PLAN SPONSOR REPORTING & AUDIT GUIDE2010 PLAN YEAR REPORTING FOR CLIENTS WITH QUALIFIED AND 403(b) PLANS SUBJECT TO ERISA
For Institutional Investor Use Only. Not for Use With or Distribution to the General Public. Version 1.5
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TABLE OF CONTENTSSECTION ONE. INTRODUCTION
CHAPTER 1: TIAA-CREF1.1 Regulatory Changes 31.2 Reporting Changes 31.3 The Plan Sponsor Reporting & Audit Guide 41.4 How Plans Using TIAA-CREF Contracts
Are Structured4
SECTION TWO. PLAN SPONSOR GUIDE
CHAPTER 2: YEAR-END REQUIREMENTS2.1 Responsibilities of the Plan Administrator 9
2.1.1 Satisfying Reporting and Disclosure Requirements 92.1.2 Responsibilities as a Plan Fiduciary 10
2.2 Overview of 2010 Form 5500 Filing Requirements
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2.2.1 Form 5500 Exemptions 112.2.2 2010 Form 5500 Schedules 122.2.3 Form 8955-SSA 122.2.4 Additional Required Disclosure 132.2.5 When to File Form 5500 and Form 8955-SSA 132.2.6 How to File Form 5500 142.2.7 How to File Form 8955-SSA 14
2.3 Audit Requirements 142.3.1 Small Plan Audit Waiver 152.3.2 Definition of “Participant” 15
2.4 Limited Scope vs. Full Scope Audit 162.5 Compliance Calendar 17
CHAPTER 3: PLAN YEAR-END REPORT PACKAGE OVERVIEW3.1 Summary of Reports 183.2 Obtaining Reports Using the Web 19
3.2.1 Comma-separated value (.csv) File Format 193.3 Timing of Report Distribution 203.4 Requesting Secure Access 203.5 Requesting Plan Reporting Aggregation 20
CHAPTER 4: REPORT DESCRIPTION, SAMPLES AND USE4.1 Certified Financial Reports 21
4.1.1 Certification Statement 214.1.2 Schedule of Assets Held for Investment 224.1.3 Statement of Changes to Net Assets 224.1.4 TIAA Traditional Annuity Defaulted Loan
Collateral Participant Detail Report23
4.1.5 Footnotes to the Statement of Changes to Net Assets
23
4.2 Supplemental Financial Reports 234.2.1 Participant Detail Summary 244.2.2 Transaction History by Date Report 244.2.3 Transaction History by Fund Report 244.2.4 Contribution Report 244.2.5 New Loan Issued Report for Participant Loans 244.2.6 New Loan Issued Report for Plan Loans 254.2.7 Loan Activity Report for Participant Loans 254.2.8 Loan Activity Report for Plan Loans 254.2.9 Outstanding Loan Report for Participant Loans 25
4.2.10 Outstanding Loan Report for Plan Loans 254.2.11 Distribution Report 264.2.12 Plan to Plan Transfer Report 264.2.13 Forfeiture Account Report 264.2.14 Payroll Summary Report 264.2.15 Participant Contribution Investment
Allocation Report26
4.2.16 Participant Count 264.2.17 Plan ID Report 26
4.3 Supplemental Financial Reports (May also be called Plan Sponsor Reports)
27
4.3.1 Missing Dates Report 27
4.3.2 Asset Allocations Statistics 274.3.3 Nearing Retirement Age Report 274.3.4 Minimum Distribution Monitoring Report 274.3.5 Small Cash Out Monitoring Report 274.3.6 Distribution Tax Information Report 284.3.7 Summary of Fees and Compensation
for Your Plan28
4.3.8 Investment Fee & Expense Disclosure 284.3.9 Direct Fees Paid from Plan Assets 28
4.3.10 Service Provider Summary 284.4 Supplemental Reports to Support Form 5500 28
4.4.1 5500 Reportable-Schedule of Assets Held for Investment
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4.4.2 5500 Reportable-Statement of Changes to net Assets
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4.4.3 Filing Summary for Schedule A (Insurance Information)
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4.4.4 Filing Summary for Schedule C (Service Provider Information)
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4.4.5 Filing Summary for Schedule D (DFE/Participating Plan Information)
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4.4.6 Filing Summary for Schedule H (Financial Information)
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4.4.7 Filing Summary for Schedule H, Line 4i (Schedule of Assets)
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4.4.8 Filing Summary for Form 5500-SF (Short Form Annual Return/Report of Small Employer Benefit Plan)
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SECTION THREE. AUDIT GUIDE
CHAPTER 5: GENERAL AUDITOR GUIDANCE5.1 Auditor Access to the Web 325.2 Requests for Additional Information 325.3 Audit Support Toolkit 32
CHAPTER 6: STATEMENT ON AUDITING STANDARDS NO. 706.1 SAS 70, In General 336.2 TIAA’s SAS 70 Reports 336.3 A New Standard SSAE 16 34
CHAPTER 7: REPORTING INFORMATION RELATED TOTIAA-CREF ANNUITIES AND INVESTMENTS7.1 TIAA Traditional Annuity, TIAA Stable Value and
TIAA Stable Return Annuity35
7.1.1 TIAA Traditional Annuity 357.1.2 TIAA Stable Return Annuity 367.1.3 TIAA Stable Value 367.1.4 Reporting in the TIAA Traditional Annuity,
TIAA Stable Value and TIAA Stable Return Annuity on the Form 5500
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7.2 TIAA Real Estate Account 367.2.1 Reporting Investments in the REA on the
Form 550036
7.3 Plan Asset Valuation 377.3.1 Frequency with which TIAA-CREF
Values Plan Assets37
7.3.2 ASC 820 (formerly known as FAS 157) – Fair Value Measurement
37
7.4 Participant Loans vs. Plan Loans 387.5 Plan Confirmation Information 38
SECTION FOUR. FREQUENTLY ASKED QUESTIONS 41
SECTION FIVE. APPENDICESA. Appendix A — Sample Plan Sponsor Reporting Package 55B. Appendix B — Acronyms and Abbreviations 109C. Appendix C — Illustrative Formats for Financial Statements 110D. Appendix D — Supplemental Investment Instructions 112
TIAA-CREF has compiled this guide to help answer some questions the plan sponsor, financial and legal advisors, or plan auditor may have during the ERISA reporting process for a qualified plan or 403(b) plan subject to ERISA. For answers to questions not addressed in this Guide, call TIAA-CREF at 888 842-7782.
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SECTION ONE. INTRODUCTION
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1.1 REGULATORY CHANGESThere are no new regulatory changes impacting the reporting and disclosure for qualified and 403(b) plans subject to ERISA for the 2010 reporting cycle (any plan year beginning in the calendar year 2010).
One item new in 2009 remains unresolved for the 2010 reporting cycle. Schedule SSA has historically been used to report information on participants having a deferred vested benefit and who have separated from covered service and was attached to the Form 5500 series return. For 2009, Schedule SSA was replaced by the Form 8955-SSA, and processing responsibilities shifted from the Department of Labor to the Department of the Treasury. In November 2010, the Internal Revenue Service (IRS), the agency within the Department of the Treasury responsible for processing the Form 8955-SSA, released drafts of Form 8955-SSA and its instructions along with a request for comments on proposed information collection (Federal Register, Nov. 1, 2010). The comment period ended Jan.3, 2011. More information will be available once the form and its instructions are finalized.
Plan administrators are not required to file the Form 8955-SSA for the 2009 plan year and subsequent years until the IRS issues its guidance. The IRS anticipates the guidance will establish a special due date, expected to occur in 2011, for the 2009 Form 8955-SSA. When the Form 8955-SSA and instructions are finalized, plan administrators should expect to have a reasonable amount of time to complete and file the form by an as-yet unannounced special due date. The information reported on the new form will be similar to the information previously required for Schedule SSA. The new Form 8955-SSA must be filed directly with the IRS either on paper or electronically (once available). 1
Typically, separated participants with deferred vested benefits are reported in the plan year following the plan year in which separation from service occurred. This reporting methodology was permitted under the Schedule SSA instructions and is expected to be permitted with Form 8955-SSA. From the draft instructions, it appears that all participants with deferred vested benefits separating in plan years prior to 2009 will be reported for 403(b) plans subject to ERISA in the 2009 plan year. Participants with deferred vested benefits separating from service during the 2009 plan year will be reported in the 2010 plan year. Based on the draft instructions, separate filings will be required for each of the 2009 and 2010 plan years and each filing will contain information specific to the reporting year.
1.2 REPORTING CHANGESNow that the initial reporting year for the ERISA 403(b) plans is complete, we have expanded some sections to reflect lessons learned. We also improved the financial report package for the third consecutive year. Key changes to the annual financial report package are:
Filing Summaries have returned. These reports provide information necessary to prepare a plan’s Form 5500 and related schedules containing financial information.
Participant Contribution Investment Report that details the allocation of individual contributions to the plan’s investments.
Plan to Plan Transfers Report, that has been added to detail participant transfers into or out of the plan to assist in reconciling activity between vendors.
CHAPTER 1
TIAA-CREFPROVIDING RETIREMENT PLAN SOLUTIONS FOR THE ACADEMIC, MEDICAL, CULTURAL AND RESEARCH COMMUNITIES
1 SSA/IRS Reporter, Fall 2010, page 2.
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TIAA Traditional Annuity Defaulted Loan Collateral Participant Detail Report summarizing the TIAA Traditional Annuity holdings collateralizing plan loans where the participant has defaulted on the loan and has not met an event as specified by the plan or funding contract for distribution.
Plan ID Report that identifies the OPS plans included in the report package.
1.3 THE PLAN SPONSOR REPORTING & AUDIT GUIDEThis Guide provides the information needed to support standard plan financial reporting and auditing for an ERISA retirement plan funded in whole or in part by investment products provided by TIAA, CREF, TIAA-CREF or any other investment product recordkept by TIAA-CREF.
The Guide includes:
Year-end and regulatory reporting requirements, an overview of the reporting data that TIAA-CREF provides and descriptions and samples of the TIAA-CREF reports
An overview of audit guidelines, information on the SAS 70 reports and reporting information relating to TIAA-CREF investment products
Frequently asked questions
Commonly used acronyms
Examples of plan-level financial statements using TIAA-CREF investment products
TIAA-CREF is available to work directly with plan administrators to review the Guide and offer assistance when needed. Contact the plan’s assigned Institutional Liaison, or, if served by the Administrator Telephone Center, contact a TIAA-CREF consultant at 888 842-7782.
TIAA-CREF will supplement this Guide through a variety of communications designed to brief the plan sponsor on any further clarifications concerning changes in the regulatory envirnonment and provide continuing practical guidance. TIAA-CREF will continue to provide educational materials, webinars, workshops and regular communications and updates including articles posted on the TIAA-CREF Plan Sponsor website, the online 403(b) Resource Center, and in the monthly e-newsletter for plan administrators, ACCESS: TIAA-CREF. Review the schedule of our administrator webinars on the Plan Sponsor website.
TIAA-CREF is unable to provide accounting, legal, or tax advice, so we strongly encourage you to discuss matters pertaining to regulations governing an ERISA retirement plan with the plan’s tax or legal advisor or auditor.
1.4 HOW PLANS USING TIAA-CREF CONTRACTS ARE STRUCTUREDUnlike many trusteed plans, a retirement plan using TIAA and CREF annuities may be funded, in whole or in part, by individually controlled TIAA and CREF fixed and variable annuity contracts (Retirement Choice and Retirement Choice Plus contracts are controlled by the plan). Contributions made by the employer and the participant can be allocated by the participant to investments available in the TIAA and CREF contracts, and, if the plan provides, to other selected investment options (e.g., mutual funds) maintained on the TIAA-CREF recordkeeping platform. TIAA-CREF may also offer a brokerage window investment option to qualified and 403(b) plans within which a participant may invest in an expanded menu of choices.
Plan investments in mutual funds are held in trust by qualified plans and under custodial accounts for 403(b) plans. Annuity contracts are exempt from being held in a trust or custodial account. TIAA-CREF does not serve in the capacity as custodian or trustee for any plan for which it provides recordkeeping services.
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Other considerations of TIAA and CREF contracts include, but are not limited to:
The TIAA Traditional Annuity is a fixed-rate guaranteed annuity offered by Teachers Insurance and Annuity Association (TIAA), an insurance company. Contributions to the TIAA Traditional Annuity purchase a contractual or guaranteed amount of future benefits for the participant. The guarantees and returns of the TIAA Traditional Annuity are backed by TIAA’s claims-paying ability.
Liquidity restrictions apply to the TIAA Traditional Annuity under certain types of annuity contracts:
� Retirement Annuity (RA) { individually owned { no lump-sum withdrawals permitted { participant-initiated transfers may only be made in 10 annual installments
� Group Retirement Annuity (GRA) { individually owned via certificate { lump-sum withdrawals are permitted within 120 days following termination of employment and are subject to a 2.5% surrender charge
{ participant-initiated transfers may only be made in 10 annual installments
{ participant-initiated withdrawals are limited to 5 annual installments following termination of employment
� Retirement Choice (RC) { plan-controlled { participant-initiated lump-sum withdrawals are permitted within 120 days following termination of employment and are subject to a 2.5% surrender charge
{ participant-initiated transfers may only be made in 84 monthly installments
{ participant-initiated withdrawals other than lump-sum withdrawals made in the 120-day period following termination of employment may only be made in 84 monthly installments
The following TIAA Traditional Annuity contracts have no liquidity restrictions (applicable to participant withdrawals and transfers):
� Supplemental Retirement Annuity (SRA) { individually owned
� Group Supplement Retirement Annuity (GSRA) { individually owned via certificate
� Retirement Choice Plus (RCP) { plan-controlled
A plan’s accumulations in the TIAA Traditional Annuity are reported at contract value for plan financial and Form 5500 reporting, which approximates fair value. See our TIAA Traditional Annuity valuation white paper and ASC 820 guidance. (http://www.tiaa-cref.org/emsg/ plan_admin/pdf/C45147.pdf).
TIAA Traditional Annuity holdings within liquid contracts (SRA, GSRA and RCP) are benefit responsive; TIAA Traditional Annuity holdings within illiquid contracts (RA, GRA and RC) are non-benefit responsive. The two categories of TIAA Traditional Annuities are now reported separately to facilitate reporting and disclosure on the financial statements. Benefit responsiveness does not impact the Form 5500.
Because of the complexity of the vintage system, an approach to recordkeeping fixed-rate annuities that provide for an additional discretionary interest rate offered under employer-sponsored retirement plans is to unitize the annuities to more efficiently apply the interest crediting rates (combined guaranteed and discretionary rates). As a result, realized and unrealized appreciation/depreciation will appear in the plan-level reporting. All realized and unrealized appreciation/depreciation should be considered Earnings. TIAA follows this approach for TIAA Traditional Annuity, TIAA Stable Return Annuity and TIAA Stable Value.
The TIAA Stable Return Annuity is a fixed-rate group annuity product offered by TIAA, an insurance company. Contributions to the TIAA Stable Return Annuity buy a contractual or guaranteed amount of future benefits for the participant. The contract provides a guaranteed minimum rate of interest of between 1% and 3% with the potential for additional interest to be credited
SECTION 1: CHAPTER 1
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above the guaranteed minimum. Allocations to the TIAA Stable Return Annuity are backed by TIAA’s claims-paying ability. The TIAA Stable Return Annuity is immediately liquid to plan participants and does not have participant-level withdrawal restrictions (though there are “equity wash” provisions that prevent the immediate transfer of amounts from the TIAA Stable Return Annuity to any competing funds that may exist under the plan). As such, TIAA Stable Return Annuity is benefit-responsive. A plan’s accumulations in the TIAA Stable Return Annuity are reported at contract value (which approximates fair value) in all plan and participant reporting. Plan sponsors choosing to terminate a plan’s holdings in the TIAA Stable Return Annuity contract will receive contract value in two years.
The TIAA Stable Value is a fixed-rate group annuity product offered by TIAA, an insurance company. Contributions are maintained in a non-unitized separate account of TIAA and buy a contractual or guaranteed amount of future benefits for the participant. The contract provides a guaranteed minimum rate of interest of between 1% and 3% (before deductions for contract fees) with the potential for additional interest to be credited above the guaranteed minimum. TIAA Stable Value is immediately liquid to participants and does not have participant-level withdrawal restrictions (though there are “equity wash” provisions that prevent the immediate transfer of amounts from TIAA Stable Value annuity to any competing funds that may exist under the plan). As such, TIAA Stable Value is a benefit-responsive contract. A plan’s accumulations in TIAA Stable Value are reported at contract value (which approximates fair value) in all plan and participant reporting. Plan sponsors choosing to terminate a plan’s investment in the TIAA Stable Value contract will receive contract value in, at most, two years. If the two-year payout applies a Discontinuance Fee will be assessed which has the effect of reducing the interest credited during the two-year period by, at most, 75 basis points (0.75%).
The TIAA Access Annuity (TIAA Access) is a separate account of TIAA, an insurance company. It is a variable annuity and is registered with the Securities and Exchange Commission (SEC) as an investment company under the Investment Company Act of 1940. It operates as a unit investment trust.
As such, it will invest in shares of underlying mutual funds. Contributions to TIAA Access buy accumulation units whose value is calculated daily. The value of a participant’s investment rises and falls with the return on the underlying assets. TIAA Access has four tiers, each of which as an individual unit value. Audited financial statements are available at tiaa-cref.org.
TIAA Real Estate Account (REA) is a separate account of TIAA, an insurance company. It is also a variable annuity. To the extent that assets of a plan subject to ERISA are invested in the REA, TIAA will be acting as an “investment manager” as that term is defined under section 3(38) of ERISA. Contributions to the REA buy accumulation units whose value is calculated daily. The value of a participant’s investment rises and falls with the return on the underlying assets in the REA. The REA files its own Form 5500 as a pooled separate account, thereby affording investing plans with limited relief in filing their own Form 5500. See Section 7.2 for additional information. Audited financial statements are available at tiaa-cref.org.
College Retirement Equities Fund (CREF) is registered with the SEC as an open-end diversified management investment company. Contributions to the CREF variable annuity accounts buy accumulation units whose value is calculated every business day in the CREF accounts selected by the participant. The value of a participant’s accumulation rises and falls with the returns on assets in the portfolios of the accounts he or she chooses. Audited financial statements are available at tiaa-cref.org.
The TIAA-CREF Funds (the Funds) is a statutory trust registered with the SEC under the Investment Company Act of 1940 as an open-end management investment company. Each fund is a separate portfolio with its own investment objective and strategies. Contributions to the Funds purchase shares whose net asset value is calculated every business day in the Fund(s) selected by the participant. The value of a participant’s investment rises and falls with the return on the securities held in the portfolios of the individual Fund he or she chooses. The TIAA-CREF Lifecycle Funds are components of the Funds. Audited financial statements are available at tiaa-cref.org.
SECTION 1: CHAPTER 1
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SECTION TWO. PLAN SPONSOR GUIDE
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2.1 RESPONSIBILITIES OF THE PLAN ADMINISTRATORUnder ERISA, the plan administrator is the person, position or entity specifically designated as such under the terms of the plan. If a plan administrator is not specifically named, then the plan sponsor or employer generally assumes the role of plan administrator. The plan administrator is responsible for determining participants’ eligibility; determining benefits due under the plan; responding to benefit claims and appeals; and interpreting all plan provisions. The plan administrator also prepares the plan’s financial statements and engages an independent qualified public accountant if the plan’s financial statements are subject to audit. In accordance with ERISA, the plan administrator is also responsible for:
Providing an appropriate governance structure and control environment, including policies and procedures, to ensure that the plan operates in accordance with its terms and regulatory guidance
Maintaining the form of the plan document and plan records
Operating the plan for the exclusive benefit of the plan participants
Administering the plan in accordance with its terms
Responding to participants, beneficiaries and regulatory authorities
Distributing the summary plan description, summary annual report and benefit statements for plan participants and beneficiaries under the plan
Filing the Form 5500, Annual Return/Report of Employee Benefit Plan
2.1.1 SATISFYING REPORTING AND DISCLOSURE REQUIREMENTS
Annually, plan administrators of 401(a), 401(k), 403(a) and ERISA 403(b) plans must file Form 5500 and all applicable schedules with the Department of Labor and Form 8955-SSA with the Internal Revenue Service. Plan administrators are also required to provide participants with a summary plan description, summary of material modifications (if applicable) and a summary annual report. See Section 2.5 Compliance Calendar for applicable due dates for each.
403(b) plans that are not established and maintained by an employer may be referred to as safe harbor or non-ERISA 403(b) plans. These plans are not subject to ERISA and are, therefore, not subject to ERISA’s Form 5500 or audit requirements. These plans accept only employee salary reduction contributions and there is little or no employer involvement beyond the remittance of the employee contributions to a vendor. See the Department of Labor’s Field Assistance Bulletins 2007-02 and 2010-01 (http://www.dol.gov/ebsa/regs/fab2007-2.html and http://www.dol.gov/ebsa/regs/fab2010-1.html) for more information on these plans.
CHAPTER 2
YEAR-END REQUIREMENTS
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2.1.2 RESPONSIBILITIES AS A PLAN FIDUCIARY
A fiduciary is generally an individual or a group of people who use discretion or judgment in the management and administration of an employee benefit plan. Each plan must name at least one fiduciary in the formal plan document by name, position or title. Generally, the employer or an administrative committee serves in this capacity. A plan fiduciary must follow the Exclusive Benefit Rule, acting for the exclusive purpose of providing benefits to plan participants and beneficiaries. Additional responsibilities of a plan fiduciary who administers the plan generally include:
Acting prudently with the care and skill that a comparable fiduciary of a comparable plan would use under similar circumstances
Operating the plan in accordance with the plan document and ERISA
Preparing the plan’s financial statements and engaging an independent qualified public accountant to audit the financial statements, if required
Providing applicable participant communications consistent with the plan document
Providing diversification in the selection of plan investments to minimize the risk of substantial losses to participants and beneficiaries
Reviewing plan expenses and paying from the plan only those reasonable direct expenses of administering the plan and investing plan assets, but only if the payment of such expenses is permitted under the terms of the plan (see the TIAA-CREF Service & Fee Disclosure Guide)
Avoiding any conflicts of interest including transactions involving a sale between the plan and a party in interest, loans or extensions of credit between the plan and a party in interest, transfers to or use of plan assets for the benefit of a party in interest or any transactions that do not meet ERISA statutory, class or individual exemptions
2.2 OVERVIEW OF 2010 FORM 5500 FILING REQUIREMENTSAll retirement plans subject to ERISA have reporting requirements. With minor exceptions (see 2.2.1), these plans will file a Form 5500 to meet their reporting requirements. The Form 5500, including required schedules, is filed with the Department of Labor annually (see Section 2.2.6).
Form 8955-SSA may also be required if the plan has separated participants with deferred vested benefits (See Section 2.2.7). If required, the Form 8955-SSA is filed with the Internal Revenue Service.
Form 5500-EZ, if required, will continue to be filed with the Internal Revenue Service (IRS) for plans covering only sole proprietors, partners and their spouses (no common-law employees). Such plans may also file Form 5500-SF electronically with the Department of Labor instead of filing Form 5500-EZ with the IRS. However, doing so will allow the Form 5500-SF to be viewed on public domain websites.
A small plan may be eligible to file Form 5500-SF with its shortened reporting requirements (no schedules are attached). If a small plan is not eligible to file Form 5500-SF, it must file the Form 5500 including required schedules. To be eligible to file Form 5500-SF, a small plan must meet these conditions:
1. The plan covered fewer than 100 participants at the beginning of the plan year (the 80-120 rule applies; see Note in Section 2.3.2)
2. The plan met the conditions for being exempt from the requirement that the plan’s books and records be audited by an independent qualified public accountant (see Section 2.2.2 )
3. The plan did not hold any employer securities at any time during the plan year
4. At all times during the plan year, the plan had 100% of its assets invested in certain secure investments with a readily determinable fair value (plan assets recordkept by TIAA-CREF so qualify)
5. The plan is not a multiemployer plan
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For purposes of the Form 5500-SF, “eligible plan assets” are assets that have a readily determinable fair market value, are not employer securities and are held or issued by a bank or similar financial institution (e.g., trust companies, savings and loan associations, domestic building and loan associations, credit unions); an insurance company qualified to do business under the laws of a state; organizations registered as broker dealers; investment companies registered under the Investment Company Act of 1940; or any other organization authorized to act as a trustee for individual retirement accounts. Examples of assets that would qualify as eligible plan assets for this annual reporting purpose are mutual fund shares, investment contracts with insurance companies or banks that provide the plan with valuation information at least annually, publicly traded stock held by a registered broker/dealer, cash and cash equivalents held by a bank. TIAA participant loans are also “eligible plan assets” for this purpose whether or not they have been deemed distributed.
2.2.1 FORM 5500 EXEMPTIONS
Form 5500 is not required for plans meeting any of the following exemptions as these plans are not subject to ERISA:
A governmental plan
A church plan not electing coverage under section 401(d) of the Internal Revenue Code
A tax-deferred annuity plan exempt from ERISA under DOL regulation 2510.3-2(f), meeting these requirements:
� Participation is completely voluntary
� Employer involvement is limited to administering salary reduction agreements
� Investment options are limited to a number and selection designed to afford employees a reasonable choice
� Vendors are permitted to publicize their products to employees
� All rights under the contracts and custodial accounts are enforceable only by the participant
� The employer receives no direct or indirect consideration or compensation other than reasonable compensation to cover the expenses of administering the salary reduction agreements
An unfunded excess benefit plan under ERISA 4(b)(5)
A Savings Incentive Match Plan for Employees of Small Employers (SIMPLE) that involves SIMPLE individual retirement accounts under IRC section 408(p)
A simplified employee pension (SEP) or a salary reduction SEP described in IRC section 408(k) that conforms to the alternative method of compliance provided in the Department of Labor regulations
A pension plan that is a qualified foreign plan within the meaning of IRC section 404A(e) that does not qualify for the treatment provided in IRC section 402(e)(5)
An unfunded pension plan for a select group of management or highly compensated employees that meets the requirement of the Department of Labor regulations, including timely filing of a registration statement with the Department of Labor
An unfunded dues financed pension benefit plan that meets the alternative method of compliance provided by the Department of Labor regulations
An individual retirement account or annuity not considered a pension plan under the Department of Labor regulations
If uncertain as to the application of these exemptions to a specific plan, TIAA-CREF recommends that the plan’s tax or legal advisor be consulted.
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2.2.2 2010 FORM 5500 SCHEDULES
Large plans:
Schedule A Insurance Information
Schedule C Service Provider Information (including termination of the reporting plan’s accountant or actuary). See the TIAA-CREF Service and Fee Disclosure Guide for additional information.
Schedule D DFE/Participating Plan Information – to be included if the reporting plan had an investment in the TIAA Real Estate Account at any time during the plan year
Schedule G Financial Transaction Schedules (filed only if the reporting plan had specific types of financial transactions)
Schedule H Financial Information
Schedule R Retirement Plan Information
Small plans:
Investment products available under plans recordkept by TIAA-CREF qualify as “eligible plan assets” as that term is defined in the instructions to Form 5500-SF (see Section 2.2 for the definition). Therefore, small plans investing in TIAA, CREF and TIAA-CREF investment products will be able to file Form 5500-SF. The form has no attachments although Form 8955-SSA, if required, must be filed with the IRS. If any of a plan’s assets do not meet the definition of “eligible plan assets,” the plan must file a Form 5500 as shown here:
.Schedule A Insurance Information
Schedule D DFE/Participating Plan Information – to be included if the reporting plan had an investment in the TIAA Real Estate Account at any time during the plan year
Schedule I Financial Information – Small Plan
Schedule R Retirement Plan Information
2.2.3 FORM 8955-SSA
Schedule SSA has historically been used to report information on participants having a deferred vested benefit and who separated from covered service and was attached to the Form 5500 series return. For 2009, Schedule SSA was replaced by the Form 8955-SSA, and processing responsibilities shifted from the Department of Labor to the Department of the Treasury. In November 2010, the Internal Revenue Service (IRS), the agency within the Department of the Treasury responsible for processing the Form 8955-SSA, released drafts of Form 8955-SSA and its instructions along with a request for comments on proposed information collection (Federal Register, Nov. 1, 2010). The comment period ended Jan.3, 2011. More information will be available once the form and its instructions are finalized.
Plan administrators are not required to file the Form 8955-SSA for the 2009 plan year and subsequent years until guidance is issued by the IRS. The IRS anticipates the guidance will establish a special due date, expected to occur in 2011, for the 2009 Form 8955-SSA. When the Form 8955-SSA and instructions are finalized, plan sponsors should expect to have a reasonable amount of time to complete and file the form by an as-yet unannounced special due date. The information reported on the new form will be similar to the information previously required for Schedule SSA. The new Form 8955-SSA must be filed directly with the IRS either on paper or electronically (once available). 2
Typically, separated participants with deferred vested benefits are reported in the plan year following the
SECTION 2: CHAPTER 2
2 SSA/IRS Reporter, Fall 2010, page 2.
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plan year in which separation from service occurred. This reporting methodology was permitted under the Schedule SSA instructions and is expected to be permitted with Form 8955-SSA.
From the draft instructions, it appears that all participants with deferred vested benefits separating in plan years prior to 2009 will be reported for 403(b) plans subject to ERISA in the 2009 plan year. Participants with deferred vested benefits separating from service during the 2009 plan year will be reported in the 2010 plan year. Based on the draft instructions, separate filings will be required for each of the 2009 and 2010 plan years and each filing will contain information specific to the reporting year.
When final guidance is released by the IRS, TIAA-CREF will update plan sponsors concerning the reporting requirements of Form 8955-SSA, including filing information.
2.2.4 ADDITIONAL REQUIRED DISCLOSURE
The Form 5500 is summarized in the summary annual report (SAR). The SAR must be distributed to active and inactive plan participants and beneficiaries receiving or entitled to receive benefits each year within nine months of the end of the plan year. If the filing due date of the Form 5500 is extended, the SAR is to be distributed no later than two months after the extended due date. The preparer of the Form 5500 generally prepares the SAR and provides it to the plan administrator for distribution. For plans electing to use the TIAA-CREF Form 5500 Preparation Service, the SAR will be included.
The prescribed form of the SAR is contained in section 2520.104b-10 of the ERISA regulations as is a cross reference to the Form 5500. If portions of the prescribed form are not applicable to a plan, such information is not required to be included. If additional explanation of any prescribed information is needed to fairly summarize the annual report, it may be included in a separate category and labeled “Additional Explanation.”
2.2.5 WHEN TO FILE FORM 5500 AND FORM 8955-SSA
Retirement plans subject to ERISA are required to file Form 5500 and Form 8955-SSA no later than the last day of the seventh month following the end of the plan year. For example, if a plan year ends December 31, 2010, the filing due date is July 31, 2011. If the filing due date falls on a weekend or national holiday, the return’s due date will be extended to the next business day.
An extension of the filing due date is available:
By filing Form 5558, Application for Extension of Time to File Certain Employee Plan Returns, with the Internal Revenue Service on or before the regular filing due date. A copy of the extension must be maintained with the plan’s permanent records. The instructions to Form 8955-SSA, when finalized, will provide instructions concerning attachment of the Form 5558 when filing with the Internal Revenue Service.
By use of the plan sponsor’s tax extension (Form 8868, Application for Extension of Time to File an Exempt Organization Return or other extension
FORM 5500 AND FORM 8955-SSA FILING CALENDAR BY PLAN YEARIf Your Plan Year Ends: Your Filing Deadline: Your Extension Deadline:January 31 August 31 November 15February 28 September 30 December 15March 31 October 31 January 15April 30 November 30 February 15May 31 December 31 March 15June 30 January 31 April 15July 31 February 28 May 15August 31 March 31 June 15September 30 April 30 July 15October 31 May 31 August 15November 30 June 30 September 15December 31 July 31 October 15
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14
form as appropriate) if both the plan year and the plan sponsor’s tax year are the same. A copy of the extension must be maintained with the plan’s permanent records. The instructions to Form 8955-SSA, when finalized, will provide instructions concerning attachment of the Form 8868 when filing with the Internal Revenue Service.
Special extensions as announced by the Internal Revenue Service and the Department of Labor.
2.2.6 HOW TO FILE FORM 5500
TIAA-CREF offers an optional Form 5500 Preparation Service, providing preparation services of the Form 5500 as well as the related SAR and filing options. For information on this service, contact the plan’s assigned Institutional Liaison, or if served by the Administrator Telephone Center, contact a TIAA-CREF consultant at 888 842-7782.
The completed Form 5500 and its related schedules should be filed with the Department of Labor as specified in the Form 5500 Instructions under “Electronic Filing Requirement.” Filing options are (1) use of EFAST2’s web-based filing system or (2) use of an EFAST2-approved vendor’s filing system. You’ll find detailed information on electronic filing at www.efast.dol.gov.
The plan administrator must keep a copy of the Form 5500, including schedules, extensions and attachments with all required manual signatures on file as part of the plan’s permanent records and must make a paper copy available on request to participants, beneficiaries, Department of Labor and Internal Revenue Service.
The Form 8955-SSA should also be maintained with the plan’s permanent records. However, it should be released only to the regulatory agencies as it contains confidential participant information.
Filing Summaries are available in the year-end reporting package, which details the amounts to be reported on the Form 5500 financial schedules (certain reclassifications may be necessary).
2.2.7 HOW TO FILE FORM 8955-SSA
Filing instructions for the Form 8955-SSA have not been finalized by the Department of the Treasury as of the publication of this Guide. TIAA-CREF will provide further communications following finalization of the form and its instructions. Alternatively, review the instructions, when finalized, on the Internal Revenue Service’s website by entering “8955-SSA” in the search box at www.irs.gov/retirement/index.html.
Additionally, TIAA-CREF will provide further information following the finalization of the form and its instructions.
2.3 AUDIT REQUIREMENTSThe plan administrator of a retirement plan subject to ERISA is required to:
Engage an independent qualified public accountant to conduct an audit of the plan’s financial statements and to render an opinion on the financial statements
Attach the related audit report to the plan’s Form 5500. The annual audit report or audited financial statement consists of the audit opinion, financial statements, notes to the financial statements and the required supplemental schedules.
Plan administrators should have established internal policies, procedures and controls for administering their plans and preparing financial statements, verifying that written plan document requirements have been met and selecting an independent qualified public accountant to audit the plan’s financial statements, if required. The Department of Labor provides guidance on selecting an independent qualified public accountant on its website. Additionally, the American Institute of Certified Public Accountants’ Employee Benefit Plan Audit Quality Center has helpful information on audit quality and auditor selection at its website. More information is available at:
www.dol.gov/ebsa/publications/selectinganauditor.html
Audit Quality and Auditor Selection
TIAA-CREF provides an Audit Support Toolkit (http://www.tiaa-cref.org/plansponsors/land/audit_toolkit/index.html) on the Plan Sponsor website. Please review the toolkit for more information on audit support services provided by TIAA-CREF.
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2.3.1 SMALL PLAN AUDIT WAIVER
Typically, a small retirement plan (less than 100 participants on the first day of the reporting plan year) may waive the audit requirement if plan assets meet certain requirements. However, in limited circumstances, the plan administrator of a small retirement plan may also be required to engage an independent qualified public accountant. Refer to the chart above to help determine whether a small plan may waive ERISA’s audit requirement. For more information on the small plan audit waiver, please visit the DOL website (www.dol.gov/ebsa).
2.3.2 DEFINITION OF “PARTICIPANT”
Generally, for purposes of ERISA, a large plan is a plan having 100 or more participants on the first day of the plan year and a small plan is one having less than 100 on the first day of the plan year. For this purpose, the term “participant” includes individuals meeting one of these definitions:
1. Active – any individuals who are currently in employment covered by a plan and who are earning or retaining credited service under a plan. This category includes any individuals who are eligible to elect to have the employer make payments to a 401(k) qualified cash or deferred arrangement or a 403(b) tax-deferred annuity. Active participants also include any nonvested individuals who are earning or retaining credited service under a plan. This category does
not include (a) nonvested former employees who have incurred the break in service period specified in the plan or (b) former employees who have received a “cash out” distribution or deemed distribution of their entire nonforfeitable accrued benefit.
2. Retired or separated participants receiving benefits – any individuals who are retired or separated from employment covered by the plan and who are receiving benefits under the plan. This category does not include any individual to whom an insurance company has made an irrevocable commitment to pay all the benefits to which the individual is entitled under the plan. This category does not include individuals who have annuitized their plan benefits. Such individuals have taken a total distribution of their benefits and are no longer associated with the plan.
3. Other retired or separated participants entitled to future benefits – any individuals who are retired or separated from employment covered by the plan and who are entitled to begin receiving benefits under the plan in the future. This category does not include any individual to whom an insurance company has made an irrevocable commitment to pay all the benefits to which the individual is entitled under the plan.
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SMALL PENSION PLAN AUDIT WAIVER SUMMARY
Is the plan a pension plan?
Small pension plan audit waiver conditions do not apply.
The conditions for the waiver have not been satisfied.
The conditions for the waiver of an Independent Qualified Public Accountant audit and report have been satisfied.
Is the Schedule I required as partof the plan’s annual report?
Do at least 95% of the assets of the planconstitute “qualifying plan assets”?
Is each person who handles nonqualifying planassets properly bonded in an amount that is at leastequal to the value of the nonqualifying plan assets? Does the administrator disclose the required
information in the SAR and on request?
YESNO
NO
NO
YES
NO
NO
YES
YES
YES
16
4. Deceased individuals whose beneficiaries are receiving or are entitled to receive benefits – includes only the deceased individual and not the number of beneficiaries. This category does not include an individual if an insurance company has made an irrevocable commitment to pay all the benefits to which the beneficiaries of that individual are entitled under the plan.
Note: Plans having between 80 and 120 participants on the first day of the reporting plan year may be able to file the same type of return as filed in the immediately preceding reporting year.
For ERISA 403(b) plans only: The Department of Labor issued Field Assistance Bulletin 2009-02 on July 20, 2009, providing relief to ERISA 403(b) plans subject to Title I of ERISA.The relief allowed plan sponsors to treat annuity contracts and custodial accounts as not being part of the plan provided:
The contract or account was issued to a current or former employee before Jan. 1, 2009
The employer ceased to have any obligation to make contributions (including employee salary reduction contributions) and, in fact, ceased making contributions to the contract or account before Jan. 1, 2009
All of the rights and benefits under the contract or account are legally enforceable against the insurer or custodian by the individual owner of the contract or account without any involvement of the employer
The individual owner of the contract or account is fully vested in the contract or account
DOL subsequently issued FAB 2010-01 on Feb. 17, 2010, with related annual reporting and coverage questions and answers.
This method of counting participants may not be appropriate under generally accepted accounting principles for the preparation of a plan’s financial statements. The IQPA can provide additional assistance in assessing its applicability.
