Document:

Exhibit 10.2

 

EXECUTION COPY

 

REDEMPTION AGREEMENT

 

This Agreement (the “Agreement”) is made as of April 25, 2011, by and between MPM Acquisition Corp., a Delaware corporation (the “Issuer”), and MPM Asset Management LLC, a Delaware limited liability company (the “Seller”).

 

W I T N E S S E T H:

 

WHEREAS, the Seller is the owner of five million (5,000,000) shares of the Issuer’s common stock, par value $0.0001 per share (“Common Stock”), and

 

WHEREAS, the Seller desires to sell to the Issuer, and the Issuer desires to re-purchase from the Seller, five million (5,000,000) shares of Common Stock (the “Shares”), on and subject to the terms of this Agreement;

 

WHEREFORE, the parties hereto hereby agree as follows:

 

1.             Sale of the Shares. Subject to the terms and conditions of this Agreement, and in reliance upon the representations, warranties, covenants and agreements contained in this Agreement, the Seller shall sell the Shares to the Issuer, and the Issuer shall re-purchase the Shares from the Seller, for a purchase price equal to an aggregate sum of fifty thousand dollars ($50,000) (the “Purchase Price”).

 

2.             Closing.

 

(a)           The purchase and sale of the Shares shall take place at a closing (the “Closing”), to occur concurrently with the completion of the merger transaction (the “Merger”) contemplated by that certain Agreement and Plan of Merger of even date herewith (the “Merger Agreement”) among the Issuer, Radius Health, Inc. and RHI Merger Corp. The parties hereto shall have no obligation to complete the Closing in the event the Merger is not consummated.

 

(b)           At the Closing:

 

(i) The Seller shall deliver to the Issuer certificates representing the Shares, duly endorsed in form for transfer to the Issuer.

 

(ii) The Issuer shall pay to the Seller the Purchase Price for the Shares.

(iii)  At, and at any time after, the Closing, the parties shall duly execute, acknowledge and deliver all such further assignments, conveyances, instruments and documents, and shall take such other action consistent with the terms of this Agreement to carry out the transactions contemplated by this Agreement.

 

3.             Representations and Warranties of the Issuer. The Issuer hereby makes the following representations and warranties to the Seller:

 

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(a)           The Issuer is a corporation duly organized, validly existing and in good standing under the laws of the State of Delaware. The Issuer has the corporate power to own its properties and to carry on its business as now being conducted and is duly qualified to do business and is in good standing in each jurisdiction in which the failure to be so qualified and in good standing would have a material adverse effect on the Issuer. The Issuer is not in violation of any of the provisions of its certificate of incorporation or by-laws. No consent, approval or agreement of any individual or entity is required to be obtained by the Issuer in connection with the execution and performance by the Issuer of this Agreement or the execution and performance by the Issuer of any agreements, instruments or other obligations entered into in connection with this Agreement.

 

(b)           The Issuer has authorized capital stock consisting of 100,000,000 shares of Issuer Common Stock, and 10,000,000 shares of preferred stock, par value $0.0001 per share (the “Preferred Stock”), of which 5,000,000 shares of Common Stock, consisting of the Shares, and no shares of Preferred Stock, are the only shares presently issued and outstanding.

 

(c)           There is no private or governmental action, suit, proceeding, claim, arbitration or investigation pending before any agency, court or tribunal, foreign or domestic, or, to the Issuer’s knowledge, threatened against the Issuer or any of its properties or any of its officers or directors (in their capacities as such). There is no judgment, decree or order against the Issuer that could prevent, enjoin, alter or delay any of the transactions contemplated by this Agreement. The term “Issuer’s knowledge” shall mean and include actual knowledge of the Seller or of any member, director or officer of the Issuer.

 

(d)           There are no material claims, actions, suits, proceedings, inquiries, labor disputes or investigations (whether or not purportedly on behalf of the Issuer) pending or, to the Issuer’s knowledge, threatened against the Issuer or any of its assets, at law or in equity or by or before any governmental entity or in arbitration or mediation. No bankruptcy, receivership or debtor relief proceedings are pending or, to the best of the Issuer’s knowledge, threatened against the Issuer.

 

(e)           The Issuer has complied with, is not in violation of, and has not received any notices of violation with respect to, any federal, state, local or foreign Law, judgment, decree, injunction or order, applicable to it, the conduct of its business, or the ownership or operation of its business. References in this Agreement to “Laws” shall refer to any laws, rules or regulations of any federal, state or local government or any governmental or quasi-governmental agency, bureau, commission, instrumentality or judicial body (including, without limitation, any federal or state securities law, regulation, rule or administrative order).

 

(f)            The Issuer has properly filed all tax returns required to be filed and has paid all taxes shown thereon to be due. To the Issuer’s knowledge, all tax returns previously filed are true and correct in all material respects.

 

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(g)           The Issuer has no outstanding liabilities or obligations to any party except as reflected on the Issuer’s Form 10-K for the year ended December 31, 2010, other than charges since such date similar to those incurred in past periods and consistent with past practice, all of which will be discharged prior to or at the Closing so that, at the Closing, the Issuer will have no direct, contingent or other obligations of any kind or any commitment or contractual obligations of any kind and description.

 

(h)           All of the business and financial transactions of the Issuer have been fully and properly reflected in the books and records of the Issuer in all material respects and in accordance with generally accepted accounting principles consistently applied.

 

(i)            The Issuer is current with its reporting obligations under the Securities Exchange Act of 1934, as amended (the “Exchange Act”). None of the Issuer’s filings made pursuant to the Exchange Act (collectively, the “Issuer SEC Documents”) contain any misstatements of material fact or omit to state a material fact necessary to make the statements made therein not misleading. The Issuer SEC Documents, as of their respective dates, complied in all material respects with the requirements of the Exchange Act, and the rules and regulations of the Commission thereunder, and are available on the Commission’s EDGAR system. There has not occurred any material adverse change, or any development involving a prospective material adverse change, in the condition, financial or otherwise, or in the earnings, business or operations of the Issuer, from that set forth in the Issuer’s Annual Report on Form 10-K for the year ended December 31, 2010.

 

(j)            As of the Closing, the Issuer will have assets sufficient to satisfy its payment obligations set forth in Section 1 hereof and the redemption contemplated hereby shall be permitted by the Delaware General Corporation Law. The execution and delivery of this Agreement by the Issuer and the Seller and the consummation of the transactions contemplated by this Agreement will not result in any violation of the Issuer’s certificate of incorporation or by-laws or any applicable Law, including without limitation, the Delaware General Corporation Law.

 

(k)           All representations, covenants and warranties of the Issuer contained in this Agreement shall be true and correct on and as of the Closing Date with the same effect as though the same had been made on and as of such date.

 

4.             Representations and Warranties of the Seller. The Seller hereby makes the following representations and warranties to the Issuer:

 

(a)           The Seller is a limited liability company duly organized, validly existing and in good standing under the laws of the State of Delaware. The Seller has the requisite power and authority to enter into this Agreement and to consummate the transactions contemplated hereby and otherwise to carry out its obligations hereunder. The Seller is not in violation of any of the provisions of its constitutive or governing documents. No consent, approval or agreement of any individual or entity is required to be obtained by the Seller in connection with the execution and performance by the Seller 

 

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of this Agreement or the execution and performance by the Issuer of any agreements, instruments or other obligations entered into in connection with this Agreement.

 

(b)           The Seller owns the Shares free and clear of all any and all liens, claims, encumbrances, preemptive rights, right of first refusal and adverse interests of any kind.

 

(c)           There is no private or governmental action, suit, proceeding, claim, arbitration or investigation pending before any agency, court or tribunal, foreign or domestic, or, to the Seller’s knowledge, threatened against the Seller or any of its properties or any of its officers or directors (in their capacities as such). There is no judgment, decree or order against the Seller that could prevent, enjoin, alter or delay any of the transactions contemplated by this Agreement. The term “Seller’s knowledge” shall mean and include actual knowledge of the Seller or of any director or officer of the Seller.

 

(d)           No bankruptcy, receivership or debtor relief proceedings are pending or, to the best of the Seller’s knowledge, threatened against the Seller.

 

(e)           All representations, covenants and warranties of the Seller contained in this Agreement shall be true and correct on and as of the Closing Date with the same effect as though the same had been made on and as of such date.

 

5.             Termination by Mutual Agreement. This Agreement may be terminated at any time by mutual consent of the parties hereto, provided that such consent to terminate is in writing and is signed by each of the parties hereto.

 

6.             Miscellaneous.

 

(a)           Entire Agreement. This Agreement constitutes the entire agreement of the parties, superseding and terminating any and all prior or contemporaneous oral and written agreements, understandings or letters of intent between or among the parties with respect to the subject matter of this Agreement. No part of this Agreement may be modified or amended, nor may any right be waived, except by a written instrument which expressly refers to this Agreement, states that it is a modification or amendment of this Agreement and is signed by the parties to this Agreement, or, in the case of waiver, by the party granting the waiver. No course of conduct or dealing or trade usage or custom and no course of performance shall be relied on or referred to by any party to contradict, explain or supplement any provision of this Agreement, it being acknowledged by the parties to this Agreement that this Agreement is intended to be, and is, the complete and exclusive statement of the agreement with respect to its subject matter. Any waiver shall be limited to the express terms thereof and shall not be construed as a waiver of any other provisions or the same provisions at any other time or under any other circumstances.

 

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(b)           Severability. If any section, term or provision of this Agreement shall to any extent be held or determined to be invalid or unenforceable, the remaining sections, terms and provisions shall nevertheless continue in full force and effect.

 

(c)           Notices. All notices provided for in this Agreement shall be in writing signed by the party giving such notice, and delivered personally or sent by overnight courier, mail or messenger against receipt thereof or sent by registered or certified mail, return receipt requested, or by facsimile transmission or similar means of communication if receipt is confirmed or if transmission of such notice is confirmed by mail as provided in this Section 5(c). Notices shall be deemed to have been received on the date of personal delivery or telecopy or attempted delivery. Notice shall be delivered to the parties at the following addresses:

 

	
If   to the Issuer:
    	
 
    	
c/o MPM Acquisition Corp.
    
	
 
    	
 
    	
200   Clarendon Street, 54th Floor
    
	
 
    	
 
    	
Boston,   Massachusetts  02116
    
	
 
    	
 
    	
Facsimile:   (617) 425-9201
    
	
 
    	
 
    	
Attn:  C. Richard Lyttle, Ph.D.
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    
	
If   to Seller:
    	
 
    	
MPM   Asset Management LLC
    
	
 
    	
 
    	
200   Clarendon Street, 54th Floor
    
	
 
    	
 
    	
Boston,   Massachusetts  02116
    
	
 
    	
 
    	
Facsimile:   (617) 425-9201
    
	
 
    	
 
    	
Attn:   Dr. Ansbert Gadicke
    

 

Either party may, by like notice, change the address, person or telecopier number to which notice shall be sent.

 

(d)           Governing Law. This Agreement shall be governed and construed in accordance with the laws of the Commonwealth of Massachusetts applicable to agreements executed and to be performed wholly within such Commonwealth, without regard to any principles of conflicts of law. Each of the parties hereby irrevocably consents and agrees that any legal or equitable action or proceeding arising under or in connection with this Agreement shall be brought in the federal or state courts located in the County of Suffolk in the Commonwealth of Massachusetts, by execution and delivery of this Agreement, irrevocably submits to and accepts the jurisdiction of said courts, (iii) waives any defense that such court is not a convenient forum, and (iv) consent to any service of process made either (x) in the manner set forth in Section 6(c) of this Agreement (other than by telecopier), or (y) any other method of service permitted by law.

 

(e)           Waiver of Jury Trial. EACH PARTY HEREBY EXPRESSLY WAIVES ANY RIGHT TO A TRIAL BY JURY IN THE EVENT OF ANY SUIT, ACTION OR PROCEEDING TO ENFORCE THIS AGREEMENT OR ANY OTHER ACTION OR PROCEEDING WHICH MAY ARISE OUT OF OR IN ANY WAY BE CONNECTED WITH THIS AGREEMENT OR ANY OF THE OTHER DOCUMENTS.

 

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(f)            Successors. This Agreement shall be binding upon the parties and their respective heirs, executors, administrators, legal representatives, successors and assigns; provided, however, that neither party may assign this Agreement or any of its rights under this Agreement without the prior written consent of the other party.

 

(g)           Further Assurances. Each party to this Agreement agrees, without cost or expense to any other party, to deliver or cause to be delivered such other documents and instruments as may be reasonably requested by any other party to this Agreement in order to carry out more fully the provisions of, and to consummate the transaction contemplated by, this Agreement.

 

(h)           Counterparts. This Agreement may be executed simultaneously in two or more counterparts, each of which shall be deemed an original but all of which together shall constitute one and the same instrument.

 

(i)            Headings. The headings in the Sections of this Agreement are inserted for convenience only and shall not constitute a part of this Agreement.

 

[Remainder of this page intentionally left blank.]

 

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IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be duly executed as of the date first above written.

 

	
 
    	
MPM   ACQUISITION CORP.
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    
	
 
    	
By:
    	
/s/   C. Richard Lyttle
    
	
 
    	
Name:
    	
C.   Richard Lyttle, Ph.D.
    
	
 
    	
Title:
    	
President   and Chief Executive Officer
    
	
 
    	
 
    	
 
    
	
 
    	
MPM   ASSET MANAGEMENT LLC
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    
	
 
    	
By:
    	
MPM   Capital LP, its sole Member and Manager
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
By:
    	
Medical   Portfolio Management,  LLC, its general   partner
    
	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
By:
    	
/s/   Ansbert Gadicke
    
	
 
    	
 
    	
 
    	
Name:
    	
Dr.   Ansbert Gadicke
    
	
 
    	
 
    	
 
    	
Title:
    	
Member
    
							

 

7Exhibit 4.3

 

SIMPSON MANUFACTURING CO., INC. 401(K) PROFIT SHARING PLAN FOR SALARIED EMPLOYEES

 

 

ADOPTION AGREEMENT #005

NONSTANDARDIZED 401(k) PLAN

[Related Employers only]

 

The undersigned Employer, by executing this Adoption Agreement, establishes a retirement plan and trust (collectively “Plan”) under the Milliman, Inc. Defined Contribution Prototype Plan and Trust (basic plan document #03). The Employer, subject to the Employer’s Adoption Agreement elections, adopts fully the Prototype Plan and Trust provisions. This Adoption Agreement, the basic plan document and any attached Appendices or agreements permitted or referenced therein, constitute the Employer’s entire plan and trust document. All “Election” references within this Adoption Agreement are Adoption Agreement Elections. All “Article” or “Section” references are basic plan document references. Numbers in parentheses which follow election numbers are basic plan document references. Where an Adoption Agreement election calls for the Employer to supply text, the Employer (without altering the content of any existing printed text) may lengthen any space or line, or create additional tiers. When Employer-supplied text uses terms substantially similar to existed printed options, all clarifications and caveats applicable to the printed options apply to the Employer-supplied text unless the context requires otherwise. The Employer makes the following elections granted under the corresponding provisions of the basic plan document.

 

ARTICLE I

DEFINITIONS

 

	
1.
    	
EMPLOYER  (1.23).
    
	
 
    	
Name:   Simpson Manufacturing Co., Inc.
    
	
 
    	
Address:   5956 W. Las Positas Blvd., Pleasanton, California 94588
    
	
 
    	
Phone   number: 925-560-9000
    
	
 
    	
E-mail   (optional):
    
	
 
    	
Employer’s   Taxable Year: December 31st
    
	
 
    	
EIN:   94-3196943
    
	
 
    	
 
    
	
2.
    	
PLAN  (1.40).
    
	
 
    	
Name:  Simpson Manufacturing Co., Inc.   401(k) Profit Sharing Plan for Salaried Employees
    
	
 
    	
Plan   number:  001                                                                                         (3-digit number for Form 5500   reporting)
    
	
 
    	
Trust   EIN (optional):  42-1558009
    
	
 
    	
 
    
	
3.
    	
PLAN/LIMITATION   YEAR (1.42/1.33). Plan Year   and Limitation Year mean the 12 consecutive month period (except for a 
    
	
short Plan/Limitation Year) ending every (Complete (a) and (b)):
    
	
 
    	
 
    
	
[Note: Complete any applicable blanks under Election   3 with a specific date, e.g., “June 30” OR “the last day of February” OR   “the first Tuesday in January.” In the case of a Short Plan Year or a Short   Limitation Year, include the year, e.g., “May 1, 2008.”]
    
	
 
    
	
(a)
    	
Plan Year (Choose   one of (1) or (2) and choose (3) if applicable):
    
	
 
    	
 
    
	
 
    	
(1)
    	
x
    	
December 31.
    
	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o
    	
Fiscal Plan Year: ending:                     .
    
	
 
    	
 
    	
 
    	
 
    
	
 
    	
(3)
    	
o
    	
Short Plan Year: commencing:                 and ending:                  .
    
	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
Limitation Year (Choose   one of (1) or (2) and choose (3) if applicable):
    
	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
x
    	
Generally same as Plan Year. The   Limitation Year is the same as the Plan Year except where the Plan Year is a   short year in which event the Limitation Year is always a 12 month period,   unless the short Plan Year (and short Limitation Year) result from a Plan   amendment.
    
	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o
    	
Different Limitation Year: ending:                .
    
	
 
    	
 
    	
 
    	
 
    
	
 
    	
(3)
    	
o
    	
Short Limitation Year: commencing:                and   ending:                     .
    
	
 
    	
 
    	
 
    	
 
    
	
4.
    	
EFFECTIVE   DATE  (1.19). The Employer’s   adoption of the Plan is a (Choose one of   (a), (b), or (c). Choose (d) if applicable):
    
	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
o
    	
   New Plan. The Plan’s Effective Date   is:              .
    
	
 
    	
 
    	
 
    
	
(b)
    	
x
    	
   Restated Plan. The Plan’s   restated Effective Date is: May 1, 2011. The Plan’s original   Effective Date was: October 1, 1956.
    
	
 
    	
 
    	
 
    
	
[Note: See Section 1.51 for the definition of   Restated Plan. If this Plan is an EGTRRA restatement: (i) the EGTRRA   restatement Effective Date must be the later of the beginning of the 2002   Plan Year or the Plan’s original Effective Date; and (ii) if specific   Plan provisions, as reflected in this Adoption Agreement, do not date back to   the EGTRRA restatement Effective Date, indicate as such in Appendix A.]
    
					

 

© 2008 Milliman, Inc.

 

1

 

	
(c)
    	
o
    	
Restatement of surviving and merging plans. The Plan   restates two (or more) plans (Complete   (1) and (2). Choose (3) as applicable):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
This (surviving) Plan. The Plan’s restated   Effective Date is:                           .   The Plan’s original Effective Date was:                           .
    
	
 
    
	
[Note:  If   this Plan is an EGTRRA restatement: (i) the EGTRRA restatement Effective   Date must be the later of the beginning of the 2002 Plan Year or the Plan’s   original Effective Date; and (ii) if specific Plan provisions, as   reflected in this Adoption Agreement, do not date back to the EGTRRA   restatement Effective Date, indicate as such in Appendix A.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
Merging plan. The                                                Plan was or will be merged into this surviving Plan as   of:                          .   The merging plan’s restated Effective Date is:                         . The merging   plan’s original Effective Date was:                           .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
   [See the Note under Election 4(c)(1) if this   document is the merging plan’s EGTRRA restatement.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(3)
    	
o
    	
Additional merging plans. The following additional   plans were or will be merged into this surviving Plan (Complete a. and b. as applicable):
    

 

	
 
    	
Name of merging plan
    	
 
    	
Merger   date
    	
 
    	
Restated
   Effective Date
    	
 
    	
Original
   Effective Date
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
a.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
b.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    

 

	
(d)
    	
x
    	
Special Effective Date for Elective Deferral provisions:  May 1, 2011
    
	
 
    	
 
    	
 
    	
 
    
	
5.
    	
   TRUSTEE    (1.65). The Trustee executing   this Adoption Agreement is (Choose one or   more of (a), (b), or (c). Choose (d) if    applicable):
    
	
 
    	
 
    
	
(a)
    	
o
    	
A discretionary Trustee. See Section 8.02(A).
    
	
 
    	
 
    	
 
    
	
(b)
    	
x
    	
A nondiscretionary (directed) Trustee or Custodian. See   Section 8.02(B).
    
	
 
    	
 
    	
 
    
	
(c)
    	
x
    	
A Trustee under the:   Charles Schwab   Trust Company   (specify name of   trust), a separate trust agreement the Trustee has executed and   that the IRS has approved for use with this Plan. Under this Election   5(c) the Trustee is not executing the Adoption Agreement and   Article VIII of the basic plan document does not apply, except as   indicated otherwise in the separate trust agreement. See   Section 8.11(C).
    
	
 
    	
 
    	
 
    
	
(d)
    	
o
    	
Permitted Trust amendments apply. Under   Section 8.11 the Employer in Appendix C has made certain permitted   amendments to the Trust. Such amendments do not constitute a separate trust   under Election 5(c).
    
	
 
    	
 
    	
 
    	
 
    
	
6.
    	
CONTRIBUTION   TYPES  (1.12). The Employer   and/or Participants, in accordance with the Plan terms, make the following 
    
	
Contribution Types to the Plan/Trust (Choose one or more of (a) through (h) as   applicable. Choose (i) if applicable):
    
	
 
    	
 
    	
 
    
	
(a)
    	
x
    	
Pre-Tax Deferrals. See Section 3.02 and   Elections 20-23.
    
	
 
    	
 
    	
 
    
	
(b)
    	
o
    	
Roth Deferrals. See   Section 3.02(E) and Elections 20, 21, and 23. [Note: The Employer may not limit Elective Deferrals   to Roth Deferrals only.]
    
	
 
    	
 
    	
 
    
	
(c)
    	
o
    	
Matching. See Sections 1.34 and   3.03 and Elections 24-26. [Note: The   Employer may make an Operational QMAC without electing 6(c). See   Section 3.03(C)(2).]
    
	
 
    	
 
    	
 
    
	
(d)
    	
x
    	
Nonelective. See Sections 1.37 and   3.04 and Elections 27-29. [Note: The   Employer may make an Operational QNEC without electing 6(d). See   Section 3.04(C)(2).]
    
	
 
    	
 
    	
 
    
	
(e)
    	
x
    	
Safe Harbor/Additional Matching. The Plan is   (or pursuant to a delayed election, may be) a safe harbor 401(k) Plan.   The Employer will make (or under a delayed election, may make) Safe Harbor   Contributions as it elects in Election 30. The Employer may or may not make   Additional Matching Contributions as it elects in Election 30. See Election   26 as to matching Catch-Up Deferrals. See Section 3.05.
    
	
 
    	
 
    	
 
    
	
(f)
    	
o
    	
Employee (after-tax). See Section 3.09 and   Election 35.
    
	
 
    	
 
    	
 
    
	
(g)
    	
o
    	
SIMPLE 401(k). The Plan is a SIMPLE   401(k) Plan. See Section 3.10. The Employer operationally will   elect for each Plan Year to make a SIMPLE Matching Contribution or a SIMPLE   Nonelective Contribution as described in Section 3.10(E). The Employer   must notify Participants of the Employer’s SIMPLE contribution election and   of the Participants’ deferral election rights and limitations within a   reasonable period of time before the 60th day prior to the beginning of the   Plan Year. [Note: The Employer electing   6(g) may not elect any other Contribution Types except under Elections   6(a), 6(b), and 6(h).]
    
	
 
    	
 
    	
 
    
	
(h)
    	
o
    	
Designated IRA. See Section 3.12 and   Election 36.
    
	
 
    	
 
    	
 
    
	
(i)
    	
o
    	
None (frozen plan). The Plan is/was frozen   effective as of:                             .   See Sections 3.01(J) and 11.04.
    
	
 
    	
 
    	
 
    
	
[Note: Elections 20 through 30 and Elections 35   through 37 do not apply to any Plan Year in which the Plan is frozen.]
    

 

2

 

	
7.
    	
DISABILITY  (1.15). Disability means (Choose one of (a) or (b)):
    
	
 
    	
 
    	
 
    
	
(a)
    	
x
    	
Basic Plan. Disability as defined in   Section 1.15(A).
    
	
 
    	
 
    	
 
    
	
(b)
    	
o
    	
Describe:
    
	
 
    	
 
    	
 
    
	
[Note: The Employer may elect an alternative   definition of Disability for purposes of Plan distributions. However, the use   of an alternative definition may result in loss of favorable tax treatment of   the Disability distribution.]
    
	
 
    	
 
    	
 
    
	
8.
    	
EXCLUDED   EMPLOYEES  (1.21(D)).   The following Employees are not Eligible Employees but are Excluded Employees   
    
	
(Choose one of (a) or (b)):
    
	
 
    
	
[Note: Regardless of the Employer’s elections under   Election 8: (i) Employees of any Related Employers (excluding the   Signatory Employer) are Excluded Employees unless the Related Employer   becomes a Participating Employer; and (ii) Reclassified Employees and   Leased Employees are Excluded Employees unless the Employer in Appendix B   elects otherwise. See Sections 1.21(B), 1.21(D)(3) and 1.23(D).]
    
	
 
    	
 
    	
 
    
	
(a)
    	
o
    	
No Excluded Employees. All Employees are Eligible   Employees as to all Contribution Types.
    
	
 
    	
 
    	
 
    
	
(b)
    	
x
    	
Exclusions. The following Employees   are Excluded Employees (either as to all Contribution Types or to the   designated Contribution Type) (Choose one   or more of (1) through (7) as applicable):
    
	
 
    	
 
    	
 
    
	
[Note: For this Election 8, unless described   otherwise in Election 8(b)(7), Elective Deferrals includes Pre-Tax Deferrals,   Roth Deferrals, Employee Contributions and Safe Harbor Contributions.   Matching includes all Matching Contributions except Safe Harbor Matching   Contributions. Nonelective includes all Nonelective Contributions except Safe   Harbor Nonelective Contributions.]
    
	
 
    	
 
    	
 
    
					

 

	
 
    	
 
    	
 
    	
 
    	
 
    	
(1)
    	
 
    	
 
    	
 
    	
(2)
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
All
    	
 
    	
 
    	
 
    	
Elective
    	
 
    	
(3)
    	
 
    	
(4)
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
Contributions
    	
 
    	
 
    	
 
    	
Deferrals
    	
 
    	
Matching
    	
 
    	
Nonelective
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
No   exclusions. No exclusions as to the designated Contribution   Type.
    	
 
    	
N/A
    (See Election
   8(a))
    	
 
    	
 
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
x
    	
Collective Bargaining (union) Employees. As described   in Code §410(b)(3)(A).
   See Section 1.21(D)(1).
    	
 
    	
x
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(3)
    	
x
    	
Non-Resident Aliens. As described in Code §410(b)(3)(C).   See Section 1.21(D)(2).
    	
 
    	
x
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(4)
    	
o
    	
HCEs. See Section 1.21(E). See Election   30(e) as to exclusion of some or all HCEs from Safe Harbor Contributions.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(5)
    	
o
    	
Hourly paid Employees.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(6)
    	
o
    	
Part-Time/Temporary/Seasonal Employees. See   Section 1.21(D)(4). A Part-Time, Temporary or Seasonal Employee is an   Employee whose regularly scheduled Service is less than             (specify a maximum of 1,000) Hours of   Service in the relevant Eligibility Computation Period.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note: If the Employer under Election   8(b)(6) elects to treat Part-Time, Temporary and Seasonal Employees as   Excluded Employees and any such an Employee actually completes at least 1,000   Hours of Service during the relevant Eligibility Computation Period, the   Employee becomes an Eligible Employee. See Section 1.21(D)(4).]
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(7)
    	
x
    	
Describe  exclusion category and/or Contribution Type:  (1) Hourly Employees,   (2) Employees with contractual exclusion from participation under the   Plan. (e.g., Exclude Division B   Employees OR Exclude salaried Employees from Discretionary Matching   Contributions.)
    
	
 
    	
 
    	
 
    	
 
    
	
[Note: Any exclusion under Election 8(b)(7), except   as to Part-Time/Temporary/Seasonal Employees, may not be based on age or   Service or level of Compensation. See Election 14 for eligibility conditions   based on age or Service.]
    

 

3

 

9.                    COMPENSATION  (1.11(B)). The following base Compensation (as adjusted under Elections 10 and 11) applies in allocating Employer Contributions (or the designated Contribution Type) (Choose one or more of (a) through (d) as applicable):

 

[Note: For this Election 9 all definitions include Elective Deferrals unless excluded under Election 11. See Section 1.11(D). Unless described otherwise in Election 9(d), Elective Deferrals includes Pre-Tax Deferrals, Roth Deferrals and Employee Contributions, Matching includes all Matching Contributions and Nonelective includes all Nonelective Contributions. In applying any Plan definition which references Section 1.11 Compensation, where the Employer in this Election 9 elects more than one Compensation definition for allocation purposes, the Plan Administrator will use W-2 Wages for such other Plan definitions if the Employer has elected W-2 Wages for any Contribution Type or Participant group under Election 9. If the Employer has not elected W-2 Wages, the Plan Administrator for such other Plan definitions will use 415 Compensation.]

 

	
 
    	
 
    	
 
    	
 
    	
 
    	
(1)
    	
 
    	
 
    	
 
    	
(2)
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
All
    	
 
    	
 
    	
 
    	
Elective
    	
 
    	
(3)
    	
 
    	
(4)
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
Contributions
    	
 
    	
 
    	
 
    	
Deferrals
    	
 
    	
Matching
    	
 
    	
Nonelective
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
x
    	
 
    	
W-2 Wages (plus Elective Deferrals).
    	
