Delaware
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54-1887631
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(State or other jurisdiction of
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(I.R.S. Employer
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incorporation or organization)
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Identification No.)
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8170 Maple Lawn Boulevard, Suite 180
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Fulton, Maryland
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20759
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(Address of Principal Executive Offices)
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(Zip Code)
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Large accelerated filer ¨
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Accelerated filer þ
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Non-accelerated filer ¨
(Do not check if a smaller reporting
company)
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Smaller reporting company ¨
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Title of securities to be registered
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Amount to be
registered (3)
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Proposed maximum
offering price per
share (4)
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Proposed maximum
aggregate offering
price
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Amount of
registration fee
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||||||||||||
Common Stock, $.001 par value per share (1)
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150,000 shares
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$21.79
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$3,268,500
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$379.50
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||||||||||||
Interests in 401(k) Savings Plan Plus (2)
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― | ― | ― | ― |
(1)
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Represents shares of common stock that may be purchased in the open market and subsequently issued pursuant to the Colfax Corporation 401(k) Savings Plan Plus (the “401(k) Plan”).
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(2)
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Pursuant to Rule 416(c) of the Securities Act, this registration statement also covers an indeterminate amount of interests to be offered or sold pursuant to the 401(k) Plan. Includes related interests in the trust created pursuant to the 401(k) Plan.
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(3)
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Pursuant to Rule 416 of the Securities Act of 1933, as amended (the “Securities Act”), this registration statement shall also cover any additional shares of the registrant’s common stock that may become issuable under the 401(k) Plan as set forth herein by reason of any stock dividend, stock split, recapitalization or other similar transaction effected without receipt of consideration that increases the number of outstanding shares of the registrant’s common stock.
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(4)
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Estimated solely for the purpose of calculating the amount of the registration fee pursuant to Rule 457(h) promulgated under the Securities Act. The proposed maximum aggregate offering price is based upon the average of the high and low sale prices of Colfax Corporation common stock as reported on The New York Stock Exchange on May 2, 2011.
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COLFAX CORPORATION
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By:
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/s/ Clay H. Kiefaber
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Name:
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Clay H. Kiefaber
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Title:
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President and Chief Executive Officer
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Name
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Title
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/s/ Clay H. Kiefaber
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President, Chief Executive Officer and
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Clay H. Kiefaber
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Director (Principal Executive Officer)
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/s/ C. Scott Brannan
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Senior Vice President, Finance and Chief
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C. Scott Brannan
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Financial Officer (Principal Financial
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Officer and Principal Accounting Officer)
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*
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Director
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Mitchell P. Rales
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*
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Director
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Patrick W. Allender
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*
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Director
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Joseph O. Bunting III
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*
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Director
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Thomas S. Gayner
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*
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Director
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Rhonda L. Jordan
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*
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Director
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Rajiv Vinnakota
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*
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Director
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A. Clayton Perfall
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*
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/s/ Clay H. Kiefaber
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Clay H. Kiefaber
Attorney-in-Fact
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COLFAX CORPORATION 401(k)
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||||
SAVINGS PLAN PLUS
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||||
BY:
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RETIREMENT PLANS COMMITTEE
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|||
By:
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/s/ C. Scott Brannan
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Name:
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C. Scott Brannan
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Title:
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Chairman of the Retirement Plans
Committee
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Exhibit
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Number
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Description
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4.1
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Specimen Common Stock Certificate (1)
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10.1
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Colfax Corporation 401(k) Savings Plan Plus
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23.1
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Consent of Ernst & Young LLP, Independent Registered Public Accounting Firm
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24.1
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Power of Attorney
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(1)
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Incorporated by reference to the Company’s Registration Statement on Form S-1 (File No. 001-34045)
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Business Address:
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8730 Stony Point Parkway
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Suite 150
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Richmond, VA 23235-1969
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Plan Administrator Name:
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Colfax Corporation
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Plan Administrator Business Address:
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8730 Stony Point Parkway
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Suite 150
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Richmond, VA 23235-1969
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Plan Administrator Telephone Number:
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804-560-4070
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A.
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"Compensation"
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(1)
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Plan Compensation means (select (a), (b) or (c)):
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þ (a)
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amount reported in the "Wages Tips and Other Compensation" Box on Form W-2 and paid during the Plan Year (as defined in Section 1.20 of the Base Plan Document).
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¨ (b)
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amount reported pursuant to Code Section 3401(a) and paid during the Plan Year (as defined in Section 1.20 of the Base Plan Document).
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¨ (c)
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compensation for Code Section 415 safe-harbor purposes paid during the Plan Year (as defined in Section 1.20 of the Base Plan Document).
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non-Profit
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Employer
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Sharing
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Nonelective
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Contributions*
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Contributions**
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o | o | (d) |
fringe benefits (cash and noncash), reimbursements or other expense allowances, moving expenses, deferred compensation, and welfare benefits.
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¨
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¨
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(e)
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overtime.
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¨
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¨
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(f)
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bonuses.
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¨
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¨
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(g)
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commissions.
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¨
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¨
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(h)
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amounts in excess of $_________ (insert any number).
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þ
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þ
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(i)
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other (specify the type of compensation to be excluded): relocation pay, tax protection pay, mortgage differential pay,separation pay and any distributions from a plan of deferred Compensation (except amounts recevied pursuant to an unfunded non-qualified plan in the year such amounts are includible in the gross income of the participant) and Foregin Service Overseas Premiums equal to 15% of base pay but not exceeding $7,500, any amount realized upon exercise of an employer stock option or stock appreciation right or upon vesting or payment of any restricted stock, performance stock or similar equity or equity-like arrangement. Note: The payment (incash, stock or otherwise inkind) in connection with the company's realization event phantom share or phantom share appreciation bonus program shall be included in Compensation
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non-Profit
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Employer
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Sharing
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Nonelective
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Contributions*
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Contributions**
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Included
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þ
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(j)
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Elective Contributions (as defined in Section 1.30 of the Base Plan Document). (Note: Elective Contributions will be excluded with regard to Employer Nonelective Contributions if this option is not checked.)
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¨
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¨
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(k)
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Compensation earned during the Plan Year in which the Participant enters the Plan
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þ
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þ
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(l)
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Compensation earned after the Participant's initial Entry Date
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(2)
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Testing Compensation (as defined in Section 1.104 of the Base Plan Document) means option (a), (b), or (c) as selected in (1) above, and excluding the following (select all that apply):
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¨ (a)
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fringe benefits (cash and noncash), reimbursements or other expense allowances, moving expenses, deferred compensation, and welfare benefits.
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¨ (b)
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Elective Contributions (as defined in Section 1.30 of the Base Plan Document).
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þ (c)
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Compensation earned before the Participant's initial Entry Date.
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(3)
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415 Limitation Compensation (as defined in Section 1.1 of the Base Plan Document): means option (a), (b), or (c) as selected in (1) above.
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B.
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"Computation Period"
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¨ (1)
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the first anniversary of the Employee's employment commencement date.
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¨ (2)
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the first Plan Year which commences prior to the first anniversary of the Employee's employment commencement date.
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þ (3)
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not applicable, the Plan uses elapsed time method to determine all eligibility service.
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C.
