Exhibit 4.4
NON-STANDARDIZED PROFIT SHARING/THRIFT PLAN WITH 401(k) FEATURE
ADOPTION AGREEMENT NUMBER 001-03
This Adoption Agreement, when executed by the Employer and accepted by the
Plan Administrator, and the Trustee, if applicable, and accepted by
Connecticut General Life Insurance Company, establishes the Employer's Plan
and Trust, if applicable, for the benefit of its eligible Employees and their
Beneficiaries. The terms of the Connecticut General Life Insurance Company
Defined Contribution Plan are expressly incorporated therein and shall form a
part hereof as fully as if set forth herein except that if more than one
election is provided, only that election made by the Employer shall be so
incorporated. The terms of the Plan so incorporated together with the terms
of this Adoption Agreement shall constitute the sole terms of the Employer's
Plan and Trust, if applicable, and no further trust instrument of any nature
whatsoever shall be required. The Employer's participation under the Plan
shall be subject to all the terms set forth therein and in this Adoption
Agreement.
NOTE: SECTION 414(d) GOVERNMENTAL PLANS AND SECTION 414(e) NONELECTING
CHURCH PLANS THAT DO NOT WISH TO PROVIDE ERISA-REQUIRED BENEFITS SHOULD NOT
ADOPT THIS DOCUMENT.
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Plan Document GENERAL INFORMATION
Section
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Legal Name of Employer: NAVIGANT INTERNATIONAL, INC.
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Address: 00 XXXXXXXXX XXXXXX XXXX
Xxxx: ENGLEWOOD State: CO Zip: 80112-5314
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Plan Name: NAVIGANT INTERNATIONAL 401(k) PLAN
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Plan Number: 001
TO BE ASSIGNED BY THE EMPLOYER. FOR EXAMPLE: 001, 002, AND SO ON.
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Employer's EIN: 00-0000000
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Classification of Business:
/X/ C Corporation / / S Corporation / / Partnership
/ / Sole Proprietorship / / Tax-Exempt/Nonprofit Organization
/ / Other:
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- 1 -
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Plan Document GENERAL INFORMATION
Section
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Employer Tax Status:
Tax Year Ends (MM/DD): LAST SATURDAY IN APRIL
Tax Basis: /X/ Cash / / Accrual
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1.20 Effective Date
The adoption of the CONNECTICUT GENERAL LIFE INSURANCE COMPANY Non-Standardized Profit
Sharing/Thrift Plan with 401(k) Feature shall:
/X/ A. Establish a new Plan effective as of (MM/DD/YY): June 10, 1998
/ / B. Constitute an amendment and restatement in its entirety of a previously established
Qualified Plan of the Employer which was effective (hereinafter called
the "Effective Date"). The effective date of this amendment and restatement
is .
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Merger Data
This Plan includes funds from a prior or coincidental merger of a:
/ / A. Money Purchase Plan
/ / B. Target Benefit Plan
/X/ C. Not Applicable
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Sponsoring Organization:
Connecticut General Life Insurance Company
X.X. Xxx 0000
Xxxxxxxx, XX 00000
000-000-0000
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TABLE OF CONTENTS
ARTICLE PAGE
I. Nontrusteed, Trust, and Trustee................................ 4
II. Plan Administrator............................................. 4
III. Plan Year...................................................... 5
IV. Compensation................................................... 6
V. Highly Compensated Employee.................................... 7
VI. Service........................................................ 8
VII. Eligibility Requirements....................................... 10
VIII. Entry Date..................................................... 13
IX. Vesting........................................................ 15
X. Contributions.................................................. 18
XI. Contribution Period............................................ 28
XII. Allocation of Contributions.................................... 29
XIII. Limitations on Allocations..................................... 31
XIV. Investment of Participant's Accounts........................... 32
XV. Life Insurance................................................. 32
XVI. Employer Stock................................................. 33
XVII. Withdrawals Preceding Termination.............................. 34
XVIII. Loans to Participants, Beneficiaries and Parties-in-Interest... 38
XIX. Retirement and Disability...................................... 39
XX. Distribution of Benefits....................................... 40
XXI. Qualified Preretirement Survivor Annuity....................... 41
XXII. Amendment of the Plan.......................................... 41
XXIII. Top-Heavy Provisions........................................... 42
XXIV. Other Adopting Employer........................................ 44
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PLAN DOCUMENT
SECTION I. NONTRUSTED, TRUST, AND TRUSTEE
- THE PLAN MUST HAVE A TRUSTEE IF THE EMPLOYER HAS ELECTED EMPLOYER STOCK,
LOANS, INVESTMENT IN LIFE INSURANCE, AND/OR ANY INVESTMENT OTHER THAN THROUGH
A CONTRACT WITH CONNECTICUT GENERAL LIFE INSURANCE COMPANY.
- IF THE PLAN IS TRUSTEED, THE EMPLOYEE MUST APPLY FOR A TRUST TAX
IDENTIFICATION NUMBER, UNLESS THE TRUST ALREADY HAS OBTAINED ONE, EVEN IF CG
TRUST COMPANY HAS BEEN APPOINTED AS THE PLAN'S TRUSTEE.
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The Plan is:
1.39 / / A. Nontrusteed.
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1.73, 1.74 / / B. Trusteed and Trustees are:
Trustee(s)
Name(s):
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Adress:
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City: St: Zip:
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Trust EIN:
-----------------------------------
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1.73, 1.74 /X/ C. Trusteed and CG Trust Company has been appointed as
the Plan's Trustee.
Trust
Name: CG Trust Company
Address: 000 Xxxx Xxxxxx Xx., Xxxxx 0000
Xxxxxxx, XX. 60661-3629
Employer's Trust EIN: TBD
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PLAN DOCUMENT
SECTION II. PLAN ADMINISTRATOR
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1.50 The Plan Administrator is:
Name: NAVIGANT INTERNATIONAL, INC.
Address: 00 XXXXXXXXX XXXXXX XXXX
Xxxx: ENGLEWOOD State: CO Zip: 80112
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PLAN DOCUMENT
SECTION III. PLAN YEAR
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1.51 A. The Plan Year will mean:
/X/ 1. The 12-consecutive-month period commencing on
(MM/DD/YY) January 1, 1998 and each anniversary
thereof except that the first plan year will commence
on (MM/DD/YY) June 10, 1998.
THIS ELECTION MAY BE MADE ONLY FOR NEW PLANS.
/ / 2. The 12-consecutive-month period commencing on
(MM/DD/YY) ___________ and each anniversary thereof.
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PLAN DOCUMENT
SECTION IV. COMPENSATION
- (i) ELECTION OF OPTIONS 1-6 BELOW DOES NOT REQUIRE A SEPARATE
NONDISCRIMINATION TEST.
- (ii) IF OPTION 1, 2, OR 3 IS ELECTED, YOU MUST ELECT THE SAME DEFINITION
OF COMPENSATION IN SECTION XIII, LIMITATAIONS ON ALLOCATIONS.
- (iii) OPTIONS 1-6 INCLUDE LUMP SUM AMOUNTS AND/OR CASH BONUSES. THESE
AMOUNTS ARE INCLUDED IN COMPENSATION IN THE YEAR IN WHICH PAID.
- (iv) OPTIONS 4-9 MAY NOT BE ELECTED BY A PLAN THAT USES AN INTEGRATED
ALLOCATION FORMULA.
- (v) THIS COMPENSATION DEFINITION IS FOR PURPOSES OF ALLOCATING
CONTRIBUTIONS UNDER THE PLAN. FOR NONDISCRIMINATION TESTING, THE
EMPLOYER MAY USE ANY DEFINITION OF COMPENSATION THAT IS BASED UPON
CODE SECTION 414(s) OR 415(c)(3). USE OF OPTIONS 7, 8, 0R 9 FOR
NONDISCRIMINATION TESTING REQUIRES THAT THE EMPLOYER SATISFY A
SEPARATE COMPENSATION NONDISCRIMINATION TEST.
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A. Indicate the number of the Compensation definition
that will be used for allocating each type of
contribution.
Elective Deferral Contriubutions: 1
------
Matching Contributions: 1
------
Nonelective Contributions: 1
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Employee Contributions:
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1.12 For purposes of allocating contributions, Compensation
means:
1.12(a) 1. Wages, Tips and Other Compensation Box on Form W-2.
1.12(b) 2. Section 3401(a) wages.
1.12(c) 3. 415 safe-harbor compensation.
1.12(d) 4. Modified Wages, Tips, and Other Compensation Box on
Form W-2.
1.12(e) 5. Modified section 3401(a) wages.
1.12(f) 6. Modified 415 safe-harbor compensation.
1.12(g) 7. Regular or base salary or wages.
1.12(h) 8. Regular or base salary or wages plus / / overtime
and/or / / bonuses.
1.12(i) 9. A "reasonable alternative definition of
Compensation," as that term is used under Code
section 414(s)(3) and the regulations thereunder.
the definition of Compensation is: ________________
___________________________________________________
___________________________________________________
- LUMP SUM AMOUNTS AND/OR CASH BONUSES MAY BE
EXCLUDED ONLY IF SPECIFIED IN THIS DEFINITION. ALSO
SEE NOTE (v) ABOVE.
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PLAN
DOCUMENT
SECTION IV. COMPENSATION
1.12 B. Compensation shall be determined over the following
determination period:
/X/ 1. The Plan Year
/ / 2. At 12-consecutive-month period beginning on (MM/DD)
______ and ending with or within the Plan Year. For
Employees whose date of hire is less than 12 months
before the end of the designated 12-month period.
Compensation will be determined over the Plan Year.
/ / 3. The Plan Year. However, for the Plan Year in which an
Employee's participation begins, the applicable period
is the portion of the Plan Year during which the
Employee is eligible to participate in the Plan.
1.12 C. Compensation shall/shall not include Employer contributions
made pursuant to a salary reduction agreement, which are not
includable in the gross income of the Employee under Code
Section 125, 402(e)(3), 402(h)(1)(B) or 403(b).
/X/ Shall / / Shall Not
1.12 D. The highest annual Compensation to be used in determining
allocations to a Participant's Account shall be:
$_________
-- ENTER AN AMOUNT IF LESS THAN THE $150,000 (AS INDEXED)
LIMITATION ON COMPENSATION.
PLAN
DOCUMENT
SECTION V. HIGHLY COMPENSATED EMPLOYEE
1.29 A. Highly Compensated Employees shall be determined using:
1.29(a) /X/ 1. The Traditional Method.
1.29(b) / / 2. The Simplified Method for Employers in more than one
geographical area.
1.29(c) / / 3. The alternative Simplified Method.
1.29(d) / / 4. The alternative Simplified Method with Snapshot Day
basis.
The Snapshot Day is __________ (fill in).