 
    	
x
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
See  Section 1.11(B)(1).
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
o
    	
 
    	
Code §3401 Federal Income Tax
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
Withholding Wages (plus Elective
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
Deferrals). See   Section 1.11(B)(2).
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(c)
    	
o
    	
 
    	
415 Compensation  (simplified).
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
See   Section 1.11(B)(3).
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
[Note: The Employer may elect an alternative   “general 415 Compensation” definition by electing 9(c) and by electing   the alternative definition in Appendix B. See Section 1.11(B)(4).]
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(d)
    	
o
    	
 
    	
Describe  Compensation by Contribution Type or by Participant   group:
    

 

[Note: Under Election 9(d), the Employer may: (i) elect Compensation from the elections available under Elections 9(a), (b), or (c), or a combination thereof as to a Participant group (e.g., W-2 Wages for Matching Contributions for Division A Employees and 415 Compensation in all other cases); and/or (ii) define the Contribution Type column headings in a manner which differs from the “all-inclusive” description in the Note immediately preceding Election 9(a) (e.g., Compensation for Safe Harbor Matching Contributions means W-2 Wages and for Additional Matching Contributions means 415 Compensation).]

 

10.              PRE-ENTRY/POST-SEVERANCE COMPENSATION  (1.11(H)/(I)). Compensation under Election 9 (Complete (a). Choose (b) if applicable):

 

[Note: The Plan does not take into account Post-Severance Compensation unless the Employer elects otherwise in Appendix B or except as otherwise specified in a Plan amendment. For this Election 10, unless described otherwise in Election 10(b), Elective Deferrals includes Pre-Tax Deferrals, Roth Deferrals and Employee Contributions, Matching includes all Matching Contributions and Nonelective includes all Nonelective Contributions.]

 

	
 
    	
 
    	
 
    	
 
    	
 
    	
(1)
    	
 
    	
 
    	
 
    	
(2)
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
All
    	
 
    	
 
    	
 
    	
Elective
    	
 
    	
(3)
    	
 
    	
(4)
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
Contributions
    	
 
    	
 
    	
 
    	
Deferrals
    	
 
    	
Matching
    	
 
    	
Nonelective
    	
 
    
	
(a)
    	
x
    	
Pre-Entry Compensation. Includes (Choose (1) and (2) as applicable):
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
Plan Year. Compensation for the   entire Plan Year which includes the Participant’s Entry Date.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
x
    	
Participating Compensation. Only Participating Compensation.   See Section 1.11(H)(1).
    	
 
    	
x
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    

 

[Note: Under a Participating Compensation election, in applying any Adoption Agreement elected contribution limit or formula, the Plan Administrator will count only the Participant’s Participating Compensation. See Section 1.11(H)(1) as to plan disaggregation.]

 

	
(b)
    	
x
    	
Describe Pre-Entry Compensation by Contribution Type or by   Participant group:  For the   2011 safe harbor nonelective contribution, compensation shall be measured   from January 1, 2011.
    

 

[Note: Under Election 10(b), the Employer may: (i) elect Compensation from the elections available under Election 10(a) or a combination thereof as to a Participant group (e.g., Participating Compensation for all Contribution Types as to Division A Employees, Plan Year Compensation for all Contribution Types to Division B Employees); and/or (ii) define the Contribution Type column headings in a manner which differs from the “all-inclusive” description in the Note immediately preceding Election 10(a) (e.g., Compensation for Nonelective Contributions is Participating Compensation and for Safe Harbor Nonelective Contributions is Plan Year Compensation).]

 

4

 

11.    EXCLUDED COMPENSATION  (1.11(G)). Apply the following Compensation exclusions to Elections 9 and 10 (Choose one of (a) or (b)):

 

	
(a)
    	
o
    	
No exclusions. Compensation as to all   Contribution Types means Compensation as elected in Elections 9 and 10.
    
	
 
    	
 
    	
 
    
	
(b)
    	
x
    	
Exclusions. Exclude the following (Choose one or more of (1) through (9) as   applicable):
    

 

[Note: In a safe harbor 401(k) plan, allocations qualifying for the ADP or ACP test safe harbors must be based on a non-discriminatory definition of Compensation. If the Plan applies permitted disparity, allocations also must be based on a non-discriminatory definition of Compensation if the Plan is to avoid more complex testing. Elections 11(b)(4) through (b)(9) may cause allocation Compensation to fail to be non-discriminatory. In a non-safe harbor 401(k) plan, Elections 11(b)(4) through (b)(9) which result in Compensation failing to be non-discriminatory may result in more complex nondiscrimination testing. For this Election 11, unless described otherwise in Election 11(b)(9), Elective Deferrals includes Pre-Tax Deferrals, Roth Deferrals and Employee Contributions, Matching includes all Matching Contributions and Nonelective includes all Nonelective Contributions.]

 

	
 
    	
 
    	
 
    	
 
    	
 
    	
(1)
    	
 
    	
 
    	
 
    	
(2)
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
All
    	
 
    	
 
    	
 
    	
Elective
    	
 
    	
(3)
    	
 
    	
(4)
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
Contributions
    	
 
    	
 
    	
 
    	
Deferrals
    	
 
    	
Matching
    	
 
    	
Nonelective
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
No exclusions-limited. No exclusions as to the   designated Contribution Type(s).
    	
 
    	
N/A
    (See
   Election 11(a))
    	
 
    	
 
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o
    	
Elective Deferrals. See Section 1.20.
    	
 
    	
N/A
    	
 
    	
 
    	
 
    	
N/A
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(3)
    	
o
    	
Fringe benefits. As described in   Treas.Reg. §1.414(s)-1(c)(3).
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(4)
    	
o
    	
Compensation exceeding $    .
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
Apply   this election to (Choose one of a. or b.):
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.
    	
o
    	
All Participants. [Note: If the Employerelects Safe Harbor   Contributions underElection 6(e), the Employer may not elect 11(b)(4)a. to   limit the Safe Harbor Contribution allocation to the NHCEs.]
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.
    	
o
    	
HCE Participants only.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(5)
    	
o
    	
Bonus.
    	
 
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(6)
    	
o
    	
Commission.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(7)
    	
o
    	
Overtime.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(8)
    	
o
    	
Related Employers. See Section 1.23(C).   (If there are Related Employers, choose   one or both of a. and b. as applicable):
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.
    	
o
    	
Non-Participating. Compensation paid to Employees   by a Related Employer that is not a Participating Employer.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.
    	
o
    	
Participating. As to the Employees of   any Participating Employer, Compensation paid by any other Participating   Employer to its Employees. See Election 28(g)(2)a.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(9)
    	
x
    	
Describe Compensation exclusion(s):  Payments made under an incentive program,   any other employer 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
contributions   to this Plan or to any other plan of deferred comp maintained by a Related   Employer, amounts realized from the exercise of a qualified stock option,   amounts realized when restricted stock is no longer subject to a substantial   risk of forfeiture, amounts realized from the disposition of a qualified   stock option, all other amounts which receive special tax benefits, overtime   and cashout of excess vacation accruals are excluded for purposes of All   Contributions. 
    	
 
    

 

[Note: Under Election 11(b)(9), the Employer may: (i) describe Compensation from the elections available under Elections 11(b)(1) through (8), or a combination thereof as to a Participant group (e.g., No exclusions as to Division A Employees and exclude bonus as to Division B Employees); (ii) define the Contribution Type column headings in a manner which differs from the “all-inclusive” description in the Note immediately preceding Election 11(b)(1) (e.g.,  Elective Deferrals means §125 cafeteria deferrals only OR No exclusions as to Safe Harbor Contributions and exclude bonus as to Nonelective Contributions); and/or (iii) describe another exclusion (e.g., Exclude shift differential pay).]

 

5

 

12.     HOURS OF SERVICE  (1.31). The Plan credits Hours of Service for the following purposes (and to the Employees described in Elections 12(d) or (e)) as follows (Choose one or more of (a) through (e) as applicable):

 

	
 
    	
 
    	
 
    	
 
    	
 
    	
(1)
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
(4)
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
All
    	
 
    	
 
    	
 
    	
(2)
    	
 
    	
(3)
    	
 
    	
Allocation
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
Purposes
    	
 
    	
 
    	
 
    	
Eligibility
    	
 
    	
Vesting
    	
 
    	
Conditions
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
o
    	
 
    	
Actual   Method. See Section 1.31(A)(1).
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
x
    	
 
    	
Equivalency   Method:   weekly   (e.g., daily, weekly, etc.). See   Section 1.31(A)(2).
    	
 
    	
x
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(c)
    	
o
    	
 
    	
Elapsed   Time Method. See Section 1.31(A)(3).
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(d)
    	
o
    	
 
    	
Actual   (hourly) and Equivalency (salaried). Actual Method for hourly   paid Employees and Equivalency Method:                           (e.g., daily, weekly, etc.) for   salaried Employees.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(e)
    	
o
    	
 
    	
Describe   method:
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    

 

[Note: Under Election 12(e), the Employer may describe Hours of Service from the elections available under Elections 12(a) through (d), or a combination thereof as to a Participant group and/or Contribution Type (e.g., For all purposes, Actual Method applies to office workers and Equivalency Method applies to truck drivers).]

 

13.            ELECTIVE SERVICE CREDITING  (1.56(C)). The Plan must credit Related Employer Service under Section 1.23(C) and also must credit certain Predecessor Employer/Predecessor Plan Service under Section 1.56(B). The Plan also elects under Section 1.56(C) to credit as Service the following Predecessor Employer service (Choose one of (a) or (b)):

 

	
(a)
    	
x
    	
Not   applicable. No elective Predecessor Employer Service   crediting applies.
    
	
 
    	
 
    	
 
    
	
(b)
    	
o  
    	
Applies. The Plan   credits the specified service with the following designated Predecessor   Employers as Service for the Employer for the purposes indicated (Choose (1) and (2) as applicable. Complete (3). Choose   (4) if applicable):
    

 

[Note: Any elective Service crediting under this Election 13 must be nondiscriminatory.]

 

	
 
    	
(1)
    	
o
    	
All   purposes. Credit Service for all purposes with Predecessor   Employer(s):                                             (insert as many names as needed).
    
	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2(2)
    	
o
    	
Designated purposes. Credit   Service with the following Predecessor Employer(s) for the designated   purpose(s):
    	
(1)
   Eligibility
    	
 
    	
(2)
   Vesting
    	
 
    	
(3)
   Contribution
   Allocation
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.
    	
Employer:
    	
o
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.
    	
Employer:
    	
o
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
c.
    	
Employer:
    	
o
    	
 
    	
o
    	
 
    	
o
    
	
 
    
	
 
    	
(3)
    	
Time   period. Under Elections 13(b)(1) or (2), the Plan   credits (Choose one or more of a., b., and c. as   applicable):
    
	
 
    
	
 
    	
 
    	
a.
    	
o
    	
All. All Service   under Election(s) 13(b)         ,   regardless of when rendered.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.
    	
o
    	
Service   after. All Service under   Election(s) 13(b)             ,   which is or was rendered after:                                        (specify date).
    
	
 
    
	
 
    	
 
    	
c.
    	
o
    	
Service   before. All Service under   Election(s) 13(b)             ,   which is or was rendered before:                                        (specify  date).
    
	
 
    
	
 
    	
(4)
    	
o
    	
Describe   elective Predecessor Employer Service crediting:
    	
 
    	
                      .
    
											

 

[Note: Under Election 13(b)(4), the Employer may describe service crediting from the elections available under Elections 13(b)(1) through (3), or a combination thereof as to a Participant group and/or Contribution Type (e.g., For all purposes credit service with X only on/after 1/1/05 OR Credit all service for all purposes with entities the Employer acquires after 12/31/04 OR Service crediting for X Company applies only for purposes of Nonelective Contributions and not for Matching Contributions).]

 

6

 

ARTICLE II

ELIGIBILITY REQUIREMENTS

 

	
14.
    	
ELIGIBILITY  (2.01). To become a Participant in the Plan, an Eligible   Employee must satisfy (Choose one of   (a) or (b)):
    

 

[Note: If the Employer under a safe harbor plan elects “early” eligibility for Elective Deferrals (e.g., less than one Year of Service and age 21), but does not elect early eligibility for any Safe Harbor Contributions, also see Election 30(f).]

 

	
(a)
    	
o
    	
No conditions. No   eligibility conditions as to all Contribution Types. Entry is on the   Employment Commencement Date (if that date is also an Entry Date), or if   later, upon the next following Plan Entry Date.
    

 

[Note: No eligibility conditions apply to Prevailing Wage Contributions unless the Prevailing Wage Contract provides otherwise. See Section 2.01(D).]

 

	
(b)
    	
x
    	
Conditions. The   following eligibility conditions (either as to all Contribution Types or as   to the designated Contribution Type) (Choose one or more of   (1) through (8) as applicable):
    

 

[Note: For this Election 14, unless described otherwise in Election 14(b)(8)), or the context otherwise requires, Elective Deferrals includes Pre-Tax Deferrals, Roth Elective Deferrals and Employee Contributions, Matching includes all Matching Contributions (except Safe Harbor Matching Contributions under Section 3.05(E)(3) and Operational QMACs under Section 3.03(C)(2)) and Nonelective includes all Nonelective Contributions (except Safe Harbor Nonelective Contributions under Section 3.05(E)(2) and Operational QNECs under Section 3.04(C)(2)). Safe Harbor includes Safe Harbor Nonelective and Safe Harbor Matching Contributions. If the Employer elects more than one Year of Service as to Additional Matching, the Plan will not satisfy the ACP test safe harbor. See Section 3.05(F)(3).]

 

	
 
    	
 
    	
 
    	
 
    	
 
    	
(1)
    	
 
    	
(2)
    	
 
    	
 
    	
 
    	
 
    	
 
    	
(5)
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
All
    	
 
    	
Elective
    	
 
    	
(3)
    	
 
    	
(4)
    	
 
    	
Safe
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
Contributions
    	
 
    	
Deferrals
    	
 
    	
Matching
    	
 
    	
Nonelective
    	
 
    	
Harbor
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
None. Entry on the   Employment Commencement Date (if that date is also an Entry Date) or if   later, upon the next following Plan Entry Date.
    	
 
    	
N/A
    (See Election
   14(a))
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
x
    	
Age 18 (not to exceed age 21).
    	
 
    	
x
    	
OR
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(3)
    	
o
    	
One   Year of Service. See Election 16(a).
    	
 
    	
o
    	
OR
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(4)
    	
o
    	
Two   Years of Service (without an intervening Break in Service). 100%   vesting is required. [Note: Two Years of   Service does not apply to Elective Deferrals, Safe Harbor Contributions or   SIMPLE Contributions.]
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
o
    	
 
    	
o
    	
 
    	
N/A
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(5)
    	
o
    	
        month(s) (not   exceeding 12 months
    	
 
    	
o
    	
OR
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
for   Elective Deferrals, Safe Harbor Contributions and SIMPLE Contributions and   not exceeding 24 months for other contributions). If more   than 12 months, 100% vesting is required. Service need not be continuous (no   minimum Hours of Service required, and is mere passage of time).
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(6)
    	
o
    	
        month(s) with   at least               Hours of Service in each month  (not   exceeding 12 months for Elective Deferrals, Safe Harbor Contributions and   SIMPLE Contributions and not exceeding 24 months for other contributions).   If more than 12 months, 100% vesting is required. If the Employee does not   complete the designated Hours of Service each month during the specified monthly   time period, the Employee is subject to the one Year of Service (or two Years   of Service if elect more than 12 months) requirement with 1,000 Hours of   Service per Year of Service. The months during which the Employee completes   the specified Hours of Service (Choose one of a. or b.):
    	
 
    	
o
    	
OR
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.
    	
o
    	
Consecutive. Must be   consecutive.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.
    	
o
    	
Not   consecutive. Need not be consecutive.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
																

 

7

 

	
 
    	
(7)
    	
o
    	
        Hours   of Service within the         time   period following the Employee’s Employment Commencement Date  (not exceeding 12 months for Elective Deferrals, Safe Harbor   Contributions and SIMPLE Contributions and not exceeding 24 months for other   contributions). If more than 12 months, 100% vesting is required.   If the Employee does not complete the designated Hours of Service during the specified   time period (if any), the Employee is subject to the one Year of Service (or   two Years of Service if elect more than 12 months) requirement with 1,000   Hours of Service per Year of Service.
    	
 
    	
o
    	
OR
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    

 

[Note: The Employer may complete the second blank in Election 14(b)(7) with “N/A” if the Employer wishes to impose an Hour of Service requirement without specifying a time period within which an Employee must complete the required Hours of Service.]

 

	
 
    	
(8)
    	
o
    	
Describe   eligibility conditions:
    

 

[Note: The Employer may use Election 14(b)(8) to describe different eligibility conditions as to different Contribution Types or Employee groups (e.g., As to all Contribution Types, no eligibility requirements for Division A Employees and one Year of Service as to Division B Employees). The Employer also may elect different ages for different Contribution Types and/or to specify different months or Hours of Service requirements under Elections 14(b)(5), (b)(6), or (b)(7) as to different Contribution Types. Any election must satisfy Code §410(a).]

 

15.     SPECIAL ELIGIBILITY EFFECTIVE DATE (DUAL ELIGIBILITY)  (2.01(E)). The eligibility conditions of Election 14 (Choose (a) or choose (b) and (c) as applicable):

 

	
(a)
    	
x
    	
No   exceptions. Apply to all Employees.
    

 

[Note: Elections 15(b) or (c) may trigger a coverage failure under Code §410(b).]

 

	
(b)
    	
o
    	
Waiver   of eligibility conditions for certain Employees. For all   Contribution Types, apply solely to an Eligible Employee employed or   reemployed by the Employer after                       (specify date). If the Eligible   Employee was employed or reemployed by the Employer by the specified date,   the Employee will become a Participant on the latest of: (i) the   Effective Date; (ii) the restated Effective Date; (iii) the   Employee’s Employment Commencement Date or Re-Employment Commencement Date;   or (iv) on the date the Employee attains age              (not exceeding age 21).
    

 

[Note: If the Employer does not wish to impose an age condition under clause (iv) as part of the requirements for the eligibility conditions waiver, leave the age blank.]

 

	
(c)
    	
o
    	
Describe   special eligibility Effective Date(s):
    

 

[Note: Under Election 15(c), the Employer may describe special eligibility Effective Dates as to a Participant group and/or Contribution Type (e.g., Eligibility conditions apply only as to Nonelective Contributions and solely as to the Eligible Employees of Division B who were hired or reemployed by the Employer after January 1, 2007).]

 

	
16.
    	
YEAR   OF SERVICE - ELIGIBILITY  (2.02(A)).   (Choose (a), (b), and (c) as applicable):
    

 

[Note: If the Employer under Election 14 elects a one or two Year(s) of Service condition (including any requirement which defaults to such conditions under Elections 14(b)(6), (7), and (8)) or elects to apply a Year of Service for eligibility under any other Adoption Agreement election, the Employer should complete Election 16. The Employer should not complete Election 16 if it elects the Elapsed Time Method for eligibility.]

 

	
(a)
    	
o
    	
Year   of Service. An Employee must complete             Hour(s) of   Service during the relevant Eligibility Computation Period to receive credit   for one Year of Service under Article II. [Note: The   number may not exceed 1,000. If left blank, the requirement is 1,000 Hours of   Service. Under Elections 14(b)(6) and (b)(7) and under Election   14(b)(8) if it incorporates Elections 14(b)(6) or (7), the number   is 1,000 and the Employer should not supply any other number in the blank.]
    
	
 
    	
 
    	
 
    
	
(b)
    	
o
    	
Subsequent   Eligibility Computation Periods. After the Initial   Eligibility Computation Period described in Section 2.02(C)(2), the Plan   measures Subsequent Eligibility Computation Periods as (Choose   one of (1), (2), or (3)):
    
	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
Plan   Year. The Plan Year beginning with the Plan Year which includes the first   anniversary of the Employee’s Employment Commencement Date.
    
	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o
    	
Anniversary   Year. The Anniversary Year, beginning with the Employee’s second   Anniversary Year.
    
	
 
    	
 
    	
 
    	
 
    
	
 
    	
(3)
    	
o
    	
Split. The Plan   Year as described in Election 16(b)(1) as to:                                     (describe Contribution Type(s)) and   the Anniversary Year as described in Election 16(b)(2) as to:                             (describe Contribution Type(s)).
    

 

[Note: To maximize delayed entry under a two Years of Service condition for Nonelective Contributions or Matching Contributions, the Employer should elect to remain on the Anniversary Year for such contributions.]

 

8

 

	
(c)
    	
o
    	
Describe:                                                                                                                                      (e.g.,   Anniversary Year as to Division A and Plan Year as to Division B.)
    

 

	
17.
    	
ENTRY DATE  (2.02(D)). Entry Date means the Effective Date and (Choose one or more of (a) through (f) as applicable):
    

 

[Note: For this Election 17, unless described otherwise in Election 17(f), Elective Deferrals includes Pre-Tax Deferrals, Roth Elective Deferrals and Employee Contributions, Matching includes all Matching Contributions (except Operational QMACs under Section 3.03(C)(2)) and Nonelective includes all Nonelective Contributions (except Operational QNECs under Section 3.04(C)(2)). Entry as to Prevailing Wage Contributions is on the Employment Commencement Date unless the Prevailing Wage Contract provides otherwise. See Section 2.02(D).]

 

	
 
    	
 
    	
 
    	
 
    	
(1)
    	
 
    	
 
    	
 
    	
(2)
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
All
    	
 
    	
 
    	
 
    	
Elective
    	
 
    	
(3)
    	
 
    	
(4)
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
Contributions
    	
 
    	
 
    	
 
    	
Deferrals
    	
 
    	
Matching
    	
 
    	
Nonelective
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
o
    	
Semi-annual. The first   day of the first month and of the seventh month of the Plan Year.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
x
    	
First   day of Plan Year
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
x
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(c)
    	
o
    	
First   day of each Plan Year quarter
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(d)
    	
o
    	
The   first day of each  month
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(e)
    	
x
    	
Immediate. Upon   Employment Commencement Date or if later, upon satisfaction of eligibility   conditions.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
x
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(f)
    	
x
    	
Describe   Entry Date(s):  For   purposes of safe harbor nonelective contributions, immediate entry will apply   upon Employment Commencement Date or if later, upon satisfaction of   elgibility conditions. In the first year of the safe harbor   401(k) arrangement, an employee will enter the safe harbor portion of   the Plan on the later of May 1, 2011 or the Employment Commencement Date   provided he or she is age 18 or older.
    

 

[Note: Under Election 17(f), the Employer may describe Entry Dates from the elections available under Elections 17(a) through (e), or a combination thereof as to a Participant group and/or Contribution Type or may elect additional Entry Dates (e.g., As to Matching Contributions excluding Additional Matching, immediate as to Division A Employees and semi-annual as to Division B Employees OR the earlier of the Plan’s semi-annual Entry Dates or the entry dates under the Employer’s medical plan).]

 

18.   PROSPECTIVE/RETROACTIVE ENTRY DATE  (2.02(D)). An Employee after satisfying the eligibility conditions in Election 14 will become a Participant (unless an Excluded Employee under Election 8) on the Entry Date (if employed on that date) (Choose one or more of (a) through (f) as applicable):

 

[Note: Unless otherwise excluded under Election 8, an Employee who remains employed by the Employer on the relevant date must become a Participant by the earlier of: (i) the first day of the Plan Year beginning after the date the Employee completes the age and service requirements of Code §410(a); or (ii) 6 months after the date the Employee completes those requirements. For this Election 18, unless described otherwise in Election 18(f), Elective Deferrals includes Pre-Tax Deferrals, Roth Deferrals and Employee Contributions, Matching includes all Matching Contributions (except Operational QMACs under Section 3.03(C)(2)) and Nonelective includes all Nonelective Contributions, (except Operational QNECs under Section 3.04(C)(2)).]

 

	
 
    	
 
    	
 
    	
 
    	
(1)
    	
 
    	
 
    	
 
    	
(2)
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
All
    	
 
    	
 
    	
 
    	
Elective
    	
 
    	
(3)
    	
 
    	
(4)
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
Contributions
    	
 
    	
 
    	
 
    	
Deferrals
    	
 
    	
Matching
    	
 
    	
Nonelective
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
x
    	
Immediately following or   coincident with the date the Employee completes the eligibility   conditions.
    	
 
    	
x
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
o
    	
Immediately following the date the   Employee completes the eligibility conditions.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(c)
    	
o
    	
Immediately preceding or   coincident with the date the Employee completes the eligibility   conditions.
    	
 
    	
N/A
    	
 
    	
 
    	
 
    	
N/A
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(d)
    	
o
    	
Immediately preceding the date the   Employee completes the eligibility conditions.
    	
 
    	
N/A
    	
 
    	
 
    	
 
    	
N/A
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(e)
    	
o
    	
Nearest the date the   Employee completes the eligibility conditions.
    	
 
    	
N/A
    	
 
    	
 
    	
 
    	
N/A
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(f)
    	
o
    	
Describe   retroactive/prospective entry relative to Entry Date:
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    

 

[Note: Under Election 18(f), the Employer may describe the timing of entry relative to an Entry Date from the elections available under Elections 18(a) through (e), or a combination thereof as to a Participant group and/or Contribution Type (e.g., As to Matching Contributions excluding Additional Matching nearest as to Division A Employees and immediately following as to Division B Employees).]

 

9

 

	
19.  BREAK IN SERVICE — PARTICIPATION  (2.03). The one year hold-out rule described in   Section 2.03(C) (Choose one of (a), (b),   or (c)):
    
	
 
    
	
(a)
    	
 
    	
x
    	
 
    	
Does   not apply.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
 
    	
o
    	
 
    	
Applies. Applies to   the Plan and to all Participants.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(c)
    	
 
    	
o
    	
 
    	
Limited   application. Applies to the Plan, but only to a Participant   who has incurred a Severance from Employment.
    

 

[Note: The Plan does not apply the rule of parity under Code §410(a)(5)(D) unless the Employer in Appendix B specifies otherwise. See Section 2.03(D).]

 

ARTICLE III

PLAN CONTRIBUTIONS AND FORFEITURES

 

	
20.  ELECTIVE DEFERRAL LIMITATIONS  (3.02(A)). The following limitations apply to Elective   Deferrals under Elections 6(a) and 6(b), which are in addition to those   limitations imposed under the basic plan document (Choose   (a) or choose (b) and (c) as applicable):
    
	
 
    
	
(a)
    	
 
    	
x
    	
 
    	
None. No   additional Plan imposed limits.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note: The Employer under Election 20 may not impose a lower deferral   limit applicable only to Catch-Up Eligible Participants and the Employer’s   elections must be nondiscriminatory. The elected limits apply to Pre-Tax   Deferrals and to Roth Deferrals unless described otherwise. Under a safe   harbor plan: (i) NHCEs must be able to defer enough to receive the   maximum Safe Harbor Matching and Additional Matching Contribution under the   plan and must be permitted to defer any lesser amount; and (ii) the   Employer may limit Elective Deferrals to a whole percentage of Compensation   or to a whole dollar amount. See Section 1.54(C) as to administrative   limitations on Elective Deferrals.]
    
	
 
    
	
(b)
    	
 
    	
o
    	
 
    	
Additional   Plan limit(s).  (Choose (1) and   (2) as applicable. Complete (3) if (1) or (2) is chosen):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(1)
    	
 
    	
o
    	
 
    	
Maximum   deferral amount. A Participant’s Elective Deferrals may not   exceed:                                   (specify dollar amount or percentage of   Compensation).
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(2)
    	
 
    	
o
    	
 
    	
Minimum   deferral amount. A Participant’s Elective Deferrals may not be   less than:                                   (specify dollar amount or percentage of   Compensation).
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(3)
    	
 
    	
Application   of limitations. The Election 20(b)(1) and   (2) limitations apply based on Elective Deferral Compensation described   in Elections 9 — 11. If the Employer elects Plan Year/Participation   Compensation under column (1) and in Election 10 elects Participating   Compensation, in the Plan Years commencing after an Employee becomes a   Participant, apply the elected minimum or maximum limitations to the Plan   Year. Apply the elected limitation based on such Compensation during the   designated time period and only to HCEs as elected below. (Choose a. or choose b. and c. as applicable. Under each of a., b. or   c. choose one of (1) or (2). Choose (3) if applicable):
    
									

 

	
 
    	
 
    	
 
    	
 
    	
(1)
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
Plan Year/Participating
    	
 
    	
(2)
    	
 
    	
(3)
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
Compensation
    	
 
    	
Payroll period
    	
 
    	
HCEs only
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
a.
    	
o
    	
Both. Both limits
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
under Elections 20(b)(1) and (2).
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
b.
    	
o
    	
Maximum limit. The maximum
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
amount limit under Election 20(b)(1).
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
c.
    	
o
    	
Minimum limit. The minimum
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
amount limit under Election 20(b)(2).
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    

 

	
(c)
    	
 
    	
o
    	
 
    	
Describe   Elective Deferral limitation(s):
    

 

[Note: Under Election 20(c), the Employer: (i) may describe limitations on Elective Deferrals from the elections available under Elections 20(a) and (b) or a combination thereof as to a Participant group (e.g., No limit applies to Division A Employees. Division B Employees may not defer in excess of 10% of Plan Year Compensation); (ii) may elect a different time period to which the limitations apply; and/or (iii) may apply a different limitation to Pre-Tax Deferrals and to Roth Deferrals.]

