401 GOVERNMENTAL MONEY PURCHASE PLAN IcMkRC

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401 GOVERNMENTAL MONEY PURCHASE PLAN IcMkRC R £ T Ii R N B 00 K L E T BuildingRetirement Security This booklet contains the following documents: Suggested Resolution Adoption Agreement Plan Administration with Electronic Access Implementation Data Form U Lthk Access [ann Processing Pohcies for Contributions find Loan Repayments Contribution Subniittal Instructions

Transcript of 401 GOVERNMENTAL MONEY PURCHASE PLAN IcMkRC

Page 1: 401 GOVERNMENTAL MONEY PURCHASE PLAN IcMkRC

401 GOVERNMENTALMONEY PURCHASE PLAN IcMkRCR £ T Ii R N B 0 0 K L E T BuildingRetirement Security

This booklet contains the following documents:

• Suggested Resolution

• Adoption Agreement

• Plan Administration with Electronic Access

• Implementation Data Form

• U Lthk Access [ann

• Processing Pohcies for Contributions find Loan Repayments

• Contribution Subniittal Instructions

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Governmental Money Purchase Plan & TrustEmployer Plan Adoption Booklet

This is one of two booklets containing information to establish your

Governmental Money Purchase Plan & Trust with the ICMA-RC. Please return

the following documents to ICMA-RC:

1. Completed Resolution.

• Use the ICMA-RC Suggested Resolution enclosed, or

• Complete your own Resolution. If you are using your own Resolution, please haveit reviewed by ICMA-RC prior to passage.

2. Adoption Agreement. Complete all sections of the Agreement and execute. If you areutilizing an Individual Designed Plan Document, please provide a current copy of thedocument including amendments and a Letter of Determination as provided by theIRS.

3. Implementation Data Form. Complete all sections.

4. EZ Link Access Form.

5. Loan Guidelines (if applicable). ‘This form is contained in the 401/457 Loan Packet.

6. Signed Administrative Services Agreement.

Onceyou are ready to begin completing this information, please contactyour New

Business UnitAnalyst, toll-free at 1-800-326-7272 for assistance.

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ICMA RETiREMENT CORPORATIONGOVERNMENTAL MONEY PURCHASE PLAN & TRUST

ADOPTION AGREEMENT

PLAN NUMBER 10- 4The Employer hereby establishes a Money Purchase Plan 2nd Trust to be known as Cityoi NorwaIk4DlA Defined ContdbutionRouranient Plan _(the Plan”) in the form of the ICMA Retirement Corporation Governmental Money PurchasePlan and Trust (MPP 01101/06).

This Plan is an amendment and restatement of an existing defined contribution money purchase plan.

DYes l2J No

If yes, please specify the name of the defined contribution money purchase plan which this Plan hereby amends and restates:

I. Employer: City of Norwalk —— [9021

IL The Effective Date of the Plan shall be the first day of the Plan Year during which the Employer adopts the Plan,unless an alternate Effective Date is hereby specified: 711/2012 _______— (e.g.. January 1~2006 for the MPP 01/01/06 Plan)

In. PlanYear will mean:

D The twelve (12) consecutive month period which coincides with the limitation year. (See Section 5.03(0 ‘of thePlan,)

~?J The twelve (12) consecutive month period commencing on July 1 -June30 and each anniversary thereof.

IV. Normal Retirement Age shall be age ~P&A~ (not to exceed age 65). 1288]

V. ELIGIBILITY REQUIREMENTS:

1. The following group or groups of Employees are eligible to participate in the Plan:

All EmployeesAll Full Time Employees

______ Salaried Employees______ Non union Employees

Management Employees______ Public Safety Employees______ General Employees______ Other Employees (specify describe the group(s) of eligible

employees below)See Appendix A attached

The group specified must correspond to a group of the same designation that is defined in the statutes,ordinances, rules, regulations, personnel manuals or other material in effect in the state or locality of’ theEmployer. Also, the eligibility requirements for participation in the Plan cannot be such that Employees becomeParticipants only in the Plan Year in which the Employees terminate employment (i.e., stand-alone final payplans).

Money Purchase Plan Adoption Agreement

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2. The Employer hereby waives or reduces the requirement of a twelve (12) month Period of Service forparticipation. The required Period of Service shall be (write N/A if an Employee is eligible to participateupon employment) N/A —.

If this waiver or reduction is elected, it shall apply to all Employees within the Covered EmploymentClassification.

3. A minimum age requirement is hereby speciEed for eligibility to participate. The minimum agerequirement is N4~_ (not to exceed age 21. Write N/A if no minimum age is declared.)

VI. CONTRIBUTION PROVISIONS

The Employer shall contribute as follows: (Choose all that apply, but at least one of Options A, B or C. IfOption A is not selected, Employer must pick up Participant Contributions under Option B or Option C.)

Fixed Employer Contributions With or Without Mandatory Participant Contributions, (If Option Bor C is chosen, please complete section D.)

~ A. Employer Contributions. The Employer shall contribute on behalf of each Participant_________% of Earnings or $_________ for the Plan Year (subject to the limitatiohs ofArticle V ofthe Plan).

Mandatory Participant Contributions

0 are required D are not required

to be eligible for this Employer Contribution.

I2J 3. Mandatory Participant Contributions for Plan Participation. A Participant is required tocontribute (subject to the limitations ofArticle V of the Plan)

(I) 5 % of Earnings,(ii) $ _,or(iii) a whole percentage of Earnings between the range of ___________________(insert range of

percentages between 0% and2o% (e.g., 3%, 6%, or 20%; 5% to 7%)). as designated by theEmployee in accordance with guidelines and procedures established by the Employer

- for the Plan Year as a condition of participation in the Plan. A Participant shall not have theright to discontinue or vary the rate of such contributions after becoming a Plan Participant.

The Employer hereby elects to “pith up” the Mandatory Participant Contributions ‘(pick upis required if neither Option A nor Option C is selectcd).

[6211OYes DNn

~ C. Mandatory Participant Contributions for this Portion of the Plan. Each Employee eligibleto participate in the Plan shall be given the opportunity to irrevocably elect to participatein the Mandatory Participant Contribution portion of the Plan by electing to contribute______— (insert range ofpercentages between 096 and 2096 (e.g., 3%, 696, cr2096;5% to 796)) of the Employee’s Earnings to the Plan for each Plan Year (subject to the LimitationsofArticleV of the Plan).

Neither an IRS adviso~y letter nor a deterrnination letter issued to an adopting Employer is a ruling by the Internal Revenue Service thatParticipant contributions that are picked up by the Employer are not includable in the Participant’s gross incomeforfederal income tax purposes.Pick-up contributions are not mandated to receiveprinate letter rulings; however. ~‘an adopting employer wishes to receive a ruling on pick-upcontributions they may request one in accordance with Revenue Procedure 2011-4 (or subsequent guidance).

