EMPLOYER; PLAN; PLAN ADMINISTRATOR Sample Clauses
EMPLOYER; PLAN; PLAN ADMINISTRATOR. (1. 29; 1.52; 1.53). (A Plan amendment is not needed solely to change the information in (a) or (d) below, but such changes must be conveyed to the Volume Submitter Practitioner.)
EMPLOYER; PLAN; PLAN ADMINISTRATOR. (1.29; 1.52; 1.53). (A Plan amendment is not needed solely to change the information in (a) or (d) below).
(a) Employer Information
(b) Plan Information
(c) Type of entity (Choose one of (1) - (4)):
(1) [ ] Public School. See 1.57.
(2) [ ] Other Governmental employer exempt under Code §501(c)(3).
(3) [ ] Churches and Church-Related Organizations (non-electing). See 1.09. (Choose a. and/or b.):
a. [ ] Church. See
EMPLOYER; PLAN; PLAN ADMINISTRATOR. (1.29; 1.52; 1.53). (A Plan amendment is not needed solely to change the information in (a) or (d) below).
(a) Employer Information
(b) Plan Information
(c) Type of entity (Choose (1) or (2)):
(1) [ ] Public School. See 1.57.
(2) [ ] Other Governmental employer exempt under Code §501(c)(3).
(d) Plan Administrator Information (If no Plan Administrator is named, the Employer is the Plan Administrator) Name: Address: City State Zip Telephone:
EMPLOYER; PLAN; PLAN ADMINISTRATOR