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PLAN
DOCUMENT
SECTION V. HIGHLY COMPENSATED EMPLOYEE
1.29(a) B. If A.1. or A.2. is chosen above, the Look-Back Year shall be:
/ / 1. The 12-month period immediately preceding the
Determination Year.
/X/ 2. The calendar year ending with or within the
Determination Year.
-- IF B.2. IS SELECTED AND THE DETERMINATION YEAR (PLAN YEAR)
IS THE CALENDAR YEAR, THEN THE LOOK-BACK YEAR IS THE SAME
12-MONTH PERIOD AS THE DETERMINATION YEAR. THIS AVOIDS HAVING
TO LOOK BACK AT DATA FROM A PRIOR YEAR.
-- HOWEVER, IF THE DETERMINATION YEAR IS NOT THE CALENDAR
YEAR, THE DETERMINATION YEAR CALCULATION MUST BE MADE ON THE
BASIS OF A LAG PERIOD (THE PERIOD RUNNING FROM THE END OF THE
LOOK-BACK YEAR TO THE END OF THE DETERMINATION YEAR), WITH THE
APPLICABLE DOLLAR AMOUNTS ADJUSTED ON A PRO RATA BASIS FOR THE
NUMBER OF MONTHS IN THE LAG PERIOD.
PLAN
DOCUMENT
SECTION VI. SERVICE
-- CHECK OFF APPROPRIATE BASIS FOR DETERMINING SERVICE.
2A.3, A. Hours of Service or Elapsed Time
2A.9
1. Years of Service shall be determined on the following basis:
a. Eligibility: / / Hours of Service /X/ Elapsed Time
b. Vesting: /X/ Hours of Service / / Elapsed Time
c. Allocation of Contributions: /X/ Hours of Service / / Elapsed Time
2. If service is based on Hours of Service, Hours shall be
determined on the basis of:
/X/ a. Actual hours for which paid or entitled to payment.
/ / b. Days Worked (10 Hours of Service).
/ / c. Weeks Worked (45 Hours of Service).
/ / d. Semimonthly payroll periods (95 Hours of Service).
/ / e. Months Worked (190 Hours of Service).
-- FOR OPTIONS B, C, D, AND E: IF THE EMPLOYEE WOULD BE
CREDITED WITH 1 HOUR OF SERVICE DURING THE PERIOD, THE
EMPLOYEE SHALL BE CREDITED WITH THE NUMBER OF HOURS OF SERVICE
INDICATED IN PARENTHESES.
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PLAN
DOCUMENT
SECTION VI. SERVICE
B. Service with other employers.
1.24 1. Service with members of the Employer's controlled group of
corporations, affiliated service group, or group of
business under common control ("controlled group").
-- SERVICE FOR AN EMPLOYER WHILE THE EMPLOYER IS PART OF
THE CONTROLLED GROUP MUST BE TAKEN INTO ACCOUNT.
a. Service with a member of the controlled group prior to
it becoming part of the controlled group will be
included for all purposes.
/ / Yes /X/ No
2A.5 2. Service with a predecessor organization.
-- SERVICE WITH A PREDECESSOR ORGANIZATION OF THE EMPLOYER
MUST BE TAKEN INTO ACCOUNT IF THE EMPLOYER MAINTAINS THE
PLAN OF THE PREDECESSOR ORGANIZATION.
a. Service with a predecessor organization will be
included for all purposes even if the Employer does not
maintain the plan of the predecessor organization.
/ / Yes /X/ No
2A.5 3. Service with the following subsidiary(ies) or affiliated
organization, not related to the Employer under the rules
of Code sections 414(b), (c) or (m), shall be considered
Service for all purposes of this plan:
__________________________________________________________
__________________________________________________________
__________________________________________________________
-- SERVICE CREDITED UNDER 1.a, 2.a, AND 3 MUST APPLY TO ALL
SIMILARLY SITUATED EMPLOYEES, MUST BE CREDITED FOR A LEGITIMATE
BUSINESS REASON, AND MUST NOT BY DESIGN OR OPERATION DISCRIMINATE
SIGNIFICANTLY IN FAVOR OF HIGHLY COMPENSATED EMPLOYEES.
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Plan Document VII. ELIGIBILITY REQUIREMENTS
Section
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- CHECK OF FILL OUT APPROPRIATE REQUIREMENTS FOR EACH TYPE OF CONTRIBUTION IN THE PLAN
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2A.5(a), 2B.1 A. Eligibility Requirements.
1. If Employer is a Partnership or Sole Proprietorship: Self-Employed Individuals are
eligible to participate in the Plan.
/ / Yes / / No
2. Immediate Participation.
- NO AGE OR SERVICE REQUIREMENT.
/ / Elective Deferral Contributions
/ / Matching Contributions
/ / Nonelective Contributions
/ / Employee Contributions
3. Service Requirement.
- NOT TO EXCEED 1 YEAR IF GRADED VESTING; NOT TO EXCEED 2 YEARS IF 100% IMMEDIATE
VESTING. NOT TO EXCEED 1/2 YEAR IF GRADED VESTING OR 1 1/2 YEARS IF 100% IMMEDIATE
VESTING IF ANNUAL ENTRY DATE IS CHOSEN IN SECTION VIII "ENTRY DATE." NOT TO EXCEED 1
YEAR FOR ELECTIVE DEFERRAL CONTRIBUTIONS.
/X/ Elective Deferral Contributions: 1/2 (indicate number of years)
/X/ Matching Contributions: 1/2 (indicate number of years)
/X/ Nonelective Contributions: 1/2 (indicate number of years)
/ / Employee Contributions: _____ (indicate number of years)
- FILL IN THE BLANK(S) ABOVE WITH THE AMOUNT OF SERVICE REQUIRED. ANY SERVICE
REQUIREMENT NOT IN UNITS OF WHOLE YEARS REQUIRES SERVICE FOR ELIGIBILITY TO BE
DETERMINED BASED ON ELAPSED TIME (SEE SECTION VI.A.1.a).
4. Age Requirement.
- NOT GREATER THAN 21 YEARS. IF ANNUAL ENTRY DATE IS CHOSEN IN SECTION VIII "ENTRY
DATE," NOT GREATER THAN 20 1/2 YEARS.
/X/ Elective Deferral Contributions: 21 (indicate minimum age)
/X/ Matching Contributions: 21 (indicate minimum age)
/X/ Nonelective Contributions: 21 (indicate minimum age)
/ / Employee Contributions: _____ (indicate minimum age)
5. Employees who were employed on or before the initial Effective Date of the Plan or
the Effective Date of the amendment and restatement of the Plan, as indicated on
page 2, shall/shall not be immediately eligible without regard to any Age and/or
Service requirements specified in 2 or 3 above.
/ / Shall /X/ Shall Not
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10
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Plan Document VII. ELIGIBILITY REQUIREMENTS
Section
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2B.1 B. Job Class Requirements
An Employee must be a member of one or more of the following selected classifications:
1. No Job Class Requirements:
/X/ Elective Deferral Contributions
/X/ Matching Contributions
/X/ Nonelective Contributions
/ / Employee Contributions
2. Salaried:
/ / Elective Deferral Contributions
/ / Matching Contributions
/ / Nonelective Contributions
/ / Employee Contributions
3. Hourly:
/ / Elective Deferral Contributions
/ / Matching Contributions
/ / Nonelective Contributions
/ / Employee Contributions
4. Clerical:
/ / Elective Deferral Contributions
/ / Matching Contributions
/ / Nonelective Contributions
/ / Employee Contributions
5. Employees whose employment is government by a collective bargaining agreement
represented by the following union: _________
/ / Elective Deferral Contributions
/ / Matching Contributions
/ / Nonelective Contributions
/ / Employee Contributions
6. Other (fill in): __________
/ / Elective Deferral Contributions
/ / Matching Contributions
/ / Nonelective Contributions
/ / Employee Contributions
- "PART-TIME" EMPLOYEES MAY NOT BE EXCLUDED.
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11
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Plan Document VII. ELIGIBILITY REQUIREMENTS
Section
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2B.1 C. Additional Requirements
An Employee must be in the following designated division(s) of the Employer:
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/ / Elective Deferral Contributions
/ / Matching Contributions
/ / Nonelective Contributions
/ / Employee Contributions
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2B.1 D. An Employee must not be a member of any one of the following groups:
1. Union.
- EMPLOYEES WHO ARE MEMBERS OF A UNION ARE DEFINED AS: EMPLOYEES INCLUDED IN A UNIT
OF EMPLOYEES COVERED BY A COLLECTIVE BARGAINING AGREEMENT BETWEEN THE EMPLOYER AND
EMPLOYEE REPRESENTATIVES, IF RETIREMENT BENEFITS WERE THE SUBJECT OF GOOD FAITH
BARGAINING AND IF TWO PERCENT OR LESS OF THE EMPLOYEES OF THE EMPLOYER WHO ARE
COVERED PURSUANT TO THAT AGREEMENT ARE PROFESSIONAL EMPLOYEES AS DEFINED IN SECTION
1.410(b)-9 OF THE REGULATIONS. FOR THIS PURPOSE THE TERM "EMPLOYEE REPRESENTATIVES"
DOES NOT INCLUDE ANY ORGANIZATION MORE THAN HALF OF WHOSE MEMBERS ARE EMPLOYEES WHO
ARE OWNERS, OFFICERS, OR EXECUTIVES OF THE EMPLOYER, UNLESS THE COLLECTIVE BARGAINING
AGREEMENT PROVIDES FOR COVERAGE UNDER THE PLAN.
/X/ Elective Deferral Contributions
/X/ Matching Contributions
/X/ Nonelective Contributions
/ / Employee Contributions
2. Nonresident aliens (within the meaning of Code section 7701(b)(1)(B), who receive no
earned income (within the meaning of Code section 911(d)(2)) from the Employer that
constitutes income from sources within the United States (within the meaning of Code
section 861(a)(3)).
/X/ Elective Deferral Contributions
/X/ Matching Contributions
/X/ Nonelective Contributions
/ / Employee Contributions
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12
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Plan Document VII. ELIGIBILITY REQUIREMENTS
Section
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3. Employees covered by the following designated qualified employee benefit plans:
___________________________________________________
___________________________________________________
/ / Elective Deferral Contributions
/ / Matching Contributions
/ / Nonelective Contributions
/ / Employee Contributions
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1.15 E. The Plan covers Employees whose conditions of employment are mandated under the Xxxxx-Xxxxx Act.
/ / Yes /X/ No
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Plan Document VIII. ENTRY DATE
Section
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- CHECK THE APPROPRIATE REQUIREMENT FOR ENTRY DATE.
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1.25 A. Immediately.
/ / Elective Deferral Contributions
/ / Matching Contributions
/ / Nonelective Contributions
/ / Employee Contributions
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1.25 B. The first day of any month.
