See All of This Company's Exhibits Find More Exhibits Like This

EX-10.17 2 wsbc-ex10_17.htm EX-10.17 WESBANCO INC - Wesbanco, Inc. 401(k) Plan.

Exhibit 10.17

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WESBANCO, INC. 401(K) PLAN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Non-Standardized Defined Contribution - PPD

 

ADOPTION AGREEMENT #001

NON-STANDARDIZED

DEFINED CONTRIBUTION PRE-APPROVED PLAN

The undersigned Employer, by executing this Adoption Agreement, establishes a retirement plan (collectively "Plan") under the Empower Retirement, LLC Defined Contribution Pre-Approved Plan (basic plan document #02). The Employer, subject to the Employer's Adoption Agreement elections, adopts fully the Pre-Approved Plan provisions. This Adoption Agreement, the basic plan document and any attached Appendices or agreements permitted or referenced therein, constitute the Employer's entire plan 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 existing 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 (1.24). (An amendment to the Adoption Agreement is not needed solely to reflect a change in this Employer Information Section.)

 

Name:

WesBanco, Inc.

 

Address:

One Bank Plaza, Wheeling, West Virginia 26003

 

Phone number:

(304) 234-9536

 

 

Taxpayer Identification Number (TIN):

55-0571723

 

 

E-mail (optional):

 

 

 

Employer's Taxable Year (optional):

December 31

 

 

2. PLAN (1.42).

 

Name:

WesBanco, Inc. 401(k) Plan

 

Plan number:

002

(3-digit number for Form 5500 reporting)

 

Name of Trust:

WesBanco, Inc. 401(k) Trust

 

Trust EIN (optional):

 

 

 

3. PLAN/LIMITATION YEAR (1.44/1.34). Plan Year and Limitation Year mean the 12 consecutive month period (except for a short Plan/Limitation Year) ending every:

[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, 2020.]

Plan Year (select one of (a) or (b); choose (c) if applicable):

(a)
[X] December 31.
(b)
[ ] Fiscal Plan Year: ending: .
(c)
[ ] Short Plan Year: commencing: and ending: .

Limitation Year (select one of (d) or (e); choose (f) if applicable):

(d)
[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.
(e)
[ ] Different Limitation Year: ending: .
(f)
[ ] Short Limitation Year: commencing: and ending: .

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

1

 

 


Non-Standardized Defined Contribution - PPD

 

4. EFFECTIVE DATE (1.20). The Employer's adoption of the Plan is a (select one of (a) or (b); complete (c) for all plans; complete (d) if an amendment and restatement):

(a)
[ ] New Plan.
(b)
[X] Restated Plan.

CYCLE 3 RESTATEMENT (leave blank if not applicable)

(1)
[ ] This is an amendment and restatement to bring a plan into compliance with the requirements of the 2017 Cumulative List (Notice 2017-37).

Initial Effective Date of Plan (enter date)

(c)
[X] December 31, 1986 (hereinafter called the "Effective Date" unless 4(d) is entered below)

[Note: The Effective Date in 4(c) cannot be earlier than the first day of the Plan Year in which the Plan is adopted. The Effective Date of any Salary Reduction Agreement will not be earlier than the date the Plan is adopted. See 1.57(A)]

Restatement Effective Date (If this is an amendment and restatement, enter effective date of the restatement)

(d)
[X] August 1, 2023 (enter month day, year; this date cannot be earlier than the first day of the current Plan Year. The Plan contains appropriate retroactive effective dates with respect to provisions for the appropriate laws if the Plan is a Cycle 3 Restatement.) (hereinafter called the "Effective Date")

[Note: See Section 1.54 for the definition of Restated Plan. If this Plan is a Cycle 3 Restatement, the basic plan document supplies the Effective Dates of various recent legal changes. If specific Plan provisions, as reflected in this Adoption Agreement and the basic plan documents, do not have the Effective Date stated in this Election 4, indicate as such in the election where called for or in Appendix A.]

Optional provisions. (choose one or more of (e) and (f) if applicable):

(e)
[ ] Restatement of surviving and merging plans. The Plan restates two (or more) plans (Complete 4(c) and (d) above for this (surviving) Plan. Complete (1) below for the merging plan. Choose (2) if applicable. Unless otherwise noted, the restated Effective Date with regard to a merging plan is the later of the date of the merger or the restated Effective Date of this Plan.):
(1)
[ ] 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(d) if this document is the merging plan's Cycle 3 restatement.]

(2)
[ ] Additional merging plans. The following additional plans were or will be merged into this surviving Plan (Complete a.; complete b. if applicable):

 

 

Name of merging plan

 

Merger date

 

Restated

Effective Date

 

Original

Effective Date

a.

 

 

 

 

b.

 

 

 

 

 

(f)
[ ] Special Effective Date for Elective Deferral provisions:

[Note: If Elective Deferral provision is not effective as of the Initial Effective Date or the Restatement Effective Date, enter the date as of which the Elective Deferral provision is effective. The Special Effective Date may not precede the date on which the Employer adopted the Plan.]

5. TYPE OF PLAN (1.29/1.36/1.48) (select one of (a), (b), or (c))

(a)
[X] 401(k) Plan. [Note: A 401(k) Plan is also a Profit Sharing Plan. Section 1.29]
(b)
[ ] Money Purchase Pension Plan. [Note: Under Contributions, may only elect 6(d), 6(f), and 6(h). In applying Adoption Agreement elections, Nonelective Contributions include Money Purchase Pension Contributions unless the context requires otherwise.]
(c)
[ ] Profit Sharing Plan. [Note: Under Contributions, may only elect 6(d), 6(f), and 6(h).]

6. CONTRIBUTION TYPES (1.12). The selections made below should correspond with the selections made under Article III of this Adoption Agreement. (If this is a frozen Plan (i.e., all contributions have ceased), choose (a) only and PRIOR CONTRIBUTIONS only):

Frozen Plan. See Sections 3.01(J) and 11.04. (leave blank if not applicable)

(a)
[ ] Contributions cease. All Contributions have ceased or will cease (Plan is frozen). (choose (1) if applicable, then skip to Election 7)
(1)
[ ] Effective date of freeze: [Note: Effective date is optional unless this is the amendment or restatement to freeze the Plan.]

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

2

 

 


Non-Standardized Defined Contribution - PPD

 

[Note: Elections 20 through 30 and Elections 35 through 37 do not apply to any Plan Year in which the Plan is frozen.]

Contributions. The Employer and/or Participants, in accordance with the Plan terms, make the following Contribution Types to the Plan/Trust (select one or more of (b) through (h)):

(b)
[X] Pre-Tax Deferrals. See Section 3.02 and Elections 20-23.
(1)
[X] 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)
[ ] Matching. See Sections 1.35 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). Do not elect for a safe harbor plan; use 6(e) instead.]
(d)
[X] Nonelective/Money Purchase Pension Plan. See Sections 1.38 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)
[ ] Employee (after-tax). See Section 3.09 and Election 35.
(g)
[ ] SIMPLE 401(k). The Plan is a SIMPLE 401(k) Plan. See Section 3.10. [Note: The Employer electing 6(g) must elect a calendar year under 3(a) and may not elect any other Contribution Types except under Elections 6(b) and 6(h).]
(h)
[ ] Designated IRA. See Section 3.12 and Election 36.

Prior Contributions. The Plan used to permit, but no longer does, the following contributions (optional; choose all that apply, if any):

(i)
[ ] Pre-tax Elective Deferrals
(j)
[ ] Roth Elective Deferrals
(k)
[ ] Safe Harbor Contributions
(l)
[ ] Matching contributions
(m)
[ ] Money Purchase Pension Plan contributions
(n)
[ ] Other Nonelective contributions
(o)
[ ] Rollover contributions
(p)
[ ] Employee contributions
(q)
[ ] SIMPLE 401(k) contributions
(r)
[ ] Designated IRA

7. DISABILITY (1.16). A Participant is Disabled or has a Disability if (select one of (a) through (d)):

(a)
[ ] The Participant is unable to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment that can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than twelve months. The permanence and degree of such impairment must be supported by medical evidence.
(b)
[X] The Social Security Administration or Railroad Retirement Board determines that the Participant is totally disabled.
(c)
[ ] The applicable insurance company providing disability insurance to the Participant under an Employer sponsored disability program determines that a Participant is disabled under the insurance contract definition of disability.
(d)
[ ] Describe:

[Note: The Employer may elect an alternative definition of disability for purposes of Plan distributions (e.g., Participants covered under the Employer's disability insurance program are Disabled if the applicable insurance company providing insurance pursuant to that program determines that the Participant is disabled under the insurance contract definition of disability. Other Participants are disabled if the Social Security Administration or Railroad Retirement Board determines that the Participant is totally disabled.).]

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

3

 

 


Non-Standardized Defined Contribution - PPD

 

8. EXCLUDED EMPLOYEES (1.22(D)). The following Employees are not Eligible Employees but are Excluded Employees (select one of (a), (b), or (c)):

[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 1.22(B), 1.22(D)(3), and 1.24(D). However, in the case of a Multiple Employer Plan, see Section 12.02(B) as to the Employees of the Lead Employer.]

(a)
[ ] No Excluded Employees. There are no additional excluded Employees under the Plan as to any Contribution Type (skip to Election 9).
(b)
[X] Exclusions - same for all Contribution Types. The following Employees are Excluded Employees for all Contribution Types (select one or more of (e) through (l); select column (1) for each exclusion elected at (e) through (k)):
(c)
[ ] Exclusions - different exclusions apply. The following Employees are Excluded Employees for the designated Contribution Type (select one or more of (d) through (l); select Contribution Type as applicable (may only be selected with 401(k) plans)):

[Note for 401(k) plans: For this Election 8, unless described otherwise in Election 8(l), 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.]

 

Exclusions

 

 

(1)

All

Contributions

 

(2)

Elective

Deferrals

 

(3)

 

Matching

 

(4)

 

Nonelective

 

 

 

 

 

 

 

 

 

 

 

(d)

[ ]

 

No exclusions. No exclusions as to the

designated Contribution Type.

N/A

(See Election 8(a))

 

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

(e)

[X]

 

Collective Bargaining (union) Employees.

As described in Code §410(b)(3)(A).

See Section 1.22(D)(1).

[X]

OR

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

(f)

[ ]

 

Non-Resident Aliens. As described in

Code §410(b)(3)(C). See Section 1.22(D)(2).

[ ]

OR

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

(g)

[ ]

 

HCEs. See Section 1.22(E). See Election 30(f)

as to exclusion of some or all HCEs from

Safe Harbor Contributions.

[ ]

OR

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

(h)

[ ]

 

Hourly paid Employees.

[ ]

OR

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

(i)

[X]

 

Residents of Puerto Rico.

[X]

OR

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

(j)

[ ]

 

Interns. See Section 1.22(D)(7). [Note: This

exclusion could result in the plan failing to meet

the coverage requirements of Code §410(b), and may

not be utilized as a disguised age or service condition.]

[ ]

OR

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

(k)

[X]

 

Part-Time/Temporary/Seasonal Employees.

See Section 1.22(D)(4). A Part-Time, Temporary

or Seasonal Employee is an Employee whose

regularly scheduled Service is less than  1,000

(specify a maximum of 1,000) Hours of Service in

the relevant Eligibility Computation Period.

[Note: The "relevant" Eligibility Computation

Period is the Initial or Subsequent Eligibility Computation Period as defined in Section 2.02(C).

Also see Appendix B, Election (b)(9).]

[X]

OR

[ ]

 

[ ]

 

[ ]

 

[Note: If the Employer under Election 8(k) elects to treat Part-Time, Temporary and Seasonal Employees as Excluded Employees and any such Employee actually completes at least 1,000 Hours of Service during the relevant Eligibility Computation Period, the Employee becomes an Eligible Employee. See Section 1.22(D)(4).]

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

4

 

 


Non-Standardized Defined Contribution - PPD

 

(l)
[ ] Describe exclusion category and/or Contribution Type:

(e.g., Exclude Division B Employees OR Exclude salaried Employees from Discretionary Matching Contributions.)

[Notes: Any exclusion under Election 8(l), 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. The exclusions entered under Election 8(l) cannot result in the group of Nonhighly Compensated Employees (NHCEs) participating under the plan being only those NHCEs with the lowest amount of compensation and/or the shortest periods of service and who may represent the minimum number of these employees necessary to satisfy coverage under Code §410(b).]

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) (select one or more of (a) through (d); for 401(k) plans, select Contribution Type as applicable):

[Note: For this Election 9 all definitions include Elective Deferrals unless excluded under Election 11. See Section 1.11(D). 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 other Plan definitions of Compensation 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. If the Plan is a Multiple Employer Plan, see Section 12.07. Election 9(d) below may cause allocation Compensation to fail to be nondiscriminatory under Treas. Reg. §1.414(s).]

[Note for 401(k) plans: 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.]

 

 

 

 

(1)

All

Contributions

 

(2)

Elective

Deferrals

 

(3)

 

Matching

 

(4)

 

Nonelective

 

 

 

 

 

 

 

 

 

 

 

(a)

[ ]

 

W-2 Wages (plus Elective Deferrals).

See Section 1.11(B)(1).

[ ]

OR

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

(b)

[X]

 

Code §3401(a) Federal Income Tax

Withholding Wages (plus Elective Deferrals).

See Section 1.11(B)(2).

[X]

OR

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

(c)

[ ]

 

415 Compensation (simplified).

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).]

[ ]

OR

[ ]

 

[ ]

 

[ ]

 

(d)
[ ] 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) for 401(k) plans, 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). Selection of 9(d) may require testing of the plan's compensation definition under Treas. Reg. §1.414(s)-1 for it to be used in nondiscrimination testing, including the ADP or ACP tests.]

Allocate based on specified 12-month period (leave blank if not applicable)

 

(e)

[ ]

 

The allocation of all Contribution Types (or specified Contribution Types) will be made based on Compensation within a specified 12-month period ending within the Plan Year as follows:

[ ]

OR

[ ]

 

[ ]

 

[ ]

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

5

 

 


Non-Standardized Defined Contribution - PPD

 

10. PRE-ENTRY/POST-SEVERANCE COMPENSATION (1.11(H)/(I)). Compensation under Election 9:

[Note: Election 10(c) below may cause allocation Compensation to fail to be nondiscriminatory under Treas. Reg. §1.414(s).]

[Note for 401(k) plans: For this Election 10, unless described otherwise in Elections 10(c) or (n), Elective Deferrals includes Pre-Tax Deferrals, Roth Deferrals and Employee Contributions, Matching includes all Matching Contributions and Nonelective includes all Nonelective Contributions.]

 

Pre-Entry Compensation (select one of (a), (b), or (c);

(1)

All

Contributions

 

(2)

Elective

Deferrals

 

(3)

 

Matching

 

(4)

 

Nonelective

for 401(k) plans, also select Contribution Type as

applicable):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(a)

[ ]

 

Plan Year. Compensation for the entire Plan

Year which includes the Participant's Entry Date.

[Note: If the Employer under Election 9(e) elects to

allocate some or all Contribution Types based on a

specified 12-month period, Election 10(a) applies to

that 12-month period in lieu of the Plan Year.]

[ ]

OR

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

(b)

[X]

 

Participating Compensation. Only Participating

Compensation. See Section 1.11(H)(1).

[X]

OR

[ ]

 

[ ]

 

[ ]

 

[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.]

 

(c)

[ ]

 

Describe Pre-Entry Compensation by Contribution Type or by Participant group:

 

[Note: Under Election 10(c), the Employer may: (i) elect Compensation from the elections available under Pre-Entry Compensation 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) for 401(k) plans, define the Contribution Type column headings in a manner which differs from the "all-inclusive" description in the Note immediately preceding Pre-Entry

Compensation (e.g., Compensation for Nonelective Contributions is Participating Compensation and for Safe Harbor Nonelective Contributions is Plan Year Compensation). Selection of 10(c) may require testing of the plan's compensation definition under Treas. Reg. §1.414(s)-1 for it to be used in nondiscrimination testing, including the ADP or ACP tests.]

Post-Severance Compensation. The following adjustments apply to Post-Severance Compensation paid within any applicable time period as may be required (select one of (d), (e), or (f)):

[Note: Under the basic plan document, if the Employer does not elect any adjustments, post-severance compensation includes regular pay, leave cash-outs, and deferred compensation, and excludes military and disability continuation payments.]

(d)
[X] None. The Plan includes post-severance regular pay, leave cash-outs, and deferred compensation, and excludes post-severance military and disability continuation payments as to any Contribution Type except as required under the basic plan document (skip to Election 11).
(e)
[ ] Same for all Contribution Types. The following adjustments to Post-Severance Compensation apply to all Contribution Types (select one or more of (h) through (n); select column (1) for each option elected at (h) through (m)):

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

6

 

 


Non-Standardized Defined Contribution - PPD

 

(f)
[ ] Adjustments - different conditions apply. The following adjustments to Post-Severance Compensation apply to the designated Contribution Types (select one or more of (g) through (n); select Contribution Type as applicable) (may only be selected with 401(k) Plans):

 

Post-Severance Compensation:

(1)

All

Contributions

 

(2)

Elective

Deferrals

 

(3)

 

Matching

 

(4)

 

Nonelective

 

 

 

 

 

 

 

 

 

 

 

(g)

[ ]

 

None. The Plan takes into account

Post-Severance Compensation as to the

designated Contribution Types as specified

under the basic plan document.

N/A

(See Election 10(d))

 

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

(h)

[ ]

 

Exclude All. Exclude all Post-Severance

Compensation. [Note: 415 testing Compensation

(versus allocation Compensation) must include

Post-Severance Compensation comprised of

regular pay. See Section 4.05(F).]

[ ]

OR

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

(i)

[ ]

 

Regular Pay. Exclude Post-Severance Compensation comprised of regular pay. See Section 1.11(I)(1)(a).

[Note: 415 testing Compensation (versus

allocation Compensation) must include

Post-Severance Compensation comprised of

regular pay. See Section 4.05(F).]

[ ]

OR

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

(j)

[ ]

 

Leave cash-out. Exclude Post-Severance

Compensation comprised of leave cash-out.

See Section 1.11(I)(1)(b).

[ ]

OR

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

(k)

[ ]

 

Deferred Compensation. Exclude Post-Severance Compensation comprised of deferred

compensation. See Section 1.11(I)(1)(c).

[ ]

OR

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

(l)

[ ]

 

Salary continuation for military service. Include

Post-Severance Compensation comprised of salary

continuation for military service. See Section 1.11(I)(2).

[ ]

OR

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

(m)

[ ]

 

Salary continuation for disabled Participants.

Include Post-Severance Compensation comprised

of salary continuation for disabled Participants.

See Section 1.11(I)(3). (select one of (1) or (2)):

[ ]

OR

[ ]

 

[ ]

 

[ ]

 

 

(1)

 

[ ]

For NHCEs only.

 

 

 

 

 

 

 

 

 

 

 

 

(2)

 

[ ]

For all Participants. The salary continuation will

 

 

 

 

continue for the following fixed or determinable

period: (specify period).

 

 

 

 

 

 

 

(n)
[ ] Describe Post-Severance Compensation by Contribution Type or by Participant group:

[Note: Under Election 10(n), the Employer may: (i) elect Compensation from the elections available under Post-Severance Compensation or a combination thereof as to a Participant group (e.g., Include regular pay Post-Severance Compensation for all Contribution Types as to Division A Employees, no Post-Severance Compensation for all Contribution Types to Division B Employees); and/or (ii) for 401(k) Plans define the Contribution Type column headings in a manner which differs from the "all-inclusive" description in the Note immediately preceding Pre-Entry Compensation (e.g., Compensation for Nonelective Contributions does not include any Post-Severance Compensation and for Safe Harbor Nonelective Contributions includes regular pay Post-Severance Compensation). Selection of 10(n) may require testing of the plan's compensation definition under Treas. Reg. §1.414(s)-1 for it to be used in nondiscrimination testing, including the ADP or ACP tests.]

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

7

 

 


Non-Standardized Defined Contribution - PPD

 

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

[Note: If the Plan applies permitted disparity, allocations also must be based on a nondiscriminatory definition of Compensation if the Plan is to avoid more complex testing. Elections 11(h) through (m) below may cause allocation Compensation to fail to be nondiscriminatory under Treas. Reg. §1.414(s)-1 and may result in more complex nondiscrimination testing.]

(a)
[ ] No exclusions. Compensation as to all Contribution Types means Compensation as elected in Elections 9 and 10 (skip to Election 12).
(b)
[X] Exclusions - same for all Contribution Types. The following exclusions apply to all Contribution Types (select one or more of (e) through (m); select column (1) for each option elected at (e) through (k)):
(c)
[ ] Exclusions - different conditions apply. The following exclusions apply for the designated Contribution Types (select one or more of (d) through (m) below; select Contribution Type as applicable) (may only be selected with 401(k) Plans):

[Note for 401(k) Plans: In a safe harbor 401(k) plan, allocations qualifying for the ADP or ACP test safe harbors must be based on a nondiscriminatory definition of Compensation. For this Election 11, unless described otherwise in Election 11(m), Elective Deferrals includes Pre-Tax Deferrals, Roth Deferrals and Employee Contributions, Matching includes all Matching Contributions and Nonelective includes all Nonelective Contributions. Selection of (e)(1), Elective Deferrals, All Contributions, does not reduce Compensation for purposes of determining the amount of Elective Deferrals.]

 

 

 

(1)

 

 

 

(2)

 

(3)

 

(4)

 

All

 

 

 

Elective

 

 

 

 

Compensation Exclusions

 

Contributions

 

 

 

Deferrals

 

Matching

 

Nonelective

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(d)

[ ]

 

No exclusions - limited. No exclusion as to

 

N/A

 

 

 

[ ]

 

[ ]

 

[ ]

 

 

 

the designated Contribution Type(s).

 

(See Election 11(a))

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(e)

[ ]

 

Elective Deferrals. See Section 1.21.

 

[ ]

 

 

 

N/A

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(f)

[X]

 

Fringe benefits. As described in Treas.

 

[X]

 

OR

 

[ ]

 

[ ]

 

[ ]

 

 

 

Reg. §1.414(s)-1(c)(3).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(g)

[ ]

 

Compensation exceeding $ .

 

[ ]

 

OR

 

[ ]

 

[ ]

 

[ ]

 

 

 

Apply this election to (select one of (1) or (2)):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)

 

[ ] All Participants.

 

 

 

 

 

 

 

 

 

 

 

 

 

[Note: If the Employer elects Safe Harbor

Contributions under Election 6(e), the Employer

may not elect in this 11(g) to limit the Safe Harbor

Contribution allocation to the NHCEs.]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2)

 

[ ] HCE Participants only.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(h)

[ ]

 

Bonus.*

 

[ ]

 

OR

 

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(i)

[ ]

 

Commission.*

 

[ ]

 

OR

 

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(j)

[ ]

 

Overtime.*

 

[ ]

 

OR

 

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(k)

[X]

 

Related Employers. See Section 1.24(C). Non-Participating. Compensation paid to Employees by a Related Employer that is not a Participating Employer.*

 

[X]

 

OR

 

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(l)

[ ]

 

Severance pay paid prior to severance. Severance pay paid after severance is automatically excluded. See 1.11(I)*

 

[ ]

 

OR

 

[ ]

 

[ ]

 

[ ]

 

 

 

 

(m)

[ ]

 

Describe Compensation exclusion(s):*

 

[Note: Under Election 11(m), the Employer may: (i) describe Compensation from the elections available under Elections 11(d) through (l), 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) for 401(k) Plans, define the Contribution Type column headings in a manner which differs from the "all-inclusive" description in the Note immediately following Election 11(c) (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). Selection of any item indicated with an asterisk (*) may require testing of the plan's compensation definition under Treas. Reg. §1.414(s)-1 for it to be used in nondiscrimination testing, including the ADP or ACP tests.]

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

8

 

 


Non-Standardized Defined Contribution - PPD

 

12 HOURS OF SERVICE (1.32). The Plan credits Hours of Service for the following purposes (and to the Employees described in Elections 12(d) or (e)) as follows (select one or more of (a) through (e); select purposes as applicable):

 

 

(1)

 

 

 

(2)

 

(3)

 

(4)

All

 

 

 

 

 

 

 

Allocation

Purposes

 

 

 

Eligibility

 

Vesting

 

Conditions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(a)

[ ]

 

Actual Method. See Section 1.32(A)(1).

 

[ ]

 

OR

 

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(b)

[ ]

 

Equivalency Method: ____________________

 

[ ]

 

OR

 

[ ]

 

[ ]

 

[ ]

 

 

 

(e.g., daily, weekly, etc.). See Section 1.32(A)(2).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(c)

[ ]

 

Elapsed Time Method. See Section 1.32(A)(3).

 

[ ]

 

OR

 

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(d)

[X]

 

Actual (hourly) and Equivalency (salaried).

Actual Method for hourly paid Employees and

Equivalency Method:  weekly (e.g., daily, weekly,

etc.) for Employees for whom records of actual

Hours of Service are not maintained or available,

such as salaried Employees.

 

[X]

 

OR

 

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(e)

[ ]

 

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 (1.59(C)). The Plan must credit Related Employer Service under Section 1.24(C) and also must credit certain Predecessor Employer/Predecessor Plan Service under Section 1.59(B). If the Plan is a Multiple Employer Plan, the Plan also must credit Service as provided in Section 12.08. The Plan also elects under Section 1.59(C) to credit as Service the following Predecessor Employer service (select one of (a) or (b)):

(a)
[ ] Not applicable. No elective Predecessor Employer Service crediting applies (skip to Election 14).
(b)
[X] Applies. The Plan credits the specified service with the following designated Predecessor Employers as Service for the Employer for the purposes indicated (select one or more of (1) and (2)):

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

 

 

(1)

[ ]

All purposes. Credit as Service for all purposes, service with Predecessor Employer(s): ______________________________

(insert as many names as needed).

 

 

 

 

 

 

 

 

 

 

 

 

(2)

[X]

Designated purposes. Credit as Service, service

 

(1)

 

(2)

 

(3)

 

 

 

with the following Predecessor Employer(s) for

 

 

 

 

 

Contribution

 

 

 

the designated purpose(s): (select one or more

 

Eligibility

 

Vesting

 

Allocation

 

 

 

of (a) through (d); select purposes as applicable.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a.

[X] Employer:

Your Community Bank

 

[X]

 

[X]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

 

 

b.

[X] Employer:

First Sentry Bank

 

[X]

 

[X]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

 

 

c.

[X] Employer:

Farmers Capital Bank Corporation

 

[X]

 

[X]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

 

 

d.

[X] Employer:

Old Line Bank

 

[X]

 

[X]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

 

 

e.

[X] Employer:

AmTrust

 

[X]

 

[X]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

 

 

f.

[X] Employer:

Fidelity Bancorp. Inc.

 

[X]

 

[X]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

 

 

g.

[ ] Any entity the Employer acquires whether by asset or stock purchase, but only with respect to individuals who are employees of the acquired entity at the time of the acquisition

 

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Time period. Subject to any exceptions noted under Election 13(f), the Plan credits as Service under Elections 13(b)(1) or (2) (select one or more of (c), (d), or (e)):

(c)
[X] All. All service, regardless of when rendered.
(d)
[ ] Service after. All service, which is or was rendered after: ___________(specify date).
(e)
[ ] Service before. All service, which is or was rendered before: _________(specify date).

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

9

 

 


Non-Standardized Defined Contribution - PPD

 

Describe elective Predecessor Employer Service crediting (leave blank if not applicable)

(f)
[ ] Describe: ___________________________________________________________________________________________________

[Note: Under Election 13(f), the Employer may describe service crediting from the elections available under Elections 13(b) through (e), or a combination thereof as to a Participant group and/or Contribution Type (e.g., For all purposes credit all service with X, but credit service with Y only on/after 1/1/18 OR Credit all service for all purposes with entities the Employer acquires after 12/31/17 OR Service crediting for X Company applies only for purposes of Nonelective Contributions and not for Matching Contributions).]

ARTICLE II ELIGIBILITY REQUIREMENTS

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

[Note for 401(k) Plans: 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(m).]

[Note: No eligibility conditions apply to Prevailing Wage Contributions. See Section 2.01(D).]

