Other - Specify. NOTE: specify the method under which the plans will limit total additions to the maximum permissible amount, and will properly reduce any excess amounts in a manner that precludes employer discretion.
Other - Specify. NOTE: The method selected must preclude Employer discretion and avoid inadvertent omissions, including any adjustments required under Code Section 415(e). The Employer must obtain a determination letter in order to continue reliance on the Plan's qualified status. 11.
Other - Specify. Note: Specify the method under which the plans will limit total benefit accruals to the Maximum Permissible Amount and will properly reduce any excess amounts in a manner that precludes Employer discretion.
Other - Specify. (The exclusions entered here cannot result in the group of NHCEs participating under the Plan being only those NHCEs with the lowest amount of compensation and/or the shortest periods of Service and who may represent the minimum number of these Employees necessary to satisfy coverage under Code section 410(b).) (Cannot discriminate in favor of Highly Compensated Employees.)
Other - Specify. (Cannot discriminate in favor of Highly Compensated Employees)
Other - Specify. 12. Form of Payment (check all that apply): a. Cash b. In-kind: specify: nature value 14 Brief Description of Services Performed or to be Performed and Date(s) of Service, including officer(s), employee(s), or Member(s) contacted, for Payment Indicated in Item 11: (attached Continuation Sheet(s) SF-LLL-A if necessary) 15. Continuation Sheet(s) SF-LLL-A attached: yes no 16. Information required through this form is authorized by title 31 U.S.C. sections 1352. This disclosure of lobbying activities is a maternal representation of fact upon which reliance was placed by the per above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,00 for each such failure. Signature: Print Name: Title: Telephone No: Date: Federal Use Only: Authorized for Local Reproduction Standard form-LLL Continuation Sheet Reporting Entity: Page of Authorized for Local Reproduction Standard Form- LLL-A ATTACHMENT F ADDITIONAL INFORMATION REQUIRED FOR PREVENTION AND HEALTH PROMOTION ADMINISTRATION GRANTS 1. The grant period or term is: (insert start and end dates)
Other - Specify. 14 Brief Description of Services Performed or to be Performed and Date(s) of Service, including officer(s), employee(s), or Member(s) contacted, for Payment Indicated in Item 11: (attached Continuation Sheet(s) SF-LLL-A if necessary)
Other - Specify. Any work performed by Contractor in excess of said amount shall not be compensated. Payment shall be made upon approval of DISTRICT and receipt of an invoice from CONTRACTOR one copy clearly marked original. CONTRACTOR’s invoice shall be sent to: Albany Unified School District, Attention: Accounts Payable, 000 Xxxxxxxx Xxx, Berkeley, CA 94710.
Other - Specify. (Must be at least annually)
Other - Specify. (May not use employee classification that indirectly imposes an Hours of Service requirement (i.e., part-time, seasonal or temporary.))(Cannot discriminate in favor of Highly Compensated Employees.)