/ / Elective Deferral Contributions
/ / Matching Contributions
/ / Nonelective Contributions
/ / Employee Contributions
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1.25 C. Quarterly (that is, three months apart) on each:
(MM/DD) January 1, or (MM/DD) April 1, or
(MM/DD) July 1, or (MM/DD) October 1.
- FILL IN DATES.
/X/ Elective Deferral Contributions
/X/ Matching Contributions
/X/ Nonelective Contributions
/ / Employee Contributions
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13
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Plan Document VIII. ENTRY DATE
Section
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1.25 D. Semiannually (that is, six months apart) on each:
(MM/DD) _________, or (MM/DD) ___________
- FILL IN DATES.
/ / Elective Deferral Contributions
/ / Matching Contributions
/ / Nonelective Contributions
/ / Employee Contributions
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1.25 E. Annually, on each (MM/DD) ______________.
- FILL IN DATE.
/ / Elective Deferral Contributions
/ / Matching Contributions
/ / Nonelective Contributions
/ / Employee Contributions
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1.25 F. The first day nearest to the date(s) selected in B, C, D or E above, whether before or after that date,
that the Participant meets the Eligibility Requirements.
/ / Elective Deferral Contributions
/ / Matching Contributions
/ / Nonelective Contributions
/ / Employee Contributions
- ALLOWS RETROACTIVE ENTRY INTO THE PLAN. THIS MAY HAVE AN EFFECT ON VARIOUS NONDISCRIMINATION
TESTS FOR THE PLAN.
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14
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Plan Document IX. VESTING
Section
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1.76 A. Vesting Percentage
The Vesting Schedule, based on number of Years or Periods of Service, shall be as indicated below. Indicate
the number of the vesting schedule that applies to any Nonelective Contributions, Matching Contributions,
and Prior Employer Contributions. The vesting schedules are depicted in 1 through 8, below.
Nonelective Contributions are subject to vesting schedule: 8
Matching Contributions are subject to vesting schedule: 8
Prior Employer Contributions are subject to vesting schedule: ________
1. Immediately = 100%
2. 0-3 years = 0%
3 years = 100%
3. 1 Year = 20%
2 Years = 40%
3 Years = 60%
4 Years = 80%
5 Years = 100%
4. 0-3 Years = 0%
3 Years = 20%
4 Years = 40%
5 Years = 60%
6 Years = 80%
7 Years = 100%
5. 0-2 Years = 0%
2 Years = 20%
3 Years = 40%
4 Years = 60%
5 Years = 80%
6 Years = 100%
6. 0-5 Years = 0%
5 Years = 100%
7. 1 Year = 25%
2 Years = 50%
3 Years = 75%
4 Years = 100%
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15
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Plan Document IX. VESTING
Section
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8. Other. Must be at least as liberal as #4 or #6 above.
less than 2 years = 0%
2 but less than 3 years = 25%
3 but less than 4 years = 50%
4 but less than 5 years = 75%
more than 5 years = 100%
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2A.5(b) B. The vesting computation period shall be based on the Employee's service in the:
/X/ Plan Year / / Employment year
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2A.7, 2A.10 C. Excluded Years or Periods of Service.
The vesting percentage shall be based on all Years of Service (i.e., completing 1000
hours of Service) or Periods of Services (i.e., Elapsed Time), EXCEPT that the
following shall be excluded:
Years or Periods of Service:
/ / 1. Prior to the time the participant attained age 18.
/ / 2. During which the Employer did not maintain the plan or predecessor plan.
/ / 3. During which the Participant elected not to contribute to a plan which
required Employee Contributions.
/ / 4. Rule of Parity (Elapsed Time).
- RULE OF PARITY (ELAPSED TIME): IN THE EVENT A REEMPLOYED EMPLOYEE HAS NO
VESTED INTEREST IN EMPLOYER CONTRIBUTIONS AT THE TIME THE BREAK OCCURRED, AND
HAS SINCE INCURRED 5 CONSECUTIVE 1-YEAR BREAKS-IN-SERVICE, AND HAS A PERIOD OF
SEVERANCE WHICH EQUALS OR EXCEEDS HIS PRIOR PERIOD OF SERVICE, SUCH PRIOR
SERVICE MAY BE DISREGARDED.
/ / 5. Rule of Parity (Hours of Service).
- RULE OF PARITY (HOURS OF SERVICE): YEARS OF SERVICE PRIOR TO A
BREAK-IN-SERVICE MAY BE DISREGARDED IF THE PARTICIPANT HAD NO VESTED INTEREST
IN EMPLOYER CONTRIBUTIONS AT THE TIME THE BREAK OCCURRED, AND THE PARTICIPANT
HAS SINCE INCURRED 5 CONSECUTIVE 1-YEAR BREAKS-IN-SERVICE, AND THE NUMBER OF
CONSECUTIVE 1-YEAR BREAKS-IN-SERVICE IS AT LEAST AS GREAT AS THE YEARS OF
SERVICE BEFORE THE BREAK OCCURRED.
/ / 6. Prior to any 1-Year Break-in-Service until the Employee completes a Year of
Service following reemployment.
/X/ 7. None of the above.
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16
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Plan Document IX. VESTING
Section
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3D.1, 3D.2, D. Forfeitures.
2A.7, 2A.10
1. Forfeitures will occur:
/X/ a. Immediately.
/ / (1) Optional Payback Method.
/X/ (2) Required Payback Method.
/ / b. Upon a 1-Year Break-in-Service.
/ / (1) Optional Payback Method.
/ / (2) Required Payback Method.
/ / c. Upon 5 consecutive 1-Year Break-in-Service.
2. Forfeitures will be:
/X/ a. Used as an Employer Credit.
/ / b. Reallocated to Participants' Accounts.
/ / c. Used as an Employer Credit and then, to the extent any Forfeitures remain,
reallocated to Participants' Accounts.
- IF CHOICE IX.D.2.b OR c IS SELECTED AND THE PLAN PROVIDES MATCHING
CONTRIBUTIONS, THE ACTUAL CONTRIBUTION PERCENTAGE (ACP) TEST WILL BE AFFECTED.
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17
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Plan Document X. CONTRIBUTIONS
Section
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2C.1(k)(1) A. Elective Deferral Contributions
1. Availability/Amount
/ / Not Available under the Plan.
/X/ Available under the Plan (complete the following).
Each Participant MAY elect to have his Compensation actually paid during the Plan
Year reduced by:
/ / a. _____%
/ / b. up to _____%
/X/ c. from 1% to 15%
/ / d. up to the maximum percentage allowable, not to exceed the limits of Code
sections 402(g) and 415.
- LUMP SUM AMOUNTS AND/OR CASH BONUSES MUST BE SUBJECT TO THE SALARY DEFERRAL
ELECTION UNLESS THE DEFINITION OF COMPENSATION IN SECTION IV.A.9 HAS BEEN ELECTED
AND THESE AMOUNTS HAVE BEEN SPECIFICALLY EXCLUDED FROM THAT COMPENSATION
DEFINITION. LUMP SUM AMOUNTS AND CASH BONUSES ARE DEFERRED UPON AND TESTED IN THE
PLAN YEAR IN WHICH PAID.
2. Modification
A Participant may change the amount of Elective Deferral Contributions the
Participant makes to the Plan (complete a and b):
/X/ a. Four per calendar year (may not be less frequent than once)
/X/ b. As of the following date(s) (MM/DD):
on the first day of each calendar quarter.
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18
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Plan Document X. CONTRIBUTIONS
Section
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B. Required Employee Contributions
2C.1(k)(l) 1. Availability/Amount
/X/ Not Available under the Plan.
/ / Available under the Plan and must be made as a condition of receiving an
Employer Contribution.
- REQUIRED EMPLOYEE CONTRIBUTIONS ARE NOT AVAILABLE UNLESS ELECTIVE DEFERRAL CONTRIBUTIONS ARE AVAILABLE.
Required Contributions shall be in the amount of:
/ / a. _____% of Compensation actually paid during the Contribution Period.
2C.1(k)(l) / / b. Not less than ______% nor more than _____% of Compensation actually paid
during the Contribution Period.
2. Modification
A Participant may suspend Required Employee Contributions for a minimum period of:
/ / a. 1 month
/ / b. 2 months
/ / c. 3 months
- THE SUSPENSION PERIOD MAY BE OF INDEFINITE DURATION. A PARTICIPANT'S REENTRY INTO THE PLAN SHALL BE AS OF THE
FIRST ENTRY DATE FOLLOWING THE END OF THE SUSPENSION PERIOD.
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19
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Plan Document X. CONTRIBUTIONS
Section
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2C.1 C. Matching Contributions
Availability/Amount
/ / Not Available under the Plan.
/X/ Available under the Plan (elect one from option 1 and, if applicable, elect one from option 2).
1. / / a. Matching Contributions SHALL be based upon a percentage of Considered Net Profits.
/X/ b. Matching Contributions SHALL NOT be based upon a percentage of Considered Net Profits.
2. Partnership Plans.
/ / a. The Employer SHALL make Matching Contributions to Partners.
- MATCHING CONTRIBUTIONS TO PARTNERS ARE TREATED IN ALL RESPECTS AS ELECTIVE DEFERRAL
CONTRIBUTIONS.
/ / b. The Employer SHALL NOT make Matching Contributions to Partners.
For each $1.00 of either Elective Deferral Contributions or Required Employee Contributions, as selected
above, the Employer will contribute and allocate to each Participant's Matching Contribution Account
an amount equal to:
/ / 1. $______ (e.g., $.50).
/X/ 2. A discretionary percentage, to be determined by the Employer.
- IF OPTION 2 IS ELECTED, THE AMOUNT OF THE DISCRETIONARY PERCENTAGE SHOULD BE DETERMINED BY AN
ANNUAL BOARD OF DIRECTORS RESOLUTION SETTING THE PERCENTAGE.
/ / 3. Graded Match.
- IF A OR B IS ELECTED, THE MINIMUM AND MAXIMUM PERCENTAGES MUST BE WITHIN THE PARAMETERS OF THE
ELECTIVE DEFERRAL ELECTION IN SECTION X.A OR THE REQUIRED EMPLOYEE CONTRIBUTION ELECTION IN
SECTION X.B OF THIS ADOPTION AGREEMENT.
- PERCENTAGES FOR HIGHER AMOUNTS MUST BE LOWER THAN THE PERCENTAGES FOR LOWER AMOUNTS. FOR EXAMPLE:
100% OF THE FIRST $500, PLUS 75% OF THE NEXT $500, PLUS 50% OF THE NEXT $500.