(a)
[ ] 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 (skip to Election 16).
(b)
[X] Eligibility - same for all Contribution Types. To become a Participant in the Plan as to all Contribution Types, an Eligible Employee must satisfy the following eligibility conditions (select one or more of (e) through (k)). Choose column (1) for each option elected at (e) through (j).:
(c)
[ ] Eligibility - different conditions apply. To become a Participant in the Plan for the designated Contribution Types, an Eligible Employee must satisfy the following eligibility conditions (either as to all Contribution Types or as to the designated Contribution Type) (select one or more of (d) through (k); select Contribution Type as applicable) (may only be selected with 401(k) Plans):

[Note for 401(k) plans: For this Election 14, unless described otherwise in Election 14(k), 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, Operational Matches, and Operational QMACs) and Nonelective includes all Nonelective Contributions (except Safe Harbor Nonelective Contributions and Operational QNECs). The Plan Administrator may apply Plan provisions relating to months based on a 30-day month or adopt similar reasonable conventions. Section 2.02(E)(3). Thus, the Plan may apply a 3-month service requirement as a 90-day requirement. 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)

(3)

(4)

(5)

All

 

Elective

 

 

Safe

Eligibility Conditions

Contributions

 

Deferrals

Matching

Nonelective

Harbor

(d)

[ ]

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))

 

[ ]

[ ]

[ ]

[ ]

(e)

[X]

Age  21 (not to exceed age 21 except as provided in Section 2.02(G).)

[X]

OR

[ ]

[ ]

[ ]

[ ]

(f)

[ ]

One Year of Service. See Election 16(a).

[ ]

OR

[ ]

[ ]

[ ]

[ ]

(g)

[ ]

Two Years of Service (without an intervening Break in Service). 100% vesting is required. [Note for 401(k) Plans: Two Years of Service does not apply to Elective Deferrals, Safe Harbor Contributions or SIMPLE Contributions.]

N/A

 

N/A

[ ]

[ ]

N/A

(h)

[ ]

________month(s) (not exceeding 12 months

for Elective Deferrals, Safe Harbor Contributions and SIMPLE Contributions (401(k) Plans) 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).

[ ]

OR

[ ]

[ ]

[ ]

[ ]

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

10

 

 


Non-Standardized Defined Contribution - PPD

 

 

 

[Note: While satisfying a months of service condition without an Hours of Service requirement involves the mere passage of time, the Plan need not apply the Elapsed Time Method in Election 12(c) above, and still may elect the Actual Method in 12(a) above.]

 

 

 

 

 

 

(i)

[ ]

______month(s) with at least _________Hours of Service in each month (not exceeding 12 months for Elective Deferrals, Safe Harbor Contributions and SIMPLE Contributions (401(k) Plans) 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 as defined in Election 16. The months during which the Employee completes the specified Hours of Service (select one of (1) or (2)):

[ ]

OR

[ ]

[ ]

[ ]

[ ]

 

(1)

[ ] Consecutive. Must be consecutive.

 

 

 

 

 

 

 

(2)

[ ] Not consecutive. Need not be consecutive.

 

 

 

 

 

 

(j)

[ ]

______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 (401(k) Plans) 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 as defined in

Election 16.

[ ]

OR

[ ]

[ ]

[ ]

[ ]

 

[Note: The Employer may leave the time period option blank in Election 14(j) 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.]

(k) [X] Describe eligibility conditions: As to All Contributions, 60 days_______________________________________________________

[Note: The Employer may use Election 14(k) 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(h), (i), or (j) 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 and the entry date provisions of Election 17 apply to all Employees unless otherwise elected below (choose one or more of (a) or (b) if applicable):

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

(a)
[ ] Waiver of eligibility conditions for certain Employees. For all Contribution Types, the eligibility conditions and entry dates apply solely to an Eligible Employee employed or reemployed by the Employer after ________(specify date). If the Eligible Employee is an Employee on 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) 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.]

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

11

 

 


Non-Standardized Defined Contribution - PPD

 

(b)
[ ] Describe special eligibility Effective Date(s):_____________________________________________________________________

[Note: Under Election 15(b), 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, 2020).]

16. YEAR OF SERVICE - ELIGIBILITY (2.02(A)). (Choose (a), (b), and (c) if 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(i), (j), and (k)) or elects to apply a Year of Service for eligibility under any other Adoption Agreement election, the Employer should complete this Election 16. The Employer should not complete Election 16 if it elects the Elapsed Time Method for eligibility.]

(a)
[X] Year of Service. An Employee must complete 1,000 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.]
(b)
[X] Subsequent Eligibility Computation Periods. Unless otherwise elected below, after the Initial Eligibility Computation Period described in Section 2.02(C)(2), the Plan measures Subsequent Eligibility Computation Periods as the Plan Year beginning with the Plan Year which includes the first anniversary of the Employee's Employment Commencement Date (choose one of (1) or

(2) if applicable):

(1)
[ ] Anniversary Year. The Anniversary Year, beginning with the Employee's second Anniversary Year.
(2)
[ ] Split. The Plan Year as to: ________(describe Contribution Type(s)) and the Anniversary Year as described in Election 16(b)(1) 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.]

(c)
[ ] 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:

[Note: Entry as to Prevailing Wage Contributions is on the Employment Commencement Date. See Section 2.02(D)(3).]

(a)
[X] Entry Date - same for all Contribution Types (select one of (c) through (i)):
(b)
[ ] Entry Date - different entry dates apply (select one or more of (c) through (i); select Contribution Type as applicable) (may only be selected with 401(k) Plans):

[Note for 401(k) plans: For this Election 17, unless described otherwise in Election 17(i), Elective Deferrals includes Pre-Tax Deferrals, Roth Elective Deferrals and Employee Contributions, Matching includes all Matching Contributions except (Operational Matches and Operational QMACs) and Nonelective includes all Nonelective Contributions (except Operational QNECs).]

 

 

 

 

(1)

(2)

(3)

 

 

 

Elective

 

 

 

 

 

Deferrals

Matching

Nonelective

(c)

[ ]

Semi-annual. The first day of the first month and of the seventh month of the Plan Year.

[ ]

[ ]

[ ]

(d)

[ ]

First day of Plan Year.

[ ]

[ ]

[ ]

(e)

[ ]

First day of each Plan Year quarter.

[ ]

[ ]

[ ]

(f)

[X]

The first day of each month.

[ ]

[ ]

[ ]

(g)

[ ]

Immediate. Upon Employment Commencement Date or if later, upon satisfaction of eligibility conditions.

[ ]

[ ]

[ ]

(h)

[ ]

First day of each payroll period.

[ ]

[ ]

[ ]

(i)

[X]

Describe Entry Date(s):  The entry date is the first of the month after meeting the plan’s eligibility criteria. For clarification, generally, the Participants initial deferrals will begin with the first payroll that includes the first day of the month or as soon as administratively practicable.______________________________________________________________________________

 

[Note: Under Election 17(i), the Employer may describe Entry Dates from the elections available under Elections 17(c) through (h), or a combination thereof as to a Participant group and/or Contribution Type or may elect additional Entry Dates (e.g., 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).]

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

12

 

 


Non-Standardized Defined Contribution - PPD

 

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) (select one or more from (a) through (f)): [Choose Contribution Type 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 Matches and Operational QMACs) and Nonelective includes all Nonelective Contributions and Money Purchase Pension Plan Contributions, (except Operational QNECs).]

 

 

 

 

(1)

 

(2)

(3)

(4)

 

 

 

All

 

Elective

 

 

 

 

 

Contributions

 

Deferrals

Matching

Nonelective

(a)

[ ]

Immediately following or coincident with the date the Employee completes the eligibility conditions.

[ ]

OR

[ ]

[ ]

[ ]

(b)

[X]

Immediately following the date the Employee completes the eligibility conditions.

[X]

OR

[ ]

[ ]

[ ]

(c)

[ ]

Immediately preceding or coincident with the date the Employee completes the eligibility conditions.

N/A

 

N/A

[ ]

[ ]

(d)

[ ]

Immediately preceding the date the Employee completes the eligibility conditions.

N/A

 

N/A

[ ]

[ ]

(e)

[ ]

Nearest the date the Employee completes the eligibility conditions.

N/A

 

N/A

[ ]

[ ]

(f)

[ ]

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., nearest as to Division A Employees and immediately following as to Division B Employees).]

19. BREAK IN SERVICE - PARTICIPATION (2.03). The one year hold-out rule described in Section 2.03(C) (select (a) or (b)):

(a)
[X] Does not apply.
(b)
[ ] 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; CODA (3.02(A), (C)). The following limitations apply to Elective Deferrals under Election 6(b), which are in addition to those limitations imposed under the basic plan document (select (a) OR select one or more of (b) and (c)):

(a)
[ ] None. No additional Plan imposed limits (skip to (d)).

[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 1.57(C) as to administrative limitations on Elective Deferrals.]

(b)
[X] Additional Plan limit(s). (select one or more of (1) and (2)):
(1)
[X] Maximum deferral amount. A Participant's Elective Deferrals may not exceed: 50% (specify dollar amount and/or percentage of Compensation).
(2)
[X] Minimum deferral amount. A Participant's Elective Deferrals may not be less than: 1% (specify dollar amount (not greater than $10,000) and/or percentage of Compensation (not greater than 10%)). [Note: Please see 3.05(C)(2) for restrictions on minimum deferrals if the Plan is a safe harbor 401(k) plan.]

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

13

 

 


Non-Standardized Defined Contribution - PPD

 

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/Participating 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. (select (3) OR select one or more of (4) and (5); under each of (3) through (5), select one of (1) or (2); choose (3) if applicable):

 

 

 

 

(1)

Plan Year/Participating Compensation

(2)

Payroll

period

(3)

HCEs only

(3)

[ ]

  Both. Both limits under Elections 20(b)(1) and (2).

[ ]

[ ]

[ ]

(4)

[X]

Maximum limit. The maximum amount limit under

Election 20(b)(1).

[X]

[ ]

[ ]

(5)

[X]

Minimum limit. The minimum amount limit under

Election 20(b)(2).

[ ]

[X]

[ ]

 

(c)
[ ] Describe Elective Deferral limitation(s): ________________________________________________________________________

[Note: Under Election 20(c), the Employer may only: (i) 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) elect a different time period to which the limitations apply; and/or (iii) apply a different limitation to Pre-Tax Deferrals and to Roth Deferrals.]

CODA Applies (leave blank if not applicable)

(d)
[ ] The CODA provisions of Section 3.02(C) 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 (see 4.10(A)(1)) of his/her proportionate share of that CODA contribution (select one of (1) or (2)):
(1)
[ ] All or any portion.
(2)
[ ] _______%

21. AUTOMATIC DEFERRAL (ACA/EACA/QACA) (3.02(B)). The Automatic Deferral provisions of Section 3.02(B) (select one of

(a) or (b); also see Election 22 regarding Automatic Escalation of Salary Reduction Agreements):

(a)
[ ] Do not apply. The Plan is not an ACA, EACA, or QACA (skip to Election 22).
(b)
[X] Apply. The Automatic Deferral Effective Date is the effective date of automatic deferrals or, as appropriate, any subsequent amendment thereto.

Type of Automatic Deferral Arrangement. The Plan is an (select one of (1), (2), or (3)):

(1)
[X] ACA. The Plan is an Automatic Contribution Arrangement (ACA) under Section 3.02(B)(1).
(2)
[ ] EACA. The Plan is an Eligible Automatic Contribution Arrangement (EACA) under Section 3.02(B)(2).
(3)
[ ] EACA/QACA. The Plan is a combination EACA and Qualified Automatic Contribution Arrangement (QACA) under Sections 3.02(B)(3) and 3.05(J).

[Note: If the Employer chooses Election 21(b)(3), the Employer also must choose election 6(e) and complete Election 30 as to the Safe Harbor Contributions under the QACA.]

Participants affected. The Automatic Deferral applies to (select one of (c) or (d). Choose (e) if applicable.):

(c)
[ ] 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.
(d)
[X] The following Participants (select one of (1) through (5)):
(1)
[ ] Election of at least Automatic Deferral Percentage. 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 Percentage.
(2)
[X] 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.
(3)
[ ] Election of 0% or No existing Salary Reduction Agreement. 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 greater than 0%.

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

14

 

 


Non-Standardized Defined Contribution - PPD

 

(4)
[ ] New Participants (not applicable to QACA). Each Employee whose Entry Date is on or following the Automatic Deferral Effective Date or the following date:

Other effective date. (optional; specify a date other than the Automatic Deferral Effective Date)

a.
[ ] ____________________
(5)
[ ] New hires (not applicable to QACA). Each Employee whose Employment Commencement Date (or Reemployment Commencement Date) is on or following the Automatic Deferral Effective Date or the following date:

Other effective date. (optional; specify a date other than the Automatic Deferral Effective Date)

a.
[ ] ____________________
(e)
[ ] Describe affected Participants (not applicable to QACA): __________________________________________________________

[Note: The Employer in Election 21(e) may further describe affected Participants, e.g., non-Collective Bargaining Employees OR Division A Employees. However, all Employees eligible to defer must be Covered Employees to apply the 6-month correction period without excise tax under Code §4979.]

Automatic Deferral Percentage/Scheduled increases. (select one of (f), (g), or (h)):

(f)
[X] Fixed percentage. The Employer, as to each Participant affected, will withhold as the Automatic Deferral Percentage, 3% from the Participant's Compensation each payroll period unless the Participant makes a Contrary Election.

[Note: In order to satisfy the QACA requirements, enter an amount between 6% and 10% if no scheduled increase.]

(g)
[ ] QACA statutory increasing schedule. The Automatic Deferral Percentage will be the minimum QACA Automatic Deferral Percentage under Section 3.02(B)(3)(b):
(h)
[ ] Other increasing schedule. The Automatic Deferral Percentage will be:

 

Plan Year of application to a Participant

Automatic Deferral Percentage

_________

________%

_________

________%

_________

________%

_________

________%

_________

________%

 

[Note: The Automatic Deferral Percentage must satisfy the uniformity requirements of Section 3.02(B)(2)(b) if the Plan is a EACA or a QACA. The phrase “Plan Year of application to a Participant” refers to the number of Plan Years Automatic Deferrals have been withheld for the Participant, such that Plan Year 1 is the first Plan Year Automatic Deferrals are withheld for a Participant and Plan Year 2 is the following Plan Year.]

Scheduled increases to Fixed percentage. The Automatic Deferral Percentage elected in 21(f) will or will not increase in Plan Years following the Plan Year containing the Automatic Deferral Effective Date (or, if later, the Plan Year or partial Plan Year in which the Automatic Deferral first applies to a Participant) as follows: (select one of (i), (j), or (k); skip if 21(f) not elected)

(i)
[X] No scheduled increase. The Automatic Deferral Percentage applies in all Plan Years.
(j)
[ ] Automatic increase. The Automatic Deferral Percentage will increase by ________% per year up to a maximum of _______% of Compensation.
(k)
[ ] Describe increase: __________________________________________________________________________________________

[Note: To satisfy the QACA requirements, the Automatic Deferral Percentage must be: (i) a fixed percentage which is at least 6% and not more than 10% of Compensation; (ii) an increasing Automatic Deferral Percentage in accordance with the schedule under Election 21(g); or (iii) an alternative schedule which must require, for each Plan Year, an Automatic Deferral Percentage that is at least equal to the Automatic Deferral Percentage under the schedule in Election 21(g) and which does not exceed 10%. See Section 3.02(B)(3).]

EACA permissible withdrawal. The permissible withdrawal provisions of Section 3.02(B)(2)(d) (select one of (l), (m) or (n); skip if not an EACA or an EACA/QACA):

(l)
[ ] Do not apply.
(m)
[ ] 90 day withdrawal. Apply within 90 days of the first Automatic Deferral.
(n)
[ ] 30-90 day withdrawal. Apply within_____ days of the first Automatic Deferral (may not be less than 30 nor more than 90 days).

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

15

 

 


Non-Standardized Defined Contribution - PPD

 

Contrary Election/Covered Employee. Any Participant who makes a Contrary Election (select one of (o) or (p); leave blank if an ACA or a QACA not subject to the ACP test.):

(o)
[ ] Covered Employee. Is a Covered Employee and continues to be covered by the EACA provisions. [Note: Under this Election, the Participant's Contrary Election will remain in effect, but the Participant must receive the EACA annual notice.]
(p)
[ ] Not a Covered Employee. Is not a Covered Employee and will not continue to be covered by the EACA provisions. [Note: Under this Election, the Participant no longer must receive the EACA annual notice, but the Plan cannot use the six-month period for relief from the excise tax of Code §4979(f)(1).]

Change Date. The Elective Deferrals under Election 21(g), (h), (j), or (k) will increase on the following day each Plan Year (select one of (q)through (t); skip if 21(g), (h), (j), or (k) not elected):

(q)
[ ] First day of the Plan Year.
(r)
[ ] Anniversary of a Participant's Entry Date.
(s)
[ ] Anniversary of a Participant's Employment or Reemployment Commencement Date.
(t)
[ ] Other: _____________________________________________________________________________________________________

(must be a specified or definitely determinable date that occurs at least annually)

Optional Provisions: (choose one or more of (u) and (v) if applicable.)

(u)
[ ] First Year of Increase. The automatic increase under Election 21(j) or (k) will apply to a Participant beginning with the first Change Date after the Participant first has automatic deferrals withheld, unless otherwise elected below (select one of (1) or (2)):
(1)
[ ] Second Change Date. The increase will apply as of the second Change Date thereafter.
(2)
[ ] At least 6 months after. The increase will apply as of the first Change Date thereafter which is at least 6 months (or 180 days) after the Participant first has automatic deferrals withheld.
(v)
[X] Describe Automatic Deferral: Regardless of the election above, Participants whose Employment Commencement Dates are prior to December 31, 2003, will continue to have an Automatic Deferral Amount of 1%.

[Note: Under Election 21(v), the Employer may only 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, 2020). The Automatic Deferral Percentage must satisfy the uniformity requirements of Section 3.02(B)(2)(b) if the Plan is a EACA or a QACA.]

 

22. AUTOMATIC ESCALATION (3.02(G)). The Automatic Escalation provisions of Section 3.02(G) (select one of (a) or (b); see Election 21 regarding Automatic Deferrals. Automatic Escalation applies to Participants who have a Salary Reduction Agreement in effect.):

(a)
[X] Do not apply. (skip to Election 23)
(b)
[ ] Apply. If Automatic Escalation applies to a Participant, this constitutes a provision that the Participant's affirmative election will expire annually, as described in the paragraph below.

Under a 401(k) plan, the plan may provide that an affirmative election expires annually. If a participant fails to complete a new affirmative election subsequent to their prior election expiring, the participant becomes subject to the default deferral percentage as outlined in this Election 22 and in Section 3.02(G). Each year, the participant can always complete a new affirmative election and designate a new deferral percentage.

Participants affected. The Automatic Escalation applies to (select one of (c), (d), or (e)):

(c)
[ ] All Deferring Participants. All Participants who have a Salary Reduction Agreement in effect to defer at least % of Compensation.
(d)
[ ] New Deferral Elections. All Participants who file a Salary Reduction Agreement after the effective date of this Election, or, as appropriate, any amendment thereto, to defer at least % of Compensation.
(e)
[ ] Describe affected Participants: ______________________________________________________________________________

[Note: The Employer in Election 22(e) may further describe affected Participants, e.g., non-Collective Bargaining Employees OR Division A Employees. The group of Participants must be definitely determinable and nondiscriminatory under Code §401(a)(4) and Code §401(k)(3).]

Automatic Increases. (Select one of (f) or (g))

(f)
[ ] Automatic increase. The Participant's Elective Deferrals will increase by % per year up to a maximum of % of Compensation unless the Participant has filed a Contrary Election after the effective date of this Election or, as appropriate, any amendment thereto.

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

16

 

 


Non-Standardized Defined Contribution - PPD

 

(g)
[ ] Describe increase: ___________________________________________

[Note: The Employer in Election 22(g) may define different increases for different groups of Participants or may otherwise limit Automatic Escalation. Any such provisions must be definitely determinable and nondiscriminatory under Code §401(a)(4).]

Change Date. The Elective Deferrals will increase on the following day each Plan Year (Select one of (h) through (k)):

(h)
[ ] First day of the Plan Year.
(i)
[ ] Anniversary of a Participant's Entry Date.
(j)
[ ] Anniversary of a Participant's Employment or Reemployment Commencement Date.
(k)
[ ] Other: ____________________________________________________________________(must be a specified or definitely determinable date that occurs annually)

First Year of Increase. The automatic escalation provision will apply to a participant beginning with the first Change Date after the Participant files a Salary Reduction Agreement (or, if sooner, the effective date of this Election, or, as appropriate, any amendment thereto), unless otherwise elected below: (Choose one of (l) or (m) if applicable)

(l)
[ ] Second Change Date. The escalation provision will apply as of the second Change Date thereafter.
(m)
[ ] At least 6 months after. The escalation provision will apply as of the first Change Date thereafter which is at least 6 months (or 180 days) after the date deferrals begin under the Participant's affirmative election.

23. CATCH-UP DEFERRALS (3.02(D)). The Plan permits Catch-Up Deferrals unless the Employer elects otherwise below. (choose (a) if applicable)

(a)
[ ] Not Permitted. May not make Catch-Up Deferrals to the Plan.

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 (select one or more of (a) through (f); then, for the elected match in (b) through (e), complete (1); choose one or more of (2) and (3) if applicable):

[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.]

 

 

 

(1)

(2)

(3)

 

 

Matching Rate/Amt

[$/% Elective Deferrals]

Limit on Deferrals Matched [$/% of Compensation]

Limit on Match Amount

[$/% of Compensation]

(a)

[ ]  Discretionary – see Section 1.35(B)

____________

___________

__________

 

(The Employer may, but is not required to complete (a)(1)-(3). See the "Note" following Election 24(f))

 

 

 

 

The Discretionary Matching Contribution under this Election 24(a) is a Flexible Discretionary Match unless the Employer elects to use a Rigid Discretionary Match. (Choose a. if applicable.). A Flexible Discretionary Match will be subject to the Instructions and Notice requirement of Section 3.03(A)(2)(c), reproduced below.

a.
[ ] Rigid Discretionary Match. The Discretionary Matching Contribution is a Rigid Discretionary Match. A Rigid Discretionary Match is not subject to the Instructions and Notice requirement of Section 3.03(A)(2)(c).

Section 3.03(A)(2)(c) provides: Instructions and Notice. For any Plan Year beginning after the Plan Year the Employer signs its Adoption Agreement, if the Employer makes a Flexible Discretionary Match to the Plan, the Employer must provide the Plan Administrator (or Trustee, if applicable), written instructions describing (1) how the Flexible Discretionary Match Formula will be allocated to Participants (e.g., a uniform percentage of Elective Deferrals or a flat dollar amount), (2) the computation period(s) to which the Flexible Discretionary Match Formula applies, and (3) if applicable, a description of each business location or business classification subject to separate Flexible Discretionary Match Formulas. Such instructions must be provided no later than the date on which the Flexible Discretionary Match is made to the Plan. A summary of these instructions must be communicated to Participants who receive an allocation of the Flexible Discretionary Match no later than 60 days following the date on which the last Flexible Discretionary Match is made to the Plan for the Plan Year.

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

17

 

 


Non-Standardized Defined Contribution - PPD

 

 

(b)

[ ]

Fixed – uniform rate/amount

 

________

_________

________

 

(c)

[ ]

Fixed – tiered

Elective

Deferral %

Matching

Rate

__________

__________

 

 

(e.g., up to 3)

______

______%

 

 

 

 

(e.g., more than 3 up to 5)

______

______%

 

 

 

 

 

______

______%

 

 

 

 

 

______

______%

 

 

 

(d)

[ ]

Fixed – Years of Service

Years of

Service

Matching

Rate

________

_________

 

 

(e.g., up to 2)

____

_____%

 

 

 

 

(e.g., more than 2 up to 5)

____

_____%

 

 

 

"Years of Service" under this Election 24(d) means (select one of a. or b):

a.
[ ] Eligibility. Years of Service for eligibility in Election 16.
b.
[ ] Vesting. Years of Service for vesting in Elections 42 and 43.

 

(e)

[ ]

Fixed – multiple formulas

Formula 1:

________

_______

_______

 

 

 

Formula 2:

________

_______

_______

 

 

 

Formula 3:

_________

_______

_______

(f)
[ ] Describe:__________________________________________________________________________________________(The Employer may only describe the matching formula from the elections available in this Election 24, and/or a combination thereof, as to a Participant group (e.g., Fixed Match of 50% of elective deferrals of deferrals up to 6% of annual compensation applies to Collective Bargaining Employees; Discretionary Match allocated each payroll period applies to all other Participants). The Group Allocation Limitations of Section 3.14 apply to allocations under this Election 24(f). If the formula is non-uniform, it is not a design-based safe harbor for nondiscrimination purposes.)

[Note: See Section 1.35(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(f). 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 elements of the Discretionary Matching Contribution formula.]

Computation period, true-up. Any Matching Contribution other than a Flexible Discretionary Match will be allocated on the period described below: (Select one of (g) through (l). Skip if the only Matching Contribution is a Flexible Discretionary Match.)

(g)
[ ] Each payroll period
(h)
[ ] Each month
(i)
[ ] Each Plan Year quarter
(j)
[ ] Each payroll unit (e.g., hour)
(k)
[ ] Other (specify): _________________________ [The time period described must be definitely determinable under Treas. Reg. §1.401-1(b). This line may be used to apply different options to different matching contributions (e.g., Discretionary matching contributions will be allocated on a Plan Year period while fixed matching contributions will be allocated on each payroll period)]
(l)
[ ] Each Plan Year

Related and Participating Employers (choose (m) if applicable)

(m)
[ ] If any Related and Participating Employers (or in the case of a Multiple Employer Plan, Participating Employers regardless of whether they are Related Employers) contribute Matching Contributions to the Plan, the following apply:

Matching formula. The matching formula for the Participating Employer(s) (select one of (1) or (2)):

(1)
[ ] All the same. Is (are) the same as for the Signatory Employer under this Election 24.
(2)
[ ] At least one different. Is (are) as follows: __________

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

18

 

 


Non-Standardized Defined Contribution - PPD

 

Allocation sharing. The Matching Contributions will be allocated to all Participants regardless of which Employer directly employs them and regardless of whether their direct Employer made Matching Contributions for the Plan Year unless otherwise elected below or specified in a participation agreement. (choose (3) if applicable):

(3)
[ ] Employer by Employer. The Plan Administrator will allocate the Matching Contributions made by the Signatory Employer and by any Participating Employer only to the Participants directly employed by the contributing Employer.

[Note: Unless the Plan is a Multiple Employer Plan, the Employer should not elect 24(m) unless there are Related Employers which are also Participating Employers. See Section 1.24(D).]

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

(a)
[ ] Not applicable. There are no Plan-Designated QMACs.
(b)
[ ] Applies. There are Plan-Designated QMACs to which the following provisions apply:

Matching Contributions affected. The following Matching Contributions (as allocated to the designated allocation group under Election 25(b)(2)) are Plan-Designated QMACs (select one of (1) or (2)):

(1)
[ ] All. All Matching Contributions.
(2)
[ ] Designated. Only the following Matching Contributions under Election 24:________________________________

Allocation Group. Subject to Section 3.06, allocate the Plan-Designated QMAC (select one of (3) or (4)):

(3)
[ ] NHCEs only. Only to NHCEs who make Elective Deferrals subject to the Plan-Designated QMAC.
(4)
[ ] 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. Regardless of its selections under this Election 25, the Employer 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.]

26. MATCHING CATCH-UP DEFERRALS (3.03(D)). If a Participant makes a Catch-Up Deferral, the Employer (select one of (a) or (b); skip if Election 23(a) is selected):

(a)
[ ] Match. Will apply to the Catch-Up Deferral (select one of (1) or (2)):
(1)
[ ] All. All Matching Contributions.
(2)
[ ] Designated. The following Matching Contributions in Election 24: .
(b)
[ ] 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(b)(2). In this case, Election 26 applies only to Additional Matching, if any. A safe harbor 401(k) Plan will apply the Basic Match, QACA Basic Match or Enhanced Match to Catch-Up Deferrals. If the Employer elects to apply the ACP test safe harbor under Election 37(b)(1), 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 AND MONEY PURCHASE PENSION PLAN CONTRIBUTIONS (3.04(A)). The Employer Nonelective Contributions under Election 6(d) are subject to the following additional elections as to type and amount (select one or more of (a) through (d); choose (e) if applicable):

(a)
[X] Discretionary. An amount the Employer in its sole discretion may determine. [Note: This election is not available if this Plan is a Money Purchase Pension Plan.]
(b)
[ ] Fixed. (Choose one or more of (1) through (3) as applicable.):
(1)
[ ] Uniform %. % of each Participant's Compensation, per (e.g., Plan Year, month).
(2)
[ ] Fixed dollar amount. $ , per (e.g., Plan Year, month, HOS, per Participant per month).
(3)
[ ] Describe:

(The formula described must satisfy the definitely determinable requirement under Treas. Reg. §1.401-1(b). If the formula is non-uniform, it is not a design-based safe harbor for nondiscrimination purposes.)