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"Disability"
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¨ (1)
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inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or to be of long-continued and indefinite duration.
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¨ (2)
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total and permanent inability to meet the requirements of the Participant's customary employment which can be expected to last for a continuous period of not less than 12 months.
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¨ (3)
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qualification for Social Security disability benefits.
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þ (4)
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qualification for benefits under the Employer's long-term disability plan.
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D.
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"Early Retirement Age"
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(1)
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Early Retirement Age (select one):
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¨ (a)
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shall be permitted.
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þ (b)
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shall not be permitted.
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(2)
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If D(1)(a) above is elected, Early Retirement Age shall mean (select one):
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¨ (a)
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attained age (insert any age less than Normal Retirement Age).
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¨ (b)
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attained age (insert any age less than Normal Retirement Age) and completed Years of Service (insert any number that is no greater than the number of Years of Service that is otherwise needed to be 100% vested under the Plan).
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¨ (c)
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attained age (insert any age less than Normal Retirement Age) and completed Years of Service as a Participant (insert any number that is no greater than the number of Years of Service that is otherwise needed to be 100% vested under the Plan).
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E.
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"Eligible Employees"
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¨ (1)
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All Employees of the Primary Employer and participating Employers are eligible to participate in the Plan.
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þ (2)
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All Employees are eligible to participate in the Plan except for the following Employees (select all that apply):
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þ (a)
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Employees who are included in a unit of Employees covered by an agreement which the Secretary of Labor finds to be a collective bargaining agreement between Employee representatives and one or more Employers, if there is evidence that retirement benefits were the subject of good faith bargaining between such Employee representatives and such Employer or Employers, unless the bargaining agreement provides for participation in the Plan.
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þ (b)
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Non-resident aliens (within the meaning of Code Section 7701(b)(1)(B)) and who received no earned income (within the meaning of Code Section 911(d)(2)) from the Employer which constitutes income from sources within the United States (within the meaning of Code Section 861(a)(3)).
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þ (c)
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Employees of an Affiliate that is not a participating Employer.
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þ (d)
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Leased Employees, as defined in Section 1.58 of the Plan.
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þ (e)
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Temporary Employees, as defined in Section 1.103 of the Plan.
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þ (f)
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Employees employed in or by the following specified division, plant, location, job category or other identifiable individual or group of Employees. (This exclusion may be applied to specific plan features.) not on US payroll or would be a leased employee but has not satisfied the service requirements.
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F.
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"Entry Date"
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(1)
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Entry Date shall mean (select one for each column, as applicable):
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Elective Deferral
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||||
and/or Employee
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||||
After-Tax
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Matching
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Profit Sharing
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Contributions
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Contributions
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Contributions
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¨
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¨
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¨
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(a)
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each business day of the Plan Year.
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¨
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¨
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¨
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(b)
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the first day of the Plan Year coincident with or next following the date the Employee meets the participation requirements of Section 2.1 of the Base Plan Document. If the Primary Employer elects this option (b) establishing only one Entry Date, the participation "age and service" requirements elected in Article II must be no more than age 201/2 and 1/2 of a Year of Service.
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þ
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þ
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¨
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(c)
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the first day of the month coincident with or next following the date the Employee meets the participation requirements of Section 2.1 of the Base Plan Document.
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¨
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¨
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¨
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(d)
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the first day of the Plan Year and the first day of the seventh month of the Plan Year coincident with or next following the date the Employee meets the participation requirements of Section 2.1 of the Base Plan Document.
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¨
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¨
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¨
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(e)
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the first day of the Plan Year, the first day of the fourth month of the Plan Year, the first day of the seventh month of the Plan Year, and the first day of the tenth month of the Plan Year coincident with or next following the date the Employee meets the participation requirements of Section 2.1 of the Base Plan Document.
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¨
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¨
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þ
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(f)
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other: effective 2/7/2007 the Profit Sharing feature was frozen and there are no future Entry Dates.
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(2)
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Special Entry Date:
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¨ (a)
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shall be an Entry Date.
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þ (b)
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shall not be an Entry Date.
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¨ (c)
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is not applicable, this is the initial Adoption Agreement.
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G.
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"Highly Compensated Employees"
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(1)
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Top-Paid Group Election
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¨ (a)
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A top-paid group election is made. The effect of this election is that an Employee (who is not a 5% owner at any time during the determination year or the look-back year) with 415 Limitation Compensation in excess of $80,000 (as adjusted) for the look-back year (as defined in Section 1.50 of the Base Plan Document) is a Highly Compensated Employee only if the Employee was in the top-paid group for the look-back year. An Employee is in the "top-paid group" for any year, if such Employee is in the group of Employees consisting of the top 20% of the includable Employees when ranked on the basis of 415 Limitation Compensation paid during such year. ii
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þ (b)
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A top-paid group election is not made.
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(2)
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Calendar Year Data Election
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¨ (a)
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A calendar year data election is made. The effect of this election is that the look-back year is the calendar year beginning with or within the look-back year.
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¨ (b)
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A calendar year data election is not made.
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þ (c)
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Not applicable, Plan Year is the calendar year.
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H.
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"Hours of Service"
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(1)
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Eligibility Service
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Elective Deferral and/or
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Employee After-Tax
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Matching
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Profit Sharing
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Contributions
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Contributions
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Contributions
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þ
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þ
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þ
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(a)
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elapsed time method.
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¨
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¨
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¨
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(b)
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hourly records method.
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þ (a)
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elapsed time method.
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¨ (b)
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hourly records method.
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(3)
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Hourly Records
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Eligibility
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Vesting
|
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¨
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¨
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(a)
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only actual hours for which an Employee is paid or entitled to payment shall be counted.
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¨
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¨
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(b)
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an Employee shall be credited with 45 Hours of Service if under Section 1.51 of the Base Plan Document such Employee would be credited with at least 1 Hour of Service during the week.
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I.
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"Limitation Year"
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¨ (1)
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the Plan Year.
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þ (2)
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the calendar year.
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¨ (3)
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the 12 consecutive month period ending on the day of the month of .
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J.
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"Normal Retirement Age"
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þ (1)
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attainment of age 65 (not more than 65) by the Participant.
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¨ (2)
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attainment of age (not more than 65) by the Participant or if later, the anniversary (not more than the 5th) of the earlier of the first day on which the Eligible Employee performed an Hour of Service or the first day of the Plan Year in which the Eligible Employee became a Participant.
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¨ (3)
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attainment of age (not more than 65) by the Participant or the anniversary (not more than the 5th) of the first day of the Plan Year in which the Eligible Employee became a Participant, whichever is later.
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non-Profit Sharing
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Profit Sharing
|
||
Contributions
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Contributions
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||
þ
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þ
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(1)
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permitted.
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¨
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¨
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(2)
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not permitted.
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L.
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"Plan Year"
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M.
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"Predecessor Employer Service"
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¨ (1)
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only as required by law.
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þ (2)
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to include, in addition to the legal requirements and subject to the limitations set forth below, service with the following Predecessor Employer(s) determined as if such predecessors were the Employer: Fairmount Automation, Lubrication Systems Company, of Texas, LLC.
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þ (a)
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for purposes of eligibility to participate;
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þ (b)
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for purposes of vesting;
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¨ (c)
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for purposes of contribution allocation;
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¨ (d)
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except for the following service:
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N.
