ASC DEFINED BENEFIT SYSTEM SAMPLE REPORTS

ASC DEFINED BENEFIT SYSTEM SAMPLE REPORTS Thank you for your interest in ASC s Defined Benefit Valuation System! ASC offers a fully iterative, comprehensive defined benefit system that administers, values and tests all types of defined benefit plans - including those with ancillary benefits on a multi decrement platform. ASC has been an industry leader for more than 35 years and remains committed to helping you, the retirement plan professional, increase your efficiency and profitability. ASC clients are supported by 3 ERISA attorneys, 3 on-staff actuaries & a team of seasoned credentialed professionals This package contains a sampling of the reports included with ASC s Defined Benefit Valuation System. Additional reports such as optional forms output, PBGC Notice of Plan Benefits, SB Age/Service chart attachments are also available as well as a proprietary report writer that can be used create custom reports. To learn more about ASC s Defined Benefit Valuation System and reporting options available please contact ASC sales at Sales@asc-net.com or (800) 950-2082, Extension 1. ASC DB 2018 Sample Reports

SAMPLE REPORTS - TABLE OF CONTENTS I. Sample PPA Actuarial Reports a. Traditional DB Plan 3 b. Cash Balance Plan 31 c. Additional Optional Report Pages 56 d. Short Plan Year Reports..71 e. SB Attachments. 87 II. III. IV. Sample Participant Statements a. Traditional DB Plan (Basic Format).95 b. Traditional DB Plan (Flexible Format) 96 c. Cash Balance Plan. 97 d. Combined DC & DB Statement 98 e. Combined DC & CB Statement... 99 Compliance Reports for Combined Plans a. Combo Plan Report 100 b. DB 401(a)(26) Report (DB Only). 109 c. 410(b) Report 113 d. 401(a)(4) Report. 117 e. Component 401(a)(4) Testing Report.. 125 f. Top Heavy Report.. 140 Sample Life Participant Calculation Output a. Multiple Decrement Traditional DB Plan PPA. 144 b. Multiple Decrement Traditional DB Plan FASB.. 146 c. Cash Balance Plan PPA 148 ASC DB 2018 Sample Report Table of Contents

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Actuarial Valuation Plan Year: January 1, 2018 to December 31, 2018 Valuation Date: January 1, 2018 February 15, 2018 The information reflected on this report is for illustrative purposes only. Page 3

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Table of Contents Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 Page Section 1 - Actuarial Results Actuarial Certification 1 Determination of Minimum Contribution 2 Determination of Maximum Deductible Contribution 3 Funded Status 4 Shortfall Amortization Schedule 5 Quarterly Contributions 6 AFTAP Certification 7 Section 2 - Basis of Valuation Statement of Actuarial Assumptions and Method 8 Statement of Plan Provisions 10 Schedule of Active Participant Data 12 Section 3 - Participant Information Active Participant Census 13 Inactive Employee Census 14 Estimated Retirement Benefits and Costs 15 Present Benefits 16 Present Value Comparison 19 Accrued/Projected Benefit Comparison 22 Funding Values 24 The information reflected on this report is for illustrative purposes only. Page 4

