Instructions For Form 5330 (Rev. 2013) Page 12

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An “applicable individual” is a
Generally, section 204(h) notice must
Revenue Code. Section 6109 requires
participant in the plan, or an alternate
be provided at least 45 days before the
you to provide your identifying number.
payee of a participant under a qualified
effective date of the section 204(h)
If you fail to provide this information in a
domestic relations order, whose rate of
amendment. For exceptions to this rule,
timely manner, you may be liable for
future benefit accrual (or early
see Regulations section 54.4980F-1,
penalties and interest. Routine uses of
retirement benefit or retirement-type
Q&A 9.
this information include giving it to the
subsidy) under the plan may reasonably
Department of Justice for civil and
If the person subject to liability for the
be expected to be significantly reduced
criminal litigation, and cities, states, and
excise tax exercised reasonable
by a plan amendment. (For plan years
the District of Columbia for use in
diligence to meet the notice
beginning after December 31, 2007, the
administering their tax laws. We may
requirement, the total excise tax
requirement to give 204(h) notice was
also disclose this information to federal
imposed during a tax year of the
extended to an employer who has an
and state or local agencies to enforce
employer will not exceed $500,000.
obligation to contribute to a
federal nontax criminal laws and to
Furthermore, in the case of a failure due
multiemployer plan.)
combat terrorism.
to reasonable cause and not to willful
Whether a participant, alternate
neglect, the Secretary of the Treasury is
You are not required to provide the
payee, or an employer (as described in
authorized to waive the excise tax to the
information requested on a form that is
the above paragraph) is an applicable
extent that the payment of the tax would
subject to the Paperwork Reduction Act
individual is determined on a typical
be excessive relative to the failure
unless the form displays a valid OMB
business day that is reasonably
involved. See Rev. Proc. 2013-4,
control number. Books or records
approximate to the time the section
2013-1 I.R.B. 123, as revised by
relating to a form or its instructions must
204(h) notice is provided (or on the
subsequent documents, available at
be retained as long as their contents
latest date for providing section 204(h)
,
may become material in the
notice, if earlier), based on all relevant
for procedures to follow in applying for a
administration of any Internal Revenue
facts and circumstances. For more
waiver of part or all of the excise tax due
law. Generally, tax returns and return
information in determining whether an
to reasonable cause.
information are confidential, as required
individual is a participant or alternate
by section 6103.
Line 4. A failure occurs on any day that
payee, see Regulations section
any applicable individual is not provided
The time needed to complete and file
54.4980F-1, Q&A 10.
section 204(h) notice.
this form will vary depending on
The “noncompliance period” is the
Example. There are 1,000
individual circumstances. The estimated
period beginning on the date the failure
applicable individuals (AI). The plan
average time is:
first occurs and ending on the date the
administrator fails to give section 204(h)
notice of failure is provided or the failure
Recordkeeping
30 hr., 22 min.
notice to 100 AIs for 60 days, and to 50
. . .
is corrected.
of those AIs for an additional 30 days. In
Learning about
Exceptions. The section 4980F
this case there are 7,500 failures ((100
the law or the
excise tax will not be imposed for a
AI x 60 days) + (50 AI x 30 days) =
form
15 hr., 45 min.
. . . . . . . . . . .
failure during any period in which the
7,500).
Preparing and
following occurs.
Schedule K. Tax on
sending the form
1. Any person subject to liability for
to the IRS
18 hr., 08 min.
Prohibited Tax Shelter
. . . . . . .
the tax did not know that the failure
existed and exercised reasonable
Transactions (Section
If you have suggestions for making
diligence to meet the notice
4965)
this form simpler, we would be happy to
requirement. A person is considered to
hear from you. You can send us
Section 4965 provides that an entity
have exercised reasonable diligence
comments from
manager of a tax-exempt organization
but did not know the failure existed only
formspubs. Click on “More Information”
may be subject to an excise tax on
if:
and then on “Comment on Tax Forms
prohibited tax shelter transactions under
a. The responsible person
and Publications.” Or you can also send
section 4965. In the case of a plan
exercised reasonable diligence in
your comments to the Internal Revenue
entity, an entity manager is any person
attempting to deliver section 204(h)
Service, Tax Forms and Publications
who approves or otherwise causes the
notice to applicable individuals by the
Division, 1111 Constitution Ave. NW,
tax-exempt entity to be a party to a
latest date permitted; or
IR-6526, Washington, DC 20224. Do
prohibited tax shelter transaction. The
b. At the latest date permitted for
not send the tax form to this address.
excise tax is $20,000 and is assessed
delivery of section 204(h) notice, the
Instead, see Where To File, earlier.
for each approval or other act causing
person reasonably believed that section
the organization to be a party to the
Although we cannot respond
204(h) notice was actually delivered to
prohibited tax shelter transaction.
individually to each comment received,
each applicable individual by that date.
we do appreciate your feedback and will
2. Any person subject to liability for
Privacy Act and Paperwork Reduc-
consider your comments as we revise
the tax exercised reasonable diligence
tion Act Notice. We ask for the
our tax forms and instructions.
to meet the notice requirement and
information on this form to carry out the
corrects the failure within 30 days after
Internal Revenue laws of the United
the employer (or other person
States. This form is required to be filed
responsible for the tax) knew, or
under sections 4965, 4971, 4972, 4973,
exercising reasonable diligence would
4975, 4976, 4977, 4978, 4979, 4979A,
have known, that the failure existed.
4980, and 4980F of the Internal
-12-

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