Suwey of Consumer Finances Employer Sponsored Pension Benefit Plans

SURVEY RESEARCH

CENTER

INSTITUTE FOR SOCIAL RESEARCH THE UNIVERSITY OF MICHIGAN ANN ARBOR. MICHIGAN 48106

1.

SEQ. #:
PP ID:
I 1 1 1 1 1

4. Recorder's I.D.:

2.

m

3. .PLAN d:

i

1 I

PART

II

DEFINED BENEFIT PENSION PUNS

,

C 0

THE UNIVERSIlY OF MICHIGAN, 1984

1

SECTION B OEFINEO BENEFIT PLANS: PLAN IDENTIFICATION

Bl.

Identify the specific pension plan cover sheet (SEQ U), the pension provider (PP ID), and the plan number (PLAN U) that is coded below: SEQ I: PP ID: PLAN #:

NOTE: ALL QUESTIONS IN THIS DOCUMENT REFER TO THE DEFINED BENEFIT PROVISIONS OF THE ABOVE SPECIFIED PENSION PLAN, AND ONLY TO THE DEFINED BENEFIT PROVISIONS OF THIS ONE PLAN.

I 3

SECTION C DEFINED BENEFIT PLANS: NORMAL RETIREMENT

Cl.

Go any of the normal retirement benefit and supplement formulas or eligibility requirements depend on the number of actual years of credited service the employee has accumulated? p]--.-m-+> TUIW TO P. 7 , C2

ClA.

How is the number of actual years of credited service (ASY) determined for use in the normal retirenent formulas or for eligibility requirements? (USE MDRE THAN ONE COLUFH IF NECESSARY.) ASY3

ASYl

ASYE

ia
Ib (7

ial
F[ El

/TJ
(b 171

ALL YEARS OF EMPLOYMENT ARE CREDI7ED.
ONLY COUNT YEARS AFTER ACE: ONLY COUNT YEARS AFTER FIRST rVYEARS: ONLY COWT YEARS AFTER AGE: E AFTER FI6T rYYEARS: ONLY COUNT YEARS AFTER AGE: &AFTER FIRST I YEARS: ONLY COIJ'JT YEARS DURING FINAL I YRS:

(1)
(1)

(2)
(2)-

(3)
(3)(3) (3)_ (3) (3) (3)-

(aIla

(1)
(1) (1) (1) (1)

I:;I:\(2)_

ElIlellel

mmm
:q rj :L]

OTHER (SPECIFY BELDU):

ASYl:

ASYZ:

ASY3:

4

Cl B.

Are the above definitions of ASY based only on specific calendar time periods, or on all years covered by this pension plan? (ENTER IN SAME COLUMN AS ABOVE FOR EACH DEFINITION.) ASYZ ASY3 . .

ASYl =x= ma

la

COVERS ALL YEARS: BEFORE: (1) AFTER: FROM: TO: (1) (1) (1)

NO SPECIFIC DATES CITED. (19, -19, 919, (19, (2) (2) (2) (2) .19_ J9_ J9_ J9_ (3) (3) (3) (3) 119, ,19_ J9_ *19_

l-i-i
ASYl: ASYZ:

II

,?-I

OTHER (SPECIFY BELOW):

ASY3:

I
5
Cl c.
Is there a maxlmum number of actual years of credited service than can be used for normal retirement benefits or a maxlmum age after whjch service years can no longer be credited toward normal retirement benefits? (ENTER IN SAME COLUMN AS ABOVE FOR EACH DEFINITION.) A92 ASY3

ASYl .---

YES, MAXIMUPl AGE:

(1)
(1) (1) (1)(1) (1) (1)-

(2)_
(2)(2)_ (2)_ (2)(2)(2)_

(3)

~_

ASY: YES, MAXIMUM
AGE PLUS ASY: YES, MAXIMUFI YES, WHEN OVER MAXIMUM ACE: OR OVER MAXIMUM ASY: YES, WHEN OVER MAXIMUM AGE: @ OVER MAXIMUM ASY:

(3)__ (3) ,_ (3),_ (3)-_ (3)_ (3) ,_

:t

17
ASYl:

;t]

OTHER (SPECIFY BELOU):

ASYZ:

ASY3:

.6
i . ClO. Are participants credited one service year for each year they meet minimum employment rcquiremnts, or does the amount of credited service depend on the actual number. hours worked each year? (ENTER IN SAME COLUMN AS ABOVE of FOR EACH OEFINITION.) ASYl a ASYZ ASY3 ..

:J

:d

CRECITEO ONE ASY FOR EACH YEAR EMPLOYED; NO

t4INIMUM WORK REQUIREMENTS

CREDITED WITH EITHER ZERO OR ONE ASY; ONE ASY IS CREDITED FOR EACH YEAR WORKED A MINIMUM OF:

(1)
/7! ICI f7! OR '(;', OR lam lzl (')_(1)

(2)
(2) (2) (2) t.21

(3) (3) (3) (3) (3)

#HOURS PER YEAR #WEEKS PER YEAR, AND #HOURS PER WEEK #MONTHS PER YEAR, AND #HOURS PER MONTH

r
Ifi

,e
(r

*e

CREOITEO WITH A PRORATED FRACTION FROM ZERO TO ONE ASY; ONE FULL ASY IS CREOITEO FOR EACH YEAR NORKED A HINIMUM.OF: (1) (2) (2) (2) .(2) (2) (3) (3) (3) (3) (3) #HOURS PER YEAR #WEEKS PER YEAR, AND Mm PER UEEK #MONTHS PER YEAR, AND #HOURS PER MONTH

Irl

OR I;', OR

LelLe7rp

(1) (1)

fl

h

jh

CREDITED EACH YEAR YITH A PRORATED FRACTION FROM ZERO TO MORE THAN ONE ASY; ONE FULL ASY IS CREDITED FOR EVERY: OR ('I (2) (3) (3) (3) #HOURS PER YEAR #WEEKS PER YEAR, AN0 #iiii PER w #MONTHS PER YEAR, AN0 #HOURS PER NNTH

I
GlrjI

ti

u

-

(1)
(1)

(2)
(2) (2) (2)

OR (1) (1) 17 ,z

,r

OTHER (SPECIFY BELOU);

ASYl: ASYZ: ASY3:

I
7

ct.

DO any of the normal retfrementbeneflt or supplement formulas dcpmd on the number of potentirl yews of cndlttd service?

I I.
t

YES

/

15.NOj

)

TURN TO P. 9 , C3

CZA. How isthe number of potentfal years of crtdlttd servlct (PSY) dettnnlntdfor use in the.nprml rctfrement formulas? (USE W)RE THAN ONE COLUMN IF NECESSARY.) PSY2 PSY3

psyl

d
lb -

;a~

'dl

ASSUMES PARTICIPANT WORKS UNTIL AGE:

COUNT ALL YEARS SINCE FIRST EMPLOYED ib ib ASSUMES PARTICIPANT WORKS UNTIL AGE: COUNT ONLY YEARS EMPLOYED AFTER AGE:

(1)(1) (1) (1) (1). (1) (1) (1) (1)(1) (1)-

(2)_
(2)_ (2)_ (2)_

(3) _

(3) (3)(3) (311 (3) (3)--(3)---(3) (3)-(3)--

c
‘ -a-

ac

m

ASSUMES PARTICIPANT UORKS UNTIL AGE: COUNT ONLY YEARS AFTER FIRST # YK:

(2) (2)_ (2)_ (2)_ @I._ (2)_ (2),_

d

m

ASSUMES PARTICIPANT WORKS UNTIL AGE: COUNT ONLY YEARS EMPLOYED AFTER AGE: E ONLYYEARS AFTER FIRST # YK:

m

I.1

m

ASSUMES PARTICIPANT WORKS UNTIL AGE: COWT w ONLY YEARS EMPLOYED AFTER AGE: FIKT I YRS: ONLY YEARS AFZR

?--

,r

r/

OTHER (SPECIFY BELOW):

PSYl! -. ._

PSYZ:

PSY3:

I

-_

C2B. Are the above definitions of KY based only on specific calendar time periods, or on all years covered by this phion plan? (ENTER IN SAME
COLUlrH AS ABOVE FOR EACH DEFINITION.) PSY3 . * COVERS ALL YEARS : BEFORE: AFTER: PSYl PSY2 -m -m

(a

I(li"l lbllbl

NO SPECIFIC DATES CITED.
3, (2) (3) ,19_

(1)

J9_

El
C

(’

I’

(1)

3,

(2)

J9_

(3)

J9_

i1

jdildl
121 i’ l

FROH:
TO:

(1)
(1)

(19,
919,

(2)
(2)

.19_
.19_

(3) (3)

J9_ ,19_

It

OTHER (SPECIFY BELOW):

PSYl:
PSYP:

PSY3:

C2C. Is there a maxlmum number of potential credited servlce years that can be used for normal retirement benefits? (ENTER IN WE COLIC AS ABOVE FOR EACH DEFINITION.)
PSYl PSY2

PSY3

[I

I”

I’ 1

YES, MAXIMUM PSY:

(1)

(2) -

(3)-

Irlltla
PSYl: PSYZ: PSY3:

OTHER (SPECIFY BELOU):

9
. C3. 00 any of the normal ntlnmcnt bcncflt or supplement fomlas the level of the employee's wages or salary? --) depend on

TURN TO P. 12, C4 forwulas?

Average Pay (FAP) deflntd for use in the normal retlrmcnt (CHECK WHETHER THE DEFINITION IS GIVEN IN TERMSOF HONTHLY OR YEARLY TIME PERIODS. USE mRE THAN ONE COLUFH IF NECESSARY.) FAPl =ccL FAP2 FAP3S CHECK: (l)ljQl m (2) l&J (Q (3) @Q m

FINAL SALARY OR UAGE RATE TOTAL OF ALL Mo/YRS.
iC
r--

i i

IC

1 iC

J

AVERAGE OF ALL HO/YRS. AVERAGE WRING FINAL I Fo/YRS: (1) (1) I'1; (1) (l)(2)(2)-(3)(2) (2)(2) (2)1:{(3)-

Id

id

,Id

I

ic
‘ f:

Ici
If

E-l
:7-j

HIGHEST MO/YR DURING FINAL I Mo/YRS: AVERAGE OF THE HIGHEST I Ml/YRS: OURING FINAL I HO/YRS: AVERAGE HIGHEST CONSECUTIVE # MO/YRS: WRING FINAL W K)/YRS: NO SPECIFIED PERIOD, HIGHEST WYR

I:1-

NO SPECIFIED PERIOD, AVERAGE OF THE HIWEST I WYRS: NO SPECIFIED PERIOD, AVERAGE HIGHEST CONSECUTIVE I WYRS: OTHER (SPECIFY BELOY):
FAPl:

(1)
(1)

(2) (2)

.

(3) (31

FAPZ:

FAP3:

10
C3B.

When used in the normal retirement fotmulas, is FAP expressed in terns of monthly or annual amounts? (ENTER IN SAMECOLUFH AS ABOVE FOR EACH DEFINITION.) FAP2 FAP3 ,G,S Lb Ic-Ilcl IKIlt
- *MONTHLY AMOUNT

FAPl rar Ibl

YEARLY AMOUNT DOES NOT APPLY--FAP DEFINE0 AS TOTAL OF ALL MO/YRS. OTHER (SPECIFY BELOW):

EJ El
FAPl: FAP2: FAP3:

C3C. Are the above definitions of FAP based on wages and salaries earned during specific calendar time periods, or during all years covered by this pension plan? (ENTER IN SAMECOLUMN AS ABOVE FOR EACH DEFINITION.) FAPl FAP2 FAP3 COVERS ALL YEARS: NO SPECIFIC DATES CITED. BEFORE: (1) AFTER: FROM: TO: (1) (1) (1) 919, .1g_ *1g_ 919, (2) (2) (2) (2) JO_ *lB_ .1g_ .1g_ (3) (3) (3) (3) .1g_ 919, ,19_ .19_

OTHER (SPECIFY BELOW): FAPl: FAPZ: FAP3:

C3D.

Is.therr a maximum age or service years after which any wages or salaries cannot be used in calculating FAP? (ENTER IN SAME COLIJH AS ABOVE FOR EACH DEFINITI(T(.)

FAPl

FAP2

FAP3+

I DEFINEASY:

(1) UASY_
cl NOT USED

(2) c] ASY

q

(3) f-J ASr_j-'J NOT USED

NOT USED

MAXIMUM AGE:

(1) (1) (1) (1) (1) (1) (1)

(2) (2) (2) (2) (2) (2) (2)

(3) (3) (3) (3) (3) (3)__ (3)

ib
17

El

Ibl
Fj

YES, MAXIMUM ASY: YES, MAXIMUM AGE PLUS ASY: YES, UHEN OVER MAXIMW AGE: E OVER MAXIMWASY:

ic

idjldlld;

YES, YHEN OVER MAXIMUM AGE: & NO OTHER (SPECIFY BELOW): FAPI: FAPZ: FAP3: OVER MAXIMUM ASY:

C3E. It there a maximum on the hunt of mDnthlylannua1 wages and salaries that can be used to calculate FAP? (ENTER IN SAME COLUW AS ABOVE FOR EACH DEFSNIfIO(.) FAPl wFAP2 FAP3 la lbl lz FAPl: FAPZ: FAP3: (71 IblEI 17 FJ r[ YES, MAXIMUM OF: NO 0m~R (SPECIFY BELOW): (1)s (213 131s

12
c4. Do Social~Stcurlty btntfit paymtnts or the Social Stcurlty taxable wage base enter into any of the normal rttlmtnt benefit or ruppltmtnt formulas? i 1. ,YES C4A. HOW
iS

1
S0Cih-l

j+-+IJRN

TO P. 16, CS rttirtmtnt

‘ L;tlt

fOmUldS?

dtffntd for use in tht nonal StCUrity ttflll (5s) (USE MORE THAN ONE COLUMN IF NECESSARY.)

SSl =

552

553 SOCIAL SECURITY BENEFIT AMOUNT (CHECK WH0HER WHETHER REDUCED OR UNREDUCED.) (1) 13 PRIMARY c! JOINT ONOf CITED (2) aPRIMARY 0 PRIMARY OR JOINT, AND

ElElEl

(3) 0

PRIMARY

q

JOINT NOT CITED

cl JOINT n NOT CITED

(1) ij UNREDUCED a REDUCED CITED

(2) nUNREDUCED j-J REOUCED ONOT CITED

(3) [jUNREDUCEO il REDUCED 0 NOT CITED

UNOT

mE!El

SOCIAL SECURITY TAXABLE WAGE BASE (1)

q
n 0

AT RETIREMENT CAREER TOTAL CAREER AVERAGE

(2

0 0 0

AT RETIREMENT CAREER TOTAL CAREER AVERAGE

(3) c] AT RETIREMENT

q q
0

CAREER TOTAL CAREER AVERAGE ACTUAL ESTIMATED AT RETIREMENT

(1) tl: ACTUAL a ESTIMTED AT RETIREMENT ESTIHATED YEAR: 19

(2) DACTUAL

q

(3) 0

ESTIMATED AT RETIREMENT ESTIMATED YEAR: 19

0 cl

IN

tl

IN

cl Wt4A:;D . .

IN

u

!I

mmm
551: ss3:

OTHER (SPECIFY BELOW):

13
C4B. wh& used in the normal retirement formulas, is 55 expressed in tenm of monthly or annual amounts? (ENTER IN SAME COLUWl AS ABOVE FOR EACH DEFINITION.) 551 G Ib Icl (zl 551: 552: 553: 552 -m (ass3 F] MONTHLY AMOUNT YEARLY AMIWT OOES NOT APPLY--SS DEFINED AS CAREER TOTAL SNB. OTHER (SPECIFY BELOW):

Ibllbl [fl 17 rcl rj

MC.

Are the above definitions of 55 based only on specific calendar time periods, or on all years covered by this pension plan? (ENTER IN SAFE COLUW AS ABOVE FOR EACH DEFINITION.)

COVERS ALL YEARS: NO SPECIFIC DATES CITED. BEFORE: AFTER: FROM: TO:

(1) (1) (1) (1)

919, 3,

(2)
(2) (2) (2)

,19_

(3) (3)
(3) (3)

JO_

JO_
919, ,19_

*19_ J9_ ,19_

a_
919,

OTHER'(SPECIFY BELOU):

ss2: 553:

14
C4D. Is there a maximun limitation on the amount of 55 that can be used to determine normal retirement benefits or a maxlnun on servlce years or age after which the 55 amount no longer accnres? (ENTER IN SAME COLUMJ AS ABOVE FOR EACH DEFINITION.) .. DEFINE ASY: SSl I5 lbl Lcl ldl 552 -553 -+ (1) aMY_ u NOT USED (1) (1)s (1) (1) (2) OASY cl- NOT USED x (2) (2)s (2) (2) % (3) (3)s (3) (3) .I

lallal
rbl lcllcl Ts)Tsl IclIrl

YES, MAXIMUM PERCENTAGE OF 55: YES, MAXIMUM DOLLAR AMOWT: YES, MAXIMUM AGE: YES, MAXIMUM ASY:

lel

YES, MAXIMUM AGE PLUS ASY:
YES, WHEN OVER MAXIMUM AGE:

(1) (1) (1) (1)
(1)

(2) (2) (2) (2)
(2)

(3) (3) (3) (3)
(3)

m
El

lzlm
m Le]

OROVER MAXIWt'l ASY: YES, UHEN OVER MAXIMtM AGE: AND OVER MAXIMUM ASY:

III mhl
El ltlltl
551 :
552: 553:

NO
OTHER (SPECIFY BELOW):

I
15
C4E. If-participants can rttlrt btfon they art tlfglblt to rtctlvt Soda1 Security btntffts, bar is the SS ten estlmttd for use in the ptnslon formula(s)? (ENTER IN SAME COLUMN AS ABOVE FOR EACH DEFINITION.)

DOES NOT APPLY m a - ‘BENEFIT AMOUNT EXPECTED AT AGE: ASSUMES PARTICIPANTS HAVE NO FUTURE WAGE OR SALARY INCOME. BENEFIT AMOuT EXPECTED AT AGE: ASSUMES PARTICIPANTS UORK UNTIL THEN AT CURRENT WAGES OR SALARIES. BENEFIT AMOUNT EXPECTED AT AGE: ASSUMES PARTICIPANTS YORK UNTIL THEN, WITH ANNUAL INCOME INCREASES OF: ESTIMATION HETHOD NOT CITED OTHER (SPECIFY BELOW): (1) (2),_ (3) t

El

(1)

(2)

(3)

9.

Ia
EJ EJ
551:

(1) (1)

(2) 2 (2)

(3) 2 (3) 'x

SW:

$53:

I
16
CS. Express the normal retirement benefit and supplanent formulas, lncludlng any or maximuns on benefit amounts, using the terms defined in the _ above questions (ASY, PSY, FAP, SS) and standard notation.

othtr.~thimums

5;.

For each formula, enter the appropriate nunber coded In the questions below to indicate how age and service rquiranents are defined (RAS), the dates for which the forlnulasapply (DAT), whether there are any other special requirements (ROT),rnd how long the beneftts are paid (LNG).

I
I
I-

CHECK BOX:

TOTAL NUMBER OF SEPARATE FORMULAS

CODED:

I

L
1

CHECK BOX:

ALL FORJWLAS DETERMINE

a

HDNTHLY OR

aYEABLY

BENEFIT AMOUNTS. 1

NR#l=

I I

ROT_ I LNG

-

I

1

I

NR#Zm Specify:
I

RAS -DAT_

I
I

I

I

I

ROT_

I

I
17
CS. NR#3= Specify: RAS DATROT LNG.