Money Purchast Plan Adoprion Agreement 2

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A Participant shall not have the right to discontinue or vary the rate of such contributions afterbecoming a Participant in this portion of the Plan.

The Employcr hereby elects to “pick up” the Mandatory Participant Contributions (pick up is• required if neither Option A nor Option B is selected)? [621]

• EYes DNo

D. Election Window (Complete if Option B or Option C is selected):Newly eligible Employees shall be provided an election window of 5 days (no more than60 calendar days) from the date of initial eligibility during which they may make the election toparticipate in the Mandatory Participant Contribution portion of the Plan. Participation in theMandatory Participant Contribution portion of the Plan shall begin the first of the month followingthe end of the election window.

An Employee’s election is irrevocable and shall remain in force until the Employee terminatesemployment or ceases to be eligible to participate in the Plan. In the event of re-employment to aneligible position, the Employee’s original election will resume. In no event does the Employee havethe option of receiving the pick-up contribution amount directly.

2. The Employee may also elect to contribute as follows:

A. Fixed Employer Match ofVolHntarv Participant Contributions. The Employer shall contribute onbehalf of each Participant __% of Earnings for the Plan Year (subject to the limitations ofArticleV of the Plan) for each Plan Year tl,at such Participant has contributed _~~_% of Earnings or$__________ . Under this option there is a single, fixed rate of Employer contributions, buta Participant may decline to make the required Participant contributions in any Plan Year, in whichcase no Employer contribution will be made on the Participant’s behalf in that Plan Year.

Variable Employer Match of Voluntary Participant Contributions. The Employer shall contribute onbehalf of each Participant an amount determined as follows (subject to the limitations ofArticle V ofthe Plan):

......__% of the Voluntary Participant Contributions made by the Participant for the Plan Year (notincluding Participant contributions exceeding __% of Earnings or

PLUS __% of the contributions made by the Participant for the Plan Year in excess of thoseincluded in the above paragraph (but not including Voluntary Participant Contributions exceeding inthe aggregate _...% of Earnings or $___________

Employer Matching Contributions on behalf of a Participant for a Plan Year shall not exceed$............_..... or__% of Earnings, whichever is _...... more or — less.

3. Each Participant may make a voluntary (unmatched), after tax contribution, subject to the limitations ofSection 4.05 and Article V of the Plan.

~Yes DNO

4. Employer contributions for a Plan Year shall be contributed to the Trust in accordance with the followingpayment schedule (no later than the 15th day of the tenth calendar month following the end of the calendaryear or fiscal year (as applicable depending on the basis on which the Employer keeps its books) with or withinwhich the particular Limitation year ends, or in accordance with applicable law):

(See Appendix A)

Seefiotnote I on the previous page.

3 . Money Purchase Plan Adoption Agreement

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5. Participant contributions for a Plan Year shall be contributed to the Trust in accordance with the followingpayment schedule (no later than the 15th day of the tenth calendar month following the end 0f the calendar yearor fiscal year (as applicable depending on the basis on which the Employer keeps its books) with or within whichthe particular Limitation year ends, or in accordance with applicable law):

Weekly contributions or biweekly contributions

VII. EARNINGS

Earnings as defined under Section 2.09 of the Plan, shall include:

(a) Overtime

0 Yes No

(b) Bonuses0 Yes No

(c) Other Pay (specifically describe any other types of pay to be included below)Nme _________ _________________________________________________________

VIII. The Employer will permit roJlover contributions in accordance with Section 4.11 of the Plan.

~Yes DNo

IX. LIMITATION ON ALLOCATIONS

lithe Employer maintains or ever maintained another qualified plan in which any Participant in this Plan is (or was) aparticipant or could possibly become a participant, the Employer hereby agrees to limit contributions to all such plansas provided herein, if necessary in order to avoid excess contributions (as described in Sections 5.02 of the Plan).

I. Ifthe Participant is covered under another qualified defined contribution plan maintained by the Employer, theprovisions of Section 5.02(a) through (F) of the Plan will apply unless another method has been indicated below.

0 Other Method. (Provide the method under which the plans will limit total Annual Additions to theMaximum Permissible Amount, and will properly reduce any excess amounts, in a manner that precludesEmployer discretion.)N!A

2. The limitation year is the following 12 consecutive month period:

July 1 . June 30

Money Purchase Plan Adoption Agreement 4

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X~ VESTING PROVISIONS

The Employer hereby specifies the followhig vesting schedule, subject to (1) the minimum vesting rcplirements and(2) the concurrence of the Plan Administrator. (For the blanks below, enter the applicable percent— fronjO to 100(with no entry after the year in which 100% is entered), in ascending order.)

Period of Sente PercentCorm~Jeted

Zero 0

One 0

Two 0

‘Three 0

Four •0 94Five 100 94SixSeven 94E~tNineTen

XI. Loans are permitted under the Plan, as provided in Article XIII of the Plan:

Dyes ~No [7513

XII.I. In-service distributions are permitted under the Plan after a participant attains (select one of the below [64fr8]

options):

S Normal Retirement Age

o Age70½

71 Not permitted at ~ny age

2. Tax-free distributions ofup to $3,000 for the payment of qualifring insurance premiums for eligibleretired public safety officers are available under the Plan.

S Yes 0 Na (Default) [646:3]

XIII. Inscrvice distributions of the Rollover Account ale permitted under the Plan as provided in Section 9.07.

S Yes 0 No (Default) [646:7]

XIV SPOUSAL PROTECTION

The Plan will provide the following level of spousal protection (select one):

A. ~ Participant Directed Election. The normal form of payment of benefits under the Plan is a Jump sum. ~4661The Participant can name any person(s) as the Beneficiary of the Plan, with no spousal consent required.

Beneficiary Spousal Consent Election (ArtickXll). The normal ~rm of payment of benefits under [646:6)the Plan is a lump sum. Upon death, the surviving spouse is the Beneficiary, unless he or she consents tothe Participant’s naming another Beneficiary. (This is the default provision under the Plan if no selectionis made.)

C. 0 OJSA Election (Article XVII). The normal fbrm of payment of benefits under the Plan is a 50% qualified [642:8)joint and urvivor annuity with the spouse (or life annuity~ if single). in the event of the Participant’sdeath prior to commencing payments, the spouse will receive an annuity for his or her liFetime. [646:6)

5 Money Purchase Plan Adoption Agreement

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x~c FINAL PAY CONTRIBUTIONS

The Plan will provide for Final Pay Contributions if either I or 2 below is selected.

