Form Model Plan Amendme Model Plan Amendme Model Plan Amendment, Compliance

AMENDMENT TO THE
[NAME OF PLAN DOCUMENT]
Background
1. The Board of Trustees of the [PLAN NAME] (the “Board”) has applied to the Pension Benefit
Guaranty Corporation (“PBGC”) under section 4262 of the Employment Retirement Income
Security Act of 1974, as amended (“ERISA”), and 29 C.F.R. § 4262 for special financial
assistance for the [PLAN NAME] (the “Plan”).
2. 29 C.F.R. § 4262.6(e)(1) requires that the plan sponsor of a plan applying for special
financial assistance amend the plan to require that the plan be administered in accordance
with the restrictions and conditions specified in section 4262 of ERISA and 29 C.F.R. part
4262 and that the amendment be contingent upon approval by PBGC of the plan’s
application for special financial assistance.
3. Under [REFERENCE TO APPROPRIATE PROVISION] of the [NAME AND DATE OF
CURRENT PLAN DOCUMENT] (the “Plan Document”), the Board has the power to amend
the Plan Document.
4. [INCLUDE ONLY IF LESS THAN THE ENTIRE BOARD OF TRUSTEES IS SIGNING:]
Section [REFERENCE TO APPROPRIATE PROVISION] of the [NAME AND DATE OF
PLAN’S CURRENT TRUST DOCUMENT], as amended, authorizes [DESCRIBE HOW
TRUST DOCUMENT AUTHORIZES THE SIGNERS TO SIGN ON BEHALF OF ENTIRE
BOARD].
Amendment
The Plan Document is amended by adding a new [ARTICLE/SECTION #] to read as follows:
“The following provisions applies notwithstanding anything to the contrary in this or any
other document governing the Plan. Beginning with the SFA measurement date selected
by the Plan in the Plan’s application for special financial assistance, the Plan shall be
administered in accordance with the restrictions and conditions specified in section 4262
of ERISA and 29 C.F.R. part 4262. This amendment is contingent upon approval by
PBGC of the Plan’s application for special financial assistance.”
[INSERT ONE SIGNATURE BLOCK FOR EACH TRUSTEE, EACH WITH A PRINTED NAME
AND TITLE:]
___________________________
[PRINTED NAME]
[TITLE]

___________________________
[PRINTED NAME]
[TITLE]

- Amendment Required by 29 C.F.R. § 4262.6(e)(1), Page 1 of 2 -

___________________________
[PRINTED NAME]
[TITLE]

___________________________
[PRINTED NAME]
[TITLE]

Date: [DATE OF EXECUTION]

- Amendment Required by 29 C.F.R. § 4262.6(e)(1), Page 2 of 2 -