NR#4= Specify: RAS ,ATROT LNG

Specffy: RAS OATROT LNG

18
C6. What cotiinationsof age and actual service years are required (WS) to receive notmal retirement benefits or supplements? (USE MORE THPH ONE COLUMN IF NECESSARY; CHECK ALL COE1BIAATI'ONS THAT APPLY FOREACH[#FIN1 TIDN.) OEFINEASY: D-B
RASl RAs2 RAs3+ ..

(1) aASY_
u

(2) 0 a

ASY NOTZD

(3) [7 ASY 0 NOTGO

NOT USED

(a lb

I( rb]

ial /-Trj

NO MINIMUM AGE OR ASY MINIMUM AGE OF: AND NO MINIMUM ASY. MINIMUM ASY OF: AND NO MINIMUM AGE.
(1) (2)

(3) (3)

(1)

(2)

ldtld
;e [f, I le I le I

MINIMUM AGE OF: AND MINIMUM ASY OF: MINIMUM AGE OF: AND MINIMUM ASY OF: MINIMUM AGE OF: AND MINIMUM ASY OF:

(1) (1) (1) (1) (1) (1) I:! I:!

It

rr

AGE PLUS ASY OF: NO MIN AGE OR ASY AGE PLUS ASYOF: ANDMINIMUM AGE OF: AGE PLUS ASY OF: AND MINIMUM ASY OF: AGE PLUS ASY OF: AND MINIHUM AGE OF: AND MINIMUM ASY OF:

(1) (1) (1) (1) (1) (1) (1) (1)

(2)

(3)

I:!

t:l

(2) (3)

Irllrllti
RASl: RAs2: RAS3:

OTHER (SPECIFY BELOW):

I
19

_

C7. 66 the notmal rctltcment benefit or supplement formulas apply only to partlclpantsthat retire during a specific calendar the period, or to all retirement dates (OAT)? (USE HORE THAN ONE COLUM( IF NECESSARY.)
OAT1 DATE OAT3

m m m m

1'1 lb] IT :q

i?J ib '!c '7

COVERS ALL YEARS: NO SPECIFIC OATES CITED. BEFORE: (1) AFTER: FROM: TO: (1) (1) (1) 919, *1g_ 919, (19, (2) (2) (2) (2) J9_ *1g_ J9_ J9_ (3) (3) (3) (3) ,19_ J9_ ; 19, ,'9-

OTHER (SPECIFY BELOY): DAll: DAR: DAT3:

20
C8. To receive'-dnyof the normal retirement benefits or supplements are there any other requirements (ROT), such as specific employer approval or benefits limited to only participants that made voluntary contributions, or other special rcquiremcnts? (USE KtRE THAN ONE COLUFH IF NECESSARY.)
.

.

NO'OTHER SPECIAL REQUIREMENTS EMPLOYER APPROVAL REQUIRED VOLUNTARY CONTRIBUTIONS REQUIRED PAST SERVICE CREDIT REQUIRED IF PLAN PARTICIPANT ON: (1) 19BP- (2) 19 (2)-19 19 (3)-(3)-(3) (3) (3)19_ -19 19 19 19

IF PLAN PARTICIPANT BEFORE: (1)-IF PLAN PARTICIPANT AFTER: IF PLAN PARTICIPANT FROM: TO: (1) (I)_ (1)

19_(2) 19-

--pm 19 1919

(2)-

19--- (2)

IrE?El

OTHER (SPECIW

BELOW):

ROT2:

ROT3:

21
c9.
Aslda from lump-sum withdrawal options, are the nonaal rctirunent benefits and supplements paid on a regular basis for life, on a regular basis for some other specified time period, a one-time payment, or how long (LNG)? (USE MORE THAN ONE COLUW IF NECESSARY.) LNG2 /I In (7 [d-l [el LNG3 ;j Ib) rl FOR LIFE FOR 1yYRS: UNTIL AGE: AGE: AGE: (1) (1) (1) (1) (1)

LNGl = Ib Ic jdl ccl

(2)

(3) (3) (3) (3) (3)

(2) (2) (2) (2)

IdAFTER F/FROM

TO AGE: Ir lf-1 Itl

UNTIL ELIGIBLE FOR SOCIAL -_-- . SECURITY BENEFITS (CHECK WHETHER FOR UNREOUCED OR REDUCED BENEFITS.) (1) m UNREDUCEO (2) ~UNREDUCED u REDUCED NOT CITED (3) aUNREDUCED

cl REDUCED 0: NOT CITED

q
a

REDUCED NOT CITED

a

AFTERELIGIOLEFOR SOCIALSECURITY BENEFITS (CHECK WHETHER FOR
UNREDUCED OR REDUCED BENEFITS.) (1) m UNREDUCED

(2) n

UNREDUCED

(3) [ZI UNREDUCED n REDUCED

q
IT
jm LNGl:

I3 REDUCED NOT CITED

cl REDUCED cl NOT CITED

[7NOT

CITED

!h
m

-h-j

ONE TIME PAYMENT
(SPECIFY BELOW):

FJOTHER

LNQ:

LNG3:

22

ClO.

Please txprrsr how the normal retirement benefit and supplement formulas tttlremnt benefit armunt, including any limitations on the minim or maximun total nornul retirement btnttlt. (USE STANDARD NOTATION AND APPLICABLE FORMULA NUMERS.)

art conbintd to determine the total nOM1

NRT#l=

..

23
.

SECTION D DEFINED BENEFIT PLANS: LATE RETIREMENT

01.

Are participants in this pension plan subject to a mandatory retirement age?

DlA. What is the mandatory retirement age?

D2.

For vested participants who retire later than the normal retirement age (but on or before the mandatory age), are benefit increases calculatedusing the normal retirement formulas and maxiriums coded above, or Is there a special factor used to adjust normal retirement benefit amounts for participants who retire late?

I 24
03.

.

How is the adjustment factor defined? OEFINE ASY: a ASY:

q

NOT USED

a

NORMAL RETIREMENT BENEFITS ACTUARIALLY INCREASED FOR EACH YEAR YORK AFTER:

..

13 AGE
O&Y 0 AGE+ASY

OVER: OVER:

,NO

MAX

9 to MAX:

El

FIXED DOLLAR OR PERCENT INCREASE. MU.TIPL!ED BY THE NUMBER OF YEARS THE PARTICIPANT @TIRES AFTER REACHING A ::"fAIN AGE, ASY, OR SUM OF AGE'ASV.

povER VNO
cux :
OVER: ,Tomx:

Icl

VARYING DOLLAR OR PERCENT INCREASE DEPENDING ON AGE, ASY, OR SUM AGE+ASY.

WER

(NO HIM): FROM (MN): TD: FRO& TO: FROM:
TO (WAX):

G

OVER (NO MAX): UNSPECIFIEO INCREASE

OTMER (SPECIFY BELOU):

25

SECTION E DEFINED BENEFIT PLANS: EARLY RET1REMENT

El.

bes

this pension plan include a pmvision
. . 1

for early retirement? TURN TO P. 47, SECTION F

15.

I

NO

1--_-i

t

E2.

Do any of the early retirement benefit and supplement formulas or eligiblity requirements depend on the number of actual years of credit service the employee has accumulated? 1 YES, USE ONE OR MORE ' NEW DEFINITIONS

V
E2A. How is the number of actual years of credlted service (ASY) determined for use in the early retirement fonulas or for eligibility requirements? (USE MORE THAN ONE COLUM IF NECESSARY.) ASYS fi ASY6 I" ALL YEARS OF EMPLOYMENT ARE CREDITED. ONLY COMT r] YEARS AFTER AGE: (4) (4)--(S)(5) (6)(6)

ASY4 17

Ibllba
I !q

ONLY COUNT YEARS AFTER FIRST # YEARS: ONLY COWT YEARS AFTER AGE: @ AFTER FIRST # YEARS: ONLY COUNT YEARS AFTER AGE: AND AFTER FIRST # YEARS: ONLY CON7 YEARS WRING FINAL U YRS:

marsrldl
lellcllcl

(4) (4)(4)

(5) (5)(5)_(6)-

Ii',---

lzHzlTr Izllzllzl
ASYQ: ASYS: ASY6:

OTHER (SPECIFY BELOW):

26
E2B. An the above definitions of ASY based only on specific calendar time periods, or on all years covered by this pension plan? (ENTER IN SAME COLUFN AS ABOVE FOR EACH NEW DEFINITION.) ASY4 mm= ASYS ASY6

m
m iq 1)

(1
(b 171 (d]

1” j
:b iq 'd)

COVERS ALL YEARS: BEFORE: AFTER: FROM: TO: (4) (4) (4! (4)

NO

SPECIFIC DATES CITED.
(5) (5) (5) (5) 9'9, J9_ J9_ ,19_ (6) (6) (6) __ (6) ,19_ 919 B‘ L ,19_

*19_ (19, *IS_ J9_

(rl , if ASYI:

3

OTHER (SPECIFY BELOW):

ASYS:
ASYB:

27

E2C.

Is there a maximum number of actual years of credlted service that can be used for early retirement benefits or a maximum age after which selvice years can no longer be credited toward early retlremcnt benefits? (ENTER IN SAME COLUMN AS ABOVE FOR EACH NEW DEFINITION.) ASYS ASY6

ASY4 --B

,1 I&
'b

I_
lb -m

/rj
(bl

..

YES, MAXIMUM AGE: YES, MAXIMUflASY: YES. MAXIMUM AGE PLUS ASY: YES, WHEN OVER MAXIMUM AGE: E OVER MAXIMUM ASY: AGE:

(4) (4) (4) (41 (4) (4) (4)

(51 (6) (6) (6) (5) (5) (6)

(6) (6) (6) (6) (6) (6) (6)

IC --;d ---

c
‘ d

Icl
17-i

YES, WHEN OVER WXIMUM

AND OVER MAXIMUM ASY:

I mASYI: ASYS:

7 I 2

13

OTHER (SPECIFY BELOW):

ASY6:

28
-_ EZD. Are participants credited one service year for each year they meet minimum employmtnt requirements, or dots the amount of crtdited service depend on the actual number of hours worked each year? ,(ENTER IN SAME COLUMN AS ABOVE FOR EACH NElJ DEFINITION.) ASY4 la i b r_ ,b ASYS -ASY6 CREDITED ONE ASY FO.?EACH YEAR EMPLOYED; NO MINIMUM WORK REQUIREMENTS CREDITED WITH EITHER ZERO OR ONE ASY; ONE ASY IS CREDITED FOR EACH YEAR WORKED A MINIMUM OF: (4) (5) (6) (5) (6) I:; #HOURS PER YEAR #WEEKS PER YEAR, AND #HOURS PER WEEK -. #MONTHS PER YEAR, AND rHOURS PER MONTH ’

El El
17

icl

FloR

1;;

I:;

(6) (6)

17

iTj

CREDITED WITH A PRORATED FRACTION FROM ZERO TO ONE ASY; ONE FULL ASY IS CREDITED FOR EACH YEAR WORKED A MINIMUM OF: (4) (6) (6) &HWRS PER YEAR

#WEEKS PER YEAR, AND tim PER WEEK #MONTHS PER YEAR, ANO MOURS PER MONTH

El Lh Gil
I

CREDITED EACH YEAR WITH A PRORATED FRACTION FROM ZERO TO MORE THAr: ONE ASY; ONE FULL ASY IS CREDITED FOR EVERY: (4) (4) (5) (5) (5) (5) (5) (6) (61 (6) (6) (6) YHDURS PER YEAR #WEEKS PER YEAR, AND HOURS PER wEEK vndNTHS PER YEAR, AND 'HOURS PER MONTH

La R
m ASY4: ASYS: ASY6: 17

OR

(4) (4) (4)

lil
17

OTHER (SPECIFY BELOW);

.29

E3: --b any of the early retirRnt benefit or supplement fomlas on the number of potential years of credited service?
v

depend

,
L

YES, USE ONE OR MORE ' NEW DEFINITIONS

E3A.

How fs the nuder of potential years of credited service (PSY) determined for use in the early retirement formulas? (USE MORE THAN ONE COLUPH IF NECESSARY.) PSYL rd-] ASSUHES PARTICIPANT WORKS UNTIL AGE: COUNT All YEARS SINCE FIRST EMPLOYED ASSUMES PARTICIPANT WORKS UNTIL AGE: COUNT ONLY YEARS EMPLOYED AFTER AGE:

PSY4 --$7

PSYS m

(4)-

(x_

(6)

(bq

r[

(4)(4)(4) (47,(4) (47 (4)(4)_(5) (4) (4) -(5)_

(Sk_ (5)_ (5) (5)--._ (5) (5)_ (5)-(6)__ (5)-(6)._

(6) (6)(6) (6)-

,;q

m

ASSUMES PARTICIPANT WORKS UNTIL AGE: COUNT ONLY YEARS AFTER FIF(ST # YRS:

:d

FJ

ASSUHES PARTICIPANT YORKS UNTIL AGE: COUNT ONLY YEARS EMPLOYED AFTER AGE: aONLY YEARS AFTER FIRST # YRS:

(6) W(6)

fq

m

ASSUMES PARTICIPANTWORKS UNTIL AGE:
COWT ONLY YEARS EMPLOYED AFTER AGE: &NJ ONLY YEARS AFlER FIRST b YRS:

(6)

il

2

[t

IT]

OTHER (SPECIFY BELOU):

PSYQ:

PSYS:

PSYS:

30
f38. Am the above definitions of PSY based only on specific calendar time periods, or on all years covered by this pension plan? (ENTER IN SAME COLUM( AS ABOVE FOR EACH NEW DEFINITION.) PSY4 m-m= PSYS PSV6

COVERS ALL YEARS: BEFORE:

NO SPECIFIC DATES CITED.

(4)_J9_ (4) (4) (4) *IS_ J9_ 3,

(5)
(5) (5!_*19_ (5)

*19_ a_

(6) (6-*19_

*19_

(C (c
,d )d

17
Id

AFTER: FROM: TO:

(6L-_
919. -

(6-*‘ 9_

OTHER (SPECIFY BELOW):

PSYB:

PSYS:

PSYB:

E3C.

Is there a maxi&m number of potenttrl cndlted service years that can be used for early rctlrement beneflts? (ENTER IN SAME CDLW AS ABOVE FOR EACH NEH DEFINITION.) PSYS -m [fl EIEJ m l7-J PSY6 rj YES, HAXIMUH PSY: NO
OTHER (SPECIFY BELOU):

PSY4

la Ibl Ir
PSYI: PSYS: PSY6:

(4)

(5)

(6)

I

31
. E4. Do-any of the early retirement benefit or supplement foniulas depend on the level of the employee's wages or salary? , YES, USE ONE OR MORE y ' NEW DEFINITIONS .. v E4A. How Is Final Average Pay (FAP) defined for use in the early retirement formulas? (CHECK WHETHER THE DEFINITION IS GIVEN IN TERMS OF MONTHLY OR YEARLY TIME PERIODS. USE MORE THAN ONE COLUW IF NECESSARY.)

"

1’:ii;“ “ if.

I:?

,

= m

F9P4

c

FAPS

x

FAP6j

CHECK: (4) @

;vrrl (5) ,m

IYFI) (6) I@

m--

71 b F

Id m rj

FINAL SALARY OR WAGE RATE TOTAL OF ALL MO/YRS. AVERAGE OF ALL MO/YRS. DURING FINAL I MXYRS: (4) (4) --(6) _J) (5) (5) (6) (5) -(6) (6) 6 t61 (6) -

ibl iC

)e ifl

!c if!

17

HIGHEST MO/YR WRING

FINAL 4 MWYRS:

I-?-/ AVERAGE OF THE HIGHEST # WYRS: DURING FINAL # MO/YRS: ,g AVERAGE HIGHEST CONSECUTIVE d MO/YRS: OURING FINAL I M)/YRS: NO SPECIFIED PERIOD, HIGHEST WYR NO SPECIFIED PERIOD, AVERAGE OF THE HIWEST

1:; (4) (4) --w

.9’ IT -’

17

17

!hJ 13

(rMD/YRS:

(41 -(S)_ (4)

(6) (6)

rj

13

(31

NO SPECIFIED PERIOD, AVERAGE HIQiEST CONSECUTIVE # MO/YRS:

---

(5)

17 FAP4:

g

m

OTHER (SPECIFY BELOW):

FAPS:

FAP6:

32
E4B. When USed in the early retirement formulas, is FAP expressed in terms of monthly or annual amounts? (ENTER IN SAMECOLUMN AS ABOVE FOR EACH DEFINITION.) FAPS (7 m m lz! FAP6 Ed' m /?I I] MONTHLY AMOUNT YEARLY AMOUNT DOES NOT APPLY--FAP DEFINED AS TOTAL OF ALL MO/YE. OTHER (SPECIFY BELOW):

FAP4 m-11 In 17 17 FAPQ: FAPS: FAP6:

E4C. Are the above definitions of FAP based on wages and salaries earned during specific calendar time periods, OT during all years covered bp;;In;ion plan? (ENTER IN SAME COLUMN AS ABOVE FOR EACH NEW . FAP4 --I FAPS FA?6

COVERS ALL YEARS: NO SPECIFIC DATES CITED. BEFORE: (4) AFTER: FRW: TO: (4) (4) (4) JO_ J9_ J9_ J9_ (5) (5) (5) (5) (19, J9_ 919, J9_ (6). (6) (6) (6) *19_ *19_ 3, J9_

OTHER (SPECIFY BELOU):

FAW:

FAPS:

FAP6:

I 33
E4D. Is-there a maximum age or service years after which any wages or salaries cannot be used in calculating FAP? (ENTER IN SAME COLUbfiAS ABOVE FOR EACH NEW OEFINlTI@i.) DEFINE ASY:
c334

..

(4)

n

ASY_

(5)

UASY

---

FAPS

FAP6 4 : YES, MAXIMUM AGE: YES, MAXIMUM ASY:

izI NOT USED (4) (4) (4) _ (4). : (4) _ (4) _ (4)

q

NOT=D
(5) (!;I (5) (S)(5) (6)_ (5)

(6) easy___ 0 NOT USED
(6) (6) (6)_ (6) (6)(6) _ (6) ~_

YES, MAXIMUM AGE PLUS ASY: YES, WHEN OVER MAXIMM E AGE:

OVER MAXIMUM ASY:

YES, WHEN OVER MAXIMUM AGE: AND OVER MAXIMUM ASY: f ?-j if,
‘ m

NO

y7 -FAP4:

*T

Irj

OTHER (SPECIFY BELOW):

FAP5:

FAP6:

E4E. Is there a maximun on the amunt of monthly/annual waaes and salaries that can be used to cal culatc FAP? WTER IN SAME coLurr4 ABOVE FOR EACH NEW OEFINITION.) AS F4P4 --FAPS FAP6

ttl
FAP4: FAPS: FAP6:

m

1'1

OTHER (SPECIFY BELOW):

34
ES. Do Social Stcuri benefit Prwtnts or the Soclrl ty Security taxable wage into any of the early retirementbenefit or supplement formulas?
bate enter

ESA. How is the Social Security term (55) defined for use In the early rttlrement fotmulas? (USE MORE THPN ONE COLUEH IF NECESSARY.)

a

a

a

SOCIAL SECURITY BENEFIT AMOUNT (CHECK WHmER WHETHER REDUCED OR UNREDUCED.) (4) u PRIMARY (5) ~PRHARY cl JOINT m NOT CITED (5) nUNREDUCED m u REDUCED NOT CITED

PRIMARY OR JOINT, AND (6) 0 PRIMARY JOINT NOT CITED UNREDUCED

@ JOINT UNOT CITED As (4) fl UNREDUCED a u REDUCED NOT CITED

q
n (6) a

il REDUCED cl NOT CITED

EmmY

SOCIAL SECURITY TAXABLE WAGE BASE (4)

q
@ 0

AT RETIREMENT
CAREER TOTAL CAREER AVERAGE ACTUAL

(5) m 0 0 (5) m

AT RETIREMENT CAREER TOTAL CAREER AVERAGE ACTUAL ESTIMATED AT RET1REMENT ESTIMATED IN YEAR: 19 -

(6) 0

q
0

AT RETIREMENT CAREER TOTAL CAREER AVERAGE ACTUAL ESTIMATED AT RETIREMENT ESTIMATED IN YEAR: 19

(4) a

[ZI ESTIWTED AT RETIREMErNT cl ESTIMATED IN YEAR: 19

q
n

(6)

q
0 0 0:

q
itiE= 554: sss: SS6:

-

a

OTHER (SPECIFY BELOW):

I
35
E5B. When asked in the early mirement formulas, is 55 expressed in _.-‘terms of monthly or annual amounts? (ENlER IN SAME COLUMN AS ABOVE FOR EACH DEFINITION.) 554 ,5 /b (7 (zl ss4: ss5 z (b rc!‘ /q 556 rj;l rbJ i?-] r1 M)NTHLY AMOUNT YEARLY AMOUNT WES OTHER NOT APPLY--SS DEFINED AS CAREER TOTAL SWB.