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Actuarial Certification Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 This report has been prepared for the plan sponsor and his/her professional advisors in accordance with generally accepted actuarial principles and practices and, to the best of my knowledge, fairly reflects the actuarial condition of the TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS. The purpose of this report is to communicate the minimum required and maximum deductible contributions for the plan year. Certain assumptions used in the determination of these values and related amounts such as the Adjusted Funding Target Attainment Percentage (AFTAP), are prescribed by the Internal Revenue Code, Regulations and other official guidance, including the Highway and Transportation Funding Act of 2014 (HATFA). The prescribed mortality table and discount rates were applied in accordance with my understanding of the applicable law and regulations. In my opinion, each other assumption is reasonable both individually and in the aggregate, taking into account the experience of the plan and reasonable expectations and, in combination, offers my best estimate of anticipated experience under the plan. This report, and accompanying schedules describing the actuarial assumptions and methods employed and the principal document provisions on which the valuation is based, are complete and accurate to the best of my knowledge. In preparing this report I have relied upon employee information provided by the Plan Sponsor and plan asset information provided by the Trustee, both as of the valuation date. In accordance with generally accepted actuarial principles and practices, I have reviewed, but not audited, this information and the data has been found to be of acceptable quality for purposes of this actuarial report. Future actuarial measurements may differ significantly from the measurements presented in this report due to such factors as plan experience differing from that anticipated, changes in economic or demographic assumptions, and changes in plan provisions or applicable law. Due to the limited scope of this actuarial assignment, no analysis was performed of the potential range of such future measurements. In addition, determinations of the condition of the plan for other purposes, such as satisfying the reporting requirements of the Financial Accounting Standards Board, if any, and measuring the level of funding for plan termination, may require different assumptions and methods and the results may differ significantly from those presented here. To the best of my knowledge, there is no conflict of interest which would impair, or appear to impair, the objectivity of my work on this assignment. If the information contained in this report is provided to others, the report should be provided in its entirety to limit the risk of misinterpretation. Please contact me if you require additional explanations for any item(s) contained in this report or for any other communications related to my engagement as actuary for the plan. Certified by: John Doe, EA, MSPA 17-12345 17-54321 Jane Doe, EA, MAAA, FSA Enrollment Number Date Enrollment Number Date We meet the Qualification Standards of the American Academy of Actuaries to render the actuarial opinion contained herein. 1 The information reflected on this report is for illustrative purposes only. Page 5

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Determination of Minimum Contribution Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 The Minimum Required Contribution to your pension plan is defined in Section 430 of the Internal Revenue Code. A funding deficiency should not be allowed to develop as it is subject to a penalty tax. To prevent a deficiency, your contribution should be at least equal to the minimum deposit shown below, adjusted by the effective interest rate to the date it is actually deposited. The application of the carryover balance and/or prefunding balance is not available if the prior year funding ratio is less than 80%. Charges Valuation Date: 1/1/2018 (a) Target Normal Cost $323,635 (b) (c) Credits Shortfall Amortization Payment (outstanding balance $823,635 as of 1/1/2018) $186,869 Waiver Amortization Payment (outstanding balance $0 as of 1/1/2018) $0 Total Charges $510,504 (d) Available carryover balance $62,233 (e) Available prefunding balance $158,560 (f) Discounted contributions deposited after valuation date $354,780 Total Credits $575,573 Minimum Balance of Contribution Due as of the beginning of the year $0 Interest at effective interest rate of 5.76% $0 Minimum Balance of Contribution Due as of the end of the year $0 Interest at effective interest rate to 8 1/2 months past the end of the year $0 Additional interest for quarterly payments made after the due date $0 Minimum Balance of Contrib. Due 8 1/2 months past the end of the year $0 2 The information reflected on this report is for illustrative purposes only. Page 6

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Determination of Maximum Deductible Contribution Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 (a) Minimum contribution due as of the beginning of the year $510,504 (b) Target Normal Cost $422,199 (c) Funding Target $6,362,550 (d) (e) Cushion Amount (1) Liability for HCE Benefit Increases in Prior 2 Years $0 (2) Funding Target (c) - (d1) $6,362,550 (3) 50% of Funding Target $3,181,275 (4) Increase in Funding Target due to salary increases $914,207 (5) Cushion Amount (d3) + (d4) $4,095,482 Target Normal Cost + Funding Target + Cushion Amount (b) + (c) + (d5) $10,880,231 (f) At Risk Target Normal Cost $0 (g) At Risk Funding Target $0 (h) At Risk Limit (f) + (g) $0 (i) Greater of (e) and (h) $10,880,231 (j) Actuarial Value of Assets $4,432,868 (k) Maximum Deductible Contribution - greater of (a) and (i) - (j) $6,447,363 3 The information reflected on this report is for illustrative purposes only. Page 7

