Form 5310 - Application For Determination For Terminating Plan Page 2
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132
Form 5310 (Rev. 12-2013)
Page
Yes
No
3a (1)
Is this plan a pre-approved Volume Submitter (VS) plan that relied on the advisory letter for the immediately
preceding remedial amendment cycle (RAC)?
Is this plan a pre-approved Master & Prototype Plan (M&P) plan that relied on the opinion letter for the
(2)
immediately preceding RAC?
If line 3a(1) or 3a(2) is "Yes," then complete lines 3(a)(3), (4) and (5).
If “No,” go to line 3b.
(3)
Name of sponsor or practitioner
(4)
Date of opinion/advisory letter
(5)
Serial # of opinion/advisory letter
b
If the plan is a VS plan, does the VS practitioner have the authority to amend on behalf of the adopting
employer?
c
Is the plan an individually designed plan that is eligible for the six-year RAC?
Yes
No
NA
Does the plan have a determination letter (DL) for the plan’s RAC preceding the cycle in which this
d
application is filed?
If “Yes,” complete lines 3d(i), (ii), and (iii) below.
If “No,” go to line 3e.
(i) Date the letter was issued
(ii) Year of the Cumulative List considered in the letter
(iii) Expiration date of the letter
5310
Form
(Rev. 12-2013)
11840Y12201302
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