Final Pay shall be defined as (select one):

A. D Accrued unpaid vacation

B. ~I Accrued unpaid sick leave

C. ~ Accrued unpaid vacation and sick leave

D. S Other (insert definition of final pay):

that would otherwise be payable to the Employee in cash upon termination.

i. D Employer Final Pay Contribution. The Employer shall contributc on behalf of each Participant~___% of Final Pay to the Plan (subject to the limitations of Article V of the Plan).

2. D Employee Designated Final Pay Contribution. Each Employee eligible to participate in the Plan shall begiven the opportunity at enrollment to irrevocably elect to contribute ______% (insert fixed percentage of finalpay to be contributed) or up to _________% (insert maximum percentage of final pay to be contributed) ofFinal Pay to the Plan (subject to the limitations ofArticle V of the Plan).

Once elected, an Employee’s election shall remain in force and may not be revised or revoked. If the employerelects, to “pick up” these amounts, in no event does the Employee have the option of receiving the pick-upcontribution amount directly.

The Employer hereby elects to ‘pick up” the Employee Designated Final Pay Contribution thereby treatingsuch contributions as Employer-made contributions for Federal income tax purposes.

El Yes S No [621]

XVI. ACCRUED LEAVE CONTRIBUTIONS

The Plan will provide for accrued unpaid leave contributions if either 1 or 2 is selected below.

Accrued Leave shall be defined as (select one):

A. S Accrued unpaid vacation

B. S Accrued unpaid sick leave

C. S Accrued unpaid vacation and sick leave

i~. S Other (insert definition of final pay: ________— — —_________________________

that would otherwise be payable to the Employee in cash.

I. S Employer Accrued Leave Contribution. The Employer shall contribute as follows (choose one of thefollowing options):

S For each Plan Year, the Employer shall contribute on behalf of each Eligible Participant the unusedAccrued Leave in excess of (insert number of hoursldays!weelcs) to the Plan(subject to thelimitations ofArticle V of the Plan).

El For each Plan Year, the Employer shall contribute on behalf of each Eligible Participant —— % ofunused Accrued Leave to the Plan (subject to the limitations of Article V of the Plan).

Money Purchase Plan Adoption Agreement 6

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O 2. Employee Designated Accrued Leave Contribution.

- Each eligible Participant shall be given the opportunity at enrollment to irrevocably elect ~o contribute______% (insert fixed percentage.of accrued unpaid leave to be contributed) or up to _________% (insertmaximum percentage of accrued unpaid leave to be contributed) of Accrued Leave to the Plan (subject to thelimitations ofArticle V of the Plan).

Once elected, an Employee’s election shall remain in force and may not be revised or revoked, lithe employerelects to ‘pick up” these amounts, in no event does the Employee have the option of receiving the pick-upcontribution amount directly.

The Employer hereby elects to ‘pick up” the Employee Pesignated Final Pay Contribution thereby treatingsuch conttibutions as Employer-made contributions for federal income tax purposes.

0 Yes 0 No [621]

In order to allow for Final Pay Contributions and/or Accrued Leave Contributions, as defined in sections XV and XVIabove, the Plan must also include additional sources of ongoing contributions, such as Fixed Employer Contributionsor Mandatory Participant Contributions. In accordance with IRS Guidance, ICMA-RC will not process Final PayContribution or Accrued Leave Contribution Fcatures as part of a “Stand Alone” Final Pay Plan.

XVII. The Employer hereby attests that it is a unit of state or local government or an agency or instrumentality of one or moreunits of state or local government.

xvm. The Plan Administrator hereby agrees to inform the Employer of any amendments to the Plan made pursuant to- Section 14.05 of the Plan or 0f the discontinuance or abandonment of the Plan,

XIX. The Employer hereby appoints the ICMA Retirement Corporation as the Plan Administrator pursuant to the termsand conditions of the ICMA RETIREMENT CORPORATION GOVERNMENTAL MONEY PURCHASEPLAN & TRUST.

The Employer hereby agrees to the provisions of the Plan and Trust.

XX. The Employer hereby acknowledges it understands that failure to properly fill out this Adoption Agreement may resultin disqualification of the Plan.

XXI. An adopting Employer may rely on an advisory letter issued by the Internal Revenue Service as evidence that thePlan is qualified under section 401 oi the Internal Revenue Code to the extent provided in applicable IRS revenueprocedures and other official guidance.

IAIn Wjlaess Whereof, the Employer hereby causes this Agreement to be executed on this /7 day of

,h.uie_ .20 13.

EMPLOYER ICMA RETIREMENT CORPORATION

777 North Capitol St.. NE

- . - Washington, DC 20002-4240

— . . f Print Name: ~ C- .~n*y~

Print Name: Rehard & Mocela Title, V~S~ S4~—.IVI~ ‘~t—iO.’rE.MTitle: Mayor - - Attest:_______________________________________

Attest:_____________________________________

7 Money Purchase Plan Adoption Agreement

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City of Norwalk 401A Defined Contribution Retirement Plan

Appendix A

Section IV. Normal Retirement Age:

Normal retirement age shall be the later of age 65 or five years of service.

Section V. 1: Eligibility

Employees hired on or after 7/1/2012 who are regular, full-time employee of the City includingelected officials, whose position is not temporary or seasonal and whose regular duties requirea minimum of 1200 hours of employment per year excluding employees covered by anotherretirement plan such as police officers, firefighters and grant employees covered by a SEP.

Employees hired on or after 7/1/2012 who ~are regular, full-time and part time employees ofthe Board of Education whose position is not temporary or seasonal and whose regular dutiesrequire a minimum of 1100 hours of employment per year excluding employees covered byanother retirement plan such as certified teachers and certified administrators.

Eligibility for the employer match contributions for partial fiscal years of employment shall bedetermined on a pro rated basis of the hours requirement listed above.

Section Vl.4: Contribution Provisions

Employer matching contributions for eligible full time employees shall be made at leastmonthly to the trust. For eligible part time ten-month employees of the Board of Education,the employer’s matching contributions shill be made on or about June30 of each yearprovided the employee has worked the required 1100 hours.

June 4, 2013 RECEIVED JUN 1~7 2013

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A.ICMA~Building- Retheinent Security

ICMA-RC Simplifies Plan Administrationwith Electronic Access

With this feature, you can enable participants to requestwithdrawals online after they separate from service

If elected by the plan sponsor, all statements andconfirmations will be delivered to all plan participants viaAccount Access instead of by mail

If permitted by the plan sponso~ participants can enrollthemselves into their deferred compensation plan

If permitted by the plan sponsor, participants can increase,decrease or stop their payroll-deducted deferrals

If permitted by the plan sponsor, participants con model andrequest a loan

Description

IU~ RIrIREMENT CORPORATiON • 171 NORtH CAPITOL STREEt, NI • WASHiNGTON, DC 20tt2-4240TOLL rR[E: 800-326-7272 • rAx: 202-962-4601 • INTERNEt: W~W.IUARC.ORG

Over

Welcome to I(MA-RC. ICMA-RC has many online resources to simplifyretirement plan administration for you and ease account management for your employees.

