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Federal Free Printable Form 4461-A (Rev. November 2019) for 2020 Federal Application for Approval of Master or Prototype or Volume Submitter Defined Benefit Plan

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Application for Approval of Master or Prototype or Volume Submitter Defined Benefit Plan
Form 4461-A (Rev. November 2019)

Form 4461-A (Rev. November 2019) Department of the Treasury Internal Revenue Service Application for Approval of Standardized or Nonstandardized Pre-Approved Defined Benefit Plan ▶ OMB No. 1545-0169 This Form Is Open to Public Inspection Go to www.irs.gov/Form4461A for the latest information. For IRS Use Only File This Form With the Internal Revenue Service File folder number Section references are to the Internal Revenue Code unless otherwise noted. Complete every applicable item on this form and Attachment 1-A. (See Rev. Proc. 2017-41, 2017-29 I.R.B. 92.) See instructions before completing this form. 1 2a 3a Enter amount of user fee submitted $ 2b File folder number Approval requested: Initial application Amendment—Enter file folder number in line 2b and date of last letter issued in line 2c . . ▶ 2c Date of last letter issued 3b Employer identification number (EIN) of applicant Name of applicant Address (number, street, room or suite no.) (If a P.O. box, see instructions.) City State ZIP code 3d Type of applicant (see Definitions in the instructions): Provider Mass submitter 4a Name of person to be contacted 3c Applicant’s telephone number 4b Telephone number 4c Fax number 4d Email address 4e If a power of attorney is attached, check box 5b Adoption agreement number, if applicable 5a Basic plan document or single document plan number 6 Form of plan: Adoption agreement plan Single document plan Type of plan (select all that apply): Without permitted disparity With permitted disparity Nonelecting church Without cash balance features Filing status of plan: Standardized plan Nonstandardized plan 7 8 . . ▶ Governmental With cash balance features Under penalties of perjury, I declare that I have examined this application, including accompanying statements, and, to the best of my knowledge and belief, it is true, correct, and complete. Signature ▶ Date ▶ Title ▶ For Privacy Act and Paperwork Reduction Act Notice, see the instructions. Cat. No. 11416U Form 4461-A (Rev. 11-2019) Form 4461-A (Rev. 11-2019) Page 9 Procedural requirements: a Have the following been submitted as required by instructions: (1) Adoption agreement, if applicable? . . . . . . . . . . . . . . . . . . . . . . . (2) Copy of plan? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (3) Copy of Certification of Interim Amendments? . . . . . . . . . . . . . . . . . . . . b Do you have a procedure in place for the adoption and distribution of interim amendments made on behalf of adopting employers? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Is the plan patterned after, and substantially the same as, another plan submitted? (If “Yes,” see Specific Instructions.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes 2 No d Provider (non-mass submitter) request. (1) Do you have at least 15 employer-clients which are reasonably expected to adopt this plan’s basic plan document and adoption agreement or single document plan? . . . . . . . . . . . . . . . (2) If you have more than one pre-approved plan, do you have at least 30 employer-clients in the aggregate which are reasonably expected to adopt at least one of the plans? (If you don’t have more than one pre-approved plan, skip this question.) . . . . . . . . . . . . . . . . . . . . . . e Mass submitter request. (1) Are applications on behalf of the requisite number of providers who are adopting the same basic plan document on a word-for-word identical basis included? If “No,” complete (2) . . . . . . . . . (2) (3) If “No” to (1), enter the file folder number of the basic plan document for which the requisite number of adopting providers requirement is met: Is this a flexible plan? If “Yes,” answer (a) and (b). If “No,” skip (a) and (b) . . . . . . . . . . . (a) Have you bracketed and identified the optional provisions of the plan? . . . . . . . . . . (b) Have you included a copy of the written representation describing the choices available to providers and the coordination of optional provisions? . . . . . . . . . . . . . . . . . . . Note: This application is designed to be used in conjunction with Rev. Proc. 2017-41. A List of Required Modifications (LRMs) is also recommended for use and may be obtained from the IRS website at www.irs.gov/lrms. Form 4461-A (Rev. 11-2019) Form 4461-A (Rev. 11-2019) General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future Developments For the latest information about developments related to Form 4461-A, such as legislation enacted after the form was published, go to www.irs.gov/Form4461A. Purpose of Form Form 4461-A is used to apply for approval of standardized or nonstandardized pre-approved defined benefit plans. Be sure to submit a complete and accurate application, including Form 4461-A and Attachment 1-A (see www.irs.gov/retirement-plans/ preapproved-plan-submissionprocedures or Rev. Proc. 2017-41, 2017-29 I.R.B. 92). Complete every applicable line on the application. If an item on the Attachment 1-A doesn’t apply, check the “N/A” box or enter “N/A” on the line where indicated as an option. If your application isn’t complete, we will return it without processing it. The first page must be typed. Unless otherwise noted, the questions on Form 4461-A and Attachment 1-A apply to both standardized and nonstandardized pre-approved defined benefit plans. Requests for additional information. If a letter requesting additional information or changes to plan documents is sent to the pre-approved plan provider, or an authorized representative, such information and/or changes must be received no later than 30 days from the date of the letter. Failure to respond timely may result in the application being considered withdrawn. An extension of the 30-day time limit will be granted only for good cause. Inadequate submissions. We will return, without further action, plans that aren’t in substantial compliance with the qualification requirements or plans