Participants who are excluded under FAB 2009-02 may continue to be excluded from the Form 5500 or Form 5500-SF in subsequent years unless an excluded contract or account is exchanged, in whole or in part for a contract or account under the employer’s 403(b) plan. The new contract or account should be included in the financial information on Form 5500 or Form 5500-SF and the associated participant counted for purposes of the participant counts. For purposes of a plan’s financial statements, treatment of an exchange transaction will be dependent upon the reporting methodology originally afforded the contract or account being exchanged.
You can find FAB 2009-02 at http://www.dol.gov./ebsa/regs/fab2009-2.html.
You can find FAB 2010-01 at http://www.dol.gov/ebsa/regs/fab2010-1.html.
TIAA-CREF cannot and does not offer accounting or legal advice. We recommend that the plan consult with its auditor and legal counsel concerning the application of and relief granted by the Department of Labor under FAB 2009-02 and FAB 2010-01.
2.4 LIMITED SCOPE VS. FULL SCOPE AUDITThe plan administrator may direct the independent qualified public accountant (IQPA or plan auditor) to perform either a full scope or a limited scope audit. The Employee Benefit Plans Audit Quality Center of the American Institute of Certified Public Accountants (AICPA) website provides additional information about limited scope audits as permitted under ERISA. http://www.aicpa.org/InterestAreas/EmployeeBenefitPlanAuditQuality/Resources/AccountingandAuditingResourceCenters/Pages/LimitedScopeAuditsResourceCenter.aspx
In general, a limited scope audit focuses on participant transactions and not on performing auditing procedures with respect to any statements prepared and certified by a bank or similar institution or insurance carrier regulated, supervised and subject to periodic examination by a State or Federal agency. The statements must be certified as to both
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the accuracy and completeness of the investment information to permit the use of the limited scope audit. TIAA and CREF (collectively referred to here and in the certification as TIAA-CREF) are both insurance carriers regulated, supervised and subject to periodic examinations and as such will certify the plan investments for which they recordkeep and their related investment activity to enable the plan administrator to instruct the IQPA to perform a limited scope audit. Additionally, TIAA-CREF has been authorized by JPMorgan Chase Bank, N.A. to certify plan investments as required by 29 CFR 2520.103-5(d) related to plans for which it serves as directed custodian and/or trustee (includes all non-annuity investments but not investments purchased using a brokerage window, if applicable).
Invocation of the limited scope does not eliminate a plan’s audit requirement; it simply allows the plan auditor to reduce the level of audit work performed in the area of investments and, thereby, possibly reduce the overall cost of the audit. It will not affect the audit work related to participant data, contributions, benefit payments or other plan information whether or not it is certified.
The plan administrator should discuss the audit scope and reach an agreement with the IQPA prior to the start of audit fieldwork as the overall cost of the audit may be affected.
In addition to modifications resulting from the performance of a limited scope audit, the majority of ERISA 403(b) plans received a modified opinions for the 2009 plan year because the plan’s IQPA was unable to gain sufficient comfort as to the completeness and accuracy of the plan’s beginning balance. This scope limitation is likely to continue until the 2009 beginning balance is no longer material to the financial statements as a whole. This important topic should be discussed with the plan’s IQPA.
2.5 COMPLIANCE CALENDARAn important role of a plan administrator is to ensure an employee benefit plan is operated in compliance with its terms and regulatory guidance. A plan may have general compliance requirements for which specific forms are required, each having its own filing deadline. To assist plan administrators with monitoring their employee benefit plans, follow this link to our compliance calendar for key dates to remember.
http://www.tiaa-cref.org/ucm/groups/content/ @ap_ucm_p_tcp/documents/document/tiaa04017746.pdf
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3.1 SUMMARY OF REPORTSThe 2010 plan year-end report package will be available on the Plan Sponsor website and will include up to 40 reports. Each report is described in detail in Chapter 4. Each report contains the plan sponsor name, plan name, plan identifier, report name and reporting period, as displayed in the following sample report.
See Section Five, Appendix A for samples of the 2010 reporting package.
Reporting TierCertification Statement
Financial Reports
Supplemental Financial Reports
Large 401(a), 401(k), 403(a), and 403(b) plans
X X X
Small 401(a), 401(k), 403(a), and 403(b) plans
X X X
CHAPTER 3
PLAN YEAR-END REPORT PACKAGE OVERVIEW
Report Name
Institution Name
Reporting period for which report activity
is generated
Information specific to your Institution’s
retirement plan
Date and time reports were
generated
Your unique plan identifier assigned
by TIAA-CREF for quick reference
to your plan
Your institution’s retirement plan name
19
3.2 OBTAINING REPORTS USING THE WEBPlan year-end reports, as well as certain historical reports, are available on the Plan Sponsor website. For large 403(b) plans, historical plan-level reports are available beginning with the 2008 plan year. For small 403(b) plans, historical plan-level reports are limited to the 2009 plan year only. In addition to the identified reports, enhanced web functionality for the Plan Financial Reporting application will include:
Centralized reporting where all plan reports will be available under the Reports section, under the Plan Financials link.
E-mail notifications when plan reports are available on the Plan Sponsor website.
Ability to download the plan financial reporting package in either .pdf or .csv format, in whole or in part
To access the plan financial reporting package, when available:
1. Go to www.tiaa-cref.org/plansponsors and click Log In
2. Once logged in, select the Reports section
3. From the Reports landing page, select Plan Financials from the menu listed
4. On the Plan Financials landing page, select the year; a list of plans and related reporting packages is provided
5. On the Plan Financials page, select the specific reports for downloading by checking the applicable boxes or select Download Entire Package to download all the reports in either .pdf version or .csv version, then click Continue
6. On the Format Selection page, select the boxes next to .pdf or .csv delivery method for the selected reports, then click Continue
7. A download window will appear permitting a selection of either saving or opening the selected report(s). ERISA requires plan sponsors to retain records for seven years. We strongly suggest that the entire report package be archived in the plan’s permanent records.
3.2.1 COMMA-SEPARATED VALUE (.CSV) FILE FORMAT
A .csv-formatted file allows the requested report to be saved as a text file which can be opened into a spreadsheet or basic database software application for additional functionality. For example, the instructions here are for using Microsoft Excel as the database software application.
1. Click the destination cell for the data from the text file. To ensure that the external data does not replace existing data, make sure that the worksheet has no data below or to the right of the cell you clicked.
2. On the Data menu, point to Import External Data, and then click Import Data.
3. In the Files of type box, click Text Files.
4. In the Look in list, locate and double-click the intended text file (an external data range).
5. Follow the instructions in the Text Import Wizard to divide the text into columns, and then click Finish.
6. In the Import Data dialog box, click Properties to set formatting and layout options for the imported data.
7. In the Import Data dialog box, select one of the following:
a. To return the data to the selected location, click Existing worksheet, and then click OK.
b. To return the data to a new worksheet, click New worksheet, and then click OK. Microsoft Excel adds a new worksheet to the workbook and automatically puts the external data range in the upper-left corner of the new worksheet.
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3.3 TIMING OF REPORT DISTRIBUTIONFor both qualified plans and 403(b) plans, 2010 year-end reports will be available approximately 60 days following the end of the plan year for plan years beginning on or after Jan. 1, 2010. Notifications appear on the Plan Profile and Reports landing pages when the plan financial reports are ready for viewing. Plan administrators will receive an e-mail when plan reports are available on the Plan Sponsor website.
3.4 REQUESTING SECURE ACCESSEligible employees of the plan sponsor can register for secure access to the Plan Sponsor website. The Plan Sponsor website enables the administration of important plan tasks in an environment that is secure, fast and easy to use. If appropriate staff members have not been provided access, an authorized representative of the plan sponsor may grant such access by completing the Administrator Services Application (www.tiaacref.org/administrators/ admin_services/admin_form/pdf/online_form1_r4.pdf).
Once the request is received, TIAA-CREF will send an e-mail to the newly authorized staff member with detailed instructions on how to create a user ID and password. With secure access, staff members can:
Run online reports
Get online compliance
Inquire about participants’ account balances, allocations and contributions
Access secure and confidential participant information
If staff members have general access that does not include Plan Financial reports, contact the plan’s assigned Institutional Liaison, or if served by the Administrator Telephone Center contact a TIAA-CREF consultant at 888 842-7782 for assistance in securing the appropriate access.
3.5 REQUESTING PLAN REPORTING AGGREGATIONIf a single ERISA plan is being recordkept as more than one OPS plan, TIAA-CREF can aggregate these components into a single consolidated plan year-end report. This will simplify the preparation of the plan’s financial statements while maintaining separate components in the recordkeeping system. Requests to aggregate plan-level reporting must be received prior to the end of the reporting year for which aggregation is requested. To request plan reporting aggregation, contact the plan’s assigned Institutional Liaison, or if served by the Administrator Telephone Center contact a TIAA-CREF consultant at 888 842-7782.
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WHAT’S NEW FOR 2010Although still a single funding vehicle, the reporting of the TIAA Traditional Annuity has been modified to report the benefit responsive and non-benefit responsive holdings separately to facilitate financial reporting and disclosure. See section 1.4 for information pertaining to the TIAA Traditional Annuity benefit responsive and non-benefit responsive contracts.
Filing Summaries have returned. These reports provide the information necessary to prepare the majority of the plan’s Form 5500 schedules.
In addition, four new reports are being introduced for 2010:
Participant Contribution Investment Allocation Report detailing the allocation of participants’ contributions to the plans’ investments to assist in evaluating contributions.
Plan to Plan Transfers Report detailing participant transfers into or out of the plan to assist in reconciling activity between vendors.
TIAA Traditional Annuity Defaulted Loan Collateral Participant Detail Report summarizing the TIAA Traditional Annuity holdings collateralizing plan loans where the participant has defaulted and has not met an event as specified by the plan or funding contract for distribution. See Appendix D for detailed instructions.
Plan ID Report identifying the OPS plans included in the report package to assist plan sponsors receiving a combined report including multiple OPS plans.
4.1 CERTIFIED FINANCIAL REPORTSCertified financial reports address the completeness and accuracy of the plan investments as recordkept by TIAA-CREF and the related investment activity for the specified reporting period. These reports provide financial information needed to complete financial disclosure required for the Form 5500 as well as to develop the plan’s financial statements. See Section Five, Appendix A, for a sample of the 2010 certified financial reports. The certified financial report package includes:
Certification Statement
Schedule of Assets Held for Investment
Statement of Changes to Net Assets
TIAA Traditional Annuity Defaulted Loan Collateral Participant Detail
4.1.1 CERTIFICATION STATEMENT
Certification Statement certifies the completeness and accuracy of investment information and related investment activity, thereby permitting plan administrators to instruct an IQPA to perform a limited scope audit. As permitted under ERISA regulation, TIAA-CREF, as an insurance carrier, certifies this information for investments in annuities for which it serves as recordkeeper. TIAA-CREF has been authorized by JPMorgan Chase Bank, N.A. (JPMC) to certify on its behalf for investments for which TIAA-CREF serves as recordkeeper and for which JPMC serves as directed trustee (qualified plans) or directed custodian (403(b) plans).
CHAPTER 4
REPORT DESCRIPTION, SAMPLES AND USE
22
4.1.2 SCHEDULE OF ASSETS HELD FOR INVESTMENT
Schedule of Assets Held for Investment is the balance sheet for the plan and includes the investment price, unit balance market value and cost for each investment of the plan recordkept by TIAA-CREF as of the end date of the specified reporting period.
The Schedule of Assets Held for Investment provides a snapshot of all plan investments with a beginning or ending market value or activity (e.g., contributions, withdrawals) during the reporting period. The ending unit balance, market value and cost for each investment equals the ending unit, market value and cost for each investment on Statement of Changes to Net Asset and Participant Detail Summary.
4.1.3 STATEMENT OF CHANGES TO NET ASSETS
Statement of Changes to Net Assets is the income statement and summarizes the investment activity and direct expenses associated with each investment of the plan recordkept by TIAA-CREF for the specified reporting period. The Statement of Changes to Net Assets groups certain transactions to summarize items as required by the Form 5500. The transactions are defined and reported on the Form 5500 as follows:
Beginning Balance
Market Value at the Beginning of the Period: the beginning balance by investment and total as of the previous plan year end and equal to the beginning market value by investment and in total on the Participant Detail Summary
Additions To Net Assets
Contributions: Supporting participant level activity by source is provided in Contribution Report and Participant Detail Summary
Other Receipts: Additional receipts into the plan not categorized as Contributions
Investment Income
Earnings: Supporting participant level activity by source and fund is provided in Participant Detail Summary
Participant Loan Interest: Supporting plan and participant level activity by source and fund is provided in Participant Detail Summary and Loan Activity Report
for Participant Loans. (See Section 7.4, Participant Loans vs. Plan Loans, for a complete description of the difference between participant and plan loans.)
Dividends: Supporting participant level activity by source and fund is provided in Participant Detail Summary
Realized/Unrealized Gain (Loss): Supporting participant level activity by source and fund is provided in Participant Detail Summary
Deductions From Net Assets
Withdrawals: Supporting participant level activity by source and fund provided in Distribution Report and Participant Detail Summary
Distributions: Supporting participant level activity by source and fund provided in Distribution Report and Participant Detail Summary
Annuity Settlement Options: Supporting participant level activity by source and fund provided in Distribution Report and Participant Detail Summary
Forfeitures: Supporting plan and participant level activity by source and fund provided in Participant Detail Summary, Distribution Report and Forfeiture Account Report
Fees: Supporting plan and participant level activity by source and fund provided in Participant Detail Summary and Direct Fee Report
Other Deductions: Other deductions not included in any of the above categories
Transfers
Interfund Transfers In/(Out): Supporting participant level activity by source and fund for fund transfers between investments within the plan provided in Participant Detail Summary
Conversions In/(Out): Supporting participant level activity by source and fund for fund transfers between investments within the plan provided in Participant Detail Summary
Plan to Plan Transfers In/(Out): Supporting participant level activity by source and fund for plan transfers outside of the plan provided in Participant Detail Summary
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23
Participant Loans (Issued): Supporting plan and participant level activity by source and fund provided in Participant Detail Summary, New Loan Issued Report and Loan Activity Report for Participant Loans. (See Section 7.4, Participant Loans vs. Plan Loans, for a complete description of the difference between participant and plan loans.)
Participant Loan Principal Repayments: Supporting plan and participant level activity by source and fund provided in Participant Detail Summary and Loan Activity Report for Participant Loans. (See Section 7.4, Participant Loans vs. Plan Loans, for a complete description of the difference between participant and plan loans.)
Ending Balance
Market Value at the End of the Period: Calculated total of all subtotals and equal to the ending market value on Schedule of Assets Held for Investment and Participant Detail Summary
Participant Balance at the End of the Period: Represents the participant balances reflected in the recordkeeping system and equals the Market Value at the End of the Period.
4.1.4 TIAA TRADITIONAL ANNUITY DEFAULTED LOAN COLLATERAL PARTICIPANT DETAIL REPORT
TIAA Traditional Annuity Defaulted Loan Collateral Participant Detail Report is a companion report to the Statement of Changes to Net Assets and summarizes the investment activity and direct expenses associated with the holdings collateralizing certain defaulted plan loans, which represent assets of the plan. The report includes the beginning balance, earnings, withdrawals/distributions and ending balance at a participant level. These amounts are not included in the Schedule of Assets Held for Investment or Statement of Changes to Net Assets and should be added to the amounts reported in both for the specified reporting period. For more information on plan loans see section 7.4. See Appendix D for detailed instructions.
4.1.5 FOOTNOTES TO THE STATEMENT OF CHANGES TO NET ASSETS
If applicable, the plan’s reporting package may include footnotes to provide detailed explanations related to certain transactions of the Plan recordkept by TIAA-CREF for the specified reporting period. Information contained in the Footnote Report may be needed in the development of the plan’s financial statements.
4.2 SUPPLEMENTAL FINANCIAL REPORTSSupplemental Financial Reports provide the detail to support the certified financial reports and are typically required by plan auditors. See Section Five, Appendix A, for a sample of the 2010 Supplemental Financial Reports.
Supplemental Financial Reports include:
Participant Detail Summary
Transaction History by Date Report
Transaction History by Fund Report
Contribution Report
New Loan Issued Report for Participant Loans
New Loan Issued Report for Plan Loans
Loan Activity Report for Participant Loans
Loan Activity Report for Plan Loans
Outstanding Loan Report for Participant Loans
Outstanding Loan Report for Plan Loans
Distribution Report
Plan to Plan Transfers In/Out Report
Forfeiture Account Report
Payroll Summary Report
Participant Contribution Investment Allocation Report
Participant Count
Plan ID Report
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24
4.2.1 PARTICIPANT DETAIL SUMMARY
Participant Detail Summary provides a detailed summary of all activity in each participant’s account. It includes beginning and ending market values, contributions, earnings, transfers, distributions, forfeitures, loan activity and direct fees broken down by investment and source. In addition, demographic data provided by the plan administrator is displayed (e.g., date of birth, date of hire). However, the plan administrator should rely on data maintained internally.
Some demographic descriptions, such as participant status and plan entry date, will be displayed; however, these may not contain related participant information. The plan administrator may provide additional information for these fields to be populated for future reporting.
Participant Detail Summary provides plan administrators with the opportunity to review activity posted to a participant’s account within a reporting period to assist in answering questions that may arise. Accumulations of these participant activities at the plan level — and in some cases the source and fund level — are provided in Schedule of Assets Held for Investment, Statement of Changes to Net Assets, Transaction History by Date Report, Transaction History by Fund Report, Contribution Report, New Loan Issued Report for Participant Loans, Loan Activity Report for Participant Loans, Outstanding Loan Report for Participant Loans, Distribution Report, Direct Fee Report and Forfeiture Account Report.
4.2.2 TRANSACTION HISTORY BY DATE REPORT
Transaction History by Date Report indicates the purchase, sale, net change, cost and realized gain (loss) totals for all financial related transactions for the specified reporting period, identified by transaction date. Transaction History by Date Report provides plan administrators the individual transactions that when accumulated on a plan level are provided in Statement of Changes to Net Assets, Participant Detail Summary, Contribution Report, New Loan Issued for Participant Loans, Loan Activity Report for Participant Loans, Distribution Report, Direct Fee Report and Forfeiture Account Report.
4.2.3 TRANSACTION HISTORY BY FUND REPORT
Transaction History by Fund Report indicates the purchase, sale, net change, cost and realized gain (loss) totals for all financial related transactions for the specified reporting period, identified by investment and transaction date. The Transaction History by Fund Report provides plan administrators the individual transactions that when accumulated on a plan and fund level are provided in Statement of Changes to Net Assets, Participant Detail Summary, Contribution Report, New Loan Issued for Participant Loans, Loan Activity Report for Participant Loans, Distribution Report, Direct Fee Report and Forfeiture Account Report.
4.2.4 CONTRIBUTION REPORT
Contribution Report reflects total contributions allocated to the participant’s account (including reallocated forfeitures), identified by source of money (e.g., Employee pretax, Employer, Rollover) for the specified reporting period. The Contribution Report provides a participant’s contribution activity to assist plan administrators in monitoring elective deferrals for compliance with annual deferral and contribution limitations. The contribution amounts reported in total, by source and by participant equal the contribution amounts in total, by source and by participant on Participant Detail Summary. Additionally, the contribution amounts reported, in total and by source, equal the contribution amounts, in total and by source, on the Statement of Changes to Net Assets.
4.2.5 NEW LOAN ISSUED REPORT FOR PARTICIPANT LOANS
New Loan Issued Report for Participant Loans provides a summary of participant loans recordkept by TIAA-CREF for the specified reporting period. The report includes loan issue date, first payment date, next payment date, last payment date, loan amount, interest rate, payment frequency and payment amount. (See Section 7.4, Participant Loans vs. Plan Loans, for a complete description of the difference between participant and plan loans.) The new loan amounts, reported in total and by participant, equal the loan issued amounts by date on the Transaction History by Date Report and the new loan issued amount on the Loan Activity Report for Participant Loans. Additionally, the new loan issued amount, in total, equals the Participant Loans Issued amount in the Participant Loan fund in the Statement of Changes to Net Assets.
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25
4.2.6 NEW LOAN ISSUED REPORT FOR PLAN LOANS
New Loan Issued Report for Plan Loans provides a summary of plan loans recordkept by TIAA-CREF for the specified reporting period. The report includes loan issue date, first payment date, next payment date, last payment date, loan amount, interest rate, payment frequency and payment amount. The new loan amounts reported, in total and by participant, equal the new loan issued amount on the Loan Activity Report for Plan Loans, but will not be reflected in any other reports. (See Section 7.4, Participant Loans vs. Plan Loans, for a complete description of the difference between participant and plan loans.)
4.2.7 LOAN ACTIVITY REPORT FOR PARTICIPANT LOANS
Loan Activity Report for Participant Loans provides a reconciliation of participant loan-related activity recordkept by TIAA-CREF for the specified reporting period. The report includes beginning loan balance, new loans issued, loan principal repaid, deemed and/or distributed loan-related activity and ending loan balance. The loan activity amounts reported, in total and by participant, equal the loan activity amounts, in total and by participant, on Participant Detail Summary. Additionally, the loan amounts reported in total equal the loan amounts for the Participant Loan Fund on the Schedule of Assets Held for Investment, Statement of Changes to Net Asset. (See Section 7.4, Participant Loans vs. Plan Loans, for a complete description of the difference between participant and plan loans.)
4.2.8 LOAN ACTIVITY REPORT FOR PLAN LOANS
Loan Activity Report for Plan Loans provides a reconciliation of plan loan-related activity (e.g., beginning loan balance, new loans issued, loan principal repaid, deemed and/or distributed loan-related activity, end loan balance) recordkept by TIAA-CREF for the specified reporting period. Plan loan information is only provided in this report and the Outstanding Loan Report for Plan Loans and other plan loan-related reports, and will not be reflected in any other reports. (See Section 7.4, Participant Loans vs. Plan Loans, for a complete description of the difference between participant and plan loans.)
4.2.9 OUTSTANDING LOAN REPORT FOR PARTICIPANT LOANS
Outstanding Loan Report for Participant Loans provides summary information for participants with an outstanding loan balance at the end of the specified reporting period. The report includes issue date, original amount of loan, next payment due date, last payment due date, interest rate of loan, payment frequency, payment amount, ending loan balance and loan status as of the ending of the reporting period. The ending loan balance, in total and accumulated by participant (if multiple loans), equals the ending loan balance, in total and by participant, on Participant Detail Summary. Additionally, the ending loan balance in total equals the ending loan balance for the Participant Loan Fund on the Schedule of Assets Held for Investment, Statement of Changes to Net Assets. (See Section 7.4, Participant Loans vs. Plan Loans, for a complete description of the difference between participant and plan loans.)
4.2.10 OUTSTANDING LOAN REPORT FOR PLAN LOANS
Outstanding Loan Report for Plan Loans provides summary information for participants with an outstanding loan balance at the end of the specified reporting period. Plan loan information is only provided in this report, the Loan Activity Report for Plan Loans and other plan loan-related reports, and will not be reflected in any other reports. (See Section 7.4, Participant Loans vs. Plan Loans, for a complete description of the difference between participant and plan loans.)
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4.2.11 DISTRIBUTION REPORT
Distribution Report provides a detailed listing of benefit payments (e.g., termination, minimum distribution, hardship, in-service distributions) issued during the specified reporting period and includes the distribution date, type of distribution, distribution reason, the gross distribution amount, the forfeiture amount, rollover indicator and rollover amount. The Distribution Report assists plan administrators in monitoring distributions made to plan participants based on individual requests as well as in compliance with annual distribution requirements (e.g., minimum distributions). The distribution amount, in total and if accumulated by participant (if multiple distributions), equals the ending distribution amount, in total and by participant, on Participant Detail Summary. Additionally, the ending distribution amount equals the ending distribution amounts, broken down by distribution type, on the Statement of Changes to Net Assets.
4.2.12 PLAN TO PLAN TRANSFER REPORT
Plan to Plan Transfers In/Out Report provides a detailed listing of plan to plan transfers in and out of the plan during the specified reporting period and includes the transfer date, type of transfer (in or out). The Plan to Plan Transfers In/Out Report assists plan administrators in monitoring transfers made by plan participants based on individual requests. The transfer amount, in total and if accumulated by participant (if multiple distributions), equals the ending transfer amount, in total and by participant, on Participant Detail Summary. Additionally, the ending transfer amount equals the ending transfer amounts on the Statement of Changes to Net Assets.
4.2.13 FORFEITURE ACCOUNT REPORT
Forfeiture Account Report provides a summary of the activity in the forfeiture account for the specified reporting period and includes opening and closing balance, balances forfeited, miscellaneous forfeiture adjustments, forfeitures used, investment income earned and forfeiture related fees. Additionally, it provides a breakdown, by participant, of the balances forfeited.
4.2.14 PAYROLL SUMMARY REPORT
Payroll Summary Report provides a summary of all payroll deposits including contributions, loan repayments and payroll adjustments for the specified reporting period. The Payroll Summary Report assists plan administrators in monitoring payroll deductions processed during the plan year. The Payroll Summary Report by source (e.g., Employee Pretax plus Payroll Adjustments Employee Pretax) is equal to the Contribution Report by source.
4.2.15 PARTICIPANT CONTRIBUTION INVESTMENT ALLOCATION REPORT
Participant Contribution Investment Allocation Report provides the contribution percentage of their contributions that is allocated to each investment at the beginning of the year and any changes made during the reporting period.
4.2.16 PARTICIPANT COUNT
Participant Count provides a detailed summary of participant counts for the specified reporting period. It includes a count of the participants at the beginning of the plan year, active participants, retired or separated participants receiving benefits or entitled to future benefits, deceased participants whose beneficiaries are entitled to future benefits, participants with account balances at the end of the plan year, and participants who have terminated employment within the plan year and accrued benefits that are less than 100% vested.
Note: The plan administrator should review and make adjustments as needed based on internal data. The plan administrator may also provide additional information to TIAA-CREF for these fields to be populated for future reporting.
4.2.17 PLAN ID REPORT
Plan ID Report provides a summary of the OPS plan numbers included in the report package. This is useful in situations where TIAA maintains multiple OPS plans for a single ERISA plan.
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4.3 SUPPLEMENTAL FINANCIAL REPORTS Supplemental Financial Reports, which may also be referred to as Plan Sponsor Reports, provide information to assist the plan administrator in his or her administrative duties. Plan Sponsor Reports include:
Missing Dates Report
Asset Allocation Statistics
Nearing Retirement Age Report
Minimum Distribution Monitoring Report
Small Cash Out Monitoring Report
Distribution Tax Information Report
Summary of Fees and Compensation for Your Plan
Investment Fee & Expense Disclosure
Direct Fees Paid from Plan Assets
Service Provider Summary
4.3.1 MISSING DATES REPORT
Missing Dates Report provides summary information on participants with missing or potentially incorrect dates (e.g., date of birth, date of hire, date of hire greater than or equal to date of termination, date of rehire less than or equal to date of hire, date of hire greater than date of death, blank date of death and participant has a deceased status reason, or blank date of termination and participant has a terminated status, etc.). The Missing Dates Report identifies participants with missing date information that is necessary to provide accurate administration.
4.3.2 ASSET ALLOCATION STATISTICS
Asset Allocation Statistics provides a breakdown of investment allocations identified by investment, number of participants, participant age and location. It provides the plan administrator with the necessary information to monitor the diversification of participant investments to target educational messages to employees.
4.3.3 NEARING RETIREMENT AGE REPORT
Nearing Retirement Age Report provides a listing of active participants with less than one year until retirement and a vested account balance. It includes date of birth, age, number of months until retirement, expected retirement date and vested account balance. The Nearing Retirement Age Report provides the plan administrator with the necessary information to be able to communicate with employees who are nearing retirement age.
4.3.4 MINIMUM DISTRIBUTION MONITORING REPORT
Minimum Distribution Monitoring Report provides summary information for participants who are over or are approaching age 70½ and with a vested account balance. It includes certain demographic data, current account balance, pretax contributions and vested total account balance for the specified reporting period. The Minimum Distribution Monitoring Report provides the plan administrator with a summary of participants who are, or will be soon, required to begin taking minimum distributions.
4.3.5 SMALL CASH OUT MONITORING REPORT
Small Cash Out Monitoring Report includes participants who have been terminated with a vested account balance greater than $0 but less than $1,000 at the end of the specified reporting period. It includes certain demographic data, as well as vested total account balance. The Small Cash Out Monitoring Report provides the plan administrator with information necessary to distribute account balances to terminated participants with less than $1,000 if permitted under the terms of the plan document or annuity contracts.
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SECTION 2: CHAPTER 4
4.3.6 DISTRIBUTION TAX INFORMATION REPORT
Distribution Tax Information Report provides a detailed breakdown of withdrawal and distributions during the specified reporting period as reported on Form 1099-R. It includes demographic data, distribution type and amount, Form 1099-R distribution code, federal and state tax withholdings, employee contributions, Roth contributions and insurance premiums, and the total taxable amount. Annuity settlement options are not included.
4.3.7 SUMMARY OF FEES AND COMPENSATION FOR YOUR PLAN
Summary of Fees and Compensation for Your Plan provides a summary of all the fees and compensation incurred by your plan during a reporting period. The summary will include the amounts reflected in the Investment Fee & Expense Disclosure and Direct Fees Paid from Plan Assets reports as well as other indirect compensation disclosures like float income.
4.3.8 INVESTMENT FEE & EXPENSE DISCLOSURE
Investment Fee & Expense Disclosure provides a list of your plan’s investments, the expense ratios for the investments and the plan services expenses associated with the investments based on the ending fund balances for a reporting period.
4.3.9 DIRECT FEES PAID FROM PLAN ASSETS
Direct Fees Paid from Plan Assets reports fees that were deducted directly from the plan. A plan’s fee structure and/or product offering will dictate which fees are applicable.
4.3.10 SERVICE PROVIDER SUMMARY
Service Provider Summary provides details about the service providers receiving the fee or compensation. This report expands on the Summary of Fees and Compensation for Your Plan report by listing the individual service providers, their Employee Identification Number (EIN) and address along with the amount and type of fee or compensation. This report will be useful in determining which, if any, service providers received compensation other than Eligible Indirect Compensation (EIC) and therefore may need to be listed on Part I, Line 2 of Schedule C.
4.4 SUPPLEMENTAL REPORTS TO SUPPORT FORM 5500 The Form 5500 and related schedules are required to be filed annually. Form 5500 reports, in part, the financial condition, investments and results of plan activities and is part of ERISA’s overall reporting and disclosure framework. Form 5500 also provides regulators with sufficient information to protect the rights and benefits of participants and beneficiaries in employee benefit plans. The Supplemental Reports to Support Form 5500 provide information to assist plan sponsors in the completion of Form 5500 and the related schedules. See Section Five, Appendix A, for a sample of the Supplemental Reports to Support Form 5500.
Supplemental Reports to Support Form 5500 include:
5500 Reportable – Schedule of Assets Held for Investment
5500 Reportable – Statement of Changes to Net Assets
Filing Summary for Schedule A (Insurance Information)
Filing Summary for Schedule C (Service Provider Information)
Filing Summary for Schedule D (DFE/Participating Plan Information)
Filing Summary for Schedule H (Financial Information)
Filing Summary for Schedule H, Line 4i (Schedule of Assets)
Filing Summary for Form 5500-SF (Short Form Annual Return/Report of Small Employee Benefit Plan)
4.4.1 5500 REPORTABLE - SCHEDULE OF ASSETS HELD FOR INVESTMENT
5500 Reportable - Schedule of Assets Held for Investment is the balance sheet and includes the investment price, unit balance, market value, and cost for each investment of the plan recordkept by TIAA-CREF as of the end date of the specified reporting period, identified by Form 5500 classification (i.e., pooled separate accounts, registered investment companies, self-directed accounts, etc.).
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This report provides a snapshot of all plan investments by Form 5500 classification that had either a beginning or ending market value or activity during the reporting period. The ending unit balance, market value, and cost for each investment equals the ending unit balance, market value, and cost for each investment on Schedule of Assets Held for Investment, Statement of Changes to Net Assets and Participant Detail Summary. Amounts should be adjusted for any investment balances and activity reported on the TIAA Traditional Annuity Defaulted Loan Collateral Participant Detail Report and all corresponding Filing Summaries. See Appendix D for detailed instructions.
4.4.2 5500 REPORTABLE - STATEMENT OF CHANGES TO NET ASSETS
5500 Reportable - Statement of Changes to Net Assets is the income statement and summarizes the investment activity and direct expenses associated with each investment of a plan record kept by TIAA-CREF for the specified reporting period, categorized by Form 5500 classification (i.e., pooled separate accounts, registered investment companies, self-directed accounts, etc.).
This report provides all reportable plan investments by Form 5500 classification that had either a beginning or ending market value or activity during the reporting period. Amounts should be adjusted for any investment balances and activity reported on the TIAA Traditional Annuity Defaulted Loan Collateral Participant Detail Report and all corresponding Filing Summaries. See Appendix D for detailed instructions.
4.4.3 FILING SUMMARY FOR SCHEDULE A (INSURANCE INFORMATION)
Filing Summary for Schedule A (Insurance Information) provides line-by-line entries necessary to complete Form 5500 Schedule A, if required. If multiple carriers or other funding vehicles not provided by, or recordkept by, TIAA-CREF are offered to the plan, additional information must be obtained from those carriers to consolidate and report all plan financial data from all vendors, carriers and accounts. Additionally, only those line items within this schedule for which TIAA-CREF has information available have been provided. The amount on Part II, Line 4 should be adjusted by the End-ing Balance reported on the TIAA Traditional Annuity Defaulted Loan Collateral Participant Detail Report.
4.4.4 FILING SUMMARY FOR SCHEDULE C (SERVICE PROVIDER INFORMATION)
Filing Summary for Schedule C (Service Provider Information) provides the line-by-line entries necessary to complete Form 5500 Schedule C, if required. Schedule C is completed for only those large plans that paid $5,000 or more to a single service provider. TIAA-CREF may be a service provider for this purpose.
Additionally, Schedule C must also be completed if the plan is a large plan and the plan’s accountant or enrolled actuary (for a defined benefit plan) was terminated during the plan year. If multiple vendors, carriers or other funding vehicles not provided by, or recordkept by, TIAA-CREF are offered to the plan, additional information must be obtained by those vendors or carriers to consolidate and report all plan financial data from all vendors, carriers and accounts. Additionally, only those line items within this schedule for which TIAA-CREF has information available have been provided.
4.4.5 FILING SUMMARY FOR SCHEDULE D (DFE/PARTICIPATING PLAN INFORMATION)
Filing Summary for Schedule D (Direct Filing Entity (DFE)/Participating Plan Information) provides the line-by-line entries necessary to complete Form 5500 Schedule D, if required. Schedule D is completed for those plans with investments in the Real Estate Account (REA). The REA is a pooled separate account of TIAA, an insurance company, and is a DFE for Form 5500 reporting purposes. TIAA, on behalf of the REA, will file a Form 5500 with the DOL, thereby permitting investing plans to reporting relief in the preparation of the Schedule H. If multiple vendors, carriers or other funding vehicles not provided by TIAA-CREF are offered to the plan, additional information must be obtained from those vendors or carriers to consolidate and report all plan financial information from all vendors, carriers and accounts.
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4.4.6 FILING SUMMARY FOR SCHEDULE H (FINANCIAL INFORMATION)
Filing Summary for Schedule H (Financial Information) provides line-by-line entries necessary to complete Form 5500 Schedule H, if required. Schedule H is completed for those plans having more than 100 plan participants on the first day of the reporting year (an exception may applicable for plans having between 80 and 120 participants on the first day of the reporting year). For plans with less than 100 plan participants, Schedule I should be completed. TIAA-CREF only tracks records for those participants who invest in TIAA, CREF, or other funds on TIAA-CREF’s recordkeeping platform. The participant counts requested by the Form 5500 should reflect all employees who are eligible to participate in the plan, regardless of whether or not the employees elect to contribute. If multiple vendors, carriers or other funding vehicles not provided by, or recordkept by, TIAA-CREF are offered to the plan, additional information must be obtained from those vendors or carriers to consolidate and report all plan financial data from all vendors, carriers and accounts. Additionally, only those line items within this schedule for which TIAA-CREF has information available have been provided. Amounts should be adjusted for any investment balances and activity reported on the TIAA Traditional Annuity Defaulted Loan Collateral Participant Detail Report and all corresponding Filing Summaries. See Appendix D for detailed instructions.
4.4.7 FILING SUMMARY FOR SCHEDULE H, LINE 4i (SCHEDULE OF ASSETS)
Filing Summary for Schedule H, Line 4i (Schedule of Assets) provides the line-by-line entries necessary to complete Form 5500 Schedule H, Part IV, Line 4i, if required. Schedule H is, as discussed above, generally completed for those plans having more than 100 plan participants. TIAA-CREF only tracks records for those participants who invest in TIAA, CREF, or other funds on TIAA-CREF’s recordkeeping platform. If multiple vendors, carriers or other funding vehicles not provided by, or recordkept by, TIAA-CREF are offered to the plan, additional information must be obtained from those vendors and carriers to consolidate and report all plan financial data from all vendors, carriers and accounts. Additionally, only those line items within this schedule for which TIAA-CREF has information available have been provided.
4.4.8 FILING SUMMARY FOR FORM 5500-SF (SHORT FORM ANNUAL RETURN/REPORT OF SMALL EMPLOYEE BENEFIT PLAN)
Filing Summary for Form 5500-SF (Short Form Annual Return/Report of Small Employee Benefit Plan) provides the line-by-line entries necessary to complete Form 5500-SF, if required. Form 5500-SF is completed for those plans having less than 100 plan participants and meeting other criteria (certain exceptions may apply). For plans with more than 100 plan participants, Schedule H should generally be completed. TIAA-CREF only tracks records for those participants who invest in TIAA, CREF, or other funds on TIAA-CREF’s recordkeeping platform. The participant counts required by the Form 5500 should reflect all employees who are eligible to participate in the plan, regardless of whether or not the employees elect to contribute. If multiple vendors, carriers or other funding vehicles not provided by, or recordkept by, TIAA-CREF are offered to the plan, additional information must be obtained from those vendors and carriers to consolidate and report all plan financial data information from all vendors, carriers and accounts. Additionally, only those line items within this schedule for which TIAA-CREF has information available have been provided. Amounts should be adjusted for any investment balances and activity reported on the TIAA Traditional Annuity Defaulted Loan Collateral Participant Detail Report and all corresponding Filing Summaries. See Appendix D for detailed instructions.