[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, or The cash value of unused paid time off, as described in Section 3.04(A)(2)(a) and the Employer's Paid Time Off Plan) and/or the Employer may describe different Fixed Nonelective Contributions as

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

19

 

 


Non-Standardized Defined Contribution - PPD

 

applicable to different Participant groups (e.g., A Fixed Nonelective Contribution equal to 5% of Plan Year 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)
[ ] 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. The Employer must specify the Prevailing Wage Contribution by attaching an appendix to the Adoption Agreement that indicates the contribution rate(s) applicable to the prevailing wage employment/job classification(s). 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 (select one of (1) or (2)):
(1)
[ ] No offset. Not reduce the Participant's Employer Contribution allocation by the amount of the Prevailing Wage Contribution.
(2)
[ ] Offset. Reduce the Participant's Employer Contribution allocation by the amount of the Prevailing Wage Contribution.
(d)
[ ] Describe:

(The formula described must satisfy the definitely determinable requirement under Treas. Reg. §1.401-1(b). If the formula is non-uniform, it is not a design-based safe harbor for nondiscrimination purposes.)

[Note: Under Election 27(d), 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).]

Related and Participating Employers (choose (e) if applicable)

(e)
[X] If any Related and Participating Employers (or in the case of a Multiple Employer Plan, Participating Employers regardless of whether they are Related Employers) contribute Nonelective Contributions to the Plan, the contribution formula(s) (select one of (1) or (2)):
(1)
[X] All the same. Is (are) the same as for the Signatory Employer under this Election 27.
(2)
[ ] At least one different. Is (are) as follows: .

[Note: Unless the Plan is a Multiple Employer Plan, the Employer should not elect 27(e) unless there are Related Employers which are also Participating Employers. See Section 1.24(D). The Employer electing 27(e) also must complete Election 28(h) as to the allocation methods which apply to the Participating Employers.]

28 NONELECTIVE AND MONEY PURCHASE PENSION PLAN CONTRIBUTION ALLOCATION (3.04(B)). The Plan Administrator, subject to Section 3.06, will allocate to each Participant any Nonelective Contribution (excluding QNECs, but including Prevailing Wage Contributions and Money Purchase Plan Contributions) under the following contribution allocation formula (select one or more of (a) through (g)):

(a)
[X] Uniform allocation. (select one of (1) or (2))
(1)
[X] Percentage. As a uniform percentage of Participant Compensation (Pro rata).
(2)
[ ] Dollar amount. As a uniform dollar amount, without regard to Compensation.
(b)
[ ] 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:

Formula (select one of (1), (2), or (3)):

(1)
[ ] Two-tiered.
(2)
[ ] Four-tiered.
(3)
[ ] Two-tiered, except that the four-tiered formula will apply in any Plan Year for which the Plan is top-heavy.

Excess Compensation. For purposes of Section 3.04(B)(2), "Excess Compensation" means Compensation in excess of the integration level provided below (select one of (4) or (5)):

(4)
[ ] 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).
(5)
[ ] Dollar amount. The following amount: $ (not exceeding the Taxable Wage Base in effect on the first day of the Plan Year).
(c)
[ ] Incorporation of contribution formula. The Plan Administrator will allocate any Fixed Nonelective Contribution under Elections 27(b)(1) or 27(b)(2), or any Prevailing Wage Contribution under Election 27(c), in accordance with the contribution formula the Employer adopts under those Elections.

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

20

 

 


Non-Standardized Defined Contribution - PPD

 

(d)
[ ] Classifications of Participants. [This is not a safe harbor allocation method. Do not elect 28(d) if this is a Money Purchase Pension Plan] In accordance with the classifications allocation provisions of Section 3.04(B)(3).

Description of the classifications. The classifications are (select 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)
[ ] Each in own classification. Each Participant constitutes a separate classification.
(2)
[ ] NHCEs/HCEs. Nonhighly Compensated Employee/Participants and Highly Compensated Employee/Participants.
(3)
[ ] Describe the classifications:

[Note: The Group Allocation Limitations of Section 3.14 apply to allocations and elections under this Election 28(d).]

Allocation method within each classification. Allocate the Nonelective Contribution within each classification as follows (select one of (4) or (5); skip if 28(d)(1) is elected):

(4)
[ ] Pro rata. As a uniform percentage of Compensation of each Participant within the classification.
(5)
[ ] Flat dollar. The same dollar amount to each Participant within the classification.
(e)
[ ] Age-based. [This is not a safe harbor allocation method.] 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:

Interest rate. (Select one of (1), (2), or (3)):

 

(1)

[ ]

7.5%

(2)

[ ]

8.0%

(3)

[ ]

8.5%

 

Mortality table. (Select one of (4) or (5)):

(4)
[ ] UP-1984. See Appendix C.
(5)
[ ] 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 C.)
(f)
[ ] 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 (select one or more of (1) and (2); choose (3) if applicable):
(1)
[ ] 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 (select one of a. or b):

a.
[ ] Eligibility. Years of Service for eligibility in Election 16.
b.
[ ] 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)
[ ] Age. point(s) for each year of age attained during the Plan Year.

Compensation (choose (3) if applicable)

(3)
[ ] point(s) for each $ (not to exceed $200) increment of Plan Year Compensation.
(g)
[ ] Describe:

(The Employer may only describe the nonelective allocation formula from the elections available in this Election 28, and/or a combination thereof, as to a Participant group or contribution type (e.g., Participants in the Employer's Chicago office will receive a uniform percentage of Participant Compensation; contributions to all other Participants will be allocated in accordance with the classifications allocation provisions of Section 3.04(B)(3)). The Group Allocation Limitations of Section 3.14 apply to allocations and elections under this Election 28(g).)

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

21

 

 


Non-Standardized Defined Contribution - PPD

 

Optional Provisions (choose one or more of (h) or (i) if applicable)

(h)
[X] Related and Participating Employers. If any Related and Participating Employers (or in the case of a Multiple Employer Plan, Participating Employers regardless of whether they are Related Employers) contribute Nonelective Contributions to the Plan, the Plan Administrator will allocate the Nonelective Contributions made by the Participating Employer(s) under Election 27(e):

Allocation Method. (select one of (1) or (2)):

(1)
[X] All the same. Using the same allocation method as applies to the Signatory Employer under this Election 28.
(2)
[ ] At least one different. Under the following allocation method(s): .

Allocation sharing. The Nonelective Contributions will be allocated to all Participants regardless of which Employer directly employs them and regardless of whether their direct Employer made Nonelective Contributions for the Plan Year unless otherwise elected below or specified in a participation agreement. (choose (3) if applicable):

(3)
[ ] Employer by Employer. The Plan Administrator will allocate the Nonelective Contributions made by the Signatory Employer and by any Participating Employer only to the Participants directly employed by the contributing Employer.

[Note: Unless the Plan is a Multiple Employer Plan, the Employer should not elect 28(h) unless there are Related Employers which are also Participating Employers. See Section 1.24(D) and Election 27(e). Election 28(h)(3) does not apply to Safe Harbor Nonelective Contributions.]

(i)
[ ] Allocation computation period. Allocations will be computed and allocated on an annual basis unless otherwise specified below (select one of (1) through (4); selecting this option means that the plan is not a design-based safe harbor for nondiscrimination purposes):
(1)
[ ] Each payroll period.
(2)
[ ] Each month.
(3)
[ ] Each Plan Year quarter.
(4)
[ ] Describe:

29 QNEC (PLAN-DESIGNATED) (3.04(C)(1)). The following provisions apply regarding Plan-Designated QNECs (select one of (a) or (b). 401(k) Plans):

(a)
[X] Not applicable. There are no Plan-Designated QNECs (skip to Election 30).
(b)
[ ] Applies. There are Plan-Designated QNECs to which the following provisions apply:

Nonelective Contributions affected. The following Nonelective Contributions (as allocated to the designated allocation group under Election 29(b)(2)) are Plan-Designated QNECs (select one of (1) or (2)):

(1)
[ ] All. All Nonelective Contributions.
(2)
[ ] Designated. Only the following Nonelective Contributions under Election 27: .

Allocation Group. Subject to Section 3.06, allocate the Plan-Designated QNEC (select one of (3) or (4)):

(3)
[ ] NHCEs only. Only to NHCEs under the method elected in Election 29(b)(5), (6), (7) or (8).
(4)
[ ] All Participants. To all Participants under the method elected in Election 29(b)(5), (6), (7) or (8).

Allocation Method. The Plan Administrator will allocate a Plan-Designated QNEC using the following method (select one of (5) through (8)):

(5)
[ ] Pro rata.
(6)
[ ] Flat dollar.
(7)
[ ] Reverse. See Section 3.04(C)(3).
(8)
[ ] Classification allocation method. See Section 3.04(C)(6). [Note: The Group Allocation Limitations of Section 3.14 apply to allocations and elections under this Election 28(d).]

[Note: 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) (select one of (a) through (e)):

(a)
[ ] Safe Harbor Nonelective Contribution (including QACA). The Safe Harbor Nonelective Contribution equals % 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)(12).]

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

22

 

 


Non-Standardized Defined Contribution - PPD

 

(b)
[ ] Safe Harbor Nonelective Contribution (including QACA)/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: An Employer distributing the maybe notice can use election 30(b) without completing the year. Doing so requires the Plan to perform Current Year Testing unless the Employer decides to elect safe harbor status. If the Employer wishes to elect safe harbor status for a single year, the Employer must amend the Plan to enter the Plan Year end above.]

(c)
[X] 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 1.35(E) and 3.05(E)(4).
(d)
[ ] QACA Basic Matching Contribution. A Matching Contribution equal to 100% of a Participant's Elective Deferrals not exceeding 1% of the Participant's Compensation, plus 50% of each Participant's Elective Deferrals in excess of 1% but not in excess of 6% of the Participant's Compensation. [Note: This election is available only if the Employer has elected the QACA automatic deferrals provisions under Election 21.]
(e)
[ ] Enhanced Matching Contribution (including QACA). See Sections 1.35(F) and 3.05(E)(6). (Select one of (1) or (2).):
(1)
[ ] 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)
[ ] 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

%

 

%

%

 

%

%

 

%

 

[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) (taking into account Code §401(k)(13)(D)(ii) in the case of a QACA). If the Employer elects to satisfy the ACP safe harbor under Election 38(b)(1), the Employer also must limit Elective Deferrals taken into account for the Enhanced Matching Contribution to a maximum of 6% of Plan Year Compensation.]

Time period for safe harbor matching contribution. For purposes of Election 30(c), (d), or (e), "Compensation" and "Elective Deferrals" mean Compensation and Elective Deferrals determined: (select one of (f) through (j); skip if 30(a) or 30(b) elected)

(f)
[ ] Each payroll period
(g)
[ ] Each month
(h)
[ ] Each Plan Year quarter
(i)
[X] Each Plan Year
(j)
[ ] Other (Specify uniform, nondiscretionary time period):

Participants who will receive Safe Harbor Contributions. The allocation of Safe Harbor Contributions (select one of (k) or (l)):

(k)
[X] Applies to all Participants. Applies to all Participants except as may be limited under Election 30(m).
(l)
[ ] Applies to the following Participants: (select one of (1) or (2); and/or choose (3) if applicable)
(1)
[ ] NHCEs only. Is limited to NHCE Participants only and may be limited further under Election 30(m). No HCE will receive a Safe Harbor Contribution allocation, unless the Employer exercises its discretion under Section 3.05(E)(9)(a).
(2)
[ ] NHCEs and designated HCEs. Is limited to NHCE Participants and to the following HCE Participants and may be limited further under Election 30(m): .

[Note: Any HCE allocation group the Employer describes under Election 30(l)(2) must be definitely determinable. (e.g., Division "A" HCEs OR HCEs who own more than 5% of the Employer without regard to attribution rules).]

(3)
[ ] Applies to all Participants except Collective Bargaining Employees. Notwithstanding Elections 30(l)(1) or (2), the Safe Harbor Contributions are not allocated to Collective Bargaining (union) Employees and may be further limited under Election 30(m).

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

23

 

 


Non-Standardized Defined Contribution - PPD

 

Optional Provisions (choose one or more of (m) or (n) if applicable)

(m)
[ ] Early Elective Deferrals/delay of Safe Harbor Contribution. The Employer may elect this Election 30(m) only if the Employer in Election 14 elects eligibility requirements for Elective Deferrals of less than age 21 and/or one Year of Service but elects greater age and/or service requirements for Safe Harbor Matching or for Safe Harbor Nonelective Contributions. The Employer under this Election 30(m) applies the rules of Section 3.05(D) to limit the allocation of any Safe Harbor Contribution under Election 30 for a Plan Year to those Participants 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.
(n)
[ ] Another plan. The Employer will make the Safe Harbor Contribution to the following plan: .

Additional Matching Contributions. See Sections 1.35(G) and 3.05(F). (select one of (o) or (p)):

(o)
[X] No Additional Matching Contributions. The Employer will not make any Additional Matching Contributions to its safe harbor Plan.
(p)
[ ] Additional Matching Contributions. The Employer will or may make the following Additional Matching Contributions to its safe harbor Plan. (select one or more of (1) through (3)):
(1)
[ ] Fixed Additional Matching Contribution. The following Fixed Additional Matching Contribution (select one or more of a. and b.):
a.
[ ] 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.
b.
[ ] 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

%

 

%

%

 

%

%

 

%

 

Time period. For purposes of this Election 30(p)(1), "Compensation" and "Elective Deferrals" mean Compensation and Elective Deferrals determined for: (select one of c. through g.)

c.
[ ] Each payroll period
d.
[ ] Each month
e.
[ ] Each Plan Year quarter
f.
[ ] Each Plan Year
g.
[ ] Other (Specify uniform, nondiscretionary time period):
(2)
[ ] 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).

Time period. For purposes of this Election 30(p)(2), "Compensation" and "Elective Deferrals" mean Compensation and Elective Deferrals determined for: (select one of a. through e.)

a.
[ ] Each payroll period
b.
[ ] Each month
c.
[ ] Each Plan Year quarter
d.
[ ] Each Plan Year
e.
[ ] Other (Specify uniform, nondiscretionary time period):

[Note: If the Employer elects to satisfy the ACP safe harbor under Election 38(b)(1) 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.]

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

24

 

 


Non-Standardized Defined Contribution - PPD

 

(3)
[ ] Additional non-safe harbor match. The Plan will not use the ACP Safe Harbor. Additional Matching Contributions will be made as follows:

[Note: The Employer in Election 30(p)(3) may specify any matching contribution formula or formulas which could be specified in Election 24 and may specify different formulas for different groups of Participants (i.e., The Employer will make a Discretionary Matching Contribution for Participants in its Chicago office, and a Fixed Matching Contribution of 33% of Elective Deferrals up to 12% of Compensation for all other Participants). If the Employer elects 30(p)(3), the Plan will not qualify for the ACP Safe Harbor and the Employer should elect, at Election 37(b)(2), the ACP testing method. The Group Allocation Limitations of Section 3.14 apply to allocations and elections under this Election 30(p)(3).]

Multiple Safe Harbor Contributions in disaggregated Plan (Choose (q) if applicable)

(q)
[ ] 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:

[Note: The Employer in Election 30(q) may specify any matching contribution formula or formulas which could be specified in Election 24 and may specify different formulas for different groups of Participants (i.e., The Employer will make a Fixed Matching Contribution of 33% of Elective Deferrals up to 12% of Compensation for Collective Bargaining Employees, and a Discretionary Additional Matching Contribution as described in Election 30(p)(2) for all other Participants). Allocation formulas, such as a fixed match based on years of service, which permit an HCE in a disaggregated plan to receive a higher rate of match than any NHCE in that plan at the same level of elective deferrals will not satisfy Treas. Reg. §1.401(m)-3(d)(4) and will not qualify for the ACP Safe Harbor. The Group Allocation Limitations of Section 3.14 apply to allocations under this Election 30(q).]

31. ALLOCATION CONDITIONS (3.06(B)/(C)). The Plan does not apply any allocation conditions to: (i) Employee Contributions; (ii) Rollover Contributions; (iii) Designated IRA Contributions; or (iv) Prevailing Wage Contributions. In addition, for 401(k) plans, the Plan does not apply any allocation conditions to: (i) Elective Deferrals; (ii) Safe Harbor Contributions; (iii) Additional Matching Contributions which will satisfy the ACP test safe harbor; or (iv) SIMPLE Contributions. To receive an allocation of Matching Contributions, Nonelective Contributions or Participant forfeitures, a Participant must satisfy the following allocation condition(s) (select one of (a) or (b)):

(a)
[ ] No conditions. No allocation conditions apply to Matching Contributions, to Nonelective Contributions or to forfeitures (skip to Election 33).
(b)
[X] Conditions. The following allocation conditions apply to the designated Contribution Type and/or forfeitures (select one or more of (1) through (7). Select Contribution Type as applicable. If more than one allocation condition elected, the Participant must satisfy each condition to receive the allocation.):

[Note for 401(k) plans: For this Election 31, except as the Employer describes otherwise in Election 31(b)(7) or as provided in the Plan regarding Operational Matches, 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. Elections (4) or (6) for nonelective contributions will subject the plan to the general nondiscrimination test.]

 

 

 

 

 

 

(1)

 

(2)

(3)

(4)

 

 

 

 

 

Matching,

Nonelective

and Forfeitures

 

Matching

Nonelective

Forfeitures

 

(1)

[ ]

None.

 

N/A

 

[ ]

[ ]

[ ]

 

 

 

 

 

(See Election 31(a))

 

 

 

 

 

(2)

[ ]

501 HOS/terminees (91 consecutive days if Elapsed Time). See Section 3.06(B)(1)(b).

[ ]

OR

[ ]

[ ]

[ ]

 

(3)

[X]

Last day of the Plan Year.

[X]

OR

[ ]

[ ]

[ ]

 

(4)

[ ]

Last day of the Election 31(c) time period.

[ ]

OR

[ ]

[ ]

[ ]

 

(5)

[X]

1,000 HOS in the Plan Year (182 consecutive days in Plan Year if Elapsed Time).

[X]

OR

[ ]

[ ]

[ ]

 

(6)

[ ]

(specify) HOS within the Election 31(c) time period, (but not exceeding 1,000 HOS in a Plan Year).

[ ]

OR

[ ]

[ ]

[ ]

 

(7)

[ ]

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.)

 

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

25

 

 


Non-Standardized Defined Contribution - PPD

 

Time period (choose (c) if applicable; skip if 31(b)(4), (b)(6), or (b)(7) not selected)

(c)
[ ] 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 or more of (1) through (5). Choose Contribution Type as applicable.):

 

 

(1)

[ ]

Plan Year.

 

[ ]

OR

[ ]

[ ]

[ ]

 

(2)

[ ]

Plan Year quarter.

 

[ ]

OR

[ ]

[ ]

[ ]

 

(3)

[ ]

Calendar month.

 

[ ]

OR

[ ]

[ ]

[ ]

 

(4)

[ ]

Payroll period.

 

[ ]

OR

[ ]

[ ]

[ ]

 

(5)

[ ]

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:

Application/Waiver (Select one of (a) or (b))

(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 or Early Retirement Age (select one of (1) or (2)):
(1)
[ ] Allocation conditions are waived. Do not apply elected allocation conditions to Matching Contributions, to Nonelective Contributions or to forfeitures.
(2)
[X] Allocation conditions apply. Apply elected allocation conditions to Matching Contributions, to Nonelective Contributions and to forfeitures.
(b)
[ ] 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 from Employment is on account of or following death, Disability or attainment of Normal Retirement Age or Early Retirement Age as specified, and as applied to the specified Contribution Types/forfeitures (select one or more of (1) through (4). Select Contribution Type as applicable.):

[Note for 401(k) Plans: For this Election 32(b), except as the Employer describes otherwise in Election 31(b)(7) or as provided in in the Plan regarding Operational Matches, Operational QMACs, or Operational QNECs, Matching includes all Matching Contributions and Nonelective includes all Nonelective Contributions to which allocation conditions may apply.]

 

 

 

 

 

(1)

 

(2)

(3)

(4)

 

 

 

 

Matching,

Nonelective

and Forfeitures

 

Matching

Nonelective

Forfeitures

 

(1)

[ ]

Death.

[ ]

OR

[ ]

[ ]

[ ]

 

(2)

[ ]

Disability.

[ ]

OR

[ ]

[ ]

[ ]

 

(3)

[ ]

Normal Retirement Age.

[ ]

OR

[ ]

[ ]

[ ]

 

(4)

[ ]

Early Retirement Age.

[ ]

OR

[ ]

[ ]

[ ]

 

Suspension. The suspension of allocation conditions of Section 3.06(F) (select one of (c) or (d)):

(c)
[X] Suspension applies.

For 401(k) plans, applies as follows (select one of (1), (2), or (3)):

(1)
[ ] Both. Applies both to Nonelective Contributions and to Matching Contributions.
(2)
[X] Nonelective. Applies only to Nonelective Contributions.
(3)
[ ] Match. Applies only to Matching Contributions.
(d)
[ ] Suspension does not apply.

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

26

 

 


Non-Standardized Defined Contribution - PPD

 

33. FORFEITURE ALLOCATION METHOD (3.07). (select one of (a) or (b).):

[Note: Even if the Employer elects immediate vesting, the Employer should complete Election 33. See Section 7.07. Election can be omitted if the plan is frozen or the plan is a 401(k) plan with no employer contributions]

(a)
[ ] Safe harbor/top-heavy exempt. Apply all forfeitures to Safe Harbor Contributions and Plan expenses in accordance with Section 3.07(A)(4). (may only be selected with 401(k) plans)
(b)
[X] Apply to Contributions. The Plan Administrator will allocate a Participant forfeiture as follows: (select one or more of (1) through (7). Select Contribution Type as applicable):

 

 

 

 

 

 

(1)

 

(2)

(3)

 

 

 

 

 

All

Nonelective

 

Nonelective Forfeitures

Matching Forfeitures

 

(1)

[ ]

All. Use as described in (2) through (6).

((1) may not be selected with (2) through (6))

[ ]

OR

[ ]

[ ]

 

(2)

[X]

Additional Nonelective. Added to Nonelective Contributions and allocated in the same manner.

[X]

OR

[ ]

[ ]

 

(3)

[ ]

Additional Match. Added to Matching Contributions and allocated in the same manner.

[ ]

OR

[ ]

[ ]

 

(4)

[ ]

Reduce Nonelective. Apply to reduce Nonelective Contribution.

[ ]

OR

[ ]

[ ]

 

(5)

[ ]

 Reduce Match. Apply to reduce Matching Contribution.

[ ]

OR

[ ]

[ ]

 

(6)

[ ]

Plan expenses. Pay reasonable Plan expenses.

(See Section 7.04(C).) (must be selected with another election)

[ ]

OR

[ ]

[ ]

 

(7)

[ ]

Describe:

 

 

 

 

 

 

 

 

(must satisfy the definitely determinable requirement under Treas. Reg. §1.401-1(b) and be applied in a uniform and nondiscriminatory manner; e.g., Forfeitures attributable to transferred balances from Plan X are allocated only to former Plan X participants.)

 

34. IN-PLAN ROTH ROLLOVER CONTRIBUTION (3.08(E)). The following provisions apply regarding In-Plan Roth Rollover Contributions (Choose one of (a) or (b); also see Appendix B, Election (g)(2); leave blank if Election 6(b)(1) is not selected.):

(a)
[X] Not Applicable. The Plan does not permit In-Plan Roth Rollover Contributions (skip to Election 35).
(b)
[ ] Applies. The Plan permits In-Plan Roth Rollover Contributions with regard to the following amounts and subject to the following limitations. (select one or more of (1) and (2))
(1)
[ ] IRR. This provision is effective with regard to IRRs (see Section 1.55(A)(1)) the later of September 28, 2010, or the Plan or Restatement Effective Date unless other date entered below.
a.
[ ] or (enter later effective date if applicable)
(2)
[ ] IRT. This provision is effective with regard to IRTs (see Section 1.55(A)(2)) the later of January 1, 2013, or the Plan or Restatement Effective Date unless other date entered below.
a.
[ ] or (enter later effective date if applicable)

Limitations. The following restrictions apply to In-Plan Roth Rollovers (choose one or more of (c) through (h) if applicable)

 

 

 

 

 

 

(1)

IRR

(2)

IRT

(c)

[ ]

In-Plan Roth Rollovers limited to In-Service only. Only Participants who are Employees may elect to make an In-Plan Roth Rollover Contribution.

 

[ ]

[ ]

(d)

[ ]

Vested In-Plan Roth Rollovers. In-Plan Roth Rollovers may only be made from accounts which are fully Vested.

 

[ ]

[ ]

(e)

[ ]

No transfer of loans. Loans may not be distributed as part of an In-Plan Roth Rollover Contribution.

 

[ ]

[ ]

(f)

[ ]

Minimum amount. The minimum amount that may be rolled over is (may not exceed $1,000).

 

[ ]

[ ]

(g)

[ ]

Number of Transfers. No more than transfer(s) may be made during a Plan Year.

 

[ ]

[ ]

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

27

 

 


Non-Standardized Defined Contribution - PPD

 

(h)

[ ]

Describe transfer provisions. Transfers may be made subject to the following provisions:

 

 

 

 

 

(must be definitely determinable and not subject to Employer or Administrator discretion; specify different provisions for IRR and IRT if desired).

Source of In-Plan Roth Rollover Contributions (Select one or more of (i) or (j)):

 

1.

2.

(i)

[ ]

All Sources. (select one or both of columns (1) – (2))

 

[ ]

[ ]

(j)

[ ]

Limited Sources. The Plan permits an In-Plan Roth Rollover only from the following qualifying sources (select one or more of (1) through (7)):

 

 

 

 

 

 

 

 

 

 

(1)

IRR

(2)

IRT

 

(1)

[ ]

Elective Deferrals

 

[ ]

[ ]

 

(2)

[ ]

Matching Contributions (including any Safe Harbor Matching Contributions and Additional Matching Contributions)

 

[ ]

[ ]

 

(3)

[ ]

Nonelective Contributions

 

[ ]

[ ]

 

(4)

[ ]

QNECS (including any Safe Harbor Nonelective Contributions)

 

[ ]

[ ]

 

(5)

[ ]

Rollovers

 

[ ]

[ ]

 

(6)

[ ]

Transfers

 

[ ]

[ ]

 

(7)

[ ]

Other: (specify account(s) and conditions in a manner that is definitely determinable and not subject to Employer discretion; specify different sources for IRR and IRT if desired)

 

35. EMPLOYEE (AFTER-TAX) CONTRIBUTIONS (3.09). The following additional elections apply to Employee Contributions under Election 6(f).

After-tax contribution limits. (choose (a) and (b) as applicable.):

(a)
[ ] Maximum amount. A Participant's Employee Contributions may not exceed: (complete (1) and (2))
(1)
[ ] NHCE. (specify dollar amount and/or percentage of Compensation) for NHCEs
(2)
[ ] HCE. (specify dollar amount and/or percentage of Compensation) for HCEs. The limit for HCEs cannot exceed the limit for NHCEs)
(b)
[ ] Minimum amount. A Participant's Employee Contributions may not be less than: (specify dollar amount (not greater than $10,000) and/or percentage of Compensation (not greater than 10%)).

Apply Matching Contribution. For each Plan Year, the Employer's Matching Contribution made with regard to Employee Contributions is (leave blank if there are no Matching Contributions made with regard to Employee Contributions; otherwise, choose one of (c) or (d).):

(c)
[ ] Same as Elective Deferrals. Employee Contributions will be treated the same as Elective Deferrals for purposes of calculating the Matching Contributions under Election 24.
(d)
[ ] Discretionary. See Section 1.35(B). This contribution will be computed as a Flexible Discretionary Match under Section 3.03(A)(2)(b) as though the Employee Contributions were Elective Deferrals.

36. DESIGNATED IRA CONTRIBUTIONS (3.12). Under Election 6(h), a Participant may make Designated IRA Contributions.

Type of IRA contribution. A Participant's Designated IRA Contributions will be (select one of (a), (b), or (c)):

(a)
[ ] Traditional.
(b)
[ ] Roth.
(c)
[ ] Traditional/Roth. As the Participant elects at the time of contribution.

Type of Account. A Participant's Designated IRA Contributions will be held in the following form of Account(s) (select one of (d), (e), or (f)):

(d)
[ ] IRA.
(e)
[ ] Individual Retirement Annuity.
(f)
[ ] IRA/Individual Retirement Annuity. As the Participant elects at the time of contribution.