/ / a. Graded based upon the dollar amount of each Participant's Elective Deferral Contributions
or Required Employee Contributions as follows:
_________% of the first $_____ plus
_________% of the first $_____ plus
_________% of the first $_____ plus
_________% of the next $_____
-------------------------------------------------------------------------------------------------------------
20
-------------------------------------------------------------------------------------------------------------
Plan Document X. CONTRIBUTIONS
Section
-------------------------------------------------------------------------------------------------------------
/ / b. Graded based upon the percentage of Compensation of each Participant's Elective Deferral
Contribution or Required Employee Contribution as follows:
_________% of the first $_____ plus
_________% of the next $_____ plus
_________% of the next $_____ plus
_________% of the next $_____ %.
- IF 3.a or b IS ELECTED, ADDITIONAL TESTING WILL BE REQUIRED TO PROVE THAT THE DIFFERENT
CONTRIBUTIONS ARE AVAILABLE ON A NONDISCRIMINATORY BASIS.
/ / 4. Separate specific dollar amounts for different employees (e.g., employees in different job
classifications):
- THIS OPTION IS AVAILABLE ONLY FOR PLANS COVERING EMPLOYEES WHOSE CONDITIONS OF EMPLOYMENT ARE
MANDATED UNDER THE XXXXX-XXXXX ACT.
$_________ (e.g., $.50) to employees in ________ (fill in)
$_________ (e.g., $.50) to employees in ________ (fill in)
$_________ (e.g., $.50) to employees in ________ (fill in)
$_________ (e.g., $.50) to employees in ________ (fill in)
$_________ (e.g., $.50) to employees in ________ (fill in)
Additional Formulas (fill in below):
- FORMULAS MUST BE THE SAME TYPE AS ABOVE.
______________________________________________________
______________________________________________________
______________________________________________________
- IF 4 IS SELECTED, ADDITIONAL TESTING WILL BE REQUIRED TO PROVE THAT THE DIFFERENT CONTRIBUTIONS ARE
AVAILABLE ON A NONDISCRIMINATORY BASIS.
-------------------------------------------------------------------------------------------------------------
21
-------------------------------------------------------------------------------------------------------------
Plan Document X. CONTRIBUTIONS
Section
-------------------------------------------------------------------------------------------------------------
/ / 5. Different graded matches for different employees (e.g., employees in different
job classifications, divisions, organizations, members of a controlled group of
corporations, etc.):
- THIS OPTION IS AVAILABLE ONLY FOR PLANS COVERING EMPLOYEES WHOSE CONDITIONS
OF EMPLOYMENT ARE MANDATED UNDER THE XXXXX-XXXXX ACT.
- PERCENTAGES FOR HIGHER AMOUNTS MUST BE LOWER THAN THE PERCENTAGES FOR LOWER
AMOUNTS. FOR EXAMPLE: 100% OF THE FIRST $500, PLUS 75% OF THE NEXT $500, PLUS
50% OF THE NEXT $500.
/ / a. Graded based upon the dollar amount of Elective Deferral Contributions
or Required Contributions of each Participant as follows:
Employees in _____ (fill in)
_____% of the first $______ plus
_____% of the next $______ plus
_____% of the next $______ plus
_____% of the next $______.
Employees in _____ (fill in)
_____% of the first $______ plus
_____% of the next $______ plus
_____% of the next $______ plus
_____% of the next $______.
Employees in _____ (fill in)
_____% of the first $______ plus
_____% of the next $______ plus
_____% of the next $______ plus
_____% of the next $______.
Additional Formulas (fill in below):
- FORMULAS MUST BE THE SAME TYPE AS ABOVE.
------------------------------------------
------------------------------------------
------------------------------------------
-------------------------------------------------------------------------------------------------------------
22
-------------------------------------------------------------------------------------------------------------
Plan Document X. CONTRIBUTIONS
Section
-------------------------------------------------------------------------------------------------------------
/ / b. Graded based upon the percentage of the Elective Deferral Contributions
or Required Contributions of each Participant as follows:
- THIS OPTION IS AVAILABLE ONLY FOR PLANS COVERING EMPLOYEES WHOSE
CONDITIONS OF EMPLOYMENT ARE MANDATED UNDER THE XXXXX-XXXXX ACT.
- MATCHING PERCENTAGES FOR HIGHER COMPENSATION PERCENTAGES MUST BE
LOWER THAN MATCHING PERCENTAGES FOR LOWER COMPENSATION PERCENTAGES.
FOR EXAMPLE: 100% OF THE FIRST 3%, PLUS 75% OF THE NEXT 2%, PLUS 50% OF
THE NEXT 2%.
Employees in _____ (fill in)
_____% of the first ______% plus
_____% of the next ______% plus
_____% of the next ______% plus
_____% of the next ______%
Employees in _____ (fill in)
_____% of the first ______% plus
_____% of the next ______% plus
_____% of the next ______% plus
_____% of the next ______%
Employees in _____ (fill in)
_____% of the first ______% plus
_____% of the next ______% plus
_____% of the next ______% plus
_____% of the next ______%
Additional Formulas (fill in below):
- FORMULAS MUST BE THE SAME TYPE AS ABOVE.
------------------------------------------
------------------------------------------
------------------------------------------
- IF 5.a OR b IS SELECTED, ADDITIONAL TESTING WILL BE REQUIRED TO PROVE THAT
THE DIFFERENT CONTRIBUTIONS ARE AVAILABLE ON A NONDISCRIMINATORY BASIS.
-------------------------------------------------------------------------------------------------------------
23
-------------------------------------------------------------------------------------------------------------
Plan Document X. CONTRIBUTIONS
Section
-------------------------------------------------------------------------------------------------------------
The Elective Deferral or Required Employee Contributions, upon which Matching
Contributions are made by the Employer, shall not exceed:
/ / 1. $_____ for the Plan Year.
/ / 2. _____% of Participant's Compensation for the Contribution Period.
/X/ 3. N/A.
True-Up Contributions.
The Employer may/may not contribute a True-Up Contribution for each Participant at
the end of the Plan Year so that the total Matching Contribution for each Participant
is calculated on an annual basis.
/X/ May / / May Not
Additional Matching Contributions:
In addition, at the end of the Plan Year, the Employer may contribute Additional
Matching Contributions to be allocated in the same proportion that the Matching
Contribution made on behalf of each Participant during the Plan Year bears to the
Matching Contribution made on behalf of all Participants during the Plan Year.
/X/ Yes / / No
-------------------------------------------------------------------------------------------------------------
24
-------------------------------------------------------------------------------------------------------------
Plan Document X. CONTRIBUTIONS
Section
-------------------------------------------------------------------------------------------------------------
2C.1 D. Nonelective Contributions
- IF YOU CHOOSE TO MAKE A NONELECTIVE CONTRIBUTION, EACH EMPLOYEE ELIGIBLE TO PARTICIPATE IN THE PLAN AND
WHO SATISFIES THE ANNUAL ALLOCATION REQUIREMENT OF SECTION XII.A OR XII.B MUST BE GIVEN AN ALLOCATION,
REGARDLESS OF WHETHER THEY MAKE ELECTIVE DEFERRAL CONTRIBUTIONS.
Availability/Amount
/ / Not Available under the Plan.
/X/ Available under the Plan (complete the following).
The Contribution for each Contribution Period shall be:
/ / 1. ____% of Considered Net Profits.
/ / 2. ____% of Compensation of each Participant.
/ / 3. The Employer will contribute an amount equal to $____ for each Participant.
/X/ 4. Discretionary.
- IF OPTION 4 IS ELECTED, THE AMOUNT OF THE DISCRETIONARY CONTRIBUTION SHOULD BE DETERMINED BY AN ANNUAL
BOARD OF DIRECTORS RESOLUTION SETTING A FIXED AMOUNT OF CONTRIBUTION OR A FORMULA BY WHICH A FIXED
AMOUNT CAN BE DETERMINED.
/ / 5. The Employer will contribute an amount equal to $_______/hour or unit of each Participant (indicate
dollar or cents amount).
- OPTION 5 MAY BE CHOSEN ONLY FOR EMPLOYEES WHO ARE SUBJECT TO A COLLECTIVE BARGAINING AGREEMENT.
/ / 6. _______% of Considered Net Profits to ________ (fill in)
_______% of Considered Net Profits to ________ (fill in)
_______% of Considered Net Profits to ________ (fill in)
_______% of Considered Net Profits to ________ (fill in)
_______% of Considered Net Profits to ________ (fill in)
- FILL IN JOB CLASSIFICATION
-------------------------------------------------------------------------------------------------------------
25
-------------------------------------------------------------------------------------------------------------
Plan Document X. CONTRIBUTIONS
Section
-------------------------------------------------------------------------------------------------------------
Additional Formulas (fill in below):
- FORMULA MUST BE THE SAME TYPE AS ABOVE.
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
/ / 7. _____% of Considered Net Profits to _________ (fill in)
_____% of Considered Net Profits to _________ (fill in)
_____% of Considered Net Profits to _________ (fill in)
_____% of Considered Net Profits to _________ (fill in)
_____% of Considered Net Profits to _________ (fill in)
- FILL IN JOB CLASSIFICATION.
Additional Formulas (fill in below):
- FORMULAS MUST BE THE SAME TYPE AS ABOVE.
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
- OPTIONS 6 AND 7 MAY BE SELECTED ONLY WHEN A PLAN COVERS EMPLOYEES WHOSE CONDITIONS OF EMPLOYMENT ARE
MANDATED UNDER THE XXXXX-XXXXX ACT.
- IF OPTION 6 OR 7 IS SELECTED, SUBSECTION A.1 (COMPENSATION TO COMPENSATION ALLOCATION) MUST BE CHOSEN IN
SECTION XIII, "ALLOCATION OF CONTRIBUTIONS."
- IF OPTIONS 6 OR 7 IS SELECTED, ADDITIONAL TESTING WILL BE REQUIRED TO PROVE THAT THE DIFFERENT
CONTRIBUTIONS ARE AVAILABLE ON A NONDISCRIMINATORY BASIS.
Nonelective Contributions shall/shall not be based on Considered Net Profits.
- "SHALL" MUST BE CHOSEN IF OPTION 1 IS SELECTED.
/ / Shall /X/ Shall not
-------------------------------------------------------------------------------------------------------------
26
-------------------------------------------------------------------------------------------------------------
Plan Document X. CONTRIBUTIONS
Section
-------------------------------------------------------------------------------------------------------------
2C.1(b) E. Voluntary Employee Contributions
Availability/Amount
/X/ Not Available under the Plan.
/ / Available under the Plan (complete the following).
/ / Voluntary Employee Contributions SHALL be permitted up to _______% of
compensation actually paid during the Plan Year.
/ / Voluntary Employee Contributions made in a Lump Sum SHALL be permitted.
- VOLUNTARY EMPLOYEE CONTRIBUTIONS ARE NOT AVAILABLE UNLESS ELECTIVE DEFERRAL CONTRIBUTIONS ARE AVAILABLE
-------------------------------------------------------------------------------------------------------------
2C.3 F. Rollover Contributions
Availability
/X/ 1. Rollover Contributions out of the Plan are always available.
/X/ Cash only.
/ / Cash and Loan Notes from this and/or a prior plan.