that are so deficient that they can’t be reviewed in a reasonable amount of time. Who May File A provider or mass submitter of a preapproved defined benefit plan may file a Form 4461-A. See Definitions, later. What To File Submit one copy of Form 4461-A and Attachment 1-A for each separate adoption agreement or for each single document plan where no adoption agreement is used. Page For approval, file this application and each applicable document listed on line 9a. A mass submitter should also file Form(s) 4461-B, Application for Approval of Standardized or Nonstandardized PreApproved Plans, as needed. Multiple adoption agreement plans. A provider may use one basic plan document for several plans. A provider may, for example, use one basic plan document with a standardized plan with or without permitted disparity as well as a nonstandardized plan with or without permitted disparity. Submit a separate adoption agreement and completed application for each such defined benefit plan. See section 9.06 of Rev. Proc. 2017-41 for more details, including the special rules for governmental and nonelecting church plans. In the case of simultaneous submissions of plans using the same basic plan document, submit only one copy of the basic plan document. If the requests aren’t simultaneous, submit separate basic plan documents and include a cover letter identifying the original submission. The number assigned to the basic plan document of a standardized or nonstandardized pre-approved plan must remain the same as in the prior submission. One basic plan document may not be used for both defined benefit and defined contribution plans. Two or more single document plans. A provider may not combine different categories in a single document plan or application. See section 9.07 of Rev. Proc. 2017-41 for more details, including the special rules for governmental and nonelecting church plans. Where To File Send Form 4461-A to: Internal Revenue Service Attn: Pre-Approved Plans Coordinator Room 6-403, Group 7521 P.O. Box 2508 Cincinnati, OH 45201-2508 If using Express Mail or a private delivery service, use this address: Internal Revenue Service Attn: Pre-Approved Plans Coordinator Room 6-403, Group 7521 550 Main Street Cincinnati, OH 45202 Signature. The application must be signed by a partner or officer of the applicant who is authorized to sign, or other person authorized by a power of attorney. The power of attorney should be filed with the application. 3 Disclosure requested by taxpayer. A taxpayer may request the IRS to disclose and discuss the return or return information with any person(s) the taxpayer designates in a written request. If you want to designate a person(s) to assist in an application for approval, you must provide the IRS office of jurisdiction with a written request that contains the following. • The taxpayer’s name, address, EIN, and plan number(s). • The name, address, social security number, and telephone number(s) of the person or persons whom you are authorizing to receive return information. • A paragraph that clearly describes the return or return information that you authorize the IRS to disclose. • An authorized signature (see above). As an alternative to providing the above statement, you may submit Form 2848, Power of Attorney and Declaration of Representative. Definitions Adoption agreement. An adoption agreement is the portion of the plan containing all the options that the adopting employer may select. The adoption agreement may include blanks or fill-in provisions for the employer to complete if it also includes parameters on these provisions that preclude an employer from completing them in a manner that could violate the qualification requirements. Each separate adoption agreement is treated as a separate plan and will receive its own opinion letter. Basic plan document. A basic plan document is the portion of the plan containing all the nonelective provisions applicable to all adopting employers. No options (including blanks to be completed) may be provided in the basic plan document except for options in flexible plans. Single document plan. A single document plan may contain alternate paragraphs and options that may be selected by an adopting employer. A single document plan may include blanks or fill-in provisions for the employer to complete only if the plan also includes parameters on these provisions that preclude an employer from completing them in a manner that could violate the qualification requirements. Form 4461-A (Rev. 11-2019) Page Flexible plan. A flexible plan is a plan submitted by a mass submitter which contains certain optional provisions as allowed by section 10.03(1) of Rev. Proc. 2017-41. Providers that adopt a flexible plan may include or delete any optional provision designated as such in the mass submitter’s plan. A flexible plan adopted by a provider which differs from the mass submitter plan only because of the deletion of certain optional provisions will be treated as a plan that is word-for-word identical to the mass submitter plan. A provider also includes any person that has an established place of business in the United States where it is accessible during every business day and offers a plan as a word-for-word identical adopter or minor modifier adopter of a plan of a mass submitter, regardless of the number of employers that are expected to adopt the plan. Mass submitter. As set forth in Rev. Proc. 2017-41, any entity that submits applications on behalf of at least 30 unaffiliated providers each of which is sponsoring, on a word-for-word identical basis, the same plan is a mass submitter. A mass submitter is treated as a mass submitter with respect to all of its plans, provided the 30-unaffiliatedprovider requirement is met with respect to at least one plan. Nonstandardized plan. A nonstandardized plan is a pre-approved plan that isn’t a standardized plan and that satisfies section 5.15 of Rev. Proc. 2017-41. Affiliation is determined under sections 414(b) and (c). Additionally, the following will be considered to be affiliated: any law firm, accounting firm, consulting firm, etc., with its partners, members, associates, etc. For purposes of determining whether 30 unaffiliated providers sponsor on a word-for-word identical basis the same