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| Benefits Provided Under the Plan | ||
| Code | Benefit | Description |
| 2A | Age/Service Weighted or New Comparability or Similar Plan | Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New Comparability or Similar Plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the threshold or additional rate allowed under the permitted disparity rules of section 401(l) |
| 2C | Money purchase | A pension plan, other than a target benefit plan that requires a fixed percentage of compensation to be contributed to each eligible employee. |
| 2H | Partial participant-directed account plan | Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met. |
| 2I | Stock bonus | A stock bonus plan is a type of profit-sharing by which a corporation uses its own stock to make contributions and distributions. |
| 2O | ESOP other than a leveraged ESOP | An Employee Stock Ownership Plan (ESOP) is a type of employee benefit plan designed to invest primarily in employer stock. |
| 2P | Leveraged ESOP | An Employee Stock Ownership Plan (ESOP) that acquires employer securities with borrowed money or other debt-financing techniques. |
| 2T | Participant-directed Account | Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account. |
| 3H | Controlled Group | Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)). |
| 3I | Employer Securities Limitations | Plan requiring that all or part of employer contributions be invested and held, at least for a limited period, in employer securities. |
| Question | Answer | Amount | |
| 1. | During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? | No | |
| 2. | Were any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance. | No | |
| 3. | Were any leases to which the plan was a party in default or classified during the year as uncollectible? | No | |
| 4. | Were there any nonexempt transactions with any party-in-interest? | No | |
| 5. | Was this plan covered by a fidelity bond? | Yes | $10,000,000 |
| 6. | Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? | No | |
| 7. | Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser? | No | |
| 8. | Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser? | No | |
| 9. | Did the plan have assets held for investment? | Yes | |
| 10. | Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? | No | |
| 11. | Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? | No | |
| 12. | Has the plan failed to provide any benefit when due under the plan? | No | |
| 13. | If this is an individual account plan, was there a blackout period? | ||
| 14. | If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3? |