Table of Contents
General Instructions |
Specific Instructions |
Code | Service |
---|---|
10 | Accounting (including auditing) |
11 | Actuarial |
12 | Claims processing |
13 | Contract Administrator |
14 | Plan Administrator |
15 | Recordkeeping and information management (computing, tabulating, data processing, etc.) |
16 | Consulting (general) |
17 | Consulting (pension) |
18 | Custodial (other than securities) |
19 | Custodial (securities) |
20 | Trustee (individual) |
21 | Trustee (bank, trust company, or similar financial institution) |
22 | Insurance agents and brokers |
23 | Insurance services |
24 | Trustee (discretionary) |
25 | Trustee (directed) |
26 | Investment advisory (participants) |
27 | Investment advisory (plan) |
28 | Investment management |
29 | Legal |
30 | Employee (plan) |
31 | Named fiduciary |
32 | Real estate brokerage |
33 | Securities brokerage |
34 | Valuation (appraisals, etc.) |
35 | Employee (plan sponsor) |
36 | Copying and duplicating |
37 | Participant loan processing |
38 | Participant communication |
40 | Foreign entity (e.g., an agent or broker, bank, insurance company, etc. not operating within jurisdictional boundaries of the United States) |
49 | Other services |
50 | Direction payment from the plan |
51 | Investment management fees paid directly by plan |
52 | Investment management fees paid indirectly by plan |
53 | Insurance brokerage commissions and fees |
54 | Sales loads (front end and deferred) |
55 | Other commissions |
56 | Non-monetary compensation |
57 | Redemption fees |
58 | Product termination fees (surrender charges, etc.) |
59 | Shareholder servicing fees |
60 | Sub-transfer agency fees |
61 | Finders' fees/placement fees |
62 | Float revenue |
63 | Distribution (12b-1) fees |
64 | Recordkeeping fees |
65 | Account maintenance fees |
66 | Insurance mortality and expense charge |
67 | Other insurance wrap fees |
68 | "'Soft dollars' commissions" |
70 | Consulting fees |
71 | Securities brokerage commissions and fees |
72 | Other investment fees and expenses |
73 | Other insurance fees and expenses |
99 | Other fees |
Element (c). top Enter any relationship of the person identified in element (a) to the plan sponsor, to the participating employer or employee organization, or to any person known to be a party-in-interest, for example, employee of employer, vice-president of employer, union officer, affiliate of plan recordkeeper, etc.
Element (d). top Enter the total amount of compensation received directly from the plan for services rendered to the plan during the plan year. If a service provider charges the plan a fee or commission, but agrees to offset the fee or commission with any revenue received from a party other than the plan or plan sponsor, for example, as part of a commission recapture or other offset arrangement, only the amount paid directly by the plan after any revenue sharing offset should be entered in element (d).
Note. Do not leave element (d) blank. If no direct compensation was received, enter "0".
Element (e). top Check "Yes" if the person identified in element (a), or any related person, received during the plan year indirect compensation in connection with the person's position with the plan or services provided to the plan. (See instructions above on definition of indirect compensation.) If the answer is "No," skip elements (f) through (h) for the person identified in element (a).
Element (f). top Check "Yes" if any of the indirect compensation was eligible indirect compensation for which the plan received the necessary disclosures. See instructions for line 1 for definition of eligible indirect compensation. Check "No" if none of the indirect compensation was eligible indirect compensation.
Element (g). top Enter the total of all indirect compensation that is not eligible indirect compensation for which the plan received the necessary disclosure. Do not leave blank. If none, enter "0".
Element (h). top Check "Yes" if the service provider, instead of an amount or an estimated amount, gave the plan a formula or other description of the method used to determine some or all of the indirect compensation received.
Line 3. top For each person identified in line 2 who is a fiduciary to the plan or provides one or more of the following services to the plan - contract administrator, consulting, investment advisory (plan or participants), investment management, securities brokerage, or recordkeeping - enter the requested information for each source from whom the person received indirect compensation if (1) the amount of the compensation was $1,000 or more, or (2) the plan was given a formula or other description of the method used to determine the indirect compensation rather than an amount or estimated amount of the indirect compensation.
Line 4. top Provide the requested information for each plan fiduciary or service provider who you believe failed or refused to provide any of the information necessary to complete Part I of this schedule.
Important Reminder. Before identifying a fiduciary or service provider as a person who failed or refused to provide information, you should contact the fiduciary or service provider to request the necessary information and tell them that you will list them on the Schedule C as a fiduciary or service provider who failed or refused to provide information if they do not provide the necessary information.
Complete Part III if there was a termination in the appointment of an accountant or enrolled actuary during the 2010 plan year. This information must be provided on the Form 5500 for the plan year during which the termination occurred. For example, if an accountant was terminated in the 2010 plan year after completing work on an audit for the 2008 plan year, the termination should be reported on the Schedule C filed with the 2010 plan year Form 5500. If the accountant is a firm (such as a corporation, partnership, etc.), report when the service provider (not an individual within the firm) was terminated. An enrolled actuary is by definition an individual and not a firm, and you must report when the individual is terminated.
Notice to Terminated Accountant or Enrolled Actuary Return to top |
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I, as plan administrator, verify that the explanation that is reproduced below or attached to this notice is the explanation concerning your termination reported on the Schedule C (Form 5500) attached to the 2010 Form 5500, Annual Return/Report of Employee Benefit Plan, for the __________________________________________________________(enter name of plan). This Form 5500 is identified in line 2b by the nine-digit EIN - (enter sponsor's EIN), and in line 1b by the three-digit PN________(enter plan number). |
You have the opportunity to comment to the Department of Labor concerning any aspect of this explanation. Comments should include the name, EIN, and PN of the plan and be submitted to: Office of Enforcement, Employee Benefits Security Administration, U.S. Department of Labor, 200 Constitution Avenue, N.W., Washington, DC 20210. |
Signed |
Dated |