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SECTION THREE. AUDIT GUIDE
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5.1 AUDITOR ACCESS TO THE WEBPlan administrators may now provide secure limited access to a plan’s financial reports on the TIAA-CREF Plan Sponsor website to plan auditors. Properly authorized, auditors are able to view and download year-end reports directly from the secure Plan Sponsor website. The auditor profile precludes review of other types of plan reporting or data. To begin the approval process, download and complete the Auditor Access Authorization/Change Form (http://www.tiaa-cref.org/ucm/groups/content/@ap_ucm_p_tcp/documents/document/tiaa01009427.pdf) and return to TIAA-CREF.
TIAA-CREF sends out reminders to plan sponsors in advance of the expiration of their auditors’ access to the site. Plan sponsors must complete a new authorization form to renew their auditors’ access if necessary.
Please complete the form using the following instructions:
SECTION 1: GENERAL INFORMATION
Check the appropriate box:
“I am a third-party auditor applying for online access to Plan Financial Reports. (Auditor and Primary Authorizer must sign Section 5.)”, or
“I am a Primary Authorizer of my institution and am deleting access to TIAA-CREF’s Plan Administrator Services for a Third Party Auditor. Please complete the application for the replacement user (if applicable) and indicate the user to be deleted in Section 4.”
SECTION 2: PLAN ACCESS
Indicate the plan(s) to which access is being requested.
SECTION 3: SECURITY QUESTION AND ANSWER
Have the plan auditor complete his or her security question and answer for TIAA-CREF for purposes of authentication when accessing secure information.
SECTION 4: DELETE AUDITORS
Complete this section to revoke a previously provided access from a plan’s list of Authorized Users. TIAA-CREF recommends that access be reviewed no less frequently than annually.
SECTION 5: SIGNATURES
The Auditor and Primary Authorizer must sign to complete authorization.
5.2 REQUESTS FOR ADDITIONAL INFORMATIONWe expect that most, if not all, of the information needed to meet the plan administrator’s ERISA reporting and disclosure requirements will be available on the secure Plan Sponsor website. To request additional information to support plan reporting responsibilities, contact your Institutional Liaison for more information. If served by the Administrator Telephone Center, contact a TIAA-CREF consultant at 888 842-7782.
5.3 Audit Support ToolkitTIAA-CREF has developed an Audit Support Toolkit to assist in the exchange of information and documents between TIAA-CREF, the plan sponsor and the independent qualified public accountant (IQPA). Within this Toolkit are frequently asked questions and audit support guidelines along with a template for use by the IQPA to request documentation of selected tests of transactions. Follow this link for more information:http://www.tiaa-cref.org/plansponsors/land/ audit_toolkit/index.html
CHAPTER 5
GENERAL AUDITOR GUIDANCE
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6.1 SAS 70, IN GENERALBecause a significant portion of an entity’s control environment may be outsourced to a service provider, a Statement on Auditing Standards 70 (SAS 70) report may be useful in providing user auditors with a sufficient understanding of controls at the service organization to assess the risks of material misstatement of a user organization’s financial statements. A SAS 70 provides a basis of reliance on the effective operation of plan controls which may reduce the nature, timing and extent of plan-level testing. Additionally, the SAS 70 provides an efficient means for a user to gain an understanding of relevant controls executed at the service organization.
6.2 TIAA’S SAS 70 REPORTSTIAA’s SAS 70 reports cover institutional recordkeeping operations for qualified and ERISA 403(b) plans that require an auditor’s opinion as part of their Form 5500 filing. The TIAA SAS 70 reports include control objectives along with the detailed control activities that are designed to meet those control objectives. The reports are intended to provide reasonable assurance that those control objectives are designed and operating effectively. The control objectives and control activities are defined and written by TIAA and audited by PricewaterhouseCoopers LLP (PwC), TIAA’s service auditor. PwC releases a 12-month SAS 70 every six months for the 12 months ended June 30 and December 31, which coincides with the plan year ends of the majority of benefit plans recordkept by TIAA-CREF. PwC issued unqualified opinions for the 12-month periods ended 12/31/2009 and 6/30/2010.
The 12/31/2010 SAS70 report should be available during the second quarter 2011 and will be posted on the TIAA-CREF Plan Sponsor website.
The TIAA SAS 70 reports cover:
New business and maintenance
Enrollments
Contributions
Participant account maintenance
Distributions
Investments – pricing, trading, and dividends
Plan reporting
Each operational area contains User Control Considerations that describe aspects of the user organizations’ control environment that may affect proper transactional processing. It is the responsibility of the plan administrator to assess the interaction of the controls identified in the SAS 70 with an individual plan’s internal controls.
Each SAS 70 report is confidential and its use is limited to the management of TIAA-CREF, its clients and the independent auditors of TIAA-CREF’s clients. Unauthorized use of the SAS 70 reports, in whole or in part, is strictly prohibited. The SAS 70 reports are available on the secure Plan Sponsor website in the Message Center.
CHAPTER 6
STATEMENT ON AUDITING STANDARDS NO. 70
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Helpful SAS 70 Definitions:
Service auditor – the firm auditing a service organization’s SAS 70 (PwC for TIAA)
Service organization – the issuer of the SAS 70 report (TIAA)
User auditor – the firm auditing the financial statements of the user organization (plan auditor)
User organization – the organization using the SAS 70 report (the plan)
6.3 A NEW STANDARD SSAE 16In April 2010, Statement on Standards for Attestation Engagements (SSAE) No. 16, Reporting on Controls at a Service Organization, was issued, replacing the SAS 70. TIAA will issue its first report under the new standard beginning with the June 30, 2011, report. The objectives of SSAE 16 are similar to those of the SAS 70. However, there are some important differences, including management’s assertion that controls were designed and operating effectively and the service auditor opinion on the suitability of the design of controls related to the control objectives throughout the entire period not just at period end as required by SAS 70. The American Institute of Certified Public Accountants (AICPA) website provides additional information.
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7.1 TIAA TRADITIONAL ANNUITY, TIAA STABLE VALUE AND TIAA STABLE RETURN ANNUITYThe TIAA Traditional Annuity, TIAA Stable Value and TIAA Stable Return Annuity are fixed-rate annuity contracts. Contributions to TIAA Traditional Annuity, TIAA Stable Value and TIAA Stable Return Annuity buy a contractual or guaranteed amount of future benefits for the investing participant. As guaranteed annuities backed by TIAA’s claims paying ability, the TIAA Traditional Annuity, TIAA Stable Value and TIAA Stable Return Annuity guarantee principal and a minimum interest rate, and the opportunity for additional amounts in excess of the guaranteed rate. With respect to the TIAA Traditional Annuity, these additional amounts, when declared by the TIAA Board of Trustees, remain in effect for the “declaration year.” The declaration year in the accumulation phase begins each March 1 and for pay-out annuities each January 1.
7.1.1 TIAA TRADITIONAL ANNUITY
The guaranteed annual interest rate is 3% for all premiums remitted since 1979 under all accumulating contracts with the exception of the Retirement Choice (RC) and Retirement Choice Plus (RCP) contracts. For the RC and RCP contracts, the guaranteed rate is between 1% and 3%. The Retirement Annuity (RA) contract does not allow lump-sum cash withdrawals and transfers must be spread over a period of 10 annual installments. With a Group Retirement Annuity (GRA) contract, lump-sum withdrawals are available only within 120 days after termination of employment and are subject to a surrender charge. All other withdrawals and transfers from the RA or GRA must be spread over a period of 10 annual installments (or five annual
installments for withdrawals after termination of employment). Participant withdrawals and transfers from the TIAA Traditional in RC contracts must be taken in 84 monthly installments, except that a lump sum distribution is available if permitted under the plan in the 120 day period following termination of employment with a surrender charge.
The TIAA Traditional Annuity within the Supplemental Retirement Annuity (SRA), Group Supplemental Retirement Annuity (GSRA), and RCP contracts, as well as holdings reported on the TIAA Traditional Annuity Defaulted Loan Collateral Participant Detail Report, contain no liquidity restrictions and are benefit responsive as contemplated by FASB ASC 962-325-35-5. The TIAA Traditional Annuity holdings within RA, GRA and RC contracts have liquidity restrictions and are non-benefit responsive. Distributions, withdrawals and transfers out of the RA and GRA contracts can only be made in 10 annual installments and distributions under the RC contracts can only be made in 84 monthly installments (this is commonly known as a Transfer Payout Annuity or TPA), except that under the GRA and RC contracts lump-sum payments are available for 120 days following termination of employment with a surrender charge. Distributions can also be made over a longer periods. All reports have been modified to report these two categories of the TIAA Traditional Annuity separately to facilitate financial reporting and disclosure.
For additional useful information related to the TIAA Traditional Annuity, please refer to the TIAA White Paper – Spring/Summer 2010. http://www.tiaa-cref.org /ucm/groups/content/@ap_ucm_p_tcp/documents/document/tiaa01011136.pdf
CHAPTER 7
REPORTING INFORMATION RELATED TO TIAA-CREF ANNUITIES AND INVESTMENTS
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7.1.2 TIAA STABLE RETURN ANNUITY
The guaranteed annual interest rate is between 1% and 3% as described in the contract. The rate is based on the five-year Constant Maturity Treasury Rate, less 1.25%, with opportunities to receive additional amounts of interest in excess of the guaranteed rate, if approved by the TIAA Board of Trustees. The TIAA Stable Return Annuity contract is benefit responsive as contemplated by FASB ASC 962-325-35-5 , and is plan controlled. A plan’s investment in the TIAA Stable Return Annuity is reported at contract value (which approximates fair value) in all plan and participant reporting.
7.1.3 TIAA STABLE VALUE
The contract provides a guaranteed minimum rate of interest of between 1% and 3% (before deductions for contract fees). TIAA Stable Value is immediately liquid to an investing participant for plan benefit withdrawals and transfers and does not have withdrawal restrictions (except that immediate transfers cannot be made to competing funds pursuant to the contract’s “equity wash” provisions). As such, TIAA Stable Value is a benefit-responsive contract. A plan’s investment in TIAA Stable Value is reported at contract value (which approximates fair value) in all plan and participant reporting.
7.1.4 REPORTING IN THE TIAA TRADITIONAL ANNUITY, TIAA STABLE VALUE AND TIAA STABLE RETURN ANNUITY ON THE FORM 5500
If a plan is a large plan that files Schedule H (Financial Information), accumulations in the TIAA Traditional Annuity, TIAA Stable Value and TIAA Stable Return Annuity are reported in Part I, line 1c(14) (Value of funds held in insurance company general account) and related investment activity is reported in Part II, line 2b(1)(F) (Other interest).
If a plan is a small plan that files Schedule I (Financial Information - Small Plan), accumulations in the TIAA Traditional Annuity, TIAA Stable Value and TIAA Stable Return Annuity are reported in Part I, line 1a (Total plan assets) and related investment activity is reported on line 2c (Other income).
If a plan is a small plan filing Form 5500-SF, accumu-lations in the TIAA Traditional Annuity, TIAA Stable Value and TIAA Stable Return Annuity are reported in Part III, line 7a (Total plan assets) and the related activity is reported on line 8b (Other income).
7.2 TIAA REAL ESTATE ACCOUNTThe TIAA Real Estate Account (REA) is a separate account of TIAA, an insurance company. To the extent that assets of a plan subject to ERISA are allocated to the REA, TIAA will be acting as an “investment manager” as that term is defined in section 3(38) of ERISA and will be a fiduciary under ERISA with respect to such assets.
7.2.1 REPORTING INVESTMENTS IN THE REA ON THE FORM 5500
For purposes of Form 5500, the REA is a pooled separate account. Plans investing in the REA at any time during the plan year must comply with the reporting instructions for plans investing in a direct filing entity (DFE). TIAA will, on behalf of the REA, file a Form 5500 with the Department of Labor. Doing so will provide an investing plan with limited reporting relief in preparing its own Form 5500. Specifically:
If a plan is a large plan that files Schedule H (Financial Information), investments in the REA are reported in Part I, line 1c(10) (Value of interest in pooled separate accounts) and related investment activity is reported in Part II, line 2b(7) (Net investment gain (loss) from pooled separate accounts).
If a plan is a small plan that files Schedule I (Financial Information – Small Plan), investments in the REA are reported in Part I, line 1a (Total plan assets) and line 2c (Other income).
If a plan is a small plan filing Form 5500-SF, investments in the REA are reported in Part III, line 7a (Total plan assets) and line 8d (Benefits paid).
Both large and small plans with investments in the REA must also file Schedule D (DEF/Participating Plan Information), Part I. Small plans filing a Form 5500-SF are exempt from this requirement.
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7.3 PLAN ASSET VALUATION7.3.1 FREQUENCY WITH WHICH TIAA-CREF VALUES PLAN ASSETS
Most plan assets that TIAA-CREF recordkeeps are valued on a daily basis. The daily value is applied to daily purchase and sale transactions. Additionally, the unit value is used to value plan investments on the last day of the reporting plan year. Interest on the TIAA Traditional Annuity, TIAA Stable Return Annuity and TIAA Stable Value is also calculated daily and posted monthly. TIAA Traditional Annuity, TIAA Stable Return Annuity and TIAA Stable Value are reported at contract value, which approximates fair value. Contract value is the relevant financial statements measurement in accordance with FASB ASC 962-325-35-5 for assets that are benefit responsive.
It is the plan sponsor’s responsibility to determine the market value of the plans assets based on an exit price as required by ASC 820 (formerly known as FAS 157). To assist you with determining the market value of the TIAA-CREF’s proprietary investment products, follow these links for our white paper outlining the methodology which you can use to support your conclusion that contract value approximates market value for the TIAA Traditional Annuity, TIAA Stable Return Annuity and TIAA Stable Value (http://www.tiaa-cref.org/ucm/groups/content/@ap_ucm_p_tcp/documents/document/tiaa01011136.pdf) as well as our ASC 820 document setting out each investment product’s valuation methodology and suggested input level (http://www.tiaa-cref.org/public/emsg/plan_admin/pdf/C45147.pdf).
7.3.2 ASC 820 (FORMERLY KNOWN AS FAS 157) – FAIR VALUE MEASUREMENT
The ASC 820-defined value is market-based and focuses on the price that would be received to sell the asset or paid to transfer the liability (an exit price), not the price that would be paid to acquire the asset or received to assume the liability (an entry price). Footnote disclosures are required and include:
1. Fair value measurements at the reporting date for each major category of assets or liabilities
2. Position within the fair value hierarchy each measurement falls
3. Valuation techniques used to measure fair value and a discussion of changes in valuation techniques, if any
4. Reconciliation of beginning and ending balances for Levels 2 and 3 measurements
ASC 820 implements a three-tier hierarchy for the measurement of fair value and is intended to apply to all entities, including employee benefit plans:
Level 1: quoted prices for identical assets or liabilities in active markets
Level 2: observable inputs for similar assets or liabilities in active markets, identical or similar assets in inactive markets, inputs other than quoted prices that are directly observable and inputs derived from observable market data by correlation or other means
Level 3: unobservable inputs for a reporting entity’s own assumptions with respect to the assumptions market participants would use, other entity-specific inputs that are not derived from market data, and unobservable inputs which are developed based on the best information available in the circumstances.
Review TIAA-CREF’s guidance on its investment offerings (http://www.tiaa-cref.org/ucm/groups/content/@ap_ucm_p_tcp/documents/document/tiaa04016223.pdf).
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7.4 PARTICIPANT LOANS VS. PLAN LOANSUnder ERISA, a plan is generally prohibited from lending money or extending credit to parties-in-interest. However, under certain conditions, a plan may meet an exemption thereby allowing the plan to permit loans to participants (participants are generally treated as parties-in-interest). To be exempt, one of the provisions is to require adequate security for the loan being granted.
Participant loans are reported in the loan fund and shown in the Schedule of Assets Held with related income and activity reported in the Statement of Changes to Net Assets. The loan interest rate for Participant Loans is fixed at the time of issuance and determined by the terms of the plan document (e.g., prime rate plus 1%). The loan repayments for Participant Loans are reinvested based on the participant’s investment elections in place at the time of repayment.
Please note, a “Participant Loan” is a type of plan loan and is called such to distinguish it from the other type of plan loan that is offered under the TIAA-CREF recordkeeping system. This other type of loan is referred to a “Plan Loan.”
Plan loans, on the other hand, are issued directly from funds owned by TIAA and not directly from a participant’s account. Adequate security is required and a portion of the participant’s account is reserved, or held in collateral, to cover 110% of the outstanding loan in case of default. The collateral is held in the TIAA Traditional Annuity as either part of a GSRA contract or as a separate Retirement Loan contract.
The loan interest rate for these plan loans may be fixed or variable and the initial rate is determined by the terms of the controlling contract as is the rate adjustment details and frequency. For loans having collateral held in a GSRA contract, principal repayments increase the amount of TIAA Traditional Annuity funds available for the participant’s use. For Retirement Loan contracts, principal repayments are transferred to the CREF Money Market investment option in the participant’s RA or GRA contract. For all plan loans, interest is paid directly to TIAA.
TIAA-CREF believes that both plan loans and participant loans meet the conditions of exemption.
7.5 PLAN CONFIRMATION INFORMATIONAuditors frequently request TIAA-CREF to confirm or affirm certain plan information. To this end, we offer the information listed here concerning ERISA plans maintained on the TIAA recordkeeping platform:
The Schedule of Assets Held for Investment posted to the secure Plan Sponsor website is complete and accurate;
All non-annuity investments are maintained in a custodial account or trust with JPMorgan Chase Bank, N.A., with the exception of certain assets associated with a brokerage window
There are no pledges, liens or other security interest against plan investments with the exception of plan loans or participant loans, if permitted under the terms of the plan;
There are no obligations in default, other than plan loans or participant loans, if any;
Plan records are recorded on the trade date basis (see FAQ 14 for an exception);
There are no securities in transit;
There are no securities lending activities;
The 5% Reportable Transaction report is not applicable and is, therefore, not provided;
Purchases and sales for all investments are identified in one or more of the following reports: Statement of Changes to Net Assets, Transaction History by Date Report and Transaction History by Fund Report;
Gains and losses on investments are calculated on the moving average cost basis; and
All fixed-rate annuity contracts are valued at contract value, which approximates fair value, and all other investments are priced at fair value in a process described in our SAS70 report.
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SECTION FOUR. FREQUENTLY ASKED QUESTIONS
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FINANCIAL STATEMENTS
1. Is an ERISA retirement plan required to prepare financial statements and have the financial statements audited?
2. Whose responsibility is it to prepare the plan’s financial statements?
3. Is there a prescribed format for the financial statements?
4. When is an audit of the financial statements required?
5. What support is TIAA-CREF providing for plan audits?
6. Is audit quality important?
7. What’s the difference between a limited scope audit and a full scope audit?
8. Does TIAA-CREF certify plan investments for purposes of the limited scope audit provisions of Department of Labor regulations (section 2520.103-8)?
9. Does the certification cover participant and plan loans?
10. Is ASC 820 a consideration in the preparation of a plan’s financial statements?
11. What are the available options if an audit is not finalized prior to the original due date or, if an extension was filed, extended due date?
12. When should employee contributions be remitted to a plan’s service provider?
13. What prohibited transactions result from an employer being delinquent in forwarding employee contributions to the plan?
14. Are the Schedule of Assets Held for Investment and the Statement of Changes to Net Assets reported on a trade date basis?
FORM 5500
15. How are separated participants counted? Who must be considered as plan participants and should Form 8895-SSA be filed with the Internal Revenue Service?
16. How is a plan’s investment in the TIAA Traditional Annuity, TIAA Stable Value and TIAA Stable Return Annuity reported for purposes of the Form 5500 and the plan’s financial statements?
17. How is a plan’s investment in the TIAA Real Estate Account reported for purposes of the Form 5500 and the plan’s financial statements?
18. How is a plan’s investment in the CREF Account reported for purposes of the Form 5500 and the plan’s financial statements?
19. When are the Form 5500 and Form 8955-SSA due?
20. Is an extension of time to file Form 5500 and/or Form 8955-SSA available?
21. Is there a continuing requirement to file Form 5500 or Form 8955-SSA for a terminated or frozen plan?
22. What is a short plan year and why is a proper determination important?
23. Does TIAA-CREF prepare Form 5500? Does this service include Form 8955-SSA?
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24. Are breakdowns of the interest and dividends credited to each TIAA and CREF variable annuity account provided?
25. Do the CREF Accounts hold the plan’s investment assets and execute investment transactions on behalf of the investing plan?
26. Is a breakdown of the plan administrative expenses charged against the assets of the CREF Accounts and the TIAA Real Estate Account necessary?
27. How are TIAA Real Estate Account and CREF Accounts valued?
28. Does TIAA-CREF issue a certification for purposes of the limited scope audit permitted under Department of Labor regulations 2520.103-8? What’s covered by the certification?
29. Based on the requirements to file Form 5500, our 403(b) plan may have been required to file in previous reporting years. What action should be taken now to address this situation?
30. What are ERISA’s bonding requirements?
TRANSACTIONS
31. What is an in-service distribution?
32. How are loan defaults (payments are not made as required under the loan agreement) handled for reporting purposes?
33. Where can I find more supporting information for frequently made account transactions?
GENERAL
34. Is the accrual basis of accounting used with regard to interest, income, and dividends?
35. Can TIAA-CREF supply reconciliations between the custodial system and the recordkeeping system?
36. Why is the full Social Security number not displayed on the plan year-end reports?
37. What is TIAA-CREF’s cut-off date for including transactions for the reporting year?
GOVERNANCE AND INTERNAL CONTROLS
38. Does TIAA-CREF provide plan administrators with a SAS 70 report?
39. Who are the subservice providers identified in the SAS 70 report, what is their role, and what effect will this have on a plan audit?
40. What is meant by a “controls environment” and why should a plan have one?
41. Who is responsible for general governance and oversight in an ERISA plan?
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FINANCIAL STATEMENTS
1. Is an ERISA retirement plan required to prepare financial statements and have the financial statements audited?
It is important to view the plan as a reporting entity separate and distinct from its plan sponsor. The plan is the entity that holds plan assets to fund the retirement benefits described in the plan document. Various vehicles, such as annuity contracts, custodial accounts, and trusts, may fund the plan.
In general, all retirement plans subject to Title I of ERISA (qualified plans such as 401(a) and 401(k) plans and ERISA 403(b) plans) are required to prepare financial statements in conformity with generally accepted accounting principles (GAAP). The financial statements are audited by an independent qualified public accountant (IQPA) in accordance with generally accepted auditing standards. Small plans (generally, those with less than 100 participants on the first day of the plan year) may be eligible for an audit waiver (see Section 2.3 or www.dol.gov/ebsa for additional information on the small plan audit waiver).
Reportable assets represent all assets associated with the plan. Historically, ERISA 403(b) plans may have been considered an arrangement between a vendor and an individual participant. Regulatory guidance from both the Internal Revenue Service and the Department of Labor has clarified that these arrangements are now considered part of a formalized plan subject to ERISA. Accordingly, associated assets are “plan assets” subject to a written plan document meeting the requirement of the Internal Revenue Code and the reporting and disclosure requirements of ERISA.
The financial statements consist of the Statements of Net Assets Available for Benefits, the Statement of Changes in Net Assets Available for Benefits, the footnotes, and supplemental schedules. At a minimum, one supplemental schedule, Schedule of Assets (Held at End of Year) is required. Others may be required if certain types of transactions occurred during the plan year covered by the financial statements. The IQPA’s opinion will extend to all components of the financial statements.
The plan’s reportable activity includes all plan-level activity for the reporting period such as contributions (employer, employee, before-tax, after-tax, rollovers, etc.); distributions (lump-sum payments, installment payments, annuity payments, rollovers, etc.); and investment activity (transfers between permitted investment options, interest, dividends, gains and losses, etc.). The year-end reports provided by TIAA-CREF and other vendors, if any, can be combined to serve as the beginning point for the preparation of the plan’s financial statements. If the plan has multiple vendors, the transfers between vendors must be eliminated to arrive at consolidated financial statements.
The plan’s Statements of Net Assets Available for Benefits (the balance sheets) will include plan assets reported by all plan vendors. ERISA requires that the Statement of Net Assets Available for Benefit be provided in a comparative format (the prior year and current year). The Statement of Changes in Net Assets Available for Benefits is not required to be provided in a comparative format.
2. Whose responsibility is it to prepare the plan’s financial statements?
It is the plan administrator’s responsibility to prepare the plan’s financial statements. The financial statements should be prepared in conformity with generally accepted accounting principles. The plan sponsor may outsource the preparation of the financial statements. However, the plan sponsor must understand the preparation process to satisfy certain audit risk assessment standards. Acceptable formats for the financial statements are provided in the American Institute of Certified Public Accountant’s Employee Benefit Plans Audit & Accounting Guide (the Audit Guide). The Audit Guide is available for purchase from the American Institute of Certified Public Accountants (www.aicpa.org).
3. Is there a prescribed format for the financial statements?
There is no prescribed format for the Statements of Net Assets Available for Benefits and the Statement of Changes in Net Assets Available for Benefits. The format shown in Appendix D is one of several provided in the Audit Guide.
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4. When is an audit of the financial statements required?
All funded ERISA plans are subject to audit. Small plans (generally, those with less than 100 participants on the first day of the plan year) may be eligible for an audit waiver (see Section 2.3 or www.dol.gov/ebsa for additional information on the small plan audit waiver). Large plans (generally, those with 100 or more total participants on the first day of the plan year) are required to be audited.
5. What support is TIAA-CREF providing for plan audits?
TIAA-CREF provides an Audit Support Toolkit on the Plan Sponsor website. Please visit http://www.tiaa-cref.org/plansponsors/land/audit_toolkit/index.html for more information on audit support services provided by TIAA-CREF.
6. Is audit quality important?
Audit quality is important because of the potential assessment of a civil penalty of up to $50,000 by the Department of Labor for an audit that it rejects as being substandard. The assessment is made against the plan administrator.
7. What’s the difference between a limited scope audit and a full scope audit?
In a limited scope audit, the plan administrator may instruct the IQPA not to perform any audit work with respect to investment information certified by a bank or similar institution or by an insurance carrier that is regulated, supervised and subject to periodic examination by a state or federal agency. The certification must extend to both the accuracy and completeness of the investment information. If this certification is not available, a full scope audit must be conducted and will be inclusive of investment information. TIAA-CREF will certify for TIAA and CREF investment products and on behalf of JPMorgan Chase Bank, N.A. (JPMC) as either the directed custodian or directed trustee for other investment products recordkept by TIAA-CREF (certain exceptions may apply).
8. Does TIAA-CREF certify plan investments for purposes of the limited scope audit provisions of Department of Labor regulations (section 2520.103-8)?
TIAA-CREF will certify for TIAA and CREF investment products and on behalf of JPMC as either the directed custodian or directed trustee for investment products recordkept by TIAA-CREF (certain exceptions may apply). (http://tiaapublishing.ops.tiaa-cref.org/pmsa/Documents/Audit_Support/05_JPMC%20SAS%2070/JPMC%20ERISA%20Plan%20Letter%20May%202010.pdf)
9. Does the certification cover participant and plan loans?
Participant loans are aggregated and appear in the Schedule of Net Assets Held for Investment as the Participant Loan Fund. Loan payments are made to the plan and income on participant loans appears in the Statement of Changes to Net Assets. Both the Schedule of Net Assets Held for Investment and the Statement of Changes in Net Assets are covered by the certification.
Since plan loans are not assets of the plan and are not included in the Schedule of Net Assets Held for Investment and the Statement of Changes in Net Assets, they are not covered by the certification provided. However, the collateral for the plan loans is held in the borrowing participants’ TIAA Traditional Annuity balances which are covered by the certification. See Section 7.4 for additional information on the difference between plan loans and participant loans..
10. Is ASC 820 a consideration in the preparation of a plan’s financial statements?
Financial statements prepared in conformity with generally accepted accounting principles will present investments at fair value as defined in ASC 820. TIAA-CREF will report investment information at fair market based on processes described in the SAS 70.
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11. What are the available options if an audit is not finalized prior to either the original due date or, if an extension was filed, the extended due date?
The first course of action is to consult with the plan’s ERISA counsel to develop a compliance strategy. A consideration for 403(b) plans will be the determination of the application of ERISA. Only retirement plans subject to ERISA are required to file Form 5500. However, if a plan is subject to ERISA and has not filed a Form 5500, the plan administrator may be subject to civil penalties for failing to file Form 5500 in current and prior reporting periods.
To promote compliance with ERISA’s annual reporting requirements, the Department of Labor sponsors the Delinquent Filer Voluntary Compliance Program (DFVCP) to encourage voluntary compliance through the reduction of civil penalties. Penalties imposed by the Department of Labor for plan administrators using the DFVCP are reduced and the amount dependent upon several factors. However, the penalty is limited to $1,500 for a small plan and $4,000 for a large plan for all delinquent filings of the same plan assuming all delinquent filings are included in the same DFVCP submission. Follow this link for the Department of Labor’s Fact Sheet on the DFVCP. www.dol.gov/ebsa/newsroom/0302fact_sheet.html
12. When should employee contributions be remitted to the plan’s service provider?
Large plans: The Department of Labor’s regulation requires employers of all sizes to transmit employee contributions as soon as they can be segregated (the general rule), but in no case later than the 15th business day of the month immediately following the month in which the contribution is either withheld or received by the employer. The 15th business day of the month following the month in which employee contributions are withheld should not be considered a safe harbor for large plans. Once-a-month remittances are appropriate if the only payroll cycle frequency is monthly. If, as part of the plan’s annual audit, the plan’s independent qualified public accountant determines that employee contributions have not been remitted within the appropriate time frame, the plan administrator may be asked to prepare a supplemental schedule for inclusion in the plan’s financial statements disclosing such late remittances. This supplemental schedule will be covered by the audit opinion.
Small plans: The Department of Labor issued a final regulation in January 2010 which provides a seven business day safe harbor period for small plans. Small plans now have an optional safe harbor period in which they can meet the general rule. If employee contributions are remitted on or before the safe harbor date, the general rule is deemed to have been met. Small plans don’t have to determine the earliest date on which employee contributions can reasonably be segregated if employee contributions are remitted within the safe harbor period. Follow this link to the Department of Labor’s News Release. www.dol.gov/ebsa/newsroom/fsecp.html
If the plan has late remittances of employee contributions, line 4a of Schedule H or I, as applicable, or line 10 of Form 5500-SF should be marked in the affirmative and the aggregate amount of late remittances should be entered. Under certain circumstances, Schedule G (Financial Schedules) may need to be attached to Form 5500 for a large plan to report late remittances (see following question).
13. What prohibited transactions result from an employer being delinquent in forwarding employee contributions to the plan?
Included below is an excerpt from the Department of Labor’s Frequently Asked Questions About Reporting Delinquent Participant Contributions: www.dol.gov/ebsa/faqs/faq_compliance_5500.html
“With respect to the prohibited transaction provisions of ERISA section 406, the employer of employees covered by the plan is a party in interest with respect to the plan under ERISA section 3(14)(C). The failure to segregate and forward participant contributions to a plan from the general assets of the employer in the time frames prescribed by 29 CFR § 2510.3-102 would result in a prohibited use of plan assets in violation of section 406(a)(1)(D) of ERISA. Similarly, because an employer who retains plan assets commingled with its general assets would be a fiduciary with respect to those assets pursuant to ERISA section 3(21)(A)(i), any actions taken by the employer with respect to the participant contributions that become plan assets, other than the actual contribution of such assets to the employee benefit plan’s trust or the actual payment of welfare benefits for employees, would be a violation of ERISA section 406(b)(1) and (2).
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“Although the failure to forward participant contributions in a timely fashion would not, in itself, constitute an extension of credit between the plan and the employer in violation of section 406(a)(1)(B), depending on the particular facts and circumstances, a separate arrangement, agreement or understanding to extend credit to pay the delinquent amounts to the plan could occur that would give rise to a violation of section 406(a)(1)(B). Such arrangement, agreement or understanding could be express or implied. For example, a fiduciary’s consistent failure to exercise diligence in its collection efforts regarding participant contributions may serve as the basis to assert that an implied understanding existed to extend credit between the fiduciary and the employer.”
14. Are the Schedule of Assets Held for Investment and the Statement of Changes to Net Assets reported on a trade date basis?
Generally, yes. When the last day of the plan year falls on a weekend or holiday, the Ending Investment Price as shown in the Schedule of Assets Held for Investment includes an interest accrual for fixed annuity contracts until the last day of the month (trade date basis). The Ending Market Value as shown in the Schedule of Asses Held for Investment is calculated using a run date basis investment price as of the last business day of the month.
FORM 5500
15. How are separated participants counted? Who must be considered as plan participants and should Form 8955-SSA be filed with the Internal Revenue Service?
There is no specific guidance from the Department of Labor on this, so each plan administrator must decide individually how to handle participants who have separated from service. Generally, the participant determination is relatively clear-cut. If the reporting plan continues to hold assets to fund the benefits to be paid to a separated participant, the participant should be considered a plan participant for purposes of Form 5500. However, in the case of separated participants invested exclusively in individually controlled TIAA and/or CREF annuity contracts, the question of whom to include in a plan filing becomes a little more complicated.
Under the TIAA and CREF contracts, many rights are vested with the individual participant. Unlike plans that are funded through a trust or custodial accounts, individual participants in plans funded with TIAA and CREF annuity contracts already own their own annuity contracts with certain exceptions. This is generally true even for participants covered under group annuity contracts as the participants own their own individual certificates under these contracts. Accumulations in the RC and RCP contracts cannot be handled in this manner because they are not controlled by the individual participant.
After a participant separates from service, the employer generally has no obligation to make further contributions and will not control when the participant receives distributions except in limited circumstances permitted by the plan document. Where, however, the separated participant exercises his or her own rights under the terms of the TIAA or CREF annuity contracts, and has no other accounts under the plan that he or she does not control, the separated participant is in the same situation as if he or she had received an in-kind distribution of an annuity contract from a trusteed pension plan. Since this is the case, a number of employers take the position that a separated participant who owns only individually controlled annuities is no longer a plan participant. Since there is no guidance from the Department of Labor to the contrary on this point, TIAA-CREF believes that excluding separated participants is an acceptable approach. Note, however, that if the separated participant has account balances in mutual or other funds under a trust or custodial account or investments in the TIAA Traditional RC or RCP contract the employer cannot take this position and must treat the separated participant as a plan participant.
The instructions to the 2010 Form 5500 indicates that the “other retired or separated participants entitled to future benefits” category does not include any individual to whom an insurance company has made an irrevocable commitment to pay all the benefits to which the individual is entitled under the plan. This method of counting participants may not be appropriate under generally accepted accounting principles (GAAP) for the preparation of a plan’s financial statements. The IQPA can provide additional assistance in assessing GAAP’s applicability.
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The alternative approach is to treat terminated participants as plan participants until annuity benefits begin. This approach is equally acceptable. So long as a separated participant continues to have funds in an annuity contract(s), the participant would be considered a plan participant. Only his or her employment status has changed; plan benefits remain unchanged.
While either approach for handling separated participants may be adopted by a plan administrator, all separated participants must be treated consistently. After a participant has converted his or her account balances to an immediate annuity, the participant is no longer considered a plan participant. If a participant annuitizes his or her account balance, it is accounted for as an annuity settlement option, a type of plan distribution.
If separated participants as treated as participants for purposes of the Form 5500:
Their account balances in the TIAA Traditional Annuity, TIAA Stable Value, TIAA Stable Return Annuity, CREF Accounts, TIAA Real Estate Account and any other custodial or trusteed investment options should be reported as assets of the plan; and
Form 8955-SSA completed and filed with the Internal Revenue Service to report separated participants with deferred vested benefits. See Section 2.2.3 for additional information.
In addition to treating all separated participants equitably, a consistent approach should be taken from year to year. If a change in reporting methodology is made, documentation of such change should be maintained in the plan’s permanent records as well as included as an explanatory statement to be associated with the Form 8955-SSA in the year of change.
For ERISA 403(b) plans only:
On July 20, 2009, the Department of Labor issued Field Assistance Bulletin (FAB) 2009-02 and subsequently supplemented it with FAB 2010-01. The FABs provide that for Form 5500 reporting, 403(b) plans subject to ERISA need not treat annuity contracts and custodial accounts as part of the plan provided:
The contract or account was issued to a current or former employee before January 1, 2009
The employer ceased to have any obligation to make contributions (including employee salary reduction contributions) and in fact ceased making contributions to the contract or account before January 1, 2009
All of the rights and benefits under the contract or account are legally enforceable against the insurer or custodian by the individual owner of the contract or account without any involvement of the employer
The individual owner of the contract or account is fully vested in the contract or account
Participants who are excluded under FAB 2009-02 may continue to be excluded from the Form 5500 or Form 5500-SF in subsequent years unless an excluded contract or custodial account is exchanged for a contract available under the employer’s 403(b) plan. The new contract or custodial account should be reported in the financial information on Form 5500 or Form 5500-SF and the associated participant counted for purposes of the participant counts. For purposes of a plan’s financial statements, treatment of an exchange transaction will be dependent upon the reporting methodology originally afforded the contract or account being exchanged.
You can find a copy of FAB 2009-02 at http://www.dol.gov./ebsa/regs/fab2009-2.html.
You can find a copy of FAB 2010-01 at http://www.dol.gov/ebsa/regs/fab2010-1.html.
TIAA-CREF cannot and does not offer accounting or legal advice. We recommend that the plan consult with its own auditor and legal counsel concerning the application of and relief granted by the Department of Labor under FAB 2009-02 and FAB 2010-01.
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16. How is a plan’s investment in the TIAA Traditional Annuity, TIAA Stable Value and TIAA Stable Return Annuity contracts reported for purposes of the Form 5500 and the plan’s financial statements?
TIAA is an insurance company and offers various types of contracts for investment by retirement plans subject to ERISA. The TIAA Traditional Annuity and TIAA Stable Return Annuity contracts are considered General Account contracts because the returns and guarantees under the contracts are backed by TIAA’s General Account, an account that holds many of TIAA’s general investments (as distinguished from investments held in specific-purpose accounts, known as separate accounts). TIAA Stable Value is a fixed annuity and is similar to TIAA Traditional Annuity and TIAA Stable Return Annuity and reported as an Insurance Company General Account. However, the returns and guarantees under the contracts are backed by the assets held in a non-unitized separate account of TIAA. In the event that the assets in the separate account are insufficient to support the guarantees provided for under the contracts, the TIAA General Account is obligated to support the deficiency.
Based on the Department of Labor’s Advisory Opinion 2010-01A, these contracts are to be classified as unallocated contracts for purposes of ERISA. If a plan uses these contracts at any time during the reporting plan year, they should be reported on a plan’s Form 5500 series return. See Section 7.1.4 for specific information. Classification in the investing plan’s financial statements should be discussed with the IQPA.
17. How is a plan’s investment in the TIAA Real Estate Account (REA) reported for purposes of the Form 5500 and the plan’s financial statements?
