATE REACHES.  Normal Retirement Date means the  date a Participant reaches his Normal Retirement Age, unless otherwise specified in (a) or  (b) below. a) FIRST OF MONTH ON OR AFTER.  Normal Retirement Date means the  earliest first day of the month on or after a Participant reaches his Normal Retirement  Age. b) SPECIFIED DAY OF THE MONTH ON OR AFTER.  Normal Retirement Date  means the   day of any month on or after a Participant reaches his  Normal Retirement Age. 3) START OF RETIREMENT BENEFITS.  A Participant may choose to have retirement  benefits begin before he has a Severance from Employment and on or after the later of (i)  his Normal Retirement Date or (ii) age 59 1/2, unless otherwise specified in (a) below. a) A Participant may not choose to have retirement benefits begin before he has a  Severance from Employment. 

 

Restatement Effective July 1, 2022 76 Plan ID No. 1063569    ( 4-66998) 4) EARLY RETIREMENT DATE.  (Select (a) or (b).) a) PERMITTED.  If (2)(a) and (2)(b) above are not selected, Early Retirement Date  is any day before a Participant’s Normal Retirement Date that he selects for  receiving a distribution of his Vested Account as an early retirement benefit.  If (2)(a)  above is selected, Early Retirement Date is the first day of the month before a  Participant’s Normal Retirement Date that he selects for receiving a distribution of his  Vested Account as an early retirement benefit.  If (2)(b) above is selected, Early  Retirement Date is the specified day of the month before a Participant’s Normal  Retirement Date that he selects for receiving a distribution of his Vested Account as  an early retirement benefit.  This day shall be on or after the date the Participant has  a Severance from Employment and reaches Early Retirement Age.  A Participant  reaches Early Retirement Age on the date the following requirement(s) are met:  (Select at least one.  A Participant’s Account is 100% vested if he is an Employee on  or after he reaches this age.) i) He is age  .  (Less than age in (1) above.) ii) He has   (Up to 6.) years of Vesting Service. iii) He has   (Up to 6.) years of service with the Employer. iv) He is within   (Up to 6.) years of Normal Retirement Date. v) He has been an Active Participant   (Up to 6.) years based on his  earliest Entry Date. b) x Early retirement is not permitted. 5) TOTALLY DISABLED.  The definition of Totally Disabled is tied to Social Security  disability, unless otherwise specified in (a), (b), (c), (d), or (e) below. a) x Tied to the Employer's long-term disability plan. b) Determined by a physician chosen by the Plan Administrator and the disability  has lasted or can be expected to last for at least 12 months. c) Determined by a physician chosen by the Plan Administrator and the disability  has lasted for at least five months. d) Reviewed by a physician chosen by the Plan Administrator and the disability has  continued uninterrupted for at least   (Up to 24.) months. e) Other definition _________________________________________________ __________________________________________________________________ (Describe the alternative definition of Totally Disabled.) 

 

Restatement Effective July 1, 2022 77 Plan ID No. 1063569    ( 4-66998) NOTE:  The determination of disability shall be applied uniformly to all Participants and  may not discriminate in favor of Highly Compensated Employees.   If (b), (c), (d), or (e) is  selected, any benefit provided to a Participant who is Totally Disabled is a “disability  benefit” subject to the special disability claim procedures in Plan Section 9.05(b). 6) VESTED BENEFIT MODIFICATIONS.  Plan Section 5.03 permits an Inactive Participant  to elect to receive a distribution after he has a Severance from Employment.  The ability  to receive a distribution is modified as follows: Notwithstanding any selections above, an Inactive Participant is permitted to elect to  receive a distribution after he reaches a Retirement Date and has a Severance from  Employment.  The Participant’s Beneficiary is permitted to elect to receive a distribution in  the event of the Participant's death.  NOTE:  If all Contributions is selected above, the delayed distribution will also apply to the  distribution of a small Vested Account as defined in Plan Section 10.11.  If a delay using  days is selected, up to 90 days may be used.  If a delay using months is selected, up to 60  months may be used. 7) SMALL VESTED ACCOUNT MODIFICATIONS.  If the value of the Participant's Vested  Account does not exceed $5,000, his entire Vested Account shall be distributed, subject to  the provisions of Plan Section 10.11.  The determination of a small Vested Account is  modified as follows: (Select any that apply.) Distribution is delayed until a Participant All Contributions Employer Contributions other than Elective Deferral Contributions Elective Deferral Contributions Voluntary Contributions Rollover Contributions Small Vested Account becomes Totally Disabled has had a Severance from Employment for a period of    days has had a Severance from Employment for a period of    month(s)  either becomes Totally Disabled or has had a Severance from Employment for a period of    month(s) (whichever is earlier) 