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

28

 

 


Non-Standardized Defined Contribution - PPD

 

ARTICLE IV

LIMITATIONS AND TESTING

37. ANNUAL TESTING ELECTIONS (4.06(B)). The Employer makes the following Plan specific annual testing elections under Section 4.06(B):

Nondiscrimination testing. (Select one or more of (a), (b), and (c). Plans other than 401(k) plans should skip except select (a)(4) or (5) if the Plan permits Employee Contributions.):

(a)
[ ] Traditional 401(k) Plan/ADP/ACP test. The following testing method(s) apply

[Note: The Plan may "split test". For Current Year Testing, See Section 4.11(E). For Prior Year Testing, see Section 4.11(H) and, as to the first Plan Year, see Sections 4.10(B)(4)(f)(iv) and 4.10(C)(5)(e)(iv).]

ADP Test (Select one of (1) or (2))

(1)
[ ] Current Year Testing.
(2)
[ ] Prior Year Testing.

ACP Test (Select one of (3), (4), or (5))

(3)
[ ] Not applicable. The Plan does not permit Matching Contributions or Employee Contributions and the Plan Administrator will not recharacterize Elective Deferrals as Employee Contributions for testing.
(4)
[ ] Current Year Testing.
(5)
[ ] Prior Year Testing.
(b)
[X] Safe Harbor Plan/No testing or ACP test only. (select one of (1) or (2)):
(1)
[X] No testing. ADP test safe harbor applies and if applicable, ACP test safe harbor applies. If the Plan permits Employee Contributions, current year ACP testing will apply to Employee Contributions unless otherwise elected below (Choose a. if applicable.).
a.
[ ] Prior Year Testing applies to Employee Contributions.
(2)
[ ] ACP test only. ADP test safe harbor applies, but Plan will perform ACP test as follows (select one of a. or b.):
a.
[ ] Current Year Testing.
b.
[ ] Prior Year Testing.
(c)
[ ] Maybe notice (Election 30(b)). See Section 3.05(I).

[Note: When maintaining a traditional 40 l(k) plan, select (a); when maintaining a safe harbor 401(k) plan, select (b). Skip if SIMPLE 401(k) plan. The Employer may make elections under both the Traditional 401(k) Plan and Safe Harbor Plan elections, in order to accommodate a Plan that applies both testing elections (e.g., Safe Harbor Includible Employees group and tested Otherwise Excludible Employees group). In the absence of an election regarding ADP or ACP tested contributions, Current Year Testing applies.]

HCE determination. The Top-Paid Group election and the calendar year data election are not used unless elected below (choose one or more of (d) and (e) if applicable):

(d)
[X] Top-paid group election applies.
(e)
[ ] Calendar year data election (fiscal year Plan only) applies.

ARTICLE V

VESTING

38. NORMAL RETIREMENT AGE (5.01). A Participant attains Normal Retirement Age under the Plan on the following date (select one of (a) or (b)):

(a)
[X] Specific age. The date the Participant attains age 65 . [Note: The age may not exceed age 65.]
(b)
[ ] 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.]

[Note for Money Purchase Pension Plans: The Normal Retirement Age specified must generally be at least age 62; however, a lower age, but not lower than age 55, may be specified if that age is reasonably representative of the typical retirement age for the industry in which the covered workforce is employed. No reliance will be afforded on the Opinion Letter issued to the Plan that (if the Plan is a Money Purchase Pension Plan) an age less than 62 is reasonably representative of the typical retirement age for the industry in which the participants work.]

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

29

 

 


Non-Standardized Defined Contribution - PPD

 

39. EARLY RETIREMENT AGE (5.01). (select one of (a) or (b)):

(a)
[X] Not applicable. The Plan does not provide for an Early Retirement Age.
(b)
[ ] 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 (select one of (1) or (2); skip if (b)(iii) NOT elected):

(1)
[ ] Eligibility. Years of Service for eligibility in Election 16.
(2)
[ ] 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 (select one of (a), (b), or (c)):

(a)
[X] Applies. Apply 100% vesting.
(b)
[ ] Not applicable. Do not apply 100% vesting. The Participant's vesting is in accordance with the applicable Plan vesting schedule.
(c)
[ ] Limited application. Apply 100% vesting, but only if a Participant incurs a Severance from Employment as a result of (select one of (1) or (2)):
(1)
[ ] Death.
(2)
[ ] Disability.

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 (other than QACA Safe Harbor Contributions); (vi) SIMPLE Contributions; (vii) Rollover Contributions; (viii) Prevailing Wage Contributions; (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), to Nonelective Contributions (other than Prevailing Wage Contributions) and to QACA Safe Harbor Contributions. (select (a) or (b)):

(a)
[ ] 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). For 401(k) plans: (i) 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; (ii) 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; and (iii) The Employer should elect 41(b) if any Contribution Type is subject to a vesting schedule. For Money Purchase Pension Plans and Profit Sharing Plans, the Employer must elect 41(a) if the eligibility Service condition exceeds one Year of Service or more than 12 months.]

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

30

 

 


Non-Standardized Defined Contribution - PPD

 

(b)
[X] Vesting schedules: Apply the following vesting schedules (Select one or more of (1) through (6). Select Contribution Type as applicable.):

 

 

 

 

 

 

(1)

 

All

Contributions

 

 

 

(2)

 

 

Nonelective

 

(3)

 

Regular

Matching

 

(4)

Additional

Matching(See Section 3.05(F))

 

 

(5)

 

QACA

Safe Harbor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)

[ ]

 Immediate vesting.

 

N/A

 

 

 

[ ]

 

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

(See Election 41(a))

 

 

 

 

 

 

 

 

 

 

 

(2)

[X]

6-year graded.

 

[X]

 

OR

 

[ ]

 

[ ]

 

[ ]

 

N/A

 

(3)

[ ]

 3-year cliff.

 

[ ]

 

OR

 

[ ]

 

[ ]

 

[ ]

 

N/A

 

(4)

[ ]

Modified schedule:

 

[ ]

 

OR

 

[ ]

 

[ ]

 

[ ]

 

N/A

 

 

 

Years of Service

Vested %

Not Less Than

 

 

 

 

 

 

 

 

 

 

 

 

Less than 1

a.

0%

 

 

 

 

 

 

 

 

 

 

 

 

 

1

b.

0%

 

 

 

 

 

 

 

 

 

 

 

 

 

2

c.

20%

 

 

 

 

 

 

 

 

 

 

 

 

 

3

d.

40%

 

 

 

 

 

 

 

 

 

 

 

 

 

4

e.

60%

 

 

 

 

 

 

 

 

 

 

 

 

 

5

f.

80%

 

 

 

 

 

 

 

 

 

 

 

 

 

6 or more

100%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(5)

[ ]

2-year cliff.

 

[ ]

 

OR

 

[ ]

 

[ ]

 

[ ]

 

[ ]

 

(6)

[ ]

Modified 2-year schedule:

[ ]

 

OR

 

[ ]

 

[ ]

 

[ ]

 

[ ]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Years of Service

Vested %

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Less than 1

a.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

b.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

100%

 

 

 

 

 

 

 

 

 

 

 

 

[Note: If the Employer does not elect 41(a), the Employer under 41(b) must elect immediate vesting or must elect one of the specified alternative vesting schedules. The modified schedule of Election 41(b)(4) must satisfy Code §411(a)(2)(B).]

[Note for 401(k) plans: The Employer must elect either 41(b)(5) or (6) as to QACA Safe Harbor Contributions. If the Employer elects Additional Matching under Election 30(p), 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.]

Special vesting provisions (choose c. if applicable)

(c)
[ ] Describe:

[Note: The Employer under Election 41(c) 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). (choose (a) and/or (b) if applicable)

[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)
[X] 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 Hours of Service.]
(b)
[ ] Vesting Computation Period- Anniversary Year. The Plan measures a Year of Service based on the Plan Year unless this option is elected.

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

31

 

 


Non-Standardized Defined Contribution - PPD

 

43. EXCLUDED YEARS OF SERVICE - VESTING (5.05(C)). (select (a) or (b)):

(a)
[ ] None. None other than as specified in Section 5.05(C)(1).
(b)
[X] Exclusions. The Plan excludes the following Years of Service for purposes of vesting (select one or more of (1) through (4)):
(1)
[ ] Age 18. Any Year of Service before the Vesting Computation Period during which the Participant attained the age of 18.
(2)
[ ] Prior to Plan establishment. Any Year of Service during the period the Employer did not maintain this Plan or a predecessor plan.
(3)
[X] Rule of Parity. Any Year of Service excluded under the rule of parity. See Plan Section 5.06(C).
(4)
[ ] Additional exclusions. The following Years of Service:

[Note: The Employer under Election 43(b)(4) 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(b)(4) 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 (select one of (a) or (b)):

(a)
[ ] 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.

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 (select one of (1), (2), or (3)):

(1)
[X] $5,000.
(2)
[ ] $1,000.
(3)
[ ] Specify amount: $____(may not exceed $5,000).

[Note: This election only applies to the Mandatory Distribution maximum amount. For other Plan provisions subject to a

$5,000 limit, see Appendix B, Election (g)(7).]

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 will include amounts in the Rollover Contribution Account (if any) unless otherwise elected below (choose (4) if applicable):

(4)
[X] Disregard Rollover Contribution Account.

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 (5) or (6) unless the Employer elects under Elections 44(b)(2) to limit Mandatory Distributions to $1,000 (including Rollover Contributions):

(5)
[X] 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.
(6)
[ ] Specify lesser amount. Only if the amount of the Mandatory Distribution is at least: $_____ (specify $1,000 or less), which for this purpose must include any Rollover Contributions Account.

Required distribution at Normal Retirement Age (choose (c) if applicable)

(c)
[ ] A severed Participant may not elect to delay distribution beyond the later of age 62 or Normal Retirement Age.

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

32

 

 


Non-Standardized Defined Contribution - PPD

 

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 (select one or more of (a) through (i)):

[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)

[ ]

Next Valuation Date. After the next Valuation Date following
Severance from Employment.

[ ]

[ ]

(c)

[ ]

Plan Year. In the ______ Plan Year following

[ ]

[ ]

 

 

Severance from Employment (e.g., next or fifth).

 

 

(d)

[ ]

Plan Year quarter. In the _______ Plan Year quarter following

[ ]

[ ]

 

 

Severance from Employment (e.g., next or fifth).

 

 

(e)

[ ]

Contribution Type Accounts. __________________(specify timing) as to the Participant's __________________Account(s) and __________________(specify timing) as to the Participant's __________________Account(s) (e.g. for 401(k) plans, 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).

[ ]

[ ]

(f)

[ ]

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).

[ ]

[ ]

(g)

[ ]

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.]

[ ]

[ ]

(h)

[ ]

No buy-back/vesting controlled timing. Distribute as soon as is practical following Severance from Employment if the Participant is fully Vested. Distribute as soon as is practical following a Forfeiture Break in Service if the Participant is not fully Vested.

[ ]

[ ]

(i)

[ ]

Describe Severance from Employment distribution timing:________________________________________

[Note: The Employer under Election 45(i) 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 from 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 and Participant group (e.g., As to Division A Employees, immediate distribution after Severance from 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(i) 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.]

Acceleration. Notwithstanding any later specified distribution date in Election 45, a Participant may elect an earlier distribution following Severance from Employment (Choose (j) and/or (k) if applicable.):

(j)

[ ]

Disability. If Severance from Employment is on account of Disability or if the Participant incurs a Disability following Severance from Employment.

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

33

 

 


Non-Standardized Defined Contribution - PPD

 

(k)

[ ]

Hardship. If the Participant incurs a hardship under Section 6.07(B) following Severance from Employment.

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: Prevailing Wage Contributions are treated as Nonelective Contributions. See Section 6.01(C)(4)(d) if the Employer elects to use Prevailing Wage Contributions to offset other contributions.

(a)
[ ] 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) Designated IRA Contributions. Also see Section 6.01(C)(4)(e) with regard to Rollover Contributions, Employee Contributions and DECs.
(b)
[X] Permitted. In-Service Distributions are permitted as follows (For Money Purchase Pension Contributions, select one or more of (1), (2), (3) and (9). For Profit Sharing Plans, select one or more of (1) through (6), (8) and (9). For 401(k) Plans, select one or more of (1) through (9). Select Contribution Type as applicable.):

[Note for 401(k) plans: Unless the Employer elects otherwise in Election (b)(9) below, 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)

All

Contrib.

(2)

Elective

Deferrals

(3)

Safe Harbor

Contrib.

(4)

 

QNECs

(5)

 

QMACs

(6)

Matching

Contrib.

(7)

Nonelective/

SIMPLE

(1)

[ ]

None. Except for Election 46(a) exceptions.

N/A

(See Election

46(a))

[ ]

[ ]

[ ]

[ ]

[ ]

[ ]

(2)

[X]

Age (select one or

more of a. through d.):

 

 

 

 

 

 

 

 

a.

[X]

Age  59 1/2 (must be at least 59 1/2).

[X]

OR

[ ]

[ ]

[ ]

[ ]

[ ]

[ ]

 

b.

[ ]

Age (may

be less than 59 1/2).

N/A

 

N/A

N/A

N/A

N/A

[ ]

[ ]

 

c.

[ ]

Normal Retirement Age.

[ ]

OR

[ ]

[ ]

[ ]

[ ]

[ ]

[ ]

 

d.

[ ]

Early Retirement Age.

[ ]

OR

[ ]

[ ]

[ ]

[ ]

[ ]

[ ]

[Note: In a 401(k) plan, Elections c. and d. do not apply to Elective Deferrals, Safe Harbor Contributions, QNECs, or QMACs unless the Participant has attained age 59 1/2.]

[Note for Money Purchase Pension Contributions: None of the elections a. though d. applies to a Money Purchase Pension Contribution unless the Participant has attained the earlier of age 62 or Normal Retirement Age]

 

(3)

[ ]

Disability.

[ ]

OR

[ ]

[ ]

[ ]

[ ]

[ ]

[ ]

(4)

[X]

Hardship (Choose one or both of a. and b.):

 

 

 

 

 

 

 

 

a.

[X]

Hardship (safe

harbor). See Section 6.07(A).

N/A

 

[X]

N/A

N/A

N/A

[ ]

[ ]

 

b.

[ ]

Hardship (non-

safe harbor). See Section 6.07(B).

N/A

 

[ ]

N/A

N/A

N/A

[ ]

[ ]

(5)

[ ]

_____ 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

[ ]

[ ]

(6)

[ ]

_____ 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

[ ]

[ ]

(7)

[X]

Qualified Reservist Distribution. See

Section 6.01(C)(4)(b)(iii). (may only be selected with 401(k) plans)

N/A

 

[X]

N/A

N/A

N/A

N/A

N/A

(8)

[X]

Deemed Severance Distribution.

See Section 6.11.

[ ]

 

[X]

[ ]

[ ]

[ ]

[ ]

[ ]

 

[Note for Money Purchase Pension Contributions: Elections (4) through (8) do not apply.]

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

34

 

 


Non-Standardized Defined Contribution - PPD

 

 

(9)

[ ]

Describe:

_________________________________________________________________________________________

 

[Note: The Employer under Election 46(b)(9) may describe In-Service Distribution provisions from the elections otherwise 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 Sections 6.01(C)(4) and 11.02(C)(3).]

47. IN-SERVICE DISTRIBUTIONS/ADDITIONAL CONDITIONS (6.01(C)). Unless otherwise elected below, 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 (choose one or more of (a) through (f) if applicable):

(a)
[ ] 100% vesting required. A Participant may not receive an In-Service Distribution unless the Participant is 100% Vested in the distributing Account. This restriction applies to (select one or more of (1), (2), or (3)):
(1)
[ ] Hardship distributions. Distributions based on hardship. (does not apply for Money Purchase Pension Plans)
(2)
[ ] Deemed Severance. Distributions based on Deemed Severance under Section 6.11.
(3)
[ ] Other In-Service. In-Service distributions other than distributions based on hardship or Deemed Severance.
(b)
[ ] Minimum amount. A Participant may not receive an In-Service Distribution in an amount which is less than: $_________

(specify amount not exceeding $1,000). This restriction applies to (Select one or more of (1), (2), or (3)):

(1)
[ ] Hardship distributions. Distributions based on hardship. (does not apply for Money Purchase Pension Plans)
(2)
[ ] Deemed Severance. Distributions based on Deemed Severance under Section 6.11.
(3)
[ ] Other In-Service. In-Service distributions other than distributions based on hardship or Deemed Severance.
(c)
[ ] Roth In-Service. A Participant may not receive an In-Service Distribution from the Participant's Roth Deferral Account unless it is a qualified distribution as defined in Code §402A(d)(2). (may only be selected with 401(k) plans)
(d)
[ ] Maximum Number. The maximum number of In-Service Distributions a Participant may receive during a Plan Year is

_____ (Specify a number at least equal to 1. If (d) is not elected, the Plan Administrator, by policy, can impose a limitation).

(e)
[ ] Beneficiary's hardship need. A Participant's hardship does not include an immediate and heavy financial need of the Participant's primary Individual Beneficiary under the Plan, as described in Section 6.07(G).
(f)
[ ] Describe other conditions: ______

[Note: An Employer's election under Election 47(f) 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).]

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 (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. (Select one or more of (a) through (g).):

[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. See Section 6.03(A)(4).
(c)
[ ] Installments only if Participant subject to lifetime RMDs. A Participant who is required to receive lifetime RMDs may receive installments payable in monthly, quarterly, semi-annual or annual installments equal to or exceeding the annual RMD amount. See Sections 6.02(A) and 6.03(A)(4)(a).
(d)
[ ] Alternative Annuity: _______. See Section 6.03(A)(5).

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

35

 

 


Non-Standardized Defined Contribution - PPD

 

[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, QPSA or QOSA. The Alternative Annuity could be a QLAC, described in Section 6.02(E)(6)(b)]

(e)
[ ] Partial distributions. See Section 6.03(A)(6). Also known as Ad-Hoc distributions.
(f)
[ ] Partial distributions only if Participant subject to lifetime RMDs. A Participant who is required to receive lifetime RMDs may receive Partial Distributions equal to or exceeding the annual RMD amount. See Sections 6.02(A) and 6.03(A)(6)(a).
(g)
[ ] Describe distribution method(s):

[Note: The Employer under Election 48(g) 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(g) 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)). Distributions following a Participant's death will be made or begin as follows:

5-year; Life Expectancy (6.02(B)(1)(e)). If the Participant dies before the DCD and the Beneficiary is a designated Beneficiary, the deadline to commence RMDs will be determined as follows (Select one of (a) through (d).):

(a)
[ ] Beneficiary election. The Designated Beneficiary may elect application of the 5-year rule or the Life Expectancy rule. If the Beneficiary does not make a timely election (Select one of (1) or (2)):
(1)
[ ] 5-year rule. The 5-year rule applies to the Beneficiary.
(2)
[ ] Life Expectancy Rule. The Life Expectancy rule applies to the Beneficiary.
(b)
[X] 5-year rule. The 5-year rule applies to the Beneficiary.
(c)
[ ] Life Expectancy rule. The Life Expectancy rule applies to the Beneficiary.
(d)
[ ] Other: __________(Describe, e.g., the 5-year rule applies to all Beneficiaries other than a surviving spouse Beneficiary.)

Commencement of distributions to Beneficiary. (6.01(B)) Distributions to a Beneficiary will commence at such time as the Beneficiary may elect, consistent with Section 6.02, or if earlier, the time elected below. (Choose one of (e), (f), or (g) if applicable):

(e)
[ ] Immediate. As soon as practical following the Participant's death and the determination of the Beneficiary.
(f)
[ ] Next Calendar Year. On or before the last day of the calendar year which next follows the calendar year of the Participant's death.
(g)
[ ] Describe: ________________________________________________________________________________________________

[Note: The Employer under Election 49(g) may describe an alternative distribution timing or afford the Beneficiary an election which is narrower than that otherwise permitted under this election), or include special provisions related to certain beneficiaries. However, any election under Election 49(g) must require distribution to commence no later than the Section 6.02 required date.]

50. JOINT AND SURVIVOR ANNUITY REQUIREMENTS (6.04). The joint and survivor annuity distribution requirements of Section 6.04 (Unless this is a Money Purchase Pension Plan, select one of (a) or (b). If this is a Money Purchase Pension Plan, select (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)).

One-year marriage rule. Under Section 7.05(A)(3) relating to an Exempt Participant's Beneficiary designation under the profit sharing exception (select one of (1) or (2)):

(1)
[ ] Applies. The one-year marriage rule applies.
(2)
[X] Does not apply. The one-year marriage rule does not apply.
(b)
[ ] Joint and survivor annuity applicable. Section 6.04 applies to all Participants.

One-year marriage rule. Under Section 6.04(B) relating to the QPSA (select one of (1) or (2)):

(1)
[ ] Applies. The one-year marriage rule applies.
(2)
[ ] Does not apply. The one-year marriage rule does not apply.

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

36

 

 


Non-Standardized Defined Contribution - PPD

 

ARTICLE XII

MULTIPLE EMPLOYER PLAN

51. MULTIPLE EMPLOYER PLAN (12.01/12.02/12.03). The Employer makes the following elections regarding the Plan's Multiple Employer Plan status and the application of Article XII (select one of (a) or (b)):

(a)
[X] Not applicable. The Plan is not a Multiple Employer Plan and Article XII does not apply.
(b)
[ ] Applies. The Plan is a Multiple Employer Plan and the Article XII Effective Date is: . The Employer makes the following additional elections (choose (1) and/or (2) if applicable):
(1)
[ ] Participating Employer may modify. See Section 12.03. A Participating Employer in the Participation Agreement may modify Adoption Agreement elections applicable to each Participating Employer (including electing to not apply Adoption Agreement elections) as follows (select one of a. or b.; choose c. if applicable):
a.
[ ] All. May modify all elections.
b.
[ ] Specified elections. May modify the following elections: (specify by election number).
c.
[ ] Restrictions. May modify subject to the following additional restrictions: (Specify restrictions. Any restrictions must be definitely determinable and may not violate Code §412 or the regulations thereunder.).
(2)
[ ] Lead Employer will not participate. See Section 12.02(B). The Lead Employer is not a Participating Employer. The Employees of the Lead Employer, in their capacity as such, will be Excluded Employees.

[Note: If Election (b)(1) above is not chosen, Participating Employers may not modify any Adoption Agreement elections. The Participation Agreement must be consistent with this Election 51(b)(1). Any Participating Employer election in the Participation Agreement which is not permitted under this Election 51(b)(1) is of no force or effect and the applicable election in the Adoption Agreement applies.]

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

37

 

 


Non-Standardized Defined Contribution - PPD

 

EXECUTION PAGE

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

 

 

Employer:

WesBanco, Inc.

 

 

 

 

Date:

7/7/2023

 

 

 

 

Signed:

/s/ Anthony F. Pietranton

 

 

 

 

 

Anthony F. Pietranton

 

 

[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 in conjunction with the basic plan document referenced by its document number on Adoption Agreement page one. A Money Purchase Pension Plan must be a separate plan (with a separate Adoption Agreement) from a Profit Sharing Plan or 401(k) Plan.

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.]

Provider. The Provider, Empower Retirement, LLC will notify all adopting Employers of any amendment to this Pre-approved Plan or of any abandonment or discontinuance by the Provider of its maintenance of this Pre-approved Plan. For inquiries regarding the adoption of the Pre-approved Plan, the Provider's intended meaning of any Plan provisions or the effect of the Opinion Letter issued to the Provider, please contact the Provider or the Provider's representative

 

Provider Name:

Empower Retirement, LLC

 

Address:

8515 East Orchard Road, Greenwood Village, Colorado, 80111

 

Telephone Number:

(877) 694-4015

 

Email address (optional):

 

Reliance on Provider Opinion Letter. The Provider 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 Provider's IRS Opinion Letter only to the extent provided in Rev. Proc. 2017-41. The Employer may not rely on the Opinion Letter in certain other circumstances or with respect to certain qualification requirements, which are specified in the Opinion Letter and in Rev. Proc. 2017-41 or subsequent guidance. 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.

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

38

 

 


Non-Standardized Defined Contribution - PPD

 

APPENDIX A

SPECIAL RETROACTIVE OR PROSPECTIVE EFFECTIVE DATES

SPECIAL EFFECTIVE DATES (1.20). The Employer elects or does not elect Appendix A special Effective Date(s) as follows. (select (a) or select one or more of (b) through (r) as applicable.):

[Note: If the Employer elects (a), do not complete the balance of this Appendix A.]

(a)
[ ] Not applicable. The Employer does not elect any Appendix A special Effective Dates.

[Note: The Employer may use this Appendix A to specify an Effective Date for one or more Adoption Agreement elections which does not correspond to the Plan's new Plan or Restated Plan Effective Date under Election 4. As to Restated Plans, for periods prior to: (i) the below-specified special Effective Date(s); or (ii) the Restated Plan's general Effective Date under Election 4, as applicable, the Plan terms in effect prior to its restatement under this Adoption Agreement control for purposes of the designated provisions.]

(b)
[ ] Plan and Contribution Types (1.12). The Contribution Types under Election(s) 5 and 6 ____________are effective:

_________________.

(c)
[ ] Disability (1.16). The Disability definition under Election 7 ____________is effective: __________.
(d)
[X] Excluded Employees (1.22(D)). The Excluded Employee provisions under Election(s) 8 (i) are effective:

January 1, 2024 .

(e)
[X] Compensation (1.11). The Compensation definition under Election(s) 11(k) (specify 9-11 as applicable) are effective:

January 1, 2024 .

(f)
[ ] Hour of Service/Elective Service Crediting (1.32/1.59(C)). The Hour of Service and/or elective Service crediting provisions

under Election(s) _______________ (specify 12-13 as applicable) are effective: _________________.

(g)
[ ] Eligibility (2.01-2.03). The eligibility provisions under Election(s) ____________(specify 14-19 as applicable) are effective:

__________________.

(h)
[ ] Elective Deferrals (3.02(A)-(D)). The Elective Deferral provisions under Election(s) _____________(specify 20-23 as

applicable) are effective: ___________________. (only applies to 401(k) plans)

(i)
[ ] Matching Contributions (3.03). The Matching Contribution provisions under Election(s) _____________(specify 24-26 as

applicable) are effective: ____________________. (only applies to 401(k) plans)

(j)
[ ] Nonelective And Money Purchase Pension Plan Contributions (3.04). The Nonelective and Money Purchase Pension Plan

Contribution provisions under Election(s) ____________(specify 27-29 as applicable) are effective: ___________________.

(k)
[ ] 401(k) safe harbor (3.05). The 401(k) safe harbor provisions under Election(s) 30 _______________are effective:

_________________. (only applies to 401(k) plans)

(l)
[ ] Allocation conditions (3.06). The allocation conditions under Election(s) _______________(specify 31-32 as applicable) are effective:

_________________.

(m)
[ ] Forfeitures (3.07). The forfeiture allocation provisions under Election(s) 33 ________________are effective:

_________________.

(n)
[ ] Employee Contributions (3.09). The Employee Contribution provisions under Election(s)35 ____________are effective:

_________________.

(o)
[ ] Testing elections (4.06(B)). The testing elections under Election(s) 37 _____________are effective: _________________.
(p)
[ ] Vesting (5.03). The vesting provisions under Election(s) _____________(specify 38-43 as applicable) are effective:

_________________.

(q)
[ ] Distributions (6.01, 6.03 and 6.04). The distribution elections under Election(s) _____________(specify 44-50 as applicable)

are effective: __________________.

(r)
[ ] Special Effective Date(s) for other elections (specify elections and dates): ______________________________.

 

 

 

 

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

1

 

 


Non-Standardized Defined Contribution - PPD

 

APPENDIX B

BASIC PLAN DOCUMENT OVERRIDE ELECTIONS

BASIC PLAN OVERRIDES. The Employer elects or does not elect to override various basic plan provisions as follows (select (a) or select one or more of (b) through (m) as applicable):

[Note: If the Employer elects (a), do not complete the balance of this Appendix B.]