(SPECIFY BELOW):

sss:
556:

ESC.

Are.the above definitions Of SS based only on specific calendar time pertods, or on all years covered by this pension plan? (ENTER IN SAME COLUM( AS ABOVE FOR EACH NElJ DEFINITION.) 555 $56

554 ---

COVERS ALL YEARS: BEFORE: AFTER: FROM: TO: (4) (4) (4) (4)

NO SPECIFIC DATES CITED. *19_ 919, J9_ ,19_

(5)
(5) (5) (5)

J9_ 919, 9'9, J9_

(6)-*'9(6) (6) (6) *19_ ,19_ ,19_

onm
$54:

(SPECIFY BELOW):

sss:

556:

36
E5D. Is there a maximum limitation on the amount of 55 that can be used to determine early retirement benefits or a maximun on service years or age after which the 55 amount no longer accrues? (ENTER IN SAM COLUW AS ABOVE FOR EACH NM [YFINITION.)

* . 554 --555 556 _I;)

DEFINE ASY: (4) aASY_ u NOT USED

(5) OASY

q

(6) UASY 0 NOTED I -'

NOT=0

CEJEJEI
Ibllbl IclIcllcl a m m

YES, MAXIMUM PERCENTAGE OF 55: YES, MAXIMUM DOLLAR AMOU(T: YES, MAXIMUM AGE: YES, MAXIMUM ASY: YES, MAXIM@! AGE PLUS ASY: YES, WHEN OVER MAXIMUM AGE:

(4)
(4)d (4) (4) (4) (4) (4) (4) (4)

S(5)
(5) f (5) (5) (5)

'z (6) (65 (6)

6) 6) 6)
(6) (6) (6)

lrllrllal t!lrrlm

(5)
(5)‘ (5) (5)

E LellalLel
Y0,

OVER MAXIM

ASY:

UHEN OVER MAXIMUM AGE:

AN0 OVER MAXIMUM ASY: BamlhlNO

itlLzlltl SS4:

OTHER (SPECIFY BELOU):

sss: 556:

I 37

E5E. If participants can retire before they are eligible to receive Social Security benefits, how is the SS term estimated for use in the pension fornula(s)? (ENTER IN SAME COLUFH AS ABOVE FOR EACH DEFINITION.) 554 snm sss m DOES NOT APPLY BENEFIT AMOlNT EXPECTED AT AGE: ASSUMES PARTICIPANTS HAVE NO FUTURE WAGE OR SALARY INCOME (4)--(5) (6)

.

Icllcllcl

BENEFIT AMOUNT EXPECTED AT AGE: ASSUMES PARTICIPANTS WORK UNTIL THEN AT CURRENT WAGES OR SALARIES BENEFIT AMOUNT EXPECTED AT AGE: ASSUMES PARTICIPANTS WORK UNTIL THEN, WITH ANNUAL INCOME INCREASES OF: ESTIMATION METHOD NOT CITED OTHER (SPECIFY BELOY):

(4)

(5)

(6)

lalmldl
lellellel IrllrlIrl
554:

(4) (4)

(5) x (5)

(6) X (6) x

555:
556:

38

E6.

Do any of the early ntfmmmt benefit or supplement formulas include a reduction factor to adjust benefits? TURN TO P. 40, E7 TURN TO P. 39, E6A

39
E6A. How Is the reduction factor (RED) dctfned for use fn the early retfrment (USE *ORE THAN ONE COLUMN IF NECESSARY.)
r DEFINE ASY: fOmulas?

.

14,aASY u- NOT USED

(5) OASY 17 NOT=0

(6) [7 ASY 13 NOT=0

m .

KT!JARIALLY EI)I!IVALM To R~kEf'fs RECE[VED AT: (4) PAGE:

(5) (-JAGE:
0 c n AGE+= 'IORMAL

(6) DAGE:
0 g u AGE+ASY: NORMAL -

0
c n

AGE+ASY: NCRHAL

jsla

a

FIXED IMLLAR OR PERCENT REDUCTION, MULTIPLIED BY THE NUMBER OF vc47s +r PARTICIPANT RETIRES BEFORE REACHING A CERTAIN AGE, MY, OR SUM 0; AGE'*bASY.

3,
(4) (5) (6)

/q

m

r]yARYING

DOLLAR OR PERCENT REDUCTION DEPENDING ON AGE. ASY, OR SUM AGE+ASy.

0

q

AGE
ASY

[7 AGE+ASY

(4)
(4)

'

(5)
(5)

'

(6)
(6)

'

WDER

(NO MN):

(4)*

(5) + (5) (5) (5) (5) (5) (5) (5) (6) (6) (6) (6) (6) (5) (6)

FRon (WIN): (4) TO: (4)

(4)

(5)

(6)

Fw)H: (4) TO: (4)

(4)

(51

(6)

FROM: (4) TO (MAX): (4)

(4)

(5)

(6)

OVER (NO MAX): (4)

(dl m
REW: REDS: REM:

UNSPECIFIED REDUCTICIJ OTHER (SPECIFY BELOW):

I
40
._ . E7. Express the early retinmtnt benefit and supplement fotmulas, including any other minimums or maXifWW on benefit amounts, using the terms defined in the above questions (ASY, PSY, FAP, 55, REO) and standard notation. For each formula, enter the appropriate number coded In the questions below to indicate how age and service requirements are defined (RAS), the dates for which the foarmulasapply (OAT), whether there are any other special requirements (ROT), and how long the beneffts are paid (LNG). .

I

CHECK BOX:

TOTAL NUlrgER OF SEPARATE FORMULAS COOED:

ER#l= SPECIFY RAS OATI ROT LNG_

ER#2= SPECIFY: RAS OAT_ ROT LNG-

ER#3= SPECIFY RAS DAT?OT ,.NG

jPfCIFY:l RAS -I ROT-I

ER#S= SPECIFY RAS DAT_ ROT LNG I 1

42
E8. What combinations of agt and actual service years art rtquircd (Wj) to receive early retittmtnt benefits or supplements? (USE MIRE THAN ONE COLUPN IF NECESSARY; CHECK ALL COFBINATIONS THAT APPLY FOR EACH DEFINITION.)

-. RAS4 RASS fW6+h --m
lb

DEFINEASY: (4)

a

ASY_

is)

OASY 0 NOTGD

(6) a
0

ASY_
NOT USED

cl NOT USED NO MINIHUM AGE
M;;;M;; ;f=& OR ASY ASY

la
tbl

m
Ibi

(4)

(5) (5)

(6) (6)

[cl

17

itI

MINIMUM ASY OF: ’ (4) AGE. AND NO MINIMUM
AGE OF: MINIMUM (4) AND MINIMUM ASY OF: (4)

(I
m;e ln

Id

(d7

(6) (6) (5) (5) (6) (6)

MINIMUM AGE OF: (4) AND MINIMUM ASY OF: (4) m a MINIMUM AGE OF: (4) AND MINIMUM ASY OF: (4)

a

14

14

AGE PLUS ASY OF: NO MIN AGE OR 4SY

(4)

(5) (5) (5)

16)

fv lj

1'1 Ijl

ri 111

AGE PLUS ASY OF: ' (4) AND MINIMUM ASY OF: (4) AGE PLUS ASY OF: (4) AND MINIMUM AGE OF: (4) AND MINIMUM ASY OF: (4)

6) 6) 6) 6)

I#
6)

13

rl

rl

OTHER (SPECIFY BELOW):

RAS4: Itus:
RAS6:

I
43

E9.

aD the early retirement benefit or supplement fonnrlas apply only to participants that retire during a specific calendar time period, or to all retirement dates (CUT)? 1. USE ONE OR MORE NEW WtES . . 2. USE PRIOR IWFINIlIO(S

TURN TO P. 44 , El0

DAM ---

OATS

OAT6

COVERS ALL YEARS: NO SPECIFIC DATES CITED. BEFORE: (4) AFTER:
Id

,19, 919, 119, *19_

(6) (6) (6) (5)

,19_ .19_ ,19_ *19_

(6) (6) (6) (6)

919, *19_ (19, ,19_

(4) (4) (4)

I'd

I\d

1

FROM: TO:

l-2-l E-7
DAf4:

E-7

OTHER (SPECIFY BELOW):

WTS: DAf6:

44
ElO. To receive any of the early retltementbtneflts or supplements are employer approval, there any 0th.~ requiremen-ts (ROT), such as speclf4c or benefits llmlted to only participantsthat made voluntary contributions,

or other sprjal requirements?

1. USE ONE OR MORE NEW REQUIREMENTS

TURN TE'ilP.45 9

NO OTHER SPECIAL REQUIREMENTS EMPLOYER APPROVAL REQUIRED VOLUNTARY CONTRIB~IONS REQUIRED

PAST SERVICE CREDIT REQUIRED IF RAN PARTICIPANT ON: 19 (?)y--s-(5) 19 (6) 19

IF PLAN PARTICIPANT BEFORE: (4)-----19 IF PLAN PARTICIPANT AFTER: IF PLAN PARTICIPANT FROM: TO: (4)---e-e 19 (4)---w 19 (4)--19

(5)
(5) (6) (6)

19
19 19

(6)
(6) (6) -e

19
19 19_ 19

1916)

ElIlr
R9T4:

OTHER (SPECIFY BELOW):

ROTS:

ROT6:

45
Ell. Asidi .from lump-sum withdrawal optlons, am the early rttlranent benetlu and supplanents paid on a regular basis for life, on a regular basis for som other specified time period, a one-time payment, or how long (LNG)? .

LNG4 ---

LNGS

LNGd m rj FOR LIFE FOR # YRS: (4) AGE: AGE: (4) (4) (4) (4) (5) (6) (5) (5) (5) (6) (6) (6) (6) (6)

El
[rl (c1 Id (el

ial
(bl m m m

F]UNTIL r]AFTER F]

FROM AGE: TO AGE:

m

m

(f

UNTIL ELIGIBLE FOR SOCIAL SECURITY BENEFITS (CHECK WHETHER FOR UNREOUCEO OR REDUCED BENEFITS.) (4) m UNREDUCED REDUCED NOT CITED (5) 17 UNREDUCED a a REDUCED NOT CITED (6) m I UNREDUCED REDUCED

q

0

cl NOT CITED

ITI 191 El

AFTER ELIGIBLE FOR SOCIAL SECURITY BENEFITS (CHECK WHETHER FOR UNREDUCED OR REDUCED BENEFITS.) (4)m UNREOUCED (B ) a UNREDUCED (6)

q
n n

UNREDUCED REDUCED NOT CITED

q El
El
LNCA:

cl REDUCED NOT CITED

cl REDUCED a NOT CITED

El Ih (z Ir

ONE TIME PAYMENT OTHER (SPECIFY BELOW):

LNGS:

LNG6:

_

,

46
E12. Please express how the early retirewent benefit and supplement formulas an combined to determine the total early retlrunent benefit amount, including any limitationson the minimum or maximum total early retirement benefit. (USE STANIMRD NOTATION A)(DAPPLICABLE FORMULA NUFBERS.) ERfWl= . .

SECTION

F

47

DEFINED BENEFIT PLANS: Fl.

DEFERRED VESTED BENEFITS

For participants that terminate employment before they qualify for normal or.e~r!y.retirement, how are actual service years defined to determine eligibillty for deferred vested benefits?

m a a m

ALL YEARS OF EMPLOYMENT ARE CREDITED. ONLY COUNT YEARS AFTER ONLY COMT YEARS AFTER FIRST AGE: 1yYEARS: AGE: #YEARS:# YEARS:

ONLY COUNT YEARS AFTER e AFTER FIRST ONLY COUNT YEARS AnER AND AFTER FIRST ONLY COUNT YEARS WRING OTHER (SPECIFY): FINAL

El
m a

AGE:

1vYEARS:

FlA.

Are the above definitions based only on specific calendar time periods, or on all years covered by this pension plan?

m
b cl lzl Q

COVERS ALL YEARS: NO SPECIFIC DATES CITED. BEFORE: AFTER: FROM: TO: s 19_
. 19 9 19_

9 19_

Iz

OTHER (SPECIFY) :

4%
FlB. Are participants
credIted one Service anploymnt requirements, or does the on the actual nunber of hours worked year for each year they amount of credited service each year? meet minlmum

depend

CREDITED ONE ASY FOR EACH YEAR EMPLOYED; NO MINIMUM WORK REVUIREMENTS CREDITED WITH EITHER ZERO OR ONE ASY;.ONE ASY IS CREOITED FOR EACH YEAR WJ~RKED A MINIMUM OF: #HOURS PER YEAR UUEEKS PER YEAR, AND #HOURS PER WEEK #f*rlNTHS PER YEAR, AND #hrlURS PER MONTH CREDITED WIlH A PRORATED FRACTION FROM ZERO TO ONE ASY; ONE FULL ASY IS CRLDITED FOR EACH YEAR WORKED A HfNIMU4 OF: #HOURS PER YEAR

0””
OR

#WEEKS PER YEAR, AND

dHouRsPER w
#MONTHS PER YEAR, AND #HOURS PER MONTH

cnl

Ih
n""

CREDITED EACH YEAR WITH A PRORATED FRACTION FROM ZERO TO IQRE THAN ONE ASY; ONE FULL ASY IS CREDITED FOR EVERY: #HOURS PER YEAR UUEEKS PER YEAR, AND #HOU6 PER w OR IMMl4S MOWS PER YEAR, AN0 PER MONTH

Ln
El

OTHER (SPECIFY):

I

49
F2. Which of the following vesting schedules defines eligibility for deferred vested benefits (in addition to the return of the particfpants own contributions)?

E! El

IMMEDIATE 100% VESTING FROM TIME OF INITIAL PARTICIPATION XLIFF VESTING: AGE: ASY: AGE+ASY: AGE: AGE: g AND ASY: ASY: VESTING INCREASES FROM 0% TO 100% WHEN:

El

STEP VESTING: VESTING BEGINS AT AGE: ASY: AGE+ASY: AGE: AGE: VESTING REACHES: AGE: ASY: AGE+ASY: AGE: AGE: @ AND ASY: ASY: B AND ASY: ASY: X WHEN: x WHEN:

VESTING REACHES 100% WHEN: AGE: ASY: AGE+ASY: AGE: . AGE: E AND ASY: ASY:

El
El

NO VESTING SCHEDULE CSTED. OTHER (SPECIFY):

50
F3. Are employees required to make contributions in order to participate in this defined beneflt plan?

P.51, F4 ..

P
5. NO
~]--+ TURN TO P. 59, ~6

F3A. Can the participants make any voluntary contributions to this defined benefit pension plan? [-j F5 p. 55,

51
Fa. .~JJI annual basis. how is the mandatory (MAN) contribution calculated? an
-(USE nORE THAN ONE COLUt+d IF NECESSARY.) CHECK: (7) UPRE 0 TAX (8) D D PRE TAX POST TAX (9) @ 0 PRE TAX POST TAX CITED .. 4

POST TAX

cl NOT CITED .. "':q? MAN8 --MAN9 -jr DEFINE ASY: (7)

q ]'ASY:.

cl NOT CITED (8) aASY: DNOT

aNOf (9)clASY:

a

NOT USED

=

DNOT

USE0

FIXED DOLLAR AMOUNT:
FIXEO PERCENTAGE OF PAY: UP TO MAXIMUM CONTRIBUTION:

(7)s (7) (7)s -

(B)f X(8)

(9) Y(9)

(815
:(B) I:(S) 38)

-

(9)
t;(9) Y(9) U(9) (9)s (' w

FIXED PERCENTAGE PAY AT OR BELOW SwB:(7) FIXED PERCENTAGE PAY ABOVE 5~8: FIXED PERCENTAGE PAY ABOVE SwB: UP TO MAXINUM CONTRIBUTION: (7) (7) (7)s -

(815

1;
m
0 0

El
S AMOUNT
':PAY

191

VARYING DOLLAR OR PERCENTAGE:

b
h",

5 AMOUNT PAY

lo PAY

1

na,(PAY>SWB) ?(PAY~SWE)

q

~:(PAY>SUB) X(PAYISdB)

b
(8) (8)

cl

0

. UNDER (NO MIN): (7) FROM (MN) (8) (8) (8)-(9)(8)_(9)(8) ._(9)_(8) _(9)(8) (8) (9)(9) (9) (9)--

(9)
(9)

:

(7)

TO: (7)

(7)
(7)

(8) (8)

(9)

FROM: (7) TO: (7) FROM: (7) TO (liUX): (7)

(9)

(8)

(9)

0;rER (NO FIAX): (7)

OTHER (SPECIFY BELO!d):

52
F4A.
Oo:any- of mdatory COntr:3utiOn fOmJlaS depend on the Social hcurity taxdole wdge odse (SHB)? (ENTER IN SAME COLJMN AS ABOVE FOR EACH 'XFINITION.) the above

.

MAN7 -mIT

MAN8 la

MAN9 rl

YES, ACTUAL SW8 IN EFFECT EACH YEAR
YES. CAREER AVERAGE SW9 CALCULATED EACH YEAR YES, CAREER AVERAGE SW6 ESTIMATED NO OTHER (SPECIFY BELOW):

/fl
ICI (7 [r MAN7:

rb
m m m

K[
rl rdI r[

IN YEAR:

19

MAN8:

MAN9:

FM.

Can participants withdraw dny tndnddtoty contributions they nude to this pcnsicn plan if they terminate dmployment before they become eligible for retirement? (ENTER IN SAME COLUm AS ABOVE FOR EACH MFINItION.)

DEFINE ASY:

(7) DASY u- NOT USED

(8) UASY 0 NOT=0

m

YES, CAN I~EDIATELY WITHORAY CCifiTRIBlfrIUtS TERHINATIOW AT YES, AFTER YES,AnER YES, AFKR AGE: ASY: AGPASY: AGE: ASY: AGE: ASY: (7) (7) (7) (7) (7) (7) (7) (8) (8) (8) (8) (8) (8) (8) (9) (9) (9) (9) (9) (9) (9)

El
m m

a
m

YES, AFTER
ORAFTER YES,AnER ANJAmR

Le7m
EIEI

m

NO, CANNOT WITHDRAW CONTRI8UTIONS NOT CITED OTHER (SPECIFY BELOW):

El
m

Illlrl
MANI: MAN8: mN9:

F4C.