/X/ 2. Rollover Contributions into the Plan:
/ / Not Available under the Plan.
/X/ Available under the Plan (complete the following).
Cash Only or Cash and Loan Notes:
/X/ Cash only.
/ / Cash and Loan Notes from prior plan.
Rollover contributions into the Plan may be made by:
/X/ Both eligible Employees and Employees who would be eligible except they
do not yet meet the Plan's age and/or service requirement.
/ / Eligible Employees only.
-------------------------------------------------------------------------------------------------------------
27
-------------------------------------------------------------------------------------------------------------
Plan Document X. CONTRIBUTIONS
Section
-------------------------------------------------------------------------------------------------------------
7B.8, 7B.9 G. Transfers of Account Balances
Availability
/X/ 1. Transfers of Account Balances out of the Plan are always available.
/X/ 2. Transfers of Account Balances into the Plan:
/ / Not Available under the Plan.
/X/ Available under the Plan.
-------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
Plan Document XI. CONTRIBUTION PERIOD
Section
-------------------------------------------------------------------------------------------------------------
1.14 A. The regular Contribution Period (by contribution type) shall be:
- FOR 1 AND 2 BELOW, "OTHER" CONTRIBUTION PERIOD MAY NOT BE LONGER THAN ANNUAL,
BUT MAY BE SHORTER THAN 4-WEEKLY.
- FOR 3 BELOW, "OTHER" CONTRIBUTION PERIOD MAY NOT BE LONGER THAN MONTHLY, BUT
MAYBE SHORTER THAN 4-WEEKLY.
1. Matching Contributions:
/ / Annual / / 4-Weekly
/ / Monthly /X/ Other (specify) bi-weekly
2. Nonelective Contributions:
/X/ Annual / / 4-Weekly
/ / Monthly / / Other (specify) __________
3. Elective Deferral Contributions, Required Employee Contributions, and/or
Voluntary Employee Contributions:
- ANNUAL CONTRIBUTION PERIOD IS NOT AVAILABLE FOR CONTRIBUTIONS IN #3.
/ / Monthly / / 4-Weekly
/X/ Other (specify) bi-weekly
-------------------------------------------------------------------------------------------------------------
28
-------------------------------------------------------------------------------------------------------------
Plan Document XII. ALLOCATION OF CONTRIBUTIONS
Section
-------------------------------------------------------------------------------------------------------------
2C.1(f) A. Allocation Formula for Nonelective Contribution
Complete the following ONLY if Section X.D is 1, 4, 6 or 7.
- IF SECTION X.D IS 6 OR 7, THE COMPENSATION TO COMPENSATION ALLOCATION FORMULA (1
BELOW) MUST BE CHOSEN.
The Nonelective Contribution will be allocated to Participants who meet the
requirements of Section XIII.B or C as follows:
/X/ 1. Compensation to Compensation:
In the same ratio as each Participant's Compensation bears to the total
Compensation of all Participants.
/ / 2. Integrated with Social Security:
a. Choose one of the following methods:
/ / Step-Rate Method
For each Plan year, the Employer will contribute an amount equal to
_____% of each Participant's Compensation up to the Social Security
Integration Level, plus _____% of each Participant's Compensation in
excess of the Social Security Integration Level. However, in no event
will the Excess Contribution percentage exceed the amount specified in
Section 2C.1(f)(2)(B) of the Plan.
/ / Maximum Disparity Method
For each Plan Year, the Employer's Nonelective Contribution shall be
allocated in the manner stated in Section 2C.1(f)(3) of the Plan in
order to maximize permitted disparity.
b. Social Security Integration Level:
/ / i. $_____ (not to exceed the Social Security Taxable Wage Base).
/ / ii. The Social Security Taxable Wage Base in effect on the first day
of the Plan Year.
/ / iii. _____% of the Social Security Taxable Wage Base (not to exceed 100%).
-------------------------------------------------------------------------------------------------------------
29
-------------------------------------------------------------------------------------------------------------
Plan Document XII. ALLOCATION OF CONTRIBUTIONS
Section
-------------------------------------------------------------------------------------------------------------
2C.1(g) B. Annual Allocation Requirements
An allocation of the annual Nonelective Contribution, annual Matching Contribution,
and/or Additional Matching Contribution made by the Employer will be made to each
Participant who:
/ / 1. Is a Participant on ANY day during the Plan Year regardless of Service
credited during the Plan Year.
/ / 2. Is credited with a Year of Service in the Plan Year for which the contribution
is made.
/ / 3. Is a Participant on the last day of the Plan Year.
/X/ 4. Is credited with a Year of Service in the Plan Year for which the contribution
is made and is a Participant on the last day of the Plan Year.
In addition, an allocation will be made by the Employer on behalf of any Participant
who retires, dies or becomes disabled during the Plan Year, regardless of the number
of Hours of Service credited to such Participant and regardless of whether such
Participant is a participant on the last day of the Plan Year.
Annual Nonelective Contribution /X/ Yes / / No
Annual Matching Contribution / / Yes / / No
Additional Matching Contribution /X/ Yes / / No
-------------------------------------------------------------------------------------------------------------
2C.1(g) B. Nonannual Allocation Requirements
An allocation of the nonannual Matching Contribution or nonannual Nonelective Contribution
made by the Employer will be made to each Participant who:
/X/ 1. Is a Participant on any day of the Contribution Period.
/ / 2. Is a Participant on the last day of the Contribution Period.
In addition, an allocation will be made by the Employer on behalf of any Participant
who retires, dies or becomes disabled during the Contribution Period, regardless of
whether such Participant is a Participant as of the last day of the Contribution Period.
Nonannual Nonelective Contribution / / Yes / / No
Nonannual Matching Contribution /X/ Yes / / No
-------------------------------------------------------------------------------------------------------------
30
-------------------------------------------------------------------------------------------------------------
Plan Document XIII. LIMITATIONS ON ALLOCATIONS
Section
-------------------------------------------------------------------------------------------------------------
4B A. If any Participant is covered by another qualified defined contribution plan maintained
by the Employer, other than a Master or Prototype plan:
- COMPLETE PART A IF YOU: (1) MAINTAIN, OR AT ANY TIME MAINTAINED, ANOTHER QUALIFIED
RETIREMENT PLAN IN WHICH ANY PARTICIPANT IN THIS PLAN IS, WAS, OR COULD BE, A
PARTICIPANT; OR (2) MAINTAIN A CODE SECTION 415(1)(2) INDIVIDUAL MEDICAL ACCOUNT, FOR
WHICH AMOUNTS ARE TREATED AS ANNUAL ADDITIONS FOR ANY PARTICIPANT IN THIS PLAN.
/ / 1. N/A. The Employer has no other defined contribution plan(s).
/X/ 2. The provisions of Section 4B.5 of the Plan will apply, as if the other plan were
a Master or Prototype plan.
/ / 3. The plans will limit total Annual Additions to the Maximum Permissible Amount,
and will reduce any Excess Amounts in a manner that precludes Employer discretion,
in the following manner:_______________________________________________________
-------------------------------------------------------------------------------------------------------------
4B B. If any Participant is or ever has been a Participant in a qualified defined benefit
plan maintained by the Employer:
- COMPLETE PART B IF YOU MAINTAIN, OR AT ANY TIME MAINTAINED, ANOTHER QUALIFIED
RETIREMENT PLAN IN WHICH ANY PARTICIPANT IN THIS PLAN IS, WAS OR COULD BE A
PARTICIPANT.
/X/ 1. N/A. The Employer has no defined benefit plan(s).
/ / 2. In any Limitation Year, the Annual Additions credited to the Participant under this
Plan may not cause the sum of the Defined Benefit Plan Fraction and the Defined
Contribution Fraction to exceed 1.0. If the Employer contributions that would
otherwise be allocated to the Participant's account during such year would cause
the 1.0 limitation to be exceeded, the allocation will be reduced so that the sum
of the fraction equals 1.0. Any contributions not allocated because of the
preceding sentence will be allocated to the remaining Participants according to
the Plan's allocation formula. If the 1.0 limitation is exceeded because of an
Excess Amount, such Excess Amount will be reduced in accordance with Section 4B.4
of the Plan.
/ / 3. Provide the method under which the Plan involved will satisfy the 1.0 limitation
in a manner that precludes Employer discretion__________________________________
-------------------------------------------------------------------------------------------------------------
31
-------------------------------------------------------------------------------------------------------------
Plan Document XIII. LIMITATIONS ON ALLOCATIONS
Section
-------------------------------------------------------------------------------------------------------------
C. Compensation will mean all of each Participant's:
- EVERYONE MUST COMPLETE SECTION C. IF OPTION 1, 2, OR 3 WAS SELECTED IN SECTION IV.A.,
YOU MUST MAKE THE SAME SELECTION HERE.
4B.1(b)(1) /X/ 1. Wages, Tips, and Other Compensation Box on Form W-2.
4B.1(b)(2) / / 2. Section 3401(a) wages.
4B.1(b)(3) / / 3. 415 safe-harbor compensation.
-------------------------------------------------------------------------------------------------------------
4B.1(h) D. The Limitation Year shall be:
- EVERYONE MUST COMPLETE SECTION D.
/ / 1. The Calendar Year.
/X/ 2. The 12-month period coinciding with the Plan Year.
/ / 3. The 12-month period beginning on (MM/DD):________________
-------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
Plan Document XIV. INVESTMENT OF PARTICIPANT'S ACCOUNTS
Section
-------------------------------------------------------------------------------------------------------------
5A.1 A. The Participant shall/shall not have the authority to direct the Investment of
Contributions made by the Employer.
/X/ Shall / / Shall Not
-------------------------------------------------------------------------------------------------------------
5A.1 B. If SHALL is elected above, complete the following.
Those having authority to direct the investment of the Participant's Account are
(choose all that apply):
/X/ 1. Participants who are active Employees.
/X/ 2. Participants who are former employees and continue to maintain an account in
the Plan or Trust.
/X/ 3. Beneficiaries.
/X/ 4. Alternate Payees.
-------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
Plan Document XV. LIFE INSURANCE
Section
-------------------------------------------------------------------------------------------------------------
5B.1 A. Available as a Participant investment:
/ / Yes /X/ No
-------------------------------------------------------------------------------------------------------------
32
-------------------------------------------------------------------------------------------------------------
Plan Document XV. LIFE INSURANCE
Section
-------------------------------------------------------------------------------------------------------------
B. If yes is elected above, Life Insurance shall be available to:
/ / 1. All Participants.
/ / 2. Only to the specified group of Participants (fill in below):
--------------------------------------------------------
--------------------------------------------------------
--------------------------------------------------------
- IF SUBSECTION 2 IS CHECKED, SEPARATE NONDISCRIMINATION TESTING WILL BE REQUIRED.