(a)
[ ] 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 55(s)) to specify a special Effective Date for any override provision the Employer elects in this Appendix B. 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)
[X] Definition (Article I) overrides. (choose one or more of (1) through (9) as applicable):
(1)
[ ] 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)
[ ] 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.
(3)
[X] Inclusion of Deemed 125 Compensation (1.11(C)). Compensation under Section 1.11 includes Deemed 125 Compensation.
(4)
[ ] Inclusion of Deemed Disability Compensation (1.11(K)). Include Deemed Disability Compensation. (select one of a. or b.):
a.
[ ] NHCEs only. Apply only to disabled NHCEs.
b.
[ ] All Participants. Apply to all disabled Participants. The Employer will make Employer Contributions for such disabled Participants for: (specify a fixed or determinable period).
(5)
[ ] Treatment of Differential Wage Payments (1.11(L)). In lieu of the provisions of Section 1.11(L), the Employer elects the following (select one or more of a., b., c., and d.):
a.
[ ] Effective date. The inclusion is effective for Plan Years beginning after (may not be earlier than December 31, 2008).
b.
[ ] Elective Deferrals only. The inclusion only applies to Compensation for purposes of Elective Deferrals. (only applies to 401(k) plans)
c.
[ ] Not included. The inclusion does not apply to Compensation for purposes of any Contribution Type.
d.
[ ] Other: (specify other Contribution Type Compensation which includes Differential Wage Payments)
(6)
[ ] Leased Employees (1.22(B)). (select one or both of a. and b.):
a.
[ ] Inclusion of Leased Employees (1.22(B)). The Employer for purposes of the following Contribution Types, does not exclude Leased Employees:

(specify Contribution Types).

b.
[ ] Offset if contributions to leasing organization plan (1.22(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 (b)(6)b. may require that the Employer aggregate its plan with the leasing organization's plan for coverage and nondiscrimination testing.]

(7)
[X] Inclusion of Reclassified Employees (1.22(D)(3)). The Employer for purposes of the following Contribution Types, does not exclude Reclassified Employees (or the following categories of Reclassified Employees): All Contributions (specify Contribution Types and/or categories of Reclassified Employees).
(8)
[X] Inclusion of Coverage Transition Employees (1.22(D)(6)). Coverage Transition Employees are not Excluded Employees.

 

 

 

 

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

1

 

 


Non-Standardized Defined Contribution - PPD

 

(9)
[ ] Part-time/Temporary/Seasonal Employee Specification. The exclusion in Election 8(k) is limited to Employees the Employer categorizes on its payroll records as (select one or more of a., b. or c.):
a.
[ ] Part-time.
b.
[ ] Temporary.
c.
[ ] Seasonal.
(c)
[ ] 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)
[ ] Contribution/allocation (Article III) overrides. (choose one or more of (1) through (9) as applicable.):
(1)
[ ] Elective Deferral overrides. (select one or more of a. or b.) (only applies to 401(k) plans)
a.
[ ] Deferral limit on bonuses. If the Plan Administrator provides a separate deferral election form for bonuses and/or other irregular compensation (see Section 1.11(G)), notwithstanding Election 20, the maximum amount of such compensation that may be deferred is %. (specify percentage limit.). This limit applies to (select one of 1. or 2.):
1.
[ ] All Participants
2.
[ ] HCEs
b.
[ ] Treatment of Automatic Deferrals as Roth Deferrals (3.02(B)). The Employer elects to treat Automatic Deferrals as Roth Deferrals in lieu of treating Automatic Deferrals as Pre-Tax Deferrals.
(2)
[ ] No offset of Safe Harbor Contributions to other allocations (3.05(E)(12)). 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. (only applies to 401(k) plans)
(3)
[ ] Short Plan Year or allocation period (3.06(B)(1)(c)). The Plan Administrator (select one of a. or b.):
a.
[ ] No pro-ration. Will not pro-rate Hours of Service in any short allocation period.
b.
[ ] 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)
[ ] Limited waiver of allocation conditions for rehired Participants (3.06(G)). The allocation conditions the Employer has elected in the Adoption Agreement do not apply to rehired Participants in the Plan Year they resume participation, as described in Section 3.06(G).
(5)
[ ] Matching overrides. (select one or more of a., b., or c.) (only applies to 401(k) plans)
a.
[ ] Matching on Pre-entry Deferrals (3.03(A)). Instead of disregarding pre-entry deferrals, the Plan Administrator will take Elective Deferrals into account in computing Matching Contributions, even if the deferrals were made before the Participant became eligible for the match.
b.
[ ] Associated Match forfeiture timing (3.07(A)(1)(c)). Forfeiture of associated matching contributions occurs in the Testing Year.
c.
[ ] 403(b) plans (3.03(A)(6)). The Plan will match Elective Deferrals to the Employer's 403(b) plan or plans, as though they were Elective Deferrals to this Plan.
d.
[ ] Operational QNECs (3.04(C)(2)). Operational QNECs will be allocated: (select one of 1., 2., or 3. if applicable; select 4. if applicable).
1.
[ ] Pro rata in relation to Compensation.
2.
[ ] In the same dollar amount without regard to Compensation (flat dollar).
3.
[ ] Under the classification allocation method described in Section 3.06(C)(6), subject to the Group Allocation Limitations of Section 3.14.
4.
[ ] To NHCE ACP Participants.
(6)
[ ] Forfeiture overrides. (select one or both of a. or b.) (only applies to 401(k) plans)
a.
[ ] Safe Harbor top-heavy exempt fail-safe (3.07(A)(4)). In lieu of ordering forfeitures as (a), (b), and (c) under Section 3.07(A)(4), the Employer establishes the following forfeiture ordering rules (specify the ordering rules, for example, (b), (c), and (a).): .
b.
[ ] QNEC Restriction (3.07(A)(7)). The QNEC Restriction will expire on: (may not be earlier than the first Plan Year ending after January 17, 2017.)

 

 

 

 

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

2

 

 


Non-Standardized Defined Contribution - PPD

 

(7)
[ ] HEART Act continued benefit accrual (3.11(K)). The Employer elects to apply the benefit accrual provisions of Section 3.11(K). The provisions are effective as of (select one or both of a. or b.):
a.
[ ] Effective Date. (may not be earlier than the first day of the 2007 Plan Year).
b.
[ ] No longer effective. The provisions no longer apply effective as of .
(8)
[ ] Classifications allocation formula (3.04(B)(3)). If a Participant shifts from one classification to another during a Plan Year, the Plan Administrator will apportion the Participant's allocation during that Plan Year (select one of a., b., or c.):
a.
[ ] Months in each classification. Pro rata based on the number of months the Participant spent in each classification.
b.
[ ] Days in each classification. Pro rata based on the number of days the Participant spent in each classification.
c.
[ ] One classification only. The Employer in a nondiscriminatory manner will direct the Plan Administrator to place the Participant in only one classification for the entire Plan Year during which the shift occurs.
(9)
[ ] Suspension (3.06(F)(3)). The Plan Administrator in applying Section 3.06(F) will (select one or more of a., b., and c.):
a.
[ ] Re-order tiers. Apply the suspension tiers in Section 3.06(F)(2) in the following order: (specify order).
b.
[ ] 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.
[ ] Additional/other tiers. Apply the following additional or other tiers: (specify suspension tiers and ordering). [Note: The Opinion Letter provides no reliance on the language specified at this option.]
(e)
[ ] Testing (Article IV) overrides. (choose one or both of (1) and (2) as applicable):
(1)
[ ] First few weeks rule for Code §415 testing Compensation (4.05(F)(1)). The Plan applies the first few weeks rule in Section 4.05(F)(1).
(2)
[ ] Post-Severance Compensation for Code §415 testing Compensation (4.05(F)). The Employer elects the following adjustments to Post-Severance Compensation for purposes of determining 415 testing Compensation (select one or more of a. through d.):

[Note: Under the basic plan document, if the Employer does not elect any adjustments, post-severance compensation includes leave cash-outs and deferred compensation, and excludes military and disability continuation payments.]

a.
[ ] Exclude leave cash-outs. See Section 1.11(I)(1)(b).
b.
[ ] Exclude deferred compensation. See Section 1.11(I)(1)(c).
c.
[ ] Include salary continuation for military service. See Section 1.11(I)(2).
d.
[ ] Include salary continuation for disabled Participants. See Section 1.11(I)(3). (select one of 1. or 2.):
1.
[ ] For Nonhighly Compensated Employees only.
2.
[ ] For all Participants. In which case the salary continuation will continue for the following fixed or determinable period: .
(f)
[ ] Vesting (Article V) overrides. (choose one or more of (1) through (6) as applicable):
(1)
[ ] Early Retirement Age (5.01). Full vesting does not apply when an Employee attains Early Retirement Age.
(2)
[ ] Alternative "grossed-up" vesting formula (5.03(C)(2)). The Employer elects the alternative vesting formula described in Section 5.03(C)(2).
(3)
[ ] 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)
[ ] 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.
(5)
[ ] 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 (select one of a. or b.):
a.
[ ] Nonelective rule. Under the nonelective rule.
b.
[ ] Rollover rule. Under the rollover rule.

 

 

 

 

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

3

 

 


Non-Standardized Defined Contribution - PPD

 

(6)
[ ] 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] Restriction on In-Service Rollover Distributions (6.01(C)). A Participant will be entitled to receive a distribution of Rollover Contributions, Employee Contributions and DECs (Select one or more of a. through d.):
a.
[X] Deferrals. Under the same provisions which apply to Elective Deferrals. (only applies to 401(k) plans)
b.
[ ] Match. Under the same provisions which apply to Matching Contributions. (only applies to 401(k) plans)
c.
[ ] Nonelective. Under the same provisions which apply to Nonelective Contributions.
d.
[ ] Other:

[Note: The Employer under Election (g)(1)d. may describe In-Service Rollover Distribution restrictions using the options available for In- Service Distributions under Election 46 and/or a combination thereof as to all Participants or as to any Participant group (e.g., Division A Rollover Accounts are distributable at age 59 1/2 OR Rollover Accounts of Employees hired on/before "x" date are distributable at age 59 1/2. No In-Service Rollover Distributions apply to Division B Employees OR to Employees hired after "x" date). An Employer's election under Election (g)(1)d. 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 Sections 6.01(C)(4) and 11.02(C)(3).]

(2)
[ ] In-Service IRR events. The Employer elects to permit In-Service Distributions under the following conditions solely for purposes of making IRRs (choose one or more of a. through d.; select e. if applicable.): (only applies to 401(k) plans)
a.
[ ] Age. The Participant has attained age .
b.
[ ] Participation. The Participant has months of participation (specify minimum of 60 months). Section 6.01(C)(4)(a)(ii).
c.
[ ] Seasoning. The amounts being distributed have accumulated in the Plan for at least years (at least 2). See Section 6.01(C)(4)(a)(i).
d.
[ ] Other (describe): (must be definitely determinable and not subject to Employer discretion (e.g., age 50, but only with respect to Nonelective Contributions, and not Matching Contributions))

[Note: Regardless of any election above to the contrary, In-Service Distributions are not permitted for the purpose of making IRRs from a Participant's Elective Deferral Account, Qualified Matching Contribution Account, Qualified Nonelective Contribution Account and accounts attributable to Safe Harbor Contributions prior to age 59 1/2.]

e.
[ ] Distribution for withholding. A Participant may elect to have a portion of the amount that may be distributed as IRR distributed solely for purposes of federal or state income tax withholding related to the IRR.
(3)
[ ] Elections related to Required Minimum Distributions. (select one or more of a. or b.):
a.
[ ] Spousal override. (6.02(B)(1)(a)). The special RMD timing rule for spouses will not apply.
b.
[ ] 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 (select one of 1. or 2.):
1.
[ ] SBJPA definition indefinitely. Indefinitely will apply the pre-SBJPA RBD definition.
2.
[ ] 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)
[X] Distribution Methods (select one or both of a. and b.)
a.
[X] Default Distribution Methods (6.03(B)(2)). If a Participant or Beneficiary does not make a timely election as to distribution method and timing the Plan Administrator will direct the Trustee to distribute using the following method and timing: Installments sufficient to satisfy RMD beginning at the Required Beginning Date. (Describe, e.g., Installments sufficient to satisfy RMD beginning at the Required Beginning Date. The selected method and timing must not be discriminatory and must be an option the plan makes available to participants and/or beneficiaries.)
b.
[ ] Beneficiary Distribution Methods (6.03(A)(2)). 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 (select one or more of 1. through 4.):
1.
[ ] Lump-Sum. See Section 6.03(A)(3).
2.
[ ] Installments sufficient to satisfy RMD. See Section 6.03(A)(4)(a).

 

 

 

 

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

4

 

 


Non-Standardized Defined Contribution - PPD

 

3.
[ ] Partial Distributions sufficient to satisfy RMD. See Section 6.03(A)(6).
4.
[ ] Other:

(Describe, e.g., Lump-Sum or Installments for surviving spouse Beneficiaries, Lump-Sum only for all other Beneficiaries.)

(5)
[ ] Annuity Distributions (6.04). (select one or both of a. and b.):
a.
[ ] Modification of QJSA (6.04(A)(3)). The Survivor Annuity percentage will be %. (specify a percentage between 50% and 100%.)
b.
[ ] Modification of QPSA (6.04(B)(2)). The QPSA percentage will be %. (specify a percentage between 50% and 100%.)
(6)
[ ] Hardship Distributions (6.07). (select one or both of a. and b.):
a.
[ ] Restriction on hardship source; grandfathering (6.07(E)). The hardship distribution limit includes grandfathered amounts. (only applies to 401(k) plans)
b.
[ ] Hardship acceleration. The existence of a hardship occurring after Separation from Service/Severance from Employment will be determined under the non-safe harbor rules of Section 6.07(B).
(7)
[ ] Replacement of $5,000 amount (6.09). All Plan references (except in Sections 3.10 and 3.12(C)(2)) to "$5,000" will be $ . (specify an amount less than $5,000.)
(h)
[X] Administrative overrides (Article VII). (choose one or more of (1) through (8) as applicable):
(1)
[ ] 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 (select one of a., b., or c.):
a.
[ ] Treat as contribution. Treat the Earnings as an Employer Matching or Nonelective Contribution and allocate accordingly.
b.
[ ] Balance forward. Allocate the Earnings using the balance forward method described in Section 7.04(B)(4)(b).
c.
[ ] 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)
[ ] Automatic revocation of spousal designation (7.05(A)(1)). The automatic revocation of a spousal Beneficiary designation in the case of divorce does not apply.
(3)
[ ] 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)
[ ] Definition of "spouse" (7.05(A)(5)). The following definition of "spouse" applies: (specify a definition.)

[Note: Definition of "spouse" will apply for all Plan purposes other than Section 3.08(E) related to In-Plan Roth Rollover Contributions, Section 6.02 related to required minimum distributions, and Sections 6.04 and 7.05(A)(3) related to QJSAs, QPSAs, and related spousal rights. For example, the elected definition will apply to the determination of default beneficiary designations.]

(5)
[X] Administration of default provision; default Beneficiaries (7.05(C)). The following list of default Beneficiaries will apply: First to the Participant's spouse, then to the Participant's estate (specify, in order, one or more Beneficiaries who will receive the interest of a deceased Participant.)
(6)
[ ] 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.)
(7)
[ ] 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)
[ ] Fee Recapture Account (7.04(D)). The Plan Administrator will allocate excess funds in the Fee Recapture Account as follows: (select one of a., b., or c.):
a.
[ ] Each Participant Account will receive an allocation based on the funds in which that Account was invested and the revenue sharing rates associated with those funds.
b.
[ ] The excess funds will be allocated pro rata based on account balance.
c.
[ ] The excess funds will be allocated per capita among Participants with Account Balances greater than zero, without regard to the amount of the Account Balance.

 

 

 

 

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

5

 

 


Non-Standardized Defined Contribution - PPD

 

(i)
[ ] Trust and insurance overrides (Articles VIII and IX). (choose one or more of (1) through (2) if applicable):
(1)
[ ] Employer securities/real property in Profit Sharing Plans/401(k) Plans (8.05(A)). The Plan limit on investment in qualifying Employer securities/real property is %. (specify a percentage which is less than 100%.)
(2)
[ ] 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 (i)(2) may override provisions in Article IX of the Plan but must be consistent with all other provisions of the Plan.]

(j)
[ ] Top-heavy override (Article X) overrides.
(1)
[ ] Key Employee allocations (10.02(A)). Top-heavy minimum allocations will be made to Key Employees, as well as Non- Key Employees.
(2)
[ ] Collective Bargaining Agreement (10.02(A). Employees subject to the following collective bargaining agreements are eligible to receive top-heavy minimum allocations notwithstanding Code §41(i)(4): .
(k)
[ ] Code Section 415 (Article XI) override (11.02(A)(1), 4.02(F)). Because of the required aggregation of multiple plans, to satisfy Code §415, the following overriding provisions apply: (specify such language as necessary to satisfy §415, e.g., the Employer will reduce Additional Additions to this plan before reducing Annual Additions to other plans.)
(l)
[ ] Code Section 416 (Article XI) override (11.02(A)(1), 10.03(D)). Because of the required aggregation of multiple plans, to satisfy Code §416, the following overriding provisions apply: (specify such language as necessary to satisfy §416, e.g., If an Employee participates in this Plan and another Plan the Employer maintains, the Employer will satisfy any Top-Heavy Minimum Allocation in this Plan and not the other plan.)
(m)
[ ] Multiple Employer Plan (Article XII) overrides. (choose (1) if applicable):
(1)
[ ] No involuntary termination for Participating Employer (12.11). The Lead Employer may not involuntarily terminate the participation of any Participating Employer under Section 12.11.

 

 

 

 

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

6

 

 


Non-Standardized Defined Contribution - PPD

 

APPENDIX C

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.

 

 

 

 

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

1

 

 


Non-Standardized Defined Contribution - PPD

 

APPENDIX C

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.

 

 

 

 

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

2

 

 


Non-Standardized Defined Contribution - PPD

 

PPD ADOPTION AGREEMENT

ADMINISTRATIVE CHECKLIST

August 1, 2023

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. However, without the AC, the Summary Plan Description and perhaps other documents will not be complete. 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 (select one of (a) or (b)):

 

(a)
[ ] Does not permit. (skip to AC2.)

 

(b)
[X] Permitted pursuant to the Loan Policy. See below to complete Loan Policy.

 

 

Complete the following questions to provide information on the Loan Policy (optional)

 

(c)
[ ] Borrower qualification (choose one)

 

 

(1)
[ ] No investigation

 

 

(2)
[ ] Must be creditworthy

 

 

 

 

Loan limitations (choose one or more)

 

(d)
[ ] Minimum amount. May not borrow less than $1,000 in any single loan.

 

(e)
[ ] Maximum number of loans. May not have more than loan(s) outstanding.

 

(f)
[ ] Refinancing (select one of (1) or (2))

 

 

(1)
[ ] Not permitted

 

 

(2)
[ ] Permitted. A refinance for purposes of the limit on number of loans is: (select one of a. or b.)

 

 

 

a.   [ ] Not treated as an additional loan

 

 

 

b. [ ] Treated as an additional loan

 

(g)
[ ] Purpose (select one of (1) or (2))

 

 

(1)
[ ] Any reasonable purpose

 

 

(2)
[ ] May not borrow except for:

 

(h)
[ ] Account ordering. Loan will come first from (Roth, pre-tax deferrals or other accounts): (select one of (1), (2) or (3))

 

 

(1)
[ ] Participant's choice

 

 

(2)
[ ] Plan Administrator's choice

 

 

(3)
[ ] As follows: (select one of more of a., b. or c.)

 

 

 

a. [ ] first: ____________________

 

 

 

b. [ ] second: __________________

 

 

 

c. [ ] third: ____________________

 

Loan terms (choose one or more)

 

(i)
[ ] Interest (select one of (1), (2) or (3))

 

 

(1)
[ ] 2% over USA Today prime

 

 

(2)
[ ] %

 

 

(3)
[ ] Plan Administrator establishes

 

(j)
[ ] Home loan term (select one of (1) or (2))

 

 

(1)
[ ] years

 

 

(2)
[ ] Plan Administrator establishes

 

(k)
[ ] Directed/general Trust investment (select one of (1) or (2))

 

 

(1)
[ ] Directed

 

 

(2)
[ ] General

 

(l)
[ ] Charges (select one of (1) or (2))

 

 

(1)
[ ] apply to borrower's account

 

 

(2)
[ ] apply to overall Trust or Employer pays

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

1

 

 


Non-Standardized Defined Contribution - PPD

 

 

(m)
[ ] Loan acceleration. Upon the following: (select one or more of (1) or (2))

 

 

(1)
[ ] Separation/severance. Not applicable to parties in interest.

 

 

(2)
[ ] Plan termination

 

(n)
[ ] Leave of absence (select one or more of (1) or (2))

 

 

(1)
[ ] Military (select one of a. or b.)

 

 

 

a.   [ ] Suspend payments

 

 

 

b. [ ] Not suspend

 

 

(2)
[ ] Non-military (select one of a. or b.)

 

 

 

a.   [ ] Suspend payments

 

 

 

b.   [ ] Not suspend

 

 

 

Additional loan provisions (choose one or more)

 

(o)
[ ] Grace period (select one of (1) or (2))

 

 

(1)
[ ] Maximum grace period applies

 

 

(2)
[ ] No grace period

 

(p)
[ ] Includes false statements

 

(q)
[ ] No new loan if: (select one of (1) or (2))

 

 

(1)
[ ] Current default

 

 

(2)
[ ] Current or prior default

 

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 (select one of (a) or (b)):

 

(a)
[ ] Does not permit. The Plan does not permit Participant direction of investment of any Account. (skip to AC3.)

 

(b)
[X] Permitted as follows. The Plan permits Participant direction of investment. (Complete the following):

 

 

 

 

 

Accounts affected. (select one of (c) or (d)):

 

(c)
[X] All Accounts.

 

(d)
[ ] The following accounts:

 

 

(1)
[ ] Elective Deferral Accounts (Pre-tax and Roth) and Employee Contributions.

 

 

(2)
[ ] All Nonelective Contribution Accounts.

 

 

(3)
[ ] All Matching Contribution Accounts.

 

 

(4)
[ ] All Rollover Contribution and Transfer Accounts.

 

 

(5)
[ ] Specify Accounts:

 

 

 

 

 

Restrictions on Participant direction (select one of (e) or (f)):

 

(e)
[ ] 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.

 

(f)
[ ] Restrictions:

 

 

 

 

 

ERISA §404(c). (select one of (g) or (h)):

 

(g)
[X] Applies.

 

(h)
[ ] Does not apply.

 

 

QDIA (Qualified Default Investment Alternative). (select one of (i) or (j)):

 

(i)
[X] Applies. See SFC Election 122 for details.

 

(j)
[ ] Does not apply.

 

 

 

 

 

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

 

(a)
[ ] Does not permit. (skip to AC4.)

 

(b)
[X] Permits. Subject to approval by the Plan Administrator and as further described below (complete the following):

 

 

 

 

 

Who may roll over. (select one of (c) or (d)):

 

(c)
[ ] Participants only.

 

(d)
[X] Eligible Employees or Participants.

 

 

 

 

 

Sources/Types. The Plan will accept a Rollover Contribution (select one of (e) or (f)):

 

(e)
[ ] All. From any Eligible Retirement Plan and as to all Contribution Types eligible to be rolled into this Plan.

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

2

 

 


Non-Standardized Defined Contribution - PPD

 

 

(f)
[X] Limited. Only from the following types of Eligible Retirement Plans and/or as to the following Contribution Types:

Qualified plans described in Code Section 401(a) or 403(a), 403(b) plans, 457 plans, and IRAs. Rollovers of Employee (after-tax) Contributions are not allowed.

 

 

 

 

 

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

 

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

 

(b)
[X] Plan pays. Plan pays some or all non-settlor expenses. See SFC Election 119 for details.

 

 

 

 

 

AC5. RELATED AND PARTICIPATING EMPLOYERS/MULTIPLE EMPLOYER PLAN (1.24(C)/(D)). There are Related Employers and Participating Employers as follows (choose one or more if applicable):

 

(a)
[ ] Related Employers. Name(s) of Related Employers:

 

(b)
[X] Participating Employers. Name(s) of Participating Employers: A list of Participating Employers who are Related

Employers will be maintained by the Employer See SFC Election 76 for details.

 

(c)
[ ] Former Participating Employers. Name(s) of former Participating Employers

 

Name(s)

 

Date of cessation

 

 

 

 

 

 

 

 

(d)
[ ] Multiple Employer Plan status. The Signatory Employer is the Lead Employer and at least one Participating Employer is not a Related Employer. (complete (1))

 

 

(1)
[ ] Name(s) of Participating Employers (other than Related Employers described above): . See SFC Election 76 for details.

 

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. (select (a) or select one of (b) or (c).):

 

(a)
[X] Does not apply.

 

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

 

 

(1)
[ ] To this Plan.

 

 

(2)
[ ] To another Defined Contribution Plan: (plan name)

 

(c)
[ ] 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)
[ ] To this Plan. Increase the Top-Heavy Minimum Allocation to 5%.

 

 

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

 

 

(3)
[ ] 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 (1.22(A)). There is one or more self-employed Participants with Earned Income benefits in the Plan as follows (choose (a) if applicable):

 

(a)
[X] Applies.

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

3

 

 


Non-Standardized Defined Contribution - PPD

 

 

 

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 (select one of (a) or (b).):

 

(a)
[X] Does not apply. No Protected Benefits have been eliminated.

 

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

 

 

 

(1)

(2)

(3)

(4)

 

All

Post-E.D.

Post-E.D.

Effective

 

Participants/

Contribution

Participants

Date

 

Accounts

Accounts only

only

(E.D.)

(1)

[ ] QJSA/QPSA distributions

[ ]

[ ]

[ ]

(2)

[ ] Installment distributions

[ ]

[ ]

[ ]

(3)

[ ] In-kind distributions

[ ]

[ ]

[ ]

(4)

[ ] Specify:

 

 

 

 

 

 

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

 

(a)
[X] Does not apply.

 

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

 

 

 

 

AC10. DISTRIBUTION OF CASH OR PROPERTY (6.12). The Plan provides for distribution in the form of (select one of (a) or (b).):

 

(a)
[ ] Cash only. Except where property distribution is required or permitted under Section 6.12.

 

(b)
[X] Cash or property. At the distributee's election and consistent with any Plan Administrator policy under Section 6.12.

 

 

 

 

AC11. EMPLOYER SECURITIES/EMPLOYER REAL PROPERTY (8.05). The Trust invests in qualifying Employer securities and/or qualifying Employer real property as follows (choose (a) if applicable):

 

(a)
[X] Applies. Such investments are subject to the limitations of Section 8.05 and/or Appendix B.

 

 

 

 

 

AC12. TRUSTEE(S) OR INSURER(S). Information regarding Trustee(s)/Insurer(s) (required for the Summary Plan Description and, if requested, the Trust Agreement) (NOTE: Select a. if not using provided trust. MUST select b and following questions as applicable):

 

(a)
[ ] Do not produce the trust agreement

 

(b)
[X] Complete the following UNLESS not selecting supporting forms:

 

 

Trustee/Insurer (select (c) OR one or more of (d) - (e))

 

(c)
[ ] Insurer. This Plan is funded exclusively with Contracts (select (1) – (4) below as applicable):

Name of Insurer(s)

 

 

(1)
[ ] ___________________________

 

 

(2)
[ ] ___________________________

 

 

(3)
[ ] Use Employer address/telephone number/email

 

 

(4)
[ ] Use following address/telephone number/email

 

 

 

(a)
Street:________________

 

 

 

(b)
City: ________________

 

 

 

(c)
State: ________________

 

 

 

(d)
Zip: ________________

 

 

 

(e)
Telephone:____________

 

 

 

(f)
Email: _______________

 

(d)
[ ] Individual Trustee(s)

 

(e)
[X] Corporate Trustee

 

Name of Trust

 

(f)
[X] Specify name of Trust WesBanco, Inc. 401(k) Trust

 

 

 

 

Individual Trustees (if d. selected above, complete (g) - (j))

 

Directed/Discretionary Trustees. The individual Trustee(s) executing this Adoption Agreement are (select (g) or (h))

 

(g)
[ ] Select for each individual Trustee (skip to next question)

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

4

 

 


Non-Standardized Defined Contribution - PPD

 

 

(h)
[ ] The following selections apply to all individual Trustee(s) (select 1. or 2. OR all that apply of 3. and 4.)

 

 

1.
[ ] A discretionary Trustee over all plan assets (may not be selected with 2. - 4.)

 

 

2.
[ ] A nondiscretionary (directed) Trustee over all plan assets (may not be selected with 1., 3. or 4.)

 

 

3.
[ ] The individual Trustee(s) will serve as a discretionary Trustee over the following assets: _________________(may not be selected with 1. or 2.)

 

 

4.
[ ] The individual Trustee(s) will serve as a nondiscretionary (directed) Trustee over the following assets: ________________________________(may not be selected with 1. or 2.)

