Document
SFA Template 8
ICR 202609-1212-001 · OMB 1212-0074 · Object 172910501.
Document Viewer [xlsx]
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
|---|---|
| File Title | SFA Template 8 |
| Author | Day Stacey |
| Last Modified By | Calc |
| File Modified | 2024-03-25 |
| File Created | 2026-09-12 |
| Conversion State | complete |
Extracted Text
Version Updates Version v20220802p Date updated v20220802p 8/2/2022 v20220701p 7/1/2022 Cosmetic changes to increase the size of some rows TEMPLATE 8 File name: Template 8 Plan Name, where "Plan Name" is an abbreviated version of the plan name. v20220802p Contribution and Withdrawal Liability Details Provide details of the projected contributions and withdrawal liability payments used to calculate the requested SFA amount. This should include total contributions, contribution base units (including identification of the base unit used (i.e., hourly, weekly)), average contribution rate(s), reciprocity contributions (if applicable), additional contributions from the rehabilitation plan (if applicable), and any other identifiable contribution streams. For withdrawal liability, separately show amounts for currently withdrawn employers and for future assumed withdrawals. Also provide the projected number of active participants at the beginning of each plan year. The first row in the projection period is for the period beginning on the SFA measurement date and ending on the last day of the plan year containing the SFA measurement date. For all other periods, provide the full plan year of information up to the plan year ending in 2051. PLAN INFORMATION Abbreviated Plan Name: EIN: PN: Unit (e.g. hourly, weekly) All Other Sources of Non-Investment Income SFA Measurement Date / Plan Year Start Date Plan Year End Date Total Contributions* Total Contribution Base Units Average Contribution Rate Reciprocity Contributions (if applicable) Additional Rehab Plan Contributions (if applicable) Other - Explain if Applicable * Total contributions shown here should be contributions based upon CBUs and should not include items separately shown in any columns under "All Other Sources of Non-Investment Income." Projected Number of Active Participants Withdrawal Liability Withdrawal Liability (Including New Payments for Payments for Entrants) at the Currently Withdrawn Projected Future Beginning of the Plan Employers Withdrawals Year