 

Restatement Effective July 1, 2022 78 Plan ID No. 1063569    ( 4-66998) a) If the value of the Participant's Vested Account does not exceed $     , (Up to  $4,999.) his entire Vested Account shall be distributed. b) Rollover Contributions shall be disregarded when determining the value of the  Participant's Vested Account.  (Cannot use if (a) above uses a dollar amount less  than or equal to $1,000.) In the event a Participant does not elect to have a small amounts payment paid directly to  an Eligible Retirement Plan specified by the Participant in a Direct Rollover or to receive  the distribution directly and his Vested Account is greater than $1,000 a Mandatory  Distribution will be made in accordance with the provisions of Plan Section 10.02.  The  determination of a Mandatory Distribution is modified as follows: (Select any that apply.) c) If a Participant’s Vested Account is greater than $     , (Up to $999.) a  Mandatory Distribution will be made in accordance with the provisions of Plan  Section 10.02. d) Any payment of a small vested account over $1,000, or lower amount specified  in (c) above, will be considered a Mandatory Distribution, without regard to the  Participant's age at the time of such distribution. 8) BENEFICIARY MODIFICATIONS.  Plan Section 10.07 provides that if there is no  Beneficiary named or surviving when a Participant dies, the Participant's Beneficiary shall  be the Participant's surviving spouse, or where there is no surviving spouse, the executor  or administrator of the Participant's estate for the benefit of the estate.  The determination  of a Participant's Beneficiary if there is no Beneficiary named or surviving when a  Participant dies is modified as follows: (Select (a), if applicable.) a) If there is no Beneficiary named or surviving when a Participant dies, the Participant's Beneficiary shall be the Participant's surviving spouse, or where there is no surviving spouse, _______________________________________________ __________________________________________________________________. (Complete with alternative Beneficiary ordering.) AA. FORMS OF DISTRIBUTION FOR RETIREMENT BENEFITS. NOTE:  If this Plan is a direct or indirect transferee after December 31, 1984, of a defined  benefit plan, money purchase plan, target benefit plan, stock bonus plan, or profit sharing plan  that is subject to the survivor annuity requirements of Code Sections 401(a)(11) and 417, (1)(b)  below cannot be selected. If the Plan later becomes a direct or indirect transferee of a defined benefit plan, money  purchase plan, target benefit plan, stock bonus plan, or profit sharing plan that is subject to the  survivor annuity requirements of Code Sections 401(a)(11) and 417, then the options available  under the Plan shall be those specified in (1)(a) and the selection of (1)(b) below cannot be  used, unless (3)(a) below is selected.  The Plan must be amended to reflect the selection of  (1)(a) below, (2)(a) - (2)(d), or (3)(a) below, if applicable. 

 