-------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
Plan Document XVI. EMPLOYER STOCK
Section
-------------------------------------------------------------------------------------------------------------
- BEFORE ELECTING EMPLOYER STOCK AS AN INVESTMENT OPTION, YOU SHOULD CONSULT YOUR LEGAL COUNSEL ON ANY
FEDERAL OR STATE SECURITIES LAW REQUIREMENTS ARISING FROM OFFERING EMPLOYER STOCK AS AN INVESTMENT OPTION
UNDER YOUR PLAN AND WHETHER USE OF THIS DOCUMENT IS APPROPRIATE FOR YOU UNDER THOSE LAWS. NEITHER
CONNECTICUT GENERAL LIFE INSURANCE COMPANY NOR ANY OF ITS EMPLOYEES CAN ADVISE YOU ON THESE MATTERS.
1.45 A. Investment in Employer Stock is:
/ / Permitted.
/X/ Not Permitted.
- YOU MUST COMPLETE THE FOLLOWING SUBSECTIONS B AND C IF INVESTMENT IN EMPLOYER STOCK
IS PERMITTED AND PARTICIPANTS HAVE THE AUTHORITY TO DIRECT THE INVESTMENT OF EMPLOYER
CONTRIBUTIONS.
-------------------------------------------------------------------------------------------------------------
1.45 B. Investment in Employer Stock within the Plan by officers or directors of the Employer
or by an individual who owns more than 10% of the Employer's Stock is:
/ / Permitted.
/ / Not Permitted.
-------------------------------------------------------------------------------------------------------------
1.45 C. The Trustee:
/ / 1. Will vote the shares of the Employer Stock.
/ / 2. Will vote the shares of the Employer Stock in accordance with any instructions
received by the Trustee from the Participant.
- OPTION 2 MUST BE SELECTED IF CG TRUST COMPANY IS THE TRUSTEE.
/ / 3. May request voting instructions from the Participants.
-------------------------------------------------------------------------------------------------------------
33
-------------------------------------------------------------------------------------------------------------
Plan Document XVII. WITHDRAWALS PRECEDING TERMINATION
Section
-------------------------------------------------------------------------------------------------------------
- COMPLETE ONLY THE SECTIONS FOR THE TYPE OF CONTRIBUTIONS IN YOUR PLAN.
-------------------------------------------------------------------------------------------------------------
3E.1(a) A. Withdrawal of Required Employee Contributions.
- WITHDRAWAL MAY BE FOR ANY REASON.
/X/ Not Available under the Plan.
/ / Available under the Plan.
If available, Required Employee Contributions may be withdrawn:
/ / Once each 6 months.
/ / Once each 12 months.
/ / Other (specify) ________________.
The Contribution suspension period following a withdrawal of Required Employee Contributions shall be:
- YOU MUST CHOOSE ONE OF THE SUSPENSION PERIODS SHOWN. RELATED EMPLOYER CONTRIBUTIONS WILL BE SUSPENDED
FOR THE SAME PERIOD.
/ / 6 Months.
/ / 12 Months.
/ / 24 Months.
-------------------------------------------------------------------------------------------------------------
3E.1(b) B. Withdrawal of Voluntary Employee Contributions.
- WITHDRAWAL MAY BE FOR ANY REASON.
/X/ Not Available under the Plan.
/ / Available under the Plan.
If available, Voluntary Employee Contributions may be withdrawn:
/ / Once each 6 months.
/ / Once each 12 months.
/ / Other (specify) _______________.
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34
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Plan Document XVII. WITHDRAWALS PRECEDING TERMINATION
Section
-------------------------------------------------------------------------------------------------------------
C. Withdrawal of Elective Deferral Contributions.
/ / Not Available under the Plan.
/X/ Available under the Plan.
If available, select the conditions for withdrawal:
3E.2 /X/ Withdrawal upon Participant's attainment of age 59-1/2.
3E.5 /X/ Withdrawal for Serious Financial Hardship.
-- IF A PARTICIPANT MAKES A WITHDRAWAL OF ELECTIVE DEFERRAL CONTRIBUTIONS DUE TO A SERIOUS FINANCIAL
HARDSHIP,THE PARTICIPANT MUST BE SUSPENDED FROM MAKING ANY ADDITIONAL ELECTIVE DEFERRAL
CONTRIBUTIONS FOR A PERIOD OF 12 MONTHS.
-------------------------------------------------------------------------------------------------------------
D. Withdrawal of Employer Contributions (Matching, Nonelective and/or Prior Employer Contributions).
/ / Not Available under the Plan.
/X/ Available under the Plan.
-- IF PRIOR EMPLOYER CONTRIBUTIONS ARE MONEY PURCHASE PLAN CONTRIBUTIONS, THEY MAY NOT BE WITHDRAWN.
If available, select the conditions for withdrawal:
3E.3 /X/ 1. Withdrawal upon Participant's attainment of age 59-1/2.
Available from:
/X/ a. Matching Contributions.
/X/ b. Nonelective Contributions.
/ / c. Prior Employer Contributions.
-------------------------------------------------------------------------------------------------------------
35
-------------------------------------------------------------------------------------------------------------
Plan Document XVII. WITHDRAWALS PRECEDING TERMINATION
Section
-------------------------------------------------------------------------------------------------------------
3E.3 / / 2. Withdrawals to active Participants who have been Participants for a minimum of 60 consecutive months.
Available from:
/ / a. Matching Contributions.
/ / b. Nonelective Contributions.
/ / c. Prior Employer Contributions.
Frequency of withdrawal:
/ / Once each 6 months.
/ / Once each 12 months.
/ / Other (specify) _____________.
Suspension Period following withdrawal:
/ / N/A.
/ / 6 months.
/ / 12 months.
/ / 24 months.
3E.4 /X/ 3. Withdrawal for Serious Financial Hardship.
Available from:
/X/ a. Matching Contributions.
/X/ b. Nonelective Contributions.
/ / c. Prior Employer Contributions.
Prior Employer Contributions are contributions made to the Plan by the Employer prior to the
Plan's original conversion and/or restatement on ____________ (fill in date).
-------------------------------------------------------------------------------------------------------------
36
-------------------------------------------------------------------------------------------------------------
Plan Document XVII. WITHDRAWALS PRECEDING TERMINATION
Section
-------------------------------------------------------------------------------------------------------------
3E.6 E. Withdrawal of Rollover Contributions:
/ / Not Available under the Plan.
/X/ Available under the Plan.
If available, Rollover Contributions may be withdrawn:
/ / Once per Plan Year.
/ / Every 6 Months.
/ / Every 3 Months.
/ / Every Month.
/X/ Anytime.
-------------------------------------------------------------------------------------------------------------
3E.6 F. Withdrawal of Qualified Voluntary Employee Contributions (QVEC Contributions)
- APPLICABLE ONLY IF THIS IS A READOPTION OF AN EXISTING PLAN. IF SELECTED, CONTRIBUTIONS MAY BE WITHDRAWN FOR
ANY REASON.
/X/ Not Available under the plan.
/ / Available under the Plan.
If available, Qualified Voluntary Employee Contributions may be withdrawn:
/ / Once per Plan Year.
/ / Every 6 Months.
/ / Every 3 Months.
/ / Every Month.
/ / Anytime.
-------------------------------------------------------------------------------------------------------------
37
-------------------------------------------------------------------------------------------------------------
Plan Document XVII. WITHDRAWALS PRECEDING TERMINATION
Section
-------------------------------------------------------------------------------------------------------------
3E.1(c) G. Withdrawal of Prior Required Employee Contributions:
- WITHDRAWAL MAY BE FOR ANY REASON.
/X/ Not Available under the Plan.
/ / Available under the Plan.
If available, Prior Required Employee Contributions may be withdrawn:
/ / Once each 6 months.
/ / Once each 12 months.
/ / Other (specify) _______________.
Prior Required Employee Contributions are posttax contributions made by Employees in order to receive an
Employer contribution and which were made before the Plan's original conversion and/or restatement
on ________ (fill in date).
-------------------------------------------------------------------------------------------------------------
3E.1(d) H. Withdrawal of Prior Voluntary Employee Contributions:
- WITHDRAWAL MAY BE FOR ANY REASON AND MAY BE TAKEN AT ANY TIME
/X/ Not Available under the Plan.
/ / Available under the Plan.
Prior Voluntary Employee Contributions are voluntary contributions made by Employees prior to these types
of contributions being eliminated as a plan option on ___________ (fill in date).
-------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
Plan Document XVIII. LOANS TO PARTICIPANTS, BENEFICIARIES AND PARTIES-IN-INTEREST
Section
-------------------------------------------------------------------------------------------------------------
5C. A. Loans are permitted.
/X/ Yes
- IF YES, PLAN MUST BE TRUSTEED
/ / No
-------------------------------------------------------------------------------------------------------------
38
-------------------------------------------------------------------------------------------------------------
Plan Document XVIII. LOANS TO PARTICIPANTS, BENEFICIARIES AND PARTIES-IN-INTEREST
Section
-------------------------------------------------------------------------------------------------------------
5C B. Loans are available only from the following sources:
- QUALIFIED VOLUNTARY EMPLOYEE CONTRIBUTIONS (QVEC CONTRIBUTIONS) MAY NOT BE TAKEN IN A LOAN.
/X/ All Sources.
/ / List Sources:
__________________________________________________________
__________________________________________________________
__________________________________________________________
-------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
Plan Document XIX. RETIREMENT AND DISABILITY
Section
-------------------------------------------------------------------------------------------------------------
1.40 A. Normal Retirement Age is:
/X/ 1. The date the Participant attains age 65 (not to exceed 65).
/ / 2. The later of:
a. The date the Participant attains age ________ (not to exceed 65), or
b. The ________ (not to exceed 5th) anniversary of the Participation Commencement Date.
- NOTE REGARDING 2.b ABOVE: IF, FOR PLAN YEARS BEGINNING BEFORE JANUARY 1, 1998, NORMAL RETIREMENT
AGE WAS DETERMINED WITH REFERENCE TO THE ANNIVERSARY OF THE PARTICIPATION COMMENCEMENT DATE (MORE
THAN 5 BUT NOT TO EXCEED 10 YEARS), THE ANNIVERSARY DATE FOR PARTICIPANTS WHO FIRST COMMENCED
PARTICIPATION UNDER THE PLAN BEFORE THE FIRST PLAN YEAR BEGINNING ON OR AFTER JANUARY 1, 1988
SHALL BE THE EARLIER OF (A) THE TENTH ANNIVERSARY OF THE DATE THE PARTICIPANT COMMENCED
PARTICIPATION IN THE PLAN (OR SUCH ANNIVERSARY AS HAD BEEN ELECTED BY THE EMPLOYER, IF LESS
THAN 10) OR (B) THE FIFTH ANNIVERSARY OF THE FIRST DAY OF THE FIRST PLAN YEAR BEGINNING ON OR
AFTER JANUARY 1, 1988. THE PARTICIPATION COMMENCEMENT DATE IS THE FIRST DAY OF THE FIRST
PLAN YEAR IN WHICH THE PARTICIPANT COMMENCED PARTICIPATION IN THE PLAN.
