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UBS Homepage > Wealth Management US > Your Relationship With UBS > Account Forms > Qualified Plan Prototypes

Qualified Plan Prototypes: Sample forms and amendments
The sample Summary Plan Descriptions and sample forms attached below are for use only with the prototype qualified retirement plan document listed below. The prototype kits are available from your Financial Advisor.

These files contain Summary Plan Descriptions and forms in Microsoft Word format that the plan administrator can customize for the plan.

UBS Financial Services Inc. makes no representations or warranties regarding the accuracy or completeness of the documents contained herein.

ERISA Plan
Short Form Profit Sharing Plan and Money Purchase Plan
Flexible Profit Sharing Plan
Flexible Money Purchase Plan
401(k) Plan
SIMPLE 401(k) Plan
Amendments

ERISA Plan

Account Application and Agreement for ERISA Plans - To change trustees on UBS FTC plans

Short Form Profit Sharing Plan and Money Purchase Plan
Summary Plan Description - Profit Sharing
Summary Plan Description - Money Purchase
Corporate Resolution - Initial Adoption of Plan
Corporation Resolution - Amendment of Plan
Benefit Election Form - Defined Contribution
Benefit Election Form (Cash Out) - Defined Contribution
Beneficiary Designation Form (Defined Contribution Plan)

Flexible Profit Sharing Plan
Summary Plan Description - Standardized Profit Sharing
Summary Plan Description - Non-standardized Profit Sharing
Corporate Resolution - Initial Adoption of Plan
Corporation Resolution - Amendment of Plan
Benefit Election Form - Defined Contribution
Benefit Election Form (Cash Out) - Defined Contribution
Beneficiary Designation Form (Defined Contribution Plan)

Flexible Money Purchase Plan

Summary Plan Description - Standardized Money Purchase

Summary Plan Description - Non-standardized Money Purchase
Corporate Resolution - Initial Adoption of Plan
Corporation Resolution - Amendment of Plan
Benefit Election Form - Defined Contribution
Benefit Election Form (Cash Out) - Defined Contribution
Beneficiary Designation Form (Defined Contribution Plan)

401(k) Plan

Summary Plan Description - Standardized 401(k)

Summary Plan Description - Non-standardized 401(k)
Corporate Resolution - Initial Adoption of Plan
Corporation Resolution - Amendment of Plan
Benefit Election Form - Defined Contribution
Benefit Election Form (Cash Out) - Defined Contribution
Beneficiary Designation Form (Defined Contribution Plan)

SIMPLE 401(k) Plan

Summary Plan Description - SIMPLE 401(k)

Corporate Resolution - Initial Adoption of Plan

Corporation Resolution - Amendment of Plan

Benefit Election Form - Defined Contribution

Benefit Election Form (Cash Out) - Defined Contribution
Beneficiary Designation Form (Defined Contribution Plan)

Amendments

Hurricane Victims Amendment to the UBS Financial Services Inc. Prototype Defined Contribution Plans

Hurricane Victims Amendment to the UBS Financial Services Inc. Prototype Defined Benefit Plans

Roth 401(k) Amendment to the UBS Financial Services Inc. Prototype 401(k) Plan
Automatic Enrollment Amendment to the UBS Financial Services Inc. Prototype 401(k) Plan
Amendment to Limitation on Power to Amend
Amendment to Definition of Normal Retirement Age


The account forms and related documents provided by UBS Financial Services Inc. are intended for use by, and distribution to, individuals, corporations, businesses and partnerships residing/domiciled in the United States. The documents are not intended for use by, or distribution to, any person, corporation, business and partnership residing/domiciled outside of the United States.

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Qualified Retirement Plans
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