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Post-death Access by Designated Beneficiary: <br /> ❑ Allowed as provided in the Basic Document. <br /> ® Not allowed. <br /> 4.9 Forfeitures occur: <br /> ® As provided in the Basic Document. <br /> ❑ Other(Describe): <br /> 4.9 Use of forfeitures: <br /> ❑ Pay administrative costs which would otherwise be paid from the Trust(i.e., <br /> Participants'HC Account balances) <br /> ® At the close of the Plan Year in which such forfeitures occur, contributed to the HC <br /> Accounts of all Participants on a per capita basis. <br /> ❑ Other(Describe): <br /> 4.9 Vesting: <br /> ® 100%vesting at Entry Date <br /> ❑ Vesting occurs pursuant to the following schedule: <br /> 4.12(d) Other Limitations, if any: <br /> ARTICLE V: CONTRIBUTIONS AND TRUST <br /> 5.1 Employer Contribution amount,timing, restrictions(check all that apply): <br /> One Time Contribution: <br /> ❑ Fixed dollar amount N/A- unless specified within CBA, Memorandum <br /> of Understanding, Labor Contracts or any other agreement for a Union or Non- <br /> Represented Participant. <br /> ❑ Fixed formula (Describe): <br /> ❑ Restrictions, if any(Describe): <br /> Contributed on (Identify Date): <br /> Recurring Contributions: <br /> ❑ Fixed dollar amount <br /> ❑ Per month <br /> ❑ Per quarter <br /> ❑ Per year <br /> ❑ Other(Describe): <br /> ©Copyright 2017 Hitesman&Wold,P.A. Page 4 <br /> PRA Basic Plan Document Adoption Agreement(Single Employer Non-ERISA) <br />