Form 5300 Draft - Schedule Q - Elective Determination Requests - 2010 Page 3

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Schedule Q (Form 5300) (Rev. 1-2010)
Page
11
Enter the letter (A, B, C, D, or E) corresponding to the method used to determine the employer-provided benefit:
Method: A = Composition-of-workforce method
B = Minimum benefit method (also enter the plan factor, if applicable (.4 or .6))
C = Grandfather rule
D = Government plan method
E = Cessation of employee contributions method
If “A,” see instructions and attach Demo 10. If applicable, list the plan provisions and indicate the plan factor here:
12
Enter the letter (A, B, or C) corresponding to the method used to show that the employee-provided benefit is nondiscriminatory
in amount. If “C,” see instructions and attach Demo 11.
Method:
A = Same rate of contributions
B = Total benefits method
C = Grandfather rule
Schedule Q (Form 5300) (Rev. 1-2010)
*21811R01201002*

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