If plan assets include an investment in the REA at any time during the reporting year, disclosure of such investment must meet certain requirements. For purposes of reporting on Form 5500, the REA is a pooled separate account of TIAA, an insurance company, and is reported as an investment in a direct filing entity (DFE). Designation as a DFE combined with the filing of its own Form 5500 provides the investing plan with reporting relief with respect to the REA. If the REA did not file its own Form 5500, each investing plan would disclose its pro-rata share of the REA’s underlying investments as plan assets.
Both large and small plans with investments in the REA must also complete Schedule D (DFE/Participating Plan Information), Part I, and include it with its Form 5500.
For presentation in the financial statements, a plan’s investment in the REA and the related investment experience will be dependent upon the format utilized. Generally, a plan’s investment in the REA is either listed as an individual investment in the Statements of Net Assets Available for Benefits or, if the investments are listed as an aggregate amount, the investment detail will be provided in the footnotes. The investment experience disclosed in the Statement of Changes in Net Assets Available for Benefits is generally combined with investment experience of other plan investments into the categories of interest, dividends and net appreciation.
18. How is a plan’s investment in the CREF Accounts reported for purposes of the Form 5500 and the plan’s financial statements?
CREF is a registered investment company as well as an insurance company. Investments in any of the CREF Accounts are classified as investments in registered investment companies for purposes of the plan’s financial statements and Form 5500. See the CREF Accounts financial statements for additional information.
For presentation in the financial statements, a plan’s investment in the CREF Accounts and the related investment experience will be dependent upon the format utilized. Generally, a plan’s investment in the CREF Accounts is either listed as an individual investment in the Statements of Net Assets Available for Benefits or, if the investments are listed as an aggregate amount, the investment detail will be provided in the footnotes. The investment experience disclosed in the Statement of Changes in Net Assets Available for Benefits is generally combined with investment experience of other plan investments into the categories of interest, dividends and net appreciation.
19. When is the Form 5500 and Form 8955-SSA due?
A plan’s Form 5500 and Form 8955-SSA, if required, is due at the end of the seventh month following the plan year-end. For example, if a plan year end is December 31, 2xx0, the Form 5500 and Form 8955-SSA, if required, is due seven months later, or July 31, 2xx1. An extension of
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time to file the Form 5500 and Form 8955-SSA may be requested (See Section 2.2.5, When to File Form 5500 for the Form 5500 Filing Calendar by Plan Year).
20. Is an extension of time to file Form 5500 and Form 8955-SSA available?
Yes. A Form 5558, Application for Extension of Time To File Certain Employee Plan Returns, must be filed on or before the original due date (not including any extensions) with the Internal Revenue Service. Filing a Form 5558 will provide the plan with up to an additional 2½ months to file Form 5500 and Form 8955-SSA, if required. For example, if a plan year end is June 30, 2010, and a Form 5558 is filed on or before January 31, 2011, requesting the maximum extension period, the plan’s extended due date for filing the Form 5500 and Form 8955-SSA, if required, becomes April 15, 2011. If the plan’s reporting year is the same as the plan sponsor’s tax year and the plan sponsor requested an extension of time to file its tax return, the plan may rely on the plan sponsor’s Form 8868 (Application for Extension of Time To File an Exempt Organization Return) or similar extension (see Section 2.2.4).
21. Is there a continuing requirement to file Form 5500 or Form 8955-SSA for a terminated or frozen plan?
ERISA requires that a retirement plan file a Form 5500 as long as it has assets to report and Form 8955-SSA if separated participants have deferred benefits to be reported for the reporting plan year. Therefore, until all plan assets have been distributed or deemed distributed, a Form 5500 filing should occur. Once plan assets reach zero, a short plan year may be created with the Form 5500 due at the end of the seventh month following total liquidation of the plan’s assets. See FAQ 22 for more information on short plan years.
A plan is generally terminated when the plan sponsor takes official action as evidenced by a resolution or similar documentation with the consequence of the termination being the cessation of contributions and the distribution of plan assets. The document should be properly executed and notarized and then filed with the plan’s permanent records. Participants should be notified of the official action.
A plan is generally considered “frozen” when eligibility to participate in the plan is not longer available to new employees of the plan sponsor, employer and employee contributions are no longer made or permitted, or both. The plan has a continuing requirement to file Form 5500 until plan assets are distributed or deemed distributed and Form 8955-SSA for separated participants with deferred benefits.
22. What is a short plan year and why is a proper determination important?
A short plan year is a reporting year of less than twelve months. A short plan year is generally created when (i) the plan is initially adopted or terminated, (ii) plan assets are distributed or deemed distributed, or (iii) the plan year changes. In each of the following situations, the plan document will define the plan year:
(a) The plan may be adopted at any point in time. If the effective date of the adoption is different than the first day of the plan year as defined in the plan document, the plan will have a short, initial plan year. For example, assume Plan A is adopted timely with an effective date of July 1, 2xx0, with the plan year being defined as the calendar year. Plan A’s initial plan year is a short plan year of July 1 - December 31, 2xx0. The second plan year will be a full plan year of January 1 - December 31, 2xx1, assuming no other changes to the definition of the plan year and the plan will follow the standard due dates for its Form 5500.
(b) The plan may be terminated at any point in time. The plan has a reporting obligation until it distributes all plan assets or deems that all plan assets have been distributed at which time a short plan year may be created. For example, assume that Plan B’s plan year is defined as the calendar year. Plan B is properly terminated with an effective date of March 31, 2xx0. However, Plan B cannot make a complete distribution of plan assets until January 15, 2xx1. In this case, Plan B has a full plan year reporting obligation for 2xx0 with the Form 5500 having the standard due dates and a short plan year reporting obligation for 2xx1 (January 1 - January 15, 2xx1). The Form 5500 for the short 2xx1 plan year is due at the end of the seventh month following the end of the short plan year, or August 31, 2xx1.
SECTION 4
50
(c) The plan may be amended to change the plan year. In doing so, a short plan year is created. Assume Plan C has a calendar year as its plan year and that the plan is timely amended to change the plan year to a June 30 year end, effective on June 30, 2xx1. Plan C will file its Form 5500 as a calendar year plan for 2xx0 with the standard due dates. Then a short plan year of January 1 - June 30, 2xx1, is created and a Form 5500 will be due at the end of the seventh month following the end of the short plan year, or January 31, 2xx2.
23. Does TIAA-CREF prepare Form 5500? Does this service include Form 8955-SSA?
Beginning with the 2009 plan year, TIAA-CREF provides an optional Form 5500 preparation service, including preparation of Form 8955-SSA and summary annual report (SAR). The service is provided in collaboration with Deloitte Tax LLP.
24. Are breakdowns of the interest and dividends credited to each TIAA and CREF variable annuity account provided?
No. The CREF Accounts and the TIAA Real Estate Account are investment options in a variable annuity held pursuant to the terms of an ERISA retirement plan. Variable annuities, unlike mutual funds sold directly to the public, including retirement plans, are not required to distribute dividends and capital gains on an annual basis. Nor are the investment returns of a variable annuity subject to federal income taxes on an annual basis as is generally the case for mutual funds.
Premium contributions to a variable annuity purchase additional units and the value of the variable annuity is calculated daily (the process is described in the SAS 70). The changes in unit values reflect the gains, losses, dividends, and interest received by the underlying assets of the individual variable annuity.
For purposes of the plan’s financial statements and Form 5500 reporting, a pro-rata portion of the investment experience of the underlying assets of the variable annuity is the plan’s unrealized appreciation or depreciation of its investment in the variable annuity(ies). For the plan’s financial statements and Schedule H or Schedule I and
Form 5500-SF reporting purposes, these assets are the CREF Account units and TIAA Real Estate Account units, not the underlying assets of the CREF Accounts or TIAA Real Estate Account.
25. Do the CREF Accounts hold the plan’s investment assets and execute investment transactions on behalf of the investing plan?
No. The underlying assets of the CREF Accounts are not plan assets. CREF is an investment company under the Investment Company Act of 1940. Under ERISA section 401(b)(1), the underlying assets of an investment company are not plan assets although the securities issued by such investment companies are plan assets. As a result, units in the CREF Accounts are plan assets, but the underlying assets are not. It is the value of the plan’s holdings in the CREF Accounts that must be reported on in the plan’s financial statements and Schedule H or Schedule I or Form 5500-SF, and not the value of the assets underlying the CREF Accounts.
26. Is a breakdown of the plan administrative expenses charged against the assets of the CREF Accounts and the TIAA Real Estate Account necessary?
Direct plan administrative expenses and fees for large plans are reported in the plan’s financial statements and on line 2i of Schedule H. Since there are no direct fees or expenses incurred or paid by the plan to the CREF Accounts or the TIAA Real Estate Account, there are no direct expenses or fees to report. The expense deductions for the CREF Accounts and TIAA Real Estate Account, as reported in their respective prospectuses, are factors in determining the unit values of the respective Accounts. However, because these expenses are not paid directly by the plan, they are not the type of plan expenses that must be reported in the plan’s financial statements or on Schedule H. However, they may be reportable on Schedule C as an indirect expense of the plan. See the Service & Fee Disclosure Guide for more information.
SECTION 4
51
27. How are TIAA Real Estate Account and CREF Accounts valued?
The TIAA Real Estate Account and CREF Accounts are valued each business day. The valuation process is described in the SAS 70 reports.
28. Does TIAA-CREF issue a certification for purposes of the limited scope audit permitted under Department of Labor regulations 2520.103-8? What’s covered by the certification?
Yes, TIAA-CREF will so certify. ERISA provides that the opinion of a plan’s independent qualified public accountant need not extend to any statements certified as complete and accurate by a bank, trust company or similar institution, or by an insurance carrier that is regulated and subject to periodic examination by a state or federal agency. Both TIAA and CREF, as insurance carriers, qualify for the exemption. Additionally, TIAA-CREF has been authorized by JPMorgan Chase Bank, N.A. (JPMC) to certify for plan assets for which JPMC is the directed custodian and/or trustee.
29. Based on the requirements to file Form 5500, our 403(b) plan may have been required to file in previous reporting years. What action should be taken now to address this situation?
The first course of action is to consult with the plan’s ERISA counsel to develop a compliance strategy. A consideration for 403(b) plans will be the determination of the application of ERISA. Only retirement plans subject to ERISA are required to file Form 5500. However, if a plan is subject to ERISA and has not filed a Form 5500, the plan administrator may be subject to civil penalties for failing to file Form 5500 in current and prior reporting periods.
To promote compliance with ERISA’s annual reporting requirements, the Department of Labor sponsors the Delinquent Filer Voluntary Compliance Program (DFVCP) to encourage voluntary compliance through the reduction of civil penalties. Penalties imposed by the Department of Labor for plan administrators using the DFVCP are reduced and the amount dependent upon several factors.
However, the penalty is limited to $1,500 for a small plan and $4,000 for a large plan for all delinquent filings of the same plan assuming all delinquent filings are included in the same DFVCP submission.
30. What are ERISA’s bonding requirements?
ERISA generally requires anyone who “handles” plan assets to be bonded. Plan administrators of plans funded solely with individually-owned TIAA or CREF annuity contracts or certificates may elect not to be bonded. In that case, the plan administrator is taking the position that plan funds are not “handled” since contributions do not become plan assets until such time as they are contributed to the annuities and once the funds are in the annuities the plan sponsor’s employees do not have any control over the funds. This position assumes that plan contributions are remitted in a timely fashion since delayed remittances may place plan officials in a position of “handling” funds. The exemptive position from ERISA’s bonding requirements related to individually-owned TIAA or CREF annuities does not apply when a plan is funded, in whole or in part, with mutual funds or institutionally-owned annuity contracts, such at as TIAA’s Retirement Choice Annuities. Regardless of whether the plan offers individually or institutionally owned TIAA or CREF annuities or mutual funds, TIAA-CREF recommends that every plan subject to ERISA secure a fidelity bond. This recommendation is based upon the perspective that the risk of not securing a fidelity bond outweighs the relatively small expense of obtaining one.
The amount of the fidelity bond is fixed at the beginning of the plan year. The coverage amount should not be less than 10% of the funds handled or $1,000, or more than $500,000.
SECTION 4
52
TRANSACTIONS
31. What is an in-service distribution?
ERISA imposes rules concerning the timing of a participant’s access to his or her account. Distributions generally are limited to death, disability, or separation from employment. However, some plans may permit an active participant to gain access to his or her account under certain conditions. These permitted distributions are called in-service withdrawals. Some of these conditions associated with in-service withdrawals are related to sources of contributions (e.g., employer discretionary contributions, employer after-tax contributions) while others are limited to an occurrence (e.g., passage of a fixed number of years, attainment of a stated age).
32. How are loan defaults (payments are not made as required under the loan agreement) handled for reporting purposes?
In general, the loan default is treated as a taxable event if payment is not received by the end of the calendar quarter following the calendar quarter in which the required loan payment was due. The default amount (outstanding loan balance including accrued interest) is reported on Form 1099-R for the calendar year in which the default occurred. TIAA-CREF issues Form 1099-Rs in January for loan defaults and distributions occurring in the prior calendar year for investments, including loans, it recordkeeps.
It should be noted that a taxable event does not necessarily give rise to a distributable event, an event under which a distribution is made. The terms of the plan will control the timing of distributions which are generally limited to death, disability and separation from employment. At the time specified by the plan, the loan will be offset against the participant’s account balance. The offset does not create a second taxable event.
33. Where can I find more supporting information for frequently made account transactions?
More supporting information on other transactions that occur within a plan may be found by visiting the TIAA-CREF Plan Sponsor website.
GENERAL
34. Is the accrual basis of accounting used with regard to interest, income, and dividends?
No. TIAA-CREF provides reporting strictly on a cash basis. Only transactions actually occurring within the reporting period are contained within our plan year-end reports.
35. Can TIAA-CREF supply reconciliations between the custodial system and the recordkeeping system?
TIAA-CREF maintains information on multiple systems. They are:
The custodial system – keeps track of a plan’s investment in mutual and other funds in omnibus form.
The recordkeeping system – keeps the detail of the TIAA Traditional Annuity, TIAA Stable Return Annuity, and TIAA Stable Value contracts (fixed annuity products), the CREF Accounts (a variable annuity product), and the TIAA Real Estate Account (a variable annuity product) as well as plan and participant’s balances.
TIAA-CREF reconciles the custodial system to the recordkeeping system at the omnibus level for the mutual fund holdings. For the annuity contracts, the recordkeeping and custodial system are the same. Therefore, further reconciliations are not necessary.
SECTION 4
53
36. Why is the full Social Security number not displayed on the plan year-end reports?
Reports provided to plan administrators with participants’ Social Security number (SSN) will contain masked SSNs (the last four digits). For example, if a participant’s SSN is “123-45-6789,” the masked SSN displayed on the report will be “xxx-xx-6789.” The masking of a participant’s SSN is a proven strategy to obscure personal identification information to protect the participant from privacy invasion and eliminates the possibility of inappropriate use of the SSN by any unauthorized individuals.
37. What is TIAA-CREF’s cut-off date for including transactions for the reporting year?
Generally, TIAA-CREF reports on a cash basis. Therefore, transactions received by TIAA-CREF in good order on or before 4:00 p.m. (ET) on the last business day of the plan year are included in the annual plan year-end reports.
GOVERNANCE AND INTERNAL CONTROLS
38. Does TIAA-CREF provide plan administrators with a SAS 70 report?
Yes. The unqualified Type II SAS 70 for both qualified plans and ERISA 403(b) plans is located on the Plan Administrator website in the Message Center. Currently, two separate reports are available; one for the calendar year ended 12/31/2009 and one for the fiscal year ended 6/30/10. The 2010 calendar year SAS 70 report should be available in second quarter 2011.
If a plan has assets for which JPMorgan Chase Bank, N.A. (JPMC) is the directed custodian or directed trustee, JPMC’s unqualified Type II SAS 70 report may be requested by contacting the plan’s assigned Institutional Liaison, or, if served by the Administrator Telephone Center, by contacting a TIAA-CREF consultant at 888 842-7782.
These SAS 70 reports are available on a moving 12-month fiscal year period ending each September 30 and March 30.
The SAS 70 reports are confidential and should be used only by TIAA-CREF, its clients, and the independent auditors of its clients. Unauthorized use
of the SAS 70 report, in whole or in part, is strictly prohibited. TIAA-CREF has been authorized by JPMC to distribute its SAS 70 report with the same restrictions as for the TIAA SAS 70 report.
39. Who are the subservice providers identified in the SAS 70 report, what is their role, and what effect will this have on a plan audit?
State Street Bank and Trust Company – provides investment accounting services including calculation of daily net asset value information for the TIAA-CREF Funds. These services are provided to the Funds and not to individual retirement plans.
JPMorgan Chase Bank, N.A. – serves as trustee and/or custodian of the proprietary and non-proprietary mutual funds for plans that offer these funds as part of their investment offering (certain exceptions may apply).
40. What is meant by a “controls environment” and why should a plan have one?
Internal control is a process developed, designed, and implemented by plan management, including those charged with governance, to provide reasonable assurance regarding the attainment of stated objectives. Effective controls reduce the risk of asset loss, and help ensure that plan information is complete and accurate, financial statements are reliable, and laws and regulations are complied with. The American Institute of Certified Public Accountants’ Audit Quality Center for Employee Benefit Plans is a source of excellent information. http://ebpaqc.aicpa.org/
41. Who is responsible for general governance and oversight of an ERISA plan?
The plan administrator is responsible for general governance, oversight, and monitoring of an ERISA plan.
SECTION 4
54
SECTION FIVE. APPENDICES
55
APPENDIX A
SAMPLE PLAN SPONSOR REPORTING PACKAGE
CERTIFICATION LETTER
Raymond J. BellucciVice President, Plan Services
Toll Free: 800.842.2638, X2730 Local: 303.607.2730 Fax: 303.830.0631 [email protected]
Private & Confidential 1/16/2011 03:04 PM Page 1 of 11 Includes both Teachers Insurance and Annuity Association of America (TIAA) and College Retirement Equities Fund (CREF)
as insurance companies.2 By agreement between TIAA and JPMorgan Chase Bank dated 11/22/2004 granting TIAA-CREF specific authority to certify
plan records as required by 29 CFR 2520.103-5(d).
1/16/2011
Re : ABC SAMPLE UNIVERSITYABC SAMPLE UNIVERSITY 403(B) RETIREMENT PLAN
Plan # 100000
TIAA-CREF hereby certifies the reports (Schedule of Assets Held for Investment and Statement of Changesto Net Assets) furnished pursuant to 29 CFR 2520.103-5(d) are complete and accurate for the plan yearended 12/31/2010. This certification extends to investments recordkept by TIAA-CREF for which JPMorganChase Bank, a New York banking corporation, and its successors, if any, act as a directed trustee, custodian,or both.
Sincerely,
Raymond J. BellucciVice President, Plan Services
56
APPENDIX A
Sche
dule
of A
sset
s H
eld
for I
nves
tmen
tTo
tal P
lan
Ass
ets
Und
er M
anag
emen
t
AB
C S
AM
PLE
UN
IVER
SITY
For t
he P
erio
d En
ding
12/
31/2
010
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge1
of
2
FUN
D ID
TIC
KER
INVE
STM
ENT
NA
ME
END
ING
INVE
STM
ENT
PRIC
EEN
DIN
G U
NIT
BA
LAN
CE
END
ING
MA
RK
ET V
ALU
EEN
DIN
G C
OST
VA
LUE
X1TR
EA#
TIAA
Rea
l Est
ate
$193
.453
900
1,85
5.98
04$3
59,0
46.6
5$5
02,1
27.9
8
X2C
STK#
C
REF
Sto
ck
$208
.254
700
62,7
68.9
174
$13,
071,
922.
06$1
3,24
8,23
6.95
X3C
MM
A#
CR
EF M
oney
Mar
ket
$25.
5326
0040
,948
.929
6$1
,045
,532
.64
$1,0
24,2
92.7
8
X5C
BND
# C
REF
Bon
d M
arke
t $9
1.30
6200
50,2
26.3
036
$4,5
85,9
72.9
2$4
,044
,456
.28
X7C
GR
W#
CR
EF G
row
th
$62.
1984
0020
,195
.699
6$1
,256
,140
.20
$1,1
86,6
92.1
1
X9C
ILB#
C
REF
Infla
tion-
Link
ed B
ond
$55.
4994
0017
,426
.747
3$9
67,1
74.0
1$9
04,7
83.9
7
L1TC
LEX
TIAA
-CR
EF L
ifecy
cle
2010
-Rtm
t $1
0.12
0000
244,
920.
1998
$2,4
78,5
92.4
3$2
,566
,721
.15
L2TC
LIX
TIAA
-CR
EF L
ifecy
cle
2015
-Rtm
t $1
0.05
0000
111,
296.
0529
$1,1
18,5
25.3
2$1
,150
,380
.49
L3TC
LTX
TIAA
-CR
EF L
ifecy
cle
2020
-Rtm
t $9
.890
000
198,
460.
4779
$1,9
62,7
74.1
3$2
,019
,461
.92
L4TC
LFX
TIAA
-CR
EF L
ifecy
cle
2025
-Rtm
t $9
.700
000
100,
488.
0563
$974
,734
.14
$968
,628
.60
L5TC
LNX
TIAA
-CR
EF L
ifecy
cle
2030
-Rtm
t $9
.510
000
203,
335.
3571
$1,9
33,7
19.2
5$2
,068
,152
.25
L6TC
LRX
TIAA
-CR
EF L
ifecy
cle
2035
-Rtm
t $9
.500
000
49,1
50.2
027
$466
,926
.93
$456
,604
.83
L7TC
LOX
TIAA
-CR
EF L
ifecy
cle
2040
-Rtm
t $9
.670
000
175,
925.
8354
$1,7
01,2
02.8
2$1
,742
,365
.47
L9TT
FRX
TIAA
-CR
EF L
ifecy
cle
2045
-Rtm
t $7
.340
000
3,60
7.90
33$2
6,48
2.00
$23,
533.
91
LBTL
FRX
TIAA
-CR
EF L
ifecy
cle
2050
-Rtm
t $7
.360
000
2,85
8.97
89$2
1,04
2.08
$18,
940.
79
LDTL
IRX
TIAA
-CR
EF L
fcyl
e R
tmt I
nc-R
tmt
$8.9
4000
09.
4667
$84.
63$8
3.13
1TI
AA#
TIAA
Tra
ditio
nal A
nnui
ty
$19,
311,
570.
88$1
7,82
5,65
2.69
XCTR
IEX
TIAA
-CR
EF In
tl Eq
Idx-
Rtm
t $1
5.91
0000
226,
944.
4015
$3,6
10,6
85.4
2$4
,058
,327
.93
XETR
LCX
TIAA
-CR
EF L
g-C
ap V
al-R
tmt
$11.
1700
0036
0,39
5.49
71$4
,025
,617
.70
$4,8
90,8
34.7
7
XMTR
BIX
TIAA
-CR
EF S
m-C
ap B
l Idx
-Rtm
t $1
1.04
0000
553,
827.
6216
$6,1
14,2
56.9
4$7
,570
,901
.43
XQTR
SCX
TIAA
-CR
EF S
ocia
l Ch
Eq-R
tmt
$9.5
3000
038
4,07
5.47
65$3
,660
,239
.30
$3,9
05,2
32.2
9
57
APPENDIX A
Sche
dule
of A
sset
s H
eld
for I
nves
tmen
tTo
tal P
lan
Ass
ets
Und
er M
anag
emen
t
For t
he P
erio
d En
ding
12/
31/2
010
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge2
of
2
FUN
D ID
TIC
KER
INVE
STM
ENT
NA
ME
END
ING
INVE
STM
ENT
PRIC
EEN
DIN
G U
NIT
BA
LAN
CE
END
ING
MA
RK
ET V
ALU
EEN
DIN
G C
OST
VA
LUE
XRTR
SPX
TIAA
-CR
EF S
&P 5
00 Id
x-R
tmt
$12.
4900
0083
,565
.329
7$1
,043
,730
.97
$1,1
42,2
91.8
0
XVTI
QR
X TI
AA-C
REF
Eq
Inde
x-R
tmt
$8.4
1000
024
6,57
0.72
56$2
,073
,659
.80
$1,7
77,0
80.2
7
XXTI
TRX
TIAA
-CR
EF M
anag
ed A
lloc-
Rtm
t $8
.910
000
587,
666.
7598
$5,2
36,1
10.8
4$5
,620
,846
.97
SDSD
A01#
TI
AA-C
REF
Sel
f Dire
cted
Acc
t $1
28,8
91.9
0$1
28,8
91.9
0
Subt
otal
$77,
174,
635.
96$7
8,84
5,52
2.66
Parti
cipa
nt L
oan
Fund
$1,6
30,2
67.0
4
TOTA
L$7
8,80
4,90
3.00
$78,
845,
522.
66
58
APPENDIX A
Stat
emen
t of C
hang
es to
Net
Ass
ets
Tota
l Pla
n A
sset
s U
nder
Man
agem
ent –
Inve
stm
ent D
etai
l
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
Mar
ket V
alue
at t
he B
egin
ning
of t
he P
erio
dA
dditi
ons
to N
et A
sset
s
Con
tribu
tions
EM
PLO
YEE
PRE-
TAX
MAT
CH
EM
PLO
YEE
PRE-
TAX
RO
LLO
VER
EM
PLO
YER
MAT
CH
T
otal
Con
tribu
tions
O
ther
Rec
eipt
sTo
tal A
dditi
ons
to N
et A
sset
sIn
vest
men
t Inc
ome
E
arni
ngs
P
artic
ipan
t Loa
n In
tere
st
Div
iden
ds
Rea
lized
Gai
n (L
oss)
U
nrea
lized
Gai
n (L
oss)
Tota
l Inv
estm
ent I
ncom
eD
educ
tions
from
Net
Ass
ets
W
ithdr
awal
s
Dis
tribu
tions
A
nnui
ty S
ettle
men
t Opt
ions
F
orfe
iture
s
Fee
s
Oth
er D
educ
tions
Tota
l Ded
uctio
nsTr
ansf
ers
In
terfu
nd T
rans
fer I
n
Inte
rfund
Tra
nsfe
r (O
ut)
C
onve
rsio
n In
C
onve
rsio
n (O
ut)
P
lan
to P
lan
Tran
sfer
In
Pla
n to
Pla
n Tr
ansf
er (O
ut)
P
artic
ipan
t Loa
ns Is
sued
P
artic
ipan
t Loa
n Pr
inci
pal R
epay
men
tTo
tal T
rans
fers
M
arke
t Val
ue a
t the
End
of t
he P
erio
d C
ash
Hel
d in
Res
erve
Part
icip
ant B
alan
ce a
t the
End
of t
he P
erio
d
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge1
of
8
TIA
A T
RA
DIT
ION
AL
AN
NU
ITY
1 $17,
414,
747.
18
($45
.22)
$1,4
54,5
15.2
6$2
,433
.34
$547
,662
.87
$2,0
04,5
66.2
5$0
.00
$2,0
04,5
66.2
5
$163
.63
$24,
913.
66$0
.00
$122
,449
.02
$360
,870
.20
$508
,396
.51
($4,
629.
62)
($70
0,14
3.63
)$0
.00
$0.0
0$0
.00
$0.0
0($
704,
773.
25)
$1,7
03,0
83.4
4($
1,74
9,38
6.24
)$0
.00
$0.0
0$1
,373
.08
$0.0
0$0
.00
$133
,563
.91
$88,
634.
19$1
9,31
1,57
0.88
$0.0
0$1
9,31
1,56
7.81
TIA
A R
EAL
ESTA
TEX1
$429
,426
.50
$0.0
0$6
0,07
0.37
$0.0
0$2
0,62
6.18
$80,
696.
55$0
.00
$80,
696.
55
$0.0
0$8
41.4
5$0
.00
($19
,844
.01)
($10
3,60
1.90
)($
122,
604.
46)
$0.0
0($
34,6
69.7
2)$0
.00
$0.0
0$0
.00
$0.0
0($
34,6
69.7
2)
$41,
202.
89($
39,1
07.4
3)$0
.00
$0.0
0$4
04.6
7$0
.00
$0.0
0$3
,697
.65
$6,1
97.7
8$3
59,0
46.6
5$0
.00
$359
,046
.65
CR
EF S
TOC
KX2 $9
,396
,290
.51
$0.0
0$8
23,3
16.7
3$0
.00
$333
,932
.82
$1,1
57,2
49.5
5$0
.00
$1,1
57,2
49.5
5
$0.0
0$1
8,03
4.29
$0.0
0($
380,
184.
42)
$3,4
58,8
63.0
3$3
,096
,712
.90
($5,
665.
36)
($37
8,01
4.38
)$0
.00
$0.0
0$0
.00
$0.0
0($
383,
679.
74)
$350
,693
.96
($63
2,23
4.10
)$0
.00
$0.0
0$7
,773
.40
$0.0
0$0
.00
$79,
115.
58($
194,
651.
16)
$13,
071,
922.
06$0
.00
$13,
071,
922.
27
X3 $1,3
77,6
94.1
6
$0.0
0$7
7,76
1.39
$0.0
0$3
0,34
2.71
$108
,104
.10
$0.0
0$1
08,1
04.1
0
$511
.09
$1,4
36.4
0$0
.00
$19,
452.
77($
17,8
80.4
0)$3
,519
.86
$0.0
0($
396,
531.
08)
$0.0
0$0
.00
$0.0
0$0
.00
($39
6,53
1.08
)
$310
,368
.39
($36
4,04
5.60
)$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$6,4
22.8
1($
47,2
54.4
0)$1
,045
,532
.64
$0.0
0$1
,045
,532
.63
CR
EF M
ON
EY M
AR
KET
59
APPENDIX A
Stat
emen
t of C
hang
es to
Net
Ass
ets
Tota
l Pla
n A
sset
s U
nder
Man
agem
ent –
Inve
stm
ent D
etai
l
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge2
of
8
Mar
ket V
alue
at t
he B
egin
ning
of t
he P
erio
dA
dditi
ons
to N
et A
sset
s
Con
tribu
tions
EM
PLO
YEE
PRE-
TAX
MAT
CH
EM
PLO
YEE
PRE-
TAX
RO
LLO
VER
EM
PLO
YER
MAT
CH
T
otal
Con
tribu
tions
O
ther
Rec
eipt
sTo
tal A
dditi
ons
to N
et A
sset
sIn
vest
men
t Inc
ome
E
arni
ngs
P
artic
ipan
t Loa
n In
tere
st
Div
iden
ds
Rea
lized
Gai
n (L
oss)
U
nrea
lized
Gai
n (L
oss)
Tota
l Inv
estm
ent I
ncom
eD
educ
tions
from
Net
Ass
ets
W
ithdr
awal
s
Dis
tribu
tions
A
nnui
ty S
ettle
men
t Opt
ions
F
orfe
iture
s
Fee
s
Oth
er D
educ
tions
Tota
l Ded
uctio
nsTr
ansf
ers
In
terfu
nd T
rans
fer I
n
Inte
rfund
Tra
nsfe
r (O
ut)
C
onve
rsio
n In
C
onve
rsio
n (O
ut)
P
lan
to P
lan
Tran
sfer
In
Pla
n to
Pla
n Tr
ansf
er (O
ut)
P
artic
ipan
t Loa
ns Is
sued
P
artic
ipan
t Loa
n Pr
inci
pal R
epay
men
tTo
tal T
rans
fers
M
arke
t Val
ue a
t the
End
of t
he P
erio
d C
ash
Hel
d in
Res
erve
Part
icip
ant B
alan
ce a
t the
End
of t
he P
erio
d
0000
CR
EF B
ON
D M
AR
KET
X5 $3,7
61,5
87.2
0
$0.0
0$3
40,9
38.0
9$0
.00
$114
,533
.18
$455
,471
.27
$0.0
0$4
55,4
71.2
7
$2.6
7$4
,190
.71
$0.0
0$3
9,17
7.15
$245
,993
.34
$289
,363
.87
($1,
250.
00)
($22
7,99
8.27
)$0
.00
$0.0
0$0
.00
$0.0
0($
229,
248.
27)
$486
,799
.65
($19
9,62
3.38
)$0
.00
$0.0
0$2
,119
.98
$0.0
0$0
.00
$19,
502.
60$3
08,7
98.8
5$4
,585
,972
.92
$0.0
0$4
,585
,972
.91
CR
EF G
RO
WTH
X7$6
58,1
74.0
6
$0.0
0$1
06,8
77.6
4$0
.00
$40,
242.
75$1
47,1
20.3
9$0
.00
$147
,120
.39
$0.0
0$1
,205
.57
$0.0
0($
8,69
7.36
)$3
14,6
39.9
7$3
07,1
48.1
8
($80
3.09
)($
7,04
2.98
)$0
.00
$0.0
0$0
.00
$0.0
0($
7,84
6.07
)
$174
,320
.98
($28
,983
.00)
$0.0
0$0
.00
$265
.63
$0.0
0$0
.00
$5,9
40.0
3$1
51,5
43.6
4$1
,256
,140
.20
$0.0
0$1
,256
,140
.06
CR
EF IN
FLA
TIO
N-
LIN
KED
BO
ND
X9$6
83,7
11.7
8
$0.0
0$8
6,68
3.02
$0.0
0$3
3,09
7.07
$119
,780
.09
$0.0
0$1
19,7
80.0
9
$2.6
6$7
08.6
1$0
.00
$2,2
05.9
7$7
2,42
2.77
$75,
340.
01
$0.0
0($
19,5
11.9
6)$0
.00
$0.0
0$0
.00
$0.0
0($
19,5
11.9
6)
$231
,508
.92
($12
9,19
7.27
)$0
.00
$0.0
0$2
,023
.39
$0.0
0$0
.00
$3,5
19.0
5$1
07,8
54.0
9$9
67,1
74.0
1$0
.00
$967
,174
.02
TIA
A-C
REF
LIF
ECYC
LE
2010
-RTM
TL1 $1
,889
,643
.98
$0.0
0$2
31,9
85.7
2$0
.00
$86,
376.
13$3
18,3
61.8
5$0
.00
$318
,361
.85
$0.7
4$3
,624
.98
$49,
126.
19($
30,4
67.6
8)$3
63,1
72.5
4$3
85,4
56.7
7
($0.
41)
($32
,842
.41)
$0.0
0$0
.00
($22
7.67
)($
2,76
0.24
)($
35,8
30.7
3)
$101
,244
.20
($16
7,10
1.73
)$0
.00
$0.0
0$0
.00
$0.0
0($
20,2
29.0
0)$7
,047
.09
($79
,039
.44)
$2,4
78,5
92.4
3$0
.00
$2,4
78,5
92.4
4
60
Stat
emen
t of C
hang
es to
Net
Ass
ets
Tota
l Pla
n A
sset
s U
nder
Man
agem
ent –
Inve
stm
ent D
etai
l
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge3
of
8
Mar
ket V
alue
at t
he B
egin
ning
of t
he P
erio
dA
dditi
ons
to N
et A
sset
s
Con
tribu
tions
EM
PLO
YEE
PRE-
TAX
MAT
CH
EM
PLO
YEE
PRE-
TAX
RO
LLO
VER
EM
PLO
YER
MAT
CH
T
otal
Con
tribu
tions
O
ther
Rec
eipt
sTo
tal A
dditi
ons
to N
et A
sset
sIn
vest
men
t Inc
ome
E
arni
ngs
P
artic
ipan
t Loa
n In
tere
st
Div
iden
ds
Rea
lized
Gai
n (L
oss)
U
nrea
lized
Gai
n (L
oss)
Tota
l Inv
estm
ent I
ncom
eD
educ
tions
from
Net
Ass
ets
W
ithdr
awal
s
Dis
tribu
tions
A
nnui
ty S
ettle
men
t Opt
ions
F
orfe
iture
s
Fee
s
Oth
er D
educ
tions
Tota
l Ded
uctio
nsTr
ansf
ers
In
terfu
nd T
rans
fer I
n
Inte
rfund
Tra
nsfe
r (O
ut)
C
onve
rsio
n In
C
onve
rsio
n (O
ut)
P
lan
to P
lan
Tran
sfer
In
Pla
n to
Pla
n Tr
ansf
er (O
ut)
P
artic
ipan
t Loa
ns Is
sued
P
artic
ipan
t Loa
n Pr
inci
pal R
epay
men
tTo
tal T
rans
fers
M
arke
t Val
ue a
t the
End
of t
he P
erio
d C
ash
Hel
d in
Res
erve
Part
icip
ant B
alan
ce a
t the
End
of t
he P
erio
d
TIA
A-C
REF
LIF
ECYC
LE
2015
-RTM
TL2
$746
,778
.80
$0.0
0$1
80,4
62.4
1$0
.00
$61,
262.
41$2
41,7
24.8
2$0
.00
$241
,724
.82
$521
.99
$1,0
51.8
8$2
0,56
3.76
($29
,455
.61)
$190
,266
.77
$182
,948
.79
$0.0
0($
22,9
49.0
0)$0
.00
$0.0
0($
241.
55)
$0.0
0($
23,1
90.5
5)
$121
,322
.34
($14
9,19
9.06
)$0
.00
$0.0
0$0
.00
$0.0
0($
8,29
2.18
)$6
,432
.36
($29
,736
.54)
$1,1
18,5
25.3
2$0
.00
$1,1
18,5
25.3
7
TIA
A-C
REF
LIF
ECYC
LE
2020
-RTM
TL3 $1
,370
,875
.55
$0.0
0$1
87,8
43.7
8$0
.00
$71,
040.
78$2
58,8
84.5
6$0
.00
$258
,884
.56
$0.0
0$9
22.5
6$3
2,73
7.56
($12
5,36
8.04
)$3
98,5
75.4
1$3
06,8
67.4
9
$0.0
0$0
.00
$0.0
0$0
.00
($30
0.00
)$0
.00
($30
0.00
)
$366
,753
.77
($30
5,97
6.12
)$0
.00
$0.0
0$0
.00
$0.0
0($
42,0
19.7
4)$7
,688
.62
$26,
446.
53$1
,962
,774
.13
$0.0
0$1
,962
,774
.17
TIA
A-C
REF
LIF
ECYC
LE
2025
-RTM
TL4
$473
,059
.58
$0.0
0$2
22,6
70.6
8$4
,198
.37
$87,
875.
15$3
14,7
44.2
0$0
.00
$314
,744
.20
$15.
94$5
71.6
4$1
5,17
0.05
($9,
052.
45)
$169
,676
.67
$176
,381
.85
($3,
506.
74)
($27
,033
.58)
$0.0
0$0
.00
($22
5.00
)$0
.00
($30
,765
.32)
$65,
150.
96($
21,2
52.7
5)$0
.00
$0.0
0$0
.00
$0.0
0($
4,42
5.00
)$1
,840
.62
$41,
313.