 

10

 

	
21.  AUTOMATIC DEFERRAL  (3.02(B)). The Automatic Deferral provisions of   Section 3.02(B) (Choose one of   (a) or (b)):
    
	
 
    
	
(a)
    	
 
    	
x
    	
 
    	
Do   not apply.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
 
    	
o
    	
 
    	
Apply. The   Automatic Deferral Effective Date is:                    (specify date). (Complete   (1), (2), and (3). Choose (4) as applicable):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(1)
    	
 
    	
Automatic   Deferral Amount. The Employer, as to each Participant affected,   will withhold as the Automatic Deferral   Amount,       % from the Participant’s   Compensation each payroll period unless the Participant makes a Contrary   Election.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(2)
    	
 
    	
Participants   affected. The Automatic Deferral applies to (Choose one of a., b., c., or d.):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
a.
    	
o
    	
All   Participants. All Participants, regardless of any prior Salary   Reduction Agreement, unless and until they make a Contrary Election after the   Automatic Deferral Effective Date.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
b.
    	
o
    	
Election   of at least Automatic Deferral Amount. All Participants, except   those who have in effect a Salary Reduction Agreement on the Automatic   Deferral Effective Date provided that the Elective Deferral amount under the   Agreement is at least equal to the Automatic Deferral Amount.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
c.
    	
o
    	
No   existing Salary Reduction Agreement. All Participants, except   those who have in effect a Salary Reduction Agreement on the Automatic   Deferral Effective Date regardless of the Elective Deferral amount under the   Agreement.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
d.
    	
o
    	
New   Participants. Each Employee whose Entry Date is on or following   the Automatic Deferral Effective Date.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(3)
    	
 
    	
Scheduled   increases. The Automatic Deferral Amount will or will not   increase (as a percentage of Compensation) in Plan Years following the Plan   Year containing the Automatic Deferral Effective Date (or, if later, the Plan   Year in which the Automatic Deferral first applies to a Participant) as   follows (Choose one of a., b., or c.):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
a.
    	
o
    	
No   scheduled increase. The Automatic Deferral Amount applies in   all Plan Years.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
b.
    	
o
    	
Scheduled   increase. The Automatic Deferral Amount will increase as   follows:
    

 

	
Plan Year of application to a Participant
    	
 
    	
Automatic Deferral Amount
    	
 
    
	
1
    	
 
    	
3
    	
%
    
	
2
    	
 
    	
3
    	
%
    
	
3
    	
 
    	
4
    	
%
    
	
4
    	
 
    	
5
    	
%
    
	
5 and thereafter
    	
 
    	
6
    	
%
    

 

	
 
    	
 
    	
 
    	
 
    	
c.
    	
o
    	
Other   scheduled increase. The Automatic Deferral Amount will   increase as follows:
    

 

	
Plan Year of application to a Participant
    	
 
    	
Automatic Deferral Amount
    	
 
    
	
 
    	
 
    	
 
    	
%
    
	
 
    	
 
    	
 
    	
%
    
	
 
    	
 
    	
 
    	
%
    
	
 
    	
 
    	
 
    	
%
    
	
 
    	
 
    	
 
    	
%
    

 

	
 
    	
 
    	
(4)
    	
 
    	
o
    	
Describe   Automatic Deferral:
    

 

[Note: Under Election 21(b)(4), the Employer may describe Automatic Deferral provisions from the elections available under Election 21 and/or a combination thereof as to a Participant group (e.g., Automatic Deferrals do not apply to Division A Employees. All Division B Employee/Participants are subject to an Automatic Deferral Amount equal to 3% of Compensation effective as of January 1, 2008).]

 

	
22.  CODA  (3.02(C)).   The CODA provisions of Section 3.02(C) (Choose   one of (a) or (b)):
    
	
 
    
	
(a)
    	
 
    	
x
    	
 
    	
Do   not apply.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
 
    	
o
    	
 
    	
Apply.   For each Plan Year for which the Employer makes a designated CODA   contribution under Section 3.02(C), a Participant may elect to receive   directly in cash not more than the following portion (or, if less, the   Elective Deferral Limit) of his/her proportionate share of that CODA   contribution (Choose one of (1) or (2)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(1)
    	
 
    	
o
    	
All   or any portion.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(2)
    	
 
    	
o
    	
        %
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
23.  CATCH-UP DEFERRALS  (3.02(D)). A Catch-Up Eligible Participant (Choose one of (a) or (b)):
    
	
 
    
	
(a)
    	
 
    	
x
    	
 
    	
Permitted.   May make Catch-Up Deferrals to the Plan.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
 
    	
o
    	
 
    	
Not   Permitted. May not make Catch-Up Deferrals to the Plan.
    

 

11

 

	
24.  MATCHING CONTRIBUTIONS (EXCLUDING SAFE HARBOR MATCH   AND ADDITIONAL MATCH UNDER SECTION 3.05)  (3.03(A)).   The Employer Matching Contributions under Election 6(c) are subject to   the following additional elections regarding type (discretionary/fixed),   rate/amount, limitations and time period (collectively, such elections are   “the matching formula”) and the allocation of Matching Contributions is   subject to Section 3.06 except as otherwise provided (Choose one or more of (a) through (g) as applicable; then,   for the elected match, complete (1), (2), and/or (3) as applicable. If   the Employer completes (2) or (3), also complete one of (4), (5), or   (6)):
    

 

[Note: If the Employer wishes to make any Matching Contributions that satisfy the ADP or ACP safe harbor, the Employer should make these Elections under Election 30, and not under this Election 24.]

 

	
 
    	
 
    	
 
    	
 
    	
 
    	
(2)
    	
 
    	
 
    	
 
    	
 
    	
 
    	
(5)
    	
 
    	
(6)
    	
 
    
	
 
    	
 
    	
 
    	
(1)
   Match
   Rate/Amt
   [$/% of Elective
   Deferrals]
    	
 
    	
Limit on
   Deferrals
   Matched
   [$/% of
   Compensation]
    	
 
    	
(3)
   Limit on
   Match Amount
   [$/% of
   Compensation]
    	
 
    	
(4)
   Apply
   limit(s) per
   Plan Year
   [“true-up”]
    	
 
    	
Apply
   limit(s) per
   payroll
   period [no
   “true-up”]
    	
 
    	
Apply
   limit(s) per
   designated
   time period
   [no “true-up”]
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
o
    	
Discretionary   — see Section 1.34(B) (The Employer may, but is   not required to complete (a)(1)-(6). See the “Note” following Election 24.)
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o      
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
o
    	
Fixed — uniform   rate/amount
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o      
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(c)
    	
o
    	
Fixed — tiered
    	
Elective
    	
 
    	
Matching
    	
 
    	
 
    	
 
    	
 
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o      
    	
 
    
	
 
    	
 
    	
 
    	
Deferral %
    	
 
    	
Rate
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
%
    	
 
    	
%
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
%
    	
 
    	
%
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
%
    	
 
    	
%
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
%
    	
 
    	
%
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(d)
    	
o
    	
Fixed — Years of   Service
    	
Years
   of Service
    	
 
    	
Matching
   Rate
    	
 
    	
 
    	
 
    	
 
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o      
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
%
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
%
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
%
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
%
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(1)
    	
 
    	
“Years   of Service” under this Election 24(d) means (Choose   one of a. or b.):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
a.
    	
o
    	
Eligibility. Years of   Service for eligibility in Election 16.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
b.
    	
o
    	
Vesting. Years of   Service for vesting in Elections 42 and 43.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(e)
    	
o
    	
Fixed — multiple 
    	
 
    	
Formula 1:
    	
 
    	
 
    	
 
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o      
    	
 
    
	
 
    	
 
    	
formulas
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
Formula   2:
    	
 
    	
 
    	
 
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o      
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
Formula   3:
    	
 
    	
 
    	
 
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o      
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(f)
    	
o
    	
Related   and Participating Employers. If any Related and   Participating Employers contribute Matching Contributions to the Plan, the   following apply (Complete (1) and (2)):
    
	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
Matching   formula. The matching formula for the Participating   Employer(s) (Choose one of a. or b.):
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.
    	
o
    	
All   the same. Is (are) the same as for the Signatory Employer   under this Election 24.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.
    	
o
    	
At   least one different. Is (are) as   follows:                                                    .
    
	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
Allocation   sharing. The Plan Administrator will allocate the Matching   Contributions made by the Signatory Employer and by any Participating   Employer (Choose one of a. or b.):
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
a.
    	
o
    	
Employer   by Employer. Only to the Participants directly employed by the   contributing Employer.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
b.
    	
o
    	
Across   Employer lines. To all Participants regardless of which Employer   directly employs them and regardless of whether their direct Employer made   Matching Contributions for the Plan Year.
    
																																		

 

[Note: The Employer should not elect 24(f) unless there are Related Employers which are also Participating Employers. See Section 1.23(D).]

 

12

 

	
(g)
    	
o
    	
Describe:                                                                                                                                                 (e.g.,   A Discretionary Matching Contribution applies to Division A Participants. A   Fixed Matching Contribution equal to 50% of Elective Deferrals not exceeding   6% of Plan Year Compensation applies to Division B Participants.)
    

 

[Note: See Section 1.34(A) as to Fixed Matching Contributions. A Participant’s Elective Deferral percentage is equal to the Participant’s Elective Deferrals divided by his/her Compensation. The matching rate/amount is the specified rate/amount of match for the corresponding Elective Deferral amount/percentage. Any Matching Contributions apply to Pre-Tax Deferrals and to Roth Deferrals unless described otherwise in Election 24(g). Matching Contributions for nondiscrimination testing purposes are subject to the targeting limitations. See Section 4.10(D). The Employer under Election 24(a) in its discretion may determine the amount of a Discretionary Matching Contribution and the matching contribution formula. Alternatively, the Employer in Election 24(a) may specify the Discretionary Matching Contribution formula.]

 

	
25.  QMAC (PLAN-DESIGNATED)  (3.03(C)(1)).   The following provisions apply regarding Plan-Designated QMACs (Choose one of (a) or (b)):
    

 

[Note: Regardless of its elections under this Election 25, the Employer under Section 3.03(C)(2) may elect for any Plan Year where the Plan is using Current Year Testing to make Operational QMACs which the Plan Administrator will allocate only to NHCEs for purposes of correction of an ADP or ACP test failure.]

 

	
(a)
    	
 
    	
o
    	
 
    	
Not   applicable. There are no Plan-Designated QMACs.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
 
    	
o
    	
 
    	
Applies. There are Plan-Designated   QMACs to which the following provisions apply (Complete   (1) and (2)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(1)
    	
 
    	
Matching   Contributions affected. The following Matching Contributions (as   allocated to the designated allocation group under Election 25(b)(2)) are   Plan-Designated QMACs (Choose one of a. or b.):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
a.
    	
o
    	
All. All Matching   Contributions.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
b.
    	
o
    	
Designated. Only the   following Matching Contributions under Election   24:                                      .
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(2)
    	
 
    	
Allocation   Group. Subject to Section 3.06, allocate the   Plan-Designated QMAC (Choose one of a. or b.):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
a.
    	
o
    	
NHCEs   only. Only to NHCEs who make Elective Deferrals subject to the   Plan-Designated QMAC.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
b.
    	
o
    	
All   Participants. To all Participants who make Elective Deferrals   subject to the Plan-Designated QMAC.
    

 

The Plan Administrator will allocate all other Matching Contributions as Regular Matching Contributions under Section 3.03(B), except as provided in Sections 3.03(C)(2) or 3.05.

 

[Note: See Section 4.10(D) as to targeting limitations applicable to QMAC nondiscrimination testing.]

 

	
26.  MATCHING CATCH-UP DEFERRALS  (3.03(D)). If a Participant makes a Catch-Up Deferral, the   Employer (Choose one of (a) or (b)):
    
	
 
    
	
(a)
    	
 
    	
o
    	
 
    	
Match. Will apply   to the Catch-Up Deferral (Choose one of   (1) or (2)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(1)
    	
 
    	
o
    	
All. All Matching   Contributions.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(2)
    	
 
    	
o
    	
Designated. The   following Matching Contributions in Election   24:                                             .
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
 
    	
o
    	
 
    	
No   Match. Will not match any Catch-Up Deferrals.
    

 

[Note: Election 26 does not apply to a safe harbor 401(k) plan unless the Employer will apply the ACP test. See Elections 37(a)(2)b. and 37(a)(2)c.(ii). In this case, Election 26 applies only to Additional Matching, if any. A safe harbor 401(k) Plan will apply the Basic Match or Enhanced Match to Catch-Up Deferrals. If the Employer elects to apply the ACP test safe harbor under Election 37(a)(2)a. or 37(a)(2)c.(i), Election 26 does not apply and the Plan also will apply any Additional Match to Catch-Up Deferrals.]

 

	
27.  NONELECTIVE CONTRIBUTIONS (TYPE/AMOUNT) INCLUDING   PREVAILING WAGE CONTRIBUTIONS  (3.04(A)).   The Employer Nonelective Contributions under Election 6(d) are subject   to the following additional elections as to type and amount (Choose one or more of (a) through (e) as applicable):
    

 

	
(a)
    	
 
    	
x
    	
 
    	
Discretionary. An amount   the Employer in its sole discretion may determine.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
 
    	
o
    	
 
    	
Fixed.  (Choose one or more of (1), (2), and (3) as applicable):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(1)
    	
 
    	
o
    	
Uniform   %.             %   of each Participant’s Compensation, per                          (e.g., Plan Year, month).
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(2)
    	
 
    	
o
    	
Fixed   dollar amount.   $        ,   per                   (e.g., Plan Year, month, HOS, per Participant per month).
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(3)
    	
 
    	
o
    	
Describe:                                                                                                                                   (specify time period, e.g., per Plan Year quarter. If not specified,   the time period is the Plan Year).
    

 

[Note: The Employer under Election 27(b)(3) may specify any Fixed Nonelective Contribution formula not described under Elections 27(b)(1) or (2) (e.g., For each Plan Year, 2% of net profits exceeding $50,000) and/or the Employer may describe different Fixed Nonelective Contributions as applicable to different Participant groups (e.g., A Fixed Nonelective Contribution equal to 5% of Plan Year

 

13

 

Compensation applies to Division A Participants and a Fixed Nonelective Contribution equal to $500 per Participant each Plan Year applies to Division B Participants).]

 

	
(c)
    	
 
    	
o
    	
 
    	
Prevailing   Wage Contribution. The Prevailing Wage Contribution   amount(s) specified for the Plan Year or other applicable period in the   Employer’s Prevailing Wage Contract(s). The Employer will make a Prevailing   Wage Contribution only to Participants covered by the Contract and only as to   Compensation paid under the Contract. If the Participant accrues an   allocation of Employer Contributions (including forfeitures) under the Plan   or any other Employer plan in addition to the Prevailing Wage Contribution,   the Plan Administrator will (Choose one of   (1) or (2)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(1)
    	
 
    	
o
    	
No   offset. Not reduce the Participant’s Employer   Contribution allocation by the amount of the Prevailing Wage Contribution.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(2)
    	
 
    	
o
    	
Offset. Reduce the   Participant’s Employer Contribution allocation by the amount of the   Prevailing Wage Contribution.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(d)
    	
 
    	
x
    	
 
    	
Related   and Participating Employers. If any Related and   Participating Employers contribute Nonelective Contributions to the Plan, the   contribution formula(s) (Choose one of   (1) or (2)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(1)
    	
 
    	
x
    	
All   the same. Is (are) the same as for the Signatory Employer   under this Election 27.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(2)
    	
 
    	
o
    	
At   least one different. Is (are) as follows:                                                   .
    

 

[Note: The Employer should not elect 27(d) unless there are Related Employers which are also Participating Employers. See Section 1.23(D). The Employer electing 27(d) also must complete Election 28(g) as to the allocation methods which apply to the Participating Employers.]

 

	
(e)
    	
 
    	
o
    	
 
    	
Describe:
    

 

[Note: Under Election 27(e), the Employer may describe the amount and type of Nonelective Contributions from the elections available under Election 27 and/or a combination thereof as to a Participant group (e.g., A Discretionary Nonelective Contribution applies to Division A Employees. A Fixed Nonelective Contribution equal to 5% of Plan Year Compensation applies to Division B Employees).]

 

	
28.  NONELECTIVE CONTRIBUTION ALLOCATION  (3.04(B)). The Plan Administrator, subject to   Section 3.06, will allocate to each Participant any Nonelective   Contribution (excluding QNECs) under the following contribution allocation   formula (Choose one or more of (a) through   (h) as applicable):
    
	
 
    
	
(a)
    	
 
    	
x
    	
 
    	
Pro   rata. As a uniform percentage of Participant Compensation.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
 
    	
o
    	
 
    	
Permitted   disparity. In accordance with the permitted disparity   allocation provisions of Section 3.04(B)(2), under which the following   permitted disparity formula and definition of “Excess Compensation” apply (Complete (1) and (2)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(1)
    	
 
    	
Formula  (Choose one of a. or b.):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
a.
    	
o
    	
Two-tiered.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
b.
    	
o
    	
Four-tiered.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(2)
    	
 
    	
Excess   Compensation. For purposes of Section 3.04(B)(2), “Excess   Compensation” means Compensation in excess of (Choose   one of a. or b.):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
a.
    	
o
    	
Percentage   amount.          %   (not exceeding 100%) of the taxable   wage base in effect on the first day of the Plan Year, rounded to the next   highest $        (not exceeding the taxable wage base).
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
b.
    	
o
    	
Dollar   amount. The following amount: $        (not exceeding the taxable wage base in effect on the first day of   the Plan Year).
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(c)
    	
 
    	
o
    	
 
    	
Incorporation   of contribution formula. The Plan Administrator   will allocate any Fixed Nonelective Contribution under Elections 27(b),   27(d), or 27(e), or any Prevailing Wage Contribution under Election 27(c), in   accordance with the contribution formula the Employer adopts under those   Elections.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(d)
    	
 
    	
o
    	
 
    	
Classifications   of Participants. In accordance with the classifications allocation   provisions of Section 3.04(B)(3). The classifications are (Choose one of (1), (2), or (3)):
    

 

[Note:  Typically, the Employer would elect 28(d) where it intends to satisfy nondiscrimination requirements using “cross-testing” under Treas. Reg. §1.401(a)(4)-8. However, choosing this election does not necessarily require application of cross-testing and the Plan may be able to satisfy nondiscrimination as to its classification-based allocations by testing allocation rates.]

 

	
 
    	
 
    	
(1)
    	
 
    	
o
    	
Each   in own classification. Each Participant constitutes a separate   classification.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(2)
    	
 
    	
o
    	
NHCEs/HCEs. Nonhighly   Compensated Employee/Participants and Highly Compensated Employee/Participants.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(3)
    	
 
    	
o
    	
Describe   the classifications:
    

 

14

 

[Note: Any classifications under Election 28(d) must result in a definitely determinable allocation under Treas. Reg. §1.401-1(b)(1)(ii) and must constitute a reasonable classification within the meaning of Treas. Reg. §1.410(b)-4(b). The number of allocation rates is subject to the limitations in Section 3.04(B)(3)(b). Standard interest and mortality assumptions under Treas. Reg. §1.401(a)(4)-12 apply. In the case of a self-employed Participant, the requirements of Treas. Reg. §1.401(k)-1(a)(6) apply and the allocation method should not result in a cash or deferred election for the self-employed Participant. The Employer by the due date of its tax return (including extensions) must advise the Plan Administrator or Trustee in writing as to the allocation rate applicable to each Participant under Election 28(d)(1) or applicable to each classification under Elections 28(d)(2) or (3) for the allocation Plan Year. Under Election 28(d)(1), the Employer may decide from year to year the classification (allocation rate) applicable to each Participant, without the need to amend the Plan to change the classification.]

 

	
(e)
    	
o
    	
Age-based. In   accordance with the age-based allocation provisions of   Section 3.04(B)(5). The Plan Administrator will use the Actuarial   Factors based on the following assumptions (Complete   bot h (1) and (2)):
    
	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
Interest   rate.  (Choose one of a., b., or c.):
    

 

	
 
    	
 
    	
a.   o   7.5%
    	
b.   o   8.0%
    	
c.   o   8.5%
    
	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
Mortality   table.  (Choose one of a. or b.):
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.   o   UP-1984. See Appendix   D.
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.   o   Alternative:                                               (Specify 1983 GAM, 1983 IAM, 1971 GAM or 1971 IAM   and attach applicable tables using such mortality table and the specified   interest rate as replacement Appendix D.)
    
	
 
    	
 
    	
 
    
	
(f)
    	
o
    	
Uniform   points. In accordance with the uniform points allocation   provisions of Section 3.04(B)(6). Under the uniform points allocation   formula, a Participant receives (Choose one or both of   (1) and (2). Choose (3) if applicable):
    
	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o   Years of Service.                               point(s) for each Year of Service. The maximum number of Years of   Service counted for points is                        .
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
“Year   of Service” under this Election 28(f) means (Choose   one of a. or b.):
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.   o   Eligibility.   Years of Service for eligibility in Election 16.
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.   o   Vesting. Years   of Service for vesting in Elections 42 and 43.
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
[Note: A Year of Service must satisfy Treas. Reg.   §1.401(a)(4)-11(d)(3) for the uniform points allocation to qualify as a   safe harbor allocation under Treas. Reg. §1.401(a)(4)-2(b)(3).]
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o   Age.                  point(s) for each year of age attained during the Plan Year.
    
	
 
    	
 
    	
 
    
	
 
    	
(3)
    	
o   Compensation.                 point(s) for each $          (not to exceed $200) increment of Plan   Year Compensation.
    
	
 
    	
 
    	
 
    
	
(g)
    	
x
    	
Related and Participating Employers. If any Related and   Participating Employers contribute Nonelective Contributions to the Plan, the   Plan Administrator will allocate the Nonelective Contributions made by the   Participating Employer(s) under Election 27(d) (Complete   (1) and (2)): 
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
Allocation   Method.  (Choose one of a. or b.):
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.   x   All the same. Using the same allocation method as   applies to the Signatory Employer under this Election 28. 
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.   o   At least   one different. Under the following allocation method(s):                                                                              .
    
	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
Allocation   sharing. The Plan Administrator will allocate the   Nonelective Contributions made by the Signatory Employer and by any   Participating Employer (Choose one of a. or b.):
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.   o   Employer by Employer. Only to the   Participants directly employed by the contributing Employer.
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.  x  Across Employer lines. To all Participants regardless of   which Employer directly employs them and regardless of whether their direct   Employer made Nonelective Contributions for the Plan Year.
    
							

 

[Note: The Employer should not elect 28(g) unless there are Related Employers which are also Participating Employers. See Section 1.23(D) and Election 27(d). If the Employer elects 28(g)(2)a., the Employer should also elect 11(b)(8)b., to disregard the Compensation paid by “Y” Participating Employer in determining the allocation of the “X” Participating Employer contribution to a Participant (and vice versa) who receives Compensation from both X and Y. If the Employer elects 28(g)(2)b., the Employer should not elect 11(b)(8)b. Election 28(g)(2)a. does not apply to Safe Harbor Nonelective Contributions.]

 

	
(h)
    	
o
    	
Describe:
    
	
 
    	
 
    	
(e.g.,   Pro rata as to Division A Participants and Permitted Disparity (two-tiered at   100% of the SSTWB) as to Division B Participants.)
    

 

15

 

29.   QNEC (PLAN-DESIGNATED)  (3.04(C)(1)). The following provisions apply regarding Plan-Designated QNECs (Choose one of (a) or (b)):

 

[Note: Regardless of its elections under this Election 29, the Employer under Section 3.04(C)(2) may elect for any Plan Year where the Plan is using Current Year Testing to make Operational QNECs which the Plan Administrator will allocate only to NHCEs for purposes of correction of an ADP or ACP test failure.]

 

	
(a)
    	
x
    	
Not applicable. There are no   Plan-Designated QNECs.
    
	
 
    	
 
    	
 
    
	
(b)
    	
o
    	
Applies. There are Plan-Designated   QNECs to which the following provisions apply (Complete   (1), (2), and (3)):
    
	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
Nonelective Contributions affected. The   following Nonelective Contributions (as allocated to the designated   allocation group under Election 29(b)(2)) are Plan-Designated QNECs (Choose one of a. or b.):
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.   o   All. All Nonelective Contributions.
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.   o   Designated. Only the following Nonelective Contributions   under Election 27:                            .
    
	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
Allocation Group. Subject to   Section 3.06, allocate the Plan-Designated QNEC (Choose   one of a. or b.):
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.   o   NHCEs only. Only to NHCEs under the method elected in   Election 29(b)(3).
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.   o   All Participants. To all Participants under the method   elected in Election 29(b)(3).
    
	
 
    	
 
    	
 
    
	
 
    	
(3)
    	
Allocation Method. The Plan   Administrator will allocate a Plan-Designated QNEC using the following method   (Choose one of a., b., c., or d.):
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.   o   Pro rata.
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.   o  Flat dollar.
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
c.   o  Reverse.   See Section 3.04(C)(3).
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
d.   o  Describe:
    

 

[Note: Any allocation method the Employer elects under Election 29(b)(3)d. must be definitely determinable. See Section 4.10(D) as to targeting limitations applicable to QNEC nondiscrimination testing.]

 

30.     SAFE HARBOR 401(k) PLAN (SAFE HARBOR CONTRIBUTIONS/ADDITIONAL MATCHING CONTRIBUTIONS)  (3.05). The Employer under Election 6(e) will (or in the case of the Safe Harbor Nonelective Contribution may) contribute the following Safe Harbor Contributions described in Section 3.05(E) and will or may contribute Additional Matching Contributions described in Section 3.05(F) (Choose one of (a), (b), (c), or (d) when and as applicable. Complete (e) and (h). Choose (f), (g), and (i) as applicable):

 

	
(a)
    	
x
    	
Safe Harbor Nonelective Contribution. The Safe   Harbor Nonelective Contribution equals 3 % of a Participant’s   Compensation [Note: The amount in the blank must be at   least 3%. The Safe Harbor   Nonelective Contribution applies toward (offsets) most other Employer   Nonelective Contributions. See Section 3.05(E)(11).]
    
	
 
    	
 
    	
 
    
	
(b)
    	
o
    	
Safe Harbor Nonelective Contribution/delayed   year-by-year election (maybe and  supplemental   notices). In connection with the Employer’s provision of the maybe   notice under Section 3.05(I)(1), the Employer elects into safe harbor   status by giving the supplemental notice and by making this Election   30(b) to provide for a Safe Harbor Nonelective Contribution equal to                  %   (specify amount at least equal to 3%)   of a Participant’s Compensation. This Election 30(b) and safe harbor   status applies for the Plan Year ending:                                         (specify Plan Year end), which is the   Plan Year to which the Employer’s maybe and supplemental notices apply.
    

 

[Note: If the Employer makes a delayed election into safe harbor status under Section 3.05(I)(1), the Employer must amend the Plan to provide for a Safe Harbor Nonelective Contribution equal to at least 3% of each Participant’s Compensation. The Employer may make this amendment by substitute Adoption Agreement page (electing Election 30(b)) or by another form of amendment under Section 11.02(B). An Employer using the maybe notice should not elect a Safe Harbor Nonelective Contribution under Election 30(a) unless the Employer intends to continue safe harbor status under this election in the subsequent Plan Year. By making its amendment into safe harbor status under Election 30(b), the Employer avoids the need to further amend the Plan if the Employer is not certain that it will apply the safe harbor in the subsequent Plan Year. By contrast, an Employer which gave the maybe notice and has decided to make the Safe Harbor Nonelective Contribution for that year and for future years should use Election 30(a). The Employer only elects 30(a) and should not elect 30(b) if prior to the Plan Year the Employer unequivocally decides to elect safe harbor status for the Plan Year and provides a safe harbor notice consistent with this election rather than giving the maybe notice. If the Employer gives the maybe notice and the Employer will or may make Matching Contributions, the Employer should elect Additional Matching under Election 30(h) (and should not elect Matching Contributions under Election 24) if it wishes to avoid ACP testing.]

 

16

 

	
(c)
    	
o
    	
Basic Matching Contribution. A Matching   Contribution equal to 100% of each Participant’s Elective Deferrals not   exceeding 3% of the Participant’s Compensation, plus 50% of each   Participant’s Elective Deferrals in excess of 3% but not in excess of 5% of   the Participant’s Compensation. See Sections 1.34(E) and 3.05(E)(4). (Complete (1)):
    
	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
Time period. For purposes of this   Election 30(c), “Compensation” and “Elective Deferrals” mean Compensation and   Elective Deferrals for:                                      .   [Note: The Employer must complete the blank line   with the applicable time period for computing the Basic Match, such as “each   payroll period,” “each calendar month,” “each Plan Year quarter” or “the Plan   Year.”]
    
	
 
    	
 
    	
 
    
	
(d)
    	
o
    	
Enhanced Matching Contribution. See Sections   1.34(F) and 3.05(E)(5). (Choose one of   (1) or (2) and complete (3) for any election):
    
	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o   Uniform percentage. A Matching   Contribution equal to           %   of each Participant’s Elective Deferrals but not as to Elective Deferrals   exceeding             %   of the Participant’s Compensation.
    
	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o   Tiered formula. A Matching   Contribution equal to the specified matching rate for the corresponding level   of each Participant’s Elective Deferral percentage. A Participant’s Elective   Deferral percentage is equal to the Participant’s Elective Deferrals divided   by his/her Compensation.
    

 

	
Elective Deferral Percentage
    	
 
    	
Matching Rate
    	
 
    
	
        
    	
%
    	
 
    	
%
    
	
        
    	
%
    	
 
    	
%
    
	
        
    	
%
    	
 
    	
%
    

 

	
 
    	
(3)
    	
Time period. For purposes of this   Election 30(d), “Compensation” and “Elective Deferrals” mean Compensation and   Elective Deferrals for:                                            .   [Note: The Employer must complete the blank line   with the applicable time period for computing the Enhanced Match, such as   “each payroll period,” “each calendar month,” “each Plan Year quarter” or   “the Plan Year.”]
    