Restatement Effective July 1, 2022 79 Plan ID No. 1063569    ( 4-66998) 1) Subject to the distribution of benefits provisions of Article VI or VIA of the Basic Plan,  whichever applies, the automatic form of distribution of retirement benefits shall be:   (Select (a) or (b).) a) A Qualified Joint and Survivor Annuity or Qualified Preretirement Survivor  Annuity.  The Qualified Joint and Survivor Annuity shall provide a survivorship  percentage of 50%, unless otherwise specified in (i) below. i) The Qualified Joint and Survivor Annuity shall provide a survivorship  percentage of    %  (Must be greater than 50% and not more than 100%.) b) x A single sum payment 2) Subject to the distribution of benefits provisions of Article VI or VIA of the Basic Plan,  whichever applies, the optional forms of distribution of retirement benefits shall be a  single sum payment or partial payments and:  (Select any that apply.) a) Survivorship life annuities with installment refund and survivorship percentages  of 50%, 66 2/3%, 75%, or 100% b) A single life annuity c) A single life annuity with certain periods of 5, 10, or 15 years d) A single life annuity with installment refund e) A fixed period annuity for any period of whole months that is not less than 60 f) A fixed period installment option g) A fixed payment installment option h) x An in-kind distribution for the portion of a Participant's Account that is held in the  Qualifying Employer Securities Fund i) An in-kind distribution for the portion of a Participant's Account that is held in the  Self-Directed Brokerage Account 3) DISTRIBUTION MODIFICATIONS.  (Select any that apply.) a) The survivorship life annuities and any life annuity options selected above will  only be available for the portion of a Participant’s Account resulting from a direct or  indirect transferee after December 31, 1984, of a defined benefit plan, money  purchase plan, target benefit plan, stock bonus plan, or profit sharing plan that is  subject to the survivor annuity requirements of Code Sections 401(a)(11) and 417. 

 

Restatement Effective July 1, 2022 80 Plan ID No. 1063569    ( 4-66998) b) (Only available if (2)(h) is not selected.)  The portion of a Participant’s Account  that is held in the Qualifying Employer Securities Fund may only be distributed  in-kind. c) The minimum amount of any partial payment is $     .  (Up to $1,000.) d) For purposes of requesting a distribution of his Vested Account resulting from  Elective Deferral Contributions, a Participant who has been performing Qualified  Military Service for a period of more than 30 days shall not be deemed to have had a  severance from employment. e) An Alternate Payee may not request a distribution before the Participant has  attained his earliest retirement age. f) For purposes of a Qualified Preretirement Survivor Annuity the requirement that  a Participant has been continuously married throughout the one-year period ending  on the date of his death, shall not apply. 4) The Plan does not include monies from a money purchase plan or another direct or  indirect transfer described in (5) below, unless otherwise specified in (a) below. a) (If selected, either (1)(a) and (2)(a) or (2)(a) and (3)(a) must be selected.)    Monies from a money purchase plan or another direct or indirect transfer are held  under the Plan. 5) SPOUSAL CONSENT FOR DISTRIBUTIONS.  If the Plan is not a direct or indirect  transferee after December 31, 1984, of a defined benefit plan, money purchase plan,  target benefit plan, stock bonus plan, or profit sharing plan that is subject to the survivor  annuity requirements of Code Sections 401(a)(11) and 417, spousal consent is not  required for electing an optional form of retirement benefit that is not a life annuity. If the Plan is such direct or indirect transferee, spousal consent shall be required for all  Participants electing an optional form of retirement benefit that is not a life annuity, unless  otherwise specified in (a) below. a) Spousal consent is required for distributions other than a life annuity if any  portion of a Participant’s Account resulted from such direct or indirect transfer  regardless of whether or not the distribution includes the transferred assets, unless  otherwise specified in (i) below. i) Spousal consent is only required if the distribution includes any transferred  assets. The spousal consent requirements above are modified as follows: b) Spousal consent shall be required for all distributions. 

 