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Funded Status Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 Prior Year Current Year (a) Funding Target $4,187,212 $5,035,710 (b) Actuarial Value of Assets $3,987,365 $4,432,868 (c) Carryover Balance $59,722 $62,233 (d) Prefunding Balance $141,622 $158,560 (e) Funding Ratio [(b)-(d)]/(a), not less than 0% 91.84% 84.87% Must be at least 80% in prior plan year to apply carryover and prefunding balances to current minimum contribution. (f) Funding Target Attainment Percentage (FTAP) 90.41% 83.64% [(b)-(c)-(d)]/(a), not less than 0% (100.00% for plans with zero funding target) (g) Funding shortfall (a)-[(b)-(c)-(d)], not less than zero) $401,191 $823,635 (If greater than zero, quarterly contributions are required in next plan year. If equal to zero, there is no Shortfall Amortization Base for the current year and prior bases are reduced to zero.) (h) Was a portion of the prefunding balance used to satisfy the minimum contribution in the current plan year? (i) Shortfall Exemption Asset Value $4,274,308 If (h)=yes, (b)-(d). If (h)=no, (b) (j) Shortfall base required this plan year? Yes Yes if (a) greater than (i) AFTAP Percentage Adjustment to Avoid Benefit Restrictions (k) AFTAP percentage for current plan year 83.64% (l) Balance reduction to increase AFTAP to 60% or 80% $0 Yes 4 The information reflected on this report is for illustrative purposes only. Page 8

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Shortfall Amortization Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 If the plan has a funded status below 100%, the plan may require additional payments in the form of shortfall amortization payments. A plan's amortization payments are calculated to pay down the plan's underfunding over a seven year period (unless a plan sponsor has elected to use allowable relief, in which case the payment period will be longer). Number of Value of Amortization Future Future Valuation Date Method Installments Installment Installments 01/01/2011 2+7 2 $47,532 $93,271 01/01/2012 7-year 1 $1,390 $1,390 01/01/2013 7-year 2 $3,325 $6,524 01/01/2014 7-year 3 $6,587 $19,026 01/01/2015 7-year 4 $11,239 $42,476 01/01/2016 7-year 5 $36,159 $167,662 01/01/2017 7-year 6 $911 $4,919 01/01/2018 7-year 7 $79,726 $488,367 Total $186,869 $823,635 5 The information reflected on this report is for illustrative purposes only. Page 9

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Quarterly Contributions Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 Installment Payments (a) Prior year funding target attainment percentage 95.22% Quarterly contributions are required for this plan year (b) 90% of minimum required contribution for the plan year $459,454 (c) 100% of minimum required contribution for prior plan year $353,590 (d) Lesser of (b) and (c) $353,590 (e) Amount of each installment payment $88,398 Installment Due Dates and Amounts (f) Installment Payment 1 4/15/2018 $88,398 (g) Installment Payment 2 7/15/2018 $88,398 (h) Installment Payment 3 10/15/2018 $88,398 (i) Installment Payment 4 1/15/2019 $88,398 6 The information reflected on this report is for illustrative purposes only. Page 10

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Adjusted Funding Target Attainment Percentage (AFTAP) Certification for 2018 Plan Year Valuation Date: 1/1/2018 Plan Effective Date: October 1, 1972 EIN: 123456789 PN: 001 1. Funding Target without regard to at-risk $5,035,710 2. Actuarial Value of Assets 4,432,868 3. Carryover Balance 62,233 4. Prefunding Balance 158,560 5. Annuity Purchases for NHCEs in Prior Two Years 0 6. Funding Percentage for IRC Section 436(j)(3) (2/1) 88.02% 7. Item 6 at least 100%? No 8. Certified Adjusted Funding Target Attainment Percentage (2-3-4+5)/(1+5) 83.64% Disclosures IRC Section 436(f) Contributions Included in Assets $0 Benefit Increase Amendments for HCEs in Prior Two Years? Based on information received from the Plan Administrator, I hereby certify that the above is true and accurate to the best of my knowledge. Certified by: John Doe, EA, MSPA 17-12345 Enrollment Number Date No I meet the Qualification Standards of the American Academy of Actuaries to render the actuarial opinion contained herein. 7 The information reflected on this report is for illustrative purposes only. Page 11

