Instructions For Form 5310 (Rev. 2013) Page 3

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the plan on behalf of employers who
the effective date of the amendment
arrangement who are eligible but do not
have previously adopted the plan. For
with the earliest effective date of any of
make elective deferrals,
purposes of reliance on the advisory
the grouped amendments.
2. Retirees and other former
letter, the practitioner will no longer
employees who have a nonforfeitable
Column (ii). Enter the date the
have the authority to amend the plan on
right to benefits under the plan, and
amendment is actually effective under
behalf of the employer as of the date of
the plan. For example, if an amendment
3. The beneficiaries of a deceased
the adoption of an employer
is effective on the first day of the first
employee who is receiving or will in the
amendment to the plan to incorporate a
plan year beginning on or after January
future receive benefits under the plan.
type of plan not allowable in the VS
1, 2013, and the plan year of the plan
Include one beneficiary for each
program or as of the date the Service
ends on June 30, the date to be entered
deceased employee regardless of the
notifies the practitioner that the plan is
in column (ii) is 07/01/2013.
number of individuals receiving benefits.
an individually designed plan. See
section 15.03 of Rev. Proc. 2011-49,
Column (iii). If the amendment is in
Example. Payment of a deceased
2011-44 I.R.B. 608 available at
proposed form enter 09/09/9999.
employee's benefit to three children is
considered a payment to one
Column (iv) and (v). Mark with an
beneficiary.
Line 3c. An individually designed plan
“X” whether the amendment is an
is eligible for the 6-year remedial
Lines 4f and 4g. See Notice 2002-1,
interim or a discretionary amendment. If
amendment cycle (RAC) if the employer
2002-2 I.R.B. 283 (as amplified by
the amendment contains both interim
that sponsors the plan and the sponsor
Notice 2003-49, 2003-32 I.R.B. 294 and
and discretionary provisions, mark both
of a preapproved M&P or VS plan
Notice 2011-86, 2011-45 I.R.B. 698), for
columns (iv) and (v) with an “X.”
document jointly executed Form 8905,
further details, including how to
Column (vi). For each individual
Certification of Intent To Adopt a
determine compensation.
amendment listed, did the pre-approved
Pre-approved Plan, before the end of
Line 5. Attach copies of records of all
plan sponsor have the power to amend
the plan’s 5-year RAC. An individually
actions taken to terminate the plan,
the plan on behalf of the adopting
designed plan is also eligible for the
such as board of directors’ resolutions,
employer? If “Yes” enter “X” in this
6-year cycle under certain other
etc.
column.
circumstances set forth in section 17 of
Rev. Proc. 2007-44.
Line 5a(1). An application is deemed
Column (vii). Note the due date of
to be filed in connection with plan
the employer's tax return, including
Line 3f. Use the table in this line to list
termination if it is filed no later than the
extensions, if applicable for the year in
all the amendments to the plan that
later of (i) 1 year from the effective date
which the amendments were adopted. If
have been adopted during the RAC of
of termination or (ii) 1 year from the date
the relevant amendment is discretionary
the plan in which the application is
on which the action terminating the plan
only, this field should be blank.
submitted (the “current cycle”), other
is adopted. However, in no event can
than amendments described in the
Line 3h. Designate the specific tax
the application be filed later than 12
following paragraph.
return the employer uses to file its
months from the date of distribution of
Do not list:
return. For example, Form 1120, 1040,
substantially all plan assets in
any amendment that was adopted
or Form 990 series (in the case of a
connection with the termination of the
during the current cycle as a condition
tax-exempt employer). For a tax-exempt
plan.
of a DL for the preceding cycle (but
employer, the section 990 series is a
include a copy of the amendment with
Line 5b. Assets must be distributed as
substitute for an income tax return. If no
the application); and/or
soon as administratively feasible after
tax return is filed by the entity (such as a
the date of termination. See Rev. Rul.
any amendment to a pre-approved
governmental employer), write “N/A”.
89-87, 1989-2 C.B. 81.
plan that was adopted by the sponsor
See section 5.06(2) of Rev. Proc.
on behalf of the employer and
2007-44 for details.
Note. Rev. Proc. 2013-6 contains the
considered by the Service in issuing an
Line 4a. This field is limited to 70
guidance under which the DL program
opinion or advisory letter for the plan.
characters, including spaces. Fill in the
is administered, and is updated
name as it should appear on the DL to
annually. The application should be filed
Note. If the plan does not have a DL for
the extent permitted. Keep in mind that
in accordance with Rev. Proc. 2007-44
the preceding RAC, the plan sponsor
“Employees” and “Trust” are not
(as revised by Ann. 2011-82), and Rev.
must include with this application filing
necessary in the plan name and will be
Proc. 2013-6, as updated.
copies of interim and discretionary
left off if space does not permit.
amendments adopted for the preceding
Line 5c(1). Mark “No” only if there will
cycle. See What To File; however, do
Line 4b. Enter the three-digit plan
be no reversion of plan assets to the
not list these amendments in the table in
number. This should be the same
employer.
line 3f.
number that is used when the Form
Line 5c(3). For the definition of a
5500 annual series return/report is filed.
Column (i). Note each amendment
qualified replacement plan, see section
using an identifying number or name (for
Line 4c. Plan month means the month
4980(d)(2).
example, Amendment 1, or PPA
in which the plan year ends. Enter the
Line 6a. A Pension Equity Plan (PEP)
Amendment). An amendment may
two-digit month (MM).
is a DB plan which, rather than or in
consist of modifications made to several
Line 4e. Enter the total number of
addition to expressing the accrued
plan provisions that are adopted on the
participants. A participant is:
benefit as a life annuity commencing at
same date. Two or more amendments
normal retirement age, defines benefits
with the same adoption date may be
1. Any employee participating in the
for each employee as an amount equal
grouped and listed on a single line of the
plan, including employees under a
to an accumulated percentage of final
table. In this case, enter in column (ii)
section 401(k) qualified cash or deferred
-3-

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