Does the amunt received by the participant include any accrued interest? (ENTER IN SAME COLUMN AS ABOVE FOR EACH OEFINITION.) MAN8 la] MAN9 m YES, INTEREST ACCRUED AT ANNUAL RATE OF: (7)_ r(e)_ X(9)_ ',

53

MAN7 --ia-1

lolrblrbl Icllc_lTcl Id! rVOL7: vOL8: 11 m rd

YES, ACCRUED INTEREST PAID, ANNUAL RATE NOT CITED. NO, INTEREST NOT PAID NOT CITED OTHER (SPECIFY BELOW):

FJ

VOL9:

F4D.

3oes the interest accrue over the entire time period since the participant first started contributions, or only after a certain age or minimun number of sewice years? (ENTER IN SAME COLUt4 AS ABOVE FOR EACH DEFINITION.!
1

DEFINE ASY:

(7) UASY_ cl NOT USED

(8) OASY

(9)

q
0

4

ASY_ NOT USED

MAN7 S! lbllb1

MAN8 E,

MAN94 m

c) NOTED

DDES NOT APPLY--NO INTEREST PAID ACCRUE INTEREST OVER ENTIRE PERIOD

m 0 i3 a lfl

ACCRUE INTEREST AFTER ACCRUE INTEREST AFTER

AGE: (7) ASY: (7)

(8) (8) (8) (8) (8) (8) (8)

(9) (9) (9) (9) (9) (9) (9)

ACCRUE INTEREST AFTER AGE PLUS ASY: (7) ACCRUE INTEREST AFTER g AGE: (7) AFTER ASY: (7) AGE: (7) e AFTER ASY: (7)

a

ACCRUE INTEREST AnER

IhI(hl ElIlrl
MAN7: MAN8: MAN9 :

a
m

NOT CITED
OTHER (SPECIFY BELOW):

F4E. Can particfpantsmake any voluntary contributionsto the defined benefit pension plan? it--> TURN TO P. 59, F6

55
'5. 'dpac-annual minimums aptly to the voluntary contributions? 1;S-E MORE THbmOL,?fN IF NECESSARY.)

CHECK:

(7) D

q

PRE TAX POST TAX

(8) 0

PRE TAX TAX NOT CITED

(9) @

PRE TAX TAX

aPOST 0

C]POST a

.*
_ ?L7 '.'3~6 _-'.CL; -

cl NOT CITED

NOT CITED

DEFINE ASY:

(7)n

ASY: NOT USED

(8)O
D

MY:
NOT USED

(9)n
0

ASY:
NOT G

--+
No MINIt4JMAMOUNT FIXED WLLAR AMOUNT:

0

(7)s (7) (7)s

(8)s :(8) (8)s r(8) :(8) :(8) (8)s -

(9)s Y(9) (9)s -: Y(9) 39) Y(9) (9)s 7.

i z;

FIXED PERCENTAGE OF PAY: UP To MAXIMW CONTRIBUTIOI(:

FIXED PERCENTAGE PAY Al OR BELOU SUB: (7) FIXED PERCENTAGE PAY ABOVE SUB: FIXED PERCENTAGE PAY ABOVE SUB: wm MINIMUM CoNTRmi~ (7) (7) (7)s

': ', 2:

171 El
!
I

El
4

VARYING DOLLAR OR'PERCENTAGE: -.-.

OS a?

AMOUNT PAY

(-J S

AMOUNT

f-J PA'!
0 AGE cl ASY •: AGE*AS'( il-7 c UNDER (NO MIN): (7) mot4 (MEN): (7) TO: (7) FROM: (7) TO: (7) FROM: (7) TO (WAX): (7) OVER (NO MAX): (7)

O'a(PAY>SWB) O:(PAYISUB) 0 +(7) (7)

13 %(PAY*W) 0 Cl (9) %(PAYJ 99)

cl

q PAY

(8)

(8)
(8)-(9),_ (8) (8) (a) (8) (8)-(9)(8)

(9) -. (9) (9) (9) (9)-_ (9)

(8)
(8) (8) (8i

(9)
(9) (9) (9)

(7)

(7)
(7)

izmltl
VOL7: ':GL8: VOL9:

OTHER (SPECIFY BELOW):

56
FSA. AsIde

from IRS maxi~~S. what annual or career avcra c maximums apply to the VOluntarv (VOL) contrlbutfons? (USE SAME COLUbN AS &O~ACH DEFINITION.) ._
c

CHECK:

(7) ~AMNUAL aCAREER d NOT CITE0

(9) DANNUAL 0 u (8) a n CAREER NOT CITED ASY: NOT G

(g) @ : u

ANNUAL NOT CITED CAREER

DEFINE ASY: VOL7 VOL.6 VOL9 4 m--

(7)mASY: C)NOT =

(9)aASk
NOi G

Irmlrl Ibllbllbf El ICI Ic

NO nAXIMuW AMOlblf FIXED DOLLAR AMOUNT: FIXED PERCENTAGE OF PAY: UP TO MAXIMW CONTRIBUTION: (7)s (7) (7)s (8)s r(e) (8)s -(g)* r(8) qgj T(9) 39) (9)s ---, (9)s *.(9) -1 -:

FIXED PERCENTAGE PAY AT OR BELOW SU6:(7) FIXED PERCENTAGE PAY ABOVE SU8: FIXED PERCENTAGE PAY ABOVE SW8: UP TO MAXIMUM CONTRIBUTION:

(7)
(7) (7)s -

‘ 2(a)
X(8) (8)s -

.
.

EIElEl
US a: AMOUNT PAY

VARYING DOLLAR OR PERCENTAGE:

OS
0:

AnOUNT PAY

Ic] X(PAYjiSW6) ox(pAy~swB) tl

,o Z(PAY,S'mB) '-&PAYsWS) cl

(8)

(9)

UNDER (NO MIN): (7) FROM (MIM): (7) TO: (7) FROM: (7) TO: (7) FROM: (7) TO (%X): (7) OVER (NO MAX): (7)_(a)-

(8) (a) (8) (8) (8) (8)-(9)_ (8)

(?) (a) (9) (9) (9) (9) (9)

(8)
(7) (7)

(9)
(9i (9) (9)

Ml_. (8)
(8)

OTHER (SPECIFY BELOW): ;IOL7: :CLa: ;'OL9:

57
FSB; Do any of the VOluntafy contribution formulas depend on the Social Sccuritv taxable wage base (SWS)? (ENTER IN SAME COLUMN AS ABOVE FOR EACH OEFINITION.) VOL7 --ij [fl IT VOL8 m Ib Fj VOL9 (a] Ibj *+] YES, ACTUAL SUB IN EFFECT EACH YEAR YES, CAREER AVERAGE SWB CALCULATED EACH YEAR YES, CAREER AVERAGE SW6 ESTIMATED IN YEAR: 19_ -

‘ .

ldjldjldlm m VOL7: !'3L8 : m 121 OTHER (SPECIFY BELOY):

VOL9:

FSC.

Can partlctpents withdraw any voluntary contrfbutlons they made to this pension plan If they tcnninrtc employment before they become eligible for retirement? (ENTER IN SAME COLUKN AS ABOVE FOR EACH DEFINITIUt.) 1

DEFINE ASY: MAN7 --m MAN0 MAN94

(7) aASy_ cl NOT USED

(8) (-JASy_

q

(9) QASY u- NOT USED

NOT USED

[I

I"!

rj

YES, CANI~EOIATELY WIlHORAY CCfURIRUTIOHS TERHINATIOW. AT YES, AFTER
yES,AFTER YES, AKER AGE: ASY: (7) (7) (7) (7) (7) (7)
(7)

IT
a

Jb
a

Ibj
m

(8) (8) (4) (8) (8) (8)
(8)

(9) (9) (9) (9) (9) (9)
(9)

Id@Jm
17 r! rl

AGE+ASY:
AGE: ASY: AGE:
ASY:

YES, AnER SAnER

I'm

rf

Y&AFTER 4
AnER

191 [hl
Irl MANI: MAN8:

m Ihl
Lrl

14 Ihj
EJ

NO, CANNOT WITHORAM CONTRIBUTIONS NOT CITED OTHER (SPECIFY BELOU):

_ MN9:

58 Does FSD. the'amount received by the participant include any accNcd
vOL8 VDL9 --

interest? (ENTER IN SAME COLUFH AS ABOVE FOR EACH DEFIRITIM.)

El

13 (b

m m

YES, INTEREST ACCRUED AT ANNUAL RATE OF: (7)X(8)2(9)_% YES, ACCRUED INTEREST PAID, ANNUAL RATENOT CITED. NO, INTEREST NOT PAID

El
Icl

Icllcl
m 17 m !-

Id
El
VOL7: VOL8: VOL9:

NOT CITED
OTHER (SPECIFY BELOW):

FSE. Does the interest accrue over the entire time period since the participant first started contributiars, or only after a ceruin aoe or minimum nun&r of service years? (ENTER IN sm cowm As ABOVE FOR EACH ~~~NITI~N.)
l

DEFINE ASY:
HAN7

(4)cwcl NOT USED

(5) q ASY_
a NOT USED

+

(6)osY_
DNOT USED

MAN8 MANS+ -'7 -b1 ICI d 7 r rj la]. m la1

Ia
I

DOES NOT APPLY--NO INTEREST PAID ACCRUE INTEREST OVER ENTIRE PERIOD ACCRUE INTEREST AFTER ACCRUE INTEREST AFTER ACCRUE INTERESTAFTER ACCRUEINTERESTAFTER ORAnER AGE: (7) ASY: (7) AGE PLUS ASY: (7) AGE: (7) ASY: (7) AGE: (7) AND AFTER ASY: (7) NOT CITED (8) (8) (8) (8) (8) (8) (8) (9) (9) (9 (9) (9) (9) (9)

b

Ic Idl

19

sm
h fl (h! FJ

ACCRUE INTEREST AFTER

Ih Ir
MAN7:

OTHER (SPECIFY BELOU):

-_.

F6.

~0 any of the vested deferred retirement benefit and supplement formulas or ellglbillty requirements depend on the nunbcr of actual years of credit service the employee has accunulated?

TURN fO P.63 v F7 F6A. %w is the number of actual years of credited service (ASY) detenined for use in the vested deferred retirsnent formulas or for eligibility requirements? (USE MORE THAN ONE COLUlW IF NECESSARY.) ASY9 ALL YEARS OF EMPLOYMENT ARE CREDITED. ONLY COUNT YEARS AnER

>

ASY'I ASY8 --w

EiEi
IbJlb

AGE:

(7)
(7)

(8)-(9)_
(8) -(9)_

I?!
Idlldl

r]

ONLY COUNT YEARS AFTER FIRST # YEARS: a
ONLY COUdT YEARS AnER

AGE: AFTER FIB1 # YEARS:

(7) (8) (7) -(B). (7) -(B) (7)--(7) (8) (8) -(9)-

(9) w_-

'

leJlel

ONLY COUNT YEARS AFTER AGE: AND AnER FIRST I YEARS: ONLY COUNT YEARS DURING FINAL IyYRS:

m
II2
I

[yj

F]

OTHER (SPECIFY BELOW):

ASY7:

.

ASY8:

ASY9:

60
F6B. Are the above definitions of ASY based only on specific calendar timg periods, or on all years covered by this pension plan? (ENTER IN SAHE COLUPH AS ABOVE FOR EACH NEY OEFINITION.) ASY7 es= ASYB ASY9

COVERS ALL YEARS: BEFORE: AFFER: FROM: TO: (7) (7) ,(7) (7)

NO SPECIFICDATES CITED. .19_ 919, ,19_ .19_ (B) (81 (8) (8) .19_ 919, *19_ 919,

(9)
(9) (9) (9)

*19_ ,19_ ,19_ ,19_

OTHER (SPECIFY BELOW): ASY7:

ASY8: ASY9:

I
61
._ .

F6C. Is there a maximum number of actual years of cnditcd scrvlcc that can be used for vested deferred retirement benefits or a maximun age after which service years can no longer be credlted toward vested deferred retirementbenefits? (ENTER IN SAME COLUM AS ABOVE FOR EACH NEU DEFINITIW.) ASY7 El El El El
MAXIMUM AGE: F+AXIHlJM ASY: MAXIMlM AGE PLUS ASY: WHEN OVER MXIWM e OVER MAXIM! AGE: ASY: (7) (7) (7) (7) (7) (7) (7) (8) (8)(8)(8) (8) (8) (8)(9) (9)_ (9)(9) '(9) (9) (9)-

le

WHEN OVER MAXII'M AGE: &J OVER ?!AXIpRpI ASY:

c?J Itl
ASY?: m a OTHER (SPECIM BELOW):

ASYB:

ASYS:

;

62
_.

F6D. Are participants credited one service year for each year

they meet minimum employment requirements, or does the amount of credited service depend on the actual number of hours worked each year? (ENTER IN SAME COLUMN AS ABOVE FOR EACH NEW DEFINITION.)

‘ .

. CREDITED ONE ASY FOR EAtH YEAR EMPLOYED; NO MINIMUM WORK REQUIRE:?ExTz

[b

[r

lb)

CREDITED WITH EITHER ZERO OR ONE ASY; ONE ASY IS CREDITED FOR
EACH YEAR WORKED A MINIMUM OF: (71 (8\ ;;I____ (9) I:! (9) (9) aHOURS PER YEAR #WEEKS PER YEAR, AND #m PER WEEK. #MONTHS PER YEAR, AND 'HOURS PER MONTH

Ic

Ic

Lcl

OR OR

I;,' -

IdIr(rl

(71-_ (7)

(8) (8)

lelrT?llcl
Ifl v-J rf]

CREDITED WITHA PRORATED FRACTION FROM ZERO TO ONE ASY; ONE FULL ASY IS CREDITED FOR EACH YEAR WORKED A MINIflUM OF:
(71 OR (7) (7) (81 w_ (8) (81 (8) (9) (91 (9) (9) (9) ?HOURS PER YEAR #WEEKS PER YE;R, 31: #HOURS PE? AL/ *MONTHS PER YEAR, A:;0 #HOURS PER MONTH -

ITI

191

Lzrj

OR

(71 (7)

jh

a

m

CREDITED EACH YEAR WITH A PRORATED FRACTION FROM ZERO TO MORE THA!! ONE ASY; ONE FULL ASY IS CREDITED FOR EVERY:
(7) (8) (8) 181 (8) (8) (9) (9) (91 (9) (91 4HOURS PER YEAR ?UEEKS PER YEAR, AN0 mOuM PER kEEi; *'rONTHS PER YEAR, AND #HOURS PER MON'H

lzl ASY7:

Irm

EJ

OTHER (SPECIFY 8FLOti);

ASYB: ASY9:

I
63
F7. Do any-if the vested deferred rttirement benefit or supplement formulas . . depend on the number of potential years of credlted service?

F7A. How is the number of potential years of credited service (PSY) determined for use in the vested deferred retirement fomulas? (USE‘MORi THAN ONE COLUMN IF NECESSARY.) PSY7 --lrmm PSY8 PSY9 ASSUMES PARTICIPANT WORKS UNTIL AGE: COUNT ALL YEARS SINCE FIRST EMPLOYED ASSUMES PARTICIPANT WORKS UNTIL AGE: COUNT ONLY YEARS EMPLOYED AFTER AGE: [I icm {I ASSUMES PARTICIPANT WORKS UNTIL AGE: COUNT ONLY YEARS AFTER FIRST # YRS: (7) (8)_ (9i_

mlblo

(7) (711 (7)_ (7) .(7)_ (7). t71(7) (7) -(8)t71-

(8)(aw_ (8) _ (8) (a(8) (8) (8) -e

(9)(9)(91_ (9)_ (9)._ (9) (9) _ (9) 19r (9)

aElm

ASSUMES PARTICIPANT WORKS UNTIL AGE: COUNT ONLY YEARS EMPLOYED AnER ORONLY AGE: YEARS AFTER FIRST # Yf6:

[e]

m

le

ASSUMES PARTICIPANT WORKS UNTIL AGE: COW oNLY YEARS EWLOYED AmR AGE: @JJ ONLY YEARS AFIER FIRST 4 YRS:

Elm1
PSY7: PSY8: PsY9:

OTHER (SPECIFY 8E~ou):

64
ns.
A& the above definitions of PSY based only on specific calendar time periods, or on all years covered by this pension plan?
(ENTER IN SAME COLUMN AS ABOVE FOR EACH NEW DEFINITION.)

PSY7 fi

PSY8 fifi

PSY9 COVERS ALL YEARS: NO SPECIFIC DATES CITED. .19_ ,19J9_ J9_ (8) (8) (8) (81

.

lb ilb

Itb i

BEFORE: AFTER: FROM: TO:

(7) (7) (7) (7).

,19_
J9_

(9)
(9) (9) (9)

919 ,19_ ,19_ ,19_

ic
Ii
d

I” IC
1 .-

Id Ild u

-1

I

l 19_
*19_

1zI I’ I’
PSY7:

OTHER (SPECIFY BELOW):

PSY8: PSY9:
I

F7C.

Is there a mmxlmum number of potential credited service years that can be used for vcstcd deferred retirement bencflts? (ENTER IN SAME COLUkN AS ABOVE FOR EAoi NEU DEFINITION.) PSY0 rq PsY9 IrI YES, t4AxlMUMPSY: (7)(8)49)

PSY7 --fTj

ItI EI
PSY7: PSY8: PSY9:

El

OTHER (SPECIFY BELOW):

F8.

Do shy of the vested deferred retirement benefit or supplement fomlas depend on the level of the employee’ s wages or salary? 1 YES, USE ONE OR MORE _ _ - NEW DEFINITIO)JS

.

V F8A. How is Final Average Pay (FAP) defined for use in the vested deferred retfmnent fomulas? (CHECK WHETHER THE DEFINITIONIS GIVEN IN TERMS OF MDNTHLY OR YEARLY TIME PERIODS. USE MORE THAN ONE COLUFH IF NECESSARY.)

I CHECK:

t7) E!Q FRI

(8)lBl ig

(9) Ex! !J!l I

FINAL SALARY OR WAGE RATE TOTAL OF ALL MD/YRS. AVERAGE OF ALL MO/YRS. AVERAGE WRING FINAL # MO/YRS: HIGHEST HO/YR OURING FINAL I MD/YRS: AVERAGE OF THE HIGHEST d MO/YRS: DURING FINAL I MO/YRS: AVERAGE HIGHEST CONSECUTIVE b MO/YRS: OURING FINAL # MD/YRS: NO SPECIFIED PERIOD, HIGHEST MO/YR NO SPECIFIED PERIOD, AVERAGE OF THE HZ01EST I KJ/YRS: NO SPECIFIED PERIOD, AVERAGE HIGHEST CONSECUTIVE d MD/YRS: (7) (7) (7) (7)(7) (7) -(8) I81 -(9)._ (8) 19)

(8) (9) (8).-[9)(8)

--f;',

--

(7)

(8)

(9)

(7)

(8)

(9)

OTHER (SPECIFY BELOW):

FAP8:

FAPS:

66
F88. When used in the vested deferred retirement formulas, is FAP expressed in terms of mnthly or annual amounts? (ENTER IN SAME COLUW AS ABOVE
FOR EACH DEFINITION.) FAP7 FAPd FAP9 rar Ib I Irl FAP7: FAP8: FAPO: Ibllbl IclIc-l [r rtj MONTHLY AMDUJT YEARLY AMOUNT DOES NOT APPLY--FAP OEFINED AS TOTAL OF ALL WYRS OTHER (SPECIFY BELOW):

F8C. Are the above definitions of FAP based on wages and salaries earned during specific calendar time periods, or during all years covercd by this pension plan? (ENTER IN SAME COLUMN AS ABOVE FOR EAC)IDEFINITION.) FAP7 mFAP8 FAP9 1' m 17 lbl m ld_1 m r] COVERS ALL YEARS: NO SPECIFIC WTES CITEO. BEFORE: AFTER: FROM: TO: m FAP7: f= rj (7) (7) (7) -Jg_ (7)-*1g_ .19_ Jg_ (8) (8) (8) (8) J9_ ,19_ ,19_ J9_ (9) (9) (9) (9) J9_ ,19_ .19_ .1g_

mldlrdl

OTHER (SPECIFY BELOU):

FAp9:

67
FBD. cannot be used in calculating FAP? E&2 NEY DEFINITIUi.)
IS

there a maximum age Or service years after which any wages or salaries (ENTER IN SAM COLuM( AS ABOVE FOR

.