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Summary of Actuarial Assumptions and Method Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 For Funding Min Max For 417(e) For Actuarial Equiv. Interest Rates Seg 1: 3.92% 1.81% Seg 1: 1.96% Pre-Retirement: 5.00% Pre-Retirement Seg 2: 5.52% 3.68% Seg 2: 3.58% Post-Retirement: 5.00% Seg 3: 6.29% 4.53% Seg 3: 4.35% Turnover Male-INSULFAB MALES None None ULTIMATE TERMINATION RATES Female-INSULFAB FEMALE ULTIMATE TERMINATION RATES Mortality Male-2006 Base Table - 2018 Applicable Mortality GAR 94 without loads Employee Male Female-2006 Table from Notice 2017-60 projected to 2002 with scale Base Table - Employee AA 50%M/50%F Female Generational Scale Male-2016 Generational None None Mortality Improvement Scales - Male Female-2016 Generational Mortality Improvement Scales - Female Assumed Ret Age Normal retirement age 65 and Normal retirement age 65 and 5 years of participation 5 years of participation Future Salary Incr 2% SALARY SCALE None None Disability DISABILITY RATES FOR None None INSULFAB... PRORATED FROM PREVIOUS REPORT Post-Retirement Mortality Male-2006 Base Table - 2018 Applicable Mortality GAR 94 without loads Annuitant Male Female-2006 Table from Notice 2017-60 projected to 2002 with scale Base Table - Annuitant AA 50%M/50%F Female Generational Scale Male-2016 Generational None None Mortality Improvement Scales - Male Female-2016 Generational Mortality Improvement Scales - Female 8 The information reflected on this report is for illustrative purposes only. Page 12

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Summary of Actuarial Assumptions and Method Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 Assumed Benefit Form For Funding Normal Form Assumed Spouse's Age Wives assumed to be 3 years Wives assumed to be 3 years younger than husbands younger than husbands Participant is assumed to be married to current spouse at retirement if spouse's date of birth is known Calculated Effective Interest Rate 5.76% Actuarial Cost Method Participant is assumed to be married to current spouse at retirement if spouse's date of birth is known The Unit Credit funding method was used as prescribed by the Pension Protection Act. This method sets the funding target equal to the present value of accrued benefits, and sets the normal cost equal to the present value of the benefit accrued in the current year. An actuarial value of assets is used for funding purposes. This year the actuarial value of assets is 100.0% of the market value of assets. Change in Actuarial Assumptions The salary scale was increased from 1% to 2% to better reflect actual experience. 9 The information reflected on this report is for illustrative purposes only. Page 13

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Summary of Plan Provisions Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 Plan Effective Date October 1, 1972 Plan Year From January 1, 2018 to December 31, 2018 Short Plan Year From January 1, 2003 to December 31, 2002 Eligibility Normal Retirement Age Normal Retirement Benefit All employees not excluded by class are eligible to enter on the beginning of the month coincident with or following the completion of the following requirements: 1 year of service Minimum age 21 All participants are eligible to retire with their full retirement benefit on the later of the following: Attainment of age 65 Completion of 5 years of participation from beginning of entry year Upon normal retirement each participant will be entitled to a benefit payable in the normal form equal to the following: 2% of average compensation plus 1% of compensation in excess of 2012 covered compensation per credited year of service with a maximum of 35 years. Credited years are plan years from date of hire excluding years with less than 1,000 hours. The maximum monthly benefit is the lesser of $18,333.30 and 100% of the highest 3-year average salary, subject to service requirements. The benefit is based on average salary during the highest 5 consecutive years of service from date of hire. Early Retirement Age Attainment of age 55 Completion of 10 plan years of service Early Retirement Benefit Normal Form of Benefit Accrued Benefit 6% per year A benefit payable for the life of the participant The normal retirement benefit described above calculated based on salary and/or service on the calculation date, and payable on the normal retirement date. Credited years are plan years from date of hire excluding the following: Years with less than 1,000 hours Termination Benefit Upon termination for any reason other than death, disability or 10 The information reflected on this report is for illustrative purposes only. Page 14

