Federal Free Printable Form 5306-A (Rev. August 2013) for 2017 Federal Application for Approval of Prototype Simplified Employee Pension (SEP) or Savings Incentive Match Plan for Employees of Small Employers (SIMPLE IRA P

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Application for Approval of Prototype Simplified Employee Pension (SEP) or Savings Incentive Match Plan for Employees of Small Employers (SIMPLE IRA P
Form 5306-A (Rev. August 2013)

Form 5306-A (Rev. August 2013) Department of the Treasury Internal Revenue Service Application for Approval of Prototype Simplified Employee Pension (SEP) or Savings Incentive Match Plan for Employees of Small Employers (SIMPLE IRA Plan) OMB No. 1545-0199 (Under section 408(k) or (p) of the Internal Revenue Code) ▶ Information about Form 5306-A and its instructions is at www.irs.gov/form5306a. For IRS Use Only 1 Part 2 a b c 3 4a Enter amount of user fee submitted (see Specific Instructions) ▶ $ I Identifying Information (see instructions before completing this part) File folder number Approval requested for: Type of plan— (1) Prototype simplified employee pension (SEP) under section 408(k) Prototype savings incentive match plan for employees of small employers (SIMPLE IRA plan) under section 408(p) (2) Initial application Amendment—Enter ▶ (1) Latest letter serial number (2) Date letter issued (3) File folder number If the SEP contains elective deferral provisions, check this box Name of applicant . . . . . . . . . . ▶ 4b Applicant’s employer identification number Number, street, and room or suite no. (If a P.O. box, see instructions.) City or town, state, and ZIP code 5a Name of person to be contacted 5c Email address 5b Telephone number 5d If a power of attorney is attached, check box . . ▶ 6 Type of submission (check one box): a Not a mass submitter b Mass submitter d Minor modification of a mass submitter c Identical adoption of a mass submitter 7a If 6c or 6d is checked, enter the mass submitter’s name b File folder number of the mass submitter’s SEP or SIMPLE IRA plan on which this submission is based: 8 Type of sponsoring organization: a Insurance company e Regulated investment company b f Trade or professional organization Federally insured credit union g Approved non-bank trustee (attach copy of approval Savings and loan association that qualifies as a bank c letter) d Bank Part II SEP Information Attach a copy of the SEP documents and indicate the article or section and the page number where the following provisions appear. If any item does not apply, write “N/A.” Sample language, or a listing of required modifications (LRMs), is available on the IRS website at IRS.gov. Type “LRM” in the search box. Sponsors are encouraged to use LRM language. 9a Plan Article or Section Reference Does the SEP cover all employees who have attained age 21, performed service for the employer in 3 of the immediately preceding 5 years, and received at least $550* in compensation from the employer for the year, other than employees who may be excluded under section 410(b)(3)(A) or (C)? . . . . . . . . . . 1 2 b Does the SEP provide that all eligible employees will share in an allocation? . . c Does the SEP contain a definite allocation formula that does not discriminate in favor of highly compensated employees? . . . . . . . . . . . . . 3 5 d Does the SEP require that it be used only with pre-approved traditional IRAs? . e Does the SEP prohibit restrictions on withdrawals (other than restrictions permitted under section 408(d)(7)(A) in the case of a salary reduction SEP)? . . f Plan For Page IRS Use Number Only 6 Does the SEP define “compensation” in a manner that satisfies one of the safe harbor definitions under section 414(s) and limit compensation under section 408(k)(3)(C)? . . . . . . . . . . . . . . . . . . . . . . . 7 * This is the amount for 2013. The amount may be increased in future years for cost-of-living adjustments. 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 of officer For Paperwork Reduction Act Notice, see the instructions. ▲ ▲ Please Sign Here Date Cat. No. 32621R Title Form 5306-A (Rev. 8-2013) Form 5306-A (Rev. 8-2013) Part III Attach a copy of the SIMPLE IRA plan documents and indicate the article or section and the page number where the following provisions appear. If an item does not apply, enter “N/A.” Sample language, or a listing of required modifications (LRMs), is available on the IRS website at IRS.gov. Type “LRM” in the search box. Sponsors are encouraged to use LRM language. 10a Page 2 SIMPLE IRA Plan Information Does the plan define the term “employer” to include all members of such groups or entities required to be aggregated with the employer? . . . . . . . . b Does the plan limit adoption to employers that have 100 or less employees who earned $5,000 or more in compensation from the employer during the preceding calendar year? . . . . . . . . . . . . . . . . . . . . . . c Does the plan limit adoption to employers that do not maintain another qualified plan to which contributions are made or benefits accrued? . . . . . . . d Does the plan define the term “employee” to include leased employees and employees described in section 401(c)(1)? . . . . . . . . . . . . . e Does the plan cover all employees except those that may be excluded under section 408(p)(4)? . . . . . . . . . . . . . . . . . . . . . Plan Article or Section Reference Plan For Page IRS Use Number Only 1 2 3 4 5 f Does the plan provide that each eligible employee may make or modify a salary reduction agreement during the 60-day period immediately preceding the calendar year after receiving proper notice? . . . . . . . . . . . . g Does the plan provide that salary reduction contributions may not exceed the statutory limits? . . . . . . . . . . . . . . . . . . . . . . h Under the plan, is an eligible employee permitted to terminate a salary reduction election at any time? . . . . . . . . . . . . . . . . . . . . i j k Is the interest of an eligible employee in the plan nonforfeitable at all times? . . Does the plan provide that the employer will make matching contributions to each eligible employee’s SIMPLE IRA equal to the employee’s salary reduction contribution, up to a limit of 3% of the employee’s compensation for the calendar year? . . . . . . . . . . . . . . . . . . . . . . . . . Does the plan provide that the employer will make a 2% nonelective contribution to each eligible employee’s SIMPLE IRA in lieu of matching contributions? . . 