 

 

 

 

 

Individual Trustee(s)

 

(i)
[ ] Individual Trustee(s) are (select one or more of (a) - (j); enter address at (j) below)

 

(a)
Name _____________________________

 

 

Title/Email:

 

 

(1)
Title ______________________________

 

 

(2)
Email _____________________________(optional)

 

Trustee is: (complete if (g) selected above; select (3) or (4) OR all that apply of (5) and (6))

 

 

(3)
[ ] Discretionary Trustee over all plan assets

 

 

(4)
[ ] A discretionary Trustee over the following plan assets: _________________________________

 

 

(5)
[ ] Nondiscretionary Trustee over all plan assets

 

 

(6)
[ ] A nondiscretionary (directed) Trustee or Custodian over the following plan assets ___________________

 

 

 

 

 

(b)
Name _____________________________

 

 

Title/Email:

 

 

(1)
Title ______________________________

 

 

(2)
Email _____________________________(optional)

 

Trustee is: (complete if (g) selected above; select (3) or (4) OR all that apply of (5) and (6))

 

 

(3)
[ ] Discretionary Trustee over all plan assets

 

 

(4)
[ ] A discretionary Trustee over the following plan assets: _________________________________

 

 

(5)
[ ] Nondiscretionary Trustee over all plan assets

 

 

(6)
[ ] A nondiscretionary (directed) Trustee or Custodian over the following plan assets ___________________

 

 

 

 

 

(c)
Name _____________________________

 

 

Title/Email:

 

 

(1)
Title ______________________________

 

 

(2)
Email _____________________________(optional)

 

Trustee is: (complete if (g) selected above; select (3) or (4) OR all that apply of (5) and (6))

 

 

(3)
[ ] Discretionary Trustee over all plan assets

 

 

(4)
[ ] A discretionary Trustee over the following plan assets: _________________________________

 

 

(5)
[ ] Nondiscretionary Trustee over all plan assets

 

 

(6)
[ ] A nondiscretionary (directed) Trustee or Custodian over the following plan assets ___________________

 

 

 

 

(d)
Name _____________________________

 

 

Title/Email:

 

 

(1)
Title ______________________________

 

 

(2)
Email _____________________________(optional)

 

Trustee is: (complete if (g) selected above; select (3) or (4) OR all that apply of (5) and (6))

 

 

(3)
[ ] Discretionary Trustee over all plan assets

 

 

(4)
[ ] A discretionary Trustee over the following plan assets: _________________________________

 

 

(5)
[ ] Nondiscretionary Trustee over all plan assets

 

 

(6)
[ ] A nondiscretionary (directed) Trustee or Custodian over the following plan assets ___________________

 

 

 

 

 

 

(e)
Name _____________________________

 

 

Title/Email:

 

 

(1)
Title ______________________________

 

 

(2)
Email _____________________________(optional)

 

Trustee is: (complete if (g) selected above; select (3) or (4) OR all that apply of (5) and (6))

 

 

(3)
[ ] Discretionary Trustee over all plan assets

 

 

(4)
[ ] A discretionary Trustee over the following plan assets: _________________________________

 

 

(5)
[ ] Nondiscretionary Trustee over all plan assets

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

5

 

 


Non-Standardized Defined Contribution - PPD

 

 

 

(6)
[ ] A nondiscretionary (directed) Trustee or Custodian over the following plan assets ___________________

 

 

 

 

 

 

(f)
Name _____________________________

 

 

Title/Email:

 

 

(1)
Title ______________________________

 

 

(2)
Email _____________________________(optional)

 

Trustee is: (complete if (g) selected above; select (3) or (4) OR all that apply of (5) and (6))

 

 

(3)
[ ] Discretionary Trustee over all plan assets

 

 

(4)
[ ] A discretionary Trustee over the following plan assets: _________________________________

 

 

(5)
[ ] Nondiscretionary Trustee over all plan assets

 

 

(6)
[ ] A nondiscretionary (directed) Trustee or Custodian over the following plan assets ___________________

 

 

 

 

 

 

(g)
Name _____________________________

 

 

Title/Email:

 

 

(1)
Title ______________________________

 

 

(2)
Email _____________________________(optional)

 

Trustee is: (complete if (g) selected above; select (3) or (4) OR all that apply of (5) and (6))

 

 

(3)
[ ] Discretionary Trustee over all plan assets

 

 

(4)
[ ] A discretionary Trustee over the following plan assets: _________________________________

 

 

(5)
[ ] Nondiscretionary Trustee over all plan assets

 

 

(6)
[ ] A nondiscretionary (directed) Trustee or Custodian over the following plan assets ___________________

 

 

 

 

 

 

(h)
Name _____________________________

 

 

Title/Email:

 

 

(1)
Title ______________________________

 

 

(2)
Email _____________________________(optional)

 

Trustee is: (complete if (g) selected above; select (3) or (4) OR all that apply of (5) and (6))

 

 

(3)
[ ] Discretionary Trustee over all plan assets

 

 

(4)
[ ] A discretionary Trustee over the following plan assets: _________________________________

 

 

(5)
[ ] Nondiscretionary Trustee over all plan assets

 

 

(6)
[ ] A nondiscretionary (directed) Trustee or Custodian over the following plan assets ___________________

 

 

 

 

 

 

(i)
Name _____________________________

 

 

Title/Email:

 

 

(1)
Title ______________________________

 

 

(2)
Email _____________________________(optional)

 

Trustee is: (complete if (g) selected above; select (3) or (4) OR all that apply of (5) and (6))

 

 

(3)
[ ] Discretionary Trustee over all plan assets

 

 

(4)
[ ] A discretionary Trustee over the following plan assets: _________________________________

 

 

(5)
[ ] Nondiscretionary Trustee over all plan assets

 

 

(6)
[ ] A nondiscretionary (directed) Trustee or Custodian over the following plan assets ___________________

 

 

 

 

 

 

(j)
Name _____________________________

 

 

Title/Email:

 

 

(1)
Title ______________________________

 

 

(2)
Email _____________________________(optional)

 

Trustee is: (complete if (g) selected above; select (3) or (4) OR all that apply of (5) and (6))

 

 

(3)
[ ] Discretionary Trustee over all plan assets

 

 

(4)
[ ] A discretionary Trustee over the following plan assets: _________________________________

 

 

(5)
[ ] Nondiscretionary Trustee over all plan assets

 

 

(6)
[ ] A nondiscretionary (directed) Trustee or Custodian over the following plan assets ___________________

 

 

 

 

 

(j)
[ ] Individual Trustee Address (complete if d. selected above)

 

(1)
[ ] Use Employer address/telephone number/email

 

(2)
[ ] Use following address/telephone number/email

 

 

 

a. Street:________________

 

 

 

b. City: ________________

 

 

 

c. State: ________________

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

6

 

 


Non-Standardized Defined Contribution - PPD

 

 

 

 

d. Zip: ________________

 

 

 

e. Telephone:____________

 

 

 

f. Email: _______________

 

 

 

 

 

Corporate Trustee Name/Type/Address (complete if (e) selected above)

 

(k)
[X] Name Empower Trust Company, LLC

 

Address/telephone number/email

 

 

(1)
[ ] Use Employer address/telephone number/email

 

 

(2)
[X] Use following address/telephone number/email

 

 

 

a. Street: 8515 East Orchard Road

 

 

 

b. City:  Greenwood Village

 

 

 

c. State: Colorado_________________

 

 

 

d. Zip: 80111

 

 

 

e. Telephone:  (877) 694-4015

 

 

 

f. Email: _________________________

 

Directed/Discretionary. The Corporate Trustee is (select 1. or 2. OR all that apply of 3. and 4.)

 

 

(3)
[ ] A discretionary Trustee over all plan assets

 

 

(4)
[X] A nondiscretionary (directed) Trustee over all plan assets

 

 

(5)
[ ] A discretionary Trustee over the following plan assets: _________________________________

 

 

(6)
[ ] A nondiscretionary (directed) Trustee over the following plan assets ___________________

Signee (optional):

 

 

(7)
[ ] Name of person signing on behalf of the corporate Trustee

 

 

(8)
[ ] Email address of person signing on behalf of the corporate Trustee

 

 

 

 

 

Special Trustee for collection of contributions. The Employer appoints the following Special Trustee with the responsibility to collect delinquent contributions (optional)

 

(l)
[ ] Name

 

 

Title:

 

 

(1)

 

 

Address/telephone number/email

 

 

(2)
[ ] Use Employer address/telephone number/email

 

 

(3)
[ ] Use following address/telephone number/email

 

 

 

a. Street:

 

 

 

b. City:

 

 

 

c. State:

 

 

 

d. Zip:

 

 

 

e. Telephone:

 

 

 

f. Email:

 

Custodian(s) Name/Address. The Custodian(s) are (optional)

 

(m)
[ ]

Name(s)

 

 

Address/telephone number/email

 

 

(1)
[ ] Use Employer address/telephone number/email

 

 

(2)
[ ] Use following address/telephone number/email

 

 

 

a. Street:

 

 

 

b. City:

 

 

 

c. State:

 

 

 

d. Zip:

 

 

 

e. Telephone:

 

 

 

f. Email:

 

Investment in common, collective or pooled trust funds. 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), may invest in any of the following trust funds: (optional)

 

(n)
[ ]

(specify the names of one or more trust funds in which the Plan can invest)

 

 

 

 

Choice of law

 

(o)
[X]

This trust will be governed by the laws of the state of:

 

 

(1)
[ ]State in which the Employer's principal office is located

 

 

(2)
[X]State in which the corporate trustee or insurer is located

 

 

(3)
[ ]Other

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

7

 

 


 

PARTICIPATION AGREEMENT

[Note: Each Participating Employer must execute a separate Participation Agreement, the terms of which control as to that Participating Employer. If the Plan is a Multiple Employer Plan under Article XII, a Participating Employer may be a Related Employer or an Employer which is a Related Employer. Under a Multiple Employer Plan, the Lead Employer may execute a Participation Agreement with regards to its own employees. See Section 12.02(B).]

Agreement as to Signatory/Lead Employer control. The undersigned Related Employer (or non-Related Employer if this Plan is a Multiple Employer Plan), by executing this Participation Agreement, elects to become a Participating Employer in the Plan identified in the foregoing Adoption Agreement. The Participating Employer accepts, and agrees to be bound by, all of the Elections as made by the Signatory/Lead Employer except as otherwise indicated below.

The Participating Employer also hereby consents to the Signatory/Lead Employer's sole authority (without further signature or other action by the Participating Employer) to amend, to restate or to terminate the Plan, to terminate the Participating Employer's participation in the Plan, and to take certain other actions, in accordance with Sections 1.24(A) and 12.11 as applicable.

 

A.

PARTICIPATING EMPLOYER INFORMATION

 

 

 

 

 

a.

Name:

Wesbanco Insurance Services, Inc.

 

 

 

 

 

 

 

 

 

b.

Address:

 

 

Street

 

 

 

 

 

 

 

 

 

 

 

City

 

State

 

Zip

 

 

c.

Telephone:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d.

Taxpayer Identification Number (TIN):

55-0764295

 

 

 

 

 

 

 

 

 

 

e.

Fiscal Year end: ____

 

 

 

 

 

B.

PLAN STATUS. (Choose one.):

 

 

 

 

 

f.

[ ]

New plan for Participating Employer

 

 

 

 

 

 

 

 

 

g.

[X]

Modification of existing Participation Agreement (i.e., plan restatement (without merger) or Employer’s cessation of participation)

 

 

 

 

 

h.

[ ]

Restatement and merger (e.g., existing plan is joining group)

 

 

 

 

C.

EFFECTIVE DATE(S) (complete i. if new plan (f); complete i. AND either j. or l. if modification (g); complete i. and k. if plan is being restated and merged (h))

 

 

 

 

 

i.

[X]

Initial Effective Date of Plan.  June 18, 1998  (enter month day, year)

 

 

 

 

 

j.

[X]

Modification/Restatement Effective Date.  August 1, 2023

 

 

 

 

 

k.

[ ]

Restatement and Merger Effective Date

 

 

 

 

 

Restatement Effective Date. _________ (enter month day, year)

 

 

 

 

 

 

1.

Name of plan being merged into this Plan: _____________

 

 

 

 

 

l.

[ ]

Cessation. The Participating Employer is ceasing its participation in the Plan effective as of: _________.

 

 

 

 

 

Different elections or special Effective Dates. (Choose one.):

 

 

 

 

 

 

1.

[X]

None. There are no different elections or special Effective Dates which apply to the Participating Employer.

 

 

 

 

 

 

2.

[ ]

Applies. As to the Participating Employer, the following elections apply (or do not apply) which are different (or have different Effective Dates) than the elections applicable to the Signatory/Lead Employer. The Participating Employer may attach additional pages as needed to indicate modified elections.

 

Election number

 

Applies

 

Does not apply

 

Completion of election blanks (as necessary)

 

Effective Date

 

 

[ ]

 

[ ]

 

 

 

 

[ ]

 

[ ]

 

 

 

 

[ ]

 

[ ]

 

 

 

PARTICIPATING EMPLOYER: Wesbanco Insurance Services, Inc.

 

 

By:

img173004342_0.jpg

 

7/7/2023

 

 

 

DATE SIGNED

SIGNATORY EMPLOYER: WesBanco, Inc.

 

 

By:

img173004342_1.jpg

 

7/7/2023

 

 

 

DATE SIGNED

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 


 

PARTICIPATION AGREEMENT

[Note: Each Participating Employer must execute a separate Participation Agreement, the terms of which control as to that Participating Employer. If the Plan is a Multiple Employer Plan under Article XII, a Participating Employer may be a Related Employer or an Employer which is not a Related Employer. Under a Multiple Employer Plan, the Lead Employer may execute a Participation Agreement with regards to its own employees. See Section 12.02(B).]

Agreement as to Signatory/Lead Employer control. The undersigned Related Employer (or non-Related Employer if this Plan is a Multiple Employer Plan), by executing this Participation Agreement, elects to become a Participating Employer in the Plan identified in the foregoing Adoption Agreement. The Participating Employer accepts, and agrees to be bound by, all of the Elections as made by the Signatory/Lead Employer except as otherwise indicated below.

The Participating Employer also hereby consents to the Signatory/Lead Employer's sole authority (without further signature or other action by the Participating Employer) to amend, to restate or to terminate the Plan, to terminate the Participating Employer's participation in the Plan, and to take certain other actions, in accordance with Sections 1.24(A) and 12.11 as applicable.

 

A.

PARTICIPATING EMPLOYER INFORMATION

 

 

 

 

 

a.

Name:

Wesbanco Securities, Inc.

 

 

 

 

 

 

 

 

 

b.

Address:

 

 

Street

 

 

 

 

 

 

 

 

 

 

 

City

 

State

 

Zip

 

 

c.

Telephone:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d.

Taxpayer Identification Number (TIN):

31-1484891

 

 

 

 

 

 

 

 

 

 

e.

Fiscal Year end: ____

 

 

 

 

 

B.

PLAN STATUS. (Choose one.):

 

 

 

 

 

f.

[ ]

New plan for Participating Employer

 

 

 

 

 

 

 

 

 

g.

[X]

Modification of existing Participation Agreement (i.e., plan restatement (without merger) or Employer’s cessation of participation)

 

 

 

 

 

h.

[ ]

Restatement and merger (e.g., existing plan is joining group)

 

 

 

 

C.

EFFECTIVE DATE(S) (complete i. if new plan (f); complete i. AND either j. or l. if modification (g); complete i. and k. if plan is being restated and merged (h))

 

 

 

 

 

i.

[X]

Initial Effective Date of Plan.  January 1, 1999  (enter month day, year)

 

 

 

 

 

j.

[X]

Modification/Restatement Effective Date.  August 1, 2023

 

 

 

 

 

k.

[ ]

Restatement and Merger Effective Date

 

 

 

 

 

Restatement Effective Date. _________ (enter month day, year)

 

 

 

 

 

 

1.

Name of plan being merged into this Plan: _____________

 

 

 

 

 

l.

[ ]

Cessation. The Participating Employer is ceasing its participation in the Plan effective as of: _________.

 

 

 

 

 

Different elections or special Effective Dates. (Choose one.):

 

 

 

 

 

 

1.

[X]

None. There are no different elections or special Effective Dates which apply to the Participating Employer.

 

 

 

 

 

 

2.

[ ]

Applies. As to the Participating Employer, the following elections apply (or do not apply) which are different (or have different Effective Dates) than the elections applicable to the Signatory/Lead Employer. The Participating Employer may attach additional pages as needed to indicate modified elections.

 

Election number

 

Applies

 

Does not apply

 

Completion of election blanks (as necessary)

 

Effective Date

 

 

[ ]

 

[ ]

 

 

 

 

[ ]

 

[ ]

 

 

 

 

[ ]

 

[ ]

 

 

PARTICIPATING EMPLOYER: Wesbanco Securities, Inc.

 

 

By:

img173004342_0.jpg

 

7/7/2023

 

 

 

DATE SIGNED

SIGNATORY EMPLOYER: WesBanco, Inc.

 

 

By:

img173004342_1.jpg

 

7/7/2023

 

 

 

DATE SIGNED

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 


 

AMENDMENT TO IMPLEMENT HARDSHIP DISTRIBUTION

PROVISIONS OF THE BIPARTISAN BUDGET ACT OF 2018

 

WESBANCO, INC. 401(K) PLAN

 

ARTICLE I

PREAMBLE

1.1.
Adoption and effective date of Amendment. The Document Provider, on behalf of the Employer, hereby adopts this Amendment to the Employer's Plan. Except as otherwise specified in this Amendment, this Amendment is effective ("the Effective Date") on the first day of the first Plan Year beginning after December 31, 2018, or as soon as administratively feasible thereafter, and in no event later than the Latest Effective Date. If the Plan, prior to this Amendment, does not provide for hardship distributions, then this Amendment will be void and of no effect.
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. Except as otherwise provided in this Amendment, terms defined in the Plan will have the same meaning in this Amendment.
1.3.
Construction. Except as otherwise provided in this Amendment, any "Section" reference in this Amendment refers only to 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 the Plan article, section, or other numbering designations.
1.4.
Effect of restatement of Plan. If the Employer restates the Plan using the Document Provider's pre-approved plan based on The Cumulative List of Changes in Plan Qualification Requirements for Pre-approved Defined Contribution Plans for 2017 (Notice 2017-37) or any earlier Cumulative List, 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 these provisions).
1.5.
Adoption by Document Provider. The Document Provider hereby adopts this Amendment on behalf of all of the Document Provider's plans adopted by its adopting employers. The adoption by the Document Provider becomes applicable with respect to an Employer's Plan on the Effective Date (or, if later, the Effective Date of the Plan), unless the Employer individually adopts this Amendment, or an alternative amendment, prior to the expiration of the remedial amendment period relating to this Amendment.

 

ARTICLE II

ELECTIONS

Instructions: Complete the elections at Sections 2.1 and 2.2. Unless this Amendment is signed by the Employer, the default elections in Section 2.3 will apply. If the Employer is satisfied with those defaults and the Document Provider's elections in Sections 2.1 and 2.2, the Employer does not need to execute this Amendment. Otherwise, the Employer must complete the elections at Sections 2.1 and 2.2, may complete one or more of Sections 2.4 through 2.7 in order to override the default elections in Amendment Section 2.3, and must execute the amendment.

2.1.
Termination of deferral suspension. Hardship distributions made on or after the Effective Date will not trigger a suspension of Elective Deferrals, pursuant to Section 3.1(c). If a Participant received a hardship distribution before the Effective Date, and therefore Elective Deferrals were suspended, will the Participant be able to resume deferrals as soon as practical after the Effective Date?
a.
[X] YES. Beginning on the Effective Date, Elective Deferrals will not be suspended on account of a hardship distribution, regardless of the date of the distribution.
b.
[ ] NO. The Participant's suspension of Elective Deferrals begun before the Effective Date will continue as originally scheduled.
2.2.
Expansion of sources available for a hardship distribution. Pursuant to Amendment Section 3.2, are QNECs and QMACs available for hardship distributions?
a.
[X] YES. QNECs and QMACs are available for hardship distributions.
b.
[ ] NO. QNECs and QMACs are not available for hardship distributions.
2.3.
Default Provisions. The following provisions apply except to the extent the Employer makes a different election in one or more of Sections 2.4 through 2.7 and executes the Amendment.
a.
After the Effective Date, Participants do not need to take plan loans before taking hardship distributions.
b.
After the Effective Date, earnings on Elective Deferrals may be withdrawn on account of a hardship.
c.
Hardship needs include residential casualty losses (without regard to whether the casualty was in a federally declared disaster area) and Disaster Losses, effective January 1, 2018 or as soon as practical thereafter.
d.
The Effective Date is the first day of the first Plan Year beginning after December 31, 2018, or as soon as administratively feasible thereafter, and in no event later than the Latest Effective Date.

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

1

 

 


 

Skip Sections 2.4 through 2.7 if you accept the default provisions listed in Section 2.3. Any entry in Sections 2.4 through 2.7 will override those defaults.

2.4.
Loan Requirement. The provisions of Amendment Section 3.1(b), requiring recipients of hardship distributions to take available nontaxable loans, will NOT apply unless selected below:
a.
[ ] Amendment Section 3.1(b) APPLIES (i.e., Participants are required to obtain a Plan loan) indefinitely, unless and until the Plan is further amended.
2.5.
Expansion of sources available for a hardship distribution. Earnings on amounts attributable to Elective Deferrals are available for hardship distribution, unless selected below:
a.
[ ] Earnings on amounts attributable to Elective Deferrals are NOT available for hardship distributions.
2.6.
Hardship needs/events. The provisions of Amendment Sections 3.3 (relating to residential casualty losses) and 3.4 (relating to Disaster Losses) apply as of January 1, 2018, or as soon as practical thereafter, unless otherwise elected below.
a.
[ ] Amendment Section 3.3 will NOT apply (and so casualty losses are limited to federally declared disasters, pursuant to Code §165(h)).
b.
[ ] Amendment Section 3.4 will NOT apply (and so the Plan will not make hardship distributions on account of Disaster Losses).
2.7.
Effective Dates. Unless otherwise selected below, the Effective Date is the first day of the first Plan Year beginning after December 31, 2018, or as soon as administratively feasible thereafter, and in no event later than the Latest Effective Date. Except as otherwise specified in this Amendment, all provisions are effective on the Effective Date.
a.
[X] Other general Effective Date: January 1, 2020 (may not be earlier than the first day of the first Plan Year beginning on or after January 1, 2019 or after the Latest Effective Date).
b.
[ ] Special Effective Date for Amendment Section 2.2a: [Enter a special effective date, no sooner than the first day of the 2019 Plan Year.]
c.
[ ] Special Effective Date for Amendment Section 2.3a: [Enter a special effective date, no sooner than the first day of the 2019 Plan Year.]
d.
[ ] Special Effective Date for Amendment Section 2.3b: [Enter a special effective date no sooner than the first day of the 2019 Plan Year.]
e.
[ ] Special Effective Date for Amendment Section 2.3c: [Enter a special effective date for the expansion of hardship needs/events, no sooner than January 1, 2018.]

ARTICLE III

DISTRIBUTION BASED ON HARDSHIP

3.1.
Modification of hardship necessity provisions.

a. The Necessity Provisions of the Plan are repealed. Except as otherwise provided in this Section 3.1, the Plan will not make a hardship distribution to a Participant unless the Participant has obtained all other currently available distributions (including distributions of ESOP dividends under section Code §404(k), but not hardship distributions) under the plan and all other plans of deferred compensation, whether qualified or nonqualified, maintained by the Employer. In addition, for a distribution that is made on or after the Latest Effective Date (or such earlier date as the Plan Administrator has implemented the procedure), the Participant must certify (in writing, by an electronic medium as defined in Treas. Reg. §1.401(a)-21(e)(3), or in such other form as authorized in IRS guidance) that he or she has insufficient cash or other liquid assets reasonably available to satisfy the need.

b. If and only if elected in Amendment Section 2.4, before a hardship distribution may be made, a Participant must obtain all nontaxable loans (determined at the time a loan is made) available under the plan and all other plans maintained by the Employer.

c. The Plan will not suspend the Participant from making Elective Deferrals on account of receipt of a hardship distribution. This provision will apply to hardship distributions made after the Effective Date. Under Amendment Section 2.1, it may also apply, as of the Effective Date, to certain suspensions of Elective Deferrals on account of receipt of a hardship distribution prior to the Effective Date.

3.2.
Modification of amounts that may be withdrawn on account of a hardship. Except as otherwise elected in Amendment Sections 2.2 and 2.5, earnings on Elective Deferrals, QNECs, and QMACs (and the earnings thereon) may be withdrawn on account of a hardship. The hardship provisions set forth in the Plan, except as modified by this Amendment, continue to apply.2.2
3.3.
Residential casualty loss. Except as otherwise provided in Amendment Section 2.6, effective January 1, 2018 or as soon as practical thereafter, to the extent the Plan permits hardship distributions for expenses to repair damage to the Participant's principal residence that would qualify for a casualty loss deduction under Code §165, such amounts will be determined without regard to Code §165(h)(5).
3.4.
Disaster loss. If the Plan is a Deemed Need Plan, then except as otherwise provided in Amendment Section 2.6, effective January 1, 2018 or as soon as practical thereafter, the financial needs which can justify a hardship distribution to a Participant are expanded to include Disaster Losses.

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

2

 

 


 

ARTICLE IV

DEFINITIONS

4.1.
Suspensions of Elective Deferrals. Any reference to suspension of Elective Deferrals means and includes a suspension of Elective Deferrals and/or Employee Contributions to this Plan or any other qualified plan, a 403(b) plan, or an eligible governmental plan (described in Treas. Reg. §1.457-2(f)) of the Employer.
4.2.
QNECs. A "QNEC" is a Qualified Nonelective Contribution, described in Code §401(m)(4)(C) or a safe harbor nonelective contribution described in Code §401(k)(12)(C). For purposes of this Amendment only, a QACA nonelective contribution described in Code §401(k)(13)(D)(i)(II) will also be treated as though it were a QNEC.
4.3.
QMACs. A "QMAC" is a Qualified Matching Contribution, described in Code §401(k)(3)(D)(ii)(I), or a safe harbor matching contribution described in Code §401(k)(12)(B). For purposes of this Amendment only, a QACA matching contribution described in Code §401(k)(13)(D)(i)(I) will also be treated as though it were a QMAC.
4.4.
Necessity Provisions. The "Necessity Provisions" of the Plan are those provisions which implement the provisions of Treas. Reg. §1.401(k)-1(d)(3)(iv)(B), (C), (D), and (E), as in effect prior to April 1, 2019. These provisions may either reflect the safe harbor "deemed necessary" standards of subparagraph (E) of that regulation, or the non-safe harbor "no alternative means" standards of subparagraphs (B), (C), and (D) of that regulation.
4.5.
Deemed Need Plan. The Plan is a "Deemed Need Plan" to the extent the Plan limits eligibility for a hardship distribution to the deemed immediate and heavy financial needs described in Treas. Reg. §1.401(k)-1(d)(3)(ii)(B), (as revised effective April 1, 2019).
4.6.
Disaster Losses. Disaster Losses are expenses and losses (including loss of income) incurred by the Participant on account of a disaster declared by the Federal Emergency Management Agency (FEMA) under the Robert T. Stafford Disaster Relief and Emergency Assistance Act, Pub. L. 100-707, provided that the Participant's principal residence or principal place of employment at the time of the disaster was located in an area designated by FEMA for individual assistance with respect to the disaster.
4.7.
Document Provider. The Document Provider means the Sponsor of a Prototype Plan or VS Practitioner of a Volume Submitter Plan as defined in Rev. Proc. 2015-36, or the Provider of a Pre-approved Plan, as defined in Rev. Proc. 2017-41. References to the Document Provider's plans or to pre-approved plans refer to the Prototype Plans, Volume Submitter Plans, and/or Pre-approved Plans sponsored by the Document Provider for use by adopting employers, as the case may be.
4.8.
Latest Effective Date. The "Latest Effective Date" is the latest of January 1, 2020, the Effective Date of the Plan, or the effective date of any amendment adding hardship distributions to the Plan.

Except with respect to any election made by the employer in Article II, this Amendment is hereby adopted by the prototype sponsor/volume submitter practitioner on behalf of all adopting employers.

 

Signature and date on file

 

 

 

 

 

(signature and date)

 

 

 

 

 

 

 

 

 

Sponsor/Practitioner Name:

 

Empower Retirement, LLC

 

 

 

 

 

 

 

 

 

NOTE: The Employer only needs to execute this Amendment if an election has been made in one or more of Sections 2.4 through 2.7, or the Employer has made a different selection from the Document Provider's selection in Sections 2.1 or 2.2.

 

This Amendment has been executed this  day of , .

 

 

 

 

 

 

 

 

Name of Plan:

 

WesBanco, Inc. 401(k) Plan

 

 

 

 

 

 

Name of Employer:

 

WesBanco, Inc.