83$9
74,7
34.1
4$0
.00
$974
,734
.16
TIA
A-C
REF
LIF
ECYC
LE
2030
-RTM
TL5 $1
,145
,762
.72
$0.0
0$2
80,7
40.6
4$9
,171
.98
$118
,918
.71
$408
,831
.33
$0.0
0$4
08,8
31.3
3
$6.1
3$2
,661
.44
$28,
586.
56($
14,4
99.3
6)$3
63,3
10.1
5$3
80,0
64.9
2
$0.0
0($
21,7
63.6
2)$0
.00
$0.0
0($
308.
39)
$0.0
0($
22,0
72.0
1)
$14,
632.
15($
3,80
6.40
)$0
.00
$0.0
0$1
0,23
3.21
$0.0
0($
16,4
70.8
2)$1
6,54
4.15
$21,
132.
29$1
,933
,719
.25
$0.0
0$1
,933
,719
.31
APPENDIX A
61
APPENDIX A
Stat
emen
t of C
hang
es to
Net
Ass
ets
Tota
l Pla
n A
sset
s U
nder
Man
agem
ent –
Inve
stm
ent D
etai
l
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge4
of
8
Mar
ket V
alue
at t
he B
egin
ning
of t
he P
erio
dA
dditi
ons
to N
et A
sset
s
Con
tribu
tions
EM
PLO
YEE
PRE-
TAX
MAT
CH
EM
PLO
YEE
PRE-
TAX
RO
LLO
VER
EM
PLO
YER
MAT
CH
T
otal
Con
tribu
tions
O
ther
Rec
eipt
sTo
tal A
dditi
ons
to N
et A
sset
sIn
vest
men
t Inc
ome
E
arni
ngs
P
artic
ipan
t Loa
n In
tere
st
Div
iden
ds
Rea
lized
Gai
n (L
oss)
U
nrea
lized
Gai
n (L
oss)
Tota
l Inv
estm
ent I
ncom
eD
educ
tions
from
Net
Ass
ets
W
ithdr
awal
s
Dis
tribu
tions
A
nnui
ty S
ettle
men
t Opt
ions
F
orfe
iture
s
Fee
s
Oth
er D
educ
tions
Tota
l Ded
uctio
nsTr
ansf
ers
In
terfu
nd T
rans
fer I
n
Inte
rfund
Tra
nsfe
r (O
ut)
C
onve
rsio
n In
C
onve
rsio
n (O
ut)
P
lan
to P
lan
Tran
sfer
In
Pla
n to
Pla
n Tr
ansf
er (O
ut)
P
artic
ipan
t Loa
ns Is
sued
P
artic
ipan
t Loa
n Pr
inci
pal R
epay
men
tTo
tal T
rans
fers
M
arke
t Val
ue a
t the
End
of t
he P
erio
d C
ash
Hel
d in
Res
erve
Part
icip
ant B
alan
ce a
t the
End
of t
he P
erio
d
TIA
A-C
REF
LIF
ECYC
LE
2035
-RTM
TL6
$202
,890
.78
$0.0
0$1
02,5
10.5
6$2
5,27
5.98
$43,
606.
83$1
71,3
93.3
7$0
.00
$171
,393
.37
$0.0
0$9
45.6
4$6
,572
.10
($6,
084.
11)
$94,
077.
57$9
5,51
1.20
($2,
247.
27)
($10
,482
.98)
$0.0
0$0
.00
($31
6.67
)$0
.00
($13
,046
.92)
$21,
145.
77($
4,33
8.89
)$0
.00
$0.0
0$0
.00
$0.0
0($
11,6
51.9
9)$5
,023
.61
$10,
178.
50$4
66,9
26.9
3$0
.00
$466
,926
.96
TIA
A-C
REF
LIF
ECYC
LE
2040
-RTM
TL7
TIA
A-C
REF
LIF
ECYC
LE
2045
-RTM
TL9
TIA
A-C
REF
LIF
ECYC
LE
2050
-RTM
TLB
$937
,962
.50
$2,1
67.3
0$6
24.4
5
$0.0
0$0
.00
$0.0
0$3
40,0
93.3
1$1
5,01
4.23
$11,
940.
74$5
,875
.12
$0.0
0$0
.00
$135
,218
.46
$7,3
08.0
8$4
,687
.23
$481
,186
.89
$22,
322.
31$1
6,62
7.97
$0.0
0$0
.00
$0.0
0$4
81,1
86.8
9$2
2,32
2.31
$16,
627.
97
$162
.44
$0.0
0$0
.00
$3,0
73.7
6$0
.00
$0.0
0$2
3,74
6.30
$352
.91
$281
.75
($34
,511
.54)
$0.8
5$0
.00
$359
,649
.79
$2,9
36.2
7$2
,088
.46
$352
,120
.75
$3,2
90.0
3$2
,370
.21
$0.0
0$0
.00
$0.0
0($
51,4
56.1
0)$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$0.0
0($
324.
69)
($2,
041.
25)
$0.0
0$0
.00
$0.0
0$0
.00
($51
,780
.79)
($2,
041.
25)
$0.0
0
$15,
467.
40$1
62,0
87.8
6$1
,419
.45
($24
,820
.24)
$0.0
0$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
($17
,826
.31)
($16
1,34
4.25
)$0
.00
$8,8
92.6
2$0
.00
$0.0
0($
18,2
86.5
3)$7
43.6
1$1
,419
.45
$1,7
01,2
02.8
2$2
6,48
2.00
$21,
042.
08$0
.00
$0.0
0$0
.00
$1,7
01,2
02.8
0$2
6,48
2.01
$21,
042.
08
62
Stat
emen
t of C
hang
es to
Net
Ass
ets
Tota
l Pla
n A
sset
s U
nder
Man
agem
ent –
Inve
stm
ent D
etai
l
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge5
of
8
TIA
A-C
REF
INTL
EQ
IDX-
RTM
TXC $2
,378
,109
.94
$0.0
0$2
89,3
32.1
5$0
.00
$98,
531.
38$3
87,8
63.5
3$0
.00
$387
,863
.53
$0.0
0$3
,442
.16
$68,
159.
23($
84,1
11.6
1)$7
92,1
01.9
2$7
79,5
91.7
0
$0.0
0($
71,1
00.6
8)$0
.00
$0.0
0($
253.
97)
$0.0
0($
71,3
54.6
5)
$260
,183
.86
($10
7,15
0.62
)$0
.00
$0.0
0$1
56.9
6$0
.00
($33
,542
.95)
$16,
827.
65$1
36,4
74.9
0$3
,610
,685
.42
$0.0
0$3
,610
,685
.51
TIA
A-C
REF
LG
-CA
P VA
L-R
TMT
XE
TIA
A-C
REF
MID
-CA
P G
R
$2,7
95,5
18.8
5
$0.0
0$3
15,6
34.8
7$0
.00
$109
,796
.84
$425
,431
.71
$0.0
0$4
25,4
31.7
1
$0.0
0$4
,771
.53
$44,
240.
81($
217,
456.
10)
$1,0
72,8
47.1
6$9
04,4
03.4
0
($81
1.56
)($
81,8
70.2
2)$0
.00
$0.0
0($
267.
61)
$0.0
0($
82,9
49.3
9)
$261
,937
.69
($26
6,90
4.97
)$0
.00
$0.0
0$2
65.6
4$0
.00
($35
,433
.92)
$23,
348.
69($
16,7
86.8
7)$4
,025
,617
.70
$0.0
0$4
,025
,617
.64
IDX-
RTM
TXI
$317
,141
.06
$0.0
0$2
5,88
6.88
$0.0
0$8
,361
.48
$34,
248.
36$0
.00
$34,
248.
36
$0.0
0$2
14.5
8$1
,700
.87
($14
4,82
0.98
)$2
23,7
87.4
8$8
0,88
1.95
$0.0
0($
512.
19)
$0.0
0$0
.00
($2.
38)
$0.0
0($
514.
57)
$113
,902
.75
($54
5,95
5.93
)$0
.00
$0.0
0$0
.00
$0.0
0($
570.
00)
$866
.38
($43
1,75
6.80
)$0
.00
$0.0
0$0
.00
Mar
ket V
alue
at t
he B
egin
ning
of t
he P
erio
dA
dditi
ons
to N
et A
sset
s
Con
tribu
tions
EM
PLO
YEE
PRE-
TAX
MAT
CH
EM
PLO
YEE
PRE-
TAX
RO
LLO
VER
EM
PLO
YER
MAT
CH
T
otal
Con
tribu
tions
O
ther
Rec
eipt
sTo
tal A
dditi
ons
to N
et A
sset
sIn
vest
men
t Inc
ome
E
arni
ngs
P
artic
ipan
t Loa
n In
tere
st
Div
iden
ds
Rea
lized
Gai
n (L
oss)
U
nrea
lized
Gai
n (L
oss)
Tota
l Inv
estm
ent I
ncom
eD
educ
tions
from
Net
Ass
ets
W
ithdr
awal
s
Dis
tribu
tions
A
nnui
ty S
ettle
men
t Opt
ions
F
orfe
iture
s
Fee
s
Oth
er D
educ
tions
Tota
l Ded
uctio
nsTr
ansf
ers
In
terfu
nd T
rans
fer I
n
Inte
rfund
Tra
nsfe
r (O
ut)
C
onve
rsio
n In
C
onve
rsio
n (O
ut)
P
lan
to P
lan
Tran
sfer
In
Pla
n to
Pla
n Tr
ansf
er (O
ut)
P
artic
ipan
t Loa
ns Is
sued
P
artic
ipan
t Loa
n Pr
inci
pal R
epay
men
tTo
tal T
rans
fers
M
arke
t Val
ue a
t the
End
of t
he P
erio
d C
ash
Hel
d in
Res
erve
Part
icip
ant B
alan
ce a
t the
End
of t
he P
erio
d
TIA
A-C
REF
LFC
YLE
RTM
T IN
C-R
TMT
LD$0
.00
$0.0
0$1
,696
.87
$0.0
0$3
63.5
9$2
,060
.46
$0.0
0$2
,060
.46
$0.0
0$0
.00
$260
.71
$3,2
87.9
5$1
.50
$3,5
50.1
6
$0.0
0($
21,4
78.5
5)$0
.00
$0.0
0$0
.00
$0.0
0($
21,4
78.5
5)
$15,
952.
56$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$15,
952.
56$8
4.63
$0.0
0$8
4.63
APPENDIX A
63
APPENDIX A
Stat
emen
t of C
hang
es to
Net
Ass
ets
Tota
l Pla
n A
sset
s U
nder
Man
agem
ent –
Inve
stm
ent D
etai
l
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge6
of
8
Mar
ket V
alue
at t
he B
egin
ning
of t
he P
erio
dA
dditi
ons
to N
et A
sset
s
Con
tribu
tions
EM
PLO
YEE
PRE-
TAX
MAT
CH
EM
PLO
YEE
PRE-
TAX
RO
LLO
VER
EM
PLO
YER
MAT
CH
T
otal
Con
tribu
tions
O
ther
Rec
eipt
sTo
tal A
dditi
ons
to N
et A
sset
sIn
vest
men
t Inc
ome
E
arni
ngs
P
artic
ipan
t Loa
n In
tere
st
Div
iden
ds
Rea
lized
Gai
n (L
oss)
U
nrea
lized
Gai
n (L
oss)
Tota
l Inv
estm
ent I
ncom
eD
educ
tions
from
Net
Ass
ets
W
ithdr
awal
s
Dis
tribu
tions
A
nnui
ty S
ettle
men
t Opt
ions
F
orfe
iture
s
Fee
s
Oth
er D
educ
tions
Tota
l Ded
uctio
nsTr
ansf
ers
In
terfu
nd T
rans
fer I
n
Inte
rfund
Tra
nsfe
r (O
ut)
C
onve
rsio
n In
C
onve
rsio
n (O
ut)
P
lan
to P
lan
Tran
sfer
In
Pla
n to
Pla
n Tr
ansf
er (O
ut)
P
artic
ipan
t Loa
ns Is
sued
P
artic
ipan
t Loa
n Pr
inci
pal R
epay
men
tTo
tal T
rans
fers
M
arke
t Val
ue a
t the
End
of t
he P
erio
d C
ash
Hel
d in
Res
erve
Part
icip
ant B
alan
ce a
t the
End
of t
he P
erio
d
TIA
A-C
REF
MID
-CA
P VA
L ID
X-R
TMT
XK $1,1
66,9
60.9
1
$0.0
0$6
3,15
1.49
$0.0
0$1
8,99
0.10
$82,
141.
59$0
.00
$82,
141.
59
$0.0
0$4
68.3
5$1
1,77
6.28
($70
1,31
4.41
)$7
65,1
81.9
9$7
6,11
2.21
$0.0
0($
7,57
3.45
)$0
.00
$0.0
0($
42.7
9)$0
.00
($7,
616.
24)
$25,
306.
26($
1,34
1,07
1.74
)$0
.00
$0.0
0$0
.00
$0.0
0($
3,44
2.82
)$1
,609
.83
($1,
317,
598.
47)
$0.0
0$0
.00
$0.0
0
TIA
A-C
REF
SM
-CA
P B
L ID
X-R
TMT
XM
TIA
A-C
REF
SO
CIA
L C
H
$4,5
35,3
96.1
1
$0.0
0$4
09,3
32.8
8$0
.00
$160
,280
.14
$569
,613
.02
$0.0
0$5
69,6
13.0
2
$0.0
0$1
0,36
9.35
$43,
218.
78($
270,
372.
24)
$1,4
71,1
06.0
7$1
,254
,321
.96
($32
,317
.32)
($83
,229
.45)
$0.0
0$0
.00
($91
7.18
)$0
.00
($11
6,46
3.95
)
$143
,296
.38
($20
0,21
4.99
)$0
.00
$0.0
0$7
2.44
$0.0
0($
115,
441.
20)
$43,
677.
17($
128,
610.
20)
$6,1
14,2
56.9
4$0
.00
$6,1
14,2
57.0
3
EQ-R
TMT
XQ $2,6
32,3
83.8
5
$0.0
0$2
45,7
12.5
5$0
.00
$101
,724
.72
$347
,437
.27
$0.0
0$3
47,4
37.2
7
$75.
15$5
,344
.90
$49,
108.
47($
119,
263.
00)
$922
,339
.77
$857
,605
.29
$0.0
0($
101,
027.
11)
$0.0
0$0
.00
($38
3.87
)$0
.00
($10
1,41
0.98
)
$84,
274.
44($
133,
386.
64)
$0.0
0$0
.00
$85.
15($
0.62
)($
56,8
86.3
4)$3
0,13
7.88
($75
,776
.13)
$3,6
60,2
39.3
0$0
.00
$3,6
60,2
39.2
8
TIA
A-C
REF
S&
P 50
0 ID
X-R
TMT
XR$6
58,8
93.1
5
$0.0
0$1
16,2
85.8
6$0
.00
$35,
861.
42$1
52,1
47.2
8$0
.00
$152
,147
.28
$0.0
0$6
65.9
9$1
7,70
8.32
($18
,527
.56)
$199
,089
.27
$198
,936
.02
($1,
163.
85)
($2,
585.
96)
$0.0
0$0
.00
($86
.87)
$0.0
0($
3,83
6.68
)
$94,
864.
87($
46,0
27.1
4)$0
.00
$0.0
0$8
4.52
$0.0
0($
14,9
46.3
3)$3
,615
.28
$37,
591.
20$1
,043
,730
.97
$0.0
0$1
,043
,730
.95
64
Stat
emen
t of C
hang
es to
Net
Ass
ets
Tota
l Pla
n A
sset
s U
nder
Man
agem
ent –
Inve
stm
ent D
etai
l
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge7
of
8
TIA
A-C
REF
EQ
IND
EX-
RTM
TXV
TIA
A-C
REF
MA
NA
GED
A
LLO
C-R
TMT
XX
TIA
A-C
REF
SEL
F D
IREC
TED
AC
CT
SD
PAR
TIC
IPA
NT
LOA
N
FUN
D90
Mar
ket V
alue
at t
he B
egin
ning
of t
he P
erio
d$0
.00
$4,4
76,1
49.6
5$1
23,9
05.2
0$1
,481
,487
.45
Add
ition
s to
Net
Ass
ets
C
ontri
butio
ns
E
MPL
OYE
E PR
E-TA
X M
ATC
H$0
.00
$0.0
0$0
.00
$0.0
0
E
MPL
OYE
E PR
E-TA
X$1
27,2
57.3
8$2
87,0
68.9
7$0
.00
$0.0
0
R
OLL
OVE
R$0
.00
$0.0
0$0
.00
$0.0
0
E
MPL
OYE
R M
ATC
H$3
7,89
3.80
$133
,441
.69
$0.0
0$0
.00
T
otal
Con
tribu
tions
$165
,151
.18
$420
,510
.66
$0.0
0$0
.00
O
ther
Rec
eipt
s$0
.00
$0.0
0$0
.00
$0.0
0To
tal A
dditi
ons
to N
et A
sset
s$1
65,1
51.1
8$4
20,5
10.6
6$0
.00
$0.0
0In
vest
men
t Inc
ome
E
arni
ngs
$0.0
0$2
.86
$15,
978.
21$4
,856
.89
P
artic
ipan
t Loa
n In
tere
st$7
53.5
2$7
,814
.27
$0.0
0$6
,820
.54
D
ivid
ends
$28,
819.
46$1
20,4
75.1
8$0
.00
($63
.78)
R
ealiz
ed G
ain
(Los
s)$1
4,01
2.02
($20
9,01
4.32
)$0
.00
$0.0
0
Unr
ealiz
ed G
ain
(Los
s)$2
96,5
79.5
3$9
98,9
71.9
9$0
.00
$0.0
0To
tal I
nves
tmen
t Inc
ome
$340
,164
.53
$918
,249
.98
$15,
978.
21$1
1,61
3.65
Ded
uctio
ns fr
om N
et A
sset
s
With
draw
als
$0.0
0($
397.
82)
$0.0
0($
117,
155.
95)
D
istri
butio
ns($
34,5
12.2
9)($
149,
743.
50)
$0.0
0$0
.00
A
nnui
ty S
ettle
men
t Opt
ions
$0.0
0$0
.00
$0.0
0$0
.00
F
orfe
iture
s$0
.00
$0.0
0$0
.00
$0.0
0
Fee
s($
58.5
1)($
716.
25)
$0.0
0$0
.00
O
ther
Ded
uctio
ns$0
.00
$0.0
0$0
.00
$0.0
0To
tal D
educ
tions
($34
,570
.80)
($15
0,85
7.57
)$0
.00
($11
7,15
5.95
)Tr
ansf
ers
In
terfu
nd T
rans
fer I
n$1
,759
,751
.23
$111
,019
.49
$0.0
0$0
.00
In
terfu
nd T
rans
fer (
Out
)($
155,
645.
86)
($41
7,18
1.64
)($
10,9
91.5
1)$6
,532
.48
C
onve
rsio
n In
$0.0
0$0
.00
$0.0
0$9
25.5
2
Con
vers
ion
(Out
)$0
.00
$0.0
0$0
.00
$0.0
0
Pla
n to
Pla
n Tr
ansf
er In
$72.
44$0
.00
$0.0
0$0
.00
P
lan
to P
lan
Tran
sfer
(Out
)$0
.00
$0.0
0$0
.00
$0.0
0
Par
ticip
ant L
oans
Issu
ed($
5,82
4.18
)($
165,
433.
69)
$0.0
0$7
20,2
30.7
2
Par
ticip
ant L
oan
Prin
cipa
l Rep
aym
ent
$4,5
61.2
6$4
3,65
3.96
$0.0
0($
473,
366.
83)
Tota
l Tra
nsfe
rs
$1,6
02,9
14.8
9($
427,
941.
88)
($10
,991
.51)
$254
,321
.89
Mar
ket V
alue
at t
he E
nd o
f the
Per
iod
$2,0
73,6
59.8
0$5
,236
,110
.84
$128
,891
.90
$1,6
30,2
67.0
4C
ash
Hel
d in
Res
erve
$0.0
0$0
.00
$0.0
0$0
.00
Part
icip
ant B
alan
ce a
t the
End
of t
he P
erio
d $2
,073
,659
.88
$5,2
36,1
10.7
7$1
28,8
91.9
0$1
,630
,267
.04
APPENDIX A
65
APPENDIX A
Stat
emen
t of C
hang
es to
Net
Ass
ets
Tota
l Pla
n A
sset
s U
nder
Man
agem
ent –
Inve
stm
ent D
etai
l
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge8
of
8
TOTA
LM
arke
t Val
ue a
t the
Beg
inni
ng o
f the
Per
iod
$61,
057,
343.
22A
dditi
ons
to N
et A
sset
s
Con
tribu
tions
EM
PLO
YEE
PRE-
TAX
MAT
CH
($45
.22)
EM
PLO
YEE
PRE-
TAX
$6,4
04,7
84.4
7
R
OLL
OVE
R$4
6,95
4.79
EM
PLO
YER
MAT
CH
$2,4
41,9
76.5
2
Tot
al C
ontri
butio
ns$8
,893
,670
.56
O
ther
Rec
eipt
s$0
.00
Tota
l Add
ition
s to
Net
Ass
ets
$8,8
93,6
70.5
6In
vest
men
t Inc
ome
E
arni
ngs
$22,
300.
40
Par
ticip
ant L
oan
Inte
rest
$104
,847
.78
D
ivid
ends
$562
,541
.51
R
ealiz
ed G
ain
(Los
s)($
2,22
2,45
9.07
)
Unr
ealiz
ed G
ain
(Los
s)$1
3,01
7,06
7.32
Tota
l Inv
estm
ent I
ncom
e$1
1,48
4,29
7.94
Ded
uctio
ns fr
om N
et A
sset
s
With
draw
als
($16
9,94
8.99
)
Dis
tribu
tions
($2,
484,
073.
11)
A
nnui
ty S
ettle
men
t Opt
ions
$0.0
0
For
feitu
res
$0.0
0
Fee
s($
6,71
4.65
)
Oth
er D
educ
tions
($2,
760.
24)
Tota
l Ded
uctio
ns($
2,66
3,49
6.99
)Tr
ansf
ers
In
terfu
nd T
rans
fer I
n$7
,037
,691
.66
In
terfu
nd T
rans
fer (
Out
)($
7,03
7,07
0.77
)
Con
vers
ion
In$9
25.5
2
Con
vers
ion
(Out
)$0
.00
P
lan
to P
lan
Tran
sfer
In$2
4,93
0.51
P
lan
to P
lan
Tran
sfer
(Out
)($
0.62
)
Par
ticip
ant L
oans
Issu
ed$6
,450
.00
P
artic
ipan
t Loa
n Pr
inci
pal R
epay
men
t$1
61.9
7To
tal T
rans
fers
$3
3,08
8.27
Mar
ket V
alue
at t
he E
nd o
f the
Per
iod
$78,
804,
903.
00C
ash
Hel
d in
Res
erve
$0.0
0Pa
rtic
ipan
t Bal
ance
at t
he E
nd o
f the
Per
iod
$78,
804,
900.
28
66
TIA
A T
radi
tiona
l Ann
uity
Def
aulte
d Lo
an C
olla
tera
l Par
ticip
ant D
etai
l Rep
ort
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l1/
16/2
011
03:0
4 PM
Page
1 o
f1
PAR
T ID
NA
ME
BEG
INN
ING
BA
LAN
CE
EAR
NIN
GS
WIT
HD
RA
WA
L /
DIS
TRIB
UTI
ON
SEN
DIN
GB
ALA
NC
E
This
pag
e in
tent
iona
lly le
ft bl
ank
TOTA
L$0
.00
$0.0
0$0
.00
$0.0
0
APPENDIX A
67
APPENDIX A
Foot
note
s to
the
Stat
emen
t of C
hang
es to
Net
Ass
ets
Act
ivity
for t
he R
epor
ting
Perio
d: 0
1/01
/201
0 to
12/
31/2
010
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN -
Plan
# 1
0000
0Pr
ivat
e &
Con
fiden
tial
2/10
/201
1 01
:00
PMPa
ge1
of
1Fo
otno
tes
base
d on
repo
rts d
ated
1/16
/201
1 03
:04
PM
TRA
NSA
CTI
ON
CA
TEG
OR
Y D
ESC
RIP
TIO
N /
AC
TIO
NPA
RTI
CIP
AN
T(S)
IMPA
CTE
DFU
ND
AM
OU
NT
Oth
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ecei
pts/
Oth
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Ded
uctio
nsO
ther
Rec
eipt
s/O
ther
Ded
uctio
ns d
o no
t net
to $
0 as
cer
tain
Pla
n to
Pla
n Tr
ansf
ers
Out
are
repo
rted
as O
ther
Rec
eipt
s/O
ther
Ded
uctio
ns a
nd s
houl
d be
recl
assi
fied
as
Plan
to P
lan
Tran
sfer
s O
ut.
DO
E, J
OH
N.
($2,
760.
24)
Subt
otal
($2,
760.
24)
Inte
rfund
Tra
nsfe
r In
/(Out
)In
terfu
nd T
rans
fers
In/(O
ut) d
o no
t net
to $
0 as
cer
tain
Pla
n to
Pla
n Tr
ansf
ers
In a
re
repo
rted
as In
terfu
nd T
rans
fers
In/(O
ut) a
nd s
houl
d be
recl
assi
fied
as P
lan
to P
lan
Tran
sfer
s In
.D
OE
, JA
NE
$620
.89
Subt
otal
$620
.89
68
APPENDIX A
Part
icip
ant D
etai
l Sum
mar
y
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l1/
16/2
011
03:0
4 PM
Page
1 o
f28
56
NA
ME:
SAM
PLE,
JO
ED
ATE
OF
BIR
TH:
01/2
0/19
70D
ATE
OF
TER
MIN
ATI
ON
:02
/25/
2000
DIV
/LO
C:
ABC
DPA
RT
ID:
XXX-
XX-1
111
DA
TE O
F H
IRE:
03/1
3/19
97D
ATE
OF
DEA
TH:
PRE-
TAX
DEF
ERR
AL
% O
R $
:ST
ATU
S:Te
rmin
ated
DA
TE O
F EN
TRY:
03/
13/1
997
DA
TE O
F R
EHIR
E:A
FTER
-TA
X D
EFER
RA
L %
OR
$:
CR
EF S
tock
(X2)
SOU
RC
EB
EGIN
NIN
GB
ALA
NC
EC
ON
TRIB
UTI
ON
S
EA
RN
ING
STR
AN
SFER
S
WIT
HD
RA
WA
LS/
D
ISTR
IBU
TIO
NS
FOR
FEIT
UR
ESLO
AN
AC
TIVI
TY
FEE
S/
MIS
CEN
DIN
GB
ALA
NC
EVE
STED
PER
CEN
TEM
PLO
YEE
PRE-
TAX
MAT
CH
$22.
63$0
.00
$7.2
5$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$29.
8810
0.00
%
EMPL
OYE
E PR
E-TA
X$1
00.0
4$0
.00
$32.
06$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$132
.10
100.
00%
EMPL
OYE
R M
ATC
H$2
7.71
$0.0
0$8
.88
$0.0
0$0
.00
$0.0
0$0
.00
$0.0
0$3
6.59
100.
00%
Subt
otal
$150
.38
$0.0
0$4
8.19
$0.0
0$0
.00
$0.0
0$0
.00
$0.0
0$1
98.5
7
TOTA
L A
LL IN
VEST
MEN
TS
SOU
RC
EB
EGIN
NIN
GB
ALA
NC
EC
ON
TRIB
UTI
ON
S
EA
RN
ING
STR
AN
SFER
S
WIT
HD
RA
WA
LS/
D
ISTR
IBU
TIO
NS
FOR
FEIT
UR
ESLO
AN
AC
TIVI
TY
FEE
S/
MIS
CEN
DIN
GB
ALA
NC
EVE
STED
PER
CEN
TEM
PLO
YEE
PRE-
TAX
MAT
CH
$22.
63$0
.00
$7.2
5$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$29.
88
EMPL
OYE
E PR
E-TA
X $1
00.0
4$0
.00
$32.
06$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$132
.10
EMPL
OYE
R M
ATC
H
$27.
71$0
.00
$8.8
8$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$36.
59
TOTA
L$1
50.3
8$0
.00
$48.
19$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$198
.57
NA
ME:
SAM
PLE,
JAN
ED
ATE
OF
BIR
TH:
05/0
1/19
58D
ATE
OF
TER
MIN
ATI
ON
:D
IV/L
OC
:AB
CD
PAR
T ID
:XX
X-XX
-111
1D
ATE
OF
HIR
E:07
/09/
1978
DA
TE O
F D
EATH
: PR
E-TA
X D
EFER
RA
L %
OR
$:
STA
TUS:
Activ
eD
ATE
OF
ENTR
Y: 0
7/09
/197
8D
ATE
OF
REH
IRE:
AFT
ER-T
AX
DEF
ERR
AL
% O
R $
:
CR
EF S
tock
(X2)
SOU
RC
EB
EGIN
NIN
GB
ALA
NC
EC
ON
TRIB
UTI
ON
S
EA
RN
ING
STR
AN
SFER
S
WIT
HD
RA
WA
LS/
D
ISTR
IBU
TIO
NS
FOR
FEIT
UR
ESLO
AN
AC
TIVI
TY
FEE
S/
MIS
CEN
DIN
GB
ALA
NC
EVE
STED
PER
CEN
TEM
PLO
YEE
PRE-
TAX
MAT
CH
$15,
798.
93$0
.00
$5,0
61.7
1$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$20,
860.
6410
0.00
%
EMPL
OYE
E PR
E-TA
X$1
6,18
5.13
$1,3
94.5
5$5
,830
.06
$0.0
0$0
.00
$0.0
0$0
.00
$0.0
0$2
3,40
9.74
100.
00%
EMPL
OYE
R M
ATC
H$1
6,08
2.77
$697
.28
$5,4
74.9
6$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$22,
255.
0110
0.00
%
Subt
otal
$48,
066.
83$2
,091
.83
$16,
366.
73$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$66,
525.
39
69
APPENDIX A
Part
icip
ant D
etai
l Sum
mar
y
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l1/
16/2
011
03:0
4 PM
Page
2856
of
2856
PLA
N T
OTA
L Pa
rtic
ipan
t Loa
n Fu
nd (
90)
SOU
RC
EB
EGIN
NIN
GB
ALA
NC
EC
ON
TRIB
UTI
ON
SEA
RN
ING
STR
AN
SFER
SW
ITH
DR
AW
ALS
/D
ISTR
IBU
TIO
NS
FOR
FEIT
UR
ESLO
AN
AC
TIVI
TYFE
ES/
MIS
C E
ND
ING
BA
LAN
CE
EMPL
OYE
R M
ATC
H$5
62,8
75.3
1$0
.00
$5,0
78.3
0$3
,562
.50
($39
,178
.64)
$0.0
0$2
0,73
1.53
$0.0
0$5
53,0
69.0
0
Subt
otal
$1,4
81,4
87.4
5$0
.00
$11,
613.
65$7
,458
.00
($11
7,15
5.95
)$0
.00
$246
,863
.89
$0.0
0$1
,630
,267
.04
PLA
N T
OTA
L A
LL IN
VEST
MEN
TS
SOU
RC
EB
EGIN
NIN
GB
ALA
NC
EC
ON
TRIB
UTI
ON
SEA
RN
ING
STR
AN
SFER
SW
ITH
DR
AW
ALS
/D
ISTR
IBU
TIO
NS
FOR
FEIT
UR
ESLO
AN
AC
TIVI
TYFE
ES/
MIS
CEN
DIN
GB
ALA
NC
EEM
PLO
YEE
PRE-
TAX
MAT
CH
$22,
814,
717.
08($
45.2
2)$3
,742
,502
.70
$1,0
58.4
7($
1,15
1,78
7.60
)$0
.00
$1,4
77.6
9($
4,28
5.75
)$2
5,40
3,63
7.37
EMPL
OYE
E PR
E-TA
X$2
1,12
9,78
6.59
$6,4
04,7
84.4
7$4
,553
,977
.64
$25,
104.
05($
854,
374.
24)
$0.0
0$2
,926
.29
($2,
996.
85)
$31,
259,
207.
95
RO
LLO
VER
$1,0
40,0
69.6
3$4
6,95
4.79
$164
,315
.46
$0.0
0($
11,0
09.0
6)$0
.00
$113
.24
($11
9.05
)$1
,240
,325
.01
EMPL
OYE
R M
ATC
H$1
6,07
2,76
7.83
$2,4
41,9
76.5
2$3
,023
,501
.51
$313
.78
($63
6,85
1.20
)$0
.00
$2,0
94.7
5($
2,07
3.24
)$2
0,90
1,72
9.95
GR
AN
D T
OTA
L$6
1,05
7,34
1.13
$8,8
93,6
70.5
6$1
1,48
4,29
7.31
$26,
476.
30($
2,65
4,02
2.10
)$0
.00
$6,6
11.9
7($
9,47
4.89
)$7
8,80
4,90
0.28
70
APPENDIX A
Tran
sact
ion
His
tory
by
Dat
e R
epor
t
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l1/
16/2
011
03:0
4 PM
Page
63 o
f63
TRA
NSA
CTI
ON
DA
TETR
AN
SAC
TIO
N D
ESC
RIP
TIO
N
P
UR
CH
ASE
SA
LE N
ET
PU
RC
HA
SE /
SALE
CO
STR
EALI
ZED
GA
IN (L
OSS
)12
/30/
2010
D
istri
butio
ns
$0.0
0($
13,6
29.3
6)($
13,6
29.3
6)($
11,8
09.3
0)
12/3
0/20
10
Loan
Issu
ance
Fee
$0
.00
($15
0.00
)($
150.
00)
($15
1.70
)
12/3
0/20
10
Inte
rfund
Tra
nsfe
r In
$12,
601.
41$0
.00
$12,
601.
41$1
2,60
1.41
12/3
0/20
10
Inte
rfund
Tra
nsfe
r (O
ut)
$0.0
0($
12,6
01.4
1)($
12,6
01.4
1)($
12,4
32.9
8)
12/3
0/20
10
Parti
cipa
nt L
oans
Issu
ed
$0.0
0($
12,1
00.0
0)($
12,1
00.0
0)($
12,3
25.3
4)
12/3
0/20
10
Parti
cipa
nt L
oans
Issu
ed
$12,
250.
00$0
.00
$12,
250.
00
12/3
1/20
10
Earn
ings
($
184.
25)
$0.0
0($
184.
25)
($18
4.25
)
12/3
1/20
10
Parti
cipa
nt L
oan
Inte
rest
$4
05.4
0$0
.00
$405
.40
12/3
1/20
10
Rea
lized
Gai
n (L
oss)
$4
91.0
2
12/3
1/20
10
Dis
tribu
tions
$0
.00
($7,
938.
20)
($7,
938.
20)
($7,
254.
60)
12/3
1/20
10
Inte
rfund
Tra
nsfe
r In
$4,6
31.6
4$0
.00
$4,6
31.6
4$4
,631
.64
12/3
1/20
10
Inte
rfund
Tra
nsfe
r (O
ut)
$0.0
0($
4,63
1.64
)($
4,63
1.64
)($
4,82
4.22
)
TOTA
L$1
7,84
5,54
4.84
($10
,892
,593
.31)
$6,9
52,9
51.5
3$4
,581
,712
.87
($2,
222,
459.
07)
71
Tran
sact
ion
His
tory
by
Fund
Rep
ort
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l1/
16/2
011
03:0
4 PM
Page
218
of
218
TRA
NSA
CTI
ON
DA
TETR
AN
SAC
TIO
N D
ESC
RIP
TIO
N
P
UR
CH
ASE
SA
LE N
ET
PU
RC
HA
SE /
SALE
CO
STR
EALI
ZED
GA
IN (L
OSS
)12
/23/
2010
Pa
rtici
pant
Loa
n Pr
inci
pal R
epay
men
ts
$0.0
0($
4,05
1.65
)($
4,05
1.65
)
12/2
8/20
10
Parti
cipa
nt L
oans
Issu
ed
$5,0
00.0
0$0
.00
$5,0
00.0
0
12/2
9/20
10
Parti
cipa
nt L
oan
Prin
cipa
l Rep
aym
ents
$0
.00
($88
0.53
)($
880.
53)
12/3
0/20
10
Parti
cipa
nt L
oans
Issu
ed
$12,
250.
00$0
.00
$12,
250.
00
12/3
1/20
10
Parti
cipa
nt L
oan
Inte
rest
$4
05.4
0$0
.00
$405
.40
Subt
otal
PAR
TIC
IPA
NT
LOA
NFU
ND
$732
,769
.89
($58
3,99
0.30
)$1
48,7
79.5
9
GR
AN
DTO
TAL
$17,
845,
544.
84($
10,8
92,5
93.3
1)$6
,952
,951
.53
$4,5
81,7
12.8
7($
2,22
2,45
9.07
)
APPENDIX A
72
APPENDIX A
Con
trib
utio
n R
epor
t
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge1
of
770
PAR
T ID
NA
ME
DIV
/LO
CST
ATU
SD
ATE
OF
TER
MIN
ATI
ON
TRA
NSA
CTI
ON
DA
TEC
ON
TRIB
UTI
ON
SO
UR
CE
CO
NTR
IBU
TIO
NA
MO
UN
TXX
X-XX
-999
9FO
RFE
ITU
RE
- SU
SPEN
SE A
CC
Activ
e12
/10/
2010
EM
PLO
YEE
PRE-
TAX
MAT
CH
($4.