plan document, the mass submitter is treated as an unaffiliated provider. Pre-approved plan. A pre-approved plan is a plan (including a plan covering self-employed individuals) that is made available by a provider for adoption by employers. The term pre-approved plan includes both standardized and nonstandardized plans. A pre-approved plan may be an adoption agreement plan or a single document plan. An adoption agreement plan consists of a basic plan document and an adoption agreement. A single document plan consists of a single plan document offered by a provider without an adoption agreement. Provider. A provider is any person (including a mass submitter, if applicable) that (1) has an established place of business in the United States where it is accessible during every business day; and (2) represents to the IRS that it has at least 15 employerclients, each of which is reasonably expected to adopt the same preapproved plan of the provider. A provider may request an opinion letter for more than one plan provided it represents to the IRS that it has at least 30 employer-clients in the aggregate, each of which is reasonably expected to adopt at least one of the provider’s plans. Standardized plan. A standardized plan is a pre-approved plan (other than a statutory hybrid plan) that meets the requirements set forth in section 5.16 of Rev. Proc. 2017-41. Statutory hybrid plan. A statutory hybrid plan is a defined benefit plan that contains a statutory hybrid benefit formula, as defined in Regulations section 1.411(a)(13)-1(d)(4). Section 6.03 of Rev. Proc. 2017-41 (as revised by Rev. Proc. 2018-21, 2018-14 I.R.B. 467) provides a list of areas not covered by opinion letters. This list includes statutory hybrid plans with certain features, such as a statutory hybrid benefit formula that isn’t a cash balance formula. See section 6.03 of Rev. Proc. 2017-41 for the complete list. Specific Instructions Line 1. All applications submitted must be accompanied by the appropriate user fee and Form 8717-A, User Fee for Employee Plan Opinion Letter Request, as determined from the schedule in Rev. Proc. 2019-4, 2019-1 I.R.B. 146 (or the latest annual update). Applications submitted without the proper user fee won’t be processed and will be returned to the applicant. Line 3a. Enter the name and address of the applicant. If the Post Office doesn’t deliver mail to the street address and the applicant has a P.O. box number, show the P.O. box number instead of the street address. Line 4a. If the person to be contacted is other than an employee of the applicant, please enclose an authorized power of attorney. See Disclosure requested by taxpayer, earlier. Line 4c. Enter a fax number to receive notice of preliminary approval of the applicable plan, subject to final approval by opinion letter. Line 5a. Enter the two-digit number you have assigned to your single document plan or basic plan document that accompanies the adoption agreement for which you are requesting approval. 4 If multiple adoption agreements are linked to the same basic plan document, the same two-digit basic plan document number should be used for all applications. Line 5b. Enter the three-digit number you have assigned to the adoption agreement for which this application is submitted. Each different adoption agreement designed to accompany a single basic plan document should be given a different three-digit number beginning with “001.” For example, if the first basic plan document of a sponsor has four different adoption agreements, they should be numbered “001” through “004,” and the provider should submit four separate Forms 4461-A. Adoption agreements submitted with the second or any subsequent basic plan documents (that aren’t word-for-word identical to a previously submitted basic plan document) should be similarly numbered beginning with “001.” Line 9. Procedural requirements. Submit a separate application for each different plan/adoption agreement combination or single document plan. Line 9c. If you checked “Yes,” submit a copy of such plan with language differences highlighted. Attach a cover letter that includes the following. • The name and file folder number of the plan, including the name and EIN of the provider. • A list of all plans written by the plan drafter that are substantially identical to the lead plan, including the information described above. • A description of each place where the plan for which the application is being submitted isn’t word-for-word identical to the language of the lead plan, including an explanation of the purpose and effect of each difference. • A certification made under penalty of perjury by the plan drafter that the information describing where the plan language isn’t word-for-word identical is true and complete. Line 9e. In addition to filing Form 4461-A, the mass submitter should use Form 4461-B, when submitting applications on behalf of its adopting providers, and submit Form 8717-A. Form 4461-A (Rev. 11-2019) Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue laws of the United States. You are required to give us this information. We need it to determine whether you meet the legal requirements for plan approval. You aren’t required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their content may become material in the administration of Page any Internal Revenue law. Generally, tax returns and return information are confidential, as required by Code section 6103. The time needed to complete and file this form will vary depending on individual circumstances. The estimated average time is: Recordkeeping . . . 42 hr., 5 min. Learning about the law or the form . . . . . 5 hr., 55 min. Preparing the form . . 7 hr., 48 min. Copying, assembling, and sending the form to the IRS . 16 min. 5 If you have comments concerning the accuracy of these time estimates or suggestions for making this form simpler, we would be happy to hear from you. You can send us comments from www.irs.gov/FormComments. Or you can write to the Internal Revenue Service, Tax Forms and Publications Division, 1111 Constitution Ave. NW, IR-6526, Washington, DC 20224. Don’t send Form 4461-A to this address. Instead, see Where To File, earlier.
Extracted from PDF file 2019-federal-form-4461-a.pdf, last modified November 2019