 

 

 

 

 

 

 

 

By:

 

 

 

 

 

EMPLOYER

 

 

 

 

 

 

194761-01 (effective August 1, 2023)

© 2020 Empower Retirement, LLC or its suppliers

 

 

 

3

 

 


 

AMENDMENT FOR CARES ACT

ARTICLE 1

PREAMBLE; DEFINITIONS

1.1.
Adoption of Amendment. The Document Provider, on behalf of the Employer, hereby adopts this Amendment to the Employer's Plan to implement provisions of the Act which affect the Plan. All references to the Plan include the Plan’s loan program, policy, or procedure to the extent applicable.
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.
Construction. Except as otherwise provided in this Amendment, any Article or Section reference in this Amendment refers only to 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 the Plan article, section, or other numbering designations.
1.4.
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 these provisions).
1.5.
Definitions. Except as otherwise provided in this Amendment, terms defined in the Plan will have the same meaning in this Amendment. The following definitions apply specifically to this Amendment:
A.
The “Act” is the Coronavirus Aid, Relief, and Economic Security Act, also known as the CARES Act. This Amendment shall be interpreted and applied to comply with the Act.
B.
A “Qualified Individual” means any individual who meets one or more of the criteria described in paragraphs (1), (2), (3), or (4). Participants, alternate payees and beneficiaries of deceased participants can be treated as Qualified Individuals. The Plan Administrator may rely on an individual’s certification that the individual satisfies a condition to be a Qualified Individual unless the Plan Administrator has actual knowledge to the contrary. In applying the criteria, “COVID-19” means either the virus SARS–CoV–2 or coronavirus disease 2019; “an approved test” means a test approved by the Centers for Disease Control and Prevention (including a test authorized under the Federal Food, Drug, and Cosmetic Act); and a “member of the individual’s household” means someone who shares the individual’s principal residence. The criteria are as follows:
(1)
The individual was diagnosed with COVID-19 by an approved test;
(2)
The individual’s spouse or dependent (as defined in Code §152) was diagnosed with COVID- 19 by an approved test;
(3)
The individual has experienced adverse financial consequences because: (a) the individual or the individual’s spouse, or a member of the individual’s household was quarantined, furloughed or laid off, or had work hours reduced due to COVID-19; (b) the individual, the individual’s spouse, or a member of the individual’s household was unable to work due to lack of childcare due to COVID-19; (c) A business owned or operated by the individual, the individual’s spouse, or a member of the individual’s household closed or reduced hours due to COVID-19; or (d) the individual, the individual’s spouse, or a member of the individual’s household had a reduction in pay (or self-employment income) due to COVID-19 or had a job offer rescinded or start date for a job delayed due to COVID-19; or
(4)
The individual satisfies any other criteria determined by the Treasury or the IRS.
1.6.
Adoption by Document Provider. The Document Provider hereby adopts this Amendment on behalf of all of the Document Provider's plans adopted by its adopting employers. The adoption by the Document Provider becomes applicable with respect to an Employer's Plan on March 27, 2020 (or, if later, the Effective Date of the Plan), unless the Employer individually adopts this Amendment, or an alternative amendment, prior to the expiration of the remedial amendment period relating to this Amendment. The Document Provider means the Sponsor of a Prototype Plan or Volume Submitter Practitioner of a Volume Submitter Plan as defined in Rev. Proc. 2013-22 or 2015-36, or the Provider of a Pre-approved Plan, as defined in Rev. Proc. 2017-41. References to the Document Provider's plans or to pre-approved plans refer to the Prototype Plans, Volume Submitter Plans, and/or Pre-approved Plans sponsored by the Document Provider for use by adopting employers, as the case may be, except as limited in Section 2.1.

 

 

 

194761-01

© 2021 FIS Business Systems LLC

 

 

 

Page 1 of 5

 

 


 

ARTICLE 2

IDENTIFYING INFORMATION; EMPLOYER ELECTIONS

Instructions: The Document Provider should complete the elections at Sections 2.1 (if applicable), 2.3, and

2.4. If the Employer is satisfied with those choices, the Employer does not need to execute this Amendment. Otherwise, the Employer must complete the information at Section 2.2 and may complete one or more of Sections

2.3 through 2.5 to indicate the Employer’s preferences.

2.1.
Application to Document Provider plans: This Amendment will apply to all preapproved plans (including Prototype and Volume Submitter plans) of the Document Provider except the following: (Optional. List plan types, such as Defined Benefit Plans or 403(b) Plans, which the Document Provider does not wish to amend):

2.2.
Employer identifying information. (Complete only if Employer is separately adopting this Amendment.)
A.
Name of Employer: WesBanco, Inc.
B.
Name of Plan: WesBanco, Inc. Retirement Plan
C.
Type of Plan (check one; optional)
(1)
[ ] 401(k) Plan
(2)
[ ] Profit-Sharing Plan (other than a 401(k) plan)
(3)
[ ] Money Purchase Pension Plan
(4)
[ ] Defined Benefit Plan (including a cash balance plan)
(5)
[ ] 403(b) Plan
2.3.
Relief for Qualified Individuals. Will the Plan provide any or all of the following relief for Qualified Individuals: (1) Coronavirus-Related Distributions described in Article 3, (2) increased loan limits described in Section 4.2, (3) the loan repayment extension described in Section 4.3. (Select one of (a), (b), or (c). If (c) is selected, then select one or more of (d), (e), and/or (f))

(a) [ ] No. The Plan will not provide any of these relief provisions.

(b) [ ] Yes. The Plan will provide all of these relief provisions. The limitations on distributions described in Sections 2.3(d)(1) – (4) and the limitations on loans in Section 2.3(e)(1) – (3) and Section 2.3(f)(1) – (3) do not apply.

(c) [X] Some. The Plan will provide those relief provisions selected in (d), (e), or (f) below.

(d) [X] The Coronavirus-Related Distribution provisions described in Article 3 (If (d) is selected, the

Employer or Document Provider may optionally select one or more of (1), (2), (3), or (4).)

(1) [ ] Coronavirus-Related Distributions are not available from an account in which the Participant is not 100% vested.

(2) [ ] Coronavirus-Related Distributions may be made only from the following accounts:

.

(3) [ ] The maximum amount of Coronavirus-Related Distributions from the Plan to a Qualified Individual will not exceed: $ . (Enter amount less than $100,000.)

(4) [X] The following additional provisions apply to Coronavirus-Related Distributions: The provisions of Article 3 of this Amendment apply only to the extent a Coronavirus-Related Distribution has been made to a Qualified Individual. To the extent the Plan does not operationally apply the rules of Article 3 of this Amendment, it does not apply to the Plan. The Plan Administrator shall document through administrative procedures or otherwise the manner in which the Plan operationally applied the rules under Article 3 of this Amendment. (Enter limitations or restrictions which are nondiscriminatory and not subject to Employer discretion.)

(e) [X] The increased loan limit described in Section 4.2 (If (e) is selected, the Employer or Document

Provider may optionally select one or both of (1), (2), or (3).)

(1) [ ] The maximum dollar amount of loans pursuant to Section 4.2 will not exceed:

$ . (Enter amount less than $100,000.)

(2) [ ] The maximum percentage of the present value of the nonforfeitable accrued benefit that may be loaned pursuant to Section 4.2 will not exceed: %. (Enter percentage less than 100%.)

(3) [X] The following additional provisions apply to the increased loan limit: The increased loan limits described in Section 4.2 of this Amendment apply only to the extent a loan has been made to a Qualified Individual in excess of the limits otherwise available under the Plan. To the extent the Plan does not operationally apply the increased loan limits described in Section 4.2 of this Amendment, it does not apply to the Plan. The Plan Administrator shall document through administrative procedures or otherwise

 

 

 

194761-01

© 2021 FIS Business Systems LLC

 

 

 

Page 2 of 5

 

 


 

the manner in which the Plan operationally applied the increased loan limits described in Section 4.2 of this Amendment. (Enter limitations or restrictions which are nondiscriminatory.)

(f) [X] The loan repayment extension described in Section 4.3 (If (f) is selected, the Employer or

Document Provider may optionally select one or more of (1), (2), or (3).)

(1) [ ] The Suspension Period will begin (Enter date not before March 27, 2020) and end . (Enter date not later than December 31, 2020.)

(2) [ ] The Extension Period will be . (Enter period, up to one year, the due date of the loan will be extended, such as “six months.”)

(3) [X] The following additional provisions apply to the loan repayment extension: The loan repayment extension described in Section 4.3 of this Amendment applies only to the extent the due date to repay a loan has been extended for a Qualified Individual. To the extent the Plan does not operationally extend the due date for loan repayment as described in Section 4.3 of this Amendment, it does not apply to the Plan. The Plan Administrator shall document through administrative procedures or otherwise the manner in which the Plan operationally extended the due date for loan repayment as described in Section 4.3 of this Amendment. (Enter limitations or restrictions which are nondiscriminatory.)

2.4.
RMD waivers for 2020. Unless otherwise elected below, the provisions of Section 5.2 apply and a Participant or Beneficiary who would have been required to receive a 2020 RMD or Extended 2020 RMD will receive the distribution unless the Participant or Beneficiary chooses not to receive the distribution.

(a) [ ] No RMDs without request. The provisions of Section 5.2 apply and a Participant or Beneficiary who would have been required to receive a 2020 RMD or Extended 2020 RMD will not receive the distribution unless the Participant or Beneficiary chooses to receive the distribution.

(b) [X] Split. The provisions of Section 5.2 apply. A Participant or Beneficiary who would have been required to receive a 2020 RMD will not receive the distribution unless the Participant or Beneficiary chooses to receive the distribution. A Participant or Beneficiary who would have been required to receive an Extended 2020 RMD will receive the distribution unless the Participant or Beneficiary chooses not to receive the distribution.

(c) [ ] No change to RMDs. Payment of RMDs or Extended 2020 RMDs will be governed by the terms of the Plan without regard to this Amendment (i.e., no election is available to Participants or Beneficiaries).

(d) [ ] Describe: .

For purposes of Section 5.3, the Plan will also treat the following as eligible rollover distributions in 2020: (Choose one or none of (e), (f), (g), or (h): If no election is made, then a direct rollover will be offered only for distributions that would be eligible rollover distributions without regard to Code §401(a)(9)(I)):

(e) [X] 2020 RMDs.

(f) [ ] 2020 RMDs and Extended 2020 RMDs.

(g) [ ] 2020 RMDs but only if paid with an additional amount that is an eligible rollover distribution without regard to Code §401(a)(9)(I).

(h) [ ] Describe: .

The provisions of Article 5, and the elections in this Section 2.4, will be effective on the date specified in Section 2.5. unless a different date is entered here: (Optional. Enter a date between March 27, 2020 and December 31, 2020. RMD distributions before the selected effective date should have followed plan terms in effect before this Amendment.)

2.5.
Effective Date. This Amendment is effective March 27, 2020 (or as soon as practical thereafter), or, if later, the following date: . (Optional. Enter a date not later than December 31, 2020.)

ARTICLE 3

CORONAVIRUS-RELATED DISTRIBUTIONS

3.1.
Application. This Article 3 will apply if Section 2.3(b) or Section 2.3(d) is selected.
3.2.
Coronavirus-Related Distribution(s). Subject to the provisions described in Section 2.3(d)(4), if any, a Qualified Individual may take one or more Coronavirus-Related Distributions. The accounts from which the amount may be distributed shall be limited if selected in Sections 2.3(d)(1) and (2). However, if the Plan is a Defined Benefit Plan, and the Qualified Individual has not separated from service, the Qualified Individual may not take a Coronavirus-Related Distribution prior to attaining the earlier of Normal Retirement Age or age 59½. The provisions of this Section will apply notwithstanding any limitation in the Plan on partial distributions or any otherwise applicable plan or administrative limits on the number of allowable distributions.
3.3.
Repayment of distribution. If the Plan permits a Participant to make rollover contributions, then a such a Participant who received a Coronavirus-Related Distribution (from this Plan and/or another eligible retirement plan as defined in Code §402(c)(8)(B)), at any time during the 3-year period beginning on the day after receipt of the distribution, may make one or more contributions to the Plan, as rollover contributions, in an aggregate amount not to exceed the amount of such distribution.
3.4.
Definition of Coronavirus-Related Distribution. A “Coronavirus-Related Distribution” means a distribution to a Qualified Individual during the period beginning January 1, 2020 and ending December 30, 2020. The total amount of Coronavirus-Related Distributions to a Qualified Individual pursuant to this Amendment from all plans maintained by the Employer, or any related employer described in Code §414(b), (c), (m), or (o), shall not exceed $100,000, (or such lesser amount specified in Section 2.3(d)(3)). The Coronavirus-Related Distributions from the Plan to a Qualified Individual will not exceed the amount of the individual’s vested account balance or the present value of the individual’s vested accrued benefit.

 

 

 

194761-01

© 2021 FIS Business Systems LLC

 

 

 

Page 3 of 5

 

 


 

ARTICLE 4

PARTICIPANT LOAN RELIEF

4.1.
Application. This Article 4 will apply only if the Plan permits participant loans. Section 4.2 will apply if Section 2.3(b) or Section 2.3(e) is selected. Section 4.3 will apply if Section 2.3(b) or Section 2.3(f) is selected.
4.2.
Increased loan limit. Notwithstanding the loan limitation that otherwise would apply, the Plan will determine the loan limit under Code §72(p)(2)(A) for a loan to a Qualified Individual, made during the period beginning March 27, 2020 and ending September 22, 2020, by substituting “$100,000” (or such lesser amount specified in Section 2.3(e)(1)) for “$50,000,” and by substituting “100% (or such lesser percentage specified in Section 2.3(e)(2)) of the present value of the nonforfeitable accrued benefit of the employee under the Plan” for “one-half of the present value of the nonforfeitable accrued benefit of the employee under the Plan” (or its equivalent). The provisions described in Section 2.3(e)(3), if any, will apply in connection with loans to Qualified Individuals.
4.3.
Extension of certain repayments. If a Qualified Individual has an outstanding loan from the Plan on or after March 27, 2020, then: (1) if the date for any repayment of such loan occurs during the Suspension Period, the due date is extended for the Extension Period; (2) the due date of the loan will be extended by the Extension Period; (3) the Plan will adjust any subsequent repayments to reflect the extension of the due date and any interest accrued during the Suspension Period; and (4) the Plan will disregard the Extension Period in determining the 5-year period and the loan term under Code §72(p)(2)(B) or (C). The provisions described in Section 2.3(f)(3), if any, will apply in connection with the suspension and extension described in this Section. The Suspension Period, unless otherwise specified in Section 2.3(f)(1), will begin March 27, 2020 and end December 31, 2020. The Extension Period, unless otherwise specified in Section 2.3(f)(2) will be one year. The provisions of this Section 4.3 will be applied in accordance with Section 5.B. of Notice 2020-50, or any subsequent applicable guidance, and the adjustment described in (3) may reflect the “safe harbor” described therein.

ARTICLE 5

WAIVER OF 2020 REQUIRED MINIMUM DISTRIBUTIONS (RMDs)

5.1.
Application. This Article 5 will apply only to defined contribution plans, including 401(k) Plans, Profit- Sharing Plans, Money Purchase Pension Plans, and 403(b) Plans. The definitions in Section 5.4 will apply in interpreting Section 2.4.
5.2.
Waiver; default provision. This Section 5.2 will apply unless Section 2.4(c) is selected or to the extent 2.4(d) overrides it. Notwithstanding the provisions of the Plan relating to RMDs, whether a Participant or Beneficiary who would have been required to receive 2020 RMDs, and who would have satisfied that requirement by receiving distributions that are (1) equal to the 2020 RMDs, or (2) Extended 2020 RMDs will receive those distributions is determined in accordance with the option chosen in Section 2.4. Notwithstanding the option chosen in Section 2.4, a Participant or Beneficiary will be given an opportunity to make an election as to whether or not to receive those distributions. If the Plan permits a Beneficiary of a deceased Participant to make the election to use the 5-year rule or the life expectancy rule, the deadline to make the election may be extended to reflect the adoption of Code §401(a)(9)(I).
5.3.
Direct rollovers. Notwithstanding the provisions of the Plan relating to required minimum distributions under Code §401(a)(9), and solely for purposes of applying the direct rollover provisions of the Plan, certain additional distributions in 2020, as elected by the Employer in Section 2.4, will be treated as eligible rollover distributions. If no election is made by the Employer in Section 2.4, then a direct rollover will be offered only for distributions that would be eligible rollover distributions without regard to Code §401(a)(9)(I).
5.4.
Definitions. “RMDs” means required minimum distributions described in Code §401(a)(9). “2020 RMDs” means required minimum distributions the Plan would have been required to distribute in 2020 (or permitted to pay in 2021 for the 2020 calendar year for a Participant with a required beginning date of April 1, 2021) but for the enactment of Code §401(a)(9)(I). “Extended 2020 RMDs” means one or more payments in a series of substantially equal distributions (that include the 2020 RMDs) made at least annually and expected to last for the life (or life expectancy) of the Participant, the joint lives (or joint life expectancy) of the Participant and the Participant’s designated Beneficiary, or for a period of at least 10 years.
5.5.
Installment payments. A Participant or Beneficiary receiving payment of 2020 RMDs or 2020 Extended RMDs pursuant to this Article 5 may receive them in any method (including installments or partial distributions) which would have been permitted under the terms of the Plan if the amounts would have been RMDs but for the enactment of Code §401(a)(9)(I).

* * * * * *

 

 

 

194761-01

© 2021 FIS Business Systems LLC

 

 

 

Page 4 of 5

 

 


 

Document Provider Name: Great West Trust Company, LLC

The Document Provider executed this Amendment on July 22, 2022.

 

 

By: Signature on file

(Authorized signer for Document Provider)

 

 

 

 

 

Employer:

 

The Employer executed this Amendment on ,  .

(enter date)

 

 

By:

 

(Authorized Signer for Employer)

 

 

 

 

194761-01

© 2021 FIS Business Systems LLC

 

 

 

Page 5 of 5

 

 


 

AMENDMENT TO IMPLEMENT SECURE ACT AND OTHER LAW CHANGES

WESBANCO, INC. 401(K) PLAN

ARTICLE 1

PREAMBLE

1.1.
Adoption and effective date of Amendment. The Document Provider, on behalf of the Employer, hereby adopts this Amendment to the Employer's Plan. Each Article specifies the effective date of its provisions. Also see Section 1.5.
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. Except as otherwise provided in this Amendment, terms defined in the Plan will have the same meaning in this Amendment. Most Articles include definitions which are specific to that Article. Also see Section 1.6.
1.3.
Numbering. Except as otherwise provided in this Amendment, any "Section" reference in this Amendment refers only to 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 the Plan article, section, or other numbering designations.
1.4.
Intention; Construction. The purpose of this amendment is to amend the Plan in accordance with pension-related provisions of the Further Consolidated Appropriations Act of 2019 ("FCAA") in general, and Division O of that Act, the Setting Every Community Up for Retirement Enhancement Act of 2019 ("SECURE"), in specific. It also addresses a provision of the Bipartisan American Miners Act ("BAMA"), which is also part of FCAA, as well as a section of the Coronavirus Aid, Relief, and Economic Security Act ("CARES"). The provisions of this Amendment shall be interpreted and applied to be consistent with FCAA and CARES and IRS guidance issued in connection therewith, whether such guidance is issued before or after the date of this amendment.
1.5.
Effect of subsequent restatement or amendment 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 these provisions). Some Articles in this amendment may not apply to a particular plan at the time the Amendment is executed but they will apply in the future based on subsequent amendments.
1.6.
Preservation of prior amendments. If the Employer previously amended the Plan after December 20, 2019 to implement a provision contained in one or more Articles of this Amendment, that prior amendment shall remain in effect and will not be superseded by this Amendment, unless Section 1.6(a) is selected. For example, if the Employer previously adopted an amendment to implement the BAMA provisions of Article 10, that amendment remains in effect, notwithstanding the provisions of this Amendment, unless Section 1.6(a) is selected.
(a)
[ ] This amendment supersedes all prior inconsistent amendments of the Plan.
1.7.
Adoption by Document Provider. The Document Provider hereby adopts this Amendment on behalf of all of the Document Provider's plans adopted by its adopting employers. The adoption by the Document Provider becomes applicable with respect to an Employer's Plan on the Effective Date (or, if later, the Effective Date of the Plan), unless the Employer individually adopts this Amendment, or an alternative amendment, prior to the expiration of the remedial amendment period relating to this Amendment.

ARTICLE 2

INSTRUCTIONS; ELECTIONS

2.1.
Instructions. Select 2.3a if all defaults are accepted at Provider level. Select 2.3b and as applicable 2.4 - 2.10 if the Document Provider wishes to select other than the default for a particular provision. If no changes are made by the Employer, the Employer does not need to sign. However, if the Employer wishes to make a change from the Provider's defaults, they may make selections below and the Employer must then execute the amendment.
2.2.
Plan Type Definitions. "Qualified Plan" means a 401(k) Plan, Profit-Sharing Plan, or Money Purchase Pension Plan.
2.3.
Operating Elections. Many subsequent Articles of this Amendment refer to elections appearing in this Article 2. Each of Sections 2.4 through 2.10 refers to a corresponding Article. For example, Section 2.4 has the elections related to Article 4. The definitions in those Articles apply to the elections in the corresponding Section of this Article 2, and those elections have the same effective date as the corresponding Article. Each Section of this Article lists the default provisions which will apply if no election is made. If you accept the default(s), there is no need to complete the Section. There are no elective provisions which apply to Article 3 or Articles 11 through 16. The following are the defaults and a summary of the Articles for which there are no elections.
Article 3. Permits retroactive safe harbor 401(k) amendments (to appear in separate document). Eliminates requirement of safe harbor notice for safe harbor nonelective.
Article 4. QBADs are not permitted.
Article 5. Distributions of RMDs will not begin before a Participant turns 72.
Article 6. The Plan will apply its RMD provisions with respect to the 5-year rule in administering the 10-year rule.
Article 7. RMDs subject to 5-Year Rule for participants who died from 2015 through 2019 are extended one year unless the beneficiary objects.
Article 8. None of the optional elections with regard to LTPT Employees apply.

 

 

 

194761-01 (effective August 1, 2023)

© 2022 Empower Retirement, LLC or its suppliers

 

 

 

1

 

 


 

Article 9. The QACA maximum automatic deferral is 10% of compensation.
Article 10. The amendment does not modify the minimum age for in-service distributions.
Article 11. Administrative policy can permit distributions of Discontinued Lifetime Income Investments.
Article 12. Updated RMD tables and 2022 transition.
Article 13. Permits retroactive plan adoption.
Article 14. Difficulty of care payments are compensation for purposes of Code §415 only.
Article 15. Reserved.
Article 16. Deemed IRA accounts are not subject to maximum age.

Check (a) or (b).

(a)
[ ] All defaults apply. Skip the rest of Article 2 and sign the amendment.
(b)
[X] One or more defaults do not apply. Complete those sections in Article 2 for which you do not accept the default; then sign the amendment.
2.4.
Article 4 – Birth/Adoption Distributions. In the absence of an election below, Article 4 does NOT apply. To permit QBADs (Qualified Birth and Adoption Distributions), check (a). If QBADs are available, they apply to all accounts except as provided in Article 4 or in elections (b), (c), (d), or (e). (Select all that apply.)
(a)
[ ] Article 4 applies effective January 1, 2020, unless a different date is selected in (1) below.

(1) [ ] _________________________________(Enter date after December 31, 2019.)

(b)
[ ] QBADs may only be made from accounts in which the Participant is fully vested.
(c)
[ ] QBADs are only available from the following Accounts (select one or more):

(1) [ ] Pre-Tax Elective Deferrals

(2) [ ] Roth Elective Deferrals

(3) [ ] Employer matching contributions (including matching "ADP test safe harbor contributions" and QMACs)

(4) [ ] Employer nonelective contributions

(5) [ ] Qualified Nonelective contributions (for 401(k) plans, includes nonelective "ADP test safe harbor contributions")

(6) [ ] Rollover contributions

(7) [ ] Transferred accounts

(8) [ ] Describe: ________________________________________________________(must be definitely determinable and not subject to discretion)

(d)
[ ] QBADs are not available if the Participant has severed employment.
(e)
[ ] Describe additional limitations: ____________________________________________________(must be definitely determinable and not subject to discretion)
2.5.
Article 5 – RMD Timing. Unless Section 2.5(a) is selected, distribution of RMDs will begin for Affected Participants no sooner than April 1 of the calendar year following the year the Participant attains age 72.
(a)
[ ] Distribution of RMDs to Affected Participants will NOT be delayed on account of this Amendment (i.e., distributions will generally commence no later than April 1 of the calendar year following the year the Affected Participant attains age 70 1/2), in accordance with Section 5.5. This election is effective for distributions after December 31, 2019, except as specified below (Optional: select either or both of (1) or (2)):

(1) [ ] Section 5.5 is effective for distributions after _____________________________________and prior to the earlier of January 1, 2022 or the date entered in 2.5(a)(2). (Enter date on or after December 31, 2019.)

(2) [ ] Section 5.5 is repealed for distributions after ________________________________________(enter date on or after the date entered in 2.5(a)(1) and before January 1, 2022), subject to the anti-cutback rule of Code §411(d)(6) to the extent applicable.

2.6.
Article 6 – 10-Year Rule for Beneficiary RMDs. RMDs to an Eligible Designated Beneficiary of a Participant who dies prior to the Participant's RBD will be made as elected below. In the absence of an election in Section 2.6, the Plan's provisions about Beneficiary elections with regard to the 5-Year Rule will apply, substituting the 10-Year Rule for the 5-Year Rule.
(a)
[ ] Beneficiary election. The Eligible Designated Beneficiary may elect application of the 10-Year Rule or the Life Expectancy rule. If the Beneficiary does not make a timely election (Select one of (1) or (2)):

(1) [ ] 10-year rule. The 10-year rule applies to the Eligible Designated Beneficiary.

(2) [ ] Life Expectancy Rule. The Life Expectancy rule applies to the Eligible Designated Beneficiary.

(b)
[ ] 10-year rule. The 10-year rule applies to the Eligible Designated Beneficiary.
(c)
[ ] Life Expectancy rule. The Life Expectancy rule applies to the Eligible Designated Beneficiary.
(d)
[ ] Shorter Period. The entire interest of the Eligible Designated Beneficiary will be distributed no later than December 31 of the ____________________(enter a number of years, not exceeding "tenth") year following the year of the Participant's death.
(e)
[ ] Other: (Describe, e.g., the 10-Year Rule applies to all Beneficiaries other than a surviving spouse Beneficiary.) ______________________________________

 

 

 

194761-01 (effective August 1, 2023)

© 2022 Empower Retirement, LLC or its suppliers

 

 

 

2

 

 


 

2.7.
Article 7 – CARES RMD Waivers; 5-Year Rule. Unless the Employer elects otherwise below, beneficiaries of Applicable Participant Accounts will have the option to extend distribution under the 5-Year Rule by one year, and in the absence of a beneficiary election the extension will apply.
(a)
[ ] No extension without request. The provisions of Section 7.2 apply but in the absence of a beneficiary election the extension will NOT apply.
(b)
[ ] Not Apply. Article 7 will NOT apply to this Plan.
2.8.
Article 8 – LTPT Employees (401(k) only). The Employer makes the following optional elections with regard to LTPT Employees. (Select all that apply.)
(a)
[X] An LTPT Employee, in addition to being eligible to defer will also be treated as a Regular Participant for purposes of (check any or all that apply):

(1) [ ] Receiving an allocation of the safe harbor contributions (including QACA)

(2) [ ] Receiving an allocation of Employer matching contributions

(3) [ ] Receiving an allocation of Employer nonelective contributions

(4) [X] Making after-tax Employee voluntary contributions

(5) [X] Making rollover contributions

(6) [ ] Making deemed IRA contributions described in Code §408(q).

(b)
[ ] The following provisions which apply to Regular Participants do not apply to LTPT Employees (check any or all that do not apply to LTPT Employees):

(1) [ ] The ability to make Roth elective deferrals

(2) [ ] Automatic deferral provisions

(3) [ ] Automatic escalation provisions

(c)
[X] Instead of being the first day of the first month and the seventh month of the Plan Year, the LTPT Entry Date is (select one):

(1) [X] The same as the entry date which applies to Elective Deferrals of Regular Participants

(2) [ ] Describe: ________________________________________________

(d)
[X] In addition to Union Employees and Nonresident Aliens, the following Employees are LTPT Excluded Employees (check all that apply; see the instructions):

(1) [X] Employees described in a category of employees that would be excluded from the Plan even if they satisfied the minimum age and service requirements which apply to Employees generally

(2) [ ] Describe: ________________________________________________

(e)
[X] Instead of age 21, the LTPT Minimum Age is (select one):

(1) [ ] Waived

(2) [X] The same minimum age that applies to Regular Participants

(3) [ ] Age __________________(Cannot exceed age 21)

2.9.
Article 9 – QACA Maximum Automatic Deferrals. In the absence of an election below, Article 9 does NOT apply and automatic deferrals under a QACA shall not exceed 10% of a Participant's Compensation. To permit automatic deferrals of up to 15% of compensation, complete (a) and (b) below.
(a)
[ ] Article 9 applies effective on or after the first day of the first plan year beginning after December 31, 2019, unless a different date is selected in (1) below.