 

[Note: The matching rate may not increase as the Elective Deferral percentage increases and the Enhanced Matching formula otherwise must satisfy the requirements of Code §§401(k)(12)(B)(ii) and (iii). If the Employer elects to satisfy the ACP safe harbor under Election 37(a)(2)a., the Employer also must limit Elective Deferrals taken into account for the Enhanced Matching Contribution to a maximum of 6% of Plan Year Compensation.]

 

	
(e)
    	
Participants who will receive Safe Harbor   Contributions. The allocation of Safe Harbor Contributions (Choose one of (1), (2), or (3)):
    
	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
x   Applies to   all Participants. Applies to all Participants except as may be limited   under Election 30(f).
    
	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o   NHCEs   only. Is limited to NHCE Participants only and may be limited   further under Election 30(f). No HCE will receive a Safe Harbor Contribution   allocation.
    
	
 
    	
 
    	
 
    
	
 
    	
(3)
    	
o   NHCEs   and designated HCEs. Is limited to NHCE Participants and to the   following HCE Participants and may be limited further under Election 30(f):                                                                                                                                    .
    

 

[Note: Any HCE allocation group the Employer describes under Election 30(e)(3) must be definitely determinable.  (e.g., Division “A” HCEs OR HCEs who own more than 5% of the Employer without regard to attribution rules).]

 

	
(f)
    	
o
    	
Early Elective Deferrals/delay of Safe Harbor   Contribution. The Employer may elect this Election   30(f) only if the Employer in Election 14 elects eligibility   requirements for Elective Deferrals of less than age 21 and one Year of   Service but elects age 21 and one Year of Service for Safe Harbor Matching or   for Safe Harbor Nonelective Contributions. The Employer under this Election   30(f) limits the allocation of any Safe Harbor Contribution under   Election 30 for a Plan Year to those Participants: (i) who have attained   age 21; (ii) who have completed one Year of Service; and (iii) who   the Plan Administrator in applying the OEE rule described in   Section 4.06(C), treats as benefiting in the disaggregated plan covering   the Includible Employees. Those Participants in the Plan Year whom the Plan Administrator   treats as Otherwise Excludable Employees will not receive any Safe Harbor   Contribution allocation and the Plan Administrator will apply the ADP (and,   as applicable the ACP) test(s) to the disaggregated plan benefiting the   Otherwise Excludable Employees. If the Employer in Election 10(a)(2) has   elected “Participating Compensation” for allocating Elective Deferrals,   Nonelective Contributions or Matching Contributions (as relevant to the   allocation under this Election 30 based on the Contribution Type), the Plan Administrator,   in allocating the Safe Harbor Contribution for the Plan Year in which the   Participant crosses over to the Includible Employees group, will count   Compensation and Elective Deferrals only on and following the Cross-Over   Date. See Section 3.05(D).
    
	
 
    	
 
    	
 
    
	
(g)
    	
o
    	
Another plan. The Employer will make   the Safe Harbor Contribution to the following plan:                                               .
    

 

17

 

 

	
(h)
    	
Additional Matching Contributions. See Sections   1.34(G) and 3.05(F). (Choose one of   (1) or (2)):
    
	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
x   No   Additional Matching Contributions. The Employer will not make any   Additional Matching Contributions to its safe harbor Plan.
    
	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o   Additional   Matching Contributions. The Employer will or may make the   following Additional Matching Contributions to its safe harbor Plan. (Choose a. and b. as applicable):
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.    o   Fixed   Additional Matching Contribution. The following Fixed   Additional Matching Contribution (Choose (i) and   (ii) as applicable and complete (iii) for any election):
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
      (i)   o  Uniform   percentage. A Matching Contribution equal to            % of each Participant’s   Elective Deferrals but not as to Elective Deferrals exceeding              % of the   Participant’s Compensation.
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
      (ii)  o  Tiered   formula. A Matching Contribution equal to the specified matching   rate for the corresponding level of each Participant’s Elective Deferral   percentage. A Participant’s Elective Deferral percentage is equal to the Participant’s   Elective Deferrals divided by his/her Compensation.
    

 

	
Elective Deferral Percentage
    	
 
    	
Matching Rate
    	
 
    
	
 
    	
%
    	
 
    	
%
    
	
 
    	
%
    	
 
    	
%
    
	
 
    	
%
    	
 
    	
%
    

 

	
 
    	
 
    	
     (iii)  Time   period. For purposes of this Election 30(h)(2)a., “Compensation”   and “Elective Deferrals” mean Compensation and Elective Deferrals for:                                   .   [Note: The Employer must complete the blank line   with the applicable time period for computing the Additional Match, e.g.,   “each payroll period,” “each calendar month,” “each Plan Year quarter” OR   “the Plan Year.” If the Employer elects a match under both (i) and   (ii) and will apply a different time period to each match, the Employer   may indicate as such in the blank line.]
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.   o   Discretionary Additional Matching Contribution. The   Employer may make a Discretionary Additional Matching Contribution. If the   Employer makes a Discretionary Matching Contribution, the Discretionary   Matching Contribution will not apply as to Elective Deferrals exceeding                   %   of the Participant’s Compensation (complete the blank if   applicable or leave blank).
    

 

[Note: If the Employer elects to satisfy the ACP safe harbor under Election 37(a)(2)a. or 37(a)(2)c.(i), then as to any and all Matching Contributions, including Fixed Additional Matching Contributions and Discretionary Additional Matching Contributions: (i) the matching rate may not increase as the Elective Deferral percentage increases; (ii) no HCE may be entitled to a greater rate of match than any NHCE; (iii) the Employer must limit Elective Deferrals taken into account for the Additional Matching Contributions to a maximum of 6% of Plan Year Compensation; (iv) the Plan must apply all Matching Contributions to Catch-Up Deferrals; and (v) in the case of a Discretionary Additional Matching Contribution, the contribution amount may not exceed 4% of the Participant’s Plan Year Compensation.]

 

	
(i)
    	
o
    	
Multiple Safe Harbor Contributions in   disaggregated Plan. The Employer elects to make different Safe   Harbor Contributions and/or Additional Matching Contributions to   disaggregated parts of its Plan under Treas. Reg. §1.401(k)-1(b)(4) as follows:                                                                                                                                                                      

(Specify contributions for disaggregated plans,   e.g., as to Collectively Bargained Employees a 3% Nonelective Safe Harbor   Contribution applies and as to non-Collectively Bargained Employees, the   Basic Matching Contribution applies).
    

 

31.   ALLOCATION CONDITIONS  (3.06(B)/(C)). The Plan does not apply any allocation conditions to: (i) Elective Deferrals; (ii) Safe Harbor Contributions; (iii) commencing as of the Final 401(k) Regulations Effective Date, Additional Matching Contributions which will satisfy the ACP test safe harbor; (iv) Employee Contributions; (v) Rollover Contributions; (vi) Designated IRA Contributions; (vii) SIMPLE Contributions; or (viii) Prevailing Wage Contributions, except as may be required by the Prevailing Wage Contract. To receive an allocation of Matching Contributions, Nonelective Contributions or Participant forfeitures, a Participant must satisfy the following allocation condition(s) (Choose one of (a) or (b). Choose (c) if applicable):

 

	
(a)
    	
o
    	
No conditions. No allocation conditions   apply to Matching Contributions, to Nonelective Contributions or to   forfeitures.
    
	
 
    	
 
    	
 
    
	
(b)
    	
x
    	
Conditions. The following allocation   conditions apply to the designated Contribution Type and/or forfeitures (Choose one or more of (1) through (7) as applicable):
    

 

[Note: For this Election 31, except as the Employer describes otherwise in Election 31(b)(7) or as provided in Sections 3.03(C)(2) and 3.04(C)(2) regarding Operational QMACs and Operational QNECs, Matching includes all Matching Contributions and Nonelective includes all Nonelective Contributions to which allocation conditions may apply. The Employer under Election 31(b)(7) may not impose an Hour of Service condition exceeding 1,000 Hours of Service in a Plan Year.]

 

18

 

	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
(1)
   Matching, Nonelective and Forfeitures
    	
 
    	
 
    	
 
    	
(2)
  Matching
    	
 
    	
(3)
   Nonelective
    	
 
    	
(4)
   Forfeitures
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(1)
    	
 
    	
o
    	
 
    	
None.
    	
 
    	
N/A
    	
 
    	
 
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
(See Election
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
31(a))
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(2)
    	
 
    	
o
    	
 
    	
501   HOS/terminees (91 consecutive days if
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
Elapsed   Time). See Section 3.06(B)(1)(b).
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(3)
    	
 
    	
x
    	
 
    	
Last   day of the Plan Year.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
x
    	
 
    	
x
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(4)
    	
 
    	
o
    	
 
    	
Last   day of the Election 31(c) time period.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(5)
    	
 
    	
x
    	
 
    	
1,000   HOS  in the Plan Year (182   consecutive
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
x
    	
 
    	
x
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
days   in Plan Year if Elapsed Time).
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(6)
    	
 
    	
o
    	
 
    	
        (specify)   HOS within the Election 31(c) time period, (but not exceeding   1,000 HOS in a Plan Year).
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(7)
    	
 
    	
o
    	
 
    	
Describe   conditions:                                                                                                                                     
    
	
 
    	
 
    	
 
    	
 
    	
(e.g.,   Last day of the Plan Year as to Nonelective Contributions for Participating   Employer “A” Participants. No allocation conditions for Participating   Employer “B” Participants).
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(c)     o
    	
 
    	
Time period.   Under Section 3.06(C), apply Elections 31(b)(4), (b)(6) or   (b)(7) to the specified contributions/forfeitures based on each (Choose one of (1) through (5)): 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(1)
    	
 
    	
o
    	
 
    	
Plan   Year
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(2)
    	
 
    	
o
    	
 
    	
Plan   Year quarter
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(3)
    	
 
    	
o
    	
 
    	
Calendar   month
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(4)
    	
 
    	
o
    	
 
    	
Payroll   period
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(5)
    	
 
    	
o
    	
 
    	
Describe   time period:
    	
 
    

 

[Note: If the Employer elects 31(b)(4) or (b)(6), the Employer must choose (c). If the Employer elects 31(b)(7), choose (c) if applicable.]

 

32.   ALLOCATION CONDITIONS — APPLICATION/WAIVER/SUSPENSION (3.06(D)/(F)). Under Section 3.06(D), in the event of Severance from Employment as described below, apply or do not apply Election 31(b) allocation conditions to the specified contributions/forfeitures as follows (If the Employer elects 31(b), the Employer must complete Election 32. Choose one of (a) or (b). Complete (c)):

 

[Note: For this Election 32, except as the Employer describes otherwise in Election 31(b)(7) or as provided in Sections 3.03(C)(2) and 3.04(C)(2) regarding Operational QMACs and Operational QNECs, Matching includes all Matching Contributions and Nonelective includes all Nonelective Contributions to which allocation conditions may apply.]

 

	
(a)
    	
x
    	
Total waiver or application. If a   Participant incurs a Severance from Employment on account of or following   death, Disability or attainment of Normal Retirement Age (Choose   one of (1) or (2)):
    
	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
x   Do not apply. Do not apply   elected allocation conditions to Matching Contributions, to Nonelective   Contributions or to forfeitures.
    
	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o   Apply. Apply   elected allocation conditions to Matching Contributions, to Nonelective   Contributions and to forfeitures.
    

 

19

 

	
 
    	
 
    	
 
    	
 
    	
(1)
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
Matching,
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
Nonelective
    	
 
    	
 
    	
 
    	
(2)
    	
 
    	
(3)
    	
 
    	
(4)
    
	
 
    	
 
    	
 
    	
 
    	
and   Forfeitures
    	
 
    	
 
    	
 
    	
Matching
    	
 
    	
Nonelective
    	
 
    	
Forfeitures
    
	
(b)
    	
o
    	
Application/waiver   as to Contribution Types events. If a Participant incurs a   Severance from Employment, apply allocation conditions except such   conditions are waived if Severance is on account of or following death,   Disability or attainment of Normal Retirement Age as specified, and as   applied to the specified Contribution Types/forfeitures (Choose   (1), (2), and (3) as applicable):
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
Death
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o
    	
Disability
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(3)
    	
o
    	
Normal   Retirement Age
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(c)
    	
Suspension. The   suspension of allocation conditions of Section 3.06(F) (Choose one of (1) or (2)):
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
Applies.   Applies as follows  (Choose one of a., b., or c.):
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.
    	
o
    	
Both. Applies both   to Nonelective Contributions and to Matching Contributions.
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.
    	
o
    	
Nonelective. Applies only   to Nonelective Contributions.
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
c.
    	
o
    	
Match. Applies only   to Matching Contributions.
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
x
    	
Does   not apply.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
33.    FORFEITURE   ALLOCATION METHOD  (3.07). The   Plan Administrator will allocate a Participant forfeiture attributable to all   Contribution Types or attributable to all Nonelective Contributions or to all   Matching Contributions as follows (Choose one or more of   (a) through (g) as applicable. Choose (e) only in conjunction   with at least one other election):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note: Even if the Employer elects immediate vesting, the Employer   should complete Election 33. See Section 7.07.]
    	
 
    	
(1)
    	
 
    	
 
    	
 
    	
(2)
    	
 
    	
(3)
    
	
 
    	
All
    	
 
    	
 
    	
 
    	
Nonelective
    	
 
    	
Matching
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
Forfeitures
    	
 
    	
 
    	
 
    	
Forfeitures
    	
 
    	
Forfeitures
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
x
    	
Additional Nonelective. Allocate as   additional Discretionary Nonelective Contribution.
    	
 
    	
x
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
o
    	
Additional Match. Allocate as   additional Discretionary Matching Contribution.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(c)
    	
o
    	
Reduce Nonelective. Apply to   Nonelective Contribution.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(d)
    	
o
    	
Reduce Match. Apply to   Matching Contribution.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(e)
    	
o
    	
Plan expenses. Pay   reasonable Plan expenses first (See Section 7.04(C)), then allocate in the   manner described above.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(f)
    	
o
    	
Safe harbor/top-heavy exempt. Apply all   forfeitures to Safe Harbor Contributions and Plan expenses in accordance with   Section 3.07(A)(4).
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(g)
    	
o
    	
Describe:
    
	
 
    	
 
    	
(e.g., Forfeitures attributable   to transferred balances from Plan X are allocated only to former Plan X   participants.)
    
	
 
    	
 
    	
 
    
	
34.    FORFEITURE   ALLOCATION TIMING  (3.07(B)).   See Sections 3.07, 5.07 and 7.07 as to when a forfeiture occurs. Once a   forfeiture occurs, this Election 34 determines the timing of the forfeiture   allocation. The Plan Administrator will allocate a Participant’s forfeiture (Choose one or both of (a) and (b) as applicable):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
(1)
    	
 
    	
 
    	
 
    	
(2)
    	
 
    	
(3)
    
	
 
    	
 
    	
 
    	
 
    	
All
    	
 
    	
 
    	
 
    	
Nonelective
    	
 
    	
Matching
    
	
 
    	
 
    	
 
    	
 
    	
Forfeitures
    	
 
    	
 
    	
 
    	
Forfeitures
    	
 
    	
Forfeitures
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
x
    	
Same Plan Year. In the same   Plan Year in which the designated forfeiture occurs.
    	
 
    	
x
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
o
    	
Next Plan Year. In the Plan   Year following the Plan Year in which the designated forfeiture occurs.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    

 

20

 

	
[Note: The   elected forfeiture allocation timing applies irrespective of when the   Employer makes its contribution(s), if any, for a Plan Year. Even if the   Employer elects immediate vesting, the Employer should complete Election 34.   See Sections 3.07 and 7.07.]
    
	
 
    	
 
    
	
35.    EMPLOYEE   (AFTER-TAX) CONTRIBUTIONS  (3.09). The   following additional elections apply to Employee Contributions under Election   6(f). (Complete (a) and (b)):
    
	
 
    
	
(a)
    	
Limitations. The Plan   permits Employee Contributions subject to the following limitations, if any,   in addition to those already imposed under the Plan (Choose   one of (1) or (2)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
None. No   additional limitations.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o
    	
Additional limitations. The following   additional limitations:
    	
 
    	
 
    	
 
    	
 
    	
 
    	
.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
[Note: Any   designated limitation(s) must be the same for all Participants and must   be definitely determinable.]
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
Matching Contributions.  (Choose one of (1) or (2)):
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
None. The Employer   will not make any Matching Contributions based on Employee Contributions.
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o
    	
Applies. For each Plan   Year, the Employer’s Matching Contribution made as to Employee Contributions   is:
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
36.    DESIGNATED   IRA CONTRIBUTIONS  (3.12). Under   Election 6(h), a Participant may make Designated IRA Contributions effective   for Plan Years beginning after                            (date specified must be no earlier than December 31,   2002).  (Complete   (a) and (b)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
Type of IRA contribution. A   Participant’s Designated IRA Contributions will be (Choose   one of (1), (2), or (3)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
Traditional.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o
    	
Roth.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(3)
    	
o
    	
Traditional/Roth. As the   Participant elects at the time of contribution.
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
Type of Account. A   Participant’s Designated IRA Contributions will be held in the following form   of Account(s) (Choose one of (1), (2),   or (3)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
IRA.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o
    	
Individual Retirement Annuity.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(3)
    	
o
    	
IRA/Individual Retirement   Annuity. As the Participant elects at the time of   contribution.
    	
 
    

 

ARTICLE IV

LIMITATIONS AND TESTING

 

[Note: The Employer, in the “Effective as of execution” column under Election 37, must elect those testing elections which are: (i) in effect as of date of the Employer’s execution of this Adoption Agreement; and (ii) if the Adoption Agreement restates the Plan, also are  retroactive to the later of the Plan’s original Effective Date or EGTRRA restated Effective Date, except as indicated in Appendix A. If the Employer wishes to change any testing election after it executes this Adoption Agreement, the Employer must elect the changes in the “Changes post-execution” column under Election 37, and the Employer must specify the Plan Year Effective Date(s) of any changed election. The Employer may complete the Effective Date blanks specifying the changed election applies to a single Plan Year (e.g., “2011 only”), or a range of Plan Years (e.g., “2011-2015”) or may specify the change as becoming effective in a specified Plan Year (e.g., “commencing 2010”). If the Employer specifies a single Plan Year only or specifies a range of Plan Years, the Plan becomes subject to the election in the “Effective as of execution” column in the Plan Years commencing after the specified Year(s), unless the Employer subsequently changes the election. If the Employer specifies the change as commencing in a Plan Year, the election applies in the specified Plan Year and in all following Plan Years unless the Employer subsequently changes the election.]

 

	
37.    ANNUAL   TESTING ELECTIONS  (4.06(B)).   The Employer makes the following Plan specific annual testing elections under   Section 4.06(B). (Complete (a) and   (b)):
    
	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
(1)
    	
 
    	
(2)
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
Effective   as of execution
    	
 
    	
Changes   post-execution
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
(and   retroactively
    	
 
    	
(specify   Plan Year
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
if   restatement)
    	
 
    	
Effective   Date(s))
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
Nondiscrimination testing.  (Choose one or more of (1), (2), or (3)):
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
Traditional   401(k) Plan/ADP/ACP test. The following testing   method(s) apply (Choose a. and b. as   applicable):
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note: The Plan may “split test” for Plan Years   commencing in 2005.]
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    

 

21

 

	
 
    	
 
    	
a.
    	
o
    	
Current Year Testing. See   Section 4.11(E). Current Year Testing applies to the ADP/ACP tests as   elected below (Choose one or both of (i) and (ii)):
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
(i)
    	
o
    	
ADP test.
    	
 
    	
o
    	
 
    	
o Effective Date(s):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
(ii)
    	
o
    	
ACP test.
    	
 
    	
o
    	
 
    	
o Effective Date(s):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note: The   Employer may leave (ii) blank if the Plan does not permit Matching   Contributions or Employee Contributions and the Plan Administrator will not   recharacterize Elective Deferrals as Employee Contributions for testing.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.
    	
o
    	
Prior Year Testing. See   Section 4.11(I). Prior Year Testing applies to the ADP/ACP tests as elected   below. See Sections 4.10(B)(4)(f)(iv) and 4.10(C)(5)(e)(iv) as to   the first Plan Year. (Choose one or both of   (i) and (ii)):
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
(i)
    	
o
    	
ADP test.
    	
 
    	
o
    	
 
    	
o Effective Date(s):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
(ii)
    	
o
    	
ACP test.
    	
 
    	
o
    	
 
    	
o Effective Date(s):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note: The   Employer may leave (ii) blank if the Plan does not permit Matching   Contributions or Employee Contributions and the Plan Administrator will not   recharacterize Elective Deferrals as Employee Contributions for testing.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
x
    	
Safe Harbor Plan/No testing or ACP test only.
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
(Choose one of a., b., or c.):
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.
    	
x
    	
No testing.
    	
 
    	
x
    	
 
    	
o Effective Date(s):
    
	
 
    	
 
    	
 
    	
 
    	
ADP test safe harbor   applies and if applicable,
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
ACP test safe harbor   applies.
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.
    	
o
    	
ACP test only.
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
ADP test safe harbor   applies, but Plan will perform
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
ACP test as follows (Choose one of (i) or (ii)):
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
(i)
    	
o
    	
Current Year Testing.
    	
 
    	
o
    	
 
    	
o Effective Date(s):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
(ii)
    	
o
    	
Prior Year Testing.
    	
 
    	
o
    	
 
    	
o Effective Date(s):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note: The   Employer may elect Prior Year Testing under Election 37(a)(2)b.(ii) only   for Plan Years after the Final 401(k) Regulations Effective Date.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
c.
    	
o
    	
Possible delayed election.
    	
 
    	
o
    	
 
    	
o Effective Date(s):
    
	
 
    	
 
    	
 
    	
 
    	
(maybe notice/supplemental   notice)
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
The Employer under Section 3.05(I)(1) may   treat the Plan as a Traditional 401(k) Plan or may make a delayed   election to treat the Plan as a Safe Harbor 401(k) Plan. If the Employer   gives the maybe and supplemental notices and amends the Plan to provide for   the Safe Harbor Nonelective Contribution, the Plan is an ADP test safe harbor   plan for the Plan Year to which the maybe and supplemental notices and the   amendment apply. If the Employer does not give the supplemental notice, the   Plan is a Traditional 401(k) Plan, subject to ADP Current Year Testing   and, if applicable, to ACP Current Year Testing. If the Employer gives the   supplemental notice and amends the Plan to provide for the Safe Harbor   Nonelective Contribution, and the Employer has elected Additional Matching   Contributions under Election 30(h) (Choose one of (i) or   (ii)):
    
	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
(i)
    	
o
    	
No testing. ADP and ACP   test safe harbors apply. The Employer’s elections under 30(h) as to   Additional Matching Contributions satisfy the ACP safe harbor requirements   and the Employer elects to apply the Election 30(h) stated ACP test safe   harbor conditions (see the Note following Election 30(h)) as to all   Additional Matching Contributions.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
(ii)
    	
o
    	
ACP test only. ADP safe   harbor applies, but the Plan will perform the ACP test as to all Additional   Matching Contributions using Current Year Testing.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
[Note: Even   if the Employer does not elect 37(a)(2)c., the Employer still may make a   delayed election into safe harbor status under Section 3.05(I)(1) using   the maybe and supplemental notices and by amending the plan to provide for   the Safe Harbor Nonelective Contribution. However, in this case, the Employer   also must amend the Plan to make its testing elections under this Election 37   consistent with its delayed election into safe harbor status. The Employer   then may elect any election under 37(a)(2), including 37(a)(2)c. An   Employer’s election of 37(a)(2)c. permits the Plan to remain in perpetual   possible delayed safe harbor election status, while minimizing the number of   Plan amendments required to do so.]
    

 

22

 

	
 
    	
(3)
    	
o
    	
SIMPLE 401(k) Plan/No   testing.
    	
 
    	
o
    	
 
    	
o Effective Date(s):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
HCE determination.  (Complete both (1) and (2)):
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
Top-paid group election.  (Choose one of a. or b.):
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.
    	
x
    	
Does not apply.
    	
 
    	
x
    	
 
    	
o Effective Date(s):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.
    	
o
    	
Applies.
    	
 
    	
o
    	
 
    	
o Effective Date(s):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
Calendar year data election   (fiscal year Plan only).
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(Choose one of a. or b.):
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.
    	
x
    	
Does not apply.
    	
 
    	
x
    	
 
    	
o Effective Date(s):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.
    	
o
    	
Applies.
    	
 
    	
o
    	
 
    	
o Effective Date(s):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    

 

ARTICLE V

VESTING REQUIREMENTS

 

	
38.    NORMAL   RETIREMENT AGE  (5.01). A   Participant attains Normal Retirement Age under the Plan on the following   date (Choose one of (a) or (b)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
x
    	
Specific age. The date the   Participant attains age 60. [Note: The age may not   exceed age 65.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
o
    	
Age/participation. The later of   the date the Participant attains age           or the         anniversary of the first   day of the Plan Year in which the Participant commenced participation in the   Plan. [Note: The age may not exceed age 65 and the   anniversary may not exceed the 5th.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
39.
    	
EARLY RETIREMENT AGE  (5.01). (Choose one of   (a) or (b)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
x
    	
Not applicable. The Plan   does not provide for an Early Retirement Age.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
o
    	
Early Retirement Age. Early   Retirement Age is the later of: (i) the date a Participant attains age         ;   (ii) the date a Participant reaches his/her              anniversary of the first day of the Plan Year in which the Participant   commenced participation in the Plan; or (iii) the date a Participant   completes         Years of Service.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note: The Employer should leave blank any of   clauses (i), (ii), and (iii) which are not applicable.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
“Years of Service” under this Election 39 means (Choose   one of (1) or (2) as applicable):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
Eligibility. Years of   Service for eligibility in Election 16.
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o
    	
Vesting. Years of   Service for vesting in Elections 42 and 43.
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note:   Election of an Early Retirement Age does not affect the time at which a   Participant may receive a Plan distribution. However, a Participant becomes   100% vested at Early Retirement Age.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
40.    ACCELERATION   ON DEATH OR DISABILITY  (5.02). Under   Section 5.02, if a Participant incurs a Severance from Employment as a   result of death or Disability (Choose one of (a), (b),   or (c)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
x
    	
Applies. Apply 100%   vesting.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
o
    	
Not applicable. Do not apply   100% vesting. The Participant’s vesting is in accordance with the applicable   Plan vesting 
    
	
 
    	
 
    	
schedule.
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(c)
    	
o
    	
Limited application. Apply 100%   vesting, but only if a Participant incurs a Severance from Employment as a   result of 
    
	
 
    	
 
    	
(Choose one of (1) or (2)):
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
Death.
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o
    	
Disability.
    	
 
    	
 
    	
 
    	
 
    

 

23

 

	
41.    VESTING   SCHEDULE  (5.03). A Participant has a 100%   Vested interest at all times in his/her Accounts attributable to: (i) Elective   Deferrals; (ii) Employee Contributions; (iii) QNECs; (iv) QMACs;   (v) Safe Harbor Contributions; (vi) SIMPLE Contributions; (vii) Rollover   Contributions; (viii) Prevailing Wage Contributions unless the   Prevailing Wage Contract provides otherwise; (ix) DECs; and (x) Designated   IRA Contributions. The following vesting schedule applies to Regular Matching   Contributions, to Additional Matching Contributions (irrespective of ACP   testing status) and to Nonelective Contributions (other than Prevailing Wage   Contributions) (Choose (a) or choose one or both of   (b) and (d) as applicable. Choose (c) if elect a non-top-heavy   schedule under (b) or (d)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
o
    	
Immediate vesting. 100% Vested   at all times in all Accounts.
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note:   Unless all Contribution Types are 100% Vested, the Employer should not   elect 41(a). If the Employer elects immediate vesting under 41(a), the   Employer should not complete the balance of Election 41 or Elections 42 and   43 (except as noted therein). The Employer must elect 41(a) if the   eligibility Service condition under Election 14 as to all Contribution   Types (except Elective Deferrals and Safe Harbor Contributions) exceeds one   Year of Service or more than 12 months. The Employer must elect 41(b)(1) as   to any Contribution Type where the eligibility service condition exceeds one   Year of Service or more than 12 months. The Employer should elect 41(b) if   any Contribution Type is subject to a vesting schedule.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
x
    	
Vesting schedules: Apply the   following vesting schedules (Choose one or more of   (1) through (7) as applicable):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
(4)
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
(1)
    	
 
    	
 
    	
 
    	
 
    	
 
    	
(3)
    	
 
    	
Additional
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
All
    	
 
    	
 
    	
 
    	
(2)
    	
 
    	
Regular
    	
 
    	
Matching   (See
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
Contributions
    	
 
    	
 
    	
 
    	
Nonelective
    	
 
    	
Matching
    	
 
    	
Section 3.05(F))
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(1)
    	
o
    	
Immediate vesting
    	
 
    	
N/A
    	
 
    	
 
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
(See   Election 41(a))
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(2)
    	
o
    	
Top-heavy: 6-year graded
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(3)
    	
o
    	
Top-heavy: 3-year cliff
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(4)
    	
x
    	
Modified top-heavy:
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
x
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
Years of Service
    	
 
    	
Vested %
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
Less   than 1
    	
 
    	
a.
    	
0%
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
1
    	
 
    	
b.
    	
15%
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
2
    	
 
    	
c.
    	
30%
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
3
    	
 
    	
d.
    	
45%
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
4
    	
 
    	
e.
    	
60%
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
5
    	
 
    	
f.
    	