6 7 8 9 10 11 l Does the plan require that the employer will make salary reduction contributions to eligible employees’ SIMPLE IRAs no later than 30 days after the month in which the amounts would otherwise have been payable to the employee in cash? . . m Unless the employer has chosen, does the plan allow each eligible employee to select the financial institution for their SIMPLE IRA? . . . . . . . . . . n If the employer has selected the financial institution, does the plan require the financial institution to meet the notification requirements of section 408(p)(7) and limited in accordance with section 408(p)(2)(B)? . . . . . . . . . . . o p q r Does the plan define “compensation” as described in section 408(p)(6)(A)? . . Does the plan require that it be used only with pre-approved SIMPLE IRAs? . . Does the plan prohibit restrictions on withdrawals? . . . . . . . . . . Does the plan provide that amendments will become effective only at the beginning of a calendar year and will conform to the content of the plan notice for the calendar year? . . . . . . . . . . . . . . . . . . . . . 12 13 14 15 16 17 18 Form 5306-A (Rev. 8-2013) Form 5306-A (Rev. 8-2013) General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future Developments For the latest information about developments related to Form 5306-A and its instructions, such as legislation enacted after they were published, go to www.irs.gov/form5306a. Purpose of form. Form 5306-A is used by sponsors who want to get IRS approval of their prototype simplified employee pension (SEP) agreements or savings incentive match plans for employees of small employers (SIMPLE IRA plan). Who may file. Use Form 5306-A to request a favorable opinion letter if: • You are a bank, federally insured credit union, savings and loan association that qualifies as a bank, insurance company, regulated investment company, or trade or professional society or association (other than an employee association); and • You want to get a favorable opinion letter that a SEP agreement or SIMPLE IRA plan to be used by more than one employer is acceptable in form. Who does not need to file. Instead of designing their own SEP or SIMPLE IRA plan, sponsors may use one of the Form 5304 or 5305 series of model forms to establish a SEP or a SIMPLE IRA plan. Sponsors who use one of these forms with individual retirement accounts or annuities for which the IRS has issued a favorable opinion or ruling letter, or with model individual retirement accounts issued by the IRS, are considered to have established a SEP or SIMPLE IRA plan that meets the requirements of section 408(k) or 408(p). Do not file Form 5306-A if you use a model form. Note. The IRS will not issue an opinion letter on a document submitted with Form 5306-A that is a combination of a prototype SEP or SIMPLE IRA plan and a prototype individual retirement account or annuity. What to file. File this application and one copy of all documents that make up the SEP agreement or SIMPLE IRA plan. Page If this is an amendment, include a copy of the amendment and an explanation of its effect on the SEP agreement or SIMPLE IRA plan. Where to file. File Form 5306-A with the Internal Revenue Service, Attention: EP Opinion Letters, P.O. Box 27063, McPherson Station, Washington, DC 20038. Signature. An officer who is authorized to sign or another person authorized under a power of attorney must sign this application. (Send the power of attorney with this application when you file it.) Specific Instructions User fee. All applications must be accompanied by the appropriate user fee. Applications submitted without the proper user fee will not be processed and will be returned to the applicant. To determine the proper user fee, see Rev. Proc. 2013-8, 2013-1 I.R.B. 237, available at www.irs.gov/ irb/2013-01_IRB/ar13.html, or the current superseding revenue procedure. Line 2c. If you are amending your previously approved SEP or SIMPLE IRA plan, enter the letter serial number, date, and file folder number from the latest opinion letter you received for your SEP or SIMPLE IRA plan. Line 3. If the application is for a SEP that provides for elective deferrals intended to meet the requirements of section 408(k)(6), check the box. The Small Business Job Protection Act of 1996 (P.L. 104-188) repealed section 408(k)(6), effective December 31, 1996, except with respect to a SEP of an employer if the terms of the SEP of such employer, as in effect on December 31, 1996, provided for elective deferrals. Line 4a. Include the suite, room, or other unit number after the street number. If the Post Office does not deliver mail to the street address and you have a P.O. box, show the box number instead of the street address. 3 Paperwork Reduction Act Notice We ask for the information on this form to carry out the Internal Revenue laws of the United States. We need it to ensure that you are complying with these laws and to allow us to figure and collect the right amount of tax. This information is needed to process your application and to determine whether your prototype SEP or SIMPLE IRA plan meets the requirements of section 408(k) or 408(p). You are not required to apply for approval; however, if you want to receive an opinion letter from the IRS regarding your prototype SEP or SIMPLE IRA plan, you are required to provide the information requested on this form. You are not 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 contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as stated in section 6103. The time needed to complete and file this form will vary depending on individual circumstances. The estimated average time is: Recordkeeping . . . 15 hr., 46 min. Learning about the law or the form . . . . . 1 hr., 23 min. Preparing, copying, assembling, and sending the form to the IRS . . . . . . 1 hr., 42 min. 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/formspubs/. Click on “More Information” and then on “Comment on Tax Forms and Publications.” Or you can send your comments to Internal Revenue Service, Tax Forms and Publications Division, 1111 Constitution Ave. NW, IR-6526, Washington, DC 20224. Do not send the form to this address. Instead, see Where to file.
Extracted from PDF file 2016-federal-form-5306-a.pdf, last modified September 2004