Your Suite of Online ServicesDescription How It’s Adopted

beneficia~esParticipants con odd/change/delete pdmary and contingent S.tondard Online ServiceBeneficiary Information

Online Withdrawals

Electronic Delivery

Direct Self-Enrollment(457 Plans Only)

Deferrals

Loans

Standard Online Service

[Plan Sponsor elects feature on Implementation Data Form

Plan Sponsor elects feature on lmpkmentatiøn Data Form

Plan Sponsor must request and complete the Online ServicesChange Form

Plan Sponsor completes the ban Implementation Pocket

MuaSpo~iiorOn$~J#rvknAiullUbti I ~J~JUW~W~

Account Activity View plan and participant activity

Beneficiaries Add/change/delete participant pnrnary and contingent~ bene~da~es

Confirmations View participant trons&tion confirmations

Contribution Subm~ contribution detail securely to ICMA-RC

Drop-Off/Pick-up Site Securely drop off or pick up reports containing sensitive~ participant data to and from ICMA-RC

Enrollment Enroll participants into a 401 or 457 plan

Access Option “Balances & Reports”

Access Option “Participant Changes”

Access Option “Balances & Reports”

Access Option “Contribution & Loon Repays”

Available upan completion of EZlink Access Form

[Access Option “Online Enrollments”

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Description

View account tTansoctions

Change how future payroll-deducted deferrals are !nvested

Elect to stop receiving paper confirmations by mail.Confirmations are available to view via Account Access.

Find, answers to many plan-related questions

View fund profiles and fund peiformance

Transfer money into different funds available within the plan

Provides voriaus levels of guidance far investing in yourretirement plan

Change address, phone number and/or email address

Order/download participant forms

Elect to stop receiving paper statements by mail. Statementsare available to view via AccountAccess.

Former participants can request a one-time withdrawal or canschedule an installment payment

Available upon camp leion ‘of EZlink Access Form

Access Option “Balances & Reparts”

Access Option “Conttibuion & loan Repays”

Available upon completion of Ellink Access Form

Access Option “Participant Changes”

Available upon completion of ElllnkAccess Form

Access Option “Balances & Reparts’~

Access Option “Balances & Reports’

How It’s Adopted

IOnline Services (Continued)

How It’s Adopted —

Plan Sponsor completes the EZLInk AccessDescription Form & the appropriate “Acress Option”

FAQs

Fund Information

loan Repayments

Order/Download Forms

Participant Indicative Changes

Plan Contacts

Reports

Statements

Find answers to many plan-related questions

View available fund profile and peifarmance information

Submit loan repayment detail securely to ICMA-RC

Order/dawniand participant and plan sponsor forms

Update/change participant name, address, birth date, hireand terminatian dates

Add/change/delete plan sponsor contacts

Run and download participant and plan-level reports -

View participant and plan sponsor statements

Account Activity

Allocation Changes

Confirmations

FAQs

Fund Information

Fund-to-Fund Transfers

Guided Pathways

Indicative Data Changes

Order/Download Farms

Statements

Withdrawals

‘Sign upforAccountAccess

Sign up for Account Access

Sign up far F-delivery via Account Access

Sign up far Account Access

Sign upfarAccaunt Access

Sign up farAccauntAccess

I Sign up far Account Access

ISiflfarAccauntAccess

[Sign upforAccauntAccess

Sign up for F-delivery via AccountAccess

Sign up for Account Access

AU 0911-5094

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401 Qualified Plan Implementation Data Form Instructions and Information

Please ensure that each section of this form is completed before returning it to ICMA-RC along with the otheradoption materials. You may contact ICMA-RC’s Plan Sponsor Services Team at 1-800-326-7272 if you havequestions.

4. Primary Contact

This person is responsible for the day-to-day administration and processing of plan transactions. This is the personwe call if general questions arise concerning your ICMA-RC account.

13. Online Services

When joining ICMA-RC, there are many services we make available online to simplify retirement plan administrationfor you and ease account management for your participants.

a. Standard Online Services

These standard services will be applied to your plan:

Online Beneficiary information

Beneficiary information will be displayed online so that it can be viewed and updated:

With this option, the participants (through Account Access) and your plan contacts (through EZLink) can viewand update beneficiary information online. Both primary and contingent beneficiary information will be displayed online and participants’ statements.

Please note: We are unable to make this option available within EZLink without also making it availablewithin Account Access.

Online withdrawals

With this feature participants can request withdrawals online after they separate from service.

Please note: Termination dates should be submitted via EZLink in a timely manner, and further employer approval is not required for individual disbursement requests~ Online Withdrawals are for installments, partialand lump sum payments made directly to the participant. The Online Withdrawal system does not establishoutgoing rollovers to other plan providers.

6. Optional Online Services

These are optional services you elect or decline: -

Please complete this section. If an option is not selected, the default options will be utilized.

Electronic Delivery for Statements and Confirmations

With our electronic delivery process, plan participants will be able to quickly and easily view their statementsand transaction confirmations in Account Access instead of waiting to receive them by mail.

When you elect electronic delivery for your plan to paperless, we will let participants know by sending thema welcome email. They will also receive a message on their next statement that they will begin receiving theirstatements and confirmations online rather than in the mail. If participants prefer to receive their documentsin the mail they can switch back to paper easily just by going to Account Access or calling Investor Services.Participants without an e-mail address, or with an invalid e-mail address, will continue to receive documents inthe mail.

If you select this option, you will be contacted by our Plan Sponsor Services Team and we will work with you toset up your plan to go paperless.

By selecting this option, you are agreeing that your participants with an e-mail address can receive statementsand transaction confirmations electronically.

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401 Qualified Plan Implementation Data Form Instructions and Information (continued)14. Disbursement/Loan

This person(s) will be responsible for signing disbursement and loan withdrawal forms, authorizing any disbursement or loantransactions, and answering questions pertaining to disbursements and loans. This should be a person(s) of authority. Also, theperson’s signature should be placed in the appropriate section of this form for our reference purposes.

18. Contribution/EZ Link Contact

This person is responsible for sending contributions to RC. If there are discrepancies in the wire amount and the corresponding backup, this is the person we will contact to resolve the issue. This person should have access to all payroll/contribution information to ensure efficient processing of contributions. Confirmations for each contribution received are sent to thisindividual.

