Form 14581-E - Retirement Plan Coverage Compliance Self-Assessment For State And Local Government Entities Page 3

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Page 3
c. IRC Section 457(b) plan
Yes
No
Follow Up
• Employee deferrals are exempt from federal income tax withholding but are subject to Social Security and Medicare taxes.
• Employer contributions are exempt from federal income tax withholding but are subject to Social Security and Medicare taxes
when no longer subject to substantial risk of forfeiture.
Comments
Notes/Follow-up
You have completed the Retirement Plan Coverage Compliance Self-Assessment.
14581-E
Catalog Number 69848Q
Form
(6-2017)

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