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"Top-Heavy Ratio"
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Interest rate:
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%
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(insert a reasonable interest rate)
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Mortality table:
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(insert a reasonable mortality table)
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non-Profit Sharing
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Profit Sharing
|
||
Contributions
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Contributions
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þ
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þ
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(1)
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each business day.
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¨
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¨
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(2)
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the last business day of each month.
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¨
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¨
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(3)
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the last business day of each quarter within the Plan Year.
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¨
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¨
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(4)
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the last business day of each semi-annual period within the Plan Year.
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¨
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¨
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(5)
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the last business day of the Plan Year.
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¨
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¨
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(6)
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other: (insert a frequency that occurs at least once during a Plan Year).
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P.
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"Years of Service"
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¨ (1)
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immediately following completion of 1000 Hours of Service.
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¨ (2)
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on the last day of the Computation Period in which the Participant completes 1000 Hours of Service.
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Elective Deferral
|
||||
and/or Employee
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Profit
|
|||
After-Tax
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Matching
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Sharing
|
||
Contributions
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Contributions
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Contributions
|
||
þ
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þ
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þ
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A.
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Performance of one Hour of Service.
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¨
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¨
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¨
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B.
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Attainment of age ____ (maximum 20 1/2) and completion of ____ (not more than 1/2) Year(s) of Service. If this item is selected, no Hours of Service shall be counted.
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¨
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C.
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Attainment of age ____ (maximum 21) and completion of ____ Year(s) of Service (not to exceed 1 year).
|
||
¨
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D.
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Attainment of age ____ (maximum 21) and completion of ____ Year(s) of Service (not to exceed 2 years). If more than 1 Year of Service is selected, the immediate l00% vesting schedule must be selected in Article IX of this Adoption Agreement.
|
||
¨
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E.
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Attainment of age ____ (maximum 21) and completion of ____ Year(s) of Service (not to exceed 2 years). If more than 1 Year of Service is selected, the immediate l00% vesting schedule must be selected in Article IX of this Adoption Agreement.
|
||
¨
|
¨
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¨
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F.
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Each Employee who is an Eligible Employee will be deemed to have satisfied the participation requirements as of ____ (insert any date) without regard to such Eligible Employee's actual age and/or service.
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A.
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Elective Deferral Contributions (select all that apply):
|
|
þ (1)
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Elective Deferral Contributions are permitted under the Plan and may be made by a Participant in a dollar amount or a percentage of the Participant's Plan Compensation, as specified by the Participant in his or her
|
|
þ (a)
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Pre-Tax Contributions only.
|
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¨ (b)
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Pre-Tax and Roth Contributions.
|
|
¨ (2)
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Elective Deferral Election limit for Highly Compensated Employees. If elected and in lieu of the limit set forth in A(1), a Highly Compensated Employee may make an Elective Deferral Election that may not exceed % of his or her Plan Compensation.
|
|
¨ (3)
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Separate Bonus Election - With respect to bonuses, such dollar amount or percentage as specified by the Participant in his or her Elective Deferral Election with respect to such bonus.
|
|
þ (4)
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Catch-up Contributions (select one):
|
|
þ (a)
|
shall apply.
|
|
¨ (b)
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shall not apply.
|
|
¨ (5)
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Elective Deferral Contributions are not permitted under the Plan.
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B.
|
Automatic Programs for Elective Deferral Contributions (as defined in Section 3.4.1(B) of the Base Plan Document):
|
|
(1)
|
Automatic Enrollmentiii of Elective Deferral Contributions (select one):
|
|
¨ (a)
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An automatic enrollment feature shall apply. (if selected, complete (i) and (ii) below):
|
(i)
|
Applicability (select (A) and/or (B)):
|
|
¨ (A)
|
In the absence of an election made by an Eligible Employee to the contrary within such time period as established by the Plan Administrator, a Participant shall be deemed to have elected a Pre-Tax Contribution of % of his or her Plan Compensation.
|
|
¨ (B)
|
In the absence of an election made by an Eligible Employee to the contrary within such time period as established by the Plan Administrator, a Participant shall be deemed to have elected a Roth Contribution of % of his or her Plan Compensation.
|
(ii)
|
Eligibility:
|
|
¨ (A)
|
Eligible Employees hired on or after .
|
|
¨ (B)
|
all Eligible Employees either hired on or after or who have never enrolled to make Elective Deferral Contributions.
|
|
(2)
|
Automatic Increase of Elective Deferral Contributions (select one):
|
|
¨ (a)
|
An automatic increase feature shall apply. (if selected, complete (i), (ii), (iii), (iv) and (v) below):
|
|
(i)
|
Applicability (select one):
|
|
¨ (A)
|
Pre-Tax Contributions only.
|
|
¨ (B)
|
Roth Contributions only.
|
|
(ii)
|
Eligibility: The automatic increase feature shall apply to (select one):
|
|
¨ (A)
|
all Eligible Employees who select this feature.
|
|
¨ (B)
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all Eligible Employees who do not waive out of this feature.
|
|
¨ (C)
|
all Eligible Employees whose rate of Elective Deferral Contributions is less than the maximum rate listed in (iv) below.
|
|
¨ (D)
|
all Eligible Employees who are automatically enrolled in the Plan and any other Participant who selects this feature.
|
|
¨ (E)
|
all Eligible Employees who are automatically enrolled in the Plan, all Eligible Employees whose rate of Elective Deferral Contributions is less than the maximum rate listed in (iv) below, and any other Participant who selects this feature.
|
|
(iii)
|
Timing: If applicable, the rate of the Elective Deferral Contributions shall be increased during the month of (select one):
|
|
¨ (A)
|
____ (enter month).
|
|
¨ 1
|
will not automatically increase in the first year the Participant is automatically enrolled in the Plan during the ____ month(s) prior to the month in (A) above.
|
|
¨ 2
|
will automatically increase in the first year.
|
|
¨ (B)
|
the anniversary of the Participant's enrollment in the automatic increase feature, unless the Participant selects otherwise.
|
|
¨ (C)
|
a Participant's salary increase as provided in the Plan's administrative procedure.
