Complete Parts A and B. Part A. Age and Eligibility Service
Complete Parts A and B. Part A. Life Insurance Will life insurance investments be permitted under the Plan (select one)? Option 1: Yes.
Complete Parts A and B. Part A. Employer Profit Sharing Contributions – Allocation Formula Employer Profit Sharing Contributions will be allocated to the Individual Accounts of Qualifying Participants as follows (select one):
Complete Parts A and B. Step 2: Provide a copy of Wisconsin Temporary Event Operator and Seller Information (Form S-240) with Parts A and B completed to each seller participating in your event. To obtain additional copies of Form S-240 go to the Depart- ment of Revenue’s web site at xxx.xxxxxxx.xx.xxx/xxxxx/ sales/index.html. If you prefer, you may use the fill-in form available from the same web site.
Complete Parts A and B. Part A. Life Insurance Will life insurance investments be permitted under the Plan (select one)? Option 1: Yes. Option 2: ✓ No. NOTE: If no option is selected, Option 2 will apply. Part B. Qualifying Longevity Annuity Contract Will a Participant be allowed to purchase and distribute Qualifying Longevity Annuity Contracts pursuant to Plan Section 7.22(G) (select one)? Option 1: Yes. Option 2: ✓ No. NOTE: If no option is selected, Option 2 will apply. SECTION EIGHT: EMPLOYER SIGNATURE Pre-Approved Document Provider Name of Pre-Approved Document Provider American Century Investment Management, Inc. Address
Complete Parts A and B. Part A. Adopting Employer Name of Adopting Employer Address City State Zip Telephone Adopting Employer’s Federal Tax Identification Number Adopting Employer’s Tax Year End (specify month and day) Type of Business (select one) Sole Proprietorship Partnership C Corporation S Corporation LLC Nonprofit