Restatement Effective July 1, 2022 81 Plan ID No. 1063569    ( 4-66998) AB. ADOPTING EMPLOYERS.  (Identify Adopting Employers below.) NOTE:  The Plan must meet the minimum coverage requirement of Code Section 410(b) taking  into account all employees of Controlled Groups and Affiliated Service Groups.  If the Employer  is a member of such a group, other employers in the group may need to adopt this Plan in  order for the Plan to meet this requirement.  Some employers of the group may also choose to  adopt this Plan even though not required. 1) There are no Adopting Employers, unless otherwise specified in (a) or (b) below. a) x The Adopting Employers listed in (4) below participate with the Employer in a  single plan, multiple employer plan, or establish a separate plan for the benefit of  their Employees, as specified. b) The Adopting Employers listed in the attached participation agreements  participate with the Employer in a single plan, multiple employer plan, or establish a  separate plan for the benefit of their Employees, as specified in such agreement. 2) Single Plan, Multiple Employer Plan, or Separate Plans NOTE:  If the Employer is a member of a Controlled Group or Affiliated Service Group,  other employers in that group may agree to participate in this Plan as Adopting Employers  of a single plan as specified in (a) below or may establish separate plans as specified in  (c) below.  An employer who is not a member of a Controlled Group or Affiliated Service  Group may agree to participate in this Plan as an Adopting Employer of a multiple  employer plan as specified in (b) below. a) SINGLE PLAN.  Adopting Employers may participate with the Employer in a single  plan.  An Adopting Employer’s agreement to participate in this Plan shall be  evidenced in writing according to the provisions of Plan Section 2.04. b) MULTIPLE EMPLOYER PLAN.  Adopting Employers may participate with the  Employer in a multiple employer plan.  An Adopting Employer’s agreement to  participate in this Plan shall be evidenced in writing according to the provisions of  Plan Section 2.05. c) SEPARATE PLANS.  Adopting Employers may establish a separate plan for the  exclusive benefit of their Employees.  The establishment of an Adopting Employer’s  separate plan shall be evidenced in writing according to the provisions of Plan  Section 2.06. NOTE:  A separate plan should not be established unless (i) each plan can meet the  minimum coverage requirement of Code Section 410(b) separately or (ii) the  combined plans can meet the minimum coverage requirement of Code Section  410(b) and the nondiscrimination requirement of Code Section 401(a)(4).  The  combined plans may not meet the requirement of Code Section 401(a)(4) if the plans  provide for a discretionary Matching Contribution or Discretionary Contribution that is  determined separately for each Adopting Employer. 

 

Restatement Effective July 1, 2022 82 Plan ID No. 1063569    ( 4-66998) NOTE:  The provisions of Plan Section 10.03 shall apply in the case of the merger of this  Plan with any Prior Plan of an Adopting Employer participating with the Employer in this  Plan. 3) SERVICE WITH AND COMPENSATION FROM AN ADOPTING EMPLOYER.  All service  with and Compensation from an Adopting Employer shall be included as service with and  Compensation from the Employer, unless otherwise specified in (a) below. a) (Cannot select if multiple employer plan.)  Service with and Compensation from  an Adopting Employer shall only be included as service with and Compensation from  the Employer, beginning on the date the Adopting Employer became a Controlled  Group member. 

 

Restatement Effective July 1, 2022 83 Plan ID No. 1063569    ( 4-66998) 4) The Adopting Employers are: NOTE: This Item must be completed with at least one Adopting Employer if (1)(a) above is selected. a) Name Private Capital Management LLC     Date of Adoption or Participation   January 1, 2019    (Month, day and year.   Must be on or after the Plan's original effective date in Item D.) Executed    (Month, day and year.  Must be  before the Date of Adoption or Participation.) By                                                             (Signature) Business Title   i) Single Plan, Multiple Employer Plan, or Separate Plans x Single Plan Multiple Employer Plan   Separate Plans ii) Complete A, B, and C below if Separate Plans. A. EIN   B. Plan No.   (3-digit number used for Form 5500 reporting.) C. Fiscal Year End                                                             (Month and day.) iii) Complete A below if this Adopting Employer had a Prior Plan.  A. Date Prior Plan established    (Month, day and year.) iv) Complete A below, if applicable. A. This Adopting Employer has waived the entry requirements for the  Contributions selected below for its Employees who are Eligible Employees  on the date specified. (The selections in Item K(4) apply only to the Employer  named in Item B.) Date                       (Month, day and year.) All Contributions Elective Deferral Contributions Matching Contributions / Safe Harbor Contributions All other Contributions Service requirement Age requirement     

 

Restatement Effective July 1, 2022 84 Plan ID No. 1063569    ( 4-66998) AC. MERGER OR SPIN-OFF. 1) MERGER. The following plan(s) merged into this Plan: a) Name: Effective date of merger   (Month, day and year.) 2)     SPIN-OFF.  This Plan was a restatement due to a spin-off from the following plan: a) Name: Effective date of original plan   (Month, day and year.) 

