GENERAL INFORMATION

A rollover is a way to move money or property from one eligible retirement plan (e.g., IRA or Qualified Plan) to another eligible retirement plan. The Internal Revenue Code (IRC) limits how quickly rollovers must be completed and how the Trustee/Custodian/Plan Administrator must report the transaction. By properly completing this form you are certifying to the Trustee/Custodian/Plan Administrator that you have satisfied the rules and conditions applicable to your rollover and that you are making an irrevocable election to treat the transaction as a rollover.


TRADITIONAL IRA OR SIMPLE IRA TO EMPLOYER PLAN ROLLOVER 

1.    Timeliness

The funds you receive from the distributing IRA must generally be deposited into the employer plan within 60 days after you receive them. However, this period is 120 days for certain rollovers relating to first-home purchases. When counting the 60 (or 120) days include weekends and holidays. The IRS has the authority to grant extensions to the 60 (or 120) day rule in cases where a hardship occurs (e.g., casualty, disaster, etc.) or you may use the self-certification procedure.

Receipt generally means the day you actually have the funds in hand. For example, the 60 days would begin on the day following the day you pick up the check from the Trustee or Custodian or you receive the check in the mail.

2.    RMD Rollover Restriction

If this rollover is being made during or after the year for which you are required to begin receiving distributions, you cannot roll over any distribution to the extent that it is a required minimum distribution from the distributing plan.

3.    Nondeductible Amounts

You may not roll funds that you have contributed to your IRA for which you did not receive a tax deduction (after-tax dollars).

4.    Substantially Equal Periodic Payments

If you are taking substantially equal periodic payments from your IRA, these distributions are not able to be rolled to an employer plan.

5.    SIMPLE IRA Rollover Restriction

A SIMPLE IRA may be rolled over to an eligible employer plan provided two years have passed since you first participated in your employer's SIMPLE salary reduction arrangement.


EMPLOYER PLAN TO EMPLOYER PLAN ROLLOVER

1.    Eligible Person

Only an eligible person may roll funds from a plan qualified under IRC Section 401(a), 403(a) plan, 403(b) plan, or governmental 457(b) deferred compensation plan to another one of these same employer-sponsored plans. You will only be an eligible person if you were or are a participant in the distributing plan, the surviving spouse beneficiary of a deceased participant, or the alternate payee identified in a Qualified Domestic Relations Order (QDRO). A QDRO is a domestic relations order issued in a divorce proceeding which meets certain conditions and which grants to an alternate payee (e.g., ex-spouse) the right to receive all or a portion of a participant's benefits under a QRP. If the alternate payee is a spouse or former spouse, the alternate payee can roll all or a portion of the amount received to an IRA.

2.    Distributing Employer Plan

A distribution will not be eligible to be rolled over unless that distribution is made from an eligible plan. An eligible plan is one that is qualified under IRC Section 401(a), (including 401(k) plans), 403, or 457(b). Eligible plans include defined benefit plans, profit sharing plans, money purchase plans, 401(k) plans, 403(b), governmental 457(b) deferred compensation plans, and employee stock ownership plans.

3.    Receiving Employer Plan

A distribution will not be eligible to be rolled over unless the receiving plan is an eligible plan. An eligible plan is one that is qualified under IRC Section 401(a), (including 401(k) plans), 403, or 457(b). Eligible plans include defined benefit plans, profit sharing plans, money purchase plans, 401(k) plans, 403(b), governmental 457(b) deferred compensation plans, and employee stock ownership plans.

4.    Eligible Rollover Deposit

Only certain types of plan distributions, called "eligible rollover distributions," may be deposited into the plans listed above. Eligible rollover distributions include most distributions from eligible plans except the following.

Required Minimum Distributions - Distributions which represent required minimum distributions paid during a participant's first distribution calendar year or later may not be rolled over.

Substantially Equal Periodic Payments - For purposes of determining an eligible rollover distribution, substantially equal periodic payments are defined as a series of substantially equal distributions made not less frequently than annually and calculated

1)    over the life (or life expectancy) of the individual or the joint lives (or life expectancies) of the individual and the individual's beneficiary or

2)    for a specified period of 10 years or more.

Death Benefit Exclusion Amounts - If you are a surviving spouse beneficiary and your spouse died before August 21, 1996, a portion of your distribution may qualify for the Death Benefit Exclusion Allowance. You may not roll over any portion of your distribution which qualifies for the Death Benefit Exclusion Allowance.

Property Distributions - If property other than cash is distributed, only the same property or the proceeds from its sale may be rolled over. If you receive property but wish to roll over cash, you must actually sell the property and roll over the proceeds.

Hardship Distributions - Distributions taken on account of financial hardship are not eligible to be rolled over.

5.    Rollover Amounts

If your current employer sponsored plan allowed you to make nondeductible employee contributions other than Roth elective deferrals, these funds may be included as part of an eligible rollover distribution provided the receiving employer plan is a defined contribution plan under IRC Sec. 401(a) where the plan separately accounts for the nondeductible amounts. Further, the rollover may only be done in a direct rollover.

6.    Timeliness

The funds you receive from the distributing plan must be deposited in an eligible employer plan within 60 days after you receive them, excluding the day of receipt. When counting the 60 days include weekends and holidays. Receipt generally means the day you actually have the funds in hand.