Defined Contribution Plan




Report your participation in a defined contribution plan in Part 3.  In addition, report your defined contribution plan in Part 2 (see Part 2 of this guide for details).

Employer or Party

City/State

Status and Terms

Date

Tyler Informatics

Charlotte, NC

I will continue to participate in this defined contribution plan.  The plan sponsor will not make further contributions after my separation.

5/1998

For You

Part 3

Report your participation in a defined contribution plan (excluding a plan with the United States Government).  In addition, if you are an Annual or Termination filer, report a defined contribution plan in which you participated at any point during the reporting period.

Employer or Party:  Provide the name of the employer.

City/State:  Provide the city and state in which the employer is located.

Status and Terms:  Identify the plan as a defined contribution plan and indicate whether you will continue to participate (i.e., continue to maintain funds within a plan account)If you will continue to participate, specify whether the employer will continue to make contributions.

Date:  Provide the month and year in which you began participating in the defined contribution plan.  This often is the date you became an employee of the organization.