DEFINE ASY: FAP7 --ia FAP8 Ia1 FAPr+ w_

(7) Q

A$Y

(8) OASY c] NOT- USED

(9) OfiY a- NOT USE0

u- NOT USED YES, MAXIMUM AGE: YES, MAXIMUM ASY: YES, MAXIMUM AGE PLUS ASY: YES, WHEN OVER MAXIMUM AGE: E OVER MAXIMUM ASY:

(7) (7) (7) (7) (7) (7) (7)___

(8)

(9)
(91

(8)
(8) (8) (8) (8) t8-

f9L (9)
(9)-

(7

le_) 17

YES, WHEN OVER MAXIMUM AGE: & OVER MAXIMUM ASY:

(9)
(9)

Tfmm

NO

OTHER (SPECIFY BELOW): FAP7: FAPB:

FAP9:

FBE. Is thee a maxlmum on the amount of monthly/annual wages and salaries that can be used to calculate FAP? (ENTER IN SAME COLUm AS ABOVE FOR EACN NEW OEfINIfIW) FAP7 FAP8 FAP9 .YEs, MAXIMW OF: (7)s (8)s (9)s

lallr)
EJJbllbl
127
FAP7:

NO
OTHER (SPEW? BELOW)

12j

ItI

FAP9:

68
and supplement fonulas F9. DD any of the vested deferred retirement benefit depend on th amount of Social Security benef!ts received by the employee at retirement?

F9A. HOW Is the Social Secuirty term (SS) defined for use In the vested deferred Wltacnt fOmlaS? (tiSE MORE THAN ONE COLW IF NECESSARY.)

557 ---

558 SS9 SOCIAL SECURITY BENEFIT ACK)UNT (CIIECX bIllETHER PRIMARY OR JOINT, AND NETHER REWED OR UNREDUCED.) (7) 0 PRIMARY (8) [ZIPRIMARY cl JOINT m NOT CITED (8) 0 UNREDUCEO (9) (9) 0 PRIMARY

EIEIEI

@ JOINT ONOT CITED &Q (7) d a u mmxi UNREDUCED REDUCED NOT CITED

tl
a

JOINT
NOT CITED WREDUCED NOT CITED

a
0

DREDUCED Cl NOT CITED

D REDUCED
(9) aAT n

SOCIAL SECURITY TAXABLE WAGE BASE (7)

q
n 0

AT RETIREMENT CAREER TOTAL CAREER AVERAGi

(3) 0 0 0 (6)

Al RETIREMENT CAREER TOTAL CAREER AVERAGE

RETIREMENT CAREER TOTAL

q
(9) 0

CAREER AVERAGE

ANO (7) ~ACWL a ESTIMTED AT RETIREMENT

n ACTUAL
0

aACTUAL ESTIMATED AT RETIREMENT

ESTIHATED cl YEAR:19 IN

n
0

ESTIMATED AT RETIREMNT ESTIMATED IN YEAR: 19

cl El 121Ei
557: SS8:
529:

cl

OTHER (SPECIFY BELOW):

I
69

F9B.

When used in the vested deferred retirement formulas, Is SS expressed in terms of monthly or annual amounts? (ENTER IN SAME COLUMN AS ABOVE FOR EACH DEFINITION.)

.

557 G Ibl =I 127 557: 558: ss9:

558 17
lb.I 17 m

ss9

CJ
!I !tl

MONTHLY AMOUNT YEARLY AMOUJT DOES NOT APPLY--SS OEFINED AS CAREER TOTAL SUB OTHER (SPECIFY BELOW):

F9C. Are the above definitions of 55 based only on specific calendar time periods, or on all years cover&by this pension plan? (ENTER IN SAME COLUM'I AS ABOVE FOR EACH ND1 DEFINITION.)

COVERS ALL YEARS: BEFORE: AFTER: FROM: to: (7) (7) (7) (7)

NO SPECIFIC DATES CITED. .19_ 3, ,19_ J9_ (8) (B) (B) (B) 3, 39, $19, 919, (9)_ (9) (9) (9) ,19_ ,19_ ,19_ .19_

Elmi
ss7:

OTHER (SPECIFY BELOW):

558: 559:

_

Fg&

IS there a maxinum limitation on the amPuM Of 55 that can.be used vested deferfed retirement benefits or a maxuNm on to determine Service ytars OF age after which the 5s amount no longer acCrUeS?

(EN lER IN SAME COLUlW AS ABOVE FOR EACH NEW DEFINITI~.) . .
DEFINE ASY: (7) aASY_ ci NOT USED MAXIMUM PERCENTAGE OF 55: MAXIMLQ4 WLLAR MAXIMUM AGE: MAx1Mur4 ASY: MAXIMlM AGE PLUS ASY: , WHM OROVER (7) (7) s (7) (7) (7) ,(6) aASY_

(9) cpY_ cl NOT USED s (9;-_i (9$ (9) (9) (9)

557 lzl rbJ Ic m icl m

SS6 -v

SS9 +

cl NOT USED x (6) (6) s (6) (6) (6)

AMOW:

f I

AGE: OVER MAXIMUM
MAXIMUM ASY:

(7)
(7) (7) (7)

(8)
(8) __ (8) (6) -

(9)
(9) (9) (9)

Is-l

a

m

YES, WHEN OVER MAXIMUM AGE: ANO OVER HAXIMUM ASY:

R I 557:

(hla
a a

NO

OTHER (SPECIFf BELOU):

SS6:

559:

I
71
F9E. - 'If participants can retire before they are eligible to receive Social

Stcutity benefits, how is the SS tern estimated for use in tht pension formula(s)? (ENTER IN SAME COLUFb(AS ABOVE FOR EACH DEFINITION.) 559 DOES NOT APPLY AMOUNT EXPECTED AT AGE: PARTICIPANTS HAVE NO FUTURE WAGE OR SALARY INCOME AMOUNT EXPECTED AT AGE: PARTICIPANTS WORK UNTIL THEN AT WAGES OR SALARIS AMOUNT EXPECTED AT AGE: PARTICIPANTS WORK UNTIL THEN, WITH ANNUAL INCOM INCREASa OF: (7) (a)_ (9)-

557 E lbl

558

I

(7)

(a)_

(9) -

T;rt

(7) (7)x

(a)' (8)__x

(9)_ (9)x

lel Itl 557:

lellcl m m

ESTIMATION METHOD NOT CITE0 OTHER (SPECIFY BELOW):

SS8:

559:

72
FlO.

_
Do any of the vested deferred retfrement benefit or supplement formulas include a reduction factor to adjust benefits?

I
73
FlOA. How 1s tht rcbction -rWrmmt fomdrs? factor (RED) defined for use fn the vcsfcd deferred (USE FORE THAN ONE COLWI IF NECESSARY.)

OEFINf ASY:

(7) aASY_

a

a

a

ACTUARIALLY

EDUIVALENT TO BENEFITS

RECEIVED Al:

(7)

c] AGE:_ - . q AGE+ASY:_
m

(8)

q
@

AGE:_ AGE+ASY: EARLY

(9) @AGE:_
c] AGE+ASY: UNORfUL fARLY -

q

NORHAL EARLY

u

q U

DNOrWAL

q Ii

cs
us
cl% cl_

FIXEO DOLLAR OR PERCENT REOUCTICN. WLTIPLIED 8Y THE NUbSER OF YEARS THE PARTICIPANT TERMINATES EMPLOYMENT BEFDRE REACHING A CERTAIN AGE, ASY. OR SUM AGE*ASY.

a-

OS El:

cl
ASY ~AW+ASy a-

q q

AGE

a AD

JI

m

LL,]

m

VARYING DOLLAR OR PERCENT REDUCTION

OEPEMDINC ON A6E. ASY. OR SW

ACE+ASy.

a u
.
n

AGE ASY
AGE*ASY

a

cl Aa
ASY

a
0

AGE
ASY

AGE*ASY

C]AGE*ASY

(7) (7)

(8) (a!_

(9) (9) -

W=R

(MO MW: FROM (&IN): TO:

(1) (7) (7)

(8) ._(9) (8) (u_(9)

(9)

(7) _
(7) -

(8)
(a)_

(g(9),-

Fmk (ITO: (7)
FROM: TD (MAX): (7)(7)

(6)-(O) (6)
(a)_ (9)

(9) (9) (9)

(7) -

(aI_

(9)

OVER (NO rwX):

(7)

(6) _(9)

I

ld Ltl

m a

~SPPCIFIED WDUcIIo( OTHER (SPECIW BELOW):

El
RED7: RED6: REDO:

74

_ .

Fll. Expnrt the vested deferred retirement benefit and supplcacnt formulas, includlng any other mininums or maximums on benefit anornts, using the terms defined in the above questlons (ASY, PSY, FAP, SS, RED) and standard notdtlan. For each fonnula, enter the appropriate number coded in the questions below to jndicate how age and service requfraentt are defined (RAS), the dates for which the formulas apply (MT), whether thert are any other special requ4rcments (ROT), and how long the bqneflts are pald (LNG), and when the payments begln (BEG).

1 CHECK

BOX:

TOTAL NUf'8ER OF SEPARATE FORMULAS CODED:

1

CHECK BOX:

ALL FORMULAS DETERnINE OMOUTHLY

OR

aYEARlY

BENEFIT A?WNTS.

1

75
Fll

1

SPECIFY:

1

WT ROT

I LNG

I

SPECIFY

OAT_ ROT LNG BEG-

SPECIFY:

DAT_ ROT_ LNG_
BEG_

I

76

F12. Do the vested deferred retirement benefit or supplement formulas apply only to participants that terminate employment durina a specffic calendar time period, or to all retiranent dates (OAT)? ] ~[->TuRN TO p. 77, Fi3

CAT7

WT8

DAT9

COVERS ALL YEARS: NO SPECIFIC DATES CITED. BEFORE: (7) AFTER: FROM: TO: (7) (7) (7) J9_ .19_ J9_ 919, (9) (8) (8) (8) J9_ 919, J9_ (9). (9) (9) ,19_ ,19_ ,19_ ,19_

919 -. (9)

Ltru
WT7:

OTHER (SPECIFY BELOW):

DAT8: DAT9:

F13.

fv?&clvc any of the vested deferred retirement benefits or supplements are thert any other requirements (ROT), such as specific employer appmval, or benefits limited to only participants that did not withdraw their contributions, or other special requirements?

' NEW REQUIREMENTS

[ml+

TURN TO

P. 78, F14

ROT7 -m-

ROT8

ROT9 NO OTHER SPECIAL REQUIREMENTS EMPLOYER APPROVAL REQUIRED

lallam
Iblrbllb

m

a

a

NO WI?HDDRAWAL MANDATORY CONTRIBUTIONS OF NO WITHDRAWAL OF VOLUNTARY CoNTRIBUTIONS

Idlralral m m1yr m m

ONLY FOR THOSE THAT WITHDREW MANDAlQRY CONTRIBUTIONS o)(LYFOR THOSE THAT WITHDREU VOLUNTARY CONTRIBUTIONS

i

m
IhmIhl

a

m

IF PLAN PARTICIPANT ON:

(7)--

19
19

(8) (8) ,-

1919-

(9)-(9)

19 19_

IF PLAN PARTICIPANT BEFORE: (7)v-

ElEJm
CauJtil

IF PLAN PARTICIPANT AFTER:
IF PLAN PARTICIPANT FROM: TO:

, (7’

19_(B)
(8) (8)

M_
19

(9)-(9)--

19
19

(7) .-w-- 19 (7)v--m.19

19

19)

19 _a. -

a ROT7:

m

m

onwt

(SPECIFY BELOW):

ROT8:

ROT9:

78
Fl4. kfde from lump-sum wfthdrawat options, are the vested deferred retirmnt beneffts and supplements pald on a regular basis for life, on a regular basfs for sunc other specified time period, a one-time payment, or how long?

LNG7 LNG8 LNG9 --m 17 lb 17 m 17 I Ibl m 17 m rj rbj ri FOR LIFE FOR # YRS: (7) UNTIL AGE: (7)
AnER

(8) (8) (8) (8) (3) _

(9) (9) (9) (9) (9)

IdI r)
m

AGE: (7) (7) (7)

FROM AGE:

TO AGE: m m

UNREDUCED OR REDUCED BENEFSTS.) . _ (7)@

UNTIL ELIGIBLE FOR SOCIALSECURITYBENEFITS (CHECK WHETHER FOR
UNREDUCED REDUCED (8)uuiREDUCED a a REDUCED NOT CITED (9)n UNREDUCED REDUCED

q

q

17 NOT CITED [a m

I3 NOT CITE0

a

AFTER ELIGIBLE FOR SOCIAL SECURITY BENEFITS (CHECK WHETHER FOR UNREDUCED OR REDUCED BENEFITS.) (7)m 0 m UNREDUCED REDUCED NOT CITED (8)a UNREDUCED (9)a UNREDUCED

I3 REDUCED 0 NOT ;ITED

c7 REDUCED a NOT CITED

1.h

171

!”

ONE TIME PAYMENT
OTHER (SPECIFY BELOW):

Ir-lzl
LNG7: LNGB: LNGS:

E]

79
FlS.-Do vested defcrnd benefit payments begin at the tlme of the partlcipants employment termination, or do the payments begin at some later date (BEG)? (ENTER IN SAME COLW AS ABOVE FOR EACH NEW DEFINITION.) ”

DEFINE ASY: BEG7 BEG8 BEG9

(7) aASY_ u NOT USED

(8) aASY_ a NOT USED

(9) c]AsY n- NOT USED

PAYMENTS BEGIN AT TIME OF TERMINATION

(bl/bllbl Icl [c

PAYMENTS BEGIN AllYTIME PARTICIPANTS CHOOSE AFTER TERMINATIaY r/ PAYMENTS BEGIN UHEN PARTICIPANTS REACH AGE: (7) (8)(9)-

Id
le

[!

rdl

PAYMENTS BEGIN ANYTIME PARTICIPANTS CHOOSE AFTER AGE: (7) (8) (9)

17

!c]

PAYMENTS BEGIN ANYTIME PARTICIPANTS CHOOSE BETWEEN TERMINATIW AN0 AGE: (7) (8) (9)

Ir
i

j?l

Trf

PAYMENTS BEGIN ANYTIME PARTltIPANTS QlDDiE FROM AGE: TO AGE: (7) (7) (8) (8)-

(9)

(9

19

-a

PAYMENTS BEGIN iitlm PARTICIPANTS AGE+ASY REACH: (7)(8)_ (9)-

la
I

Dta
mm

PAYMEHTS BEGIN WHD( PARTICIPANT UDULD HAVE QUALIFIED FOR NORMAL RUIREMNT PAYMENTS BEGIN WEN PARTICIPANT WOULD HAVE QUALIFIED FOR EARLY RETIREMENT

EI Itllzl
BEGt:

OTHER (SPECIFY BELOW):

BEG8:

8EG9:

I

80

F16.

Please express how the vested deferred retirement benefit and supplement formulas are combined to determine the vested deferred retirement benefit amount, including any limitationson the minlmum or maximum total vested defetrcd retirement benefit. (USE STANDARD NOTATI~ AND APPLICABLE FORMULA NiJPBERS.)

81
_SECTION G DEFINED BENEFIT PLANS: Does this pension plan benefits? . . 1. YES 7 GlA. Does this pension plan include a provision that increases the vesting percentage for participants that were not fully vested at the time of disablement? DEFINE ASY: DISABILITY RETIREMENT

Gl .

include

any

provisions for 'disablllty retirement

I

5. NO s->

TURN TO P.106, SECTION H

q

ASY:

c] NOT USED

lal Ib Ic (dl

INCREASED TO 1002 AT TIM

OF DISABLEMENT A,GE: ASY:

INCREASED TO 100% UHEN ABOVE MINIMUM
INCREASED TO 1002 WHEN ABOVE MlNIMUM

INCREASED TO 100X M4EN ABOVE MINIHUH AGE+ASY: INCREASED TO 100% WHEN ABOVE MINIM@4 AGE:

El
[fl

OJ4BOVE MIN ASY: INCREASED TO 100% WHEN ABOVE MINIMUM
PGE:

AND ABOVE MN ASY: 19 a
01SMLEMENT.

VESTING PERCENTAGE IS NOT INCREASE0 ABOVE AMOUNT CALC;ILATED TIME OF AT

OTHER (SPECIFY):

82
G18. After disablemnt, do participants continue to accrue servjce credit until thev are eliqible for earlv or normal retirement benefits, or are no additional service years cndited after the time of disablement?

I DEFINE ASY:
m ACCRUE ONE MY-FOR

m

ASY:

tj NOT USED 1

EACH YEAR DISABLED, NO f#xIM~n AGE: ASY: ASY:

m
m

ACCRUE ONE ASY FOR EACH YEAR, TO MAXIMW ACCRUE ONE ASY FOR EACH YEAR, TO MAXImu ACCRUE ONE ASY FOR EACH YEAR, TO HAXIWM TOTAL im1t1ow.

(dl

mAACCRUE If m m a 127

ONE ASY FOR EACH YEAR, TO MAXIMUM TOTAL

AGE+ASY: AGE: ASY: AGE+ASY:

USE GREATER OF AGE AT DISABLE!4ENT OR USE GREATER OF ASY AT DISABLEMENT OR USE GREATER OF AGE+ASY AT DISABLEMENT OR NO ADDITIONAL SERVICE YEARS CREDITED OTHER (SPECIFY):

I
83
lb any of the disability requirement benefit and supplement formulas or eligibility nquirements depend on the number of actual years of credit service the employee has accumulated?

G2A. How is the number of actual years of credit service (ASY) determined for use in the disability retirement formulas or for eligibility requirements? (USE MORE lHAN ONE COLUMN IF NECESSARY.) ASYlo ,T Ibj 13 Id ASYlJ ASYl2 m lb1 I Id 1r.J rj r] r] ALL YEARS OF EWLOYHENT ARE CREDITED. (10) (11) (12)

ONLY COUNT YEARS AFTER AGE:

ONLY COUNT YEARS AFTER FIRST I YEARS: (10) -(11_(12)_ ONLY COW7 YEARS AFTER AGE: @ AFTER FIRST b YEARS: ONLY COUNT YEARS AFTER AGE: AND AFTER FIRST I YEARS: (10) (10) (11) (llr(12) (11) -(117(127 (11) (12)

le
If-!

El
!f

le
!?-j

(12)

ONLY COUNT YEARS DURING FINAL % YRS: (10)

(12)

;q

/q

iTj

OTHER (SPECIFY BELOU):

ASYlO: 4SYll:

.XYl2:

.