19. Quarterly Statement

This person will receive all quarterly statements.

20. Plan Coordinator

The title of this person is designated in the resolution. If a different person obtains the same title, you may use this form toupdate the name change. You must have your legislative body pass a new resolution to update the title of the person desig~nated as plan coordinator.

21. Billing (Fees)

If RC charges any employer paid fees to your account this person will receive the invoices.

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/S 401 Qualified Plan Implementation Data Form Page] of 4Instructions to Employer: Provide necessary information to establish your plan properly.

ici%i.c-I?C Please contact your New Business Unit Analyst at 1-800.326.7212 if you hove any questions.BuilAi,,”Refiren,ent Seczsiiv~ ICMA-RC Use Only: Employer# 10 6932

General 1. (902) Employer’s Full Name: City of NorwalkInformation 2. (924) StreetAddress~ 125 East Avenue, P.O. 5125

(925) Personnel Department _________________

3. (918) city: City of Norwalk

(919) State: CT (920) Zip Code: 06856

4. (633) Primary Contact: H. James Haselkamp, Jr.

5. (634) Primary Contactlitle: Director of Personnel & Labor Relations

6. (631) Primary Contact Telephone #~ (203 )_854—7724

1. (632) Fax/I: (~~~9~_____) 854-7329

8. (882) Employer’s Federal lox Identification Number:_066011_881

Plan 9. (611) Contribution information (See “Important Contribution Information” later in this book)

a. Frequency: (check one) ~ (0) Ri-weekly U (4) Monthly U (8) Semi-quarterly

Instaictions — Use the ~ U) Weekly U (5) Semi-monthly U (9) Bi-onnuallyVontugepoint Funds U (2) Semi-weekly U (6) Ri-quarterly U (10) Annually

U (3) Ri-monthly U (7) Quarterly U (11) Semi.onnually

b. Deposit Medium: (624) U Wire ~ ACH

10. First Contribution Date Following Implementation: _________________________________________________________________________

11. Number of Eligible Employee:_15 Expected Number of Participants: 200

Default Default Fund for Investment Allocations:Investment The defauft fund will be used if a participant does not provide valid allocation instructions (i.e., no allocation is provided, the allocation percentages

ption do not total 100%, or one or more funds that ore not available to the plon are selected).

If you do not make an election in this section, the Milestone Fund with the target date closest too porticipont’s 6O~ birthday will be used as yourplan’s default option.

You may select the “Custom Defau~” option if you would like to use a fund (or funds) other than the Milestone Funds as your plan’s default option.Please see ICMA-RC’s Standard Plon Fund lineup at vmwicmarc.org to complete this section.

Note: Prior to selecting the “Custom Default” option, employers should carefully review the Department of Labo(s finalregulations on qualified default investment alternatives (ODIAs). More information is available online at www.dol.gov orwww.icmarc.org/ppa.

12. Default Fund for Investment Allocations (Select one option):

~ The Milestone Funds (Default) with o target retirement age of:121 Age 60 (Default)U Age (input the Torget Retirement Age to be used far your plan)

(conlinued on he iotowing page)

Page 16: 401 GOVERNMENTAL MONEY PURCHASE PLAN IcMkRC

401 Qualified Plan Implementation Data form I Page2of4Instructions to Employer: Provide necessary information to establish your plan properly.Please contact your New Business Unit Analyst at 1 -800-326.1212 if you have any questions.

Building Retirement Secunty ICMA-RC Use Only: Employer# 10 6932

Li Custom Default (List the fund name(s) and percentages that will be used as the plan’s defauli investment option):DefaultInvestment Fund Name PercentageOptioncontinued

13. Below are ICMA.RC’s online services offered for your retirement plan administration and account management for participants. Please seeOnline Servicesinstructions for further information about these standard and optional services.

a. Standard Online Services These standard services will he applied to your plan.• Online Beneficiary information (Nate: Beneficiary information will be displayed on participant statements.)• Online withdrawals

b. Optional Online Services These are optional services you elect or decline.• Nate: If an option is not selected, the defauh options will be utilized.

El&tronic Delivery for statements and coiifirmationsElectronic delivery far all participant statements and transaction confirmations.

IZI Yes (Default) U No

Primary PLAN CONTACTSContact

14. PTOOInformation(200) Primary Contact Name: H. James Haselkamp, Jr.

(210) Idle: Director of Personnel & Labor Relations

(420) Telephone: ( 203 ) 854-7724 (421) Fax:( 203 ) 854-7329

(422) Email Address: [email protected]

Disbursement! 15. PTO1 Contact Signature:Loan Contact (200) Contact Name: H. James Haselkamp, JrInformation

(210) Idle: Director of Personnel & Labor RelationsPlease indicatealternate addresses (420) Telephone: ( 203 ) 854J724 (421) Fax:( 203 ) 8547329in Comments Section (422) Email Address: [email protected] Page 3

16. PTO8 Contact Signature:

(200) Contact Name:_Fredric_Gilden

(210) Idle: Comptroller

(420) Telephone: ( 203 ) 854-7711 (421) F~: 203 ) 8547710

(422) Email Address: [email protected]

11. PTO9 Contact Signature:

(200) Contact Name:________________________________________________________________________________________

(210) title:________________________________________________________________________________________________

(420) Telephone: ( ) (421) Fax:((422) Email Address:________________________________________________________________________________________

Page 17: 401 GOVERNMENTAL MONEY PURCHASE PLAN IcMkRC

401 Qualified Plan Implementation Data Form Page3of4

BuildingRetirernentSecnriiy ICMA-RC lisa Only: Employer# 10 6932

18. PTO2 (200) Contact Name: Freciric GildenContribution!EZLink Contact (210) Idle: ComptrollerInformation (420) Telephone: 203 8547711 (421) Fax:( 203 ) 8547710

(422) Email Address: [email protected]

Does the EZIJnk Contact iniiate ACH/wire for payroll? 121 Yes ~ No If No, please provide ACH/wire contact information:

Name/Title:_______________________________ Telephone:

EZL ink is ICMA-RC’s standard contribution detail summary format. Please complete and return the EZL ink Access Form. You must also complete a successfalEZLlnk test before your first contribulion can be submittet

Quarterly 19. PTO4 (200) Contact Name: H. James Haselkamp, JrStatement (210) Idle:_Director of Personnel & Labor RelationsContactInformation (420) Telephone: ( 203 ) 854~7724 (421) Fax:( 203 ) 854~7329

(422) Email Address: [email protected] this section is not completed, the Primary Contact will receive mailings.