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(iv)
|
Value:
|
|
¨ (A)
|
Increase ______% of Plan Compensation each time an increase is applicable, to a maximum of _____% (unless the Participant selects otherwise).
|
|
¨ (B)
|
Increase by the percentage selected by the Participant.
|
(v)
|
Frequency: An increase will be made:
|
|
¨ (A)
|
every year unless the Participant selects otherwise.
|
|
¨ (B)
|
every two years unless the Participant selects otherwise.
|
|
¨ (C)
|
every three years unless the Participant selects otherwise.
|
þ (b)
|
Automatic increase shall not apply.
|
C.
|
Employee After-Tax Contributions (select all that apply):
|
|
þ (1)
|
Employee After-Tax Contributions are permitted under the Plan and may be made by a Participant in an amount equal to a dollar amount or a percentage of the Participant's Plan Compensation, as specified by the Participant in his or her Employee After-Tax Contribution Election, which may not exceed 0 % of his or her Plan Compensation.
|
|
¨ (2)
|
After-Tax Election limit for Highly Compensated Employees. If elected and in lieu of the limit set forth in C(1), a Highly Compensated Employee may make an After-Tax Election that may not exceed _______% of his or her Plan Compensation.
|
¨ (3)
|
Separate Bonus Election - With respect to bonuses, such dollar amount or percentage as specified by the Participant in his or her Employee After-Tax Election with respect to such bonus.
|
¨ (4)
|
Employee After-Tax Contributions are not permitted under the Plan.
|
D.
|
Rollover Contributions
|
Will
|
Will Not
|
||
Accept
|
Accept
|
||
¨
|
þ
|
(1)
|
distributions of employee after-tax contributions from a qualified plan described in Code Section 401(a) or 403(a), provided that such amounts are transferred in a direct trustee-to-trustee transfer described in Code Section 402(c)(2)(A).
|
¨
|
þ
|
(2)
|
pre-tax distributions from an annuity contract described in Code Section 403(b).
|
¨
|
þ
|
(3)
|
pre-tax distributions from an eligible plan under Code Section 457(b) which is maintained by a state, political subdivision of a state, or any agency or instrumentality of a state or political subdivision of a state.
|
¨
|
þ
|
(4)
|
pre-tax distributions from an individual retirement account or annuity described in Code Section 408(a) or (b) (including distributions from individual retirement accounts described in Code Section 408(k) ("SEP")).
|
¨
|
þ
|
(5)
|
distributions from a simple retirement account described in Code Section 408(p) that are eligible to be rolled over and are made after the 2-year period beginning on the date such individual first participated in such simple retirement account that are otherwise includible in gross income.
|
¨
|
þ
|
(6)
|
Roth distributions from a qualified plan described in Code Section 401(a).
|
E.
|
Making and Modifying an Election
|
|
¨ (1)
|
annually.
|
|
¨ (2)
|
semi-annually.
|
|
¨ (3)
|
quarterly.
|
|
¨ (4)
|
monthly.
|
|
þ (5)
|
other (specify): daily (insert any period that is more frequent than annually).
|
A.
|
Contribution and Allocation Formula (select all that apply):
|
|
þ (1)
|
Discretionary Contributions:
|
|
¨ (a)
|
in an amount equal to a discretionary percentage or amount of each Participant's Elective Deferral and/or Employee After-Tax Contributions to be determined by the Employer for each Plan Year.
|
|
¨ (b)
|
based on the ratio of each Participant's Elective Deferral and/or Employee After-Tax Contributions for the Plan Year to the total Elective Deferral and/or Employee After-Tax Contributions of all Participants for the Plan Year. If selected, Matching Contributions shall be subject to a maximum amount of (select one if applicable):
|
|
¨ (i)
|
$ for each Participant.
|
|
¨ (ii)
|
% of each Participant's Plan Compensation.
|
|
þ (c)
|
in an amount up to 50 % or $ of each Participant's first 6 % or $ of Plan Compensation contributed as Elective Deferral and/or Employee After-Tax Contributions. If any Matching Contribution remains, such amount shall be allocated to each such Participant in an amount up to % or $ of the next % or $ of each Participant's Plan Compensation contributed as ElectiveDeferraland/or Employee After-Tax Contributions. If any Matching Contribution remains after the application of the preceding sentence, such amount shall be allocated to each such Participant in an amount up to % or $ of the next % or $____ of each Participant's Plan Compensation contributed as Elective Deferral and/or Employee After-Tax Contributions.
|
|
¨ (i)
|
$ for each Participant.
|
|
¨ (ii)
|
% of each Participant's Plan Compensation.
|
|
¨ (a)
|
% of each Participant's Plan Compensation contributed as Elective Deferral and/or Employee After-Tax Contributions. If selected, Matching Contributions shall be subject to a maximum amount of (select one if applicable):
|
|
¨ (i)
|
$____ for each Participant.
|
|
¨ (ii)
|
____ % of each Participant's Plan Compensation.
|
|
¨ (b)
|
in an amount equal to % or $ of the first % or $ of the Participant's Plan Compensation contributed as Elective Deferral and/or Employee After-Tax Contributions, % or $ of the next % or $ of the Participant's Plan Compensation contributed as Elective Deferral and/or Employee After-Tax Contributions, and % or $ of the next % or $ of the Participant's Plan Compensation contributed as Elective Deferral and/or Employee After-Tax Contributions.
|
|
¨ (i)
|
$ for each Participant.
|
|
¨ (ii)
|
% of each Participant's Compensation.
|
|
(3)
|
Matching Calculation Period: The time interval that will be used to determine the amount of the Matching Contributions shall be (select one):
|
|
¨ (a)
|
each payroll period.
|
|
þ (b)
|
the Plan Year.
|
|
(4)
|
Matched Contributions: Elective Deferral and/or Employee After-Tax Contributions indicated in Article III shall be eligible for Matching Contributions as indicated below (select all that apply):
|
Discretionary
|
Nondiscretionary
|
|||
Matching Contribution
|
Matching Contribution
|
|||
Formula
|
Formula
|
|||
þ
|
¨
|
(a)
|
Elective Deferral Contributions.
|
|
¨
|
¨
|
(b)
|
Employee After-Tax Contributions.
|
|
(c)
|
If more than one item in (a) or (b) is selected above, the Elective Deferral and Employee After-Tax Matching Contributions formula will be applied (select one, if applicable):
|
|
¨ (i)
|
concurrently as a separate formula for each feature.
|
|
¨ (ii)
|
cumulatively as a single formula for both features.
|
|
þ (1)
|
Payroll Basis Matching Contributions - Any Participant who makes Elective Deferral and/or Employee After-Tax Contributions during the payroll period of reference.
|
|
¨ (2)
|
Annual Plan Year-end Matching Contribution - Any Participant who makes Elective Deferral and/or Employee After-Tax Contributions during the Plan Year and who satisfies the following requirements (select all that apply):
|
|
¨ (a)
|
was employed during the Plan Year.
|
|
¨ (b)
|
was credited with at least _________ (no more than 1000) Hours of Service during the Plan Year, regardless of employment status on the last day of the Plan Year
|
|
¨ (c)
|
was employed on the last day of the Plan Year.
|
|
¨ (d)
|
was on a leave of absence on the last day of the Plan Year.
|
|
¨ (e)
|
during the Plan Year died or became disabled while an Employee or terminated employment after attaining Early or Normal Retirement Age.
|
|
¨ (f)
|
was credited with at least 501 Hours of Service and was employed on the last day of the Plan Year.
|
|
¨ (g)
|
was credited with at least 1000 Hours of Service and was employed on the last day of the Plan Year.
|
A.
|
Profit Sharing Contributions
|
¨ (1)
|
an amount, if any, as determined by the Employer, for each Participant eligible to share in the allocation for a Plan Year.
|
|
þ (2)
|
0 % of the Plan Compensation of each Participant eligible to share in the allocation for a Plan Year.
|
B.
|
Allocation of Contributions to Profit Sharing Contribution Accounts (select one):
|
þ (1)
|
Non-Integrated Allocation (select one):
|
|
þ (a)
|
The Profit Sharing Contributions Account of each Participant eligible to share in the allocation for a Plan Year shall be credited with a portion of the contribution, plus any forfeitures, if forfeitures are reallocated to Participants, equal to the ratio that the Participant's Plan Compensation for the Plan Year bears to the Plan Compensation for that Plan Year of all Participants eligible to share in the contribution.