84
._ . G2B. Arc the above definitions of ASY based only on specific calendar tim periods, or on all years covered by this pension plan? -_ (ENTER IN SAME COLUfW AS ABOVE FOR EACH NEW DEFINITION.) ASYlZ

ASYlO ASYll a== /q l&j

COVERS ALL YEARS: BEFORE: (10) AFTER: (10) (10) (10)

NO SPECIFIC DATES CITED. ,19_ ,19_ 919, (19, (11) (11) (11) (11) .19_ ,19_ ,19_ ,19_ (12) (12) (12) (12) *19,19_ (19, ,19_

IdJldl[dl

FROM: TO:

OTHER (SPECIFY BELOW):

ASYlO: ASYll: ASY12:

I
a5

G2C. Is there a maximum number of actual years of credlted service that can be used for disability rct~raent benefits or a maximum age after which servlce years can no longer be credlted toward dfsabllity rrtltauent bencffts? (ENTER IN SAIJE COLUW AS ABOVE FOR EACH NEW OEFINITION.) ASYlO ASYll ASY12 ---. YES, MAXIMUM AGE: YES, MAXIMUM ASY: ;c --w
Id -w 1 cm -d ‘ I Id

(10)
(10) (10)

(11)
(11) (il'j (11) (11) (11) (111

(lil' (li)' (li)a (12) (12) (12) (12') * .

YES, MAXIMUM AGE PLUS ASY:

YES, WHEN OVER MAXIMUM AGE: (10) E OVER MAXIMUM ASY: (10)

YES, WHEN OVER MAXIMUM AGE: (10) AN0 OVER MAXIMUM ASY: (10) NO

zz -.
ASYlo:

‘ 2

1

OTHER (SPECIFY BELOW):

ASYll: ASYIE:

86
c2 0. Are participants credited one service year for each year they rrmt minimum employment requirements, or does the amount of credited serv4ce depend on the actual number of hours worked each year? (ENTER IN SAME COLUMN AS ABOVE FOR EACH.NW DEFINITION.) ASYlJ ASYll ASY12

I

la

m
F

!T

CREOITEO ONE ASY FOR EACH YEAR EMPLOYED; NO MINIMUM WORK REQUIREX!:TS
CREDITED WITH EITHER ZERO OR ONE ASY; ONE ASY IS CREDITED FOR EACH YEAR WORKED A MINIMUM OF:

I5

\b)

(10)

(11)

(12) (12)
(12) (121 (12)

#HOURS PER YEAR UWEEKS PER YEAR. AND nm PER s #MONTHS PER YEAR, AN0 ?HOURS PER MONTH

(11)
(11)

I

[a

(d

OR(lO)
(1o)

(11) (11)

El lizi El
I I+ moR

CREDITED WITH A PRORATED FRACTION FROM ZERO TO CNE ASY; OhE FULL ASY IS CREDITED FOR EACH YEAR WORKED A MINIMUM OF: (10) 1;;; (11) 11;; (12) ',Z] =MONTHS PER YEAR, AND m=PER MONTH *HOURS PER YEAR hyEEK$ PER YEAR, AND

aLelrsr

m

rh\ El

CREDITED EACH YEAR WITH A PRORATED FRACTION FRO?! ZERO TO MORE Tt+kI ONE ASY; ONE FULL ASY IS CREDITED FOR EVERY:

(lOI_
r;l[ilQJ OR {w{

(111_(12) 1;;;_;;;', (111 (11) (12) (12)

#HOURS PER YEAR #WEEKS PER YEAR, AND #OURS PER WEEK rMONTHS PER YEAR, AND *ePER MONTH

17 ASYIO: ASYll:

171

m

OTHER (SPECIFY 6~~03);

ASYl2:

G3.

Do any of the disability retirement benefit or supplement formulas depend on the nutier of potential years of credited service?

G3A. How is the number of potential years of credited service (PSY) determined for use in the disability nrtirement formulas? (USE MORE THAN ONE COLUMN IF NECESSARY.) PSYlO --1-i PSYll PSY12 la ASSUMES PARTICIPANT WORKS UNTIL AGE: COUNT ALL YEARS SINCE FIRST EHPLOYED ASSUMES PARTICIPANT WORKS UNTIL AGE: COUNT ONLY YEARS MPLOYED AFTER AGE:

ml)_

(11) _

(12) -

lbI_

Ib

(11) (10) (12) (10) -(11) _(12)._ (10) _m_ (10) _(W (10) _w (10) _Ul) (10) _m
(10)

i-q

17

icl

ASSUMES PARTICIPANT WORKS UNTIL AGE: COUNT ONLY YEARS AFTER FIRST Y YRS:

(12)_ -112) _ 1__w _ _ (12) -112) (12) (12) ._, (12) -

ldl(d

Id

ASSUMES PARTICIPANT YORKS UNTIL AGE: COUNT ONLY YEARS EMPLOYED AFTER AGE: 3 ONLY YEARS AFTER FIRST % YRS;

l-n

le

E-7

ASSUMES PARTICIPANT WORKS UNTIL AGE: COLNT DNLY YEARS EMLOYED AFTER AGE:

(11)

(10)
(10)

AND ONLY YEARS AFlER FIRST I YRS:

(11) (11)

It

Itl

Ir

OTHER (SPECIFY BELOW):

PSYll:

PSY12:

*

I

G38. Are the above definitions of PSY based only on specific calendar time periods, or on all years covered by this pension plan? (ENTER IN SAG COLUFH AS ABOVE FOR EACH NEW DEFINITION.) PSYlO PSYll --PSYl2

iL-.wJl”l

COVERS ALL YEARS: BEFORE: AFTER: FROM: TO: (10)

NO SPECIFIC OATES CITED.

Ibmllbl Id Id Id
I.3 I’ P-l
PSYlO :

J9_

(11) (11) (11) (11) -J9_

J9_ *19_ .19_

(12) (12) (12) (12) -

''9_ ''9_

(10) (10) (10)

.19_ 919, J9_

J9_ ,'9_ 1

OTHER (SPECIFY BELOW):

PSYll :

PSY'^ : IL

G3C. 1s there a maximum nurrber of potential credited service years that can :c
used for disability retirement benefits? FOR EACH NEU OEFINItION.) PSYl2

(ENTER IN SAME COLUMN AS ABUl't

PSYlO ia (b Ir PSYlO:

PSYll --

[a
am It

ldl

YES, PtAXIMUM PSY: (10) NO

(11)

(12)

rrli

OTHER (SPECIFY BELOW):

PSYll:

PSY12:

I
.

89

64.

Do anylof the disability ~ctlrmnt benefit or supplement fornulas depend on tha, level-of the employee's wages or salary?

MA.

HOW is Final Average Pay (FAP) defined for use in the dlsab4llty retIrement fomlas? (OIECK WHETHER THE DEFINITICN IS GIVEN IN TER% OF MDNTHLY OR YEARLY TIME PERIODS. USE MORE THAN ONE COLWN IF NECESSARY.) FAP124

FAPlO FAPll =z-

FINAL SALARY OR WAGE RATE

lb

1 :b

IIb

J TOTAL OF ALL WYRS. AVERAGE OF ALL MO/W. I AVERAGE DURING FINAL U KVYRS: HIGHEST MO/YR WRING

;c
:d
i

.(
Id

;cl
11d

w
10) IID) -

(11)
("L (11) (11702) t#-I:&-

(12)
(12)_ (12)

IT

Iri

E-i

FINAL I MD/YRS: (10)

AVERAGE OF THE HIGHEST Y MO/YRS: DURING FINAL I HO/YRS:

Ig 7

IQ
IT-l
77

Ig
I-h
17-l

AVERAGE HIGHEST CONSECUTIVE Y MO/YRS:(lO DURING FINAL U M/YRS:(lO 11 --NO SPECIFIED PERIOD, HIGHEST MO/YR NO SPECIFIED PERIOD, AVERAGE OF THE HIGHEST I IQ/YRS:

Ih
li

(IO)

(11)

(12)

NO SPECIFIED PERIOD, AVERAGE HI[)IEST CONSECUTIVE # Mo/YRS:(lO)

(11)

(12)

Eilzl(rl
FAPlO:

OTHER (SPECIFY BELOU):

FAPll:

FAPIE:

I

wh.en used in the disability retirement formulas, is FAP expressed in term of monthly or annual amounts? (ENTER IN SAME COLUMN AS ABOVE FOR EACH OEFINITION.) FAPll FAPl2 MONTHLY AMOUNT Ib j.7 Iz FAPlO: FAPll: FAPl2: rl YEARLY AMOUNT DOES NOT APPLY--FAP DEFINfD AS TOTAL OF ALL MO/VW OTHER (SPECIFY BELOW):

GQC.

Are the above definitions of FAP based on wages and salarfcJ tamed during specific Calendar time periods, or on all years covered by thfs pensfon plan? (ENTER IN SAnE COLUMN AS ABOVE FOR EACH NEW DEFINITIOt4.)

COVERS ALL YEARS: ND SPECIFIC DATES CITED. BEFORE: (10) AFTER: FROM: TO: (10) (10) (10)

J9_
JO_ 919, ,19_

(11)

29,

(12) (12)
(12) (12)

,19_ ,19_ ,19_ ,19_

(11)
(11) (11)

.19_
*lo_ J9_

1’ ,T 7
FAPAPO:

,t_7
.

OTHER (SPECIFY BELOW):

FAPll:

FAP12:

91

G4D.

cannot be used in calculating FAP? EACH NEW DEFINITION.)

Is there a maximum age OF service years after which any wages or salaries (ENTER IN SAME COLUMN AS ABOVE FOR

DEFINE ASY: [lo) a

ASY_

(11) OASY_

(12) 0 0 (12) (12)(12) (12) (12). (12) (W--

ASY NOT=0

FAPlO -FAPll FAPl.2.+
MAXIMW AGE:

u

NOT USED
(10) (lo)_ (10) (10) (lO)(10) (lO)-

c] NOT USED
(11) (11)(11) (11) (ll)_ (11) (11)

MAXIMUM ASY: MAXIMUM AGE PLUS ASY: WHEN OVER MAXIMUM AGE: g OVER MAXIMUM ASY: AGE:

lel
r-l

jel

F-J

YES, WHEN OVER M4XIMW E

OVER MAXIMUM ASY:

It
[Z

El
rtJ

NO
omm (SPECIFY BELOU):

Ir
FAPlO: FAPll: FAPlZ:

ME.

Is there a maximum on the &nount of monthly/annual wages and salaries that can be used to Cal culatr FAP? (ENTER IN SAME COLW AS ABOVE FOR EACH NEW DEFINITI@L) FAPll -FAPl2

FAPlO

L"] Ib

p

rrl

YES, mxrnun OF:

(10)s

ws

ws

IbllblNO

[X
FAPlO: FAPll: FAPlt:

Irl

rr.J

0mER

(SPECIFY

aE~ow):

I
92
GS.
Do Sbiial Security benefit Payments or the Social Security taxable waae base enter into any of the disabil-ity retirement benefit or supplement

. .

fomlas? ,

YES, USE ONE OR MORE ' NE'MDEFINITIONS

V

GSA. HOW is the Social Security term (55) defined for use in the disability retirement formulas? (USE MORE THAN ONE COLUW IF NECESSARY.)

SSlO ---

5511 5512 SOCIAL SECURITY RETIREMENT BENEFIT AMOUNT. (10) a PRIMARY (11) ~PRIMARY (12) 0 a

izllallal

PRIMARY
NOT CITED

c! JOINT a NOT CITED
H(lo) cf UNREDUCEC iI REDUCED a NOT CITED

q
(1l)a

cl JOINT
NOT CITED UNREWCEO REDUCED

Cl JOINT

q

(12)(3JNREDUCED iJ REDUCED
cj NOT CITED

cl NOT CITED

mmm

SOCIAL SECURITY TAXABLE WAGE BASE (10) aAT n
0

DISABLEMENT (11) 0 CAREER TOTAL CAREER AVERAGE, (11) 0

AT OISABLEMENT (12) CAREER AVERAGE

q
a 0

AT OISABLEMENT CAREER TOTAL CAREER AVERAGE ACTUAL ESTIMATED AT DISABLEMENT ESTIMATED IN YEAR: 19

f--J CAREER TOTAL

AED __ (10)

tzf: ACTUAL
a ESTIMTEO AT OISABLEIdENT

n ACTUAL
0 ESTIMATED AT DISABLEMENT ti ESTIMATED IN YEAR: 19 cl

(12) 0 0 0 n

cl ESTIMATED IN YEAR: 19 cl a a m

SOCIAL SECURITY DISABILITY BENEFIT AMOUNT OTHER (SPECIFY BELOW):

Elltlm
5510: 5511: 5512:

93
G5B.

used When In the disability retlremnt

fonulas, is SS expressed In terns of monthly or annual amounts? (ENTER IN SAME COLuM( AS ABOVE FOR EACH DEFINITION.)

..

SSlO 5511 5512 E rbJ
IbJm [c 1) E[ E]

MONTHLY AMOUNT
YEARLY AMOUNT WES NOT APPLY--SS DEFINE0 AS CAREER TOTAL SUB

Ic Izl
5510: 5511: 5512:

OTHER (SPECIM BELOW):

GSC. Are the above definitions of 55 based only on specific calendar time periods, or on all years covered by this pension plan? (ENTER ‘ SAME COLUMI AS ABOVE FOR EACH IN NEWOEFINITION.) 5510 ,s /j 13 5511 5512 G 17 *I Fl rb] rI COVERS ALL YEARS: NO SPECIFIC DATESCITED. BEFORE: AFTER: FRW: TO: (10) (10) (10) (10) -*'9,19_ ,19_ ,19_ (11) (11) (11) (11) .19_ ,19_ ,19_ ,19_ (12) (12) (12) (12) ,19_ ,19_ J9_ .19_

,m

!d

Wj

Itlltllz
SSlO: 5511: 5512:

OTHER (SPECIFY BELOW):

94
*GSD. Is there a maximum limitation on the amPunt of 55 that can be used to detetmine disability retirement benefits or a maximum on service years or age after which the SS amount no longer accrues? (ENTER IN SAME COLUMN AS ABOVE FOR EACH NEW CEFINITION.) t : 5310 --5511 ss12+
4

DEFINE ASY: \lD)aASY u- NOT USED

(11) nASY_

q

(12) UASY_ 0 NOT USED O'

NOT USED x (111 (11)s (11) (11) (11) (11) (11) (11) (11)

MAXIMUM PERCENTAGE OF SS:
MAXIMUT'I DOLLAR AMOUT:

(10) (10)s (10) (10) (10) (10) (10) (10) (10)

7 (12) (12)S (12) (12) (12)

MAXIMUM AGE:
MAXIMUM ASY:

MAXIMIN AGE PLUS ASY:
WHEN OVER MAXIMUM AGE: e mLelkzl OVER MAXIMUM ASY:

112)
(12) (12) (12)

YES, WHEN OVER MAXIMUM AGE: AND OVER MAXIMUM ASY:

BmaNO OTHER (SPECIFY BELOW):

lz1lzIlrl

5510:
SSll:

5512:

95
GSE. I-fbarticipants can retire before they are eligible to receive Social Securitv benefits, how is the 55 term estimated for use In the Pension formulais)? (ENTER IN SAME COLUPH AS ABOVE FOR EA.CHOEFINITION:) SSlO /: 5511 Tsl 5512 r-8] DOES NOT APPLY BENEFIT AMOUNT EXPECTED AT AGE: ASSUMES PARTICIPANTS HAVE NO FUTURE WAGE OR SALARY INCOME BENEFIT AMOUNT EXPECTED AT AGE: ASSUMES PARTICIPANTS WORK UNTIL THEN AT CURRENT WAGES OR SALARIES ('O)_ (11)(12)_

(10)

(11)

(12)

BENEFIT AMDINT EXPECTED AT AGE: ('D)ASSUMES PARTICIPANTS WORK UNTIL THEN, WITH ANNUAL INCOME INCREASES OF: ('O)-

(11)x (11)-

(12)x (12)_ x

lellella)

ESTIPYITION MElHOD NOT CITED

IrElizl
I

OTHER (SPECIFY BELOW):

SSlD:

5511:
5512:

96
_. G6. Oo any Of the disability retirement benefit or supplement formulas include a reduction factor to adjust benefits?

97

G8A:

How 1s the WduCtiOn rttimennt foml&s?

faCtOr (REO) defined for use fn the disr~lltty (USE !QRE WAN ONE COLti IF METSSARY.)

OEFInEASI:
a::10 7E3lr JEOl24 .___ ---

(lo)n MY_
a nor USE0

(l’ )OAsY_
[7 NOT USED

(‘ 2)

_

q -

[7&Y__
NOT USED

ACTUARIALLY EQUIVALENT TO BENEFITS RECEI'dEOAT: ’IO)

a
n a

AGE:_ NORnAL

(11) /JAGE: f-JAR*ASY: nnoRRAL aEARlY 0 -

112) 0 0 0 u 0

AGE:_ AGE*ASV: NORMAL EARLY

(-J AGE*ASY:_ aEARLY

msm
ICEIl

BENEFIT REDUCED BY ANY PAYMTS COCIPENSATIO(I SIMILAR LWS. OR

RECEIVED UNOER STATE UORKERS BY WE NUWR OF A CERTAIN AGE, ASY,

FIXtO C&CAR OR PCRCMT REDWIONN, rYltIRIE0 YEARS THE PARTICIPAWT RETIRES BEFORE RCAMINC OR SUM OF AGE l ASY.

(101 m a

(11) m

112)
VARYING WLLAR

(10)
OR PLRCMT #WEtIOn

111)

(12)._

n
clq
0 AS1
AGE*ASY

o-

J

-

OEPENDINC W

AGE. ASY. OR SW

AGE+ASY.

lo)._,

(11)
P

(12)

F#w

(!4!lt):(lD) TO:(lO)

(11) -212) 01)

-

.r121

_ P
-

10) _(11)e-.12)p

F~:(Io) TO:(lO) (IaFRDM:(lO) to (RW:(lo).~l)

Lll) ,-I121

(111
cll) ,.LlZ) -12) (-11)v-12)

1’ 2)

(lOI._

(11) -

(IO)_ a a m a

(11)F m a

(W_

OVER (ND HAX):(lO)

~msPEC1Flt0 RCWnIm OlWLR (SPtClfl fiELm)z

REOlO: REDll: REDl2:

98
67. Exprtrt the disability retirement benefit and supplement formulas,
including any other minimums or maximums on benefit amounts, using the terms defined in the above questions (ASY. PSY, FAP, SS, RED) and standard notation.

For each formula, enter the appropriate number coded in the questions below to indicate how age and service requirements are defined (MS), the dates for which the formulas apply (DAT), whether there art any other special requirements (ROT), and how long the benefits. am paid (LNG), and when the paymnts begin (6EG).

CHECK BOX:

TDTAL NUMBER OF SEPARATE FORMULAS CODED:

CHECK BOX: DRUl=

ML

FORM&AS

WERHINE

q

COIYTHLY OR

aYEARLY

BENEFIT AMOUNTS.

SPECIM: RAS CATI
ROT_ LNG_ BEG_

OR#Z= SPECIFY: RAS DATROT LNG BEGI

I
99
67.
OR#3= SPECIFY: RAS OATI ROT_ LNG_ BEG_

DR#=
SPECIFY: RAS

DATROT= LNG_ eEG_

SOECIFY: RAS MTROTI LNG_ BEG_
.

.

100’
68.

-_ What combinations of age and actual service years are required (RAS) to receive disability retirement benefits or supplements? (USE PIORE THAN ONE COLUMN IF NECESSARY; CHECK ALL COMBINATIONS THAT APPLY FOR EACH DEFINITION.) I;] " USE PRIOR

DEFINITIONS

TURN TO P.101, G9

OEFINEASY: (10) m ASY RASlO RASll P-P
7 ia -1b -m Ia ,b RASl2 e-4 :r ib NO MINIMUM AGE OR ASY u- NOT USED

(11)

cl ASY_
cl NOT USED

(12:~
0

ASY_
NOT USED

MINIMUM AGE OF:

AN0 NO MINIMUM ASY.