-------------------------------------------------------------------------------------------------------------
39
-------------------------------------------------------------------------------------------------------------
Plan Document XIX. RETIREMENT AND DISABILITY
Section
-------------------------------------------------------------------------------------------------------------
1.18 B. Early Retirement by Participants
1. Early Retirement by Participants is:
/X/ a. Not Permitted.
/ / b. Permitted. Subject to the following conditions:
/ / i. Age _____ (not to exceed 65).
/ / ii. Years of Service _____.
/ / iii. Age _____ (not to exceed 65) and _____ Years of Service.
/ / iv. Age _____ (not to exceed 65) and _____ Years of Participation.
-------------------------------------------------------------------------------------------------------------
1.16 C. Disability
1. The Employer shall/shall not make contributions on behalf of disabled Participants
who are Nonhighly Compensated Employees on the basis of the Compensation each such
Participant would have received for the Limitation Year if the Participant had
been paid at the rate of Compensation paid immediately before becoming permanently
and totally disabled.
/X/ Shall / / Shall Not
- ALL SUCH CONTRIBUTIONS ARE 100% VESTED AND NONFORFEITABLE WHEN MADE.
-------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
Plan Document XX. DISTRIBUTION OF BENEFITS
Section
-------------------------------------------------------------------------------------------------------------
3A.1 A. Distribution of benefits should be in the form of (check all that apply):
/X/ 1. Single Sum.
/X/ 2. Life Annuity.
/X/ 3. Installment Payments.
/ / 4. Installment Refund Annuity.
/ / 5. Employer Stock, to the extent the Participant is invested therein.
-------------------------------------------------------------------------------------------------------------
B. Distribution Timing
/ / 1. All Participants may elect to defer their distributions.
/X/ 2. Participants who terminate employment and whose account balances never
exceeded $3,500 shall receive an immediate, lump sum cash distribution.
-------------------------------------------------------------------------------------------------------------
40
-------------------------------------------------------------------------------------------------------------
Plan Document XX. DISTRIBUTION OF BENEFITS
Section
-------------------------------------------------------------------------------------------------------------
C. Expenses - Deferred Participants.
1. Participants who elect to defer distribution of their benefits shall/shall not pay
for all fees associated with administration of their deferral payment.
/X/ Shall / / Shall Not
-------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
Plan Document XXI. QUALIFIED PRERETIREMENT SURVIVOR ANNUITY
Section
-------------------------------------------------------------------------------------------------------------
3C.4 The Qualified Preretirement Survivor Annuity shall be:
- 100% IS REQUIRED FOR PLANS ALLOWING ONLY SINGLE SUM DISTRIBUTIONS.
/X/ 100% to the surviving spouse.
/ / 50% to the surviving spouse.
-------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
Plan Document XXII. AMENDMENT TO THE PLAN
Section
-------------------------------------------------------------------------------------------------------------
7B A. The party having the authority to amend the Adoption Agreement is the:
/ / 1. Trustee(s)
- TRUSTEE(S) CANNOT BE CHOSEN IF THE TRUSTEE IS THE CG TRUST.
/X/ 2. Plan Administrator.
/ / 3. Plan Committee.
/X/ 4. Designated Representative of the Employer.
-------------------------------------------------------------------------------------------------------------
41
-------------------------------------------------------------------------------------------------------------
Plan Document XXIII. TOP-HEAVY PROVISIONS
Section
-------------------------------------------------------------------------------------------------------------
7A.1(i) A. Method to be used to avoid duplication of Top-Heavy Minimum benefits when a non-Key
Employee is a Participant in both this Plan and a defined benefit plan maintained by
the Employer (select one response):
/X/ 1. N/A. The Employer has no other plan(s).
/ / 2. Single Plan Minimum Top-Heavy Allocation. A minimum Top-Heavy contribution
will be allocated to each non-Key Employee's Participant Account in an amount
equal to:
/ / a. The lesser of 3% of Compensation or the highest percentage allocated to
any Key Employee.
/ / b. ____% of Compensation (must be at least 3%).
/ / 3. Multiple Plans Top-Heavy Allocation. In order to satisfy Code sections 415 and
416, and because of the required aggregation of multiple plans, a minimum
Top-Heavy contribution will be allocated to each non-Key Employee in an amount
equal to:
/ / a. Not Applicable. No other plan was in existence prior to the Effective
Date of this Adoption Agreement.
/ / b. 5% of Compensation, to be provided in a defined contribution plan of
the Employer.
/ / c. 7 1/2% of Compensation, to be nonintegrated, and provided in this Plan.
- IF C IS CHOSEN, FOR ALL PLAN YEARS IN WHICH THIS PLAN IS TOP-HEAVY (BUT NOT
SUPER TOP-HEAVY), THE DEFINED BENEFIT AND DEFINED CONTRIBUTION FRACTIONS SHALL
BE COMPUTED USING 125%.
/ / 4. Enter the name of the plan(s) and specify the method under which the plan(s)
will provide Top-Heavy Minimum Benefits to non-Key Employees [include any
adjustments required under Code section 415 (e)]:
---------------------------------------------
---------------------------------------------
---------------------------------------------
- IF 4 IS SELECTED, THE METHOD SPECIFIED MUST PRECLUDE EMPLOYER DISCRETION AND
INADVERTENT OMISSIONS.
-------------------------------------------------------------------------------------------------------------
42
-------------------------------------------------------------------------------------------------------------
Plan Document XXIII. TOP-HEAVY PROVISIONS
Section
-------------------------------------------------------------------------------------------------------------
7A.1 B. Present Value: In order to establish the present value to compute the Top-Heavy Radio, any benefit shall be
discounted only for mortality and interest, based on:
- COMPLETE B ONLY IF RESPONSE TO A IS 2, 3, OR 4. FILL IN ALL BLANKS.
/ / 1. Interest Rate _____%.
/ / 2. Mortality Table __________.
/ / 3. Valuation Date _________.
-------------------------------------------------------------------------------------------------------------
7A.2 C. Where a non-Key Employee is a Participant in this and another defined contribution plan(s) of the Employer,
choose which plan will provide the minimum Top-Heavy contribution:
/ / 1. N/A. The Employer has no other plan.
/X/ 2. The minimum allocation will be met in this Plan.
/ / 3. The minimum allocation will be met in the other defined contribution plan.
Enter the name of the plan:
______________________________________________
-------------------------------------------------------------------------------------------------------------
7A.3 D. Top-Heavy Vesting Schedule. In the event the plan becomes Top-Heavy, the vesting schedule shall be:
- MUST MEET ONE OF THE SCHEDULES BELOW AND MUST BE AT LEAST AS LIBERAL AS THE VESTING SCHEDULE ELECTED IN
SECTION IX.A.
/ / 1. 100% vesting after _______ (not to exceed 3) years of Services.
/ / 2. _____% vesting after 1 Year of Service.
_____% (not less than 20) vesting after 2 Years of Service.
_____% (not less than 40) vesting after 3 Years of Service.
_____% (not less than 60) vesting after 4 Years of Service.
_____% (not less than 80) vesting after 5 Years of Service.
100% vesting after 6 Years of Service
/X/ 3. Same vesting schedule(s) as elected in Adoption Agreement Section IX (already meets Top-Heavy
minimum vesting requirements).
- IF THE VESTING SCHEDULE UNDER THE PLAN SHIFTS IN TO THE ABOVE SCHEDULE FOR ANY PLAN YEAR BECAUSE OF THE
PLAN'S TOP-HEAVY STATUS, SUCH SHIFT IS AN AMENDMENT TO THE VESTING SCHEDULE AND THE ELECTION PROVISIONS
IN SECTION 7B.1 OF THE PLAN SHALL APPLY.
- THE TOP-HEAVY VESTING SCHEDULE WILL REMAIN IN EFFECT EVEN IF THE PLAN CEASES TO BE TOP HEAVY.
-------------------------------------------------------------------------------------------------------------
43
-------------------------------------------------------------------------------------------------------------
Plan Document XXIV. OTHER ADOPTING EMPLOYER
Section
-------------------------------------------------------------------------------------------------------------
6E.1, 6E.2 A. The following Adopting Employer(s) also adopt this plan and have executed this Adoption Agreement:
- FILL IN BELOW THE NAMES AND THE EMPLOYER IDENTIFICATION NUMBERS (EINS) OF ADOPTING EMPLOYERS.
- MUST MEET REQUIREMENTS OF PLAN DEFINITION OF EMPLOYER, PLAN SECTION 1.24.
____________________________________________
____________________________________________
____________________________________________
-------------------------------------------------------------------------------------------------------------
44
The Employer hereby adopts the Connecticut General Life Insurance Company
Defined Contribution Prototype Profit Sharing/Thrift Plan with 401(k)
Feature, including all elections made in this Non-Standardized Adoption
Agreement, and the Employer agrees to be bound by all the terms of the Plan
and by all the terms of this Adoption Agreement and of the Annuity Contract.
The Employer further agrees that it will furnish promptly all information
required by the Trustee, if applicable, the Plan Administrator and the
Insurance Company in order to carry out their functions. The Employer shall
notify the Trustee, if applicable, the Plan Administrator and the Insurance
Company promptly of any changes in the status of the Employer which might
affect the Employer's duties and responsibilities hereunder.
The elections under this Adoption Agreement may be changed by the Employer
from time to time by a written instrument signed by the Employer, the Plan
Administrator and the Trustee, if applicable, and accepted by the Plan
Sponsor. The Employer consents to the exercise by the Plan Sponsor of the
right to amend the Plan and the Annuity Contract from time to time as it may
deem necessary or advisable.
By signing this Adoption Agreement, the Employer specifically acknowledges
that the Insurance Company has no authority: (1) to answer legal questions
and that all such questions shall be answered by legal counsel for the
Employer; and (2) to make determinations involved in the administration of
the Plan and that all such determinations shall be answered by the Employer's
Plan Administrator or their designated representative.
Upon execution of this Adoption Agreement by the Employer, the Plan shall be
effective with respect to that Employer as of the Effective Date specified
herein, provided the Plan Administrator and the Trustee, if applicable, shall
then or thereafter execute this Adoption Agreement to signify their
acceptance of their duties and responsibilities hereunder and provided
further, the Plan Sponsor will indicate its acceptance of the Employer in
accordance with its usual rules and practices.
The Adopting Employer may not rely on an opinion letter issued by the
National Office of the Internal Revenue Service as evidence that the Plan is
qualified under Internal Revenue Code section 401. In order to obtain
reliance with respect to plan qualification, the Employer must apply to the
appropriate key district office for a determination letter.
Connecticut General Life Insurance Company will inform the Employer of any
amendments made to the Plan or of the discontinuance or abandonment of such
Plan.