|
|
¨ (b)
|
A Profit Sharing Contribution may be allocated in an amount of $ ____ for each Participant eligible to share in the allocation for a Plan Year, on a ____ (specify period, such as weekly, monthly, quarterly, etc.) basis.
|
¨ (2)
|
Integrated Allocation Formulas.
|
|
(a)
|
Allocation Formula (select one):
|
|
¨ (i)
|
Two-Step Integrated Allocation
|
|
¨ (ii)
|
Four-Step Integrated Allocation
|
|
(b)
|
The "Integration Level" shall be (select one):
|
|
¨ (i)
|
the Taxable Wage Base.
|
|
¨ (ii)
|
$____ (a dollar amount less than the Taxable Wage Base).
|
|
¨ (iii)
|
____% of the Taxable Wage Base (not to exceed 99%).
|
|
¨ (iv)
|
20% of the Taxable Wage Base.
|
|
¨ (a)
|
Super-Integrated Allocation
|
|
(i)
|
an amount equal to a percentage of each Participant's Plan Compensation for the Plan Year;
|
|
(ii)
|
plus an amount equal to a percentage of each Participant's Plan Compensation for the Plan Year in excess of the Super-Integration level (defined below).
|
|
¨ (A)
|
$ ____ (a dollar amount less than the Compensation Limit under Code Section 401(a)(17).
|
|
¨ (B)
|
____ % of the Compensation Limit under Code Section 401(a)(17) (not to exceed 100%).
|
|
¨ (C)
|
____ % of the Taxable Wage Base (not to exceed 100%).
|
|
¨ (b)
|
Allocation by Classification of Participants:
|
|
¨ (i)
|
Non-Highly Compensated Employees and Highly Compensated Employees.
|
|
¨ (ii)
|
Other: Specify groups by category of participant, including both HCEs and NHCEs on or before the due date of the Employer's tax return for the year of allocation through written instructions from the Primary Employer to the Plan Administrator or Trustee.
|
|
(i)
|
Interest rate: ____ % (must be between 7.5% and 8.5%)
|
|
(ii)
|
Mortality table: ____
|
C.
|
Participants Eligible for Profit Sharing Contribution Allocation
|
¨ (1)
|
was employed during the Plan Year.
|
¨ (2)
|
was credited with at least (no more than 1000) Hours of Service during the Plan Year, regardless of employment status on the last day of the Plan Year.
|
¨ (3)
|
was employed on the last day of the Plan Year.
|
¨ (4)
|
was on a leave of absence on the last day of the Plan Year.
|
|
þ (5)
|
during the Plan Year died or became disabled while an Employee or terminated employment after attaining Early or Normal Retirement Age.
|
¨ (6)
|
was credited with at least 501 Hours of Service and was employed on the last day of the Plan Year.
|
þ (7)
|
was credited with at least 1000 Hours of Service and was employed on the last day of the Plan Year.
|
A.
|
Prevailing Wage Contributions (as defined in Section 3.13 of the Base Plan Document) (select one):
|
|
¨ (1)
|
shall be made pursuant to the contract(s) listed in Appendix A and shall:
|
|
¨ (a)
|
be considered a QNEC.
|
|
¨ (b)
|
not be considered a QNEC.
|
|
þ (2)
|
shall not be made.
|
B.
|
Prevailing Wage Offset
|
|
¨ (1)
|
Offset the amount allocated or contributed on behalf of such Participant under Article V for the Plan Year.
|
|
¨ (2)
|
Not offset the amount allocated or contributed on behalf of such Participant under Article V for the Plan Year.
|
A.
|
Actual Deferral Percentage Test and Actual Contribution Percentage Test Election
|
|
þ (1)
|
current Plan Year effective for Plan Years beginning on and after 01/01/1999.
|
|
¨ (2)
|
immediately preceding Plan Year.
|
B.
|
First Plan Year Elections (ADP)
|
|
¨ (1)
|
shall be the Plan Year ADP.
|
|
¨ (2)
|
shall be 3%.
|
|
þ (3)
|
is not applicable.
|
C.
|
First Plan Year Elections (ACP)
|
|
¨ (1)
|
shall be the Plan Year ACP.
|
|
¨ (2)
|
shall be 3%.
|
|
þ (3)
|
is not applicable.
|
A.
|
Safe Harbor Contributions
|
|
þ (1)
|
apply.
|
|
¨ (2)
|
do not apply.
|
B.
|
Safe Harbor Contribution Participation Requirements
|
|
¨ (1)
|
Attainment of age ____ (maximum 21) and completion of ____ Year of Service (not to exceed 1 year).
|
|
¨ (a)
|
hourly records method.
|
|
¨ (i)
|
only actual hours for which an Employee is paid or entitled to payment shall be counted.
|
|
¨ (ii)
|
an Employee shall be credited with 45 Hours of Service if under Section 1.51 of the Base Plan Document such Employee would be credited with at least 1 Hour of Service during the week.
|
|
¨ (b)
|
elapsed time method.
|
|
þ (2)
|
Same as Elective Deferral Contributions (see Article II).
|
C.
|
Safe Harbor Contribution Eligibility
|
|
¨ (1)
|
Only Non-Highly Compensated Participants.
|
|
þ (2)
|
All Participants.
|
D.
|
ADP/ACP Test Safe Harbor Contributions
|
|
¨ (1)
|
Basic Matching Contributions
|
|
¨ (a)
|
each payroll period.
|
|
¨ (b)
|
the Plan Year.
|
|
¨ (2)
|
Enhanced Matching Contributions
|
|
¨ (a)
|
each payroll period.
|
|
¨ (b)
|
the Plan Year.
|
|
þ (3)
|
Safe Harbor Nonelective Contributions
|
|
þ (a)
|
The Employer will make a Safe Harbor Nonelective Contribution to the Account of each Eligible Participant in an amount equal to 3 % (at least 3%) of the Eligible Participant's Plan Compensation for the Plan Year.
|
|
¨ (b)
|
The Employer may make a Safe Harbor Nonelective Contribution to the Account of each Eligible Participant in an amount equal to ____% (at least 3%) of the Eligible Participant's Plan Compensation for the Plan Year.
|
E. ¨
|
If checked, the ADP/ACP Test Safe Harbor Contributions will be made to the following Defined Contribution Plan of the Employer: ___________
|
A.
|
Employer Contribution Accounts
|
|
(1)
|
A Participant shall have a vested percentage in his or her Matching Contribution and Profit Sharing Contribution Account(s), if applicable, in accordance with the following schedule (select one for each column as applicable):
|
Matching
|
Profit Sharing
|
||||
Contributions
|
Contributions
|
||||
¨
|
¨
|
(a)
|
100% vesting immediately upon participation.
|
||
¨
|
(b)
|
100% after _____ (not more than 3) years of Vesting Service.
|
|||
¨
|
(c)
|
100% after _____ (not more than 5) years of Vesting Service.