80%
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
6   or more
    	
 
    	
 
    	
100%
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(5)
    	
o
    	
Non-top-heavy: 7-year graded
    	
 
    	
N/A
    	
 
    	
 
    	
 
    	
o
    	
 
    	
N/A
    	
 
    	
N/A
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(6)
    	
o
    	
Non-top-heavy: 5-year cliff
    	
 
    	
N/A
    	
 
    	
 
    	
 
    	
o
    	
 
    	
N/A
    	
 
    	
N/A
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(7)
    	
o
    	
Modified non-top-heavy:
    	
 
    	
N/A
    	
 
    	
 
    	
 
    	
o
    	
 
    	
N/A
    	
 
    	
N/A
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
Years of Service
    	
 
    	
Vested %
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
Less   than 1
    	
 
    	
a.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
1
    	
 
    	
b.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
2
    	
 
    	
c.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
3
    	
 
    	
d.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
4
    	
 
    	
e.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
5
    	
 
    	
f.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
6
    	
 
    	
g.
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
7   or more
    	
 
    	
 
    	
100%
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
																			

 

[Note: If the Employer does not elect 41(a), the Employer under 41(b) must elect immediate vesting or must elect a top-heavy or modified top-heavy vesting schedule. The modified top-heavy schedule of Election 41(b)(4) must satisfy Code §416. A top-heavy schedule must apply to Regular Matching Contributions and to Additional Matching Contributions. See Section 5.03(A)(1). The Employer as to Nonelective Contributions only may elect one of Elections 41(b)(5), (6), or (7) in addition to electing a top-heavy schedule. The Employer must complete Election 41(c) if it elects any non-top-heavy schedule. If the Employer does not elect a non-top-heavy schedule, the elected top-heavy schedule(s) applies to all Plan Years. If the Employer elects 41(b)(7), the modified non-top-heavy schedule must satisfy Code §411(a)(2). If the Employer elects Additional Matching under Election 30(h), the Employer should elect vesting under the Additional Matching column in this Election 41(b). That election applies to the Additional Matching even if the Employer has given the maybe notice but does not give the supplemental notice for any Plan Year and as to such Plan Years, the Plan is not a safe harbor plan and the Matching Contributions are not Additional Matching Contributions. If the Plan’s Effective Date is after December 31, 2006, do not complete Elections 41(b)(5), (b)(6), or (b)(7).]

 

	
(c)
    	
o
    	
Nonelective Contributions:   application of top-heavy schedule  (Choose   one of (1) or (2)):
    
	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
Apply in all Plan Years once   top-heavy. Apply the top-heavy vesting schedule under   Election 41(b) for the first Plan Year in which the Plan is top-heavy   and then in all subsequent Plan Years.
    

 

24

 

	
 
    	
(2)
    	
o
    	
Apply   only in top-heavy Plan Years. Apply the non-top-heavy   schedule under Election 41(b) in all Plan Years in which the Plan is not   a top-heavy plan.
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(d)
    	
o
    	
Special   vesting provisions:
    	
                                                                                                                                               .
    
	
 
    	
 
    	
 
    	
 
    
	
[Note: The Employer under Election 41(d) may describe special   vesting provisions from the elections available under Election 41 and/or a   combination thereof as to a: (i) Participant group (e.g., Full vesting   applies to Division A Employees OR to Employees hired on/before “x” date.   6-year graded vesting applies to Division B Employees OR to Employees hired   after “x” date.); and/or (ii) Contribution Type (e.g., Full vesting   applies as to Discretionary Nonelective Contributions. 6-year graded vesting   applies to Fixed Nonelective Contributions). Any special vesting provision   must satisfy Code §411(a) and must be nondiscriminatory.] 
    
	
 
    
	
42.
    	
YEAR   OF SERVICE - VESTING  (5.05). (Complete both (a) and (b)):
    
	
 
    	
 
    
	
[Note: If the Employer elects the Elapsed Time Method for vesting the   Employer should not complete this Election 42. If the Employer elects   immediate vesting, the Employer should not complete Election 42 or Election   43 unless it elects to apply a Year of Service for vesting under any other   Adoption Agreement election.]
    
	
 
    
	
(a)
    	
Year   of Service. An Employee must complete at least 1,000 Hours of   Service during a Vesting Computation Period to receive credit for a Year of Service   under Article V. [Note: The number may not   exceed 1,000. If left blank, the requirement is 1,000.]
    
	
 
    	
 
    	
 
    
	
(b)
    	
Vesting   Computation Period. The Plan measures a Year of Service based   on the following 12-consecutive month period (Choose   one of (1) or (2)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
x
    	
Plan   Year.
    
	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o
    	
Anniversary   Year.
    
	
 
    	
 
    	
 
    	
 
    
	
43.
    	
EXCLUDED YEARS OF SERVICE - VESTING  (5.05(C)).   The Plan excludes the following Years of Service for purposes of vesting (Choose (a) or choose one or more of (b) through   (e) as applicable):
    
	
 
    	
 
    
	
(a)
    	
x
    	
None. None other   than as specified in Section 5.05(C)(1).
    
	
 
    	
 
    	
 
    
	
(b)
    	
o
    	
Age   18. Any Year of Service before the Vesting Computation Period during   which the Participant attained the age of 18.
    
	
 
    	
 
    	
 
    
	
(c)
    	
o
    	
Prior   to Plan establishment. Any Year of Service during the period the   Employer did not maintain this Plan or a predecessor plan.
    
	
 
    	
 
    	
 
    
	
(d)
    	
o
    	
Rule of   Parity. Any Year of Service excluded under the   rule of parity. See Plan Section 5.06(C).
    
	
 
    	
 
    	
 
    
	
(e)
    	
o
    	
Additional   exclusions. The following Years of Service:
    	
                                                                                                .
    
	
 
    
	
[Note: The Employer under Election 43(e) may describe vesting   service exclusions provisions available under Election 43 and/or a   combination thereof as to a: (i) Participant group (e.g., No exclusions   apply to Division A Employees OR to Employees hired on/before “x” date. The   age 18 exclusion applies to Division B Employees OR to Employees hired after   “x” date.); or (ii) Contribution Type (e.g., No exclusions apply as to   Discretionary Nonelective Contributions. The age 18 exclusion applies to   Fixed Nonelective Contributions). Any exclusion specified under Election   43(e) must comply with Code §411(a)(4). Any exclusion must be   nondiscriminatory.]
    
	
 
    
	
ARTICLE VI
    
	
DISTRIBUTION OF ACCOUNT   BALANCE
    
	
 
    
	
44.   MANDATORY   DISTRIBUTION  (6.01(A)(1)/6.08(D)).   The Plan provides or does not provide for Mandatory Distribution of a   Participant’s Vested Account Balance following Severance from Employment, as   follows (Choose one of (a) or (b)):
    
	
 
    
	
(a)
    	
o
    	
No   Mandatory Distribution. The Plan will not make a Mandatory   Distribution following Severance from Employment.
    
	
 
    	
 
    	
 
    
	
(b)
    	
x
    	
Mandatory   Distribution. The Plan will make a Mandatory Distribution   following Severance from Employment. (Complete (1) and   (2). Choose (3) unless the Employer elects to limit Mandatory   Distributions to $1,000 including Rollover Contributions under Elections   44(b)(1)b. and 44(b)(2)b.):
    
	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
Amount   limit. As to a Participant who incurs a Severance from   Employment and who will receive distribution before attaining the later of   age 62 or Normal Retirement Age, the Mandatory Distribution maximum amount is   equal to (Choose one of a., b., or c.):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.
    	
o
    	
$5,000.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.
    	
x
    	
$1,000.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
c.
    	
o
    	
Specify   amount: $          (may not exceed $5,000).
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
Application   of Rollovers to amount limit. In determining whether a   Participant’s Vested Account Balance exceeds the Mandatory Distribution   dollar limit in Election 44(b)(1), the Plan (Choose   one of a. or b.):
    
	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.
    	
x
    	
Disregards   Rollover Contribution Account.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.
    	
o
    	
Includes   Rollover Contribution Account.
    
										

 

25

 

	
 
    	
(3)
    	
o
    	
Amount   of Mandatory Distribution subject to Automatic Rollover. A Mandatory   Distribution to a Participant before attaining the later of age 62 or Normal   Retirement Age is subject to Automatic Rollover under   Section 6.08(D) (Choose one of a. or b.):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.
    	
o
    	
Only   if exceeds $1,000. Only if the amount of the Mandatory   Distribution exceeds $1,000, which for this purpose must include any Rollover   Contributions Account.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.
    	
o
    	
Specify   lesser amount. Only if the amount of the Mandatory Distribution   is at least: $           (specify $1,000 or less).
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
45.   SEVERANCE DISTRIBUTION TIMING  (6.01). Subject to the timing limitations of   Section 6.01(A)(1) in the case of a Mandatory Distribution, or in   the case of any Distribution Requiring Consent under Section 6.01(A)(2),   for which consent is received, the Plan Administrator will instruct the   Trustee to distribute a Participant’s Vested Account Balance as soon as is   administratively practical following the time specified below (Choose one or more of (a) through (k) as applicable):
    
	
 
    	
 
    
	
[Note: If a Participant dies after Severance from Employment but   before receiving distribution of all of his/her Account, the elections under   this Election 45 no longer apply. See Section 6.01(B) and Election   49.]
    

 

	
 
    	
 
    	
 
    	
 
    	
(1)
    	
 
    	
(2)
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
Mandatory
    	
 
    	
Distribution
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
Distribution
    	
 
    	
Requiring Consent
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
x
    	
Immediate. Immediately   following Severance from Employment.
    	
 
    	
x
    	
 
    	
x
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
o
    	
Next   Valuation Date. After the next Valuation Date following Severance   from Employment.
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(c)
    	
o
    	
Plan   Year. In the          Plan Year   following Severance from Employment (e.g., next or fifth).
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(d)
    	
o
    	
Plan   Year quarter. In the            Plan Year quarter following Severance from Employment (e.g.,   next or fifth).
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(e)
    	
o
    	
Contribution   Type Accounts.                  as to the Participant’s                         Account(s) and                         as to the Participant’s                         Account(s) (e.g., As soon as   is practical following Severance from Employment as to the Participant’s   Elective Deferral Account and as soon as is practical in the next Plan Year following   Severance from Employment as to the Participant’s Nonelective and Matching   Accounts).
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(f)
    	
o
    	
Vesting   controlled timing. If the Participant’s total Vested Account Balance   exceeds $          , distribute                       (specify timing) and if the   Participant’s total Vested Account Balance does not exceed $          ,   distribute                     (specify timing).
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(g)
    	
o
    	
Distribute   at Normal Retirement Age. As to a Mandatory Distribution,   distribute not later than 60 days after the beginning of the Plan Year   following the Plan Year in which the previously severed Participant attains   the earlier of Normal Retirement Age or age 65. [Note: An election   under column (2) only will have effect if the Plan’s NRA is less than   age 62.]
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(h)
    	
o
    	
Acceleration.   Notwithstanding any later specified distribution date in Election 45, a   Participant may elect an earlier distribution following Severance from   Employment (Choose (1) and (2) as   applicable):
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
Disability. If Severance   from Employment is on account of Disability or if the Participant incurs a   Disability following Severance from Employment.
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o
    	
Hardship. If the   Participant incurs a hardship under Section 6.07 following Severance   from Employment.
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(i)
    	
o
    	
Required   distribution at Normal Retirement Age. A severed Participant may   not elect to delay distribution beyond the later of age 62 or Normal Retirement   Age.
    	
 
    	
N/A
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(j)
    	
o
    	
No   buy-back/vesting controlled timing.
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
Distribute   as soon as is practical following Severance from Employment if the   Participant is fully Vested.
    	
 
    	
 
    	
 
    	
 
    	
 
    

 

26

 

	
 
    	
 
    	
Distribute   as soon as is practical following a Forfeiture Break in Service if the   Participant is not fully Vested.
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(k)
    	
o
    	
Describe   Severance from Employment distribution timing:
    	
 
    	
 
    	
 
    	
 
    	
 
    

 

	
[Note: The Employer under Election 45(k) may describe Severance   from Employment distribution timing provisions from the elections available   under Election 45 and/or a combination thereof as to any:   (i) Participant group (e.g., Immediate distribution after Severance   of Employment applies to Division A Employees OR to Employees hired on/before   “x” date. Distribution after the next Valuation Date following Severance from   Employment applies to Division B Employees OR to Employees hired after “x”   date.); (ii) Contribution Type (e.g., As to Division A Employees,   immediate distribution after Severance of Employment applies as to Elective   Deferral Accounts and distribution after the next Valuation Date following   Severance from Employment applies to Nonelective Contribution Accounts);   and/or (iii) merged plan account now held in the Plan (e.g., The   accounts from the X plan merged into this Plan continue to be distributable   in accordance with the X plan terms [supply terms] and not in accordance with   the terms of this Plan). An Employer’s election under Election   45(k) must: (i) be objectively determinable; (ii) not be   subject to Employer discretion; (iii) comply with Code §401(a)(14)   timing requirements; (iv) be nondiscriminatory and (v) preserve   Protected Benefits as required.]
    
	
 
    
	
46.   IN-SERVICE DISTRIBUTIONS/EVENTS  (6.01(C)). A Participant may elect an In-Service   Distribution of the designated Contribution Type Accounts based on any of the   following events in accordance with Section 6.01(C) (Choose one of (a) or (b)):
    
	
 
    
	
[Note: If the Employer elects any In-Service Distribution option, a Participant   may elect to receive as many In-Service Distributions per Plan Year (with a   minimum of one per Plan Year) as the Plan Administrator’s In-Service   Distribution form or policy may permit. If the form or policy is silent, the   number of In-Service Distributions is not limited. Prevailing Wage   Contributions are treated as Nonelective Contributions unless the Prevailing   Wage Contract provides otherwise. See Section 6.01(C)(4)(d) if the   Employer elects to use Prevailing Wage Contributions to offset other   contributions.]
    
	
 
    
	
(a)
    	
o
    	
None. The Plan   does not permit any In-Service Distributions except as to any of the   following (if applicable): (i) RMDs under Section 6.02;   (ii) Protected Benefits; and (iii) under   Section 6.01(C)(4) as to Employee Contributions, Rollover   Contributions, DECs, Transfers, and Designated IRA Contributions.
    
	
 
    	
 
    	
 
    
	
(b)
    	
x
    	
Permitted. In-Service   Distributions are permitted as follows from the designated Contribution Type   Accounts (Choose one or more of (1) through (9)):
    
	
 
    	
 
    	
 
    
	
[Note: Unless the Employer elects otherwise in Election 46(b)(9),   Elective Deferrals under Election 46(b) includes Pre-Tax and Roth   Deferrals and Matching Contributions includes Additional Matching   Contributions, irrespective of the Plan’s ACP testing status.]
    

 

	
 
    	
 
    	
 
    	
 
    	
 
    	
(1)
    	
 
    	
(2)
    	
 
    	
(3)
    	
 
    	
 
    	
 
    	
 
    	
 
    	
(6)
    	
 
    	
(7)
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
All
    	
 
    	
Elective
    	
 
    	
Safe Harbor
    	
 
    	
(4)
    	
 
    	
(5)
    	
 
    	
Matching
    	
 
    	
Nonelective/
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
Contributions
    	
 
    	
Deferrals
    	
 
    	
Contributions
    	
 
    	
QNECs
    	
 
    	
QMACs
    	
 
    	
Contrib.
    	
 
    	
SIMPLE
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
None. Except for Election 46(a) exceptions.
    	
 
    	
N/A
    (See Election
   46(a))
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
x
    	
Age  59 1/2 (must be at least 59   1/2).
    	
 
    	
o
    	
OR
    	
x
    	
 
    	
x
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(3)
    	
x
    	
Age  60 (may be less than 59   1/2).
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
o
    	
 
    	
x
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(4)
    	
x
    	
Hardship (safe harbor). See Section 6.07(A).
    	
 
    	
N/A
    	
 
    	
x
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
o
    	
 
    	
x
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(5)
    	
o
    	
Hardship (non-safe harbor). See Section 6.07(B).
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(6)
    	
x
    	
Disability.
    	
 
    	
o
    	
OR
    	
x
    	
 
    	
x
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    	
x
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(7)
    	
o
    	
          year contributions.(specify minimum of two years) See Section 6.01(C)(4)(a)(i).
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(8)
    	
o
    	
          months of participation. (specify minimum of 60 months) See Section 6.01(C)(4)(a)(ii).
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
N/A
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(9)
    	
o
    	
Describe:
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    

 

27

 

	
[Note: The Employer under Election 46(b)(9) may describe   In-Service Distribution provisions from the elections available under   Election 46 and/or a combination thereof as to any: (i) Participant   group (e.g., Division A Employee Accounts are distributable at age 59 1/2 OR   Accounts of Employees hired on/before “x” date are distributable at age 59   1/2). No In-Service Distributions apply to Division B Employees OR to   Employees hired after “x” date.); (ii) Contribution Type (e.g.,   Discretionary Nonelective Contribution Accounts are distributable on   Disability. Fixed Nonelective Contribution Accounts are distributable on Disability   or Hardship (non-safe harbor)); and/or (iii) merged plan account now   held in the Plan (e.g., The accounts from the X plan merged into this Plan   continue to be distributable in accordance with the X plan terms [supply   terms] and not in accordance with the terms of this Plan). An Employer’s   election under Election 46(b)(9) must: (i) be objectively   determinable; (ii) not be subject to Employer discretion;   (iii) preserve Protected Benefits as required; (iv) be   nondiscriminatory; and (v) not permit an “early” distribution of any   Restricted 401(k) Accounts or Restricted Pension Accounts. See   Section 6.01(C)(4).]
    
	
 
    
	
In-Service   Distribution of other Accounts. See   Section 6.01(C)(4) as to In-Service Distribution of Employee   Contributions, Rollover Contributions, DECs, Transfers, and Designated IRA   Contributions.
    
	
 
    
	
47.   IN-SERVICE DISTRIBUTIONS/ADDITIONAL   CONDITIONS  (6.01(C)). The following   additional conditions apply to In-Service Distributions under Election   46(b) (Choose one of (a) or (b)):
    
	
 
    
	
[Note: The Employer should complete Election 47 if the Employer elects   any In-Service Distributions under Election 46(b).]
    

 

	
(a)
    	
o
    	
Additional   conditions.  (Complete (1). Choose   (2) and (3) as applicable):
    
	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
Vesting. A   Participant may receive an In-Service Distribution under Election   46(b) based on vesting in the distributing Account as follows (Choose one of a., b., or c.):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
a.
    	
o
    	
100%   vesting required. A Participant may not receive any In-Service   Distribution unless the Participant is 100% Vested in the distributing   Account.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
b.
    	
o
    	
100%   vesting required except hardship. A Participant may not   receive any In-Service Distribution unless the Participant is 100% Vested in   the distributing Account, unless the distribution is based on hardship.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
c.
    	
o
    	
Not   required. A Participant may receive an In-Service   Distribution even from a partially-Vested Account, but the amount distributed   may not exceed the Vested amount in the distributing partially-Vested   Account.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o
    	
Minimum   amount. A Participant may not receive an In-Service   Distribution in an amount which is less than: $      (specify amount not exceeding $1,000).
    
	
 
    	
 
    	
 
    	
 
    
	
 
    	
(3)
    	
o
    	
Describe   other conditions:
    

 

[Note: An Employer’s election under Election 47(a)(3) must: (i) be objectively determinable; (ii) not be subject to Employer discretion; (iii) preserve Protected Benefits as required; (iv) be nondiscriminatory; and (v) not permit an “early” distribution of any Restricted 401(k) Accounts or Restricted Pension Accounts. See Section 6.01(C)(4).]

 

	
(b)
    	
x
    	
No   other conditions. A Participant may elect to receive an In-Service   Distribution upon any Election 46(b) event without further condition,   provided that the amount distributed may not exceed the Vested amount in the   distributing Account.
    
	
 
    	
 
    	
 
    
	
48.   POST-SEVERANCE AND LIFETIME RMD DISTRIBUTION   METHODS  (6.03). A Participant whose   Vested Account Balance exceeds $5,000 (or any lesser amount elected in   Appendix B, Election 54(g)(7)): (i) who has incurred a Severance from   Employment and will receive a distribution; or (ii) who remains employed   but who must receive lifetime RMDs, may elect distribution under one of the   following method(s) of distribution described in Section 6.03 and   subject to any Section 6.03 limitations. (Choose   one or more of (a) through (f) as applicable):
    
	
 
    
	
[Note: If a Participant dies after Severance from Employment but   before receiving distribution of all of his/her Account, the elections under   this Election 48 no longer apply. See Section 6.01(B) and Election   49.]
    

 

	
(a)
    	
x
    	
Lump-Sum. See   Section 6.03(A)(3).
    
	
 
    	
 
    	
 
    
	
(b)
    	
x
    	
Installments   only if Participant subject to lifetime RMDs. A Participant who is   required to receive lifetime RMDs may receive installments payable in   monthly, quarterly or annual installments equal to or exceeding the annual   RMD amount. See Sections 6.02(A) and 6.03(A)(4)(a).
    
	
 
    	
 
    	
 
    
	
(c)
    	
o
    	
Installments. See   Section 6.03(A)(4).
    
	
 
    	
 
    	
 
    
	
(d)
    	
o
    	
Alternative   Annuity:
    	
.
    	
 See Section 6.03(A)(5).
    
	
 
    	
 
    	
 
    
	
[Note: Under a Plan which is subject to the joint and survivor annuity   distribution requirements of Section 6.04 (Election 50(b)), the Employer   may elect under 48(d) to offer one or more additional annuities   (Alternative Annuity) to the Plan’s QJSA or QPSA. If the Employer elects   under Election 50(a) to exempt Exempt Participants from the joint and   survivor annuity requirements, the Employer should not elect to provide an   Alternative Annuity under 48(d).]
    
	
 
    	
 
    	
 
    
	
(e)
    	
o
    	
Ad-Hoc   distributions. See Section 6.03(A)(6).
    
	
 
    	
 
    	
 
    
	
[Note: If an Employer elects to permit Ad-Hoc distributions:   (i) the option must be available to all Participants; and (ii) the   option is a Protected Benefit.]
    

 

28

 

	
(f)
    	
o
    	
Describe   distribution method(s):
    
	
 
    	
 
    	
 
    
	
[Note: The Employer under Election 48(f) may describe Severance   from Employment distribution methods from the elections available under   Election 48 and/or a combination thereof as to any: (i) Participant   group (e.g., Division A Employee Accounts are distributable in a Lump-Sum OR   Accounts of Employees hired after “x” date are distributable in a Lump-Sum.   Division B Employee Accounts are distributable in a Lump-Sum or in   Installments OR Accounts of Employees hired on/before “x” date are   distributable in a Lump-Sum or in Installments.); (ii) Contribution Type   (e.g., Discretionary Nonelective Contribution Accounts are distributable in a   Lump-Sum. Fixed Nonelective Contribution Accounts are distributable in a   Lump-Sum or in Installments); and/or (iii) merged plan account now held   in the Plan (e.g., The accounts from the X plan merged into this Plan   continue to be distributable in accordance with the X plan terms [supply   terms] and not in accordance with the terms of this Plan). An Employer’s   election under Election 48(f) must: (i) be objectively   determinable; (ii) not be subject to Employer, Plan Administrator or   Trustee discretion; (iii) be nondiscriminatory; and (iv) preserve   Protected Benefits as required.]
    
	
 
    
	
49.   BENEFICIARY DISTRIBUTION ELECTIONS  (6.01(B)/6.02(B)/6.03). Subject to the Participant’s   elections under Section 6.01(B)(1) as to the timing and method of   distribution of the Participant’s Account to the Participant’s Beneficiary   (which Participant elections must be consistent with the Plan and this   Election 49), in the case of a Participant’s death, the Beneficiary will receive   distribution of the Participant’s Account (or of the Beneficiary’s share   thereof) as follows (Complete (a), (b), and   (c)):
    
	
 
    
	
[Note: For purposes of this Election 49, unless otherwise noted, a   “Beneficiary” includes, but is not limited to a “Designated Beneficiary”   under Section 6.02(E)(1).]
    

 

	
 
    	
 
    	
 
    	
(1)
    	
 
    	
(2)
    	
 
    
	
 
    	
 
    	
 
    	
Spouse Beneficiary
    	
 
    	
Other   Beneficiary
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
Timing. The Plan   will distribute to the Beneficiary as soon as is practical at (or not later   than) the following time or date (Choose one of   (1) through (4). Choose (5) if applicable):
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
o
    	
Immediate.   Immediately  following   the Participant’s death.
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
o
    	
Next   Calendar Year. In the calendar year which next follows the   calendar year of the Participant’s death, but not later than December 31   of such following calendar year.
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(3)
    	
x
    	
As   Beneficiary elects. At such time as the Beneficiary may elect,   provided that distribution pursuant to such election (or in the absence of   any Beneficiary election) must commence no later than the Section 6.02   required date.
    	
 
    	
x
    	
 
    	
x
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(4)
    	
o
    	
Describe:
    	
 
    	
o
    	
 
    	
o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note: The Employer under Election 49(a)(4) may describe an   alternative distribution timing or afford the Beneficiary an election which   is narrower than that permitted under election 49(a)(3). However, any   election under Election 49(a)(4) must require distribution to commence   no later than the  Section 6.02   required date.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(5)
    	
x
    	
Death   before DCD; spousal election to delay. If the Participant dies   before his/her Distribution Commencement Date and the Participant’s sole   Designated Beneficiary is his/her spouse, the spouse may elect to delay   distribution until the end of the calendar year in which the Participant would   have attained age 70 1/2, if that date is later than the date upon which   distribution would be required to commence to a non-spouse Beneficiary.
    	
 
    	
x
    	
 
    	
N/A
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
Method.   The Plan will distribute to the Beneficiary under the following   distribution method(s). If more than one method is elected, the Beneficiary   may choose the method of distribution. (Choose one or more of   (1) through (4) but do not elect (4) only):
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(1)
    	
x
    	
Lump-Sum.   See Section 6.03(A)(3).
    	
 
    	
x
    	
 
    	
x
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
(2)
    	
x
    	
Installments   sufficient to satisfy RMD.
    	
 
    	
x
    	
 
    	
x
    	
 
    
	
 
    	
 
    	
 
    	
See   Section 6.03(A)(4)(a). An Installment in each Distribution Calendar Year   must at least equal the RMD amount.
    	
 
    	
 
    	
 
    	
 
    	
 
    
														

 

29

 

	
 
    	
 
    	
(3)
    	
 
    	
o
    	
 
    	
Ad-Hoc   sufficient to satisfy RMD. See   Section 6.03(A)(6). The Beneficiary must elect an Ad-Hoc distribution   for each Distribution Calendar Year at least equal to the RMD amount.
    	
 
    	
o
    	
 
    	
 
    	
 
    	
o
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note: If an Employer elects to permit Ad-Hoc distributions:   (i) the option must be available to all Beneficiaries; and (ii) the   option is a Protected Benefit.]
    
	
 
    
	
 
    	
 
    	
(4)
    	
 
    	
o
    	
 
    	
QPSA.   See Section 6.04(B).
    	
 
    	
o
    	
 
    	
 
    	
 
    	
N/A
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note: If the Employer elects 50(b), the Employer should elect   49(b)(4). If the Employer elects 50(a), the Employer should not elect   49(b)(4). A surviving spouse may elect to waive the QPSA in favor of another   method.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(c)
    	
 
    	
Death   before the DCD. If a Participant dies before the Distribution Commencement   Date, the distribution to the Beneficiary will be made in accordance with the   following rule(s) (Choose one of (1), (2),   or (3)):
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(1)
    	
 
    	
x
    	
 
    	
Beneficiary   election. See Section 6.02(B)(1)(e). This election applies   only if the Beneficiary is a Designated Beneficiary under  Treas.   Reg. §1.401(a)(9)-4. If not, the 5-year rule applies. In the absence of   the Designated Beneficiary’s election, the Life Expectancy rule applies.   The Employer in Appendix B may elect to change the default (no Designated   Beneficiary election) to the 5-year rule.
    	
 
    	
x
    	
 
    	
 
    	
 
    	
x
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(2)
    	
 
    	
o
    	
 
    	
Life   Expectancy rule. See Section 6.02(B)(1)(d). This election applies   only if the Beneficiary is a Designated Beneficiary under  Treas.   Reg. §1.401(a)(9)-4. If not, the 5-year rule applies.
    	
 
    	
o
    	
 
    	
 
    	
 
    	
o
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(3)
    	
 
    	
o
    	
 
    	
5-year   rule. See Section 6.02(B)(1)(c). This election applies regardless of   whether the Beneficiary is a Designated Beneficiary under  Treas.   Reg. §1.401(a)(9)-4.
    	
 
    	
o
    	
 
    	
 
    	
 
    	
o
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
50.  JOINT AND SURVIVOR ANNUITY REQUIREMENTS  (6.04). The joint and survivor annuity distribution   requirements of Section 6.04 (Choose one of   (a) or (b)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
 
    	
x
    	
 
    	
Profit   sharing exception. Do not apply to an Exempt Participant, as   described in Section 6.04(G)(1), but apply to any other Participants (or   to a portion of their Account as described in Section 6.04(G)) (Complete (1)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(1)
    	
 
    	
One-year   marriage rule. Under Section 7.05(A)(3) relating to an   Exempt Participant’s Beneficiary designation under the profit sharing   exception (Choose one of a. or b.):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
a.
    	
 
    	
x
    	
 
    	
Applies. The one-year   marriage rule applies.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
b.
    	
 
    	
o
    	
 
    	
Does   not apply. The one-year marriage rule does not apply.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
 
    	
o
    	
 
    	
Joint   and survivor annuity applicable. Section 6.04 applies   to all Participants (Complete (1)):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(1)
    	
 
    	
One-year   marriage rule. Under Section 6.04(B) relating to the   QPSA (Choose one of a. or b.):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
a.
    	
 
    	
o
    	
 
    	
Applies.   The one-year marriage rule applies.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
b.
    	
 
    	
o
    	
 
    	
Does   not apply. The one-year marriage rule does not apply.
    