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Summary of Plan Provisions Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 retirement a participant shall be entitled to a portion of the actuarial equivalent of his accrued benefit in accordance with the following vesting schedule: Top-Heavy Status Death Benefit Disability Credited Years Vested Percent 1 0 2 20 3 40 4 60 5 80 6 100 Credited years are plan years from date of hire excluding the following: Years with less than 1,000 hours A plan is top-heavy if over 60% of the value of all accrued benefits in all of the employer's plans are for the benefit of key employees. A key employee is generally an officer or owner of the company. This plan is currently not top-heavy. Actuarial Equivalent of the accrued benefit earned to date of death Equal to accrued benefit payable immediately 11 The information reflected on this report is for illustrative purposes only. Page 15

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Schedule of Active Participant Data Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 Svc/ <1 1-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40+ Total Age <25 0 0 0 0 0 0 0 0 0 0 0 Avg Mo Comp 0 0 0 0 0 0 0 0 0 0 0 25-29 0 0 0 0 0 0 0 0 0 0 0 Avg Mo Comp 0 0 0 0 0 0 0 0 0 0 0 30-34 0 1 0 0 0 0 0 0 0 0 1 Avg Mo Comp 0 4675 0 0 0 0 0 0 0 0 4675 35-39 0 1 0 0 0 0 0 0 0 0 1 Avg Mo Comp 0 4100 0 0 0 0 0 0 0 0 4100 40-44 0 0 0 0 0 0 0 0 0 0 0 Avg Mo Comp 0 0 0 0 0 0 0 0 0 0 0 45-49 0 0 0 0 0 0 0 0 0 0 0 Avg Mo Comp 0 0 0 0 0 0 0 0 0 0 0 50-54 0 0 0 0 0 0 0 1 0 0 1 Avg Mo Comp 0 0 0 0 0 0 0 4883 0 0 4883 55-59 0 0 0 0 0 1 0 0 2 0 3 Avg Mo Comp 0 0 0 0 0 13583 0 0 9591 0 10922 60-64 0 0 0 0 1 0 0 1 1 1 4 Avg Mo Comp 0 0 0 0 4250 0 0 4025 5791 7900 5491 65-69 0 0 0 0 0 0 1 0 0 1 2 Avg Mo Comp 0 0 0 0 0 0 3666 0 0 9025 6345 70+ 0 0 0 0 0 0 0 0 0 0 0 Avg Mo Comp 0 0 0 0 0 0 0 0 0 0 0 Total 0 2 0 0 1 1 1 2 3 2 12 Avg Mo Comp 0 4387 0 0 4250 13583 3666 4454 8325 8462 6756 * Employees who have not met the minimum eligibility requirements are excluded Average Age: 55.8 Average Service: 28 12 The information reflected on this report is for illustrative purposes only. Page 16