|
|||
þ
|
þ
|
(d)
|
Graded vesting schedule:
|
||
0%
|
0%
|
immediately upon participation;
|
|||
0%
|
20%
|
after 1 year of Vesting Service;
|
|||
20%
|
40%
|
after 2 years of Vesting Service;
|
|||
40%
|
60%
|
after 3 years of Vesting Service;
|
|||
60%
|
80%
|
after 4 years of Vesting Service;
|
|||
100%
|
100%
|
after 5 years of Vesting Service;
|
|||
100%
|
100%
|
after 6 years of Vesting Service;
|
|||
100%
|
|
100%
|
|
after 7 years of Vesting Service.
|
|
(a)
|
Applicability: An amendment to change the vesting schedule for Matching Contributions under EGTRRA (select one):
|
|
¨ (i)
|
was not required.
|
|
þ (ii)
|
was required (select this option if, as of the end of the 2001 Plan Year, the Plan had Matching Contributions).
|
|
(b)
|
Effective Date for Vesting of Matching Contributions: If a vesting schedule was selected in (2)(a)(ii) above, the EGTRRA vesting schedule:
|
|
(i)
|
for Active Participants as of the first day of the 2002 Plan Year (select one):
|
¨ (A)
|
applied to Matching Contributions allocated for Plan Years beginning after December 31, 2001.
|
þ (B)
|
applied to all Matching Contributions, including Matching Contributions accrued prior to the Plan Year beginning after December 31, 2001.
|
|
(ii)
|
for a Participant who does not have an Hour of Service in a Plan Year beginning after 2001, (select one):
|
þ (A)
|
shall not apply to Matching Contributions allocated or accrued in Plan Years beginning before the first day of the Plan Year beginning in 2002.
|
¨ (B)
|
shall apply to all Matching Contributions, including Matching Contributions allocated or accrued in Plan Years beginning before the first day of the Plan Year beginning in 2002.
|
(3)
|
Early Retirement Vesting
|
|
¨ (a)
|
shall
|
|
¨ (b)
|
shall not
|
Matching
|
Profit Sharing
|
||||
Contributions
|
Contributions
|
||||
þ
|
þ
|
(1)
|
first, used to reduce Employer contributions; second, any remaining forfeitures shall be used to offset the Plan's administrative costs; and third, any remaining forfeitures shall be allocated to Participants.
|
||
¨
|
¨
|
(2)
|
first, used to offset the Plan administrative costs; second, any remaining forfeitures shall be used to reduce Employer contributions; and third, any remaining forfeitures shall be allocated to Participants.
|
||
¨
|
¨
|
(3)
|
allocated to Participants in accordance with the applicable formula elected by the Employer.
|
C.
|
Vesting Service
|
|
þ (1)
|
All Years of Service shall be included.
|
|
¨ (2)
|
Years of Service before the Participant attained age 18 shall be excluded.
|
|
¨ (3)
|
Service with the Employer prior to the effective date of the Plan shall be excluded.
|
A.
|
In-Service Withdrawals
|
|
þ (1)
|
permitted and may be made from any of the Participant's vested Accounts, at any time upon or after the occurrence of the following events (select one):
|
|
þ (a)
|
a Participant's attainment of age 59 1/2 (no lower than 591/2).
|
o (b)
|
January 1 of the calendar year in which the Participant attains age 701/2.
|
|
¨ (2)
|
not permitted (subject to Section 5.7.3 of the Base Plan Document).
|
B.
|
Hardship Distributions
|
|
þ (1)
|
permitted and shall be made from the vested portion of a Participant's Accounts (other than his or her Qualified Nonelective Contributions Account, Qualified Matching Contributions Account, QVEC Account, earnings accrued after December 31, 1988 on the Participant's Elective Deferral Contributions, or Safe Harbor Contributions under Section 3.14 as provided in Section 5.9.1 of the Base Plan Document.
|
|
¨ (2)
|
not permitted.
|
C.
|
Cash-Out of Small Amounts
|
|
(1)
|
Value of Account Balance to be Cashed-Out (select one):
|
|
þ (a)
|
If the value of the Participant's nonforfeitable Account Balance as so determined is $5,000.00(not to exceed $5,000) or less, the Plan shall distribute the Participant's entire nonforfeitable Account Balance.
|
|
¨ (b)
|
The Plan shall not distribute the Participant's nonforfeitable Account Balance until such time as the Participant requests a distribution.
|
|
Rollovers Disregarded in Involuntary Cash-outs: For purposes of Section 5.6.1 of the Base Plan Document, the value of a Participant's nonforfeitable Account Balance shall (select one):
|
|
¨ (a)
|
include
|
|
þ (b)
|
exclude
|
D.
|
Forms of Distributions
|
|
(1)
|
In addition to the distribution form in Section 6.1.1 and 6.1.2 of the Base Plan Document (select one):
|
|
þ (a)
|
installments are offered as an optional form of benefit.
|
|
¨ (b)
|
installments are not offered as an optional form of benefit.
|
|
(2)
|
Distributions shall be made (select one):
|
|
¨ (a)
|
in cash.
|
|
þ (b)
|
in cash or in-kind.
|
E.
|
Loans
|
non-Profit
|
||||
Sharing
|
Profit Sharing
|
|||
Contributions
|
Contributions
|
|||
þ
|
þ
|
(1) permitted
|
||
¨
|
¨
|
(2) not permitted.
|
¨
|
If this item is checked, the Employer elects to establish a Group Trust consisting of such Plan assets as shall from time to time be transferred to the Trustee pursuant to Article X of the Base Plan Document. The Trust Fund shall be a Group Trust consisting of assets of this Plan plus assets of the following plans of the Primary Employer or of an Affiliate:
|
A.
|
Identification of Sponsor
|
B.
|
Plan Registration
|
|
(1)
|
Initial Registration
|
|
(2)
|
Registration Renewal
|
C.
|
Prototype Replacement Plan
|
D.
|
Reliance
|
E.
|
Plan Document
|
F.
|
Proper Completion of Adoption Agreement
|
Name of the Primary Employer:
|
|
Colfax Corporation
|
/s/ Steven W. Weidenmuller
|
||
Authorized Signature
|
||
Steven W. Weidenmuller
|
||
Print Name
|
||
SVP - Human Resources
|
||
Title
|
||
Dated: June 24, 2009
|
Name of Affiliate | ||||
Authorized
|
||||
1.
|
Constellation Pumps Corporation
|
Signature:
|
/s/ Steven W. Weidenmuller
|
|
Print Name:
|
Steven W. Weidenmuller
|
|||
Title:
|
SVP - Human Resources
|
|||
Date:
|
June 24, 2009
|
|||
Authorized
|
||||
2.
|
IMO Industries, Inc.
|
Signature:
|
/s/ Steven W. Weidenmuller
|
|
Print Name:
|
Steven W. Weidenmuller
|
|||
Title:
|
SVP - Human Resources
|
|||
Date:
|
June 24, 2009
|
|||
Authorized
|
||||
3.
|
Warren Pumps, LLC
|
Signature:
|
/s/ Steven W. Weidenmuller
|
|
Print Name:
|
Steven W. Weidenmuller
|
|||
Title:
|
SVP - Human Resources
|
|||
Date:
|
June 24, 2009
|
|||
Authorized
|
||||
4.