																				

 

ARTICLE VII

ADMINISTRATIVE PROVISIONS

 

	
51.  ALLOCATION OF EARNINGS  (7.04(B)).   For each Contribution Type provided under the Plan, the Plan allocates   Earnings using the following method (Choose one or more of   (a) through (f) as applicable):
    
	
 
    
	
[Note: Elective Deferrals/Employee Contributions also includes   Rollover Contributions, Transfers, DECs and Designated IRA Contributions,   Matching Contributions includes all Matching Contributions and Nonelective   Contributions includes all Nonelective Contributions unless described otherwise   in Election 51(f).]
    
	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
(2)
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
(1)
    	
 
    	
 
    	
 
    	
Elective   Deferrals/
    	
 
    	
(3)
    	
 
    	
(4)
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
All
    	
 
    	
 
    	
 
    	
Employee
    	
 
    	
Matching
    	
 
    	
Nonelective
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
Contributions
    	
 
    	
 
    	
 
    	
Contributions
    	
 
    	
Contributions
    	
 
    	
Contributions
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
 
    	
x
    	
 
    	
Daily. See   Section 7.04(B)(4)(a).
    	
 
    	
x
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
 
    	
o
    	
 
    	
Balance   forward. See Section 7.04(B)(4)(b).
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(c)
    	
 
    	
o
    	
 
    	
Balance   forward with adjustment.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    

 

30

 

	
 
    	
 
    	
 
    	
 
    	
See   Section 7.04(B)(4)(c). Allocate pursuant to the balance forward method, except   treat as part of the relevant Account at the beginning of the Valuation Period            % of the contributions made   during the following Valuation Period:                                     .
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(d)
    	
 
    	
o
    	
 
    	
Weighted   average. See Section  7.04(B)(4)(d).   If not a monthly weighting period, the weighting period is:                                 .
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(e)
    	
 
    	
o
    	
 
    	
Participant-Directed   Account. See Section 7.04(B)(4)(e).
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(f)
    	
 
    	
o
    	
 
    	
Describe   Earnings allocation   method:                                                  
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note: The Employer under Election 51(f) may describe Earnings   allocation methods from the elections available under Election 51 and/or a   combination thereof as to any: (i) Participant group (e.g., Daily   applies to Division A Employees OR to Employees hired after “x” date. Balance   forward applies to Division B Employees OR to Employees hired on/before “x”   date.); (ii) Contribution Type (e.g., Daily applies as to Discretionary   Nonelective Contribution Accounts. Participant-Directed Account applies to   Fixed Nonelective Contribution Accounts); (iii) investment type,   investment vendor or Account type (e.g., Balance forward applies to   investments placed with vendor A and Participant-Directed Account applies to   investments placed with vendor B OR Daily applies to Participant-Directed   Accounts and balance forward applies to pooled Accounts); and/or   (iv) merged plan account now held in the Plan (e.g., The accounts from   the X plan merged into this Plan continue to be subject to Earnings   allocation in accordance with the X plan terms [supply terms] and not in   accordance with the terms of this Plan). An Employer’s election under   Election 51(f) must: (i) be objectively determinable; (ii) not   be subject to Employer discretion; and (iii) be nondiscriminatory.]
    

 

ARTICLE VIII

TRUSTEE AND CUSTODIAN, POWERS AND DUTIES

 

	
52.  VALUATION OF TRUST  (8.02(C)(4)).   In addition to the last day of the Plan Year, the Trustee (or Named Fiduciary   as applicable) must value the Trust Fund on the following Valuation   Date(s) (Choose one or more of (a) through   (d) as applicable):
    
	
 
    
	
[Note: Elective Deferrals/Employee Contributions also include Rollover   Contributions, Transfers, DECs and Designated IRA Contributions, Matching   Contributions includes all Matching Contributions and Nonelective   Contributions includes all Nonelective Contributions unless described   otherwise in Election 52(d).]
    
	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
(2)
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
(1)
    	
 
    	
 
    	
 
    	
Elective   Deferrals/
    	
 
    	
(3)
    	
 
    	
(4)
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
All
    	
 
    	
 
    	
 
    	
Employee
    	
 
    	
Matching
    	
 
    	
Nonelective
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
Contributions
    	
 
    	
 
    	
 
    	
Contributions
    	
 
    	
Contributions
    	
 
    	
Contributions
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
 
    	
o
    	
 
    	
No   additional Valuation Dates.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
 
    	
x
    	
 
    	
Daily   Valuation Dates. Each business day of the Plan Year on which Plan   assets for which there is an established market are valued and the Trustee is   conducting business.
    	
 
    	
x
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
(c)
    	
 
    	
o
    	
 
    	
Last   day of a specified period. The  last   day of each       of the Plan Year.
    	
 
    	
o
    	
 
    	
OR
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(d)
    	
 
    	
o
    	
 
    	
Specified   Valuation   Dates:                                                                                                                        .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note: The Employer under Election 52(d) may describe Valuation   Dates from the elections available under Election 52 and/or a combination   thereof as to any: (i) Participant group (e.g., No additional Valuation   Dates apply to Division A Employees OR to Employees hired after “x” date.   Daily Valuation Dates apply to Division B Employees OR to Employees hired   on/before “x” date.); (ii) Contribution Type (e.g., No additional   Valuation Dates apply as to Discretionary Nonelective Contribution Accounts.   The last day of each Plan Year quarter applies to Fixed Nonelective   Contribution Accounts); (iii) investment type, investment vendor or   Account type (e.g., No additional Valuation Dates apply to investments placed   with vendor A and Daily Valuation Dates apply to investments placed with   vendor B OR Daily Valuation Dates apply to Participant-Directed Accounts and   no additional Valuation Dates apply to pooled Accounts); and/or   (iv) merged plan account now held in the Plan (e.g., The accounts from   the X plan merged into this Plan continue to be subject to Trust valuation in   accordance with the X plan terms [supply terms] and not in accordance with   the terms of this Plan). An Employer’s election under Election   52(d) must: (i) be objectively determinable; (ii) not be   subject to Employer discretion; and (iii) be nondiscriminatory.]
    

 

31

 

EXECUTION PAGE

 

The Employer, by executing this Adoption Agreement, hereby agrees to the provisions of this Plan and Trust.

 

	
 
    	
Employer:   
    	
Simpson   Manufacturing Co., Inc.
    
	
 
    	
 
    
	
 
    	
Date:
    	
April 28, 2011
    
	
 
    	
 
    
	
 
    	
Signed:
    	
/s/   Karen Colonias
    
	
 
    	
 
    
	
 
    	
Karen   Colonias CFO
    
	
 
    	
[print name/title]
    
					

 

The Trustee (and Custodian, if applicable), by executing this Adoption Agreement, hereby accepts its position and agrees to all of the obligations, responsibilities and duties imposed upon the Trustee (or Custodian) under the Prototype Plan and Trust. If the Employer under Election 5(c) will use a separate Trust, the Trustee need not execute this Adoption Agreement.

 

	
 
    	
Nondiscretionary   Trustee(s): 
    	
The   Charles Schwab Trust Company
    
	
 
    	
 
    
	
 
    	
Date:
    	
 
    
	
 
    	
 
    
	
 
    	
Signed:
    	
 
    
	
 
    	
 
    
	
 
    	
 
    
	
 
    	
[print name/title]
    
	
 
    	
 
    
	
 
    	
Nondiscretionary   Trustee(s):
    	
 
    
	
 
    	
 
    
	
 
    	
Date:
    	
 
    
	
 
    	
 
    
	
 
    	
Signed:
    	
 
    
	
 
    	
 
    
	
 
    	
 
    
	
 
    	
[print name/title]
    
	
 
    	
 
    
	
 
    	
Custodian(s) (Optional):
    	
 
    
	
 
    	
 
    
	
 
    	
Date:
    	
 
    
	
 
    	
 
    
	
 
    	
Signed:
    	
 
    
	
 
    	
 
    
	
 
    	
 
    
	
 
    	
[print name/title]
    
							

 

Use of Adoption Agreement. Failure to complete properly the elections in this Adoption Agreement may result in disqualification of the Employer’s Plan. The Employer only may use this Adoption Agreement only in conjunction with the basic plan document referenced by its document number on Adoption Agreement page one.

 

Execution for Page Substitution Amendment Only. If this paragraph is completed, this Execution Page documents an amendment to Adoption Agreement Election(s)           effective                      , by substitute Adoption Agreement page number(s)             . The Employer should retain all Adoption Agreement Execution Pages and amended pages. [Note: The Effective Date may be retroactive or may be prospective as permitted under Applicable Law.]

 

Prototype Plan Sponsor. The Prototype Plan Sponsor identified on the first page of the basic plan document will notify all adopting Employers of any amendment to this Prototype Plan or of any abandonment or discontinuance by the Prototype Plan Sponsor of its maintenance of this Prototype Plan. For inquiries regarding the adoption of the Prototype Plan, the Prototype Plan Sponsor’s intended meaning of any Plan provisions or the effect of the Opinion Letter issued to the Prototype Plan Sponsor, please contact the Prototype Plan Sponsor at the following address and telephone number: 2175 North California Boulevard, Suite 810, Walnut Creek, CA 94596, (888) 881-4015.

 

Reliance on Sponsor Opinion Letter. The Prototype Plan Sponsor has obtained from the IRS an Opinion Letter specifying the form of this Adoption Agreement and the basic plan document satisfy, as of the date of the Opinion Letter, Code §401. An adopting Employer may rely on the Prototype Sponsor’s IRS Opinion Letter only to the extent provided in Rev. Proc. 2005-16. 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 and in Rev. Proc. 2005-16, Sections 19.02 and 19.03. In order to have reliance in such circumstances or with respect to such qualification requirements, the Employer must apply for a determination letter to Employee Plans Determinations of the IRS.

 

32

 

APPENDIX A

EGTRRA RESTATED PLANS - SPECIAL EFFECTIVE DATES

[Covering period from restated Effective Date in Election 4(b) until Employer executes EGTRRA restatement]

 

	
53.  SPECIAL EFFECTIVE DATES (1.19).   The Employer elects or does not elect Appendix A special Effective   Date(s) as follows. (Choose (a) or one   or more of (b) through (r) as applicable):
    
	
 
    
	
[Note: If the Employer elects 53(a), do not complete the balance of   this Election 53.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
 
    	
o
    	
 
    	
Not   applicable. The Employer does not elect any Appendix A special   Effective Dates.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note: The Employer should use this Appendix A where it is restating   its Plan for EGTRRA with a retroactive Effective Date, but where one or more   Adoption Agreement elections under the restated Plan became effective after   the Plan’s general restatement Effective Date under Election 4(b). For   periods prior to the below-specified special Effective Date(s), the Plan   terms in effect prior to its restatement under this Adoption Agreement   control for purposes of the designated provisions. Any special Effective Date   the Employer elects must comply with Applicable Law.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
 
    	
x
    	
 
    	
Contribution   Types (1.12). The Contribution Types under Election(s) 6 (a),   6(e) are effective: May 1, 2011 .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
[Note: The Plan may not permit Roth Deferrals before January 1,   2006.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(c)
    	
 
    	
o
    	
 
    	
Excluded   Employees (1.21(D)). The Excluded Employee provisions under   Election(s) 8          are   effective:           .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(d)
    	
 
    	
o
    	
 
    	
Compensation   (1.11). The Compensation definition under   Election(s)       (specify   9-11 as applicable) are   effective:                  .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(e)
    	
 
    	
x
    	
 
    	
Eligibility   (2.01-2.03). The eligibility provisions under Election(s) 17(e)(2),   17(f) (specify 14-19 as applicable)   are effective: May 1, 2011 .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(f)
    	
 
    	
x
    	
 
    	
Elective   Deferrals (3.02(A)-(C)). The Elective Deferral   provisions under Election(s) 20 (specify 20-22 as   applicable) are effective: May 1, 2011 .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(g)
    	
 
    	
x
    	
 
    	
Catch-Up   Deferrals (3.02(D)). The Catch-Up Deferral provisions under   Election 23 (a) are effective: May 1, 2011 .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(h)
    	
 
    	
o
    	
 
    	
Matching   Contributions (3.03). The Matching Contribution provisions under   Election(s)        (specify   24-26 as applicable) are effective:                        .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(i)
    	
 
    	
o
    	
 
    	
Nonelective   Contributions (3.04). The Nonelective Contribution provisions   under Election(s)          (specify 27-29 as applicable) are effective:                        .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(j)
    	
 
    	
x
    	
 
    	
401(k) safe   harbor (3.05). The 401(k) safe harbor provisions under   Election(s) 30  (a) are effective: May 1,   2011 .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(k)
    	
 
    	
o
    	
 
    	
Allocation   conditions (3.06). The allocation conditions under Election(s)             (specify 31-32 as applicable) are   effective:                            .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(l)
    	
 
    	
o
    	
 
    	
Forfeitures   (3.07). The forfeiture allocation provisions under   Election(s)           (specify 33-34 as applicable) are effective:                              .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(m)
    	
 
    	
o
    	
 
    	
Employee   Contributions (3.09). The Employee Contribution provisions under   Election(s) 35          are   effective:                         .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(n)
    	
 
    	
x
    	
 
    	
Testing   elections (4.06(B)). The testing elections under   Election(s) 37 (2)(a) under the “Effective as of execution   (and retroactively if restatement)” column are   effective: May 1, 2011 .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(o)
    	
 
    	
x
    	
 
    	
Vesting   (5.03). The vesting provisions under Election(s) 41(b)(4) (specify 38-43 as applicable) are effective: Plan   years beginning on or after January 1, 2007 .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(p)
    	
 
    	
x
    	
 
    	
Distributions   (6.01 and 6.03). The distribution elections under   Election(s) 46 (specify 44-50 as   applicable) are effective: May 1, 2011 .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(q)
    	
 
    	
o
    	
 
    	
Earnings/Trust   valuation (7.04(B)/8.02(C)(4)). The Earnings allocation   and Trust valuation provisions under   Election(s)               (specify 51-52 as applicable) are   effective:                         .
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(r)
    	
 
    	
x
    	
 
    	
Special   Effective Date(s) for other elections  (specify   elections and dates): Hours of Service (1.31) Equivalency Method   under Election 12(b) is effective January 1, 2006 .
    
									

 

1

 

APPENDIX B

BASIC PLAN DOCUMENT OVERRIDE ELECTIONS

 

	
54.  BASIC   PLAN OVERRIDES. The Employer elects or does not elect to override various   basic plan provisions as follows (Choose (a) or   choose one or more of (b) through (i) as applicable):
    
	
 
    
	
[Note: If the Employer   elects 54(a), do not complete the balance of this Election 54.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(a)
    	
 
    	
o
    	
 
    	
Not   applicable. The Employer does not elect to override any basic   plan provisions.
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note: The Employer at the time of restating its Plan with this   Adoption Agreement may make an election on Appendix A (Election 53(r)) to   specify a special Effective Date for any override provision the Employer   elects in this Election 54. If the Employer, after it has executed this   Adoption Agreement, later amends its Plan to change any election on this   Appendix B, the Employer should document the Effective Date of the Appendix B   amendment on the Execution Page or otherwise in the amendment.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
(b)
    	
 
    	
o
    	
 
    	
Definition   (Article I) overrides.  (Choose   one or more of (1) through (9) as applicable):
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(1)
    	
 
    	
o
    	
 
    	
W-2   Compensation exclusion of paid/reimbursed moving expenses (1.11(B)(1)). W-2   Compensation excludes amounts paid or reimbursed by the Employer for moving   expenses incurred by an Employee, but only to the extent that, at the time of   payment, it is reasonable to believe that the Employee may deduct these   amounts under Code §217.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(2)
    	
 
    	
o
    	
 
    	
Alternative   (general) 415 Compensation (1.11(B)(4)). The Employer elects to   apply the alternative (general) 415 definition of Compensation in lieu of   simplified 415 Compensation. As to amounts received from an unfunded   nonqualified deferred compensation plan which is includible in gross income   in the taxable year of receipt (Choose one of a. or b.):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
a.
    	
 
    	
o
    	
 
    	
Include.   Include the nonqualified deferred compensation.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
b.
    	
 
    	
o
    	
 
    	
Do   not include. Do not include the nonqualified deferred   compensation.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(3)
    	
 
    	
o
    	
 
    	
Inclusion   of Deemed 125 Compensation (1.11(C)). Compensation under   Section 1.11 includes Deemed 125 Compensation.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(4)
    	
 
    	
o
    	
 
    	
Inclusion   of Post-Severance Compensation (1.11(I) and 4.05(C)(1)). The Plan   includes Post-Severance Compensation within the meaning of Prop. Treas. Reg.   §1.415(c)-2(e) as described in Sections 1.11(I) and   4.05(C)(1) as follows (Choose one or both of   a. and b.):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
a.
    	
 
    	
o
    	
 
    	
Include   for 415 testing. Include for 415 testing and for other testing   which uses 415 Compensation. This provision applies effective as of           (specify a date which is no earlier than   January 1, 2005).
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
b.
    	
 
    	
o
    	
 
    	
Include   for allocations. Include for allocations as follows  (specify  affected Contribution Type(s) and any adjustments to   Post-Severance Compensation used for allocation):            .   This provision applies effective as of           (specify a date which is no earlier than   January 1, 2002).
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(5)
    	
 
    	
o
    	
 
    	
Inclusion   of Deemed Disability Compensation (1.11(K)). Include Deemed Disability   Compensation. (Choose one of a. or b.):
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
a.
    	
 
    	
o
    	
 
    	
NHCEs   only. Apply only to disabled NHCEs.
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
b.
    	
 
    	
o
    	
 
    	
All   Participants. Apply to all disabled Participants. The Employer   will make Employer Contributions for such disabled Participants   for:                 (specify a fixed or determinable period).
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(6)
    	
 
    	
o
    	
 
    	
Early   application of final 401(k) regulations (1.28). The Employer   (consistent with the Plan Administrator’s operation of the Plan) elects to   apply the final 401(k) regulations before the beginning of the 2006 Plan   Year. The Employer elects to apply the regulations effective as   of:             (specify Plan Year ending after December 29, 2004, e.g., Plan   Year ending December 31, 2004 OR Plan Year beginning January 1,   2005).
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(7)
    	
 
    	
o
    	
 
    	
Leased   Employees (1.21(B)). The Employer for purposes of the following   Contribution Types, does not exclude Leased Employees: (specify   Contribution Types).
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(8)
    	
 
    	
o
    	
 
    	
Offset   if contributions to leasing organization plan (1.21(B)(2)). The Employer   will reduce allocations to this Plan for any Leased Employee  to the extent that the leasing organization contributes   to or provides benefits under a leasing organization plan to or for the   Leased Employee and which are attributable to the Leased Employee’s services   for the Employer.  The amount   of the offset is as   follows:                   .
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
[Note: The election of an offset under this Election   54(b)(8) requires that the Employer aggregate its plan with the leasing   organization’s plan for coverage and nondiscrimination testing.]
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
(9)
    	
 
    	
o
    	
 
    	
Reclassified   Employees (1.21(D)(3)). The Employer for purposes   of the following Contribution Types, does not exclude Reclassified Employees   (or the following categories of Reclassified   Employees):              (specify Contribution Types and/or categories of Reclassified   Employees).
    
																			

 

1

 

(c)               o     Rule of parity — participation (Article II) override (2.03(D)). For purposes of Plan participation, the Plan applies the “rule of parity” under Code §410(a)(5)(D).

 

(d)              o     Contribution/allocation (Article III) overrides.  (Choose one or more of (1) through (7) as applicable):

 

(1)               o     Treatment of Automatic Deferrals as Roth Deferrals (3.02(B)(7)). The Employer elects to treat Automatic Deferrals as Roth Deferrals in lieu of treating Automatic Deferrals as Pre-Tax Deferrals.

 

(2)               o     Application of Safe Harbor Contributions to other allocations (3.05(E)(11)). Any Safe Harbor Nonelective Contributions allocated to a Participant’s account will not be applied toward (offset) any allocation to the Participant of a non-Safe Harbor Nonelective Contribution.

 

(3)               o     Short Plan Year or allocation period (3.06(B)(1)(c)). The Plan Administrator (Choose one of a. or b.):

 

a.                   o     No pro-ration. Will not pro-rate Hours of Service in any short allocation period.

 

b.                  o     Pro-ration based on months. Will pro-rate any Hour of Service requirement based on the number of months in the short allocation period.

 

(4)               o     Limited waiver of allocation conditions for re-hired Participants (3.06(G)). The allocation conditions the Employer has elected in the Adoption Agreement do not apply to re-hired Participants in the Plan Year they resume participation, as described in Section 3.06(G).

 

(5)               o     Associated Match forfeiture timing (3.07(A)(1)(c)). Forfeiture of associated matching contributions occurs in the Testing Year.

 

(6)               o     Safe Harbor top-heavy exempt fail-safe (3.07(A)(4)). In lieu of ordering forfeitures as (a), (b), (c), and (d) under Section 3.07(A)(4), the Employer establishes the following forfeiture ordering rules (Specify the ordering rules, for example, (d), (a), (b), and (c)):                          .

 

(7)               o     Suspension (3.06(F)(3)). The Plan Administrator in applying Section 3.06(F) will (Choose one or more of a., b., and c. as applicable):

 

a.                   o     Re-order tiers. Apply the suspension tiers in Section 3.06(F)(2) in the following order:                            (specify  order).

 

b.                  o     Hours of Service tie-breaker. Apply the greatest Hours of Service as the tie-breaker within a suspension tier in lieu of applying the lowest Compensation.

 

c.                   o     Additional/other tiers. Apply the following additional or other tiers:                                 (specify suspension tiers and ordering).

 

(e)               o     Testing (Article IV) overrides.  (Choose one or both of (1) and (2) as applicable):

 

(1)               o     Early application of Gap Period income to Excess Deferrals (4.11(C)(1)). The Plan Administrator will distribute Gap Period income allocated on Excess Deferrals as to Excess Deferrals occurring in the                         Taxable Year and in later Taxable Years (Specify a Taxable Year before 2008).

 

(2)               o     Early application of Gap Period income to Excess Contributions/Aggregates (4.11(C)(2)). The Plan Administrator will distribute Gap Period income allocated on Excess Contributions and Excess Aggregate Contributions occurring in the                           Plan Year and in later Plan Years (Specify a Plan Year before the Final 401(k) Regulations Effective Date).

 

(f)                 o     Vesting (Article V) overrides.  (Choose one or more of (1) through (6) as applicable):

 

(1)               o     Application of top-heavy vesting to Matching (5.03(A)(1)). The Employer makes the following elections regarding the application of top-heavy vesting to its Regular Matching and Additional Matching Contributions (Choose one or both of a. and b.):

 

a.                   o     Post-EGTRRA Matching only. Apply top-heavy vesting only to such post-2001 Plan Year Matching Contributions.

 

b.                  o     Waiver of Hour of Service requirement. Apply top-heavy vesting as under the basic plan or as modified by Election 54(f)(1)a. to all Participants even if they did not have an Hour of Service in any post-2001 Plan Year.

 

(2)               o     Alternative “grossed-up” vesting formula (5.03(C)(2)). The Employer elects the alternative vesting formula described in Section 5.03(C)(2).

 

(3)               o     Source of Cash-Out forfeiture restoration (5.04(B)(5)). To restore a Participant’s Account Balance as described in Section 5.04(B)(5), the Plan Administrator, to the extent necessary, will allocate from the following source(s) and in the following order (Specify, in order, one or more of the following: Forfeitures, Earnings, and/or Employer Contribution):                                                                  .

 

(4)               o     Deemed Cash-Out of 0% Vested Participant (5.04(C)). The deemed cash-out rule of Section 5.04(C) does not apply to the Plan.

 

2

 

(5)               o     Accounting for Cash-Out repayment; Contribution Type (5.04(D)(2)). In lieu of the accounting described in Section 5.04(D)(2), the Plan Administrator will account for a Participant’s Account Balance attributable to a Cash-Out repayment: (Choose one of a. or b.):

 

a.                   o     Nonelective rule. Under the nonelective rule.

 

b.                  o     Rollover rule. Under the rollover rule.

 

(6)               o     One-year hold-out rule — vesting (5.06(D)). The one-year hold-out Break in Service rule under Code §411(a)(6)(B) applies.

 

(g)              x     Distribution (Article VI) overrides.  (Choose one or more of (1) through (7) as applicable):

 

(1)               x    Election of 5-year rule (6.02(B)(1)(e)). Under Section 6.02(B)(1)(e) relating to death before the RBD, if a Designated Beneficiary does not make a timely election, the 5-year rule applies in lieu of the Life Expectancy rule.

 

(2)               o     2002 only special Effective Date for Section 6.02 (6.02(D)(4)). For the 2002 DCY only, the Plan Administrator will apply the RMD rules in effect under (Choose  one of a. or b.):

 

a.                   o     1987 proposed regulations. The 1987 proposed Treasury regulations under Code §401(a)(9).

 

b.                  o     2001 proposed regulations. The 2001 proposed Treasury regulations under Code §401(a)(9).

 

(3)               o     RBD definition (6.02(E)(7)(c)). In lieu of the RBD definition in Section 6.02(E)(7)(a) and (b), the Plan Administrator (Choose  one of a. or b.):

 

a.                   o     SBJPA definition indefinitely. Indefinitely will apply the pre-SBJPA RBD definition.

 

b.                  o     SBJPA definition to specified date. Will apply the pre-SBJPA definition until                             (the stated date may not be earlier than January 1, 1997), and thereafter will apply the RBD definition in Sections 6.02(E)(7)(a) and (b).

 

(4)               o     Modification of QJSA (6.04(A)(3)). The Survivor Annuity percentage will be                 %. (Specify  a percentage between 50% and 100%.)

 

(5)               o     Modification of QPSA (6.04(B)(2)). The QPSA percentage will be             %. (Specify  a percentage between 50% and 100%.)

 

(6)               o     Restriction on hardship source; grandfathering (6.07(E)). The hardship distribution limit includes grandfathered amounts.

 

(7)               o     Replacement of $5,000 amount (6.09). All Plan references (except in Sections 3.02(D), 3.10 and 3.12(C)(2)) to “$5,000” will be $           . (Specify  an amount less than $5,000.)

 

(h)              o     Administrative, Trust and insurance overrides (Articles VII, VIII and IX).  (Choose one or more of (1) through (9) as applicable):

 

(1)               o     Contributions prior to accrual or precise determination (7.04(B)(5)(b)). The Plan Administrator will allocate Earnings described in Section 7.04(B)(5)(b) as follows (Choose one of a., b., or c.):

 

a.                   o     Treat as contribution. Treat the Earnings as an Employer Matching or Nonelective Contribution and allocate accordingly.

 

b.                  o     Balance forward. Allocate the Earnings using the balance forward method described in Section 7.04(B)(4)(b).

 

c.                   o     Weighted average. Allocate the Earnings on Matching Contributions using the weighted average method in a manner similar to the method described in Section 7.04(B)(4)(d).

 

(2)               o     Automatic revocation of spousal designation (7.05(A)(1)). The automatic revocation of a spousal Beneficiary designation in the case of divorce or legal separation does not apply.

 

(3)               o     Limitation on frequency of Beneficiary designation changes (7.05(A)(4)). Except in the case of a Participant incurring a major life event, a period of at least                           must elapse between Beneficiary designation changes. (Specify a period of time, e.g., 90 days OR 12 months.)

 

(4)               o     Definition of “spouse” (7.05(A)(5)). The following definition of “spouse” applies:                                         . (Specify  a definition consistent with Applicable Law.)

 

(5)               o     Administration of default provision; default Beneficiaries (7.05(C)). The following list of default Beneficiaries will apply:                                                                        . (Specify, in order, one or more Beneficiaries who will receive the interest of a deceased Participant.)

 

(6)               o     Subsequent restoration of forfeiture-sources and ordering (7.07(A)(3)). Restoration of forfeitures will come from the following sources, in the following order                                                               . (Specify, in order, one or more of the following: Forfeitures, Employer Contribution, Trust Fund Earnings.)

 

3

 

(7)               o     State law (7.10(H)). The law of the following state will apply:                                                    . (Specify  one of the 50 states or the District of Columbia, or other appropriate legal jurisdiction, such as a territory of the United States or an Indian tribal government.)

 

(8)               o     Employer securities/real property in Profit Sharing Plans/401(k) Plans (8.02(A)(13)(a)). The Plan  limit on investment in qualifying Employer securities/real property is                 %. (Specify  a percentage which is less than 100%.)

 

(9)               o     Provisions relating to insurance and insurance company (9.08). The following provisions apply:                                              (Specify such language as necessary to accommodate life insurance Contracts the Plan holds.)

 

[Note: The provisions in this Election 54(h)(9) may override provisions in Article IX of the Plan, but must be consistent with all other provisions of the Plan and Applicable Law.]

 

(i)                  o     Code Sections 415/416 (Article XI) override (11.02(A)(1)). Because of the required aggregation of multiple plans, to satisfy Code §§415 and/or 416, the following overriding provisions apply:                                               . (Specify such language as necessary to satisfy §§415 and 416.)

 

4

 

APPENDIX C

LIST OF GROUP TRUST FUNDS/PERMISSIBLE TRUST AMENDMENTS

 

55.     o     INVESTMENT IN GROUP TRUST FUND  (8.09). The nondiscretionary Trustee, as directed or the discretionary Trustee acting without direction (and in addition to the discretionary Trustee’s authority to invest in its own funds under Section 8.02(A)(3)), may invest in any of the following group trust funds:                                                                                                          . (Specify the names of one or more group trust funds in which the Plan can invest).

 

[Note: A discretionary or nondiscretionary Trustee also may invest in any group trust fund authorized by an independent Named Fiduciary.]