More about the Federal Form 4461-A Other TY 2019

We last updated the Application for Approval of Master or Prototype or Volume Submitter Defined Benefit Plan in February 2020, so this is the latest version of Form 4461-A, fully updated for tax year 2019. You can download or print current or past-year PDFs of Form 4461-A directly from TaxFormFinder. You can print other Federal tax forms here.

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Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 4461-A from the Internal Revenue Service in February 2020.

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Historical Past-Year Versions of Federal Form 4461-A

We have a total of eight past-year versions of Form 4461-A in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2019 Form 4461-A

Form 4461-A (Rev. November 2019)

2018 Form 4461-A

Form 4461-A (Rev. March 2013)

2017 Form 4461-A

Form 4461-A (Rev. March 2013)

2016 Form 4461-A

Form 4461-A (Rev. March 2013)

Application for Approval of Master or Prototype or Volume Submitter Defined Benefit Plan 2015 Form 4461-A

Form 4461-A (Rev. March 2013)

Application for Approval of Master or Prototype or Volume Submitter Defined Benefit Plan 2013 Form 4461-A

Form 4461-A (Rev. March 2013)

Application for Approval or Master or Prototype or Volume Submitter Defined Benefit Plan 2012 Form 4461-A

Form 4461-A (Rev. March 2008)

Application for Approval or Master or Prototype or Volume Submitter Defined Benefit Plan 2011 Form 4461-A

Form 4461-A (Rev. March 2008)


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