(101

(111 (11)

(12) (12)

d -m
7
m

'Id

1 ;d

MINIMUM AGE OF: (10) AN0 MINIMUM ASY OF: (10)

(11) (11) 111.(11) (11)

(12)

(12) (12)
(!2)

7
f -m

‘ c
lf

NU’ $J~N~~~O~~y OF !;;I
MINIMUM AGE OF:
(10) AN0 MINIflUM ASY OF: (10)

11)

_

(12) .(12)

a

19

a

AGE PLUS ASY OF: NO MIN AGE OR ASY

(10)

(11)

(12)

m m

(i (j

11 m

AGE PLUS ASY OF: ' (10) AN0 MINIFIUM ASY OF: (10) AGE PLUS ASY OF: (10) AN0 MINIMUP! AGE OF: (10) AN0 MINIMUM ASY OF: (10) (11 t (12) (12) (12) -

r

3

itl

OTHER (SPECIFY BELOW):

RASlO:

RAsll:
RAs12: _

101

G9.

DJ the difability retirement benefit or supplement formulas apply only to participants that became disabled during a specific calendar time period, or to all dates covered by this pension plan (DAT)?

17+5-}4T"RN

TD P.tD2, GlO

DATlO -v-

DATll DATl2 COVERS ALL YEARS: NO SPECIFIC DATES CITED. BEFORE: (j0.) AFTER: (10) FROM: TO: (Jo.) (10) (19, ,19_ ,19 ,19_ I!lj (111 (11) (.ll,) 319, 119, 919, *19_

p) (12)
(12) (12)

,19_

,19_ *19_ ,l9 -

* I

~

OTHER (SPECIFY BELOW): .

DATll:

102
GlO. To receive any of the disability retirement benefits or supplements are there any other requirements (ROT), such as specific employer approval, or benefits limited to only participants that made voluntary contributions, or other special requirements, aside from evidence of a disability?

) 1. N";; ;$,;;E;N"&

1

12. "o;~IN';;;;NS 14

TURN TO P.103, Gll

ROT10

ROT11 --

ROT12 NO OTHER SPECIAL REQUIREMENTS EMPLOYER APPROVAL REQUIRED VOLUNTARY CONTRIBUTIONS REOUIRED ONLY FOR EMPLOYMENT RELATED DISABILITIES ONLY FOR NON-EMPLOYMENT RELATED OISABILITIES

ONLY IF ELIGIBLE FOR SS DISABILITY BENEFITS ONLY IF NOT ELIGIBLE FOR SS DISABILITY BENEFITS IF PLAN PARTICIPANT ON: IF PLAN PARTICIPANT BEFORE:

(w----

19 19

-

(11) (11) (11) (11) (11)

-

19 19 19 19 19

-

(12)

-

19

-

(12)(12) (12) (12)

19.19 19 19.-

IF PLAN PARTICIPANT AFTER: (10)---_-19 IF PLAN PARTICIPANT FROM: TO: OTHER (SPECIFY BELOW): ROTlO: (10)-----19 (10) 19_

ROTll:

ROT12:

103
Gil: ‘Aside from lump-sum withdrawal options, are the disability retirement benefits and supplements paid on a regular basis for life, on a
.

regular basis for some other specified time period, a one-time payment, or what?

I
LNGlO Tal I Icl Id1 lel

,

USE ONE OR MIRE * NEW PAYMENT LENGTHS II LNG12 r1 &

2

USE PRIOR ' DEFINITIONS

TURN TO P.104, G12

LNGll -[T

FOR LIFE FOR # YRS: UNTIL AGE: AnER AGE: (10) (10) (10) (10) (10) (11) (11) (11) (11) (11) (12) (12) (12) (12) (12)

r-1 17 ad [e

Fj rl

ml

FROM AGE: TO AGE:

It]

r-1

umL (10)

ELIGIBLE FOR

saw

SECURITY RETIREMENT BENEFITS.

q

UNREDUCED

(11) m

cl REDUCED cl NOT CITED
Igl

.

q q q

IJNREDUCED REDUCED rtOTCITED

(12) DUNREDUCED aREDUCED CI]NOT CITED

f-

m]

AFTER ELIGIBLE FOR SOCIAL SECURITY RETIREMENT BENEFITS. (10) 0 UNREDUCED (11) UNREDUCED CITED (12)

q
a

lJNREDUCED REWCED CITED

cl REDUCED NOT CITED 4
Ih D I I 11 kl f Dtxl

aREDUCED aNOT

DNOT

UNTIL ELIGIBLE FOR EARLY RETIREMENT BENEFITS. UNTIL ELIGIBLE FOR NORHAL RETIREbENT BENEFITS. UNTIL ELIGIBLE FOR SOCIAL SECURITY DISABILITY BENEFITS. AFTER ELIGIBLE FDA SOCIAL SECURITY DISABILITY BENEFITS 1.l.l TI ONE TIME PAYMENT ofHER (SPECIFY BELOU):

1-i-l r-11 mm mlkl 17 [M

J

EJ
LNGlO: LNGll: LNGl2:

104
G12. Do disability benefit payments begin at the time of the participants disablement, or do the payments begin at sane later date (BEG)? (ENTER IN SAMECOLUMN AS ABOVE FOR EACH NEW OEFINITION.)
(11) OASY aNOT@ (12) UASY_ 0 NOT USED

-DEFINE ASY: BEG10 --BEG11 BE;:2

(lO)aASY_ cl NOT USED

PAYMENTS ALWAYS BEGINAT TIME OF PARTICIPANTS DISABLEMENT PAYMENTS BEGIN ANYTIME PARTICIPANTS CHOOSE AFTER DISABLEMENT PAYMENTS BEGIN WHEN PARTICIPANTS REACH AGE:

(10)

(11)

(12)

PAYMENTS BEGIN ANYTIME PARTICIPANTS CHOOSE AFTER AGE: (10) (11) (12)

PAYMENTS BEGIN ANYTIME PARTICIPANTS CHOOSE BETWEEN

DISABLEMENT AND AGE: (10) (11)

(12)

PAYMENTS BEGIN ANYTIME PARTICIPANTS CHOOSE FROM AGE:
TO AGE: (10) (11) (12)

(10)

(11)

(12)

PAYMENT BEGINS WHEN PARTICIPANTS AGE+ASY REACH: (10) (11) (12)

PAYMENTS BEGIN I&tENPARTICIPANT WOULD HAVE QUALIFIED FOR NORMAL RETIREMENT PAYMENT5 BEGIN UHD( PARTICIPANT YOULD HAVE QUALIFIED FOR URLY RETIREMENT OTHER (SPECIFY BELOW): BEGlO:

BEGll:

BEG12:

105

613.. Pleese express how the disability retirement benefit and supplement fonwlas are combined to determine the total disability retirement benefit amount, including any limitations on the minimum or maximun total disability retirement benefit. (USE STANWRD NOTATICM AND APPLICABLE FORMULA NUMBERS.) DRT#l*

106
SECTION H DEFINED BENEFIT PLANS: PRERETIREREHT DEATH AND SURVIVOR BENEFITS Hl.
Dots this ptnsion plan include a provirlon for the payment of any benefits to the surviving beneficiaries or estates of partlclpants whose death occurs before retirement? 1. YES

I

TURN TO P. 130, SECTION J

HlA.

Dots this ptnsfon plan include a provision that fncttases the vesting percentage for participants that utrt not fully vested at the time of death?

DEFINE ASY:

0

ASY

ti

NOT USED

m

INCREASED TO 100% Al TIM OF DEATH AGE: ASY: r. I

Ib_7 INCREASED TO 100% WHEN ABOVE MINIWN m a le INCREASED +O 100% WHEN ABOVE MINIMUM

INCREASED TO 100% WHEN ABOVE MINIMtF! AGE+ASY: INCREASED TO 100: WHEN ABOVE MINIMW AGE: ASY: AGE: ASY:

z
rir INCREASED TO 100X WEN

ABOVE MN

ABOVE MINIMUM

AND ABOVE MN 19 m

VESTING PERCENTAGE IS NOT INCkKASEO ABOVE AMOUNT CALC;ILATED TIME OF AT DEATH OTHER (SPECIFY):

107
\ : Hl B. After the participant's death, does service credit continue to accrue until the participant would have been eligible for early or normal retirement benefits, or are no additional service years credited after the time of death?

DEFINE ASY:

IZJ ASY-

13

NOT USED I

~ACCRUE mAACCRUE

ONE ASY FOR EACH YEAR

AFTER DEATH, NO MAXIMUM AGE: ASY:

ONE ASY FOR EACH YEAR, TO MAXIMW

(cl

ACCRUE ONE ASY FOR EACH YEAR, TO MAXIMUM TOTAL

a
D m
191

ACCRUE ONE 4SY FOR EACH YEAR, TO MAXIMUM ADDITIONAL ASY: ACCRUE ONE ASY FOR EACH YEAR, TO MAXIMUM TOTAL USE GREATER OF AGE AT DEATH OR
USE GREATER OF ASY AT DEATH OR USE GREATER OF AGE+ASY AT DEATH OR NO ADDITIONAL SERVICE YEARS CREDITED OTHER (SPECIFY):

AGE+ASY:
AGE:

ASY:
AGE+ASY:

a
'a 127

HlC.

Enter below the description of the survivor payment option selected for coding In this section. Assume the beneficiary is the spouse and is the same age as the participant.

108

_
Do any of the death and survivor benefit and supplement formulas or eligibility requirements depend on the number of actual years of credit service the employee had accumulated at the time ofh?

HZA. How is the number of actual years of credited service (ASY) determined for use in the death and survivor benefit formulas or for eligibility requirements? (USE MORE THAN ONE COLUMN IF NECESSARY.) ASY13 ASY14 ASYlS p-p [=__I IbI lclIC Idlld) Icl I ALL YEARS OF EMPLOYMENT ARE CREDITED. ONLY COWT YEARS AFTER AGE: ('3)(14) --

:

(15) (15) (15)_ -

ONLY COUNT YEARS AFTER FIRST # YEARS: (13) (14) ONLY COUYT YEARS AFTER AGE: OR AFCR FIRST # YEARS: (13)_ ('3)(13)_ (13)_ (13)_

(14)

-(Is) (14) (14) (W_

lel

[XJ EJ

ONLY COUNT YEARS AFTER AGE: AND AFTER FIRST d YEARS: ONLY COUNT YEARS WRING FINAL f YRS:

_(lS) (14) (14) _

-

(15)_

L? ASY13: ASY14: ASY15:

m

t?j

OTHER (SPECIFY BELOCI):

109
HZB. Arc the above definitions of ASY based only on specific calendar time periods, or on all years covered by this pension plan? (ENTER IN SAMECOLT AS ABOVE FOR loaf DEFINITION.) ASYl4 ASY13 -la Ibl Icl
I * I

ASYl5 COVERS ALL YEARS: idOSPECIFIC DATES CITED. BEFORE: (13) -*'9AFTER: FROM: TO: (13) (13) (13) J9_ J9_ J9_ (14) (14) (14) (14) .19_ .19_ J9_ ,19_ (15) -J9_ (15) (15) (15) ,19_ 9 .I *l9x

ma

I

z

OTHER (SPECIM BELOU):

ASYl3: ASY ASY

110
HZC. Is there a mximw~ nmkr of actual years of cndfkd servfcr that can be used for death and survivor benefits or a maximn age after which service years can no longer be credited toward death and survfvor benefits? (ENTER IN SAME COLUIIJ ABOVE FOR EACH NEY AS DEFINITION.)

MAXIMUM AGE: tUXIMH4 ASY: MAXIMUM AGE PLUS ASY: WHEN OVER FUXIMUM A6E: E OVER )(AXIWH ASY:

(13) 03) (131 (13)

(14) 04) w (14)

(15) (15) (15) (151 (15) (ISI (151

(13) _(14)_ (13) -(13) (14) (14)

UHEN OVER MXIMJM AGE: ANDOVER MAXIMUM ASY:

m AsY13: ASY14: AsYlS:

m

rtj

OTHER (SPECIFY BELOU):

'

.

I 111
H2D. Are participants credited one service year for each year they meet minimum employment requfrements, or does the amount of credited service depend on the actual number of hours worked each year? (ENTER IN SAME COLUffiAS ABOVE FOR EACH NEW DEFINITION.) ASYlS la CREDITED ONE ASY FOR EACH YEAR EMPLOYED; NO HINIMUM WORK REQUIREMENTS CREDITED WITH EITHER ZERO OR ONE ASY; ONE ASY IS CREDITED FOR EACH YEAR WORKED A MINIMUM OF:
OR

ASY13 -7vial

ASY14

(13)
1;:;

(14) (14) (14)

(15) (15) (15) (15) (15)

#HOURS PER YEAR #WEEKS PER YEAR, AND I"' PER WEEK #MONTHS PER YEAR, AND #HOURS PER MONTH

ixl

Icl

Ic

,e 47 e

CREDITED WITH A PRORATED FRACTION FROM ZERO TO ONE ASY; ONE FULL ASY IS CREDITED FOR EACH YEAR WORKED A MINIMUM OF: (13) (14) (15) d'HOURS PER YEAR CWEEKS PER YEAR, AND iii PER WEEK OR

Ia

El

El

(13)

(13)

(14’ )
(14)

(15)
(15)

#MONTHS PER YEAR, AND rrHOURS PER MONTH

CREDITED EACH YEAR WITH A PRORATED FRACTION FROM ZERO TO MORE THAI! ONE ASY; ONE FULL ASY IS CREDITED FOR EVERY: (13) (14) (15)

#HOURS PER YEAR #UEEKS PER YEAR, AND #HOURS PER biEEii
WNTHS PER YEAR, AND WHOURS PER MDNTH

I

m

aoR

(13) (13)

I;:;
(14)

11:;
(15)

(14)
Irl 12 rz_I

(15)

OTHER (SPECIFY BELOW);

ASY13: ASY14: ASYl 5:

112
H3. Do any of the death and survivor benefit or supplement formulas depend on the number of potential years of credited service?

H3A. How is the number of potential years of credited service (PSY) determined for use in the death and survivor benefit formulas? (USE MORE THAN ONE COLUM IF NECESSARY. ) PSY13 PSY14 --PSYl5 AWMES PARTICIPANT WORKS UNTIL AGE: COUNT ALL YEARS SINCE FIRST EMPLOYED ASSUMES PARTICIPANT WORKS UNTIL AGE: COUNT ONLY YEARS EMPLOYED AFTER AGE: ASSUMES PARTICIPANT WORKS UNTIL AGE: COUNT ONLY YEARS AFTER FIRST U YRS: (13)_ (14) (15) -

113) (131: (13)_ (13)_ (13)_ (13)(13)_ 03)__ (13) (13)_

(14) (14r _ (14) _ (14)_ (14)_ (14)_ (14) _ (14)_ (141_ (14) ,_

(15)_ (151 _ (15)_ (15)_
J

Id

mm

ASSUMES PARTICIPANT WORKS UNTIL AGE: COUNT ONLY YEARS EMPLOYED AFTER AGE: E ONLY YEARS AFTER FIRST I YRS:

(15)_ (15L (15)_ (15)._ (15)_ (15)_~

lemle

ASSUMES PARTICIPANT WORKS UNTIL AGE: COlNT ONLY YEARS EMPLOYED AFTER AGE: AND @dLY YEARS AFlER FIRST I YRS:

OTHER (SPECIFY BELOW): PSY13: PSY14: PSY15:

113
H3B. Are the above definitions of PSY based only on specific calendar time periods, or on all years covered by this pension plan? (ENTER IN SAME COLW AS ABOVE FOR EACHDEFINITION.) PSY13 PSYl4 PSYl5 ---

lal
Ibl /-=aI

Ial
lbl !c!

La
IbJ 1'1

COVERS ALL YEARS: NO SPECIFIC BATES CITED. BEFORE: AFTER: FROM: TO: (13) (13) (13) (13) .lR_ J9_ .lS_ .lS_ (14) (14) (14) (14) ,1g2 ,19_ ,lS_ JR_

(15)
(15) (15) (15)

,19_

l 19_
,19_ ,19_

El
PSY13: PSY14: PSYlS:

Irl

El

OTHER (SPECIFY BELOW):

H3C. Is there a maxirmm number of potential credited service years that can be used for death and survivor benefits? (ENTER IN SAME COLuM( AS ABOVE FOR EACH NEW DEFINITION.) PSY13 e-p IPsY14 m PSYIS 1"1 YES, MAXIMUM PSY: (13) (14) (19

Irl
PSY13: PSY14: PSYlS:

El

IXj

OTHER (SPECIFY

BELOW):

114
H4. Cb any of the derth and survivor benefit or supple&t on the 1 eve1 of the employee's wages or salary?
fonnulrs depend

c

TURNTOP

. 117, HS

I

5. NO
I

*

>

. H4A. How is Final Average Pay (FAP) defined for use in the death and survivor benefit formulas? (CHECK WHOHER THE DEFINITION IS GIVEN IN TERMS OF MONTHLY OR YEARLY TIME PERIODS. USE MDRE THAN ONE COLUMN IF NECESSARY.) FAP13 la Ib Icl lxl FAP14 -171 rb FAPlS j rl (13) mjq FINAL SALARY OR WAGE RATE TOTAL OF ALL MD/YRS. AVERAGE OF ALL MO/YRS. AVERAGE DURING FINAL # MD/YRS: HIGHEST MO/YR DURING FINAL I m)/YRS: AVERAGE OF THE HIQtEST C MO/Ye: OURING FINAL W MD/YRS: ml AVERAGE HIGHEST CONSECUTIVE W MO/YRS: DURING FINAL I MO/YRS: NO SPECIFIED PERIOD, HIl;HESf MD/YP 171 NO SPECIFIED PERIOD, AVERAGE OF THE HIWEST I NO/YRS: (13) (13) (13) (13) (14) (14) (15)_ (15)_ (14) /Fqq (1B)p4!q

mcl

Id
Iem III

_

-

Is1

Isi

1h L-1

(13) .(13) ---

(14)

(1S)_ (15)

La ID
lzl
FAP13: 17 rf

NO SPECIFIED PERIOD, AVERAGE HIGHEST CONSECUTIVE I MD/YRS: OTHER (SPECIFY BELOU):

(14)

FAP14:

FAPlS:

I

115
H4B. When used in the death and survivor benefit formulas, is FAP expressed in terms of monthly or annual amounts? (ENTER IY SAME COLUfW AS ABOVE FOR EACH DEFINITION.) FAP14 -17 Ib IC 12 r] FAPlS El MONTHLY Ak1OUNT YEARLY AMOUNT DOES NOT APPLY--FAP DEFINED AS TOTAL OF ALL MO/YRS OTHER (SPECIFY BELOW):

FAP13 lal lbl Icl lz FAP13: FAP14: FAPlS:

H4C. Are the above definitions of FAP based on wages and salaries earned durina soecific calendar time Periods. or durina all Years covered bv this pekibn plan? (ENTER IN SAkE COLUr;tc ABOVE FOR EACH DEFINITION-.) AS

FAPT3 ---

FAP14

FAPlS COVERS ALL YEARS: NO SPECIFIC DATES CITED. BEFORE: AFTER: (13) FRDM: TO: (13) (13) J9_(14) *19_(l4) *19_(14) J9_(14) J9_(15) J9_(15) ,19_(15) J9-(15) *19_ J9_ J9_ (19,

OTHER (SPECIFY BELOW):

FAP13: FAP14: FAP15:

116
H4D. Is there t maximum age or service years after which any wages or salaries COLUMN AS ABOVE FOR cannot be ustd in calculating FAP? (ENTER IN SAME EACH DEFINITION.)