Plan 20. PTO5 (200) Contact Name: H. James Haselkarnp, JrCoordinator (210) Idle:_Director of Personnel & Labor RelationsContactInformation (420) Telephone: ~ ) 854-7724 (421) Fax:( 203 ) 854-7329

(422) Email Address: Jhaselkamp©norwalkct.org

Note: Changing this title requires on amendment to your resolution.

Billing (Fees) 21. PTO6 (200) Contact Name:_Fredric_GildenContact (210) Idle: ComptrollerInformation

(420) Telephone: ( 203 ) 854-7711 (421) Fax:( 203 ) 8547710

(422) Email Address: fgen@n0~~ctor9

Comments: 22.

AlternativeAddresses for#14—20

Page 18: 401 GOVERNMENTAL MONEY PURCHASE PLAN IcMkRC

401 Qualified Plan Implementation Data Form I Page4of4ICMARCBr’ildingRetirernentSecurhy ICMA-RC Use Only: Employer# 10 6932

Co-Provider 23. Does your plan have a co-provider relationshipiInformation

UYes ~INo

If yes, please provide the (0-provider information:

Name of Co-Provider(s):

Co-Provider 1:

Street Address: ______________________________________________________________

City: ______________________________ State:________________ Zip Code:

Phone Number: ________________________________________________________________________________

Co-Provider 2:

Street Address: __________________________________________________________________________________

City: ___________________________________________ State: _______________________ Zip Code:

Internal Use Only

621 =Y/N

641 = _________

912 ________

Page 19: 401 GOVERNMENTAL MONEY PURCHASE PLAN IcMkRC

you need it.

Who should use the EZL1nk Access form?

Use this form to request a new user, and to update orremove an existing user.

Instructions

1. Primary Contact Information — Please provide thename of the person who is designated as the primarycontact. This person will need to sign this form toauthorize access. If you want to verify your primarycontact, please call Plan Sponsor Services Team at 800-326-7272 between 8:30 a.m. and 7:30 p.m. EasternTime.

Primary contact User ID and password will be createdwith Full access.

2. EZLinIc User Information —

To request a new User ID: check the Add New UserID box and enter the user information. The emailaddress and access options are required.

To update an existing User ID: check the UpdateUser ID box, enter the User ID and select all theaccess the user should have.

To remove an existing User ID: check the RemoveUser ID box to remove all access.

Access Options:

Balances/Reports: This capability provides the userthe ability to view plan andparticipant information includingbalances, investment allocationsand reports.

Online Enrollments: This capability provides the userthe ability to enroll participants.

Participant Changes: This capability provides the userthe ability to.update participantinformation such as name, address, marital status, title.

___________ This capability provides the userthe ability to submit contributionsand loan repayments online using a prior payroll or ICMA-RCpre-formatted file.

_______ This capability provides the userthe ability to submit an ICMA-RCpre-formatted participant indicative data demographicfile including enrollments andparticipant updates and to viewa customized data verificationreport.

3. Primary Contact Approval — Please have the PrimaryContact sign and date this EZLink Access Form.

Minimum System Recommendations

/ Firefox Version 3.x and higher, or MICROSOFTInternet Explorer 5.0 and higher

/ 128 Bit Encryption/ High speed Internet access or minimum 56K

modem/ Pentium class PC/ Windows NT, 1995 or later

OTHER SYSTEMS ARE NOT RECOMMENDED

Please fax your completed EZLink Access Form to theEZLink Administrator at 202-962-4601.

EZLink gives you electronic access to a wide range of plan specific information, transaction processing capabilitiesand keeps you up-to-date on the latest in plan changes. As a user, you can access the information you need, when

Contribution & LoanRepayments:

Participant DataTransfer:

FRM000-01 9-200907-180

Page 20: 401 GOVERNMENTAL MONEY PURCHASE PLAN IcMkRC

EZ[INKAC(ESSFORM-PAGE1 0F2

Plan Name City of Norwalk 401A Defined Contribution Retirement Plan

Plan Number(s) 106932

(All plan numbers must be listed to avoid processing delays.)

Primary Contact Name: Fredric Gilden

Primary Contact Title: ComptrollerInformation Email Address: fgilden~norwalkct.org

Daytime Phone Number: (~2~_j ~____~i?1i_____

2 Select One: IZJ Add New User ID 11 Update User ID_____________ D Remove User IDEZLink Name: H. James Haselkamp, Jr.

Information Title: Mayor

Email Address: Jhaselkamp~norwalkct.org

Daytime Phone Number: (~2~__ __) !~i . 7724 —

Access Options (You must select either yes or no for each access option):

Balances & Reports ..{.Y __N Contributions & Loan Repays j~Y _NOnline Enrollments _L_Y _N Participant Data Transfer __Y _{_NParticipant Changes i_Y __N

Select One: l~1 Add New User ID 0 Update User ID_____________ 0 Remove User ID

Name: Lena HillIard

Title:

Email Address: [email protected]

Daytime Phone Number: (203 __) 854 . _~7~2_ —

Access Options (You must select either yes or no for each access option):

Balances & Reports _L_Y __N Contributions & Loan Repays _LY __NOnline Enrollments _LY _N Participant Data Transfer __Y _L_NParticipant Changes _{Y N

Select One: l7i Add New User ID 0 Update User ID_____________ 0 Remove User ID

Name: Aileen Acevedo,

Title: Account Clerk II

Email Address: aacevedo©norwalkct.org

Daytime Phone Number: (1~~__ __) !~ - 1Z~I_. _. —

Access Options (You must select either yes or no for each access option):

Balances & Reports _LY .__N Contributions & Loan Repays _LY _NOnline Enrollments _{_Y __N Participant Data Transfer __Y f_NParticipant Changes _LY __N

Please fax your completed EZLink Access Form to the EZLink Administrator at 202-962-4601. FRM000-01 9-200907-180