CAUTION: You should very carefully examine the elections you have made in
this Adoption Agreement and discuss them with your legal counsel. Failure to
properly fill out the Adoption Agreement may result in disqualification of your
plan. This Adoption Agreement may only be used in conjunction with Basic Plan
Document Number 03.
(Note: The Employer, Plan Administrator and Trustee, if applicable, must all
sign below)
Executed at ___________, this ______day of ______________, 19__.
Employer's Exact Name: Navigant International, Inc.
----------------------------
Witness: /s/ Xxxx Xxxxxxxx By: /s/ Xxxxxx X. Over, Jr.
------------------------ ----------------------------
Title: Secretary
----------------------------
Additional Adopting Employer's Exact Name: Associated Travel Services, LLC
---------------------------------
Witness: /s/ Xxxx Xxxxxxxx By: /s/ Xxxxxx X. Over, Jr.
---------------------------- ---------------------------------
Title: Assistant Secretary
---------------------------------
45
Additional Adopting Employer's Exact Name: Mutual Travel, Inc.
---------------------------------
Witness: /s/ Xxxx Xxxxxxxx By: /s/ Xxxxxx X. Over, Jr.
---------------------------- ---------------------------------
Title: Assistant Secretary
---------------------------------
Additional Adopting Employer's Exact Name: Xxxxxxx Associates, Inc.
---------------------------------
Witness: /s/ Xxxx Xxxxxxxx By: /s/ Xxxxxx X. Over, Jr.
---------------------------- ---------------------------------
Title: Assistant Secretary
---------------------------------
Additional Adopting Employer's Exact Name: Travelcorp, Inc.
---------------------------------
Witness: /s/ Xxxx Xxxxxxxx By: /s/ Xxxxxx X. Over, Jr.
---------------------------- ---------------------------------
Title: Assistant Secretary
---------------------------------
ACCEPTED this __________ day of _____________, 19 __.
Witness: By (Plan Administrator):
----------------------- -----------------------
Witness: By (Plan Administrator):
----------------------- -----------------------
Witness: By (Plan Administrator):
----------------------- -----------------------
Witness: By (Trustee):
----------------------- ----------------------------------
Witness: By (Trustee):
----------------------- ----------------------------------
Witness: By (Trustee):
----------------------- ----------------------------------
ACCEPTED this __________ day of _____________, 19 __.
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
By (Authorized Representative):
-------------------------
46
Additional Adopting Employer's Exact Name: Travel Consultants, Inc.
---------------------------------
Witness: /s/ Xxxx Xxxxxxxx By: /s/ Xxxxxx X. Over, Jr.
---------------------------- ---------------------------------
Title: Assistant Secretary
---------------------------------
Additional Adopting Employer's Exact Name: Xxxxx Travel Group, Inc.
---------------------------------
Witness: /s/ Xxxx Xxxxxxxx By: /s/ Xxxxxx X. Over, Jr.
---------------------------- ---------------------------------
Title: Assistant Secretary
---------------------------------
Additional Adopting Employer's Exact Name: Omni Travel Service, Inc.
---------------------------------
Witness: /s/ Xxxx Xxxxxxxx By: /s/ Xxxxxx X. Over, Jr.
---------------------------- ---------------------------------
Title: Assistant Secretary
---------------------------------
ACCEPTED this __________ day of _____________, 19 __.
Witness: By (Plan Administrator):
----------------------- -----------------------
Witness: By (Plan Administrator):
----------------------- -----------------------
Witness: By (Plan Administrator):
----------------------- -----------------------
Witness: By (Trustee):
----------------------- ----------------------------------
Witness: By (Trustee):
----------------------- ----------------------------------
Witness: By (Trustee):
----------------------- ----------------------------------
ACCEPTED this __________ day of _____________, 19 __.
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
By (Authorized Representative):
-------------------------
46
Additional Adopting Employer's Exact Name: Professional Travel Corporation
---------------------------------
Witness: /s/ Xxxx Xxxxxxxx By: /s/ Xxxxxx X. Over, Jr.
---------------------------- ---------------------------------
Title: Assistant Secretary
---------------------------------
Additional Adopting Employer's Exact Name: Travel Arrangements, Inc.
---------------------------------
Witness: /s/ Xxxx Xxxxxxxx By: /s/ Xxxxxx X. Over, Jr.
---------------------------- ---------------------------------
Title: Assistant Secretary
---------------------------------
Additional Adopting Employer's Exact Name: Wareheim Travel Services, Inc.
---------------------------------
Witness: /s/ Xxxx Xxxxxxxx By: /s/ Xxxxxx X. Over, Jr.
---------------------------- ---------------------------------
Title: Assistant Secretary
---------------------------------
ACCEPTED this __________ day of _____________, 19 __.
Witness: By (Plan Administrator):
----------------------- -----------------------
Witness: By (Plan Administrator):
----------------------- -----------------------
Witness: By (Plan Administrator):
----------------------- -----------------------
Witness: By (Trustee):
----------------------- ----------------------------------
Witness: By (Trustee):
----------------------- ----------------------------------
Witness: By (Trustee):
----------------------- ----------------------------------
ACCEPTED this __________ day of _____________, 19 __.
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
By (Authorized Representative):
-------------------------
46
FIRST AMENDMENT
TO
NAVIGANT INTERNATIONAL 401(k) PLAN
The Navigant International 401(k) Plan, originally effective June 10, 1998,
and presently maintained through adoption of the Connecticut General Life
Insurance Company Defined Contribution Prototype Profit Sharing/Thrift Plan
with 401(k) Feature, Basic Plan Document 03, by execution of a
Non-Standardized Adoption Agreement Number 001-03 effective June 10, 1998, is
hereby amended as follows:
1. Effective January 1, 1999, the Adoption Agreement is amended by replacing
current page 27 with revised page 27 dated January 1, 1999, as attached to
and made part of this Amendment.
2. Effective May 1, 1999, the Adoption Agreement is amended by replacing
current page 33 with revised page 33 dated May 1, 1999 as attached to and
made part of this Amendment.
Note: The Employer must execute the Amendment as provided below. The Plan
Administrator (if different than the Employer) must sign the second page of
the Amendment as indicated to show acceptance. This Amendment must be
accepted by Connecticut General Life Insurance Company as Plan Sponsor.
EXECUTED at Englewood, Colorado, this 29th day of April, 1999.
Navigant International, Inc.
By: /s/ Xxxxxx X. Over, Jr.
--------------------------------
Title: General Counsel and Secretary
ACCEPTED this _____ day of _________, 19___
By: ______________________
Plan Administrator
* * *
ACCEPTED this 29th day of April, 1999
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
By: /s/ Xxxxx Xxxxxx
---------------------------
Authorized Representative
CAUTION: You should very carefully examine the elections that you have made
in the revised pages of the Adoption Agreement as attached to this Amendment
and discuss them with your legal counsel. Failure to properly fill out the
Adoption Agreement may result in disqualification of your plan. Neither
Connecticut General Life Insurance Company nor any of its employees can
provide you with legal advice or counsel in connection with the execution of
this document.
-------------------------------------------------------------------------------------------------------------
Plan Document X. CONTRIBUTIONS
Section
-------------------------------------------------------------------------------------------------------------
2C.1(b) E. Voluntary Employee Contributions
Availability/Amount
/X/ Not Available under the Plan.
/ / Available under the Plan (complete the following).
/ / Voluntary Employee Contributions SHALL be permitted up to _______% of
Compensation actually paid during the Plan Year.
/ / Voluntary Employee Contributions made in a Lump Sum SHALL be permitted.
- VOLUNTARY EMPLOYEE CONTRIBUTIONS ARE NOT AVAILABLE UNLESS ELECTIVE DEFERRAL CONTRIBUTIONS ARE AVAILABLE
-------------------------------------------------------------------------------------------------------------
2C.3 F. Rollover Contributions
Availability
/X/ 1. Rollover Contributions out of the Plan are always available.
/X/ Cash only.
/ / Cash and Loan Notes from this and/or a prior plan.
/X/ 2. Rollover Contributions into the Plan:
/ / Not Available under the Plan.
/X/ Available under the Plan (complete the following).
Cash Only or Cash and Loan Notes:
/ / Cash only.
/X/ Cash and Loan Notes from prior plan.
Rollover contributions into the Plan may be made by:
/X/ Both eligible Employees and Employees who would be eligible except they
do not yet meet the Plan's age and/or service requirement.
/ / Eligible Employees only.
-------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
Plan Document XV. LIFE INSURANCE
Section
-------------------------------------------------------------------------------------------------------------
B. If yes is elected above, Life Insurance shall be available to:
/ / 1. All Participants.
/ / 2. Only to the specified group of Participants (fill in below):
--------------------------------------------------------
--------------------------------------------------------
--------------------------------------------------------
- IF SUBSECTION 2 IS CHECKED, SEPARATE NONDISCRIMINATION TESTING WILL BE REQUIRED.
-------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
Plan Document XVI. EMPLOYER STOCK
Section
-------------------------------------------------------------------------------------------------------------
- BEFORE ELECTING EMPLOYER STOCK AS AN INVESTMENT OPTION, YOU SHOULD CONSULT YOUR LEGAL COUNSEL ON ANY
FEDERAL OR STATE SECURITIES LAW REQUIREMENTS ARISING FROM OFFERING EMPLOYER STOCK AS AN INVESTMENT OPTION
UNDER YOUR PLAN AND WHETHER USE OF THIS DOCUMENT IS APPROPRIATE FOR YOU UNDER THOSE LAWS. NEITHER
CONNECTICUT GENERAL LIFE INSURANCE COMPANY NOR ANY OF ITS EMPLOYEES CAN ADVISE YOU ON THESE MATTERS.
1.45 A. Investment in Employer Stock is:
/X/ Permitted.
/ / Not Permitted.
- YOU MUST COMPLETE THE FOLLOWING SUBSECTIONS B AND C IF INVESTMENT IN EMPLOYER STOCK
IS PERMITTED AND PARTICIPANTS HAVE THE AUTHORITY TO DIRECT THE INVESTMENT OF EMPLOYER
CONTRIBUTIONS.
-------------------------------------------------------------------------------------------------------------
1.45 B. Investment in Employer Stock within the Plan by officers or directors of the Employer
or by an individual who owns more than 10% of the Employer's Stock is:
/X/ Permitted.
/ / Not Permitted.
-------------------------------------------------------------------------------------------------------------
1.45 C. The Trustee:
/ / 1. Will vote the shares of the Employer Stock.
/X/ 2. Will vote the shares of the Employer Stock in accordance with any instructions
received by the Trustee from the Participant.
- OPTION 2 MUST BE SELECTED IF CG TRUST COMPANY IS THE TRUSTEE.
/ / 3. May request voting instructions from the Participants.
-------------------------------------------------------------------------------------------------------------
