Form 14568-C - Appendix C Part Ii Schedule 3 Seps And Sarseps Page 7

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Page 7
Plan name
EIN
Plan number
b) Calculations showing how the Earnings adjustment and the ultimate corrective contribution on behalf of affected employees
will be determined.
3) For failures involving the contribution of Excess Amounts:
a) Computations in support of the excess contribution amounts attributable to each participant, and
b) Calculations showing how the Earnings adjustment and the ultimate corrective distribution amounts are determined. (Please
use estimates, including an estimated correction date, if corrective distributions have not been made yet.)
● Explanations in support of requests for excise tax relief.
● Any other information that would be useful for the purpose of understanding the proposals made under the submission.
14568-C
Catalog Number 66147U
Form
(1-2014)

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