 

56.     o     PERMISSIBLE TRUST AMENDMENTS  (8.11). The Employer makes the following amendments to the Trust as permitted under Rev. Proc. 2005-16, Section 5.09 (Choose one or more of (a) through (c) as applicable):

 

[Note: Any amendment under this Election 56 must not: (i) conflict with any Plan provision unrelated to the Trust or Trustee; or (ii) cause the Plan to violate Code §401(a). The amendment may override, add to, delete or otherwise modify the Trust provisions. Do not use this Election 56 to substitute another pre-approved trust for the Trust. See Election 5(c) as to a substitute trust.]

 

(a)              o     Investments. The Employer amends the Trust provisions relating to Trust investments as follows:

 

                                                                                                                                                                                                     .

 

(b)             o     Duties. The Employer amends the Trust provisions relating to Trustee (or Custodian) duties as follows:

 

                                                                                                                                                                                                     .

 

(c)              o     Other administrative provisions. The Employer amends the other administrative provisions of the Trust as follows:

 

                                                                                                                                                                                                     .

 

1

 

APPENDIX D

TABLE I: ACTUARIAL FACTORS

UP-1984

Without Setback

 

	
Number of years
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
from attained age
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
at the end of Plan Year until
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
Normal Retirement Age
    	
 
    	
7.50%
    	
 
    	
8.00%
    	
 
    	
8.50%
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
0
    	
 
    	
8.458
    	
 
    	
8.196
    	
 
    	
7.949
    	
 
    
	
1
    	
 
    	
7.868
    	
 
    	
7.589
    	
 
    	
7.326
    	
 
    
	
2
    	
 
    	
7.319
    	
 
    	
7.027
    	
 
    	
6.752
    	
 
    
	
3
    	
 
    	
6.808
    	
 
    	
6.506
    	
 
    	
6.223
    	
 
    
	
4
    	
 
    	
6.333
    	
 
    	
6.024
    	
 
    	
5.736
    	
 
    
	
5
    	
 
    	
5.891
    	
 
    	
5.578
    	
 
    	
5.286
    	
 
    
	
6
    	
 
    	
5.480
    	
 
    	
5.165
    	
 
    	
4.872
    	
 
    
	
7
    	
 
    	
5.098
    	
 
    	
4.782
    	
 
    	
4.491
    	
 
    
	
8
    	
 
    	
4.742
    	
 
    	
4.428
    	
 
    	
4.139
    	
 
    
	
9
    	
 
    	
4.412
    	
 
    	
4.100
    	
 
    	
3.815
    	
 
    
	
10
    	
 
    	
4.104
    	
 
    	
3.796
    	
 
    	
3.516
    	
 
    
	
11
    	
 
    	
3.817
    	
 
    	
3.515
    	
 
    	
3.240
    	
 
    
	
12
    	
 
    	
3.551
    	
 
    	
3.255
    	
 
    	
2.986
    	
 
    
	
13
    	
 
    	
3.303
    	
 
    	
3.014
    	
 
    	
2.752
    	
 
    
	
14
    	
 
    	
3.073
    	
 
    	
2.790
    	
 
    	
2.537
    	
 
    
	
15
    	
 
    	
2.859
    	
 
    	
2.584
    	
 
    	
2.338
    	
 
    
	
16
    	
 
    	
2.659
    	
 
    	
2.392
    	
 
    	
2.155
    	
 
    
	
17
    	
 
    	
2.474
    	
 
    	
2.215
    	
 
    	
1.986
    	
 
    
	
18
    	
 
    	
2.301
    	
 
    	
2.051
    	
 
    	
1.831
    	
 
    
	
19
    	
 
    	
2.140
    	
 
    	
1.899
    	
 
    	
1.687
    	
 
    
	
20
    	
 
    	
1.991
    	
 
    	
1.758
    	
 
    	
1.555
    	
 
    
	
21
    	
 
    	
1.852
    	
 
    	
1.628
    	
 
    	
1.433
    	
 
    
	
22
    	
 
    	
1.723
    	
 
    	
1.508
    	
 
    	
1.321
    	
 
    
	
23
    	
 
    	
1.603
    	
 
    	
1.396
    	
 
    	
1.217
    	
 
    
	
24
    	
 
    	
1.491
    	
 
    	
1.293
    	
 
    	
1.122
    	
 
    
	
25
    	
 
    	
1.387
    	
 
    	
1.197
    	
 
    	
1.034
    	
 
    
	
26
    	
 
    	
1.290
    	
 
    	
1.108
    	
 
    	
0.953
    	
 
    
	
27
    	
 
    	
1.200
    	
 
    	
1.026
    	
 
    	
0.878
    	
 
    
	
28
    	
 
    	
1.116
    	
 
    	
0.950
    	
 
    	
0.810
    	
 
    
	
29
    	
 
    	
1.039
    	
 
    	
0.880
    	
 
    	
0.746
    	
 
    
	
30
    	
 
    	
0.966
    	
 
    	
0.814
    	
 
    	
0.688
    	
 
    
	
31
    	
 
    	
0.899
    	
 
    	
0.754
    	
 
    	
0.634
    	
 
    
	
32
    	
 
    	
0.836
    	
 
    	
0.698
    	
 
    	
0.584
    	
 
    
	
33
    	
 
    	
0.778
    	
 
    	
0.647
    	
 
    	
0.538
    	
 
    
	
34
    	
 
    	
0.723
    	
 
    	
0.599
    	
 
    	
0.496
    	
 
    
	
35
    	
 
    	
0.673
    	
 
    	
0.554
    	
 
    	
0.457
    	
 
    
	
36
    	
 
    	
0.626
    	
 
    	
0.513
    	
 
    	
0.422
    	
 
    
	
37
    	
 
    	
0.582
    	
 
    	
0.475
    	
 
    	
0.389
    	
 
    
	
38
    	
 
    	
0.542
    	
 
    	
0.440
    	
 
    	
0.358
    	
 
    
	
39
    	
 
    	
0.504
    	
 
    	
0.407
    	
 
    	
0.330
    	
 
    
	
40
    	
 
    	
0.469
    	
 
    	
0.377
    	
 
    	
0.304
    	
 
    
	
41
    	
 
    	
0.436
    	
 
    	
0.349
    	
 
    	
0.280
    	
 
    
	
42
    	
 
    	
0.406
    	
 
    	
0.323
    	
 
    	
0.258
    	
 
    
	
43
    	
 
    	
0.377
    	
 
    	
0.299
    	
 
    	
0.238
    	
 
    
	
44
    	
 
    	
0.351
    	
 
    	
0.277
    	
 
    	
0.219
    	
 
    
	
45
    	
 
    	
0.327
    	
 
    	
0.257
    	
 
    	
0.202
    	
 
    

 

Note: A Participant’s Actuarial Factor under Table I is the factor corresponding to the number of years until the Participant reaches his/her Normal Retirement Age under the Plan. A Participant’s age as of the end of the current Plan Year is his/her age on his/her last birthday. For any Plan Year beginning on or after the Participant’s attainment of Normal Retirement Age, the factor for “zero” years applies.

 

1

 

APPENDIX D

TABLE II: ADJUSTMENT TO ACTUARIAL FACTORS FOR NORMAL RETIREMENT AGE

OTHER THAN 65

UP-1984

Without Setback

 

	
Normal Retirement
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
Age
    	
 
    	
7.50%
    	
 
    	
8.00%
    	
 
    	
8.50%
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
55
    	
 
    	
1.2242
    	
 
    	
1.2147
    	
 
    	
1.2058
    	
 
    
	
56
    	
 
    	
1.2043
    	
 
    	
1.1959
    	
 
    	
1.1879
    	
 
    
	
57
    	
 
    	
1.1838
    	
 
    	
1.1764
    	
 
    	
1.1694
    	
 
    
	
58
    	
 
    	
1.1627
    	
 
    	
1.1563
    	
 
    	
1.1503
    	
 
    
	
59
    	
 
    	
1.1411
    	
 
    	
1.1357
    	
 
    	
1.1305
    	
 
    
	
60
    	
 
    	
1.1188
    	
 
    	
1.1144
    	
 
    	
1.1101
    	
 
    
	
61
    	
 
    	
1.0960
    	
 
    	
1.0925
    	
 
    	
1.0891
    	
 
    
	
62
    	
 
    	
1.0726
    	
 
    	
1.0700
    	
 
    	
1.0676
    	
 
    
	
63
    	
 
    	
1.0488
    	
 
    	
1.0471
    	
 
    	
1.0455
    	
 
    
	
64
    	
 
    	
1.0246
    	
 
    	
1.0237
    	
 
    	
1.0229
    	
 
    
	
65
    	
 
    	
1.0000
    	
 
    	
1.0000
    	
 
    	
1.0000
    	
 
    
	
66
    	
 
    	
0.9752
    	
 
    	
0.9760
    	
 
    	
0.9767
    	
 
    
	
67
    	
 
    	
0.9502
    	
 
    	
0.9518
    	
 
    	
0.9533
    	
 
    
	
68
    	
 
    	
0.9251
    	
 
    	
0.9274
    	
 
    	
0.9296
    	
 
    
	
69
    	
 
    	
0.8998
    	
 
    	
0.9027
    	
 
    	
0.9055
    	
 
    
	
70
    	
 
    	
0.8740
    	
 
    	
0.8776
    	
 
    	
0.8810
    	
 
    
	
71
    	
 
    	
0.8478
    	
 
    	
0.8520
    	
 
    	
0.8561
    	
 
    
	
72
    	
 
    	
0.8214
    	
 
    	
0.8261
    	
 
    	
0.8307
    	
 
    
	
73
    	
 
    	
0.7946
    	
 
    	
0.7999
    	
 
    	
0.8049
    	
 
    
	
74
    	
 
    	
0.7678
    	
 
    	
0.7735
    	
 
    	
0.7790
    	
 
    
	
75
    	
 
    	
0.7409
    	
 
    	
0.7470
    	
 
    	
0.7529
    	
 
    
	
76
    	
 
    	
0.7140
    	
 
    	
0.7205
    	
 
    	
0.7268
    	
 
    
	
77
    	
 
    	
0.6874
    	
 
    	
0.6942
    	
 
    	
0.7008
    	
 
    
	
78
    	
 
    	
0.6611
    	
 
    	
0.6682
    	
 
    	
0.6751
    	
 
    
	
79
    	
 
    	
0.6349
    	
 
    	
0.6423
    	
 
    	
0.6494
    	
 
    
	
80
    	
 
    	
0.6090
    	
 
    	
0.6165
    	
 
    	
0.6238
    	
 
    

 

Note: Use Table II only if the Normal Retirement Age for any Participant is not 65. If a Participant’s Normal Retirement Age is not 65, adjust Table I by multiplying all factors applicable to that Participant in Table I by the appropriate Table II factor.

 

2

 

AMENDMENT FOR THE FINAL 415 REGULATIONS

 

ARTICLE I

PREAMBLE

 

1.1         Effective date of Amendment. This Amendment is effective for limitation years and plan years beginning on or after July 1, 2007, except as otherwise provided herein.

 

1.2         Superseding of inconsistent provisions. This Amendment supersedes the provisions of the Plan to the extent those provisions are inconsistent with the provisions of this Amendment.

 

1.3         Employer’s election. The Employer adopts all Articles of this Amendment, except those Articles that the Employer specifically elects not to adopt.

 

1.4         Construction. Except as otherwise provided in this Amendment, any reference to “Section” in this Amendment refers only to sections within this Amendment, and is not a reference to the Plan. The Article and Section numbering in this Amendment is solely for purposes of this Amendment, and does not relate to any Plan article, section or other numbering designations.

 

1.5         Effect of restatement of Plan. If the Employer restates the Plan, then this Amendment shall remain in effect after such restatement unless the provisions in this Amendment are restated or otherwise become obsolete (e.g., if the Plan is restated onto a plan document which incorporates the final Code §415 Regulation provisions).

 

1.6         Adoption by prototype sponsor. Except as otherwise provided herein, pursuant to the provisions of the Plan and Section 5.01 of Revenue Procedure 2005-16, the sponsor hereby adopts this Amendment on behalf of all adopting employers.

 

ARTICLE II

EMPLOYER ELECTIONS

 

The Employer only needs to complete the questions in Section 2.2 in order to override the default provisions set forth below. If the Plan will use all of the default provisions, then these questions should be skipped and the Employer does not need to execute this amendment.

 

2.1         Default Provisions. Unless the Employer elects otherwise in Section 2.2, the following defaults will apply:

 

a.               The provisions of the Plan setting forth the definition of compensation for purposes of Code §415 (hereinafter referred to as “415 Compensation”), as well as compensation for purposes of determining highly compensated employees pursuant to Code §414(q) and for top-heavy purposes under Code §416 (including the determination of key employees), shall be modified by (1) including payments for unused sick, vacation or other leave and payments from nonqualified unfunded deferred compensation plans (Amendment Section 3.2(b)), (2) excluding salary continuation payments for participants on military service (Amendment Section 3.2(c)), and (3) excluding salary continuation payments for disabled participants (Amendment Section 3.2(d)).

 

b.              The “first few weeks rule” does not apply for purposes of 415 Compensation (Amendment Section 3.3).

 

c.               The provision of the Plan setting forth the definition of compensation for allocation purposes (hereinafter referred to as “Plan Compensation”) shall be modified to provide for the same adjustments to Plan Compensation (for all contribution types) that are made to 415 Compensation pursuant to this Amendment.

 

2.2         In lieu of default provisions. In lieu of the default provisions above, the following apply: (select all that apply; if no selections are made, then the defaults apply)

 

415 Compensation. (select all that apply):

a.               o    Exclude leave cashouts and deferred compensation (Section 3.2(b))

b.              o    Include military continuation payments (Section 3.2(c))

c.               o    Include disability continuation payments (Section 3.2(d)):

1.               o    For Nonhighly Compensated Employees only

2.               o    For all participants and the salary continuation will continue for the following fixed or determinable period:                          

d.              o    Apply the administrative delay (“first few weeks”) rule (Section 3.3)

 

1

 

Plan Compensation. (select all that apply):

 

NOTE: Elective Deferrals includes Pre-Tax Deferrals, Roth Deferrals and Employee Contributions, Matching includes all Matching Contributions and Nonelective includes all Nonelective Contributions. For all Plans other than 401(k) plans, only use column 1. or column 4. in the table below.

 

NOTE: Under the GUST PPD document, the plan excludes all post-severance compensation unless the Employer had elected otherwise in its adoption agreement.

 

	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
Elective
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
All
    	
 
    	
 
    	
Deferrals
    	
 
    	
Matching
    	
 
    	
Nonelective
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
e.
    	
o
    	
Default   provisions apply
    	
  1. N/A
    	
 
    	
OR
    	
2.   o
    	
 
    	
3.   o
    	
 
    	
4.   o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
f.
    	
o
    	
No   change from existing Plan provisions
    	
1.   o
    	
 
    	
OR
    	
2.   o
    	
 
    	
3.   o
    	
 
    	
4.   o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
g.
    	
o
    	
Exclude   all post-severance compensation
    	
1.   o
    	
 
    	
OR
    	
2.   o
    	
 
    	
3.   o
    	
 
    	
4.   o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
h.
    	
o
    	
Exclude   post-severance regular pay
    	
1.   o
    	
 
    	
OR
    	
2.   o
    	
 
    	
3.   o
    	
 
    	
4.   o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
i.
    	
o
    	
Exclude   leave cashouts and deferred compensation
    	
1.   o
    	
 
    	
OR
    	
2.   o
    	
 
    	
3.   o
    	
 
    	
4.   o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
j.
    	
o
    	
Include   post-severance military continuation payments
    	
1.   o
    	
 
    	
OR
    	
2.   o
    	
 
    	
3.   o
    	
 
    	
4.   o
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
k.
    	
o
    	
Include   post-severance disability continuation payments:
    	
1.   o
    	
 
    	
OR
    	
2.   o
    	
 
    	
3.   o
    	
 
    	
4.   o
    	
 
    
	
 
    	
a.
    	
o  For Nonhighly Compensated Employees only
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
b.
    	
o  For all participants and the salary   continuation
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
will   continue for the following fixed or determinable   period:                        
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    
	
l.
    	
x
    	
Other   Exclude deferred compensation. (describe)
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    

 

Plan Compensation Special Effective Date. The definition of Plan Compensation is modified as set forth herein effective as of the same date as the 415 Compensation change is effective unless otherwise specified:

m.                                                                                           (enter the effective date)

 

ARTICLE III

FINAL SECTION 415 REGULATIONS

 

3.1        Effective date. The provisions of this Article III shall apply to limitation years beginning on and after July 1, 2007.

 

3.2         415 Compensation paid after severance from employment. 415 Compensation shall be adjusted, as set forth herein and as otherwise elected in Article II, for the following types of compensation paid after a Participant’s severance from employment with the Employer maintaining the Plan (or any other entity that is treated as the Employer pursuant to Code §414(b), (c), (m) or (o)). However, amounts described in subsections (a) and (b) below may only be included in 415 Compensation to the extent such amounts are paid by the later of 2 1/2 months after severance from employment or by the end of the limitation year that includes the date of such severance from employment. Any other payment of compensation paid after severance of employment that is not described in the following types of compensation is not considered 415 Compensation within the meaning of Code §415(c)(3), even if payment is made within the time period specified above.

 

(a)   Regular pay. 415 Compensation shall include regular pay after severance of employment if:

 

(1)          The payment is regular compensation for services during the participant’s regular working hours, or compensation for services outside the participant’s regular working hours (such as overtime or shift differential), commissions, bonuses, or other similar payments; and

 

(2)          The payment would have been paid to the participant prior to a severance from employment if the participant had continued in employment with the Employer.

 

2

 

(b)         Leave cashouts and deferred compensation. Leave cashouts shall be included in 415 Compensation, unless otherwise elected in Section 2.2 of this Amendment, if those amounts would have been included in the definition of 415 Compensation if they were paid prior to the participant’s severance from employment, and the amounts are payment for unused accrued bona fide sick, vacation, or other leave, but only if the participant would have been able to use the leave if employment had continued. In addition, deferred compensation shall be included in 415 Compensation, unless otherwise elected in Section 2.2 of this Amendment, if the compensation would have been included in the definition of 415 Compensation if it had been paid prior to the participant’s severance from employment, and the compensation is received pursuant to a nonqualified unfunded deferred compensation plan, but only if the payment would have been paid at the same time if the participant had continued in employment with the Employer and only to the extent that the payment is includible in the participant’s gross income.

 

(c)          Salary continuation payments for military service participants. 415 Compensation does not include, unless otherwise elected in Section 2.2 of this Amendment, payments to an individual who does not currently perform services for the Employer by reason of qualified military service (as that term is used in Code §414(u)(1)) to the extent those payments do not exceed the amounts the individual would have received if the individual had continued to perform services for the Employer rather than entering qualified military service.

 

(d)         Salary continuation payments for disabled Participants. Unless otherwise elected in Section 2.2 of this Amendment, 415 Compensation does not include compensation paid to a participant who is permanently and totally disabled (as defined in Code §22(e)(3)). If elected, this provision shall apply to either just non-highly compensated participants or to all participants for the period specified in Section 2.2 of this Amendment.

 

3.3         Administrative delay (“the first few weeks”) rule. 415 Compensation for a limitation year shall not include, unless otherwise elected in Section 2.2 of this Amendment, amounts earned but not paid during the limitation year solely because of the timing of pay periods and pay dates. However, if elected in Section 2.2 of this Amendment, 415 Compensation for a limitation year shall include amounts earned but not paid during the limitation year solely because of the timing of pay periods and pay dates, provided the amounts are paid during the first few weeks of the next limitation year, the amounts are included on a uniform and consistent basis with respect to all similarly situated participants, and no compensation is included in more than one limitation year.

 

3.4         Inclusion of certain nonqualified deferred compensation amounts. If the Plan’s definition of Compensation for purposes of Code §415 is the definition in Regulation Section 1.415(c)-2(b) (Regulation Section 1.415-2(d)(2) under the Regulations in effect for limitation years beginning prior to July 1, 2007) and the simplified compensation definition of Regulation 1.415(c)-2(d)(2) (Regulation Section 1.415-2(d)(10) under the Regulations in effect for limitation years prior to July 1, 2007) is not used, then 415 Compensation shall include amounts that are includible in the gross income of a Participant under the rules of Code §409A or Code §457(f)(1)(A) or because the amounts are constructively received by the Participant. [Note if the Plan’s definition of Compensation is W-2 wages or wages for withholding purposes, then these amounts are already included in Compensation.]

 

3.5   Definition of annual additions. The Plan’s definition of “annual additions” is modified as follows:

 

(a)          Restorative payments. Annual additions for purposes of Code §415 shall not include restorative payments. A restorative payment is a payment made to restore losses to a Plan resulting from actions by a fiduciary for which there is reasonable risk of liability for breach of a fiduciary duty under ERISA or under other applicable federal or state law, where participants who are similarly situated are treated similarly with respect to the payments. Generally, payments are restorative payments only if the payments are made in order to restore some or all of the plan’s losses due to an action (or a failure to act) that creates a reasonable risk of liability for such a breach of fiduciary duty (other than a breach of fiduciary duty arising from failure to remit contributions to the Plan). This includes payments to a plan made pursuant to a Department of Labor order, the Department of Labor’s Voluntary Fiduciary Correction Program, or a court-approved settlement, to restore losses to a qualified defined contribution plan on account of the breach of fiduciary duty (other than a breach of fiduciary duty arising from failure to remit contributions to the Plan). Payments made to the Plan to make up for losses due merely to market fluctuations and other payments that are not made on account of a reasonable risk of liability for breach of a fiduciary duty under ERISA are not restorative payments and generally constitute contributions that are considered annual additions.

 

(b)         Other Amounts. Annual additions for purposes of Code §415 shall not include: (1) The direct transfer of a benefit or employee contributions from a qualified plan to this Plan; (2) Rollover contributions (as described in Code §§401(a)(31), 402(c)(1), 403(a)(4), 403(b)(8), 408(d)(3), and 457(e)(16)); (3) Repayments of loans made to a participant from the Plan; and (4) Repayments of amounts described in Code §411(a)(7)(B) (in accordance with Code §411(a)(7)(C)) and Code §411(a)(3)(D) or repayment of contributions to a governmental plan (as defined in Code §414(d)) as described in Code §415(k)(3), as well as Employer restorations of benefits that are required pursuant to such repayments.

 

(c)          Date of tax-exempt Employer contributions. Notwithstanding anything in the Plan to the contrary, in the case of an Employer that is exempt from Federal income tax (including a governmental employer), Employer contributions are treated as credited to a participant’s account for a particular limitation year only if the contributions are actually made to the plan no later than the 15th day of the tenth calendar month following the end of the calendar year or fiscal year (as applicable, depending on the basis on which the employer keeps its books) with or within which the particular limitation year ends.

 

3

 

3.6         Change of limitation year. The limitation year may only be changed by a Plan amendment. Furthermore, if the Plan is terminated effective as of a date other than the last day of the Plan’s limitation year, then the Plan is treated as if the Plan had been amended to change its limitation year.

 

3.7         Excess Annual Additions. Notwithstanding any provision of the Plan to the contrary, if the annual additions (within the meaning of Code §415) are exceeded for any participant, then the Plan may only correct such excess in accordance with the Employee Plans Compliance Resolution System (EPCRS) as set forth in Revenue Procedure 2006-27 or any superseding guidance, including, but not limited to, the preamble of the final §415 regulations.

 

3.8         Aggregation and Disaggregation of Plans.

 

(a)          For purposes of applying the limitations of Code §415, all defined contribution plans (without regard to whether a plan has been terminated) ever maintained by the Employer (or a “predecessor employer”) under which the participant receives annual additions are treated as one defined contribution plan. The “Employer” means the Employer that adopts this Plan and all members of a controlled group or an affiliated service group that includes the Employer (within the meaning of Code §§414(b), (c), (m) or (o)), except that for purposes of this Section, the determination shall be made by applying Code §415(h), and shall take into account tax-exempt organizations under Regulation Section 1.414(c)-5, as modified by Regulation Section 1.415(a)-1(f)(1). For purposes of this Section:

 

(1)          A former Employer is a “predecessor employer” with respect to a participant in a plan maintained by an Employer if the Employer maintains a plan under which the participant had accrued a benefit while performing services for the former Employer, but only if that benefit is provided under the plan maintained by the Employer. For this purpose, the formerly affiliated plan rules in Regulation Section 1.415(f)-1(b)(2) apply as if the Employer and predecessor Employer constituted a single employer under the rules described in Regulation Section 1.415(a)-1(f)(1) and (2) immediately prior to the cessation of affiliation (and as if they constituted two, unrelated employers under the rules described in Regulation Section 1.415(a)-1(f)(1) and (2) immediately after the cessation of affiliation) and cessation of affiliation was the event that gives rise to the predecessor employer relationship, such as a transfer of benefits or plan sponsorship.

 

(2)          With respect to an Employer of a participant, a former entity that antedates the Employer is a “predecessor employer” with respect to the participant if, under the facts and circumstances, the Employer constitutes a continuation of all or a portion of the trade or business of the former entity.

 

(b)         Break-up of an affiliate employer or an affiliated service group. For purposes of aggregating plans for Code §415, a “formerly affiliated plan” of an employer is taken into account for purposes of applying the Code §415 limitations to the employer, but the formerly affiliated plan is treated as if it had terminated immediately prior to the “cessation of affiliation.” For purposes of this paragraph, a “formerly affiliated plan” of an employer is a plan that, immediately prior to the cessation of affiliation, was actually maintained by one or more of the entities that constitute the employer (as determined under the employer affiliation rules described in Regulation Section 1.415(a)-1(f)(1) and (2)), and immediately after the cessation of affiliation, is not actually maintained by any of the entities that constitute the employer (as determined under the employer affiliation rules described in Regulation Section 1.415(a)-1(f)(1) and (2)). For purposes of this paragraph, a “cessation of affiliation” means the event that causes an entity to no longer be aggregated with one or more other entities as a single employer under the employer affiliation rules described in Regulation Section 1.415(a)-1(f)(1) and (2) (such as the sale of a subsidiary outside a controlled group), or that causes a plan to not actually be maintained by any of the entities that constitute the employer under the employer affiliation rules of Regulation Section 1.415(a)-1(f)(1) and (2) (such as a transfer of plan sponsorship outside of a controlled group).

 

(c)          Midyear Aggregation. Two or more defined contribution plans that are not required to be aggregated pursuant to Code §415(f) and the Regulations thereunder as of the first day of a limitation year do not fail to satisfy the requirements of Code §415 with respect to a participant for the limitation year merely because they are aggregated later in that limitation year, provided that no annual additions are credited to the participant’s account after the date on which the plans are required to be aggregated.

 

ARTICLE IV

PLAN COMPENSATION

 

4.1         Compensation limit. Notwithstanding Amendment Section 4.2 or any election in Amendment Section 2.2, if the Plan is a 401(k) plan, then participants may not make elective deferrals with respect to amounts that are not 415 Compensation. However, for this purpose, 415 Compensation is not limited to the annual compensation limit of Code §401(a)(17).

 

4.2         Compensation paid after severance from employment. Compensation for purposes of allocations (hereinafter referred to as Plan Compensation) shall be adjusted, unless otherwise elected in Amendment Section 2.2, in the same manner as 415 Compensation pursuant to Article III of this Amendment if those amounts would have been included in Compensation if they were paid prior to the Participant’s severance from employment, except in applying Article III, the term “limitation year” shall be replaced with the term “plan year” and the term “415 Compensation” shall be replaced with the term “Plan Compensation.”

 

4

 

4.3         Option to apply Plan Compensation provisions early. The provisions of this Article shall apply for Plan Years beginning on and after July 1, 2007, unless another effective date is specified in Section 2.2 of this Amendment.

 

Except with respect to any election made by the employer in Section 2.2, this amendment is hereby adopted by the prototype sponsor on behalf of all adopting employers on:

 

	
                                                                                                                                            
    	
(signature   and date)
    

 

Sponsor Name: Milliman, Inc.

 

NOTE: The Employer only needs to execute this Amendment if an election has been made in Section 2.2 of this Amendment.

 

This amendment has been executed this 28th day of April, 2011.

 

Name of Plan:  Simpson Manufacturing Co., Inc. 401(k) Profit Sharing Plan for Salaried Employees

 

Name of Employer:  Simpson Manufacturing Co., Inc.

 

	
By:
    	
/s/   Karen Colonias
    	
 
    
	
 
    	
EMPLOYER
    	
 
    

 

5

 

PPD ADOPTION AGREEMENT

ADMINISTRATIVE CHECKLIST

2011

 

This Administrative Checklist (“AC”) is not part of the Adoption Agreement or Plan but is for the use of the Plan Administrator in administering the Plan. Relius software also uses the AC and the following Supporting Forms Checklist (“SFC”) in preparing the Plan’s SPD and some administrative forms, such as the Loan Policy, if applicable.

 

The plan document preparer need not complete the AC but may find it useful to do so. The preparer may modify the AC, including adding items, without affecting reliance on the Plan’s opinion or advisory letter since the AC is not part of the approved Plan. Any change to this AC is not a Plan amendment and is not subject to any Plan provision or to Applicable Law regarding the timing or form of Plan amendments. However, the Plan Administrator’s administration of any AC item must be in accordance with applicable Plan terms and with Applicable Law.

 

The AC reflects the Plan policies and operation as of the date set forth above and may also reflect Plan policies and operation pre-dating the specified date.

 

AC1.   PLAN LOANS  (7.06). The Plan permits or does not permit Participant Loans as follows (Choose one of (a) or (b)):

(a)   x   Does not permit.

(b)   o    Permitted pursuant to the Loan Policy. See SFC Election 69 to complete Loan Policy.

