Appendix F, Schedule 9 Correction By Plan Amendment (In Accordance With Appendix B) Page 5
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6Plan Name:_____________________________
EIN:
Plan #:
The plan’s minimum age or service requirements and plan entry date, as applicable, for the years of the
failure were as follows:
Enter the plan years in which the failure occurred and the number of participants affected by the failure,
broken down by type of employee (highly compensated employee (HCE) or nonhighly compensated
employees (NHCE) respectively, for each plan year.
Number of NHCE’s Affected
Number of HCEs Affected by the
Plan Year
by the Failure During the Plan
Failure During the Plan Year
Year
Description of the Proposed Correction Method:
The failure was (or will be) corrected by retroactively amending the plan to provide for the inclusion of the
ineligible employees. The effective date of the corrective amendment is: ___________________________
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