Page 21: 401 GOVERNMENTAL MONEY PURCHASE PLAN IcMkRC

~~~Link EZLINK ACCESS FORM - PAGE 2 Of 2

2 Select One: 123 Add New User ID El Update User ID_____________ El Remove User IDEZLink Name: Aguilcia RomanUser Title Lead Data Input TechnicianInformation

Email Address: Aroman~norwaIkct.org

(continued) Daytime Phone Number: (_?P~_ __) ~~__ -

Access Options (You must select either yes or no for each access option):

Balances & Reports __Y IN Contributions & Loan Repays j_Y __NOnline Enrollments .i_Y __N Participant Data Transfer __Y _{_NParticipant Changes .IZY __N

Select One: ~ Add New User ID El Update User ID_____________ El Remove User IDName: Yvette Williams

Title: Account Clerk II

Email Address: awilliams~narwalkct.org

Daytime Phone Number: (?P~_) ~_-_i~~_

Access Options (You must select either yes or no for each access option):

Balances & Reports __Y i_N Contributions & Loan Repays .i_Y _NOnline Enrollments .!_Y __N Participant Data Transfer __Y _{_NParticipant Changes jj __N

3 ICMA-RC considers participant information to be highly confidential, and we go to great lengths to avoidPrimary breaching that confidentiality. For this reason, ICMA-RC cannot be responsible for (i) negligent or intentionalContact misuse of the password by the municipality’s officers, employees, agents or contractors, (B) a breach of confiApproval dentialily that may occur as a result of such negligent or intentional misuse of the password, or (iii) a breach of

confidentiality that may occur as a proximate result of the municipality’s access to the participant database. Ifthe municipality uses EZLink online transaction processing, please remember to review all financial informationyou have entered for your participants, as ICMA-RC is not responsible for incorrect data transmitted by themunicipality. ICMA-RC recommends that you encourage all participants to review confirmations for accuracy.

ICMA-RC’s web site is normally available 24 hours a day, seven days a week. However, service availability isnot guaranteed. Neither ICMA-RC or its affiliates, the VantageTrust Company, nor The Vantagepoint Funds willbe responsible for any loss (or forgone gain) you may incur as a result of service being unavailable.

Please signify your agreement to these terms by signing in the space indicated below. You may fax thissigned form to the EZLink Administrator at 202-962-4601. We will provide you with User ID(s)and Password(s) to begin using EZLink. Should you have questions, please call our EZLink Team at 800-326-7272.

Agreed: ______________________________________________________________ Date: ____________________________Primary contact

Print Your Name Fredric Gilden

For ICMA-RC Internal Use Only:

EZLink Primary ____________ NBU ____________

EZLink QA _____________ Data Security

Please fax your completed EZLinlc Access Form to the EZLink Administrator at 202-962-4601. FRM000-O1 9-200907-180

Page 22: 401 GOVERNMENTAL MONEY PURCHASE PLAN IcMkRC

IMPORTANT!PROCESSING POLICIES FOR CONTRIBUTIONS AND LOAN REPAYMENTS

In order to provide the most efficient and dependable service possible to all of our valued customers, ICMA-RC has established the following policies related to contribution and loan repayment processing.

UNBALANCED CONTRIBUTIONS/LOAN REPAYMENTS

In situations where the contribution/loan repayment amount remitted differs from the sum of the detail records provided, investment of the contributions and loan repayments will be delayed until the difference is resolved, If the difference cannot beresolved within 3 business days, ICMA-RC will return the money to the employer, unless alternative instructions are received.

NON-CONFORMING FORMATS

Non-conforming submittals of contribution/loan repayment detail records are typically paper documents printed from an employer’s payroll system or other electronic files not formatted according to ICMA-RC specifications. Processing time for nonconforming submittals can be significantly longer than for conforming formats. Consequently, while ICMA-RC will strive toprocess non-conforming submiftals as timely as possible, we may take up to 5 business days to reconcile. The contributionsand loan repayments will not be invested during this time. The following table provides the processing turnaround standardsfor non-conforming submiffals.

1umber of Contributing lumber of BusinessParticipants Days to Process50 or fewer 2

51-99 3100-299 4

300 or more 5

UNREADABLE OR ERRONEOUS FILES

If a contribution / loan repayment detail file is not readable (e.g., formafting problem, in-transit damage) or does notcontain current data, investment of the contributions and loan repayments will be delayed until the employer provides areadable replacement file with current data. In such cases, ICMA-RC will initiate contact with the employer the day the file isreceived.

PARTICIPANTS NOT ENROLLED

Contributions received for participants who have not been enrolled in the plan cannot be invested. In such cases,ICMA-RC will initiate contact with the employer the next business day to request the required enrollment information. IfICMA-RC does not receive the required enrollment information by the close of the third business day following receipt of thecontribution, the contribution amount will be refunded to the employer.

INCORRECT LOAN NUMBERS

If a loan repayment is received with incorrect loan number referencing, ICMA-RC may take up to two business days to investthe loan repayment.

CONFORMING FORMATS FOR CONTRIBUTIONS AND LOAN REPAYMENTS TO ICMA-RC

• EZLink On-line Contribution File Creation• EZLink Data Transfer in ICMA-RC Record Format #3

Please call a New Business Unit Analyst at 1-800-326.7272 to receive additional information about these options.

Page 23: 401 GOVERNMENTAL MONEY PURCHASE PLAN IcMkRC

You must include your six-digit RC plan number in the “OBI” field for each wire to ensure timelyprocessing. Plan number format:

NVires 30#### for 457 plans• 10#### for 401 plans• 70#### for IRA plans• 8O#### for RHS plans

457 Wire Instructions 401 Wire Instructions RHS Wire Instructions

M&T Bank M&T Bank M&T BankABA#: 022000046 ABA#: 022000046 ABA#: 022000046Vantagepoint Transfer Agents— 457 Vantagepoint Transfer Agents —401 Vantagepoint Transfer AgentsAccount #: 42538001 Account #: 42537981 Account #: 89559029OBI: 30#### OBJ: l0#### OBJ: ######

You must include your six—digit RC plan number hi the “Ppt ID” field to ensure timely and accurateA.CII processing. Plan number format:

• 30#### for 457 plans• 10#### for 401 plans• 70#### for IRA plans• 80#### for RHS plans

457 ACH Instructions 401 ACH Instructions RHS ACH Instructions

M&T Bank— 457 M&T Bank- 401 M&T BankABA#: 022000046 ABA#: 022000046 ABA#: 022000046Account #: 42538001 Account#: 42537981 Account#: 89559029Ppt ID: 30#### Ppt ID: l0#### Ppt ID: ######

You must always include your six-digit RC plan number on the payee line to identify properfunding of your account and to ensure timely and accurate processing.

Check Sending a check directly to ICMA-RC’s Washington, D.C. address, rather than our bank lockboxaddress, will delay the posting of your employee contributions.

457 Check Instructions 401 Check Instructions

Vantagepoint Transfer Agents 4#####Vantagepoint Transfer Agents-30#### do M&T Bankdo M&T Bank P.O. Box 64636P.O. Box 64553 P.O. Box 64668Baltimore MD 21264-4553