 

AC2.   PARTICIPANT DIRECTION OF INVESTMENT  (7.03(B)). The Plan permits Participant direction of investment or does not permit Participant direction of investment as to some or all Accounts as follows (Choose one of (a) or (b)):

(a)   o    Does not permit. The Plan does not permit Participant direction of investment of any Account.

(b)   x   Permitted as follows. The Plan permits Participant direction of investment. (Complete (1) through (4)):

(1)          Accounts affected.  (Choose a. or choose one or more of b. through f.):

a.          x          All Accounts.

b.         o            Elective Deferral Accounts (Pre-tax and Roth) and Employee Contributions.

c.          o            All Nonelective Contribution Accounts.

d.         o            All Matching Contribution Accounts.

e.          o            All Rollover Contribution and Transfer Accounts.

f.            o            Specify Accounts:

(2)          Restrictions on Participant direction (Choose one of a. or b.):

a.          o            None. Provided the investment does not result in a prohibited transaction, give rise to UBTI, create administrative problems or violate the Plan terms or Applicable Law.

b.         o            Restrictions:

(3)          ERISA §404(c).  (Choose one of a. or b.):

a.          x          Applies.

b.         o            Does not apply.

(4)          QDIA (Qualified Default Investment Alternative).  (Choose one of a. or b.):

a.          x          Applies. See SFC Election 110 for details.

b.         o            Does not apply.

 

AC3.   ROLLOVER CONTRIBUTIONS  (3.08). The Plan permits or does not permit Rollover Contributions as follows (Choose one of (a) or (b)):

(a)   x   Does not permit.

(b)   o    Permits. Subject to approval by the Plan Administrator and as further described below (Complete (1) and (2)):

(1)          Who may roll over.  (Choose one of a. or b.):

a.          o    Participants only.

b.         o    Eligible Employees or Participants.

(2)          Sources/Types. The Plan will accept a Rollover Contribution (Choose one of a. or b.):

a.          o    All. From any Eligible Retirement Plan and as to all Contribution Types eligible to be rolled into this Plan.

b.         o    Limited. Only from the following types of Eligible Retirement Plans and/or as to the following Contribution Types:                                                                                                                      .

 

AC4.   PLAN EXPENSES  (7.04(C)). The Employer will pay or the Plan will be charged with non-settlor Plan expenses as follows (Choose one of (a) or (b)):

(a)          o    Employer pays all expenses except those intrinsic to Trust assets which the Plan will pay (e.g., brokerage commissions).

(b)   x   Plan pays some or all non-settlor expenses. See SFC Election 126 for details.

 

1

 

AC5.   RELATED AND PARTICIPATING EMPLOYERS  (1.23(C)/(D)). There are or are not Related Employers and Participating Employers as follows (Complete (a) through (c)):

(a)   Related Employers.  (Choose one of (1) or (2)):

(1)   o    None.

(2)   x   Name(s) of Related Employers:  Simpson Strong-Tie Company, Inc.

(b)   Participating (Related) Employers.  (Choose one of (1) or (2)):

(1)   o    None.

(2)          x   Name(s) of Participating Employers:  Simpson Strong-Tie Company, Inc.  See SFC Election 71 for details.

(c)   Former Participating Employers.  (Choose one of (1) or (2)):

(1)   o    None.

(2)   x   Applies.

 

	
Name(s)
    	
 
    	
Date of cessation
    
	
Simpson   Dura-Vent Company, Inc.
    	
 
    	
September 2010
    
	
 
    	
 
    	
 
    

 

AC6.   TOP-HEAVY MINIMUM-MULTIPLE PLANS  (10.03). If the Employer maintains another plan, this Plan provides that the Plan Administrator operationally will determine in which plan the Employer will satisfy the Top-Heavy Minimum Contribution (or benefit) requirement as to Non-Key Employees who participate in such plans and who are entitled to a Top-Heavy Minimum Contribution (or benefit). This Election documents the Plan Administrator’s operational election. (Choose (a) or choose one of (b) or (c)):

(a)   o    Does not apply.

(b)   x   If only another Defined Contribution Plan. Make the Top-Heavy Minimum Allocation (Choose one of (1) or (2)):

(1)          x   To this Plan.

(2)          o    To another Defined Contribution Plan:                                                                         (plan name)

(c)          o    If one or more Defined Benefit Plans. Make the Top-Heavy Minimum Allocation or provide the top-heavy minimum benefit (Choose one of (1), (2), or (3)):

(1)          o    To this Plan. Increase the Top-Heavy Minimum Allocation to 5%.

(2)          o    To another Defined Contribution Plan. Increase the Top-Heavy Minimum Allocation to 5% and provide under the:                                                                                                     (name of other Defined Contribution Plan).

(3)          o    To a Defined Benefit Plan. Provide the 2% top-heavy minimum benefit under the:                              (name of Defined Benefit Plan) and applying the following interest rate and mortality assumptions:                             .

 

AC7.   SELF-EMPLOYED PARTICIPANTS  (1.21(A)). One or more self-employed Participants with Earned Income benefits in the Plan as follows (Choose one of (a) or (b)):

(a)   x   None.

(b)   o    Applies.

 

AC8.   PROTECTED BENEFITS  (11.02(C)). The following Protected Benefits no longer apply to all Participants or do not apply to designated amounts/Participants as indicated, having been eliminated by a Plan amendment (Choose one of (a) or (b)):

(a)   x   Does not apply. No Protected Benefits have been eliminated.

(b)         o    Applies. Protected Benefits have been eliminated as follows (Choose one or more of rows (1) through (4) as applicable. Choose one of columns (1), (2), or (3), and complete column (4)):

 

	
 
    	
 
    	
(1)
   All
   Participants/
   Accounts
    	
 
    	
(2)
   Post-E.D.
   Contribution
   Accounts only
    	
 
    	
(3)
   Post-E.D.
   Participants
   only
    	
 
    	
(4)
   Effective
   Date
   (E.D.)
    
	
(1)   o   QJSA/QPSA distributions
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    	
 
    
	
(2)   o   Installment distributions
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    	
 
    
	
(3)   o   In-kind distributions
    	
 
    	
o
    	
 
    	
o
    	
 
    	
o
    	
 
    	
 
    
	
(4)   o Specify:
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    	
 
    

 

AC9.   LIFE INSURANCE  (9.01). The Trust invests or does not invest in life insurance Contracts as follows (Choose one of (a) or (b)):

(a)   x   Does not apply.

(b)   o    Applies. Subject to the limitations and other provisions in Article IX and/or Appendix B.

 

AC10. DISTRIBUTION OF CASH OR PROPERTY  (8.04). The Plan provides for distribution in the form of (Choose one of (a) or (b)):

(a)   x   Cash only. Except where property distribution is required or permitted under Section 8.04.

(b)   o    Cash or property. At the distributee’s election and consistent with any Plan Administrator policy under Section 8.04.

 

AC11. EMPLOYER SECURITIES/EMPLOYER REAL PROPERTY  (8.02(A)(13)). The Trust invests or does not invest in qualifying Employer securities and/or qualifying Employer real property as follows (Choose one of (a) or (b)):

(a)   o    Does not apply.

(b)   x   Applies. Such investments are subject to the limitations of Section 8.02(A)(13) and/or Appendix B.

 

2

 

AMENDMENT FOR PENSION PROTECTION ACT AND HEART ACT

 

ARTICLE I

PREAMBLE

 

1.1                     Effective date of Amendment. The Employer adopts this Amendment to the Plan to reflect recent law changes. This Amendment is effective as indicated below for the respective provisions.

 

1.2                     Superseding of inconsistent provisions. This Amendment supersedes the provisions of the Plan to the extent those provisions are inconsistent with the provisions of this Amendment.

 

1.3                     Employer’s election. The Employer adopts all the default provisions of this Amendment except as otherwise elected in Article II.

 

1.4                     Construction. Except as otherwise provided in this Amendment, any reference to “Section” in this Amendment refers only to sections within this Amendment, and is not a reference to the Plan. The Article and Section numbering in this Amendment is solely for purposes of this Amendment, and does not relate to any Plan article, section or other numbering designations.

 

1.5                     Effect of restatement of Plan. If the Employer restates the Plan, then this Amendment shall remain in effect after such restatement unless the provisions in this Amendment are restated or otherwise become obsolete (e.g., if the Plan is restated onto a plan document which incorporates PPA provisions).

 

ARTICLE II

EMPLOYER ELECTIONS

 

The Employer only needs to complete the questions in Sections 2.2 through 2.7 below in order to override the default provisions set forth below. If the Plan will use all of the default provisions, then these questions should be skipped.

 

2.1                     Default Provisions. Unless the Employer elects otherwise in this Article, the following defaults will apply:

 

a.               If the Plan has a vesting schedule for nonelective contributions that does not meet the Pension Protection Act of 2006 (PPA), then the vesting schedule for any Employer nonelective contributions for Participants who complete an Hour of Service in a Plan Year beginning after December 31, 2006, will be the schedule below. Such schedule will apply to all nonelective contributions, even those made prior to January 1, 2007.

 

If the Plan has a graded vesting schedule (i.e., the vesting schedule includes a vested percentage that is more than 0% and less than 100%), then the vesting schedule will be a 6-year graded schedule (20% after 2 years of vesting service and an additional 20% for each year thereafter).

 

If the Plan has a cliff vesting schedule that requires more than 3 years of vesting service, then nonelective contributions will be nonforfeitable upon the completion of 3 years of vesting service.

 

b.               Nonspousal beneficiary rollovers are allowed effective for distributions made after 12/31/06.

 

c.               Hardship distributions for expenses of a beneficiary are allowed effective as of Plan years beginning on or after January 1, 2011.

 

d.               The option to permit in-service distributions at age 62 (with respect to amounts attributable to a money purchase pension plan, target benefit plan, or any other defined contribution plan that has received a transfer of assets from a pension plan) is not adopted.

 

e.               Qualified Reservist Distributions are not allowed.

 

f.                 Continued benefit accruals pursuant to the Heroes Earnings Assistance and Relief Tax Act of 2008 (HEART Act) are not provided.

 

1

 

2.2                     Vesting (Article III). The default vesting schedule applies unless a. is elected below.

a.               o                        In lieu of the above default vesting provisions, the employer elects the following schedule:

1.               o                        3 year cliff (a Participant’s accrued benefit derived from employer nonelective contributions is nonforfeitable upon the Participant’s completion of three years of vesting service).

2.               o                        6 year graded schedule (20% after 2 years of vesting service and an additional 20% for each year thereafter).

3.               o                        Other (must be at least as liberal as 1. or 2. above at each point in time):

 

	
Years of vesting service
    	
 
    	
Nonforfeitable percentage
    	
 
    
	
 
    	
 
    	
               
    	
%
    
	
 
    	
 
    	
               
    	
%
    
	
 
    	
 
    	
               
    	
%
    
	
 
    	
 
    	
               
    	
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The vesting schedule set forth herein only applies to Participants who complete an Hour of Service in a Plan Year beginning after December 31, 2006, and, unless b. is elected below, applies to all nonelective contributions subject to a vesting schedule.

b.              o                        The vesting schedule will only apply to nonelective contributions made in Plan Years beginning after December 31, 2006 (the prior schedule will apply to nonelective contributions made in prior Plan Years).

 

2.3                     Non-spousal rollovers (Article VII). Non-spousal rollovers are allowed after December 31, 2006 unless a. is elected below (Article VII provides that such distributions are always allowed after December 31, 2009):

a.               o                        Use the following instead of the default (select one):

1.               o                        Non-spousal rollovers are not allowed.

2.               o                        Non-spousal rollovers are allowed effective            (not earlier than January 1, 2007 and not later than January 1, 2010).

 

2.4                     Hardships (Article VIII). Hardship distributions for expenses of beneficiaries will be allowed effective as of August 17, 2006, unless elected below (applies only for 401(k) or profit sharing plans that allow hardship distributions):

a.               x                      Use the following instead of the default (select one):

1.               o                        Hardship distributions for beneficiary expenses are not allowed.

2.               x                      Hardship distributions for beneficiary expenses are allowed effective as of Plan Years beginning on or after January 1, 2011 (may not be earlier than August 17, 2006).

 

2.5                     In-service distributions (Article IX). In-service distributions at age 62 will not be allowed (except as otherwise permitted under the Plan without regard to this Amendment) unless elected below:

a.               o                        In-service distributions will be allowed for Participants at age 62 (generally applies only for money purchase (including target benefit) plans, but may apply to any other defined contribution plans that have received a transfer of assets from a pension plan) effective as of the first day of the 2007 Plan Year unless another date is elected below:

1.               o                                                    (may not be earlier than the first day of the 2007 Plan Year).

 

AND, the following limitations apply to in-service distributions:

2.               o                        The Plan already provides for in-service distributions and the restrictions set forth in the Plan (e.g., minimum amount of distributions or frequency of distributions) are applicable to in-service distributions at age 62.

3.               o                        N/A. No limitations.

4.               o                        The following elections apply to in-service distributions at age 62 (select all that apply):

a.               o            The minimum amount of a distribution is $             (may not exceed $1,000).

b.              o            No more than              distribution(s) may be made to a Participant during a Plan Year.

c.               o            Distributions may only be made from accounts which are fully Vested.

d.              o            In-service distributions may be made subject to the following provisions:              (must be definitely determinable and not subject to discretion).

 

2.6                     Qualified Reservist Distributions (Article X). Qualified Reservist distributions will not be allowed unless elected below:

a.               o                        Qualified Reservist Distributions are allowed effective as of                (may not be earlier than September 12, 2001).

 

2.7                     Continued benefit accruals (Article XV). Continued benefit accruals for the Heart Act (Amendment Section 15.2) will not apply unless elected below:

a.               o                        The provisions of Amendment Section 15.2 apply.

 

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ARTICLE III

NONELECTIVE CONTRIBUTION VESTING

 

3.1                     Applicability. This Article applies to Participants who complete an Hour of Service in a Plan Year beginning after December 31, 2006, with respect to accrued benefits derived from employer nonelective contributions made in Plan Years beginning after December 31, 2006. Unless otherwise elected by the employer in Amendment Section 2.2 above, this Article also will apply to all nonelective contributions subject to a vesting schedule, including nonelective contributions allocated under the Plan terms as of a date in a Plan Year beginning before January 1, 2007.

 

3.2                     Vesting schedule. A Participant’s accrued benefit derived from employer nonelective contributions vests as provided in Amendment Section 2.1.a, or if applicable, Amendment Section 2.2.

 

ARTICLE IV

PARTICIPANT DISTRIBUTION NOTIFICATION

 

4.1                     180-day notification period. For any distribution notice issued in Plan Years beginning after December 31, 2006, any reference to the 90-day maximum notice period prior to distribution in applying the notice requirements of Code §§402(f) (the rollover notice), 411(a)(11) (Participant’s consent to distribution), and 417 (notice under the joint and survivor annuity rules) will become 180 days.

 

4.2                     Notice of right to defer distribution. For any distribution notice issued in Plan Years beginning after December 31, 2006, the description of a Participant’s right, if any, to defer receipt of a distribution also will describe the consequences of failing to defer receipt of the distribution. For notices issued before the 90th day after the issuance of Treasury regulations (unless future Revenue Service guidance otherwise requires), the notice will include: (i) a description indicating the investment options available under the Plan (including fees) that will be available if the Participant defers distribution; and (ii) the portion of the summary plan description that contains any special rules that might affect materially a Participant’s decision to defer.

 

ARTICLE V

ROLLOVER OF AFTER-TAX/ROTH AMOUNTS

 

5.1                     Direct rollover to qualified plan/403(b) plan. For taxable years beginning after December 31, 2006, a Participant may elect to transfer employee (after-tax) or Roth elective deferral contributions by means of a direct rollover to a qualified plan or to a 403(b) plan that agrees to account separately for amounts so transferred, including accounting separately for the portion of such distribution which is includible in gross income and the portion of such distribution which is not includible in gross income.

 

ARTICLE VI

DIVESTMENT OF EMPLOYER SECURITIES

 

6.1                     Rule applicable to elective deferrals and employee contributions. For Plan Years beginning after December 31, 2006, if any portion of the account of a Participant (including, for purposes of this Article VI, a beneficiary entitled to exercise the rights of a Participant) attributable to elective deferrals or employee contributions is invested in publicly-traded Employer securities, the Participant may elect to direct the Plan to divest any such securities, and to reinvest an equivalent amount in other investment options which satisfy the requirements of Section 6.3.

 

6.2                    Rule applicable to Employer contributions. If any portion of a Participant’s account attributable to nonelective or matching contributions is invested in publicly-traded Employer securities, then a Participant who has completed at least 3 years of vesting service, or a beneficiary of any deceased Participant entitled to exercise the right of a Participant, may elect to direct the Plan to divest any such securities, and to reinvest an equivalent amount in other investment options which satisfy the requirements of Section 6.3.

 

a.               Three-year phase-in applicable to Employer contributions. For Employer securities acquired with nonelective or matching contributions during a Plan Year beginning before January 1, 2007, the rule described in this Section 6.2 only applies to the percentage of the Employer securities (applied separately for each class of securities) as follows:

 

	
Plan Year
    	
 
    	
Percentage
    
	
2007
    	
 
    	
33
    
	
2008
    	
 
    	
66
    
	
2009
    	
 
    	
100
    

 

b.               Exception to phase-in for certain age 55 Participants. The 3-year phase-in rule of Section 6.2.a does not apply to a Participant who has attained age 55 and who has completed at least 3 years of service before the first Plan Year beginning after December 31, 2005.

 

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6.3                     Investment options. For purposes of this Article VI, other investment options must include not less than 3 investment options, other than Employer securities, to which the Participant may direct the proceeds of divestment of Employer securities required by this Article VI, each of which options is diversified and has materially different risk and return characteristics. The Plan must provide reasonable divestment and reinvestment opportunities at least quarterly. Except as provided in regulations, the Plan may not impose restrictions or conditions on the investment of Employer securities which the Plan does not impose on the investment of other Plan assets, other than restrictions or conditions imposed by reason of the application of securities laws or a condition permitted under IRS Notice 2006-107 or other applicable guidance.

 

6.4                     Exceptions for certain plans. This Article VI does not apply to a one-participant plan, as defined in Code §401(a)(35)(E)(iv), or to an employee stock ownership plan (“ESOP”) if: (i) there are no contributions to the ESOP (or related earnings) attributable to elective deferrals or matching contributions; and (ii) the ESOP is a separate plan, for purposes of Code §414(l), from any other defined benefit plan or defined contribution plan maintained by the same employer or employers.

 

6.5                     Treatment as publicly traded Employer securities. Except as provided in Treasury regulations or in Code §401(a)(35)(F)(ii) (relating to certain controlled groups), a plan holding Employer securities which are not publicly traded Employer securities is treated as holding publicly traded Employer securities if any Employer corporation, or any member of a controlled group of corporations which includes such Employer corporation (as defined in Code §401(a)(35)(F)(iii)) has issued a class of stock which is a publicly traded Employer security.

 

ARTICLE VII

DIRECT ROLLOVER OF NON-SPOUSAL DISTRIBUTION

 

7.1                     Non-spouse beneficiary rollover right. For distributions after December 31, 2009, and unless otherwise elected in Section 2.3 of this Amendment, for distributions after December 31, 2006, a non-spouse beneficiary who is a “designated beneficiary” under Code §401(a)(9)(E) and the regulations thereunder, by a direct trustee-to-trustee transfer (“direct rollover”), may roll over all or any portion of his or her distribution to an individual retirement account the beneficiary establishes for purposes of receiving the distribution. In order to be able to roll over the distribution, the distribution otherwise must satisfy the definition of an eligible rollover distribution.

 

7.2                     Certain requirements not applicable. Although a non-spouse beneficiary may roll over directly a distribution as provided in Section 7.1, any distribution made prior to January 1, 2010 is not subject to the direct rollover requirements of Code §401(a)(31) (including Code §401(a)(31)(B), the notice requirements of Code §402(f) or the mandatory withholding requirements of Code §3405(c)). If a non-spouse beneficiary receives a distribution from the Plan, the distribution is not eligible for a “60-day” rollover.

 

7.3                     Trust beneficiary. If the Participant’s named beneficiary is a trust, the Plan may make a direct rollover to an individual retirement account on behalf of the trust, provided the trust satisfies the requirements to be a designated beneficiary within the meaning of Code §401(a)(9)(E).

 

7.4                    Required minimum distributions not eligible for rollover. A non-spouse beneficiary may not roll over an amount which is a required minimum distribution, as determined under applicable Treasury regulations and other Revenue Service guidance. If the Participant dies before his or her required beginning date and the non-spouse beneficiary rolls over to an IRA the maximum amount eligible for rollover, the beneficiary may elect to use either the 5-year rule or the life expectancy rule, pursuant to Treas. Reg. §1.401(a)(9)-3, A-4(c), in determining the required minimum distributions from the IRA that receives the non-spouse beneficiary’s distribution.

 

ARTICLE VIII

DISTRIBUTION BASED ON BENEFICIARY HARDSHIP

 

8.1                     Beneficiary-based distribution. Unless otherwise elected in Amendment Section 2.4, then effective as of August 17, 2006, a Participant’s hardship event, for purposes of the Plan’s safe harbor hardship distribution provisions pursuant to Treas. Reg. §1.401(k)-1(d)(3)(iii)(B), includes an immediate and heavy financial need of the Participant’s primary beneficiary under the Plan, that would constitute a hardship event if it occurred with respect to the Participant’s spouse or dependent as defined under Code §152 (such hardship events being limited to educational expenses, funeral expenses and certain medical expenses). For purposes of this Article, a Participant’s “primary beneficiary under the Plan” is an individual who is named as a beneficiary under the Plan and has an unconditional right to all or a portion of the Participant’s account balance under the Plan upon the Participant’s death.

 

ARTICLE IX

IN-SERVICE PENSION DISTRIBUTIONS

 

9.1                     Age 62 distributions. If elected in Amendment Section 2.5.a, then beginning as of the date specified in such Section, if the Plan is a money purchase pension plan, a target benefit plan, or any other defined contribution plan that has received a transfer of assets from a pension plan, a Participant who has attained age 62 and who has not separated from employment may elect to receive a distribution of his or her vested account balance (or in case of a transferee plan, of the transferred account balance).

 

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ARTICLE X

QUALIFIED RESERVIST DISTRIBUTION

 

10.1               401(k) distribution restrictions. If elected in Amendment Section 2.6, then effective as of the date specified in such Section,  the Plan permits a Participant to elect a Qualified Reservist Distribution, as defined in this Article X.

 

10.2               Qualified Reservist Distribution defined. A “Qualified Reservist Distribution” is any distribution to an individual who is ordered or called to active duty after September 11, 2001, if: (i) the distribution is from amounts attributable to elective deferrals in a 401(k) plan; (ii) the individual was (by reason of being a member of a reserve component, as defined in section 101 of title 37, United States Code) ordered or called to active duty for a period in excess of 179 days or for an indefinite period; and (iii) the Plan makes the distribution during the period beginning on the date of such order or call, and ending at the close of the active duty period.

 

ARTICLE XI

OTHER 401(k)/401(m) PLAN PROVISIONS

 

11.1               Gap period income on distributed excess contributions and excess aggregate contributions. This Section applies to excess contributions (as defined in Code §401(k)(8)(B)) and excess aggregate contributions (as defined in Code §401(m)(6)(B)) made with respect to Plan Years beginning after December 31, 2007. The Plan administrator will not calculate and distribute allocable income for the gap period (i.e., the period after the close of the Plan Year in which the excess contribution or excess aggregate contribution occurred and prior to the distribution).

 

11.2               Gap period income on distributed excess deferrals. With respect to 401(k) plan excess deferrals (as defined in Code §402(g)) made in taxable year 2007, the Plan administrator must calculate allocable income for the taxable year and also for the gap period (i.e., the period after the close of the taxable year in which the excess deferral occurred and prior to the distribution); provided that the Plan administrator will calculate and distribute the gap period allocable income only if the Plan administrator in accordance with the Plan terms otherwise would allocate the gap period allocable income to the Participant’s account. With respect to 401(k) plan excess deferrals made in taxable years after 2007, gap period income may not be distributed.

 

11.3               Plan termination distribution availability. For purposes of determining whether the Employer maintains an alternative defined contribution plan (described in Treas. Reg. §1.401(k)-1(d)(4)(i)) that would prevent the Employer from distributing elective deferrals (and other amounts, such as QNECs, that are subject to the distribution restrictions that apply to elective deferrals) from a terminating 401(k) plan, an alternative defined contribution plan does not include an employee stock ownership plan defined in Code §§4975(e)(7) or 409(a), a simplified employee pension as defined in Code §408(k), a SIMPLE IRA plan as defined in Code §408(p), a plan or contract that satisfies the requirements of Code §403(b), or a plan that is described in Code §§457(b) or (f).

 

ARTICLE XII

QUALIFIED OPTIONAL SURVIVOR ANNUITY

 

12.1               Right to Elect Qualified Optional Survivor Annuity. Effective with respect to Plan Years beginning after December 31, 2007, a participant who elects to waive the qualified joint and survivor annuity form of benefit, if offered under the Plan, is entitled to elect the “qualified optional survivor annuity” at any time during the applicable election period. Furthermore, the written explanation of the joint and survivor annuity shall explain the terms and conditions of the “qualified optional survivor annuity.”

 

12.2              Definition of Qualified Optional Survivor Annuity.

 

a.               General. For purposes of this Article, the term “qualified optional survivor annuity” means an annuity:

 

(1)          For the life of the participant with a survivor annuity for the life of the spouse which is equal to the “applicable percentage” of the amount of the annuity which is payable during the joint lives of the Participant and the spouse, and

 

(2)          Which is the actuarial equivalent of a single annuity for the life of the participant.

 

Such term also includes any annuity in a form having the effect of an annuity described in the preceding sentence.

 

b.               Applicable percentage. For purposes of this Section, the “applicable percentage” is based on the survivor annuity percentage (i.e., the percentage which the survivor annuity under the Plan’s qualified joint and survivor annuity bears to the annuity payable during the joint lives of the participant and the spouse). If the survivor annuity percentage is less than 75 percent, then the “applicable percentage” is 75 percent; otherwise, the “applicable percentage” is 50 percent.

 

5

 

ARTICLE XIII

DIRECT ROLLOVER TO ROTH IRA

 

13.1               Roth IRA rollover. For distributions made after December 31, 2007, a participant may elect to roll over directly an eligible rollover distribution to a Roth IRA described in Code §408A(b).

 

ARTICLE XIV

QUALIFIED DOMESTIC RELATIONS ORDERS

 

14.1               Permissible QDROs. Effective April 6, 2007, a domestic relations order that otherwise satisfies the requirements for a qualified domestic relations order (“QDRO”) will not fail to be a QDRO: (i) solely because the order is issued after, or revises, another domestic relations order or QDRO; or (ii) solely because of the time at which the order is issued, including issuance after the annuity starting date or after the Participant’s death.

 

14.2               Other QDRO requirements apply. A domestic relations order described in Section 14.1 is subject to the same requirements and protections that apply to QDROs.

 

ARTICLE XV

HEART ACT PROVISIONS

 

15.1               Death benefits. In the case of a death occurring on or after January 1, 2007, if a Participant dies while performing qualified military service (as defined in Code §414(u)), the survivors of the Participant are entitled to any additional benefits (other than benefit accruals relating to the period of qualified military service) provided under the Plan as if the Participant had resumed and then terminated employment on account of death.

 

15.2               Benefit accrual. If the Employer elects in Amendment Section 2.7 to apply this Section 15.2, then for benefit accrual purposes, the Plan treats an individual who dies or becomes disabled on or after January 1, 2007 (as defined under the terms of the Plan) while performing qualified military service with respect to the Employer as if the individual had resumed employment in accordance with the individual’s reemployment rights under USERRA, on the day preceding death or disability (as the case may be) and terminated employment on the actual date of death or disability.

 

a.               Determination of benefits. The Plan will determine the amount of employee contributions and the amount of elective deferrals of an individual treated as reemployed under this Section 15.2 for purposes of applying paragraph Code §414(u)(8)(C) on the basis of the individual’s average actual employee contributions or elective deferrals 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.

 

15.3               Differential wage payments. For years beginning after December 31, 2008, (i) an individual receiving a differential wage payment, as defined by Code §3401(h)(2), is treated as an employee of the employer making the payment, (ii) the differential wage payment is treated as compensation, and (iii) the Plan is not treated as failing to meet the requirements of any provision described in Code §414(u)(1)(C) by reason of any contribution or benefit which is based on the differential wage payment.

 

15.4               Severance from employment. Notwithstanding Section 15.3(i), for purposes of Code §401(k)(2)(B)(i)(I), an individual is treated as having been severed from employment during any period the individual is performing service in the uniformed services described in Code §3401(h)(2)(A).

 

a.               Suspension of deferrals. If an individual elects to receive a distribution by reason of severance from employment, death or disability, the individual may not make an elective deferral or employee contribution during the 6-month period beginning on the date of the distribution.

 

b.               Nondiscrimination requirement. Section 15.3(iii) applies only if all employees of the Employer performing service in the uniformed services described in Code §3401(h)(2)(A) are entitled to receive differential wage payments (as defined in Code §3401(h)(2)) on reasonably equivalent terms and, if eligible to participate in a retirement plan maintained by the employer, to make contributions based on the payments on reasonably equivalent terms (taking into account Code §§410(b)(3), (4), and (5)).

 

* * * * * * *

 

6

 

This Amendment has been executed this 28th day of April, 2011

 

Name of Plan: Simpson Manufacturing Co., Inc. 401(k) Profit Sharing Plan for Salaried Employees

 

Name of Employer: Simpson Manufacturing Co., Inc.

 

	
By:
    	
/s/   Karen Colonias
    	
 
    
	
 
    	
EMPLOYER
    	
 
    

 

7

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