 

By executing this Adoption Agreement, the Employer adopts the “Principal Financial Group Pre-approved Document for Savings Plans” for the exclusive benefit of its Employees. The selections and specifications contained in this Adoption Agreement and the terms, provisions, and conditions provided in the Principal Financial Group Pre-approved Basic Savings Plan – Plus constitute the Employer’s PLAN. No other basic plan may be used with this Adoption Agreement. It is understood that Principal Life Insurance Company is not a party to the Employer’s Plan and shall not be responsible for any tax or legal aspects of the Employer’s Plan. The Employer assumes responsibility for these matters. The Employer acknowledges that it has counseled, to the extent necessary, with selected legal and tax advisors. The obligations of Principal Life Insurance Company shall be governed solely by the provisions of its contracts and policies. Principal Life Insurance Company shall not be required to look into any action taken by the Plan Administrator, Named Fiduciary, Trustee, Investment Manager, or the Employer and shall be fully protected in taking, permitting, or omitting any action on the basis of the Employer’s actions. Principal Life Insurance Company shall incur no liability or responsibility for carrying out actions as directed by the Plan Administrator, Named Fiduciary, Trustee, Investment Manager, or the Employer. Note: The Employer must sign the Adoption Agreement when it first adopts the Plan; and must complete and sign a new Adoption Agreement if the Plan has been restated, or if the Plan has been amended to change any prior elections or make new elections. (Complete in black ink.) This Adoption Agreement is executed . (Date Signed. Month, day and year.) FOR THE EMPLOYER By my signature, I certify that I have reviewed the terms of and the Items selected within this Adoption Agreement. If the Plan has a Trust Agreement in effect, I hereby certify that a copy of this Plan document shall be provided to each Trustee. By (Signature) Business Title Minor modifications have been made to this Plan in Item I of the attached Additional Selections and Minor Modifications Addendum. Restatement Effective July 1, 2022 85 Plan ID No. 1063569    ( 4-66998) 

 

This Plan is an important legal document.  It is recommended that the Employer consult with legal counsel regarding the tax and legal implications of the Plan, for which neither Principal Life Insurance Company, nor its agents, can assume responsibility. Failure to properly fill out this Adoption Agreement may result in disqualification of this Plan. Principal Life Insurance Company will inform the Employer of any amendments made to the Plan or of the discontinuance or abandonment of the Plan.  The address and phone number of Principal Life Insurance Company is 711 High Street, Des Moines, Iowa 50392-0001; 1-800-543-4015, extension 86227. The Employer may rely on an opinion letter issued by the Internal Revenue Service as evidence that this Plan is qualified under Code Section 401 only to the extent provided in Revenue Procedure 2017-41. The Employer may not rely on the opinion letter in certain other circumstances or with respect to certain qualification requirements, which are specified in the opinion letter issued with respect to the Plan and in Revenue Procedure 2017-41. 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 Internal Revenue Service. Restatement Effective July 1, 2022 86 Plan ID No. 1063569    ( 4-66998) 

 

Restatement Effective July 1, 2022 87 Plan ID No. 1063569    ( 4-66998) Item S(2)(a): The method used to limit Annual Additions to the Maximum Annual Addition: Item S(3)(c): Name of the other plan: Minimum benefit that will be provided under such other plan   

 

 

Addendum to:   Independent Financial 401(k) Profit Sharing Plan    Contract Number:  4-66998 This addendum should be filed with your plan document.            Restatement Effective July 1, 2022 89 Plan ID No. 1063569    ( 4-66998) The following benefits were included in this Plan and have been removed (are being removed, if future effective date) as of the effective date. According to Section 411(d)(6) of the Internal Revenue Code, benefits described below shall be available to Plan Participants who had an account balance on that date (or the date of adoption, if later). The protected benefit(s) only apply to Participants or to the value of their accounts as of that date (adjusted for earnings or losses since that date) as described below. Protected Benefit Applies To Description Operation Effective Date Definition of Totally  and Permanently  Disabled All Participants Prior to the effective date,   Totally Disabled means  that a Participant is  disabled, as a result of  sickness or injury, to the  extent that the Participant  is prevented from  engaging in any  substantial gainful activity,  and is eligible for and  receives a disability  benefit under Title II of the  Federal Social Security  Act.         Participants who are  disabled according to the  plan's definition prior to the  effective date will continue  to be considered disabled  under the new definition.   Participants who are not  disabled as of the effective  date must meet the new  definition in the plan as of  the date of their disability.          07/01/2022

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