|
Portland Valve, LLC
|
Signature:
|
/s/ Steven W. Weidenmuller
|
|
Print Name:
|
Steven W. Weidenmuller
|
|||
Title:
|
SVP - Human Resources
|
|||
Date:
|
June 24, 2009
|
Authorized
|
||||
5.
|
Fairmount Automation, Inc.
|
Signature:
|
/s/ Steven W. Weidenmuller
|
|
Print Name:
|
Steven W. Weidenmuller
|
|||
Title:
|
SVP - Human Resources
|
|||
Date:
|
June 24, 2009
|
|||
Authorized
|
||||
6.
|
Lubrications Systems Company of
|
Signature:
|
/s/ Steven W. Weidenmuller
|
|
Texas, LLC
|
Print Name:
|
Steven W. Weidenmuller
|
||
Title:
|
SVP - Human Resources
|
|||
Date:
|
June 24, 2009
|
|||
Authorized
|
||||
7.
|
Signature:
|
|||
Print Name:
|
||||
Title:
|
||||
Date:
|
||||
Authorized
|
||||
8.
|
Signature:
|
|||
Print Name:
|
||||
Title:
|
||||
Date:
|
||||
Authorized
|
||||
9.
|
Signature:
|
|||
Print Name:
|
||||
Title:
|
||||
Date:
|
||||
Authorized
|
||||
10.
|
Signature:
|
|||
Print Name:
|
||||
Title:
|
||||
Date:
|
Authorized Signature:
|
/s/ Robert S. Kathen
|
SEAL
|
BANK OF AMERICA, N.A. (BANA)
|
|
By:
|
/s/ A. Scott Roberto
|
|
A. Scott Roberto, Trust Officer
|
I.
|
Eligible Employees
|
II.
|
Prevailing Wage Contributions and Allocation
|
III.
|
Vesting
|
|
¨ A.
|
100% vesting immediately upon Participation in the Prevailing Wage.
|
|
¨ B.
|
Vesting schedule
|
|
¨ (1)
|
100% after _____ years of Vesting Service.
|
|
¨ (2)
|
graded vesting schedule:
|
I.
|
Vesting/Retirement
|
|
A.
|
Vesting
|
|
¨ (1)
|
100% vesting immediately upon the effective date of the merger of the Transferor Plan with this Plan.
|
|
¨ (2)
|
the Transferor Plan's vesting schedule, which, immediately prior to the effective date of the merger, was as follows:
|
|
¨ (a)
|
100% after _____ years of Vesting Service.
|
|
¨ (b)
|
graded vesting schedule:
|
|
¨ (3)
|
the Plan's Profit Sharing Contribution vesting schedule, as specified in Article IX of the Adoption Agreement.
|
|
¨ (4)
|
the Plan's Matching Contribution vesting schedule, as specified in Article IX of the Adoption Agreement.
|
B.
|
Early Retirement Age
|
|
(1)
|
Early Retirement Age for assets transferred from the Money Purchase Plan (select one):
|
|
¨ (a)
|
shall be subject to the provisions under Article I D of this Plan (may be no less generous than Early Retirement Age under the Money Purchase Plan).
|
|
¨ (b)
|
shall be subject to the Early Retirement Age provisions of the Money Purchase Plan.
|
|
¨ (c)
|
shall not be permitted.
|
|
If Early Retirement was permitted under the Money Purchase Plan, Early Retirement Age meant (select one, if applicable):
|
|
¨ (a)
|
attained age ______.
|
|
¨ (b)
|
attained age ______ and completed ______ Years of Service.
|
|
¨ (c)
|
attained age ______ and completed ______ Years of Service as a Participant.
|
|
¨ (d)
|
other: ______ (insert provision from prior plan).
|
|
(3)
|
Upon attainment of Early Retirement Age, a Participant (select one, if applicable):
|
|
¨ (a)
|
shall
|
|
¨ (b)
|
shall not
|
C.
|
Normal Retirement Age
|
|
(1)
|
Normal Retirement Age for assets transferred from the Money Purchase Plan (select one):
|
|
¨ (a)
|
shall be subject to the provisions under Article I J of this Plan (may be no less generous than the Normal Retirement Age under the Money Purchase Plan).
|
|
¨ (b)
|
shall be subject to the Normal Retirement Age provisions of the Money Purchase Plan.
|
|
(2)
|
Normal Retirement Age under the Money Purchase Plan was (select one, if applicable):
|
|
¨ (a)
|
attainment of age _____ (not more than 65).
|
|
¨ (b)
|
attainment of age _____ (not more than 65) by the Participant or if later, the _____ anniversary (not more than the 5th) of the earlier of the first day on which the Eligible Employee performed an Hour of Service or the first day of the Plan Year in which the Eligible Employee became a Participant.
|
|
¨ (c)
|
attainment of age _____ (not more than 65) by the Participant or the _____ anniversary (not more than the 5th) of the first day of the Plan Year in which the Eligible Employee became a Participant, whichever is later.
|
|
¨ A.
|
first, used to reduce Employer contributions; second, any remaining forfeitures shall be used to offset the Employer's Plan administrative costs; and third, any remaining forfeitures shall be allocated to Participants.
|
|
¨ B.
|
first, used to offset the Employer's Plan administrative costs; second, any remaining forfeitures shall be used to reduce Employer contributions; and third, any remaining forfeitures shall be allocated to Participants.
|
|
¨ C.
|
allocated to Participants in accordance with the applicable formula elected by the Employer.
|
III.
|
Election of Optional Forms/Application of Joint and Survivor Annuity Options
|
IV.
|
Distribution Options
|
|
A.
|
In-Service Withdrawals
|
|
¨ (1)
|
permitted and may be made from the Participant's vested Account, at any time upon or after the January 1 of the calendar year in which the Participant attains age 701/2, or upon Normal Retirement Age, whichever is earlier.
|
|
¨ (2)
|
are not permitted (subject to Section 5.7.3 of the Base Plan Document).
|
|
B.
|
To the extent any optional form of benefit was available under the Transferor Plan and is protected by Code Section 411(d)(6), and the regulations issued thereunder, such optional form of benefit shall be available with respect to the portion of the Participant's Account attributable to the amount from the Transferor Plan as provided in the Addendum to this Adoption Agreement.
|
V.
|
Loans
|
|
A.
|
The portion of a Participant's Account attributable to the amount from the Transferor Plan (select one):
|
|
¨ (1)
|
shall be available for Plan loans in accordance with Section 5.8 of the Base Plan Document.
|
|
¨ (2)
|
shall not be available for Plan loans.
|
I.
|
General Effective Date
|
|
þ A.
|
as of the first day of the first Plan Year beginning after December 31, 2006, except as otherwise provided in the following sections of this Appendix E.
|
|
¨ B.
|
as of the later of the first day of the first Plan Year beginning after December 31, 2006, except as otherwise provided in the following sections of this Appendix E or the date the Primary Employer has adopted this Prototype Plan.
|
II.
|
PPA Vesting
|
|
A.
|
Applicability
|
|
¨ (1)
|
is required, effective for plan years beginning on or after January 1, 2007, with respect to Profit Sharing Contributions as indicated in Section II B below.
|
|
þ (2)
|
is not required.
|
|
B.
|
Vesting Schedule for Profit Sharing Contributions
|
|
¨ (1)
|
100% vesting immediately upon participation.