(1) [ ] ______________. (Enter date on or after the first day of the first plan year beginning after December 31, 2019.)

 

 

 

194761-01 (effective August 1, 2023)

© 2022 Empower Retirement, LLC or its suppliers

 

 

 

3

 

 


 

(b)
[ ] The following modified QACA statutory schedule will apply (the limitations in the parentheses below only apply to QACAs). (Select and complete one of (1), (2), or (3) below. The resulting schedule must satisfy Code §401(k)(13)(C)(iii)):

(1) [ ] Detailed Schedule: The following modified QACA statutory schedule will apply. NOTE: Plan Years 1 & 2 must be between 3% and 10%. Plan Years 3 - 14 may not exceed 15%.

 

Plan Year of Application to a Participant

 

 

 

Automatic Deferral Percentage

 

 

 

 

1

 

 

 

% (not less than 3 and not more than 10)

2

 

 

 

% (not less than 3 and not more than 10)

3

 

 

 

% (not less than 4 and not more than 15)

4

 

 

 

% (not less than 5 and not more than 15)

5

 

 

 

% (not less than 6 and not more than 15)

6

 

 

 

% (not less than 6 and not more than 15)

7

 

 

 

% (not less than 6 and not more than 15)

8

 

 

 

% (not less than 6 and not more than 15)

9

 

 

 

% (not less than 6 and not more than 15)

10

 

 

 

% (not less than 6 and not more than 15)

11

 

 

 

% (not less than 6 and not more than 15)

12

 

 

 

% (not less than 6 and not more than 15)

13

 

 

 

% (not less than 6 and not more than 15)

14 and thereafter

 

 

 

% (not less than 6 and not more than 15)

 

(2)
[ ] Fixed Increase.
(a)
First plan year of application to a participant: _____________% (not less than 3 and not more than 10)
(b)
Second plan year of application to a participant: ______________% (not less than 3 and not more than 10)
(c)
In subsequent plan years the automatic deferral percentage will increase by _______________% per year up to a maximum of _______________% (not more than 15) of Compensation

 

(3)
[ ] Describe:______________________________
2.10.
Article 10 – In-Service Distributions. In the absence of an election below, Article 10 does NOT apply. To permit in-service distributions at age 59 1/2 for pension plans, check (a). Check (b) to specify an age greater than 59 1/2. If Article 10 applies, it applies to all Accounts except as limited in Article 10.
(a)
[ ] Article 10 applies effective on or after the first day of the first plan year beginning after December 31, 2019, unless a different date is selected in (1) below.

(1) [ ] _______________. (Enter date on or after the first day of the first plan year beginning after December 31, 2019.)

(b)
[ ] Age at which in-service distributions are permitted __________(Enter age greater than 59 1/2.) This provision applies effective on or after the first day of the first plan year beginning after December 31, 2019, unless a different date is selected in (1) below.

(1) [ ] ___________________(Enter date on or after the first day of the first plan year beginning after December 31, 2019.)

ARTICLE 3

ADP SAFE HARBOR NONELECTIVE PLANS – SECURE §103

3.1.
Application. This Article 3 will apply only if the Plan is a 401(k) Plan. It is effective for Plan Years beginning after December 31, 2019.
3.2.
No need for safe harbor notice. If the Employer makes a Safe Harbor Nonelective Contribution, then the Plan can use the ADP Safe Harbor, whether or not Participants receive a Safe Harbor Notice, and the Plan Administrator is not required to provide a Safe Harbor Notice. However, the Plan is required to provide a Safe Harbor Notice if the plan utilizes the ACP safe harbor described in Code §401(m)(11) or (12), unless the plan is a QACA.
3.3.
Retroactive adoption. Unless the Plan at any time during the Plan Year is a Safe Harbor Match Plan, then the Employer may amend the Plan at any time within twelve months after the end of the Plan Year to provide (A) that the Employer will make a Safe Harbor Nonelective Contribution for the entire Plan Year, (B) that the Plan qualifies for the ADP Safe Harbor for the Plan Year, and (C) that the Plan will not be required to perform the ADP Test for the Plan Year. However, if the Employer adopts the amendment on or after the 30th day before the close of the Plan Year, the Safe Harbor Nonelective Contribution must be at least 4% of the Participant's Compensation.

 

 

 

194761-01 (effective August 1, 2023)

© 2022 Empower Retirement, LLC or its suppliers

 

 

 

4

 

 


 

3.4.
Definitions. The following terms have the meaning set forth in this paragraph as more fully provided in the plan terms pertaining to the related subject matter.
(a)
A "Safe Harbor Nonelective Contribution" means a contribution described in Code §401(k)(12)(C) or Code §401(k)(13)(D)(i)(II) of at least 3% of Compensation.
(b)
The "ADP Test" means the test provided in Code §401(k)(3)(ii).
(c)
The "ADP Safe Harbor" means the safe harbor provided by Code §401(k)(12)(A) or Code §401(k)(13).
(d)
A "Safe Harbor Match Plan" is a Plan which provided during the Plan Year that Participants would receive a matching contribution described in Treas. Reg. §1.401(k)-3(c) or Treas. Reg. §1.401(k)-3(k)(2).
(e)
A "Safe Harbor Notice" is a notice described in Code §401(k)(12)(D) or Code §401(k)(13)(E).
(f)
A "QACA" is a Qualified Automatic Contribution Arrangement described in Code §401(k)(13).

ARTICLE 4

BIRTH/ADOPTION DISTRIBUTIONS – SECURE Act §113

4.1.
Application. This Article 4 will apply only if the Employer elects in Section 2.4(a) for this Article 4 to apply, effective on the date specified in Section 2.4(a).
4.2.
Distribution Authorized. Except as limited by Section 2.4 (b), (c), (e), a Participant may request a distribution of up to $5,000 (per child or Eligible Adoptee) as a QBAD. The Participant may request the distribution whether or not the Participant has severed employment unless Section 2.4(d) is selected. This $5,000 limit shall be reduced by QBADs to the Participant made with respect to the same child or Eligible Adoptee by other plans maintained by the Employer or a related employer described in Code §414(b), (c), (m), or (o). However, if the Plan is a Money Purchase Pension Plan (or the account from which the distribution is withdrawn was transferred from a Money Purchase Pension Plan), and the Participant has not separated from service, the Participant may not take a QBAD prior to attaining the earlier of Normal Retirement Age or age 59 1/2. The Plan Administrator may adopt a policy imposing frequency limitations or other reasonable administrative conditions for QBADs.
4.3.
Definitions. The following definitions apply for this Article 4 and Section 2.4:
(a)
A "QBAD" is a Qualified Birth or Adoption Distribution described in Code §72(t)(2)(H)(iii). A QBAD must be made during the 1-year period beginning on the date on which a child of the Participant is born or on which the legal adoption of an Eligible Adoptee by the Participant is finalized.
(b)
An "Eligible Adoptee" is an individual, other than a child of the Participant's spouse, who has not attained age 18 or is physically or mentally incapable of self-support. An individual is considered physically or mentally incapable of self-support if that individual is unable to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment that can be expected to result in death or to be of long-continued and indefinite duration. This provision shall be applied in a manner consistent with Part D of IRS Notice 2020-68.
4.4.
Rollover. A Participant who received one or more QBADs from this Plan may, if the Plan then permits the Participant to make rollover contributions, make one or more contributions in an aggregate amount not to exceed the amount of such QBADs. The Plan will treat such a contribution as a rollover contribution made by direct trustee-to-trustee transfer within 60 days of distribution.
4.5.
Reliance. The Plan Administrator may rely on an individual's reasonable representation that the individual is eligible to receive a QBAD unless the Plan Administrator has actual knowledge to the contrary.
4.6.
Status. A QBAD is not an eligible rollover distribution for purpose of the obligation to permit a direct rollover under Code §401(a)(31), the notice requirement of Code §402(f), or the mandatory withholding rules of Code §3405(c)(1).

ARTICLE 5

REQUIRED BEGINNING DATE – SECURE Act §114

5.1.
Application. This Article 5 will apply to all plans, regardless of type. It is effective with regard to RMDs required to be made after December 31, 2019.
5.2.
Delay of Required Beginning Date. An Affected Participant's RBD shall not be earlier than April 1 of the calendar year following the year the Affected Participant attains age 72. For purposes of determining an Affected Participant's RBD, an Affected Participant will be treated as a more than 5% owner if the Participant was a 5-percent owner (as defined in Code §416(i)(1)(B)) as to the Plan Year ending in the calendar year the Participant attains age 72.
5.3.
Spousal Distributions. If an Affected Participant dies prior to the Participant's RBD, and the Participant's sole Designated Beneficiary is the Participant's surviving spouse, then the RMDs to the surviving spouse will begin by December 31 of the calendar year immediately following the calendar year in which the Participant died, or by December 31 of the calendar year in which the Participant would have

 

 

 

194761-01 (effective August 1, 2023)

© 2022 Empower Retirement, LLC or its suppliers

 

 

 

5

 

 


 

attained age 72, if later. However, this Section will apply only if the Plan, prior to this Amendment, permitted a surviving spouse to delay RMD distributions to December 31 of the calendar year in which the Participant would have attained age 70 1/2.
5.4.
Definitions. The following definitions apply for this Article 5 and Section 2.5:
(a)
A Participant is an "Affected Participant" if the Participant was born after June 30, 1949.
(b)
An "RMD" is a Required Minimum Distribution as described in Code §401(a)(9).
(c)
A Participant's "RBD" is the Participant's Required Beginning Date as described in Code §401(a)(9)(C), as amplified by Section 5.2.
5.5.
Optional Distribution Timing. If the Employer elects in Section 2.5(a) for this Section 5.5 to apply, the timing and form of distributions to an Affected Participant will be determined as though this Article 5 had not been adopted. Distributions pursuant to this paragraph, which are not RMDs, will be treated as eligible rollover distributions for purposes of the direct rollover provisions of Code §401(a)(31). This Section 5.5 will no longer be effective for distributions after December 31, 2021, or, if earlier, the date specified in Section 2.5(a)(2).

ARTICLE 6

BENEFICIARY RMDS – SECURE Act §401

6.1.
Application. This Article 6 will apply to all plans. This Article will not apply to qualified annuities described in SECURE Act §401(b)(4)(B).
6.2.
Effective Date. Except as provided in Section 6.4, Article 6 will apply to Participants who die on or after the Effective Date of this Article. Generally, the Effective Date of this Article is January 1, 2020. The Effective Date of this Article 6 in the case of a collectively-bargained plan will be the date determined in SECURE Act §401(b)(2). See Section 6.5 regarding the limited application of this Article to certain accounts of Participants who died before the Effective Date of this Article.
6.3.
Death before RBD. If the Participant dies before the Participant's RBD, the Plan will distribute or commence distribution of the Participant's Vested Accrued Benefit not later than as follows:
(a)
No Designated Beneficiary. If there is no Designated Beneficiary as of September 30 of the year following the calendar year of the Participant's death, the Beneficiary's entire interest will be distributed under the 5-Year Rule.
(b)
Eligible Designated Beneficiary. If the distributee of a Participant's account is an Eligible Designated Beneficiary, the Beneficiary's entire interest will be distributed under the Life Expectancy Rule unless the 10-Year Rule applies. The Employer may elect application of the Life Expectancy rule or the 10-Year Rule in Section 2.6. In the absence of an election in Section 2.6, the Plan's provisions with regard to election of the 5-Year Rule will apply, substituting the 10-Year Rule for the 5-Year Rule. A permitted Beneficiary election must be made no later than the earlier of December 31 of the calendar year in which distribution would be required to begin under the Life Expectancy Rule, or by December 31 of the calendar year which contains the tenth anniversary of the Participant's (or, if applicable, surviving spouse's) death.
(c)
Other Designated Beneficiaries. If the distributee of the Participant's account is a Designated Beneficiary who is not an Eligible Designated Beneficiary, then the Beneficiary's entire interest will be distributed under the 10-Year Rule.
(d)
10-Year Rule. If distribution of a deceased Participant's account thereof is subject to the "10-Year Rule," then the Plan will distribute the account in full no later than December 31 of the tenth year following the year of the Participant's death. No RMDs are required to be distributed from the account prior to that date.
6.4.
Death after RBD. If the Participant dies on or after the Participant's RBD, the Participant's remaining interest will be distributed at least as rapidly as under the method of distribution being used as of the date of the participant's death, using the Life Expectancy Rule, as, and to the extent, provided by applicable guidance. If the Beneficiary is a Designated Beneficiary that is not an Eligible Designated Beneficiary, the Plan will distribute the remaining account in full no later than December 31 of the tenth year following the year of the Participant's death.
6.5.
Beneficiary Death. If an Eligible Designated Beneficiary receiving distributions under the Life Expectancy Rule dies before receiving distribution of the Beneficiary's entire interest in the Participant's account, the Plan will distribute that interest in full no later than December 31 of the 10th year following the year of the Eligible Designated Beneficiary's death. Similarly, if a Participant died before the Effective Date of this Article 6, and the beneficiary died after such Effective Date, but prior to receiving full distribution of the beneficiary's interest, the Plan will distribute that interest in full no later than December 31 of the tenth year following the year of the beneficiary's death.
6.6.
Age of Majority. If a child of the Participant was receiving distributions under the Life Expectancy rule, when the child reaches the age of Majority, the Plan will distribute the child's account in full no later than 10 years after that date, provided the child is not otherwise an Eligible Designated Beneficiary, such as a disabled or chronically ill individual.

 

 

 

194761-01 (effective August 1, 2023)

© 2022 Empower Retirement, LLC or its suppliers

 

 

 

6

 

 


 

6.7.
Definitions; operating rules. The following definitions and operating rules apply for this Article 6 and Section 2.6:
(a)
An "RMD" is a Required Minimum Distribution as described in Code §401(a)(9).
(b)
A Participant's "RBD" is the Participant's Required Beginning Date as described in Code §401(a)(9)(C) and the Plan. Also see Section 5.2.
(c)
A distributee of a Participant's account is a "Designated Beneficiary" if the distributee is an individual or trust who is a beneficiary of the account (whether pursuant to a designation by the Participant or application of the Plan terms) and who is a designated beneficiary under Code §401(a)(9) and Treas. Reg. §1.401(a)(9)-4, Q&As-4 and -5.
(d)
An individual is an "Eligible Designated Beneficiary" of a Participant if the individual qualifies as a Designated Beneficiary and is (1) the Participant's spouse, (2) the Participant's child who has not reached the age of Majority, (3) an individual not more than 10 years younger than the Participant, (4) a disabled individual, as defined in Code §72(m)(7), or (5) an individual who has been certified to be chronically ill (as defined in Code §7702B(c)(2)) for a reasonably lengthy period, or indefinitely. Certain trusts may be treated as Eligible Designated Beneficiaries pursuant to Code §401(a)(9)(H)(iv) and (v).
(e)
Whether a child has reached the age of "Majority" is determined under Code §401(a)(9)(F) and applicable regulations and guidance issued thereunder.
(f)
The "Life Expectancy Rule" for distributing RMDs is described in Code §401(a)(9)(B)(iii) and is further described in the Plan.
(g)
The "5-Year Rule" for distributing RMDs is described in Code §401(a)(9)(B)(ii) and is further described in the Plan.
(h)
The "10-Year Rule" is described in Section 6.3(d).
(i)
Shorter period. Section 2.6(e) may specify a shorter period to be used in place of the tenth year after the death of a Participant or Beneficiary.
(j)
Separate share rule. All references in this Article to a Participant's Account and a Beneficiary's interest in that account will be applied separately to each separate account determined under Treas. Reg. §1.401(a)(9)-8, Q&A 2 and 3, and Code §401(a)(9)(H)(iv).

ARTICLE 7

EXTENSION OF 5-YEAR RULE FOR RMDS – CARES §2203

7.1.
Application. This Article 7 does not apply if the Employer has selected Section 2.7(b); otherwise, it is effective January 1, 2020.
7.2.
Waiver; default provision. The beneficiary of an Applicable Participant Account will have the option to extend the deadline to distribute the account for one year. The default in the absence of a beneficiary election will be to extend the distribution, unless the Employer elects in Section 2.7(a) for the default to be not to extend unless the beneficiary requests it.
7.3.
Definitions. The following definitions apply for this Article 7 and Section 2.7:
(a)
"RMDs" means required minimum distributions described in Code §401(a)(9).
(b)
The "5-Year Rule" for distributing RMDs is described in Code §401(a)(9)(B)(ii) and is further described in the Plan.
(c)
"Applicable Participant Account" means the remaining account of a Participant who died during the years 2015-2019, to the extent the account is subject to the 5-Year Rule.

ARTICLE 8

LONG-TERM PART-TIME EMPLOYEES – SECURE §112

8.1.
Application. This Article 8 will apply only if the Plan is a 401(k) Plan that permits elective deferrals. It is effective for Plan Years beginning after December 31, 2020.
8.2.
LTPT Employee Deferrals. An LTPT Employee will be eligible to make Elective Deferrals to the Plan. An LTPT Employee enters the Elective Deferral portion of the Plan on the Employee's LTPT Entry Date if the Employee is still an LTPT Employee on that Entry Date. The provisions of the Plan relating to rehired employees, breaks in service, and change in status will apply to LTPT Employees.
8.3.
Limited Participation. An LTPT Employee who is eligible to make Elective Deferrals under Section 8.2 will be a Participant solely with regard to Elective Deferrals and related Account Balances. Except as otherwise provided in Section 2.8(a), an LTPT Employee will not be eligible (1) to receive any employer contributions, including top-heavy minimum allocations and safe harbor contributions, (2) to make after-tax Employee voluntary contributions, (3) to make rollover contributions (unless otherwise permitted under the Plan's administrative policies related to rollover contributions), or (4) to make deemed IRA contributions described in Code §408(q).
8.4.
Satisfaction of Eligibility Conditions. If and when an LTPT Employee becomes a Regular Participant, the individual will no longer be an LTPT Employee, but will instead participate in the Plan in the same manner as other Regular Participants, except as provided in Section 8.5.

 

 

 

194761-01 (effective August 1, 2023)

© 2022 Empower Retirement, LLC or its suppliers

 

 

 

7

 

 


 

8.5.
Vesting. For purposes of applying any vesting schedule in the Plan applicable to Employer contributions other than elective deferrals, an LTPT Employee or a Regular Participant who was previously an LTPT Employee (1) will be credited with a Year of Service for each vesting computation period during which the Employee was credited with more than 500 Hours of Service (or such lower requirement as may apply to Regular Participants) in such period, and (2) will not be credited with a break in service for any vesting computation period unless the Employee has no more than 500 Hours of Service in such period. The Plan Administrator may optionally apply any simplified method of determining years of service under this Section announced by the IRS.
8.6.
Testing. Pursuant to Code §401(k)(15)(i)(II), the Plan Administrator may elect to exclude LTPT Employees from coverage testing under Code §410(b), the ADP test of Code §401(k)(3), the ACP test of Code §401(m)(2), and other nondiscrimination testing under Code §401(a)(4).
8.7.
Application of Elective Deferral Provisions. Except as otherwise provided in Section 2.8(b), all provisions of the Plan related to Elective Deferrals which apply to Regular Participants also apply to LTPT Employees who are eligible to defer, including as applicable (1) eligibility to make Roth deferrals, (2) automatic enrollment provisions, (3) automatic escalation provisions.
8.8.
Definitions. The following definitions apply for this Article 8 and Section 2.8:
(a)
An "LTPT Employee" means a long-term part-time employee described in Code §§401(k)(2)(D) and 401(k)(15). Specifically, an LTPT Employee is an Employee, other than an LTPT Excluded Employee, who has not entered the Plan as a Regular Participant, but who is credited with at least three (3) consecutive Eligibility Computation Periods beginning after December 31, 2020 with at least 500 Hours of Service in each and who has attained the LTPT Minimum Age.
(b)
With regard to an LTPT Employee, the "LTPT Entry Date," unless otherwise specified in Section 2.8(c), is the earlier of the first day of the first month or the seventh month of the Plan Year immediately following or coincident with the date an Employee becomes an LTPT Employee. In no event will the LTPT Entry Date exceed the maximum delay in participation specified in Code §410(a)(4).
(c)
An "LTPT Excluded Employee" refers to a Union Employee or a Nonresident Alien and those individuals described in Section 2.8(d). However, in no event will an Employee be an LTPT Excluded Employee merely because the Employee failed to satisfy a service condition, or is a part-time, seasonal, or temporary employee. In no event will an Employee be an LTPT Excluded Employee to the extent such an exclusion is not permitted under applicable IRS guidance.
(d)
The "LTPT Minimum Age" is 21 unless Section 2.8(e) specifies a different age (or waives the LTPT Minimum Age). The LTPT Minimum Age shall not exceed 21.
(e)
An Employee is a "Regular Participant" if the Employee has satisfied all conditions to enter the Plan (or any portion thereof) determined without regard to this Article 8, including those relating to the Employee's entry date. An LTPT Employee becomes a Regular Participant on such entry date.
(f)
A "Union Employee" is an employee described in Code §410(b)(3)(A).
(g)
A "Nonresident Alien" is an employee described in Code §410(b)(3)(C).

ARTICLE 9

QACA MAXIMUM AUTOMATIC DEFERRAL – SECURE §102

9.1.
Application. This Article 9 will apply only if the Plan is a 401(k) Plan and the Employer elects in Section 2.9 for this Article 9 to apply, effective on the date specified in Section 2.9(a).
9.2.
Higher Maximum Contribution. If the Plan includes a QACA, then the automatic deferral percentage which applies to a Participant (referred to as the "qualified percentage" in Treas. Reg. §1.401(k)-12(j)(2)) shall not exceed 10% of the Participant's Compensation during the Initial Period and shall not exceed 15% of the Participant's Compensation after the Initial Period.
9.3.
Validation; Policy. If the Employer amends or has amended the plan (effective for a Plan Year beginning on or after the effective date specified in Section 2.9) to provide for an automatic deferral percentage which does not exceed the limitations of Section 9.2, the amendment is valid notwithstanding any limitations contained in any provision of the Plan which would limit the automatic deferral percentage to 10%. The Plan Administrator may adopt a reasonable, uniform policy in applying the increased limit provided by this Article 9 to QACA automatic escalation provisions in effect prior to the effective date of the Article.
9.4.
Definitions. The following definitions apply for this Article 9 and Section 2.9:
(a)
"QACA" means a Qualified Automatic Contribution Arrangement described in Code §401(k)(13).
(b)
The "Initial Period" for a Participant begins when the Participant first has contributions made pursuant to a default election under the QACA for a Plan Year and ends on the last day of the following Plan Year.

 

 

 

194761-01 (effective August 1, 2023)

© 2022 Empower Retirement, LLC or its suppliers

 

 

 

8

 

 


 

ARTICLE 10

IN-SERVICE PENSION DISTRIBUTIONS – BAMA §104

10.1.
Application. This Article 10 will apply only if the Plan is a Money Purchase Pension Plan or, as described in Section 10.3, a 401(k) or Profit-Sharing Plan, and the Employer elects in Section 2.10 for this Article 10 to apply, effective on the date specified in Section 2.10(a).
10.2.
Distribution at 59 1/2. A Participant can take an in-service distribution at age 59 1/2, or, if later, the age (if any) specified in Section 2.10(b). Such a distribution will be limited to the vested portion of the Participant's accrued benefit or account and will be subject to all Plan provisions related to in-service distributions.
10.3.
Limited application to Profit-Sharing Plans. If the Employer elects in Section 2.10 for this Article 10 to apply, this Article 10 will apply to an account in a 401(k) Plan or a Profit-Sharing Plan which holds assets transferred from a Money Purchase Pension Plan or a Defined Benefit Plan.

ARTICLE 11

DISTRIBUTIONS OF DISCONTINUED LIFETIME INCOME INVESTMENTS – SECURE §109

11.1.
Application. This Article 11 is effective for Plan Years beginning after December 31, 2019.
11.2.
Distributions authorized. The Plan Administrator may authorize Participants to request, and as soon as practical after a Participant makes the request, the Plan will make a distribution of a Discontinued Lifetime Income Investment. Distribution under this Article is limited to the 90-day period prior to the date on which the Lifetime Income Investment is no longer authorized to be held as an investment option under the Plan. Such distribution will be in the form of a Qualified Distribution, or in the form of a Qualified Plan Distribution Annuity Contract, as determined by the Plan Administrator. The Plan Administrator will administer this section in a reasonable, nondiscriminatory manner, and may authorize distributions of some Discontinued Lifetime Income Investments and not others.
11.3.
Definitions. The terms "Lifetime Income Investment," "Qualified Distribution" and "Qualified Plan Distribution Annuity Contract" have the meanings set forth in Code §401(a)(38)(B). A "Discontinued Lifetime Income Investment" is a Lifetime Income Investment which will no longer be authorized to be held as an investment option under the Plan.

 

ARTICLE 12

UPDATED LIFE EXPECTANCY TABLES – TREAS. REG. §1.401(a)(9)-9

12.1.
Application. This Article 12 will apply to all plans and is effective for distribution calendar years beginning on or after January 1, 2022.
12.2.
New RMD Tables. Any Plan reference to the life expectancy tables detailed in Treas. Reg. §1.401(a)(9), such as the Uniform Life Table, the Single Life Table, or the Joint and Last Survivor Table, refers to these tables as published in Treas. Reg. §1.401(a)(9)-9 from time to time, and is subject to adjustment as described in Treas. Reg. §1.401(a)(9)-9(f).

 

ARTICLE 13

ADOPTION OF PLAN AFTER YEAR END – SECURE §201

13.1.
Application. This Article 13 is effective for Plan Years beginning after December 31, 2019.
13.2.
Retroactive Plan Adoption. If the Employer adopted the underlying Plan to which this Amendment relates after the close of a taxable year, but prior to the due date (including extensions) of the Employer's federal income tax return for that taxable year, the Plan is treated as having been adopted as of the last day of the taxable year if the Plan's initial effective date is any date within that taxable year. However, no Participant may make elective deferrals to the Plan prior to the date it was adopted.

ARTICLE 14

DIFFICULTY OF CARE PAYMENTS – SECURE §116

14.1.
Application. This Article 14 is effective for Plan Years beginning after December 31, 2015.
14.2.
Inclusion in 415 Compensation. The amount of a Participant's Compensation for purposes of determining the annual addition limit under Code §415(c)(1)(B) is increased by the amount of Difficulty of Care Payments the Employer makes to the Participant.
14.3.
Definition. A "Difficulty of Care Payment" is a payment described in Code §131(c)(1) made in connection with qualified foster individuals.

 

 

 

 

194761-01 (effective August 1, 2023)

© 2022 Empower Retirement, LLC or its suppliers

 

 

 

9

 

 


 

ARTICLE 15 RESERVED

ARTICLE 16

REPEAL OF DEEMED IRA MAXIMUM AGE – SECURE §107

16.1.
Application. This Article 16 will apply only if the Plan permits deemed IRA contributions (sometimes called "designated IRA" contributions) described in Code §408(q). It is effective January 1, 2020.
16.2.
No Maximum Age. To the extent the Plan otherwise permits a Participant to make deemed IRA contributions, the Participant may make such contributions regardless of whether the Participant has attained age 70 1/2 or any other age.

 

Except with respect to any election made by the employer in Article 2, this Amendment is hereby adopted by the prototype sponsor/volume submitter practitioner on behalf of all adopting employers.

 

Signature and date on file

 

 

 

 

 

(signature and date)

 

 

 

 

 

 

 

 

 

Sponsor/Practitioner Name:

 

Empower Retirement, LLC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE: The Employer only needs to execute this Amendment if the Employer has made different selections from the Document Provider's selections.

 

This Amendment has been executed this  day of , .

 

 

 

 

 

 

 

 

Name of Plan:

 

WesBanco, Inc. 401(k) Plan

 

 

 

 

 

 

Name of Employer:

 

WesBanco, Inc.

 

 

 

 

 

By:

 

 

 

 

 

EMPLOYER

 

 

 

 

 

 

194761-01 (effective August 1, 2023)

© 2022 Empower Retirement, LLC or its suppliers

 

 

 

10