09)
XXX-
XX-9
999
FOR
FEIT
UR
E - S
USP
ENSE
AC
CAc
tive
12/1
6/20
10
EMPL
OYE
E PR
E-TA
X M
ATC
H($
41.1
3)
Sub
tota
l EM
PLO
YEE
PRE-
TAX
MA
TCH
($45
.22)
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e01
/15/
2010
EM
PLO
YEE
PRE-
TAX
$778
.99
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e02
/17/
2010
EM
PLO
YEE
PRE-
TAX
$620
.35
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e03
/18/
2010
EM
PLO
YEE
PRE-
TAX
$592
.88
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e01
/15/
2010
EM
PLO
YEE
PRE-
TAX
$634
.49
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e02
/17/
2010
EM
PLO
YEE
PRE-
TAX
$527
.95
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e03
/18/
2010
EM
PLO
YEE
PRE-
TAX
$524
.34
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e04
/15/
2010
EM
PLO
YEE
PRE-
TAX
$527
.95
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e05
/15/
2010
EM
PLO
YEE
PRE-
TAX
$649
.86
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e06
/15/
2010
EM
PLO
YEE
PRE-
TAX
$525
.55
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e07
/14/
2010
EM
PLO
YEE
PRE-
TAX
$526
.75
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e08
/17/
2010
EM
PLO
YEE
PRE-
TAX
$665
.91
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e09
/11/
2010
EM
PLO
YEE
PRE-
TAX
$522
.93
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e10
/16/
2010
EM
PLO
YEE
PRE-
TAX
$798
.70
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e11
/13/
2010
EM
PLO
YEE
PRE-
TAX
$671
.44
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e12
/17/
2010
EM
PLO
YEE
PRE-
TAX
$543
.98
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e01
/15/
2010
EM
PLO
YEE
PRE-
TAX
$491
.32
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e02
/17/
2010
EM
PLO
YEE
PRE-
TAX
$405
.13
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e03
/18/
2010
EM
PLO
YEE
PRE-
TAX
$401
.91
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e04
/15/
2010
EM
PLO
YEE
PRE-
TAX
$402
.67
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e05
/15/
2010
EM
PLO
YEE
PRE-
TAX
$495
.47
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e06
/15/
2010
EM
PLO
YEE
PRE-
TAX
$385
.10
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e07
/14/
2010
EM
PLO
YEE
PRE-
TAX
$404
.93
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e08
/17/
2010
EM
PLO
YEE
PRE-
TAX
$433
.84
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e09
/11/
2010
EM
PLO
YEE
PRE-
TAX
$287
.04
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Term
inat
ed09
/08/
2009
10/1
6/20
10
EMPL
OYE
E PR
E-TA
X$5
46.4
4XX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
DEl
igib
le01
/15/
2010
EM
PLO
YEE
PRE-
TAX
$570
.08
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Elig
ible
02/1
7/20
10
EMPL
OYE
E PR
E-TA
X$3
41.0
3XX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
DEl
igib
le03
/18/
2010
EM
PLO
YEE
PRE-
TAX
$329
.26
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Elig
ible
04/1
5/20
10
EMPL
OYE
E PR
E-TA
X$3
37.0
7XX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
DEl
igib
le05
/15/
2010
EM
PLO
YEE
PRE-
TAX
$427
.32
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Elig
ible
06/1
5/20
10
EMPL
OYE
E PR
E-TA
X$3
39.8
2XX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
DEl
igib
le07
/14/
2010
EM
PLO
YEE
PRE-
TAX
$335
.62
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Elig
ible
08/1
7/20
10
EMPL
OYE
E PR
E-TA
X$4
58.1
2XX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
DEl
igib
le09
/11/
2010
EM
PLO
YEE
PRE-
TAX
$337
.53
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Elig
ible
10/1
6/20
10
EMPL
OYE
E PR
E-TA
X$3
52.8
9XX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
DEl
igib
le11
/13/
2010
EM
PLO
YEE
PRE-
TAX
$440
.08
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Elig
ible
12/1
7/20
10
EMPL
OYE
E PR
E-TA
X$4
24.7
3
73
APPENDIX A
Con
trib
utio
n R
epor
t
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge77
0 o
f77
0
PAR
T ID
NA
ME
DIV
/LO
CST
ATU
SD
ATE
OF
TER
MIN
ATI
ON
TRA
NSA
CTI
ON
DA
TEC
ON
TRIB
UTI
ON
SO
UR
CE
CO
NTR
IBU
TIO
NA
MO
UN
TXX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
DAc
tive
12/1
7/20
10EM
PLO
YER
MAT
CH
$179
.36
Sub
tota
l EM
PLO
YER
MA
TCH
$2,4
41,9
76.5
2
TO
TAL
$8,8
93,6
70.5
6
74
APPENDIX A
New
Loa
n Is
sued
Rep
ort
Part
icip
ant L
oans
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2009
to 1
2/31
/200
9
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
1/16
/201
0 03
:04
PMPa
ge1
of
3
ITEM
CO
UN
TPA
RT
IDN
AM
ED
IV/L
OC
LOA
N #
LOA
N IS
SUE
DA
TE
FIR
STPA
YMEN
TD
ATE
NEX
TPA
YMEN
T D
UE
DA
TE
LAST
PA
YMEN
T D
UE
DA
TELO
AN
AM
OU
NT
INTE
RES
TR
ATE
PAYM
ENT
FREQ
UEN
CY
PAYM
ENT
AM
OU
NT
1XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D00
201
/21/
2009
04/2
2/20
0911
/25/
2009
01/1
5/20
14$1
1,95
3.87
6.00
%W
EEKL
Y$5
3.80
2XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D00
112
/22/
2009
03/2
2/20
1003
/22/
2010
12/1
6/20
13$3
,200
.00
4.25
%W
EEKL
Y$1
7.85
3XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D00
103
/17/
2009
06/1
2/20
0906
/11/
2009
03/1
4/20
14$3
5,00
0.00
6.00
%W
EEKL
Y$1
63.9
34
XXX-
XX-1
111
SAM
PLE,
JAN
EAB
CD
002
08/2
0/20
0911
/20/
2009
12/0
3/20
0908
/17/
2012
$2,9
00.0
04.
25%
WEE
KLY
$21.
575
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
003
09/1
6/20
0912
/14/
2009
12/1
4/20
0909
/12/
2011
$5,4
50.4
84.
25%
WEE
KLY
$62.
126
XXX-
XX-1
111
SAM
PLE,
JAN
EAB
CD
001
08/3
1/20
0911
/27/
2009
12/0
2/20
0908
/29/
2014
$12,
000.
004.
25%
WEE
KLY
$53.
787
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
002
01/3
0/20
0904
/29/
2009
12/0
2/20
0901
/25/
2012
$8,0
00.0
06.
00%
WEE
KLY
$59.
488
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
001
12/0
9/20
0903
/05/
2010
03/0
5/20
1012
/09/
2011
$2,0
00.0
04.
25%
WEE
KLY
$22.
559
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
001
04/0
7/20
0907
/02/
2009
12/0
3/20
0904
/03/
2014
$14,
000.
004.
25%
WEE
KLY
$62.
7410
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
002
08/1
9/20
0911
/13/
2009
12/0
3/20
0908
/19/
2011
$1,2
99.9
94.
25%
WEE
KLY
$14.
6611
XXX-
XX-1
111
SAM
PLE,
JAN
EAB
CD
001
12/0
4/20
0903
/05/
2010
03/0
5/20
1011
/28/
2014
$3,0
00.0
04.
25%
WEE
KLY
$13.
5012
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
001
07/1
6/20
0910
/13/
2009
12/0
1/20
0907
/15/
2014
$35,
000.
004.
25%
WEE
KLY
$156
.89
13XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D00
108
/20/
2009
11/2
0/20
0912
/03/
2009
08/1
5/20
14$1
0,00
0.00
4.25
%W
EEKL
Y$4
5.00
14XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D00
202
/27/
2009
05/2
9/20
0912
/03/
2009
02/2
4/20
12$4
,000
.00
6.00
%W
EEKL
Y$2
9.75
15XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D00
107
/22/
2009
10/2
0/20
0912
/01/
2009
07/2
2/20
14$2
,230
.48
4.25
%W
EEKL
Y$1
0.00
16XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D00
101
/13/
2009
04/1
5/20
0912
/02/
2009
01/1
3/20
10$1
,300
.00
6.00
%W
EEKL
Y$3
3.38
17XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D00
105
/11/
2009
08/1
1/20
0912
/01/
2009
05/0
6/20
14$1
5,99
3.69
6.85
%W
EEKL
Y$7
1.98
18XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D00
210
/21/
2009
01/2
0/20
1002
/11/
2010
10/1
5/20
14$7
,000
.00
4.25
%W
EEKL
Y$6
3.03
19XX
X-XX
-111
1SA
MPL
E, J
ANE
ABC
D00
111
/18/
2009
02/1
2/20
1002
/11/
2010
11/1
1/20
11$2
,700
.00
4.25
%W
EEKL
Y$3
0.76
20XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D00
112
/28/
2009
03/2
9/20
1003
/29/
2010
12/2
2/20
14$5
,000
.00
4.25
%W
EEKL
Y$2
2.50
21XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D00
109
/14/
2009
12/1
4/20
0912
/14/
2009
09/0
8/20
14$4
,383
.22
4.25
%W
EEKL
Y$1
9.73
22XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D00
104
/08/
2009
07/0
2/20
0912
/03/
2009
04/0
8/20
10$1
,200
.00
4.25
%W
EEKL
Y$3
0.05
23XX
X-XX
-111
1SA
MPL
E, J
ANE
ABC
D00
212
/30/
2009
03/2
9/20
1003
/29/
2010
12/2
9/20
14$1
0,00
0.00
4.25
%W
EEKL
Y$4
4.83
24XX
X-XX
-111
1SA
MPL
E, J
ANE
ABC
D00
208
/14/
2009
11/1
3/20
0912
/03/
2009
08/0
8/20
14$6
,319
.74
4.25
%W
EEKL
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8.44
25XX
X-XX
-111
1SA
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D00
104
/06/
2009
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0912
/03/
2009
04/0
3/20
14$3
,074
.99
4.25
%W
EEKL
Y$1
3.79
26XX
X-XX
-111
1SA
MPL
E, J
ANE
ABC
D00
102
/26/
2009
05/2
2/20
0912
/03/
2009
02/2
5/20
11$1
,000
.00
6.00
%W
EEKL
Y$1
1.28
27XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D00
105
/07/
2009
08/0
4/20
0912
/01/
2009
05/0
1/20
12$1
,126
.37
4.25
%W
EEKL
Y$8
.38
28XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D00
103
/24/
2009
06/1
9/20
0912
/03/
2009
03/2
2/20
13$5
,000
.00
6.00
%W
EEKL
Y$2
7.75
29XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D00
101
/06/
2009
04/0
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0912
/03/
2009
01/0
3/20
14$1
2,00
0.00
6.00
%W
EEKL
Y$5
3.78
75
APPENDIX A
New
Loa
n Is
sued
Rep
ort
Plan
Loa
ns
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
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& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge1
of
1
ITEM
CO
UN
TPA
RT
IDN
AM
ED
IV/L
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LOA
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SUE
DA
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FIR
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TD
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NEX
TPA
YMEN
T D
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DA
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LAST
PA
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T D
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DA
TELO
AN
AM
OU
NT
INTE
RES
TR
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PAYM
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FREQ
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CY
PAYM
ENT
AM
OU
NT
This
pag
e in
tent
iona
lly le
ft bl
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T
OTA
L$0
.00
76
APPENDIX A
Loan
Act
ivity
Rep
ort
Part
icip
ant L
oans
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
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& C
onfid
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l1/
16/2
011
03:0
4 PM
Page
11 o
f11
ITEM
CO
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RT
IDN
AM
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IV/
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N
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MED
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314
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315
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318
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00
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VE32
0XX
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ACTI
VE
321
XXX-
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111
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PLE,
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1$3
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D32
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56AC
TIVE
323
XXX-
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111
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00
1$1
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0($
420.
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VE32
4XX
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E, J
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001
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0$5
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3.88
)$0
.00
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0$4
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ACTI
VE32
5XX
X-XX
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1 SA
MPL
E, J
OE
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D
001
$1,5
81.7
1$0
.00
($30
3.92
)$0
.00
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0$1
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ACTI
VE32
6XX
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1 SA
MPL
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001
$3,5
00.0
0$0
.00
($51
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)$0
.00
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0$2
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ACTI
VE32
7XX
X-XX
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1 SA
MPL
E, J
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001
$5,0
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.00
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93)
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.00
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9
77
APPENDIX A
Loan
Act
ivity
Rep
ort
Plan
Loa
ns
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l1/
16/2
011
03:0
4 PM
Page
1 o
f1
ITEM
CO
UN
TPA
RT
IDN
AM
ELO
AN
#
BEG
INN
ING
LOA
NB
ALA
NC
E
NEW
LO
AN
SIS
SUED
LOA
NPR
INC
IPA
LPA
ID/A
DJU
STED
DEE
MED
AC
CU
MU
LATE
DIN
TER
EST
TRA
NSF
ERR
ED/
DIS
TRIB
UTE
D/
DEF
AU
LTED
END
ING
LOA
NB
ALA
NC
ELO
AN
STA
TUS
This
pag
e in
tent
iona
lly le
ft bl
ank
TOTA
LTO
TAL
$0.0
0$0
.00
$0.0
0$0
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78
APPENDIX A
Out
stan
ding
Loa
n R
epor
tPa
rtic
ipan
t Loa
ns
For t
he P
erio
d En
ding
12/
31/2
010
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
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& C
onfid
entia
l 1
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2011
03:
04 P
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258
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111
SAM
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0
0206
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2007
$8,4
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112
/24/
2010
05/
31/2
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9.25
%W
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Y$4
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93.5
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259
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0109
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14/2
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9.63
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71AC
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260
XXX-
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PLE,
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00
105
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2008
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312
/02/
2010
05/
15/2
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261
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00
206
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2008
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2010
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ACTI
VE26
2XX
X-XX
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1 SA
MPL
E, J
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001
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ACTI
VE26
3XX
X-XX
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MPL
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25%
WEE
KLY
$22.
79$1
,785
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ACTI
VE26
4XX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
D
001
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0/20
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,000
.00
12/0
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10 1
0/15
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35.
50%
WEE
KLY
$4.6
5$8
47.9
3AC
TIVE
265
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
00
108
/21/
2007
$3,0
00.0
012
/03/
2010
07/
26/2
012
9.25
%W
EEKL
Y$1
4.93
$1,8
34.8
1AC
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266
XXX-
XX-1
111
SAM
PLE,
JO
E AB
CD
00
112
/23/
2009
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57.4
203
/22/
2010
12/1
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124.
25%
WEE
KLY
$8.6
1$1
,157
.42
ACTI
VE26
7XX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
D
002
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.00
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0/07
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09$2
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.32
ACTI
VE
268
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
00
103
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1999
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41.3
209
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2010
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4.00
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00
212
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2007
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412
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2010
12/
16/2
011
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%W
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270
XXX-
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00
207
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2009
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2010
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271
XXX-
XX-1
111
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PLE,
JO
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00
205
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2007
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/10/
2010
05/
31/2
012
9.25
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4.91
$2,8
79.6
4AC
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272
XXX-
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111
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PLE,
JO
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CD
00
207
/29/
2008
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211
/30/
2010
07/
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013
6.00
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7AC
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273
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111
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PLE,
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CD
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105
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2008
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2010
05/
20/2
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45.0
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274
XXX-
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111
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PLE,
JO
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CD
00
211
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2006
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2010
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4AC
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275
XXX-
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111
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PLE,
JO
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CD
00
105
/08/
2009
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2010
05/
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4.25
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276
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111
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CD
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110
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2009
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0001
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2010
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ACTI
VE27
7XX
X-XX
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VE27
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001
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201 1
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9%M
ON
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$6,1
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279
XXX-
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SAM
PLE,
JO
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CD
00
108
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2008
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2010
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013
6.00
%W
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68.4
8AC
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280
XXX-
XX-1
111
SAM
PLE,
JO
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CD
00
101
/21/
2009
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93.6
112
/02/
2010
01/
19/2
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%W
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3AC
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281
XXX-
XX-1
111
SAM
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JO
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CD
00
111
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2008
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2010
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282
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110
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2007
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2010
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56AC
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283
XXX-
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111
SAM
PLE,
JO
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CD
00
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2006
$1,9
99.9
912
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2010
11/
24/2
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$928
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ACTI
VE28
4XX
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1 SA
MPL
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OE
ABC
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001
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2/26
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34.
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$22.
40$4
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ACTI
VE28
5XX
X-XX
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OE
ABC
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11/3
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36.
00%
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$7.5
0$1
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.79
ACTI
VE28
6XX
X-XX
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1 SA
MPL
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OE
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35.
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$16.
26$2
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ACTI
VE28
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X-XX
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001
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10 1
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05.
50%
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$57.
80$2
,559
.48
ACTI
VE
TOTA
L$1
,650
,274
.72
79
APPENDIX A
Out
stan
ding
Loa
n R
epor
tPl
an L
oans
AB
C S
AM
PLE
UN
IVER
SITY
For t
he P
erio
d En
ding
12/
31/2
010
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge1
of
1
ITEM
CO
UN
TPA
RT
IDN
AM
ED
IV/
LOC
ISSU
ED
ATE
OR
IGIN
AL
AM
OU
NT
NEX
TPA
YMEN
T D
UE
DA
TE
LAST
PA
YMEN
T D
UE
DA
TEIN
TER
EST
RA
TEPA
YMEN
TFR
EQU
ENC
YPA
YMEN
TA
MO
UN
TEN
DIN
G L
OA
N
BA
LAN
CE
LOA
NST
ATU
S
This
pag
e in
tent
iona
lly le
ft bl
ank
TOTA
L$0
.00
LOW
EST
INTE
RES
T R
ATE
N/A
HIG
HES
T IN
TER
EST
RAT
EN
/AO
LDES
T M
ATU
RIT
Y D
ATE
N/A
80
APPENDIX A
Dis
trib
utio
n R
epor
t
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge9
of
10
ITEM
CO
UN
TPA
RT
IDN
AM
E D
IV/
LOC
STA
TUS
TER
M D
ATE
DIS
TRIB
UTI
ON
DA
TED
ISTR
IBU
TIO
NTY
PED
ISTR
IBU
TIO
NR
EASO
ND
ISTR
IBU
TIO
NA
MO
UN
TFO
RFE
ITU
RE
AM
OU
NT
RO
LLO
VER
IND
ICA
TOR
RO
LLO
VER
AM
OU
NT
257
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Term
inat
ed07
/05/
2008
10/0
1/20
10
Dis
tribu
tions
With
draw
al($
500.
00)
$0.0
0$0
.00
258
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Term
inat
ed07
/05/
2008
11/0
2/20
10
Dis
tribu
tions
With
draw
al($
500.
00)
$0.0
0$0
.00
259
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Term
inat
ed07
/05/
2008
12/0
1/20
10
Dis
tribu
tions
With
draw
al($
500.
00)
$0.0
0$0
.00
Subt
otal
Dis
trib
utio
ns($
2,48
4,07
3.11
)$0
.00
260
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e09
/30/
2010
W
ithdr
awal
sU
ndef
ined
Dis
tribu
($44
,152
.52)
$0.0
0$0
.00
261
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Term
inat
ed01
/28/
2006
03/3
1/20
10
With
draw
als
Und
efin
ed D
istri
bu($
13,0
33.2
1)$0
.00
$0.0
0
262
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Susp
ende
d06
/22/
2010
W
ithdr
awal
sH
ards
hip
With
draw
al($
31,3
17.3
2)$0
.00
$0.0
0
263
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Term
inat
ed01
/25/
2007
01/0
2/20
10
With
draw
als
Und
efin
ed D
istri
bu($
483.
34)
$0.0
0$0
.00
264
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Term
inat
ed06
/04/
2008
01/0
2/20
10
With
draw
als
With
draw
al($
29,2
54.7
9)$0
.00
$0.0
0
265
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Susp
ende
d08
/05/
2010
W
ithdr
awal
sW
ithdr
awal
($2,
716.
38)
$0.0
0$0
.00
266
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Susp
ende
d10
/20/
2010
W
ithdr
awal
sW
ithdr
awal
$2,7
16.3
8$0
.00
$0.0
0
267
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Susp
ende
d10
/22/
2010
W
ithdr
awal
sW
ithdr
awal
($2,
716.
38)
$0.0
0$0
.00
268
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Susp
ende
d10
/23/
2010
W
ithdr
awal
sW
ithdr
awal
$2,7
16.3
8$0
.00
$0.0
0
269
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Susp
ende
d10
/28/
2010
W
ithdr
awal
sW
ithdr
awal
($1,
609.
60)
$0.0
0$0
.00
270
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Term
inat
ed10
/04/
2008
07/0
1/20
10
With
draw
als
With
draw
al($
3,62
4.97
)$0
.00
$0.0
0
271
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Susp
ende
d08
/12/
2010
W
ithdr
awal
sH
ards
hip
With
draw
al($
2,68
1.57
)$0
.00
$0.0
0
272
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Term
inat
ed02
/27/
2009
04/0
1/20
10
With
draw
als
Und
efin
ed D
istri
bu($
6,07
0.88
)$0
.00
$0.0
0
273
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Term
inat
ed04
/17/
2009
07/0
1/20
10
With
draw
als
With
draw
al($
1,39
7.31
)$0
.00
$0.0
0
274
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e11
/12/
2010
W
ithdr
awal
sH
ards
hip
With
draw
al($
4,07
0.00
)$0
.00
$0.0
0
275
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e07
/15/
2010
W
ithdr
awal
sW
ithdr
awal
($5,
529.
17)
$0.0
0$0
.00
276
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Term
inat
ed07
/26/
2008
04/0
1/20
10
With
draw
als
With
draw
al($
4,16
4.66
)$0
.00
$0.0
0
277
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Term
inat
ed05
/16/
2008
04/0
1/20
10
With
draw
als
With
draw
al($
7,02
7.53
)$0
.00
$0.0
0
278
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Term
inat
ed03
/26/
2008
07/0
1/20
10
With
draw
als
With
draw
al($
4,62
4.25
)$0
.00
$0.0
0
279
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e12
/03/
2010
W
ithdr
awal
sH
ards
hip
With
draw
al($
2,93
4.05
)$0
.00
$0.0
0
280
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Susp
ende
d08
/26/
2010
W
ithdr
awal
sH
ards
hip
With
draw
al($
421.
20)
$0.0
0$0
.00
281
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Susp
ende
d08
/18/
2010
W
ithdr
awal
sH
ards
hip
With
draw
al($
4,23
0.13
)$0
.00
$0.0
0
282
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Term
inat
ed08
/22/
2008
01/0
2/20
10
With
draw
als
With
draw
al($
3,32
2.49
)$0
.00
$0.0
0
Subt
otal
With
draw
als
($16
9,94
8.99
)$0
.00
81
APPENDIX A
Plan
to P
lan
Tran
sfer
Rep
ort
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge1
of
1
PLA
N T
O P
LAN
TR
AN
SFER
IN
ITEM
CO
UN
TPA
RT
ID N
AM
ED
IV/L
OC
STA
TUS
TRA
NSA
CTI
ON
DA
TETR
AN
SFER
FR
OM
AM
OU
NT
1XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
DAc
tive
8/10
/201
0 In
tern
al/E
xter
nal V
endo
r$6
,853
.25
2XX
X-XX
-111
1SA
MPL
E, J
OE
Activ
e1/
5/20
10
Inte
rnal
/Ext
erna
l Ven
dor
$0.6
2
3XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
DAc
tive
12/2
2/20
10
Inte
rnal
/Ext
erna
l Ven
dor
$3,3
79.9
64
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e10
/6/2
010
Inte
rnal
/Ext
erna
l Ven
dor
$1,2
07.4
35
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Activ
e6/
17/2
010
Inte
rnal
/Ext
erna
l Ven
dor
$13,
489.
25
TOTA
L PL
AN
TO
PLA
N T
RA
NSF
ER IN
$24,
930.
51
PLA
N T
O P
LAN
TR
AN
SFER
(OU
T)
ITEM
CO
UN
TPA
RT
ID N
AM
ED
IV/L
OC
STA
TUS
TRA
NSA
CTI
ON
DA
TETR
AN
SFER
TO
AM
OU
NT
1XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
DAc
tive
1/5/
2010
In
tern
al/E
xter
nal V
endo
r($
0.62
)
TOTA
L PL
AN
TO
PLA
N T
RA
NSF
ER (O
UT)
($0.
62)
82
Forf
eitu
re A
ccou
nt R
epor
t
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN -
Plan
# 1
0000
0Pr
ivat
e &
Con
fiden
tial
1/1
6/20
11 0
3:04
PM
Page
1 o
f1
OPE
NIN
G B
ALA
NC
E A
S O
F 01
/01/
2009
$44.
12
BALA
NC
ES F
OR
FEIT
ED D
UR
ING
PER
IOD
$0.0
0
MIS
C. F
OR
FEIT
UR
E AD
JUST
MEN
TS A
DD
ED D
UR
ING
PER
IOD
$0.0
0
FOR
FEIT
UR
E U
SED
DU
RIN
G P
ERIO
D($
45.2
2)
INVE
STM
ENT
INC
OM
E D
UR
ING
PER
IOD
$43.
80
FEES
DU
RIN
G P
ERIO
D$0
.00
CLO
SIN
G B
ALA
NC
E A
S O
F 12
/31/
2009
$42.
70
D
ETA
ILS
OF
BA
LAN
CES
FO
RFE
ITED
DU
RIN
G P
ERIO
D:1
2/31
/200
9
PAR
T ID
NA
ME
DIV
/LO
CTR
AN
SAC
TIO
ND
ATE
AM
OU
NT
TOTA
L$0
.00
83
APPENDIX A
Payr
oll S
umm
ary
Rep
ort
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l1/
16/2
011
03:0
4 PM
Page
7 o
f7
ITEM
CO
UN
TPA
YRO
LLD
ATE
TRA
NSA
CTI
ON
DA
TEEM
PLO
YEE
PRE-
TAX
EMPL
OYE
R M
ATC
HLO
AN
REP
AYM
ENTS
PAYR
OLL
AD
JUST
MEN
TSEM
PLO
YEE
PRE-
TAX
PAYR
OLL
AD
JUST
MEN
TSEM
PLO
YER
123
11/0
5/20
10$0
.00
$0.0
0$1
09.2
4$0
.00
$0.0
012
411
/16/
2010
$0.0
0$0
.00
$55,
768.
47$0
.00
$0.0
012
511
/17/
2010
$0.0
0$0
.00
$1,2
07.5
5$0
.00
$0.0
012
612
/01/
2010
$0.0
0$0
.00
($12
0.05
)$0
.00
$0.0
012
712
/07/
2010
$0.0
0$0
.00
$8,7
15.5
3$0
.00
$0.0
012
812
/14/
2010
$0.0
0$0
.00
$655
.89
$0.0
0$4
1.91
129
12/1
7/20
10$0
.00
$0.0
0$4
3,58
2.29
$0.0
0$0
.00
130
12/1
8/20
10$0
.00
$0.0
0$9
66.0
4$0
.00
$0.0
013
112
/23/
2010
$0.0
0$0
.00
$4,0
85.7
2$0
.00
$0.0
013
212
/29/
2010
$0.0
0$0
.00
$887
.34
$0.0
0$0
.00
Subt
otal
$0.0
0$0
.00
$569
,295
.29
$0.0
0$4
1.91
TO
TAL
$6,4
16,0
55.0
1$2
,444
,877
.24
$569
,295
.29
($11
,270
.54)
($2,
900.
72)
84
APPENDIX A
Part
icip
ant C
ontr
ibut
ion
Inve
stm
ent A
lloca
tion
Rep
ort
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge1
of
1575
NA
ME:
SAM
PLE,
JAN
ED
ATE
OF
BIR
TH:
01/2
0/19
70D
ATE
OF
TER
MIN
ATI
ON
:02
/25/
2000
DIV
/LO
C:
ABC
DPA
RT
ID: X
XX-X
X-11
11D
ATE
OF
HIR
E:03
/13/
1997
DA
TE O
F D
EATH
: PR
E-TA
X D
EFER
RA
L %
OR
$:
STA
TUS:
Term
inat
edD
ATE
OF
ENTR
Y: 0
3/13
/199
7D
ATE
OF
REH
IRE:
AFT
ER-T
AX
DEF
ERR
AL
% O
R $
:
EMPL
OY
EE P
RE-
TAX
MA
TCH
Fund
Nam
e F
und
ID01
/01/
2009
12/3
1/20
09
CR
EF S
tock
X210
0%10
0%
Tota
l10
0%10
0%
NA
ME:
SAM
PLE,
JO
ED
ATE
OF
BIR
TH:
05/0
1/19
58D
ATE
OF
TER
MIN
ATI
ON
:D
IV/L
OC
:AB
CD
PAR
T ID
: XXX
-XX-
1111
DA
TE O
F H
IRE:
07/0
9/19
78D
ATE
OF
DEA
TH:
PRE-
TAX
DEF
ERR
AL
% O
R $
: ST
ATU
S:Ac
tive
DA
TE O
F EN
TRY:
07/
09/1
978
DA
TE O
F R
EHIR
E:A
FTER
-TA
X D
EFER
RA
L %
OR
$:
EMPL
OY
EE P
RE-
TAX
MA
TCH
Fund
Nam
e F
und
ID01
/01/
2009
12/3
1/20
09
CR
EF S
tock
X270
%70
%TI
AA-C
REF
Sm
-Cap
Bl I
dx-R
tmt
XM30
%30
%
Tota
l10
0%10
0%
NA
ME:
SAM
PLE,
JO
ED
ATE
OF
BIR
TH:
09/1
6/19
49D
ATE
OF
TER
MIN
ATI
ON
:08
/22/
2000
DIV
/LO
C:
ABC
DPA
RT
ID: X
XX-X
X-11
11D
ATE
OF
HIR
E:07
/05/
1995
DA
TE O
F D
EATH
: PR
E-TA
X D
EFER
RA
L %
OR
$:
STA
TUS:
Term
inat
edD
ATE
OF
ENTR
Y: 0
7/05
/199
5D
ATE
OF
REH
IRE:
AFT
ER-T
AX
DEF
ERR
AL
% O
R $
:
EMPL
OY
EE P
RE-
TAX
MA
TCH
Fund
Nam
e F
und
ID01
/01/
2009
12/3
1/20
09
CR
EF S
tock
X250
%50
%TI
AA-C
REF
Man
aged
Allo
c-R
tmt
XX50
%50
%
Tota
l10
0%10
0%
85
APPENDIX A
Part
icip
ant C
ount
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge1
of
1
5To
tal N
umbe
r of p
artic
ipan
ts a
t beg
inni
ng o
f Pla
n Ye
ar38
08
6aAc
tive
Parti
cipa
nts
2261
6bR
etire
d or
sep
arat
ed p
artic
ipan
ts re
ceiv
ing
bene
fits
0
6cO
ther
retir
ed o
r sep
arat
ed p
artic
ipan
ts e
ntitl
ed to
futu
re b
enef
its40
9
6dSu
btot
al (6
a, 6
b an
d 6c
)26
70
6eD
ecea
sed
parti
cipa
nts
who
se b
enef
icia
ries
are
rece
ivin
g or
are
ent
itled
to re
ceiv
e be
nefit
s1
6fTo
tal (
6d a
nd 6
e)26
71
6gN
umbe
r of p
artic
ipan
ts w
ith a
ccou
nts
bala
nces
at e
nd o
f Pla
n ye
ar23
73
6hN
umbe
r of p
artic
ipan
ts th
at te
rmin
ated
em
ploy
men
t dur
ing
the
plan
yea
r with
acc
rued
ben
efits
that
wer
e le
ss th
an 1
00%
ves
ted
0
86
Plan
ID R
epor
t
AB
C S
AM
PLE
UN
IVER
SITY
For t
he P
erio
d En
ding
12/
31/2
010
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge1
of
1
REP
OR
TIN
G P
LAN
ID
PLA
N ID
(s) I
NC
LUD
EDPL
AN
NA
ME
100
000
1000
00
A
BC
SA
MP
LE U
NIV
ER
SIT
Y 4
03(B
)RET
IREM
ENT
PLAN
APPENDIX A
87
APPENDIX A
Mis
sing
Dat
es R
epor
t
For t
he P
erio
d En
ding
12/
31/2
010
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge4
of
4
PAR
T ID
NA
ME
DIV
/LO
CST
ATU
SD
ATE
OF
BIR
THD
ATE
OF
HIR
ED
ATE
OF
ENTR
YD
ATE
OF
TER
MIN
ATI
ON
DA
TE O
FR
EHIR
ED
ATE
OF
DEA
THXX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
D
Term
inat
ed11
/15/
1971
09/1
1/20
0009
/11/
2000
04/1
5/19
99XX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
D
Term
inat
ed08
/07/
1950
04/2
5/20
0204
/25/
2002
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Te
rmin
ated
05/2
5/19
6904
/17/
1998
04/1
7/19
9803
/08/
1998
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Te
rmin
ated
10/1
2/19
7312
/19/
2005
12/1
9/20
05
88
APPENDIX A
Ass
et A
lloca
tion
Stat
istic
s
AB
C S
AM
PLE
UN
IVER
SITY
For t
he P
erio
d En
ding
12/
31/2
010
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge1
of
4
1.32
%5.
82%
4.64
%1.
59%
1.23
%1.
33%
7.76
%
16.5
9%
0.16
%
6.64
%
0.03
%0.
03%
2.16
%
0.59
%
2.45
%
1.24
%2.
07%
0.46
%2.
49%
1.42
%
3.15
%
5.11
%
0.00
%
4.58
%24
.51%
2.63
%
CR
EF B
ond
Mar
ket
CR
EF G
row
th
CR
EF In
flatio
n-Li
nked
Bon
dC
REF
Mon
ey M
arke
t
CR
EF S
tock
Parti
cipa
nt L
oan
Fund
TIAA
Rea
l Est
ate
TIAA
Tra
ditio
nal
TIAA
-CR
EF E
q In
dex-
Rtm
t
TIAA
-CR
EF In
tl Eq
Idx-
Rtm
tTI
AA-C
REF
Lfc
yle
Rtm
t Inc
-Rtm
t
TIAA
-CR
EF L
g-C
ap V
al-R
tmt
TIAA
-CR
EF L
ifecy
cle
2010
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2015
-Rtm
tTI
AA-C
REF
Life
cycl
e 20
20-R
tmt
TIAA
-CR
EF L
ifecy
cle
2025
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2030
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2035
-Rtm
tTI
AA-C
REF
Life
cycl
e 20
40-R
tmt
TIAA
-CR
EF L
ifecy
cle
2045
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2050
-Rtm
tTI
AA-C
REF
Man
aged
Allo
c-R
tmt
TIAA
-CR
EF S
elf D
irect
ed A
cct
TIAA
-CR
EF S
m-C
ap B
l Idx
-Rtm
t
TIAA
-CR
EF S
ocia
l Ch
Eq-R
tmt
TIAA
-CR
EF S
&P 5
00 Id
x-R
tmt
Tota
l Pla
n
89
APPENDIX A
Ass
et A
lloca
tion
Stat
istic
s
AB
C S
AM
PLE
UN
IVER
SITY
For t
he P
erio
d En
ding
12/
31/2
010
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge2
of
4
189
402
453
221
117
91
704
900
4
461 15 16
292
200 60
144
132 85 83 47 170
517
1,01
7
127
649
2
CR
EF B
ond
Mar
ket
CR
EF G
row
th
CR
EF In
flatio
n-Li
nked
Bon
d
CR
EF M
oney
Mar
ket
CR
EF S
tock
Parti
cipa
nt L
oan
Fund
TIAA
Rea
l Est
ate
TIAA
Tra
ditio
nal
TIAA
-CR
EF E
q In
dex-
Rtm
t
TIAA
-CR
EF In
tl Eq
Idx-
Rtm
t
TIAA
-CR
EF L
fcyl
e R
tmt I
nc-R
tmt
TIAA
-CR
EF L
g-C
ap V
al-R
tmt
TIAA
-CR
EF L
ifecy
cle
2010
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2015
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2020
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2025
-Rtm
tTI
AA-C
REF
Life
cycl
e 20
30-R
tmt
TIAA
-CR
EF L
ifecy
cle
2035
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2040
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2045
-Rtm
tTI
AA-C
REF
Life
cycl
e 20
50-R
tmt
TIAA
-CR
EF M
anag
ed A
lloc-
Rtm
t
TIAA
-CR
EF S
elf D
irect
ed A
cct
TIAA
-CR
EF S
m-C
ap B
l Idx
-Rtm
t
TIAA
-CR
EF S
ocia
l Ch
Eq-R
tmt
TIAA
-CR
EF S
&P 5
00 Id
x-R
tmt
By N
umbe
r of P
artic
ipan
ts
90
Ass
et A
lloca
tion
Stat
istic
s
AB
C S
AM
PLE
UN
IVER
SITY
For t
he P
erio
d En
ding
12/
31/2
010
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge3
of
4
Age
Brac
ket
Unk
now
n18
-29
30-3
940
-49
50-5
960
& O
ver
0M5M10M
15M
20M
25M
30M
35M
40M
CR
EF B
ond
Mar
ket
CR
EF G
row
th
CR
EF In
flatio
n-Li
nked
Bon
d
CR
EF M
oney
Mar
ket
CR
EF S
tock
Parti
cipa
nt L
oan
Fund
TIAA
Rea
l Est
ate
TIAA
Tra
ditio
nal
TIAA
-CR
EF E
q In
dex-
Rtm
t
TIAA
-CR
EF In
tl Eq
Idx-
Rtm
t
TIAA
-CR
EF L
fcyl
e R
tmt I
nc-R
tmt
TIAA
-CR
EF L
g-C
ap V
al-R
tmt
TIAA
-CR
EF L
ifecy
cle
2010
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2015
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2020
-Rtm
tTI
AA-C
REF
Life
cycl
e 20
25-R
tmt
TIAA
-CR
EF L
ifecy
cle
2030
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2035
-Rtm
tTI
AA-C
REF
Life
cycl
e 20
40-R
tmt
TIAA
-CR
EF L
ifecy
cle
2045
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2050
-Rtm
t
TIAA
-CR
EF M
anag
ed A
lloc-
Rtm
tTI
AA-C
REF
Sel
f Dire
cted
Acc
t
TIAA
-CR
EF S
m-C
ap B
l Idx
-Rtm
t
TIAA
-CR
EF S
ocia
l Ch
Eq-R
tmt
TIAA
-CR
EF S
&P 5
00 Id
x-R
tmt
By A
ge
APPENDIX A
91
APPENDIX A
Ass
et A
lloca
tion
Stat
istic
s
AB
C S
AM
PLE
UN
IVER
SITY
For t
he P
erio
d En
ding
12/
31/2
010
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge4
of
4
Loca
tion
BEAV
BRIG
CR
NC
DFA
RR G
ENEH
OSP
INF
LEN
O MEA
DMER
C MH
CM
IMA M
OTH
MSP
NPC
CL PR
OVPR
PLSC
SSP
FLSP
HSSP
RU ST
LUUnk
now
n VIN
CW
STF
0M10M
20M
30M
40M
50M
60M
CR
EF B
ond
Mar
ket
CR
EF G
row
th
CR
EF In
flatio
n-Li
nked
Bon
d
CR
EF M
oney
Mar
ket
CR
EF S
tock
Parti
cipa
nt L
oan
Fund
TIAA
Rea
l Est
ate
TIAA
Tra
ditio
nal
TIAA
-CR
EF E
q In
dex-
Rtm
t
TIAA
-CR
EF In
tl Eq
Idx-
Rtm
t
TIAA
-CR
EF L
fcyl
e R
tmt I
nc-R
tmt
TIAA
-CR
EF L
g-C
ap V
al-R
tmt
TIAA
-CR
EF L
ifecy
cle
2010
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2015
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2020
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2025
-Rtm
tTI
AA-C
REF
Life
cycl
e 20
30-R
tmt
TIAA
-CR
EF L
ifecy
cle
2035
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2040
-Rtm
t
TIAA
-CR
EF L
ifecy
cle
2045
-Rtm
tTI
AA-C
REF
Life
cycl
e 20
50-R
tmt
TIAA
-CR
EF M
anag
ed A
lloc-
Rtm
t
TIAA
-CR
EF S
elf D
irect
ed A
cct
TIAA
-CR
EF S
m-C
ap B
l Idx
-Rtm
t
TIAA
-CR
EF S
ocia
l Ch
Eq-R
tmt
TIAA
-CR
EF S
&P 5
00 Id
x-R
tmt
By L
ocat
ion
92
APPENDIX A
Nea
ring
Ret
irem
ent A
ge R
epor
t
For t
he P
erio
d En
ding
12/
31/2
010
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge5
of
5
PAR
T ID
NA
ME
DIV
/LO
CST
ATU
SD
ATE
OF
BIR
THA
GE
MO
NTH
S U
NTI
L R
ETIR
EDEX
PEC
TED
RET
IREM
ENT
DA
TEVE
STED
AC
CO
UN
T B
ALA
NC
EXX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
D
Activ
e12
/26/
1936
740
12/2
6/20
01$2
7,21
2.01
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Ac
tive
08/0
8/19
4268
008
/08/
2007
$7,9
16.5
9XX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
D
Activ
e06
/21/
1942
680
06/2
1/20
07$4
8,42
3.00
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Ac
tive
06/1
1/19
4169
006
/11/
2006
$220
,535
.91
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Ac
tive
09/2
3/19
4565
909
/23/
2010
$12,
006.
