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14568-E Model VCP Compliance Statement - Schedule 5: …

Form 14568-E (Rev. 6-2018) Number 66149 QFor Paperwork Reduction Act information see current EPCRS revenue 14568-E (June 2018)Department of the Treasury - internal revenue ServiceModel VCP Compliance Statement - Schedule 5: Plan Loan Failures (Qualified Plans and 403(b) Plans)OMB Number 1545-1673 Include the plan name, Applicant s EIN and plan number on each page of the Compliance Statement , including attachmentsPlan nameEINPlan numberSection I - Identification of FailureThe plan identified above did not comply with the requirements of Section 72(p)(2) of the internal revenue Code (IRC). (Note: The conditions of IRC Section 72(p)(2) must be satisfied for a participant loan to be exempt from being treated as a distribution to the participant under IRC Section 72(p)(1).) The failure occurred for the following reason(s) (check applicable boxes and provide the information requested)A.

Catalog Number 66149Q. www.irs.gov Form 14568-E (Rev. 6-2018). For Paperwork Reduction Act information see current EPCRS Revenue Procedure. Form 14568-E (June 2018) Department of the Treasury - Internal Revenue Service

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