DEFINE ASY: (13) a F4Pl3 --FAP14 FAPlS+ AGE: YES, MAXIMUM

ASY_

(14)

cl NOT USE0

q

n ASY
NOGED
_(15)(14) _(15)) -(15) -(15)(14) (14)

(15) ci ASY_ II] NOT USED

(13) -_(14) ('3) (13) -_(14) (13) -(14) (13) _(14) (13) (13)

ASY: YES, MAXIMUM
AGE YES, MAXIMUM PLUS ASY:

(15) -

YES, WHEN OVER MAXIMUM AGE:
B OVER MAXIMUM ASY:

-

YES, WHEN OVER MAXIMUM AGE:
AND OVER MAXIMUM ASY:

(15) ,(15) ,-

NO
OTHER (SPECIFY BELOW):

FAP14:

FAPl5:

H4E. Is then a maximum on the amount of monthly/annual wages and salaries that can be ustd to calculate FAP? (ENTER IN SAME COLUMN AS ABOVE FOR EACH
DEFINITION.) FAPI3 -FAPt4 FAPIS 7s Ibl lz

I”Ibm /Tl

rl

YES, MAXIMUM OF:

(13)$

(14)X.

(15)s

NO TJ
OTHER (SPECIFY BELOW):

FAP13: FAP14: FAPl5:

I

117
HS. Do any of the death and survivor benefit and supplement formulas depend on the amount of Social Security benefits received by the beneficiary due to the employee's contributions?

HSA.

How is the Social Security temn (SS) defined for use in the death and

survivor formulas? (USE MORE THPSJ ONE COLUMN IF NECESSARY.)

5513 ss14 ss15 ---

jzlldlla)

SOCIAL SECURITY RETIREMENT BENEFIT AMOUNT. (13a PRIMARY (14) DPRIMARY cl JOINT CI NOT CITED (14)cz] UNREDUCED a REDUCED
cl NOT CITED

(15)o

PRIMARY

@ JOINT ONOT CITED AND (13lcf UNREDUCED u REDUCED I.2NOT CITED

cl JOINT a NOT CITED (15) [7UNREDUCED a REDUCED NOT CITED

q

lblmlbl

SOCIAL SECURITY TAXABLE WAGE BASE (13)a a 0 AT DEATH CAREER TOTAL CAREER AVERAGE (14)u AT DEATH CAREER TOTAL CAREER AVERAGE ACTUAL

q
a (14)n

(15) 0 n 0

AT DEATH CAREER TOTAL CAREER AVERAGE

(13)(-JACTUAL g ESTIWTED AT DEATH ESTIMATED IN YEAR: 19

(15)nACTIJAL 0 ESTIMATED AT DEATH ESTIMATED IN YEAR: 19

a
.o
ic) a m (ZIIL(h ss13: 5514: ss15:

a

[3 ESTIMATED AT DEATH ESTIMATED IN YEAR: 19

cl
El

a

SOCIAL SECURITY SURVIVOR BENEFIT AMOUNT OTHER (SPECIFY BELOW):

I

118
HSB. When used in the death and survivor benefit formulas, is SS expressed in tens of monthly or annual amounts? (ENTER IN SAME COLUMN AS

FOR EACH OEFINITION.)

5515 b Ib MONTHLY AMOUNT YEARLY AMOUNT

c II m
2213: ss14: SSlS:

DOES NOT APPLY--% DEFINED AS CAREER TOTAL SWB OTHER (SPECIFY BELOU):

HSC.

Are the above definitions of 55 based only on specific calendar time periods, or on all years covered by this pension plan?

(ENTER IN SAM SSlS

COLUMN AS ABOVE FOR EACH DEFINITION.)

5514 mmizl
Qrbl Icl 13

COVERS ALL YEARS: BEFORE: (13) AFTER: i;rl (13)

NO SPECIFIC DATES CITED.

*19_ (14)
-_ (14)

.19_

(15)

(19, (19,

*'9_(lS)

FROM: TO:

(13) (13)

J9_(14) *19_(14)

J9_

(15)

J9_ *19_

,19_ (15)

It! ss13: 5514:

m

OTHER (SPECIFY BELOW):

119

H5D. Is there a maximum limitation on the amount of Social Security that can be used to detenine death and survivor benefits or a maximum on service years or age after which the Social Security amount no longer accrues? (ENTER IN SAME COLUMN AS ABOVE FOR EACH NEW DEFINITION.)

DEFINE ASY: (13)aASY_ 17 NOT USED YES, MAXIMUM PERCENTAGE OF 55: YES, MAXIMUM DOLLAR AMOUNT: YES, MAXIMUM AGE: YES, MAXIMUM ASY: YES, MAXIMUM AGE PLUS ASY: YES, WHEN OVER MAXIMUM AGE: E OVER MAXIMUM ASY:

(14) UASY c] NOT=D X(14) (14) (14) (14) (14) (14) (14) (14) (14)

(15)aASY 0 NOT-& :

(13) (13) (13) (13) (13) (13) (13) (13) (13)

X(15) (15) (15) (15) (15) (15) (15) (15) (15)

aaa
lhlmlhl Ellzllrl
ss13: 5514: ss15:

YES, WHEN OVER MAXIMUM AGE: JNJ OVER MAXIMUM ASY: NO OTHER (SPECIFY BELOW):

120
H6. Do any of the death and survivor benefit or supplement fonnulas include a reduction factor to adjust benefits? /Tq

TURN TO P. 122, 121, H6A

H7

TURN TO P.

I 121
H6A. HOW is the reduction factor (RED) defined for use in the formulas? (USE MORE THAN ONE COLWN IF NECESSARY.) DEFINE ASY:(l3) ,a ?E;!3 -__ RED14 ASY_ (14) OASY

death 6 SurvfvOr benefit

0
a m

NOT USED

q

_

W/-JASY_

NOT USED

17 NOT USED

lam

KTUARIALLY EOUIVALENT TO SURVIVOR BENEFITS AS IF PARTICIPANT RETIRED AT DEATH. FIXED DOLLAR OR PERCENT REDUCTION. MULTIPLIED BY THE NUMBER OF YEARS THE PARTICIPANT DIES BEFORE REACHING A CERTAIN AGE, ASY, OR SW OF AGE+ASY.

Ibllbl

ClI
+

(13)

(14)

(15)

n P
ax aEl,

q
0

AGE

ASY

a
a

AGE ASY

~ aAGE ~ UASY 0 o'cl AGE+ASY

cl AGE+ASY

I-

0 AGE+ASY n-

Jt

(13)

(14)

(15)

ICEI

El

VARYING DOLLAR OR PERC :ENT RE :NG DUCTION DEPEND1 ON AGE, ASY, OR SIM ..:.. .: AGE AGE
-h, . . I

cl$ cl%

Cl(13)_(14) (13Ul4)

\1

a + dl (15) JI
I

UNDER (NO MN): (13)

LJ
0 ASY a AGE+ASY I-

q

q 0
0

ASY

AGE+ASY

a-

&

(14)

&

( 115). (15) (15) (15) (15) (15) (15) (15)

4

(151

FROM (MN): (13) TO: (13) FROM: (13) TO: (13) FROk(13) TO (MAX):(13)

(14) (14) (14) (14) (14) (14) (14)

(13)

(14)

(15_

(13)
.

(14)

(151-

(13)

(14) Id! (t rl F{

(15)

OVER (NO MAX): (13)

ITI it
RED13: i' RED14: RED15:

UNSPECIFIED REDUCTION OTHER (SPECIFY BELOW):

122
H7. Express the death and survivor benefit and supplement formulas, includino any other minimums or maximums on benefit amounts, usinq the terms defined in the above questions (ASY,PSY, FAP, SS, RED) and standard notation. For each fOFmula, enter the appropriate number coded in the questions below to indicate how age and service requirements are defined (RAS), the dates for which the formulas apply (Wl), whether there are any other special requirements (ROT), how long the benefits are paid (LNG), and when the payments begin (BEG). . CHECK BOX: TOTAL NUMBER OF SEPARATE FORMULAS CODED:

> CHECK BOX: ALL FORMULAS DETERMINE c] MONTHLY OR mYEARLY

4 BENEFIT AMOUNTS-

DS#l= Specify: RAS_ DAT ROT_ LNG_ BEG_

DS#2= Specify: RAS OATZ ROT_ LNG_ BEG

I

123
H7.
\

1 1Specify:
/

,
1

MC3=

DAT

us-

ROT .LNG BEB = I

Specify: RAS DATROT LNG BEG-

1

I I

DS#S=

.

f

124
HB. What combfnatfonsof age and actual scrvfce years are required (RAS) at the time of the participants death for beneficiariej to be ellqible to receive death and survivor benefits or supplements? (USE MORE THAN ONE COLUMN IF NECESSARY; CHECK ALL COMBINATIONS THAT APPLY FOR EACH DEFINITION.)

&
RASl3 -m RAs14 RAs15+

DEFINE ASY: (13) aASY_ cl NOT USED

(14) OASY

q

(15) t]ASY 0 NOT-i&

NOTXD

NO!4fNItWl AGEORASY FIINIMUM OF: AGE (13)
AND NO MINIMUM ASY. MINIMUM ASY OF: (13) AND NO MINIMUM AGE. MINIMLRI AGE OF: 13) AND MINIMUM OF: t13) ASY

(14) (14)

(15) (15)

MINIMUM OF: AGE MINIMUM OF: AGE

AND MINIMUM ASY OF:

13) 13)

(13) AND MINIMUM ASY OF: (13)

AGE PLUS ASY OF: NO MIN AGE OR ASY

(13)

(15)

AGE PLUS ASYOF: (13) ANDMINIMUM AGE OF: (13) AGE PLUS ASY OF: (13) AND MINIMUM ASY OF: (13)

p7

ij

Ij

AGE PLUS ASY OF: (131 AND MINIMUM AGE OF: (13) AND MINIMUM ASY OF: (13; OTHER (SPECIFY BELOW):

RAS13: RAs14: RAs15:

I

125
\

H9. Do the death and survivor benefit or supplement formulas apply only to participants that die during a specific calendar tlm period, or to all _ _ __.~._~ _ ~~ dates (MT) covered by this penslon plan? (USE MORE THAN ONE COLWN IF NECeSSAkY.) [ml

I
(al
BEFORE: (13) (13) (13) (1.3)

2

USE PRIOR * DEFINITIONS

TURN TO P. 126, H10

MT13 p-p

DATl4 OAT15

lal

Ial

COVERS ALL YEARS: NO SPECIFIC DATES CITED. J9_ .19_ (14) (14) (14) (14) .19_ (15,) .19_ .19_ .19_ .19_ *

ibrn
Icl

Icl

Icl

AFTER: FROM: TO:

.19_(15) .19_ ,19_ (15) (15)

@=lmIIII

l 19_
,19_

OTHER (SPECIFY BELOW): WT13: aATl4: DATl5:

f

126
HlO. To receive any of the death and survivor benefits or supplements are .. .* mere any otner requirements (ROT), such as specific.employer approval, I . or benefits limlted to only participants that made voluntary contributions, or only for employment related deaths, or other special requirements?
t

I

1

USE ONE OR MORE ' NEW REQUIREMENTSI

I

c

1

E I
l

USE PRIOR DEFINITIONSI+

TURN TO P. 127, Hll

G
ROT13 ROT14 ROT15 --NO OTHER SPECIAL REQUIREMENTS EMPLOYER APPROVAL REQUIRED VOLUNTARY CONTRIBUTIONS REQUIRED PAST SERVICE CREDIT REQUIRED IF PLAN PARTICIPANT ON: 19 (13) -----(14) (14) 19 19 (15) (15) -(15) 19 19 19 1919.

IF PLAN PARTICIPANT BEFORE: (13) ----19 IF PLAN PARTICIPANT AflER: IF PLAN PARTICIPANT FROM: TO: (13) 19 -----(13)(13)-

(14) . 19

19- (14) 19_ (14) _

19- (15) 19_ (15) -

ONLY FOR EMPLOYMENT RELATED DEATHS ONLY FOR NON-EMPLOYMENT RELATED DEATHS ONLY IF BENEFICIARY ELIGIBLE FOR 55 BENEFITS ONLY IF BENEFICIARYNOT ELIGIBLE FOR $5 BENEFITS OTHER (SPECIFY BELOW): ROT13:

ROT14:

ROTIS:

127
Hll. Aside from lump-sum withdrawal options, are the death and survivor benefits and supplements paid to the beneflclary on a regular basis for life, on a regular basis for some other specified time period, a one-time payment, or how long (LNG)?

LNG14 LNGl5 LNG13 -lal 17 [b [c! (71 mj m] FOR LIFE FOR # YR: UNTIL AGE: AFTER AGE: FROM AGE: TO AGE: (13) (13) (13) (13) (13) (14) (14) (14) (14) (14) (15) (15) (15) (15) (15)

m
Icl

FJ
1.1 Fl

lel 1f I

le!

It

UYTIL BENEFICIARY ELIGIBLE FOR SOCIAL SECURITY BENEFITS (CHECK WHETHER FOR UNREDUCED OR REWCEO BENEFITS.) (13) j-&REDUCED Cl REDUCED a NOT CITED (14) a UNREWCED (15) u

0 REDUCED ONOf CITED

q

UNREDUCED REWCED CITED

ONOT

[FJ

191

AFlER BENEFICIARY ELIGIBLE FOR SOCIAL SECURITY BENEFITS (CHECK WHETHER FOR UNREWCED OR REDUCED BENEFITS.) (13) 0

q
n

UNREDUCED REDUCED NOT CITED

(14) a

UNREDUCED

(15) UUNREWCED

cl REDUCED 17 NOT CITED

q

c!

REWCED NOT CITED

th Irl Itllrl LNG13: LNG14: LNGl5: /

rhJ

ONE TIME PAYMENT FOR LIFE, UNLESS SPOUSE REMRRIES OTHER (SPECIFY BELDU): .

I

1.28
H12. Do death and survivor bcncfft payments begin at the time of the participants death, or do the payments begin at some later date depending on the age of the beneficiary, or some other factor? (ENTER IN SAME COLUM( AS ABOVE FOR EACH NEW DEFINITION.) DEFINE ASY: (13),aASY_ BEG13 BEG14 --BEG153 a NOT USED (14) n

q ]NOT=D

ASY

(15) aASY_ DNOT USED

PAYMENTS ALWAYS BEGIN AT TIME OF PARTICiPANTS DEATH PAYMENTS BEGIN AT TIME OF DEATH ONLY IF PARTICIPANT QUALIFIED FOR EARLY OR NORM9L RETIREMENT PAYMENTS BEGIN WlEN PARTICIPANT WOULD HAVE REAO(E0 AGE: Cl3)_ (14) _ (15) _

Id1 Icl
lel
lc_l

PAYMENTS BEGIN WHEN PARTICIPANTS AGE+ASY UOU.0 HAVE REACHED: (13)_ (14) _ (15) -

PAYMENfS BEGIN WHEN PARTICIPANT WOULD HAVE QUALIFIED FOR NORMAL RETIREMENT PAYMENTS BEGIN WHEN PARTICIPANT WOULD HAVE QUALIFIED FOR EARLY RETIREMENT PAYMENTS BEGIN ANYTIME BENEFICIARIES CHOOSE AFTER PARTICIPANTS DEATH

Ihi

PAYMENTS BEGIN WHEN BENEFICIARY REACHES AGE: (13) (14) (15)

PAYMENTS BEGIN ANYTIME BENEFICIARIES CHOOSE AfTER AGE: (13)_ (14) _ 05) -

PAYMENTS BEGIN ANYTIME BENEFICIARIES CHOOSE BETWEEN THE PARTICIPANTS mTH AND AGE: (13) (14) (15)

PAYMENTS BEGIN ANYTIME BENEFICIARIES CHOOSE FROM AGE: TO AGE: (13) (13) (14) (14) (15),_ (15),_

OTHER (SPECIFY BELOW): BEG13: BEG14: BEG15:

129
H13. pttast express how the death and survivor benefit and supplement formulas
combined to determine the total death and survivor benefit amount. Including any limftations on the minimum or maximum total death and survlvor benefit. (USE STANDARD NOTATION AND APPLICABLE FORMULA NUWERS.) MTll-

are

.

f

I

130
SECTIOIJ3
DEFINED BENEFIT PLANS: POST RETIREMENT BENEFIT ADIUSTMENTS Jl. Does this plan include provision for automatic cost of living adjustments to post retirement benefits? i 1. YES & 31A. What is the frequency of determining these cost of living adjustments? TURN TO P. 132, 54

m

OTHER (SPECIFY):

JlB.

Is the Consumer Price Index (CPI) or sune other price index used to calculate these cost of living adjustments?

(1. I
JlC. ral Tsl Icl m ac

3
l

YES, OTHER PRICE INDEX (SPECIFY):
1

I

P. 131, 52

How is the price index used to adjust benefits?
PRICE INDEX MINUS .PERCENTAGE POINTS

X OF INCREASE IN PRICE INDEX, EMAX X OF INCREASE IN PRICE INDEX, WITH MAX ADJUSTMENT OF: x

IF INDEX INCREASED BY AT LEAST
-X

X OF INCREASE IN PRICE INDEX, NO MAX AWUSTMENT X. x

X OF INCREASE IN PRICE INDEX, WITH MAX ADJUSTMENT OF INCREASED BY AT LEAST x. -

m

OTHER (SPECIFY):

TURN TO P.132,

I

131
32. Is the average increase in the wages and salarles of active employees used to calculate cost of living adjustments for retirement benefits?

J2A. How are average wage and salary increases &nong active +mployces used to adjust retirement benefits? a P X INCREASE ACTIVE PAY, 2 MAX AWUSTMENT x

m
m

X INCREASE ACTIVE.PAY, WITH MAX ADJUSTMENT OF:

omm

(SPECIFY):

33.

How are the cost of living benefit adjustmnts calculated?

54.

Excluding survivor benefits, does this pension plan Include a provisIon for any lump-sum benefit payment upon the death of a retired participant? TURN TO P. 133, J5

J4A.

Ulder which retlremnt circumstances an made? (CHECK ALL THAT APPLY.)
Irl

the death beneflt payments

NOfM4LRETIREMENT
LATE RETIREMENT EAKY RETIREMNT

Tr;l
Icl Q I

VESTED DEFERRED RETIREMENT

DISABILITY RETIREMENT OTHER(SPECIFY):

m

348.

How are the lump-sun death benefits calculated for a retfrrd participant?

El

FIXED DOLLAR AMDLNT:

$ BENEFITS: z

Tsl FIXED PERCENT YEAKY I OTHER(SPECIFY):

I

133
J5. Dots this pension plan include a payment option available at the time of retirement under which benefits would continue to be paid to a surviving beneficiary? >TIJRN TO P. 134, SECTION K

JSA.

Under which retirement circumstances Is the survivor payment option available? (CHECK ALL THAT APPLY.1

El III El El lel El

NORMAL RETIREMENT LATE RETIREMENT EARLY RETIREMENT VESTED DEFERRED RETIREMNT DISABILITY RETIREPENT OTHER

(SPECIFV):

f

. .

I

134
SECTION K DEFINED BENEFIT PLANS: COMMENTS

Kl.

Record below any unusual characteristic(s)of this pension plan, or any other pertinent infonnation needed to interpret the plan provisIons as coded in Sections B-J.