08XX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
D
Activ
e09
/26/
1942
680
09/2
6/20
07$3
3,55
3.96
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Ac
tive
09/2
8/19
4169
009
/28/
2006
$173
,800
.43
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Ac
tive
06/2
3/19
3971
006
/23/
2004
$34,
050.
78XX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
D
Activ
e06
/09/
1944
660
06/0
9/20
09$2
00,8
39.2
3XX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
D
Activ
e09
/07/
1944
660
09/0
7/20
09$3
5,50
2.71
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Ac
tive
11/2
1/19
4466
011
/21/
2009
$21,
492.
92XX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
D
Activ
e10
/28/
1943
670
10/2
8/20
08$1
7,97
0.21
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Ac
tive
04/2
0/19
4367
004
/20/
2008
$22,
552.
58XX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
D
Activ
e09
/18/
1935
750
09/1
8/20
00$3
2,81
6.30
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Ac
tive
12/1
5/19
4367
012
/15/
2008
$5,8
61.6
3XX
X-XX
-111
1 SA
MPL
E, J
OE
ABC
D
Activ
e11
/29/
1939
710
11/2
9/20
04$6
5,62
5.90
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Ac
tive
08/3
1/19
4367
008
/31/
2008
$14,
617.
61
93
APPENDIX A
Min
imum
Dis
trib
utio
n M
onito
ring
Rep
ort
For t
he P
erio
d En
ding
12/
31/2
010
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge2
of
2
ITEM
CO
UN
TPA
RT
IDN
AM
ED
IV/L
OC
STA
TUS
DA
TE O
F B
IRTH
DA
TE O
F TE
RM
INA
TIO
NC
UR
REN
T A
CC
OU
NT
BA
LAN
CE
YTD
PR
E-TA
XC
ON
TRIB
UTI
ON
SVE
STED
TO
TAL
AC
CO
UN
T B
ALA
NC
E30
XXX
-XX-
1111
SA
MPL
E, J
OE
ABC
D
Term
inat
ed02
/01/
1932
12/3
1/20
08$1
3,07
7.32
$0.0
0$1
3,07
7.32
31 X
XX-X
X-11
11
SAM
PLE,
JO
EAB
CD
Act
ive
09/0
1/19
37$6
9,22
8.24
$681
.14
$69,
228.
2432
XXX
-XX-
1111
SA
MPL
E, J
OE
ABC
D
A
ctiv
e09
/20/
1937
$28,
583.
39$1
,778
.06
$28,
583.
3933
XXX
-XX-
1111
SA
MPL
E, J
OE
ABC
D
Term
inat
ed03
/06/
1928
01/0
4/19
99$8
,171
.55
$0.0
0$8
,171
.55
34 X
XX-X
X-11
11
SAM
PLE,
JO
EAB
CD
Act
ive
03/3
1/19
36$3
4,85
4.74
$3,3
29.5
1$3
4,85
4.74
35 X
XX-X
X-11
11
SAM
PLE,
JO
EAB
CD
Te
rmin
ated
06/1
1/19
3401
/04/
1998
$12,
526.
68$0
.00
$12,
526.
6836
XXX
-XX-
1111
SA
MPL
E, J
OE
ABC
D
Term
inat
ed07
/24/
1938
10/0
3/19
96$9
,532
.41
$0.0
0$9
,532
.41
37 X
XX-X
X-11
11
SAM
PLE,
JO
EAB
CD
Ac
tive
10/1
1/19
39$5
0,92
3.38
$34.
73$5
0,92
3.38
38 X
XX-X
X-11
11
SAM
PLE,
JO
EAB
CD
Te
rmin
ated
10/0
6/19
3412
/17/
2004
$21,
735.
84$0
.00
$21,
735.
8439
XXX
-XX-
1111
SA
MPL
E, J
OE
ABC
D
Activ
e10
/09/
1939
$40,
047.
22$1
,505
.22
$40,
047.
2240
XXX
-XX-
1111
SA
MPL
E, J
OE
ABC
D
Activ
e03
/25/
1939
$24,
552.
63$1
,203
.00
$24,
552.
6341
XXX
-XX-
1111
SA
MPL
E, J
OE
ABC
D
Activ
e07
/18/
1936
$125
,319
.56
$9,5
03.6
5$1
25,3
19.5
642
XXX
-XX-
1111
SA
MPL
E, J
OE
ABC
D
Term
inat
ed06
/14/
1939
01/0
4/19
98$2
4,89
1.11
$0.0
0$2
4,89
1.11
43 X
XX-X
X-11
11
SAM
PLE,
JO
EAB
CD
Te
rmin
ated
11/0
1/19
3401
/04/
1998
$9,0
06.5
9$0
.00
$9,0
06.5
944
XXX
-XX-
1111
SA
MPL
E, J
OE
ABC
D
Term
inat
ed08
/18/
1939
$3,6
12.9
7$0
.00
$3,6
12.9
745
XXX
-XX-
1111
SA
MPL
E, J
OE
ABC
D
Term
inat
ed05
/01/
1937
$162
.00
$0.0
0$1
62.0
046
XXX
-XX-
1111
SA
MPL
E, J
OE
ABC
D
Activ
e03
/12/
1939
$24,
387.
84$0
.00
$24,
387.
8447
XXX
-XX-
1111
SA
MPL
E, J
OE
ABC
D
Activ
e02
/22/
1937
$107
,417
.36
$711
.57
$107
,417
.36
48 X
XX-X
X-11
11
SAM
PLE,
JO
EAB
CD
Ac
tive
10/3
1/19
39$2
1.37
$0.0
0$2
1.37
49 X
XX-X
X-11
11
SAM
PLE,
JO
EAB
CD
Ac
tive
08/0
4/19
39$5
9,18
0.09
$0.0
0$5
9,18
0.09
50 X
XX-X
X-11
11
SAM
PLE,
JO
EAB
CD
Ac
tive
06/0
1/19
26$6
27.0
9$0
.00
$627
.09
51 X
XX-X
X-11
11
SAM
PLE,
JO
EAB
CD
Te
rmin
ated
05/2
2/19
3802
/01/
2004
$55,
448.
04$0
.00
$55,
448.
0452
XXX
-XX-
1111
SA
MPL
E, J
OE
ABC
D
Activ
e12
/26/
1936
$27,
212.
01$8
79.9
6$2
7,21
2.01
53 X
XX-X
X-11
11
SAM
PLE,
JO
EAB
CD
Ac
tive
06/2
3/19
39$3
4,05
0.78
$0.0
0$3
4,05
0.78
54 X
XX-X
X-11
11
SAM
PLE,
JO
EAB
CD
Ac
tive
09/1
8/19
35$3
2,81
6.30
$0.0
0$3
2,81
6.30
55 X
XX-X
X-11
11
SAM
PLE,
JO
EAB
CD
Ac
tive
11/2
9/19
39$6
5,62
5.90
$891
.95
$65,
625.
90
TOTA
L$1
,798
,745
.23
$37,
933.
85$1
,798
,745
.23
94
APPENDIX A
Smal
l Cas
h O
ut M
onito
ring
Rep
ort
For t
he P
erio
d En
ding
12/
31/2
010
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge4
of
4
PAR
T ID
NA
ME
DIV
/LO
CST
ATU
SD
ATE
OF
BIR
THD
ATE
OF
HIR
ED
ATE
OF
REH
IRE
DA
TE O
F TE
RM
INA
TIO
NVE
STED
TO
TAL
AC
CO
UN
T B
ALA
NC
EXX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D
Term
inat
ed01
/16/
1959
07/0
2/20
0102
/27/
2001
$2.8
7XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D
Term
inat
ed01
/27/
1973
07/1
0/20
0008
/03/
2001
$88.
98XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D
Term
inat
ed09
/23/
1981
08/1
6/20
0403
/02/
2005
$164
.15
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Te
rmin
ated
10/2
6/19
6005
/18/
1998
03/1
6/20
01$4
5.87
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Te
rmin
ated
11/0
6/19
4110
/12/
1987
05/0
4/20
07$3
53.5
5XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D
Term
inat
ed08
/12/
1966
12/0
4/20
0006
/30/
2007
$59.
11XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D
Term
inat
ed11
/17/
1975
05/1
4/20
0710
/24/
2008
$732
.58
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Te
rmin
ated
07/2
4/19
4703
/16/
1998
12/1
4/20
04$1
27.5
1XX
X-XX
-111
1SA
MPL
E, J
OE
ABC
D
Term
inat
ed07
/25/
1942
12/0
8/19
7602
/02/
2007
$934
.65
XXX-
XX-1
111
SAM
PLE,
JO
EAB
CD
Te
rmin
ated
02/2
1/19
6107
/28/
2003
04/1
4/20
06$3
.36
TOTA
L$2
2,15
5.48
95
APPENDIX A
Dis
trib
utio
n Ta
x In
form
atio
n R
epor
t
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2009
to 1
2/31
/200
9
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
1/16
/201
0 03
:04
PMPa
ge38
of
39
TOTA
L D
ISTR
IBU
TIO
NAM
OU
NT
1099
RD
ISTR
IBU
TIO
NC
OD
EFE
DER
AL T
AXAM
OU
NT
WIT
HH
ELD
ST
ATE
TAX
AMO
UN
T W
ITH
HEL
D
EMPL
OYE
E C
ON
TRIB
UTI
ON
/D
ESIG
NAT
ED R
OTH
CO
NTR
IBU
TIO
NS
OR
INSU
RAN
CE
PREM
IUM
STA
XABL
E AM
OU
NT
($9,
371.
57)
4$4
61.3
5$1
57.4
9$4
,758
.05
$4,6
13.5
2
NA
ME:
SAM
PLE,
JO
ED
ATE
OF
BIR
TH:
06/1
1/19
45PA
RT
ID:
XXX-
XX-1
111
DA
TE O
F H
IRE:
01/0
5/19
87ST
ATU
S:D
ecea
sed
DA
TE O
F EN
TRY:
01/0
5/19
87A
DD
RES
S:12
34 A
BC
AVE
NU
EN
EW Y
OR
K, N
Y 11
1111
111
DA
TE O
F TE
RM
INA
TIO
N:
03/0
1/20
08D
ATE
OF
REH
IRE:
DIV
/LO
C:
AB
CD
TOTA
L D
ISTR
IBU
TIO
NAM
OU
NT
1099
RD
ISTR
IBU
TIO
NC
OD
EFE
DER
AL T
AXAM
OU
NT
WIT
HH
ELD
ST
ATE
TAX
AMO
UN
T W
ITH
HEL
D
EMPL
OYE
E C
ON
TRIB
UTI
ON
/D
ESIG
NAT
ED R
OTH
CO
NTR
IBU
TIO
NS
OR
INSU
RAN
CE
PREM
IUM
STA
XABL
E AM
OU
NT
($4,
000.
00)
7$0
.00
$212
.00
$0.0
0$4
,000
.00
NA
ME:
SAM
PLE,
JO
ED
ATE
OF
BIR
TH:
02/2
0/19
64PA
RT
ID:
XXX-
XX-1
111
DA
TE O
F H
IRE:
06/0
3/19
85ST
ATU
S:Su
spen
ded
DA
TE O
F EN
TRY:
06/0
3/19
85A
DD
RES
S:12
34 A
BC
AVE
NU
EN
EW Y
OR
K, N
Y 11
1111
111
DA
TE O
F TE
RM
INA
TIO
N:
DA
TE O
F R
EHIR
E:D
IV/L
OC
:A
BC
D
TOTA
L D
ISTR
IBU
TIO
NAM
OU
NT
1099
RD
ISTR
IBU
TIO
NC
OD
EFE
DER
AL T
AXAM
OU
NT
WIT
HH
ELD
ST
ATE
TAX
AMO
UN
T W
ITH
HEL
D
EMPL
OYE
E C
ON
TRIB
UTI
ON
/D
ESIG
NAT
ED R
OTH
CO
NTR
IBU
TIO
NS
OR
INSU
RAN
CE
PREM
IUM
STA
XABL
E AM
OU
NT
($4,
230.
13)
1$0
.00
$0.0
0$0
.00
$4,2
30.1
3
NA
ME:
SAM
PLE,
JO
ED
ATE
OF
BIR
TH:
05/1
9/19
63PA
RT
ID:
XXX-
XX-1
111
DA
TE O
F H
IRE:
05/2
7/20
03ST
ATU
S:Te
rmin
ated
DA
TE O
F EN
TRY:
05/2
7/20
03A
DD
RES
S:12
34 A
BC
AVE
NU
EN
EW Y
OR
K, N
Y 11
1111
111
DA
TE O
F TE
RM
INA
TIO
N:
12/0
4/20
09D
ATE
OF
REH
IRE:
DIV
/LO
C:
AB
CD
TOTA
L D
ISTR
IBU
TIO
NAM
OU
NT
1099
RD
ISTR
IBU
TIO
NC
OD
EFE
DER
AL T
AXAM
OU
NT
WIT
HH
ELD
ST
ATE
TAX
AMO
UN
T W
ITH
HEL
D
EMPL
OYE
E C
ON
TRIB
UTI
ON
/D
ESIG
NAT
ED R
OTH
CO
NTR
IBU
TIO
NS
OR
INSU
RAN
CE
PREM
IUM
STA
XABL
E AM
OU
NT
($8,
685.
63)
1$0
.00
$460
.33
$0.0
0$8
,685
.63
NA
ME:
SAM
PLE,
JO
ED
ATE
OF
BIR
TH:
06/0
3/19
76PA
RT
ID:
XXX-
XX-1
111
DA
TE O
F H
IRE:
01/2
1/19
97ST
ATU
S:Te
rmin
ated
DA
TE O
F EN
TRY:
01/2
1/19
97
96
APPENDIX A
Dis
trib
utio
n Ta
x In
form
atio
n R
epor
t
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2009
to 1
2/31
/200
9
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
1/16
/201
0 03
:04
PMPa
ge39
of
39
AD
DR
ESS:
1234
AB
C A
VEN
UE
NEW
YO
RK
, NY
1111
1111
1D
ATE
OF
TER
MIN
ATI
ON
:07
/27/
2009
DA
TE O
F R
EHIR
E:D
IV/L
OC
:A
BC
D
TOTA
L D
ISTR
IBU
TIO
NAM
OU
NT
1099
RD
ISTR
IBU
TIO
NC
OD
EFE
DER
AL T
AXAM
OU
NT
WIT
HH
ELD
ST
ATE
TAX
AMO
UN
T W
ITH
HEL
D
EMPL
OYE
E C
ON
TRIB
UTI
ON
/D
ESIG
NAT
ED R
OTH
CO
NTR
IBU
TIO
NS
OR
INSU
RAN
CE
PREM
IUM
STA
XABL
E AM
OU
NT
($8,
280.
75)
1$1
,050
.32
$423
.12
$0.0
0$8
,280
.75
NA
ME:
SAM
PLE,
JO
ED
ATE
OF
BIR
TH:
09/0
4/19
74PA
RT
ID:
XXX-
XX-1
111
DA
TE O
F H
IRE:
06/0
5/20
06ST
ATU
S:Te
rmin
ated
DA
TE O
F EN
TRY:
06/0
5/20
06A
DD
RES
S:12
34 A
BC
AVE
NU
EN
EW Y
OR
K, N
Y 11
1111
111
DA
TE O
F TE
RM
INA
TIO
N:
08/2
2/20
08D
ATE
OF
REH
IRE:
DIV
/LO
C:
AB
CD
TOTA
L D
ISTR
IBU
TIO
NAM
OU
NT
1099
RD
ISTR
IBU
TIO
NC
OD
EFE
DER
AL T
AXAM
OU
NT
WIT
HH
ELD
ST
ATE
TAX
AMO
UN
T W
ITH
HEL
D
EMPL
OYE
E C
ON
TRIB
UTI
ON
/D
ESIG
NAT
ED R
OTH
CO
NTR
IBU
TIO
NS
OR
INSU
RAN
CE
PREM
IUM
STA
XABL
E AM
OU
NT
($7,
513.
10)
1$0
.00
$222
.10
$0.0
0$7
,513
.10
NA
ME:
SAM
PLE,
JO
ED
ATE
OF
BIR
TH:
09/1
4/19
42PA
RT
ID:
XXX-
XX-1
111
DA
TE O
F H
IRE:
12/0
3/19
64ST
ATU
S:Te
rmin
ated
DA
TE O
F EN
TRY:
12/0
3/19
64A
DD
RES
S:12
34 A
BC
AVE
NU
EN
EW Y
OR
K, N
Y 11
1111
111
DA
TE O
F TE
RM
INA
TIO
N:
07/0
5/20
08D
ATE
OF
REH
IRE:
DIV
/LO
C:
AB
CD
TOTA
L D
ISTR
IBU
TIO
NAM
OU
NT
1099
RD
ISTR
IBU
TIO
NC
OD
EFE
DER
AL T
AXAM
OU
NT
WIT
HH
ELD
ST
ATE
TAX
AMO
UN
T W
ITH
HEL
D
EMPL
OYE
E C
ON
TRIB
UTI
ON
/D
ESIG
NAT
ED R
OTH
CO
NTR
IBU
TIO
NS
OR
INSU
RAN
CE
PREM
IUM
STA
XABL
E AM
OU
NT
($6,
000.
00)
7$0
.00
$318
.00
$0.0
0$6
,000
.00
GR
AN
D T
OTA
LD
ISTR
IBU
TIO
NA
MO
UN
T
GR
AN
D T
OTA
LFE
DER
AL
TAX
AM
OU
NT
WIT
HH
ELD
G
RA
ND
TO
TAL
STA
TE
TAX
AM
OU
NT
WIT
HH
ELD
GR
AN
D T
OTA
L EM
PLO
YEE
CO
NTR
IBU
TIO
N /
DES
IGN
ATE
D R
OTH
CO
NTR
IBU
TIO
NS
OR
INSU
RA
NC
E PR
EMIU
MS
GR
AN
D T
OTA
LTA
XAB
LE A
MO
UN
T
($2,
654,
022.
10)
NaN
NaN
NaN
$794
,134
.05
97
APPENDIX A
Sum
mar
y of
Fee
s an
d C
ompe
nsat
ion
for Y
our P
lan
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
P
rivat
e &
Con
fiden
tial
1/16
/201
1 03
:04
PMPa
ge
1 o
f 1
PLA
N F
EES
AN
D
CO
MPE
NSA
TIO
N P
AID
TO
TIA
A-C
REF
A
ND
BU
ND
LED
SER
VIC
E PR
OVI
DER
S
YOU
R F
EES
AN
DC
OM
PEN
SATI
ON
IND
OLL
AR
S
YOU
R F
EES
AN
DC
OM
PEN
SATI
ON
AS
A
PER
CEN
TAG
E O
F A
SSET
S
PER
CEN
T O
FTO
TAL
PLA
N F
EES
AN
DC
OM
PEN
SATI
ON
Inve
stm
ent F
ee &
Exp
ense
$416
,615
.25
0.54
0%98
.02%
Dire
ct F
ees
$6,7
49.6
50.
009%
1.59
%Se
lf-D
irect
ed B
roke
rage
- R
ecor
dkee
ping
Offs
et$1
5.40
0.00
0%0.
00%
Floa
t$1
79.0
40.
000%
0.04
%Tr
ansa
ctio
nal F
und
Earn
ings
(TFE
)$1
,452
.42
0.00
2%0.
34%
TOTA
L PL
AN
FEE
S A
ND
C
OM
PEN
SATI
ON
PA
ID T
O T
IAA
-CR
EFA
ND
BU
ND
LED
SER
VIC
E PR
OVI
DER
S$4
25,0
11.7
60.
551%
99.9
9%
98
APPENDIX A
Inve
stm
ent F
ee &
Exp
ense
Dis
clos
ure
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l1/
16/2
011
03:0
4 PM
Page
1 o
f1
FUN
D N
AM
EFU
ND
IDTI
CK
ERA
SSET
CLA
SSA
SSET
S A
S O
F12
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2010
EXPE
NSE
RA
TIO
(%) 1
EXPE
NSE
RA
TIO
($)
PLA
N S
ERVI
CES
EXP
ENSE
(%)
($)
CR
EF S
tock
X2
CST
K#Eq
uitie
s $1
3,07
1,92
2.06
0.48
5%
$63,
398.
820.
360%
$47,
058.
92TI
AA-C
REF
Sm
-Cap
Bl I
dx-R
tmt
XMTR
BIX
Equi
ties
$6,1
14,2
56.9
40.
350%
$2
1,39
9.90
0.25
0%$1
5,28
5.64
TIAA
-CR
EF L
g-C
ap V
al-R
tmt
XETR
LCX
Equi
ties
$4,0
25,6
17.7
00.
740%
$2
9,78
9.57
0.25
0%$1
0,06
4.04
TIAA
-CR
EF S
ocia
l Ch
Eq-R
tmt
XQTR
SCX
Equi
ties
$3,6
60,2
39.3
00.
460%
$1
6,83
7.10
0.25
0%$9
,150
.60
TIAA
-CR
EF In
tl Eq
Idx-
Rtm
t XC
TRIE
XEq
uitie
s $3
,610
,685
.42
0.36
0%
$12,
998.
470.
250%
$9,0
26.7
1TI
AA-C
REF
Eq
Inde
x-R
tmt
XVTI
QR
XEq
uitie
s $2
,073
,659
.80
0.33
0%
$6,8
43.0
80.
250%
$5,1
84.1
5C
REF
Gro
wth
X7
CG
RW
#Eq
uitie
s $1
,256
,140
.20
0.46
5%
$5,8
41.0
50.
360%
$4,5
22.1
0TI
AA-C
REF
S&P
500
Idx-
Rtm
t XR
TRSP
XEq
uitie
s $1
,043
,730
.97
0.31
0%
$3,2
35.5
70.
250%
$2,6
09.3
3TI
AA-C
REF
Mid
-Cap
Val
Idx-
Rtm
t XK
TRVU
XEq
uitie
s $0
.00
0.36
0%
$0.0
00.
250%
$0.0
0TI
AA-C
REF
Mid
-Cap
Gr I
dx-R
tmt
XITR
MG
XEq
uitie
s $0
.00
0.35
0%
$0.0
00.
250%
$0.0
0C
REF
Bon
d M
arke
t X5
CBN
D#
Fixe
d In
com
e $4
,585
,972
.92
0.45
5%
$20,
866.
180.
360%
$16,
509.
50C
REF
Infla
tion-
Link
ed B
ond
X9C
ILB#
Fixe
d In
com
e $9
67,1
74.0
10.
450%
$4
,352
.28
0.36
0%$3
,481
.83
TIAA
Tra
ditio
nal
1 TI
AA#
Gua
rant
eed
$19,
311,
570.
880.
580%
$1
12,0
07.1
10.
430%
$83,
039.
75C
REF
Mon
ey M
arke
t X3
CM
MA#
Mon
ey M
arke
t $1
,045
,532
.64
0.41
5%
$4,3
38.9
60.
360%
$3,7
63.9
2TI
AA-C
REF
Man
aged
Allo
c-R
tmt
XXTI
TRX
Mul
ti-As
set
$5,2
36,1
10.8
40.
710%
$3
7,17
6.39
0.25
0%$1
3,09
0.28
TIAA
-CR
EF L
ifecy
cle
2010
-Rtm
t L1
TCLE
XM
ulti-
Asse
t $2
,478
,592
.43
0.66
0%
$16,
358.
710.
250%
$6,1
96.4
8TI
AA-C
REF
Life
cycl
e 20
20-R
tmt
L3TC
LTX
Mul
ti-As
set
$1,9
62,7
74.1
30.
690%
$1
3,54
3.14
0.25
0%$4
,906
.94
TIAA
-CR
EF L
ifecy
cle
2030
-Rtm
t L5
TCLN
XM
ulti-
Asse
t $1
,933
,719
.25
0.71
0%
$13,
729.
410.
250%
$4,8
34.3
0TI
AA-C
REF
Life
cycl
e 20
40-R
tmt
L7TC
LOX
Mul
ti-As
set
$1,7
01,2
02.8
20.
720%
$1
2,24
8.66
0.25
0%$4
,253
.01
TIAA
-CR
EF L
ifecy
cle
2015
-Rtm
t L2
TCLI
XM
ulti-
Asse
t $1
,118
,525
.32
0.67
0%
$7,4
94.1
20.
250%
$2,7
96.3
1TI
AA-C
REF
Life
cycl
e 20
25-R
tmt
L4TC
LFX
Mul
ti-As
set
$974
,734
.14
0.70
0%
$6,8
23.1
40.
250%
$2,4
36.8
4TI
AA-C
REF
Life
cycl
e 20
35-R
tmt
L6TC
LRX
Mul
ti-As
set
$466
,926
.93
0.72
0%
$3,3
61.8
70.
250%
$1,1
67.3
2TI
AA-C
REF
Life
cycl
e 20
45-R
tmt
L9TT
FRX
Mul
ti-As
set
$26,
482.
000.
730%
$1
93.3
20.
250%
$66.
21TI
AA-C
REF
Life
cycl
e 20
50-R
tmt
LBTL
FRX
Mul
ti-As
set
$21,
042.
080.
720%
$1
51.5
00.
250%
$52.
61TI
AA-C
REF
Lfc
yle
Rtm
t Inc
-Rtm
t LD
TLIR
XM
ulti-
Asse
t $8
4.63
0.63
0%
$0.5
30.
250%
$0.2
1TI
AA-C
REF
Sel
f Dire
cted
Acc
t SD
SDA0
1#O
ther
$1
28,8
91.9
00.
000%
$0
.00
0.00
0%$0
.00
TIAA
Rea
l Est
ate
X1TR
EA#
Rea
l Est
ate
$359
,046
.65
1.01
0%
$3,6
26.3
70.
450%
$1,6
15.7
1
ESTI
MA
TED
TO
TAL
/ AVE
RA
GE
$77,
174,
635.
960.
540%
$416
,615
.25
0.32
5%$2
51,1
12.7
1
1Ex
pens
era
tios
are
from
the
mos
trec
entp
rosp
ectu
ses
avai
labl
eto
TIAA
prio
rto
the
date
ofth
ere
porti
ngpe
riod.
99
APPENDIX A
TOTA
L D
IREC
T FE
ES P
AID
TO
TIA
A-C
REF
AN
D B
UN
DLE
D S
ERVI
CE
PRO
VID
ERS
$6,7
49.6
5
Dire
ct F
ees
Paid
from
Pla
n A
sset
s
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
P
rivat
e &
Con
fiden
tial
1/16
/201
1 03
:04
PMPa
ge4
of
4
DIR
ECT
FEES
PA
ID T
O T
IAA
-CR
EF A
ND
BU
ND
LED
SER
VIC
E PR
OVI
DER
SFE
E TY
PETR
AN
SAC
TIO
N D
ATE
AM
OU
NT
10/0
5/20
09$7
5.00
10/0
6/20
09$7
5.00
10/2
0/20
09$1
50.0
010
/21/
2009
$75.
0011
/18/
2009
$75.
0011
/19/
2009
$75.
0012
/04/
2009
$75.
0012
/08/
2009
$75.
0012
/09/
2009
$150
.00
12/1
1/20
09$7
5.00
12/1
4/20
09$7
5.00
12/1
7/20
09$7
5.00
12/2
2/20
09$1
50.0
012
/23/
2009
$75.
0012
/28/
2009
$75.
0012
/30/
2009
$150
.00
Subt
otal
Loan
Issu
ance
Fee
$6,4
50.0
0
Red
empt
ion
Fee
Loan
Insu
ranc
e Fe
e
01/0
5/20
09$8
.69
03/0
3/20
09$2
01.9
904
/30/
2009
$53.
97
Subt
otal
Red
empt
ion
Fee
$264
.65
Self-
Dire
cted
Bro
kera
ge -
Tran
sact
ion
Fee
01/0
8/20
09$3
5.00
Subt
otal
Self-
Dire
cted
Bro
kera
ge -
Tran
sact
ion
Fee
$35.
00
100
APPENDIX A
Serv
ice
Prov
ider
Sum
mar
y
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETI
RE
ME
NT
PLA
N- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MP
age
1 o
f 3
SER
VIC
E PR
OVI
DER
FUN
DID
EIN
AD
DR
ESS
FEE
CA
TEG
OR
YFE
E O
R C
OM
PEN
SATI
ON
D
ESC
RIP
TIO
NA
MO
UN
TTI
AA
- Te
ache
rs In
sura
nce
and
Ann
uity
A
ssoc
iatio
n of
Am
eric
a13
-162
4203
TIA
A-
Teac
hers
Insu
ranc
ean
dA
nnui
tyA
ssoc
iatio
nof
Am
eric
a,73
0Th
irdA
ve.
New
Yor
k,N
Y10
017-
3206
Dire
ctLo
an Is
suan
ce F
ee$6
,450
.00
Dire
ctS
elf-D
irect
ed B
roke
rage
- Tr
ansa
ctio
n Fe
e$3
5.00
SV
EIC
Inve
stm
ent F
ee &
Exp
ense
$112
,007
.11
X1
EIC
Inve
stm
ent F
ee &
Exp
ense
$3,6
26.3
7E
IC
Pla
n S
ervi
ces
Exp
ense
$166
,457
.23
EIC
Sel
f-Dire
cted
Bro
kera
ge -
Rec
ordk
eepi
ng
Offs
et$1
5.40
EIC
Tran
sact
iona
l Fun
d E
arni
ngs
(TFE
)$1
,452
.42
Tota
l TIA
A -
Teac
hers
Insu
ranc
e an
d A
nnui
ty A
ssoc
iatio
n of
Am
eric
a$2
90,0
43.5
3
TIA
A-C
RE
F M
utua
l Fun
ds -
Teac
hers
A
dvis
ors,
Inc.
XX
13-3
7600
73TI
AA
-CR
EF
Mut
ualF
unds
-Te
ache
rsA
dvis
ors,
Inc.
,73
0Th
irdA
ve.N
ewY
ork,
NY
1001
7-32
06E
ICIn
vest
men
t Fee
& E
xpen
se$3
7,17
6.39
XE
EIC
Inve
stm
ent F
ee &
Exp
ense
$29,
789.
57X
ME
ICIn
vest
men
t Fee
& E
xpen
se$2
1,39
9.90
XQ
EIC
Inve
stm
ent F
ee &
Exp
ense
$16,
837.
10L1
EIC
Inve
stm
ent F
ee &
Exp
ense
$16,
358.
71L5
EIC
Inve
stm
ent F
ee &
Exp
ense
$13,
729.
41L3
EIC
Inve
stm
ent F
ee &
Exp
ense
$13,
543.
14X
CE
ICIn
vest
men
t Fee
& E
xpen
se$1
2,99
8.47
L7E
ICIn
vest
men
t Fee
& E
xpen
se$1
2,24
8.66
L2E
ICIn
vest
men
t Fee
& E
xpen
se$7
,494
.12
XV
EIC
Inve
stm
ent F
ee &
Exp
ense
$6,8
43.0
8L4
EIC
Inve
stm
ent F
ee &
Exp
ense
$6,8
23.1
4L6
EIC
Inve
stm
ent F
ee &
Exp
ense
$3,3
61.8
7X
RE
ICIn
vest
men
t Fee
& E
xpen
se$3
,235
.57
L9E
ICIn
vest
men
t Fee
& E
xpen
se$1
93.3
2LB
EIC
Inve
stm
ent F
ee &
Exp
ense
$151
.50
LDE
ICIn
vest
men
t Fee
& E
xpen
se$0
.53
XK
EIC
Inve
stm
ent F
ee &
Exp
ense
$0.0
0X
IE
ICIn
vest
men
t Fee
& E
xpen
se$0
.00
101
APPENDIX A
5500
Rep
orta
ble
- Sch
edul
e of
Ass
ets
Hel
d fo
r Inv
estm
ent
Tota
l Pla
n A
sset
s U
nder
Man
agem
ent
ABC
SAM
PLE
UN
IVER
SITY
For t
he P
erio
d En
ding
12/
31/2
010
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge1
of
2
FUN
D ID
TIC
KER
INVE
STM
ENT
NA
ME
END
ING
INVE
STM
ENT
PRIC
EEN
DIN
GU
NIT
BA
LAN
CE
END
ING
MA
RK
ET V
ALU
EEN
DIN
GC
OST
VA
LUE
Insu
ranc
e C
ompa
ny G
ener
al C
ontr
act
SVTS
AF#
TIAA
TR
ADIT
ION
AL$1
9,31
1,57
0.88
$17,
825,
652.
69
Subt
otal
Insu
ranc
e C
ompa
ny G
ener
al C
ontr
act
$19,
311,
570.
88$1
7,82
5,65
2.69
Pool
ed S
epar
ate
Acc
ount
X1TR
EA#
TIAA
Rea
l Est
ate
$193
.453
900
1,85
5.98
04$3
59,0
46.6
5$5
02,1
27.9
8
Subt
otal
Poo
led
Sepa
rate
Acc
ount
$359
,046
.65
$502
,127
.98
Reg
iste
red
Inve
stm
ent C
ompa
nyX2
CST
K#
C
REF
Sto
ck$2
08.2
5470
062
,768
.917
4$1
3,07
1,92
2.06
$13,
248,
236.
95
X3C
MM
A#
C
REF
Mon
ey M
arke
t$2
5.53
2600
40,9
48.9
296
$1,0
45,5
32.6
4$1
,024
,292
.78
X5C
BND
#
C
REF
Bon
d M
arke
t$9
1.30
6200
50,2
26.3
036
$4,5
85,9
72.9
2$4
,044
,456
.28
X7C
GR
W#
CR
EF G
row
th$6
2.19
8400
20,1
95.6
996
$1,2
56,1
40.2
0$1
,186
,692
.11
X9C
ILB#
CR
EF In
flatio
n-Li
nked
Bon
d$5
5.49
9400
17,4
26.7
473
$967
,174
.01
$904
,783
.97
L1TC
LEX
TIAA
-CR
EF L
ifecy
cle
2010
-Rtm
t$1
0.12
0000
244,
920.
1998
$2,4
78,5
92.4
3$2
,566
,721
.15
L2TC
LIX
TIAA
-CR
EF L
ifecy
cle
2015
-Rtm
t$1
0.05
0000
111,
296.
0529
$1,1
18,5
25.3
2$1
,150
,380
.49
L3TC
LTX
TIAA
-CR
EF L
ifecy
cle
2020
-Rtm
t$9
.890
000
198,
460.
4779
$1,9
62,7
74.1
3$2
,019
,461
.92
L4TC
LFX
TIAA
-CR
EF L
ifecy
cle
2025
-Rtm
t$9
.700
000
100,
488.
0563
$974
,734
.14
$968
,628
.60
L5TC
LNX
TIAA
-CR
EF L
ifecy
cle
2030
-Rtm
t$9
.510
000
203,
335.
3571
$1,9
33,7
19.2
5$2
,068
,152
.25
L6TC
LRX
TIAA
-CR
EF L
ifecy
cle
2035
-Rtm
t$9
.500
000
49,1
50.2
027
$466
,926
.93
$456
,604
.83
L7TC
LOX
TIAA
-CR
EF L
ifecy
cle
2040
-Rtm
t$9
.670
000
175,
925.
8354
$1,7
01,2
02.8
2$1
,742
,365
.47
L9TT
FRX
TIAA
-CR
EF L
ifecy
cle
2045
-Rtm
t$7
.340
000
3,60
7.90
33$2
6,48
2.00
$23,
533.
91
LBTL
FRX
TIAA
-CR
EF L
ifecy
cle
2050
-Rtm
t$7
.360
000
2,85
8.97
89$2
1,04
2.08
$18,
940.
79
LDTL
IRX
TIAA
-CR
EF L
fcyl
e R
tmt I
nc-R
tmt
$8.9
4000
09.
4667
$84.
63$8
3.13
XCTR
IEX
TIAA
-CR
EF In
tl Eq
Idx-
Rtm
t$1
5.91
0000
226,
944.
4015
$3,6
10,6
85.4
2$4
,058
,327
.93
XETR
LCX
TIAA
-CR
EF L
g-C
ap V
al-R
tmt
$11.
1700
0036
0,39
5.49
71$4
,025
,617
.70
$4,8
90,8
34.7
7
XMTR
BIX
TIAA
-CR
EF S
m-C
ap B
l Idx
-Rtm
t$1
1.04
0000
553,
827.
6216
$6,1
14,2
56.9
4$7
,570
,901
.43
XQTR
SCX
TIAA
-CR
EF S
ocia
l Ch
Eq-R
tmt
$9.5
3000
038
4,07
5.47
65$3
,660
,239
.30
$3,9
05,2
32.2
9
102
APPENDIX A
5500
Rep
orta
ble –
Stat
emen
t of C
hang
es to
Net
Ass
ets
Tota
l Rep
orta
ble
Plan
Ass
ets
Und
er M
anag
emen
t – S
umm
ary
by In
vest
men
t Cla
ss
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge1
of
1
INSU
RA
NC
E C
OM
PAN
Y G
ENER
AL
CO
NTR
AC
T P
OO
LED
SEP
AR
ATE
A
CC
OU
NT
REG
ISTE
RED
IN
VEST
MEN
TC
OM
PAN
Y S
ELF-
DIR
ECTE
D
AC
CO
UN
T P
AR
TIC
IPA
NT
LOA
N
FUN
D
TOTA
LR
EPO
RTA
BLE
FOR
M 5
500
Mar
ket V
alue
at t
he B
egin
ning
of t
he P
erio
d$1
7,41
4,74
7.18
$429
,426
.50
$41,
607,
776.
