Form 14035 - Pilot Questionnaire For Governmental Plans Initiative Page 7
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24Pilot Questionnaire for Governmental Plans Initiative
9. Check the types/categories of employees eligible to participate in the Plan.
Types (check all that apply):
Full-time
Part-time
Hourly
Salary
Seasonal
Categories (check all that apply):
General
Public Safety
K-12 Teachers
University
(Teaching/Non-Teaching)
Non-teaching School Employees
Judges
Legislators
Legislative staff
Other
(please specify):
10. Are any types/categories of employees specifically excluded from participation in the Plan?
Yes
No
If "Yes," please describe the types and categories of employees specifically excluded from
participation in the Plan.
11. How are Plan or System assets held? (check all that apply)
Trust. If the box is checked, is the trust for the exclusive benefit of participants and not subject to
reversion prior to termination?
Yes
No
Annuity contract
Insurance other than annuity contract
Other
(please specify):
Does your answer apply to the:
Plan
System
14035
Form
(Rev. 02-2009)
Catalog Number 52098A
Page 7
Department of the Treasury - Internal Revenue Service
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Parent category: Financial