|
|
¨ (2)
|
100% after _____ (not more than 3) years of Vesting Service.
|
|
¨ (3)
|
Graded vesting schedule:
|
|
¨ (1)
|
old money shall be subject to the old vesting schedule.
|
|
¨ (2)
|
old money shall be subject to the new vesting schedule.
|
D.
|
Money Purchase Plan Merger or Amendment
|
|
¨ (1)
|
apply and (select one):
|
|
¨ (a)
|
follow the Plan's Profit Sharing vesting schedule, as specified in Article II B above.
|
|
¨ (b)
|
remain under the vesting schedule in effect prior to the merger, as specified in Appendix D. I. A.
|
|
þ (2)
|
not apply.
|
III.
|
QACA
|
|
A.
|
Applicability
|
|
¨ (1)
|
effective ___________ ("Effective Date") (insert a date that is: (1) no earlier than the date that this amendment is dated below and (2) no earlier than the first day of the first Plan Year beginning after December 31, 2007).
|
|
þ (2)
|
does not apply
|
|
B.
|
QACA Automatic Deferrals
|
|
(1)
|
Amount and Eligibility
|
|
(a)
|
Qualified Percentage of Plan Compensation
|
|
¨ (i)
|
a Pre-Tax Contribution equal to _____% of Plan Compensation.
|
|
¨ (ii)
|
a Roth Contribution equal to _____% of Plan Compensation.
|
|
¨ (iii)
|
a Pre-Tax Contribution equal to _____% of Plan Compensation and a Roth Contribution equal to _____% of Plan Compensation.
|
|
(b)
|
Eligibility
|
|
¨ (a)
|
only Non-Highly Compensated Participants.
|
|
¨ (b)
|
all Participants.
|
|
(3)
|
Default Investment:
|
C.
|
QACA Increase
|
|
(1)
|
Type of Contribution to be increased shall be (select one):
|
|
¨ (a)
|
Pre-Tax Contributions only.
|
|
¨ (b)
|
Roth Contributions only.
|
|
(2)
|
Contribution Percentage shall be
|
|
¨ (a)
|
the Plan Year (if selected, must enter a percentage for each year):
|
|
____%
|
for the first year following automatic enrollment (must be at least 3% but not more than 10%);
|
|
____%
|
for the second year following automatic enrollment (must be at least 4% but not more than 10%);
|
|
____%
|
for the third year following automatic enrollment (must be at least 5% but not more than 10%);
|
|
____%
|
for the fourth year following automatic enrollment (must be at least 6% but not more than 10%);
|
|
____%
|
for the fifth year following automatic enrollment (must be at least 6% but not more than 10%);
|
|
____%
|
for the sixth year following automatic enrollment (must be at least 6% but not more than 10%);
|
|
____%
|
for the seventh year following automatic enrollment (must be at least 6% but not more than 10%);
|
|
____%
|
for the eighth year and all subsequent years following automatic enrollment (must be at least 6% but not more than 10%).
|
|
¨ (b)
|
the 12 month period ending on the anniversary of each Participant's enrollment date (if selected, enter a percentage for each year):
|
|
____%
|
for the first year following automatic enrollment (must be at least 4% but not more than 10%);
|
|
____%
|
for the second year following automatic enrollment (must be at least 5% but not more than 10%);
|
|
____%
|
for the third year following automatic enrollment (must be at least 6% but not more than 10%);
|
|
____%
|
for the fourth year following automatic enrollment (must be at least 6% but not more than 10%);
|
|
____%
|
for the fifth year following automatic enrollment (must be at least 6% but not more than 10%);
|
|
____%
|
for the sixth year following automatic enrollment (must be at least 6% but not more than 10%);
|
|
____%
|
for the seventh year following automatic enrollment (must be at least 6% but not more than 10%);
|
|
____%
|
for the eighth year and all subsequent years following automatic enrollment (must be at least 6% but not more than 10%).
|
D.
|
QACA Contributions
|
|
¨ (1)
|
QACA Matching Contributions
|
|
¨ (a)
|
Basic QACA Contribution
|
|
¨ (i)
|
each payroll period.
|
|
¨ (ii)
|
the Plan Year.
|
|
¨ (b)
|
Enhanced QACA Contribution
|
|
¨ (i)
|
each payroll period.
|
|
¨ (ii)
|
the Plan Year.
|
|
¨ (2)
|
QACA Nonelective Contribution
|
|
¨ (a)
|
The Employer may make a QACA Nonelective Contribution to the Account of each Eligible Participant in an amount equal to ______% (must be at least 3%) of Eligible Participant's Plan Compensation for the Plan Year.
|
|
¨ (b)
|
The Employer will make a QACA Nonelective Contribution to the Account of each Eligible Participant in an amount equal to ______% (must be at least 3%) of Eligible Participant's Plan Compensation for the Plan Year.
|
E.
|
Participation Requirements for QACA Contributions
|
|
¨ (1)
|
Same as Pre-Tax Contributions and/or Roth Contributions.
|
|
¨ (2)
|
Attainment of age _____ (maximum 21) and completion of ______ Year of Service (not to exceed 1 year).
|
|
¨ (a)
|
hourly records method.
|
|
¨ (i)
|
only actual hours for which an Employee is paid or entitled to payment shall be counted.
|
|
¨ (ii)
|
an Employee shall be credited with 45 Hours of Service if under Section 1.51 of the Base Plan Document such Employee would be credited with at least 1 Hour of Service during the week.
|
|
¨ (b)
|
elapsed time method.
|
F.
|
QACA Contribution Vesting Schedule
|
|
¨ (1)
|
100% vesting immediately upon participation.
|
|
¨ (2)
|
100% after 1 year of Vesting Service.
|
|
¨ (3)
|
100% after 2 years of Vesting Service.
|
|
¨ (4)
|
Graded vesting schedule:
|
IV.
|
Unwind Withdrawals
|
|
¨ A.
|
Apply
|
|
þ B.
|
Do Not Apply
|
Date:
|
|||
|
Signature
|
||
|
Title
|
|
/s/ Ernst & Young LLP
|
Signature
|
Title
|
Date
|
||
/s/ Mitchell P. Rales
|
Chairman of the Board of
|
May 3, 2011
|
||
Mitchell P. Rales
|
Directors
|
|||
/s/ Clay H. Kiefaber
|
President, Chief Executive
|
May 3, 2011
|
||
Clay H. Kiefaber
|
Officer and Director
|
|||
/s/ Patrick W. Allender
|
Director
|
May 3, 2011
|
||
Patrick W. Allender
|
||||
/s/ Joseph O. Bunting III
|
Director
|
May 3, 2011
|
||
Joseph O. Bunting III
|
||||
/s/ Thomas S. Gayner
|
Director
|
May 3, 2011
|
||
Thomas S. Gayner
|
||||
/s/ Rhonda L. Jordan
|
Director
|
May 3, 2011
|
||
Rhonda L. Jordan
|
||||
/s/ Rajiv Vinnakota
|
Director
|
May 3, 2011
|
||
Rajiv Vinnakota
|
||||
/s/ A. Clayton Perfall
|
Director
|
May 3, 2011
|
||
A. Clayton Perfall
|