Form 8400 - Employee Plans Deficiency Checksheet Page 2

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CYCLE E
1033
Show whether or not, as of December 13, 1980, it was or was not unusual for employees of organizations in the
service field of the potential First Service Organization, and any A-organization associated with that potential
IV.c..
First Service Organization, to perform the services now received by the organization from another entity.
(Discussed in section 1.414(m)-2(c)(3) of the proposed regulations.)
1034
Show whether at least 5 percent of all receipts of the potential B organization derived from performing service
for others are earned performing service for the potential First Service Organization (FSO) and any A
IV.d.
organization of the potential FSO. (Discussed in section 1.414(m)-2(c)(2)(ii) of the proposed regulations.)
1035
Show whether or not 10 percent or more of the potential B organization's gross receipts are derived from
performing service for the potential First Service Organization or its A organizations. (Discussed in section
IV.e.
1.414(m)-2(c)(2)(iii) of the proposed regulations.)
1036
Based on all relevant facts and circumstances, demonstrate whether or not the portion of the services rendered
to the potential First Service Organization and/or its A Organization is a significant portion of the total services
IV.f.
rendered by the potential B Organization. Proposed Regs. section 1.414(m)-2(c)(2)(i).
1041
Section ________ of the plan, defining employer, should be amended to include all employers that are
members of the affiliated service group or groups of which the employer is a member. IRC section 414(m)(1).
V.a.
1043
Show that the plan of each applicant organization meets the requirements of Internal Revenue Code sections
401(a)(3), (4), (7), (16), (17) and (26) and sections 408(k), 408(p), 410, 411, 415, and 416, considering all
V.b.
employees of all organizations that are members of an affiliated service group with the applicant as employed
by the same employer. IRC section 414(m)(4).
Form 8400 (Rev. 3-2010) (page 2) Cat. No. 63080A
Department of Treasury – Internal Revenue Service

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