89$1
23,9
05.2
0$1
,481
,487
.45
$61,
057,
343.
22
Add
ition
s to
Net
Ass
ets
C
ontri
butio
ns
E
MPL
OYE
E PR
E-TA
X M
ATC
H($
45.2
2)$0
.00
$0.0
0$0
.00
$0.0
0($
45.2
2)
E
MPL
OYE
E PR
E-TA
X$1
,454
,515
.26
$60,
070.
37$4
,890
,198
.84
$0.0
0$0
.00
$6,4
04,7
84.4
7
R
OLL
OVE
R$2
,433
.34
$0.0
0$4
4,52
1.45
$0.0
0$0
.00
$46,
954.
79
E
MPL
OYE
R M
ATC
H$5
47,6
62.8
7$2
0,62
6.18
$1,8
73,6
87.4
7$0
.00
$0.0
0$2
,441
,976
.52
T
otal
Con
tribu
tions
$2
,004
,566
.25
$80,
696.
55$6
,808
,407
.76
$0.0
0$0
.00
$8,8
93,6
70.5
6
Oth
er R
ecei
pts
$0.0
0$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
Tota
l Add
ition
s to
Net
Ass
ets
$2,0
04,5
66.2
5$8
0,69
6.55
$6,8
08,4
07.7
6$0
.00
$0.0
0$8
,893
,670
.56
Inve
stm
ent I
ncom
e
Ear
ning
s$1
63.6
3$0
.00
$1,3
01.6
7$1
5,97
8.21
$4,8
56.8
9$2
2,30
0.40
P
artic
ipan
t Loa
n In
tere
st$2
4,91
3.66
$841
.45
$72,
272.
13$0
.00
$6,8
20.5
4$1
04,8
47.7
8
Div
iden
ds$0
.00
$0.0
0$5
62,6
05.2
9$0
.00
($63
.78)
$562
,541
.51
R
ealiz
ed G
ain
(Los
s)$1
22,4
49.0
2($
19,8
44.0
1)($
2,32
5,06
4.08
)$0
.00
$0.0
0($
2,22
2,45
9.07
)
Unr
ealiz
ed G
ain
(Los
s)$3
60,8
70.2
0($
103,
601.
90)
$12,
759,
799.
02($
0.00
)$0
.00
$13,
017,
067.
32To
tal I
nves
tmen
t Inc
ome
$508
,396
.51
($12
2,60
4.46
)$1
1,07
0,91
4.03
$15,
978.
21$1
1,61
3.65
$11,
484,
297.
94D
educ
tions
from
Net
Ass
ets
W
ithdr
awal
s($
4,62
9.62
)$0
.00
($48
,163
.42)
$0.0
0($
117,
155.
95)
($16
9,94
8.99
)
Dis
tribu
tions
($70
0,14
3.63
)($
34,6
69.7
2)($
1,74
9,25
9.76
)$0
.00
$0.0
0($
2,48
4,07
3.11
)
Ann
uity
Set
tlem
ent O
ptio
ns$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
$0.0
0
For
feitu
res
$0.0
0$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
F
ees
$0.0
0$0
.00
($6,
714.
65)
$0.0
0$0
.00
($6,
714.
65)
O
ther
Ded
uctio
ns$0
.00
$0.0
0($
2,76
0.24
)$0
.00
$0.0
0($
2,76
0.24
)To
tal D
educ
tions
($
704,
773.
25)
($34
,669
.72)
($1,
806,
898.
07)
$0.0
0($
117,
155.
95)
($2,
663,
496.
99)
Tran
sfer
s
Inte
rfund
Tra
nsfe
r In
$1,7
03,0
83.4
4$4
1,20
2.89
$5,2
93,4
05.3
3$0
.00
$0.0
0$7
,037
,691
.66
In
terfu
nd T
rans
fer (
Out
)($
1,74
9,38
6.24
)($
39,1
07.4
3)($
5,24
4,11
8.07
)($
10,9
91.5
1)$6
,532
.48
($7,
037,
070.
77)
C
onve
rsio
n In
$0.0
0$0
.00
$0.0
0$0
.00
$925
.52
$925
.52
C
onve
rsio
n (O
ut)
$0.0
0$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
P
lan
to P
lan
Tran
sfer
In $
1,37
3.08
$40
4.67
$23
,152
.76
$0.
00 $
0.00
$24,
930.
51
Pla
n to
Pla
n Tr
ansf
er (O
ut)
$0.0
0$0
.00
($0.
62)
$0.0
0$0
.00
($0.
62)
P
artic
ipan
t Loa
ns Is
sued
$0.0
0$0
.00
($71
3,78
0.72
)$0
.00
$720
,230
.72
$6,4
50.0
0
Par
ticip
ant L
oan
Prin
cipa
l Rep
aym
ent
$133
,563
.91
$3,6
97.6
5$3
36,2
67.2
4$0
.00
($47
3,36
6.83
)$1
61.9
7To
tal T
rans
fers
$88,
634.
19$6
,197
.78
($30
5,07
4.08
)($
10,9
91.5
1)$2
54,3
21.8
9$3
3,08
8.27
Mar
ket V
alue
at t
he E
nd o
f the
Per
iod
$19,
311,
570.
88$3
59,0
46.6
5$5
7,37
5,12
6.53
$128
,891
.90
$1,6
30,2
67.0
4$7
8,80
4,90
3.00
C
ash
Hel
d in
Res
erve
$0.0
0$0
.00
$0.0
0$0
.00
$0.0
0$0
.00
Part
icip
ant B
alan
ce a
t the
End
of t
he P
erio
d $1
9,31
1,56
7.81
$359
,046
.65
$57,
375,
126.
88$1
28,8
91.9
0$1
,630
,267
.04
$78,
804,
900.
28
103
APPENDIX A
FILI
NG
SU
MM
AR
Y FO
R S
CH
EDU
LE A
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge1
of
1
Part
I Li
ne 1
: C
over
age
Info
rmat
ion
Nam
e of
Insu
ranc
e ca
rrier
(Ent
er o
n Li
ne 1
a)TI
AA-C
REF
Empl
oyer
Iden
tific
atio
n N
umbe
r (En
ter o
n Li
ne 1
b)13
162
4203
Nat
iona
l Ass
ocia
tion
of In
sura
nce
Com
mis
sion
ers
code
(Ent
er o
n Li
ne 1
c)69
345
Con
tract
or i
dent
ifica
tion
num
ber (
Ente
r on
Line
1d)
1000
00Ap
prox
imat
e nu
mbe
r of p
erso
ns c
over
ed a
t end
of p
olic
y or
con
tract
yea
r (En
ter o
n Li
ne 1
e)23
72Po
licy
or c
ontra
ct y
ear –
Fro
m (E
nter
on
Line
1f)
01/0
1/20
10Po
licy
or c
ontra
ct y
ear –
To
(Ent
er o
n Li
ne 1
g)12
/31/
2010
Part
I Li
ne 2
: In
sura
nce
fee
and
com
mis
sion
info
rmat
ion
Tota
l am
ount
of c
omm
issi
ons
paid
(Ent
er o
n Li
ne 2
)$0
.00
Tota
l am
ount
of f
ees
paid
(Ent
er o
n Li
ne 2
)$0
.00
Part
I Li
ne 3
: Pe
rson
s re
ceiv
ing
com
mis
sion
s an
d fe
es
Nam
e an
d ad
dres
s of
the
agen
t, br
oker
, or o
ther
per
son
to w
hom
com
mis
sion
s or
fees
wer
e pa
id(E
nter
on
Line
3a)
<No
Entry
Req
uire
d>Am
ount
of c
omm
issi
ons
paid
(Ent
er o
n Li
ne 3
b)<N
o En
try R
equi
red>
Fees
pai
d –
Amou
nt (E
nter
on
Line
3c)
<No
Entry
Req
uire
d>Fe
es p
aid –
Purp
ose
(Ent
er o
n Li
ne 3
d)<N
o En
try R
equi
red>
Fees
pai
d –
Org
aniz
atio
n co
de (E
nter
on
Line
3e)
<No
Entry
Req
uire
d>
Part
II L
ines
4 a
nd 5
: In
vest
men
t and
Ann
uity
Con
trac
t Inf
orm
atio
nC
urre
nt v
alue
of p
lan'
s in
tere
st u
nder
this
con
tract
in th
e ge
nera
l acc
ount
at y
ear e
nd (E
nter
on
Line
4)
$19,
311,
570.
88C
urre
nt v
alue
of p
lan'
s in
tere
st u
nder
this
con
tract
in s
epar
ate
acco
unts
at y
ear e
nd (E
nter
on
Line
5)
$21,
285,
788.
48
Part
II L
ine
6 : C
ontr
acts
With
Allo
cate
d Fu
nds
<No
Entry
Req
uire
d>
Part
II L
ine
7 : C
ontr
acts
With
Una
lloca
ted
Fund
sTy
pe o
f con
tract
(Ent
er o
n Li
ne 7
a)3
- Gua
rant
eed
Inve
stm
ent
Bala
nce
at th
e en
d of
the
prev
ious
yea
r (En
ter o
n Li
ne 7
b)$1
7,41
4,74
7.18
Con
tribu
tions
dep
osite
d du
ring
the
year
(Ent
er o
n Li
ne 7
c(1)
)$2
,004
,566
.25
Div
iden
ds a
nd c
redi
ts (E
nter
on
Line
7c(
2))
$0.0
0In
tere
st c
redi
ted
durin
g th
e ye
ar (E
nter
on
Line
7c(
3))
$483
,482
.85
Tran
sfer
red
from
sep
arat
e ac
coun
t (En
ter o
n Li
ne 7
c(4)
)$1
,703
,083
.44
Oth
er (E
nter
on
Line
7c(
5))
$159
,850
.65
Dis
burs
ed fr
om fu
nd to
pay
ben
efits
or p
urch
ase
annu
ities
dur
ing
the
year
(Ent
er o
n Li
ne 7
e(1)
)($
704,
773.
25)
Adm
inis
tratio
n ch
arge
mad
e by
car
rier (
Ente
r on
Line
7e(
2))
N/A
Tran
sfer
red
to s
epar
ate
acco
unt (
Ente
r on
Line
7e(
3))
($1,
749,
386.
24)
Oth
er (E
nter
on
Line
7e(
4))
$0.0
0Ba
lanc
e at
the
end
of th
e cu
rrent
yea
r (En
ter o
n Li
ne 7
f)$1
9,31
1,57
0.88
Part
III L
ine
8, 9
and
10
: Wel
fare
Ben
efit
Con
trac
t Inf
orm
atio
n<N
o En
try R
equi
red>
Part
IV L
ine
11 a
nd L
ine
12 :
Prov
isio
n of
Info
rmat
ion
Com
plet
e on
ly if
insu
ranc
e co
mpa
ny fa
iled
topr
ovid
e in
form
atio
n to
com
plet
e Sc
hedu
le A
104
APPENDIX A
FILI
NG
SU
MM
AR
Y FO
R S
CH
EDU
LE C
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
"For
add
ition
al g
uida
nce
on c
ompl
etin
g Fo
rm 5
500
Sche
dule
C, r
efer
to th
e TI
AA-C
REF
Ser
vice
& F
ee D
iscl
osur
e G
uide
- Ap
pend
ix A
and
B"
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge1
of
1
Part
I, L
ine
1 : I
nfor
mat
ion
on P
erso
ns R
ecei
ving
Onl
y El
igib
le In
dire
ct C
ompe
nsat
ion
(Ent
er o
n Li
ne 1
a)
Yes
Ente
r nam
e an
d EI
N o
r add
ress
of p
erso
n w
ho p
rovi
ded
you
disc
losu
res
on e
ligib
le in
dire
ct c
ompe
nsat
ion
(Ent
er o
n Li
ne b
)TI
AA13
-162
4203
Part
I, L
ine
2 : I
nfor
mat
ion
on O
ther
Ser
vice
Pro
vide
rs R
ecei
ving
Dire
ct o
r Ind
irect
Com
pens
atio
n
Ente
r nam
e an
d EI
N o
r add
ress
(Ent
er o
n Li
ne a
) TI
AA -
Teac
hers
Insu
ranc
e an
d An
nuity
Ass
ocia
tion
ofAm
eric
a 1
3-16
2420
3TI
AA -
Teac
hers
Insu
ranc
e an
d An
nuity
Ass
ocia
tion
ofAm
eric
a, 7
30 T
hird
Ave
. New
Yor
k, N
Y 10
017-
3206
Se
rvic
e C
ode(
s) (E
nter
on
Line
b)
Rel
atio
nshi
p to
em
ploy
er, e
mpl
oyee
org
aniz
atio
n, o
r per
son
know
n to
be
a pa
rty-in
-inte
rest
(Ent
er o
n Li
ne c
)En
ter d
irect
com
pens
atio
n pa
id b
y th
e pl
an.
If no
ne, e
nter
-0- (
Ente
r on
Line
d)
$6,4
85D
id s
ervi
ce p
rovi
der r
ecei
ve in
dire
ct c
ompe
nsat
ion?
(Ent
er o
n Li
ne e
)Ye
sD
id in
dire
ct c
ompe
nsat
ion
incl
ude
elig
ible
indi
rect
com
pens
atio
n, fo
r whi
ch th
e pl
an re
ceiv
ed th
e re
quire
d di
sclo
sure
s? (E
nter
on
Line
f)Ye
sEn
ter t
otal
indi
rect
com
pens
atio
n re
ceiv
ed b
y se
rvic
e pr
ovid
er e
xclu
ding
elig
ible
indi
rect
com
pens
atio
n fo
r whi
ch y
ou a
nsw
ered
"Yes
" to
elem
ent (
f). I
f non
e, e
nter
-0- (
Ente
r on
Line
g)
$0.0
0
Did
the
serv
ice
prov
ider
giv
e yo
u a
form
ula
inst
ead
of a
n am
ount
or e
stim
ated
am
ount
? (E
nter
on
Line
h)
No
Part
I, L
ine
3 : S
ervi
ce P
rovi
der I
nfor
mat
ion
(Con
tinue
d)En
ter s
ervi
ce p
rovi
der n
ame
as it
app
ears
on
line
1 (E
nter
on
Line
a)
Serv
ice
code
(s) (
Ente
r on
Line
b)
Ente
r am
ount
of i
ndire
ct c
ompe
nsat
ion
(ent
er o
n Li
ne c
)N
o en
try re
quire
dEn
ter n
ame
and
EIN
(add
ress
) of s
ourc
e of
indi
rect
com
pens
atio
n (E
nter
on
Line
d)
Des
crib
e th
e in
dire
ct c
ompe
nsat
ion,
incl
udin
g an
y fo
rmul
a us
ed to
det
erm
ine
the
serv
ice
prov
ider
's el
igib
ility
for o
r the
am
ount
of t
he
indi
rect
com
pens
atio
n (E
nter
on
Line
e)
Part
I, L
ine
4 : S
ervi
ce P
rovi
ders
Who
Fai
l or R
efus
e to
Pro
vide
Info
rmat
ion
Ente
r nam
e an
d EI
N o
r add
ress
of s
ervi
ce p
rovi
der (
see
inst
ruct
ions
) (En
ter o
n Li
ne a
)N
atur
e of
Ser
vice
Cod
e(s)
(Ent
er o
n Li
ne b
)N
o en
try re
quire
dD
escr
ibe
the
info
rmat
ion
that
the
serv
ice
prov
ider
faile
d or
refu
sed
to p
rovi
de (E
nter
on
Line
c)
Part
II :
Term
inat
ion
Info
rmat
ion
on A
ccou
ntan
ts a
nd E
nrol
led
Act
uarie
sN
ame
(Ent
er o
n Li
ne a
)EI
N (E
nter
on
Line
b)
Posi
tion
(Ent
er o
n Li
ne c
)To
be
com
plet
ed b
y Pl
an S
pons
orAd
dres
s (E
nter
on
Line
d)
Tele
phon
e N
o. a
nd E
xpla
natio
n (E
nter
on
Line
e)
Expl
anat
ion
(Ent
er in
spa
ce p
rovi
ded)
105
APPENDIX A
FILI
NG
SU
MM
AR
Y FO
R S
CH
EDU
LE -
D
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge1
of
1
Part
I : I
nfor
mat
ion
on in
tere
sts
in M
aste
r Tru
st In
vest
men
t Acc
ount
s, C
omm
on /
Col
lect
ive
Trus
ts, P
oole
d Se
para
te
A
ccou
nts,
and
103
-12
Inve
stm
ent E
ntiti
es (t
o be
com
plet
ed b
y pl
ans
and
Dire
ct F
iling
Ent
ities
)
Nam
e of
MTI
A, C
CT,
PSA
or 1
03-1
2 IE
(Ent
er o
n Li
ne a
)TI
AA R
eal E
stat
eN
ame
of s
pons
or o
f ent
ity li
sted
in (a
) (En
ter o
n Li
ne b
)TI
AA-C
REF
Empl
oyer
Iden
tific
atio
n N
umbe
r-Pla
n/En
tity
Num
ber (
Ente
r on
Line
c)
13 1
6242
03-0
04En
tity
Cod
e (E
nter
on
Line
d)
PD
olla
r val
ue o
f int
eres
t in
MTI
A, C
CT,
PSA
, or 1
03-1
2 IE
at e
nd o
f yea
r (En
ter o
n Li
ne e
)$3
59,0
46.6
5
Part
II :
Info
rmat
ion
on P
artic
ipan
t Pla
ns (t
o be
com
plet
ed b
y D
irect
Fili
ng E
ntiti
es)
Do
not m
ake
an e
ntry
in P
art I
I
106
APPENDIX A
FILI
NG
SU
MM
AR
Y FO
R S
CH
EDU
LE H
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
0 03
:04
PMPa
ge1
of
1
Part
I: A
sset
and
Lia
bilit
y St
atem
ent :
Ass
ets
Ope
ning
Loa
n Fu
nd T
otal
(Ent
er A
mou
nt o
n Li
ne 1
c(8)
Col
umn
(a))
$1,4
81,4
87.4
5C
losi
ng L
oan
Fund
Tot
al (E
nter
Am
ount
on
Line
1c(
8) C
olum
n(b)
)$1
,630
,267
.04
Ope
ning
Com
mon
/Col
lect
ive
Trus
t Tot
al (E
nter
Am
ount
on
Line
1c(
9) C
olum
n (a
))$0
.00
Clo
sing
Com
mon
/Col
lect
ive
Trus
t Tot
al (E
nter
Am
ount
on
Line
1c(
9) C
olum
n (b
))$0
.00
Ope
ning
Poo
led
Sepa
rate
Acc
ount
Tot
al (E
nter
Am
ount
on
Line
1c(
10) C
olum
n (a
))$4
29,4
26.5
0C
losi
ng P
oole
d Se
para
te A
ccou
nt T
otal
(Ent
er A
mou
nt o
n Li
ne 1
c(10
) Col
umn
(b))
$359
,046
.65
Ope
ning
Mas
ter T
rust
Inve
stm
ent A
ccou
nt T
otal
(Ent
er A
mou
nt o
n Li
ne 1
c(11
) Col
umn
(a))
$0.0
0C
losi
ng M
aste
r Tru
st In
vest
men
t Acc
ount
Tot
al (E
nter
Am
ount
on
Line
1c(
11) C
olum
n (b
))$0
.00
Ope
ning
103
-12
Inve
stm
ent E
ntity
Tot
al (E
nter
Am
ount
on
Line
1c(
12) C
olum
n (a
))$0
.00
Clo
sing
103
-12
Inve
stm
ent E
ntity
Tot
al (E
nter
Am
ount
on
Line
1c(
12) C
olum
n (b
))$0
.00
Ope
ning
Reg
iste
red
Inve
stm
ent C
ompa
nies
Tot
al (E
nter
Am
ount
on
Line
1c(
13) C
olum
n (a
))$4
1,60
7,77
6.89
Clo
sing
Reg
iste
red
Inve
stm
ent C
ompa
nies
Tot
al (E
nter
Am
ount
on
Line
1c(
13) C
olum
n (b
))$5
7,37
5,12
6.53
Ope
ning
Insu
ranc
e C
ompa
ny G
ener
al A
ccou
nt (U
nallo
cate
d co
ntra
cts)
(Ent
er A
mou
nt o
n Li
ne 1
c(14
) Col
umn
(a))
$17,
414,
747.
18C
losi
ng In
sura
nce
Com
pany
Gen
eral
Acc
ount
(Una
lloca
ted
cont
ract
s) (E
nter
Am
ount
on
Line
1c(
14) C
olum
n (b
))$1
9,31
1,57
0.88
Ope
ning
Sel
f Dire
cted
Acc
ount
s To
tal (
Ente
r Am
ount
on
Line
1c(
15) C
olum
n (a
))$1
23,9
05.2
0C
losi
ng S
elf D
irect
ed A
ccou
nts
Tota
l (En
ter A
mou
nt o
n Li
ne 1
c(15
) Col
umn
(b))
$128
,891
.90
Part
II: I
ncom
e an
d Ex
pens
e St
atem
ent:
Inco
me
Plan
Con
tribu
tions
– E
mpl
oyer
(Ent
er A
mou
nt o
n Li
ne 2
a(1)
(A))
$2,4
41,9
76.5
2Pl
an C
ontri
butio
ns –
Em
ploy
ee (E
nter
Am
ount
on
Line
2a(
1)(B
))$6
,404
,739
.25
Plan
Con
tribu
tions
– O
ther
s (E
nter
Am
ount
on
Line
2a(
1)(C
))$4
6,95
4.79
Parti
cipa
nt L
oan
Fund
ear
ning
s (E
nter
Am
ount
on
Line
2b(
1)(E
))$1
09,6
40.8
9In
tere
st: O
ther
(Ent
er A
mou
nt o
n Li
ne 2
b(1)
(F))
$483
,482
.85
Plan
Reg
iste
red
Inve
stm
ent C
ompa
nies
div
iden
ds (E
nter
Am
ount
on
Line
2b(
2)(C
))$5
62,6
05.2
9Pl
an C
omm
on/C
olle
ctiv
e Tr
ust e
arni
ngs
(Ent
er A
mou
nt o
n Li
ne 2
b(6)
)$0
.00
Plan
Poo
led
Sepa
rate
Acc
ount
s ea
rnin
gs (E
nter
Am
ount
on
Line
2b(
7))
($12
3,44
5.91
)Pl
an M
aste
r Tru
st In
vest
men
t Acc
ount
ear
ning
s (E
nter
Am
ount
on
Line
2b(
8))
$0.0
0Pl
an 1
03-1
2 In
vest
men
t Ent
ity e
arni
ngs
(Ent
er A
mou
nt o
n Li
ne 2
b(9)
)$0
.00
Plan
Reg
iste
red
Inve
stm
ent C
ompa
nies
ear
ning
s (E
nter
Am
ount
on
Line
2b(
10))
$10,
436,
036.
61O
ther
Inco
me
(Ent
er A
mou
nt o
n Li
ne (2
c))
$16,
599.
10
Part
II: I
ncom
e an
d Ex
pens
e St
atem
ent:
Expe
nses
Plan
Exp
ense
s –
Dire
ctly
to p
artic
ipan
ts o
r ben
efic
iarie
s (E
nter
Am
ount
on
Line
2e(
1))
($2,
536,
866.
15)
Plan
Exp
ense
s –
To in
sura
nce
carri
ers
for t
he p
rovi
sion
of b
enef
its (E
nter
Am
ount
on
Line
2e(
2))
$0.0
0C
erta
in d
eem
ed d
istri
butio
ns o
f par
ticip
ant l
oans
(Ent
er A
mou
nt o
n Li
ne 2
g)($
117,
155.
95)
Adm
inis
trativ
e ex
pens
es -
Con
tract
adm
inis
trato
r fee
s (E
nter
Am
ount
on
Line
2i(2
))($
102.
68)
Adm
inis
trativ
e ex
pens
es -
Inve
stm
ent a
dvis
ory
ad m
anag
emen
t fee
s (E
nter
Am
ount
on
line
2i(3
)$0
.00
Adm
inis
trativ
e ex
pens
es -
Oth
er (E
nter
Am
ount
on
Line
2i(4
))($
2,76
0.24
)Tr
ansf
ers
To th
e Pl
an (E
nter
Am
ount
on
Line
2l(1
))$2
5,85
6.03
Tran
sfer
s Fr
om th
e Pl
an (E
nter
Am
ount
on
Line
2I(2
))($
0.62
)
107
APPENDIX A
SCH
EDU
LE H
, LIN
E 4i
– S
CH
EDU
LE O
F A
SSET
S (H
ELD
AT
END
OF
YEA
R)
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge1
of
1
(A)
(B) I
DEN
TITY
OF
ISSU
E, B
OR
RO
WER
, LES
SOR
, OR
SIM
ILA
R P
AR
TY(C
) DES
CR
IPTI
ON
OF
INVE
STM
ENT
(D
) CO
ST
(E) C
UR
REN
T VA
LUE
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esTI
AA R
eal E
stat
e$5
02,1
27.9
8$3
59,0
46.6
5*
Col
lege
Ret
irem
ent E
quiti
es F
und
varia
ble
annu
ities
CR
EF S
tock
$13,
248,
236.
95$1
3,07
1,92
2.06
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esC
REF
Mon
ey M
arke
t$1
,024
,292
.78
$1,0
45,5
32.6
4*
Col
lege
Ret
irem
ent E
quiti
es F
und
varia
ble
annu
ities
CR
EF B
ond
Mar
ket
$4,0
44,4
56.2
8$4
,585
,972
.92
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esC
REF
Gro
wth
$1,1
86,6
92.1
1$1
,256
,140
.20
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esC
REF
Infla
tion-
Link
ed B
ond
$904
,783
.97
$967
,174
.01
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esTI
AA-C
REF
Life
cycl
e 20
10-R
tmt
$2,5
66,7
21.1
5$2
,478
,592
.43
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esTI
AA-C
REF
Life
cycl
e 20
15-R
tmt
$1,1
50,3
80.4
9$1
,118
,525
.32
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esTI
AA-C
REF
Life
cycl
e 20
20-R
tmt
$2,0
19,4
61.9
2$1
,962
,774
.13
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esTI
AA-C
REF
Life
cycl
e 20
25-R
tmt
$968
,628
.60
$974
,734
.14
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esTI
AA-C
REF
Life
cycl
e 20
30-R
tmt
$2,0
68,1
52.2
5$1
,933
,719
.25
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esTI
AA-C
REF
Life
cycl
e 20
35-R
tmt
$456
,604
.83
$466
,926
.93
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esTI
AA-C
REF
Life
cycl
e 20
40-R
tmt
$1,7
42,3
65.4
7$1
,701
,202
.82
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esTI
AA-C
REF
Life
cycl
e 20
45-R
tmt
$23,
533.
91$2
6,48
2.00
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esTI
AA-C
REF
Life
cycl
e 20
50-R
tmt
$18,
940.
79$2
1,04
2.08
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esTI
AA-C
REF
Lfc
yle
Rtm
t Inc
-Rtm
t$8
3.13
$84.
63*
Col
lege
Ret
irem
ent E
quiti
es F
und
varia
ble
annu
ities
TIAA
Sta
ble
Ret
urn
Annu
ity$1
7,82
5,65
2.69
$19,
311,
570.
88*
Col
lege
Ret
irem
ent E
quiti
es F
und
varia
ble
annu
ities
TIAA
-CR
EF In
tl Eq
Idx-
Rtm
t$4
,058
,327
.93
$3,6
10,6
85.4
2*
Col
lege
Ret
irem
ent E
quiti
es F
und
varia
ble
annu
ities
TIAA
-CR
EF L
g-C
ap V
al-R
tmt
$4,8
90,8
34.7
7$4
,025
,617
.70
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esTI
AA-C
REF
Sm
-Cap
Bl I
dx-R
tmt
$7,5
70,9
01.4
3$6
,114
,256
.94
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esTI
AA-C
REF
Soc
ial C
h Eq
-Rtm
t$3
,905
,232
.29
$3,6
60,2
39.3
0*
Col
lege
Ret
irem
ent E
quiti
es F
und
varia
ble
annu
ities
TIAA
-CR
EF S
&P 5
00 Id
x-R
tmt
$1,1
42,2
91.8
0$1
,043
,730
.97
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esTI
AA-C
REF
Eq
Inde
x-R
tmt
$1,7
77,0
80.2
7$2
,073
,659
.80
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esTI
AA-C
REF
Man
aged
Allo
c-R
tmt
$5,6
20,8
46.9
7$5
,236
,110
.84
*C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esTI
AA-C
REF
Sel
f Dire
cted
Acc
t$1
28,8
91.9
0$1
28,8
91.9
0C
olle
ge R
etire
men
t Equ
ities
Fun
d va
riabl
e an
nuiti
esPa
rtici
pant
Loa
n Fu
nd$1
,630
,267
.04
$1,6
30,2
67.0
4
108
APPENDIX A
FILI
NG
SU
MM
AR
Y FO
R F
OR
M 5
500-
SF
AB
C S
AM
PLE
UN
IVER
SITY
Act
ivity
for t
he R
epor
ting
Perio
d:01
/01/
2010
to 1
2/31
/201
0
AB
C S
AM
PLE
UN
IVE
RS
ITY
403
(B) R
ETIR
EMEN
T PL
AN- P
lan
# 10
0000
Priv
ate
& C
onfid
entia
l 1
/16/
2011
03:
04 P
MPa
ge1
of
1
Part
III S
ectio
n 7
: Pla
n A
sset
s an
d Li
abili
ties Ope
ning
For
m 5
500
repo
rtabl
e pl
an a
sset
s (E
nter
Am
ount
on
Line
7a
Col
umn
(a))
$61,
057,
343.
22C
losi
ng F
orm
550
0 re
porta
ble
plan
ass
ets
(Ent
er A
mou
nt o
n Li
ne 7
a C
olum
n (b
))$7
8,80
4,90
3.00
Part
III S
ectio
n 8:
Inco
me,
Exp
ense
s an
d Tr
ansf
ers
for t
his
Plan
Yea
rPl
an C
ontri
butio
ns -
Empl
oyer
(Ent
er A
mou
nt o
n Li
ne 8
a(1)
)$2
,441
,976
.52
Plan
Con
tribu
tions
- Em
ploy
ee (E
nter
Am
ount
on
Line
8a(
2))
$6,4
04,7
39.2
5Pl
an C
ontri
butio
ns -
Oth
ers
(Ent
er A
mou
nt o
n Li
ne 8
a(3)
)$4
6,95
4.79
Oth
er In
com
e (E
nter
Am
ount
on
Line
8b)
$11,
484,
918.
83Be
nefit
s Pa
id (E
nter
Am
ount
on
Line
8d)
($2,
536,
866.
15)
Cer
tain
dee
med
dis
tribu
tions
of p
artic
ipan
t loa
ns (E
nter
Am
ount
on
Line
8e)
($11
7,15
5.95
)O
ther
exp
ense
s (E
nter
Am
ount
on
Line
8g)
($2,
862.
92)
Tran
sfer
s To
(Fro
m) t
he P
lan
(Ent
er A
mou
nt o
n Li
ne 8
j)$2
5,85
5.41
Part
V S
ectio
n 10
: Spe
cific
Ass
ets
Clo
sing
val
ue o
f Par
ticip
ant l
oans
(Ent
er A
mou
nt o
n Li
ne 1
0g)
$1,6
30,2
67.0
4
109
APPENDIX B
ACRONYMS AND ABBREVIATIONS
TERM DESCRIPTION TERM DESCRIPTION
AICPA American Institute of CertifiedPublic Accountants
IQPA Independent qualified public accountant
CREF College Retirement Equities Fund IRS Internal Revenue Service
CSV Comma-separated value OPS OMNI TIAA’s recordkeeping system
DFE Direct filing entity PDF Portable document format
DOL Department of Labor REA Real Estate Account
EFAST2 ERISA Filing Acceptance System SAR Summary Annual Report
ERISA Employee Retirement IncomeSecurity Act
SAS Statement on Auditing Standards
FAB Field Assistance Bulletin SEC Securities and Exchange Commission
Form 5500 Annual Return/Report of EmployeeBenefit Plan
TIAA Teachers Insurance andAnnuity Association
Form 5500-SF Annual Return/Report of EmployeeBenefit Plan – Short Form
TIAA-CREF Teachers Insurance and AnnuityAssociation-College RetirementEquities Fund
Guide Plan Sponsor Reporting & Audit Guide
110
APPENDIX C
ILLUSTRATIVE FORMATS FOR FINANCIAL STATEMENTS 1
ABC SAMPLE UNIVERSITY 403(b)RETIREMENT PLAN 2 STATEMENTS OF NET ASSETS AVAILABLE FOR BENEFITS 3
December 31,
Assets 2009 2010
Investments at fair value
Insurance company general account contracts $17,414,747 $19,311,571
Pooled separate account 429,426 359,047
Registered investment company shares 41,607,778 57,375,126
Self-directed accounts 123,905 128,892
Total investments 59,575,856 77,174,636
Receivables
Participant loan fund 1,481,487 1,630,267
Employer contributions 0 0
Participant contributions 0 0
Total receivables 1,481,487 1,630,267
Total assets 61,057,343 78,804,903
Liabilities
Benefits payable 0 0
Accrued expenses 0 0
Total liabilities 0 0
Net assets available for benefits $61,057,343 $78,804,903
See accompanying notes to the financial statements.
1 The presentation format is but one of the illustrations provided in the 2010 Audit & Accounting Guide for Employee Benefit Plans published by the American Institute of Certified Public Accountants.
2 The amounts in the illustrative financial statements are derived from the sample report package include in this Guide.3 This is an example of comparative statements of net assets available for benefits.
111
1 The amounts in the illustrative financial statements are derived from the sample report package include in this Guide.2 This is an example of a statement of changes in net assets available for benefits.
ABC SAMPLE UNIVERSITY 403(b) RETIREMENT PLAN 1 STATEMENT OF CHANGES IN NET ASSETS AVAILABLE FOR BENEFITS 1
Additions:Year Ended
December 31, 2010
Additions to net assets attributed to:
Investment income:
Net appreciation in fair value of investments $10,312,593
Interest 593,283
Dividends 562,605
Self-directed accounts 15,978
Contributions:
Participant 6,404,739
Rollover 46,955
Employer 2,441,977
Other: 23,718
Total additions 20,401,848
Deductions:
Deductions from net assets attributed to:
Benefits paid to participants (2,654,023)
Expenses (265)
Total deductions (2,654,288)
Net Increase (17,747,560)
Net assets available for benefits:
Beginning of year 61,057,343
End of year $78,804,903
See accompanying notes to the financial statements.
NOTE: Some of the amounts shown may differ from those shown on the Filing Summary for Schedule H due to reclassifications.
APPENDIX C
112
APPENDIX D
SUPPLEMENTAL INVESTMENT REPORT – INSTRUCTIONS
Due to a change in the way we report defaulted plan loans and the related collateral for participants whose benefit is not yet distributable, we are providing you with the following step-by-step instructions. These instructions will clarify how to use the Supplemental Investment Report and prepare the plan’s financial statements, if applicable, and Form 5500 filing.
REPORTING CHANGE FOR SPECIFIC PLAN LOAN SITUATIONSIn general, if an employee stops making payments as required under the terms of the loan agreement, the loan will go into default at the end of the quarter following the quarter the loan payments stopped. The default results in what is sometimes called a “deemed distribution” as it generates a taxable event in which the default is reported as a distribution to the Internal Revenue Service on Form 1099-R.
While the loan itself is not considered a plan asset and is reportable only as a disclosure in the Plan’s financial statements, the collateral related to the “deemed distribution” associated with the loan is reportable as a plan asset. To ensure you have the appropriate information you need to properly reflect these situations, we have provided a Supplemental Investment Report so that you can properly reflect plan assets. Guidance from the Department of Labor (DOL) is consistent with this treatment.
STEP 1:
Review the Plan’s Financial Reporting Package located on the Plan Sponsor website
STEP 2:
Review the Supplemental Investment Report
We have determined that the financial activity related to certain deemed distributions were reported in advance of the participant meeting a triggering event. As a result, reported plan assets in the investment collateralizing the loan (TIAA Traditional Annuity) are understated in the core financial report package provided to you, including the Statement of Changes to Net Assets.
While we have always tracked the balances associated with these situations on our recordkeeping system, TIAA Traditional Annuity (the investment used to collateralize plan loans) was not historically considered a plan asset. In March 2010 the DOL issued an Advisory Opinion and concluded that TIAA Traditional Annuity should be reported as an asset in the Plan’s Form 5500 beginning in 2009.
As a result, a Supplemental Investment Report, which summarizes the financial activity at a participant level, is being provided to you to report these plan investments and related activity. This financial activity is only reported in the Supplemental Investment Report and should be added to the financial activity reported in the Statement of Changes to Net Assets. This Supplemental Investment Report provides you with everything you need to complete the Plan’s reporting and filing.
113
STEP 3:
Include Supplemental Investment Report amounts on the Plan’s financial statements and Form 5500 filing using the following suggestion:
For 2010 Plan Years
We recommend that the Beginning Balance as of 7/1/2009 be reported as Investments at beginning of year or Other Income in the Plan’s financial statements contingent upon whether those assets were reported in the plan’s prior year financial statements with similar treatment on Schedule H, Schedule I or SF of the Form 5500.
For 403(b) plans
The 2009 reporting year is the first year for which financial reporting is required. This requirement includes the preparation of financial statements as well as the disclosure of financial information in Form 5500. We recommend that the balance as of 7/1/09 be reported as an investment in the Plan’s financial statements and on Schedule H (line 1c(15)) of the Form 5500. If the Plan is a small plan, we recommend the balance as of 7/1/09 be included as total plan assets on Schedule I (line 1a) and Form 5500-SF (line 7a).
SUGGESTED MAPPING
SUGGESTED REPORT MAPPING – PLAN INVESTMENT ASSET
Supplemental Investment Report
Financial Statement Presentation
Form 5500Large Plans (Schedule H) Small Plans (Schedule I
or SF)Beginning Balance Investments at beginning of
year / Other IncomeOther Investment at beginning of year / Other Income
Total Plan Assets at beginning of year / Other Income
Interest Interest income Other Interest Other InterestWithdrawals / Distributions Distributions Benefit Payment & payments
to provide benefits – directly to participants
Benefit Payment & payments to provide benefits – directly to participants
Ending Balance Investments at end of year Other Investment at end of year
Total Plan Assets
APPENDIX D
©2011 Teachers Insurance and Annuity Association-College Retirement Equities Fund (TIAA-CREF), New York, NY 10017
FOR INSTITUTIONAL INVESTOR USE ONLY. NOT FOR USE WITH OR DISTRIBUTION TO THE GENERAL PUBLIC.
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