More about the Federal Form 5306-A Individual Income Tax TY 2016

We last updated the Application for Approval of Prototype Simplified Employee Pension (SEP) or Savings Incentive Match Plan for Employees of Small Employers (SIMPLE IRA P in May 2017, so this is the latest version of Form 5306-A, fully updated for tax year 2016. You can download or print current or past-year PDFs of Form 5306-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 5306-A from the Internal Revenue Service in May 2017.

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About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Federal Form 5306-A

We have a total of five past-year versions of Form 5306-A in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2016 Form 5306-A

Form 5306-A (Rev. August 2013)

Application for Approval of Prototype Simplified Employee Pension (SEP) or Savings Incentive Match Plan for Employees of Small Employers (SIMPLE IRA Plan) 2015 Form 5306-A

Form 5306-A (Rev. August 2013)

Application for Approval of Prototype Simplified Employee Pension (SEP) or Savings Incentive Match Plan for Employees of Small Employers (SIMPLE IRA Plan) 2013 Form 5306-A

Form 5306-A (Rev. August 2013)

Application for Approval of Prototype Simplified Employee Pension (SEP) or Savings Incentive Match Plan for Employees of Small Employers (SIMPLE IRA Plan) 2012 Form 5306-A

Form 5306-A (Rev. September 2010)

Application for Approval of Prototype Simplified Employee Pension (SEP) or Savings Incentive Match Plan for Employees of Small Employers (SIMPLE IRA Plan) 2011 Form 5306-A

Form 5306-A (Rev. September 2010)


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