Baltimore MD 21264-4668

* Remember, mailing your contribution to any other address will delay the investment of your payroll contributions andlor loanrepayments.

Page 24: 401 GOVERNMENTAL MONEY PURCHASE PLAN IcMkRC

IMPORTANT!PLEASE READ THIS DOCUMENT PRIOR TO SUBMITTING YOUR FIRST PAYROLL TO ICMA-RC

Frequently Asked Questions about submitting Payrolls to ICMA-RC

What is EZLink?EZI.ink is ICMA-RC’s secure internet-based software that allows you to submit payroll and enrollment information to ICMA-RC. Additionally,you can access reports about your plan’s activity using EZlink.

How do I get started using EZLink?Enclosed are several items that you will need to begin submitting contributions to the ICMA Retirement Corporation (RC) including:

• EZLink Information and Access Form — Complete this form to assign a payroll, wire/ACH contact and issue passwords for inquiry

only mode.• Processing Policies for Contribution and Loon Repayments — Describes processing cutoff and ICMA-RC’s “good order” policy

• ACE-I and wire instructions for 401, 457, IRA, and RHS plans

Follow this checklist of steps to submit your payroll via EZLinkV Complete the EZLink Form and return to the New Business Unit Analyst in the envelope provided.V Be sure to provide the first date you anticipate sending a payroll contribution to ICMA-RC. (Plan Data Implementation Form in “Return

Booklet”)V Complete a test file with ICMA-RC prior to submitting your first payroll. Your payroll contact will be called upon receipt of the EZLink

Application to coordinate a test as well as discuss the features 0f EZLink.V Review the Wire/ACH instructions with the appropriate contact. Your payroll contact may not be the person who transmits wires to

ICMA-RC.V Make sure you use the correct plan number and plan sources in EZI.ink based on your plan. Each plan has a distinct plan number.

If you have a question regarding a specific plan number, please contact ICM.A-RC for confirmation.V Make sure you are using the correct format for each plan. Note that 401, IRA and RHS plans have slightly different formats than

457 plans.V Enroll participants in the plan prior to submitting your first payroll.

You are now ready to submit payroll contribution and loan repayments to ICMA-RCI

What if I cannot use EZLink?In order to reduce cost and processing errors, ICMA-RC’s policy is that clients use EZLink. Additional fees are assessed to individual401 & 457 participant accounts for Employers who do not utilize EZLink. (See Appendix 1 for a description of fees). It is required thatemployers use EZLink for all IRA and RHS accounts.

Please note the “Processing Policies for Contributions and Loan Repayments” included in this packet. It is very important that yourcontribution detail is received in good order to ensure accurate, efficient processing of your data.

Tips to prevent delays in payroll processing• Ensure that all participants are enrolled at ICMA-RC prior to submitting a payroll contribution.• Ensure you complete a test file successfully prior to submitting your first payroll.• For loan repayments, please ensure that loan numbers are properly entered.

• Ensure that your plan number is correct. If you have multiple plans at ICM.A-RC, this is particularly important.• Ensure that you use the correct payroll format within EZLink. The 401/457 formats cannot be used for IRA and RHS payrolls.• Ensure that you use the proper wire or ACH instructions. It is important to note that 401, 457, RHS and IRA plans all have different

instructions.I Please do not change formats without contacting ICMA-RC.• If you encounter a problem with EZLink, please contact on EZLink Specialist at ICMA-RC at 1-800-326-7272 for guidance to correct

any issues.

APPENDIX 1Account Maintenance Fee. The annual Account Maintenance Fee for Plan participants will be waived for Employers who use EZLink forcontribution processing and submit deposits by wire transfer or ACH. In the event that Employer does not use EZLink for contributionprocessing and ACH/wire transfer, the annual Account Maintenance Fee shall be $36.00 per Plan participant. If applicable, this fee ispayable on the first day of the calendar quarter following establishment and is prorated by reference to the number of calendar quartersremaining on the day of payment. The Account Maintenance fee is debited from each Plan participant’s account.

Page 25: 401 GOVERNMENTAL MONEY PURCHASE PLAN IcMkRC

Please return the following documents to:

ICMA-RCAnn: New Business Unit Analyst717 North Capitol Street N.E.Washington, DC 20002-4240

~ Completed Resolution~ Complefed Adoption AgreementD Signed Administrative Services AgreementD Implementation Data FormD Loan Guidelines (if applicable)

~ Completed EZ Link Access Form

If you have not received all of these documents, please notify yourNew Business Unit Analyst at h800 326-7272 immediately.

Page 26: 401 GOVERNMENTAL MONEY PURCHASE PLAN IcMkRC

Building Retirement Security

ICMA RETIREMENT CORPORATION771 NORTH CAPITOL STREET N.E.WASHINGTONJ DC 20002-4240

1-800-326-7212WWWJCMARC.ORG

BRC1A1 -007-201002

Page 27: 401 GOVERNMENTAL MONEY PURCHASE PLAN IcMkRC

AFFIRMATIVE STATEMENTFOR ADOPTING A SECTION 401 MONEY PURCHASE PLAN

Name of Employer: ~ A rwC Ifrstate: Plan Number: ~ 6 732.

WHEREAS, the Employer has employees rendering valuable services; and

WHEREAS, the establishment of a money purchase retirement plan serves the interest ofthe Employer by enabling it to provide reasonable retirement security for its employees,by providing increased flexibility in its personnel management system, and by assistingin the attraction and retention of competent personnel; and

WHEREAS, the Employer has previously executed the Declaration of Trust ofVantageTrust, intending this execution to be operative with respect to any retirement ordeferred compensation plan subsequently established, if the assets of the plan are to beinvested in the VantageTrust;

NOW THEREFORE, as a duly authorized agent of the Employer, I hereby:

ESTABLISH the Employer’s 401 money purchase plan (the “Plan”) in the form of TheICMA Retirement Corporation Governmental Money Purchase Plan and Trust; and

SPECIFY that the assets of the Plan shall be held in trust, with the Employer serving astrustee (“Trustee”), for the exclusive benefit of the Plan participants and theirbeneficiaries. The assets shall be invested in the VantageTrust, and shall not be divertedto any other purpose. The Employer’s beneficial ownership of Plan assets held in theVantageTrust shall be held for the further exclusive benefit of the Plan participants andtheft beneficiaries;

SPECIFY that the b i’rccIot of ~ ~ I (title) shall be thecoordinator for the Plan; shall receive reports, notices, etc., from the ICMA RetirementCorporation or the VantageTrust; shall cast, on behalf of the Employer, any requiredvotes under the VantageTrust; may delegate any administrative duties relating to the Planto appropriate departments; and is authorized to execute all necessary agreements withthe ICMA Retirement Corporation incidental to the administration of the Plan; and

AFFIRM that the Employer hereby agrees to serve as Trustee under the Plan.

Date: E /7//i

(Title of Designated Agent)

H. James Haselkamp, Jr.Director of Personnel and

Labor Relations