SIMPLIFIED STANDARDIZED MONEY PURCHASE PENSION PLANQualified Simplified Money Purchase Pension Plan • June 5th, 2012
Contract Type FiledJune 5th, 2012EMPLOYER INFORMATION Name of Adopting Employer Address City State Zip Telephone Adopting Employer’s Federal Tax Identification Number Adopting Employer’s Tax Year End (specify month and day) Type of Business (select one) Sole Proprietorship Partnership C Corporation S Corporation LLCOther (specify a legal entity recognized under federal income tax laws) Name of Plan Plan Sequence Number Trust Identification Number (if applicable) Account Number SECTION 1.Part A. Part B. EFFECTIVE DATES Complete Part A or BNew Plan Effective DateThis is the initial adoption of a money purchase pension plan by the Adopting Employer. The Effective Date of this Plan is .NOTE: The Effective Date is usually the first day of the Plan Year in which this Adoption Agreement is signed and may not be earlier than such date. Existing Plan Amendment or Restatement DateThis is an amendment or restatement of an existing qualified plan (a Prior Plan). The Prior Plan was initially effective on .The Effective Date of thi