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Active Participant Census Data Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 Date of Date of Date of Date of Annual Participant Name Sex Birth Hire Entry Retirement Compensation Adams, John Q M 08/01/1955 08/02/1999 09/01/2000 08/01/2020 51,000.00 Buchanan, James M 02/01/1967 07/02/1984 02/01/1988 02/01/2032 58,600.00 Clinton, William M 11/19/1961 01/03/1995 02/01/1996 11/19/2026 163,000.00 Doe, Jane F 07/08/1981 02/11/2015 03/01/2016 08/01/2046 49,200.00 Washington, Martha M 12/13/1983 05/10/2014 06/01/2015 01/01/2049 56,100.00 Eisenhower, Dwight M 09/05/1957 03/05/1979 04/01/1980 09/05/2022 69,500.00 Ford, Gerald M 04/03/1958 03/17/1980 04/01/1981 04/03/2023 52,000.00 Grant, Ulysses M 11/23/1957 04/30/1976 12/01/1978 11/23/2022 94,800.00 Harrison, Benjamin M 05/18/1951 11/03/1975 12/01/1976 01/02/2018 108,300.00 Johnson, Lyndon M 08/21/1955 10/09/1986 11/01/1987 08/21/2020 48,300.00 Kennedy, John F M 05/03/1959 06/07/1982 07/01/1983 05/03/2024 178,200.00 Lincoln, Abraham M 12/02/1951 09/19/1988 10/01/1989 01/02/2018 44,000.00 Total (12 Participants): 973,000.00 13 The information reflected on this report is for illustrative purposes only. Page 17

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Inactive Employee Census Data Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 Date of Date of Annual Date of Commencement Employee Name Sex Birth Hire Compensation Status Termination Date Coolidge, Calvin M 07/08/1980 03/15/2004 0.00 T=Terminated 12/09/2008 Jefferson, Thomas M 05/10/1940 07/04/1980 0.00 R=Retired 05/10/2005 06/01/2005 Total (2 Employees): 0.00 14 The information reflected on this report is for illustrative purposes only. Page 18

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Estimated Retirement Benefits and Current Plan Costs Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 Actuarial Equivalence: Pre: 5.00% Post: 5.00% GA2002U Minimum Estimated Estimated Minimum Target Retirement Retirement Cash at Funding Normal Participant Name Date Benefit Retirement Target Cost Adams, John Q 08/01/2020 1,746.15 247,131 169,899 20,087 Buchanan, James 02/01/2032 3,418.33 483,793 196,806 12,154 Clinton, William 11/19/2026 10,462.40 1,480,733 598,674 49,101 Doe, Jane 08/01/2046 2,624.00 371,372 5,874 2,043 Washington, Martha 01/01/2049 3,272.50 463,154 8,077 2,121 Eisenhower, Dwight 09/05/2022 4,054.17 573,783 404,768 10,014 Ford, Gerald 04/03/2023 3,033.33 429,304 293,432 11,412 Grant, Ulysses 11/23/2022 5,661.25 801,231 453,074 61,774 Harrison, Benjamin 01/02/2018 7,727.88 1,037,793 1,041,024 0 Johnson, Lyndon 08/21/2020 2,676.94 378,865 276,080 21,264 Kennedy, John F 05/03/2024 12,862.50 1,820,417 1,113,244 133,665 Lincoln, Abraham 01/02/2018 1,851.81 255,403 255,104 0 Total (12 Participants) 59,391.26 8,342,979 4,816,056 323,635 15 The information reflected on this report is for illustrative purposes only. Page 19

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Present Benefits for Actives Actuarial Equivalence Rates Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 Present Present Vested Value Value Accrued Accrued Accrued Vested Name/Vesting AA Benefit Benefit Benefit Benefit Adams, John Q/100.00% 62 1,448.56 1,448.56 172,367 172,367 Buchanan, James/100.00% 51 3,108.18 3,108.18 206,964 206,964 Clinton, William/100.00% 56 7,166.66 7,166.66 617,021 617,021 Doe, Jane/40.00% 36 243.00 97.20 7,651 3,060 Washington, Martha/60.00% 34 370.33 222.20 10,561 6,337 Eisenhower, Dwight/100.00% 60 3,898.10 3,898.10 415,279 415,279 Ford, Gerald/100.00% 60 2,825.89 2,825.89 301,052 301,052 Grant, Ulysses/100.00% 60 4,363.31 4,363.31 464,839 464,839 Harrison, Benjamin/100.00% 67 7,727.88 7,727.88 1,037,789 1,037,789 Johnson, Lyndon/100.00% 62 2,353.86 2,353.86 280,091 280,091 Kennedy, John F/100.00% 59 11,326.69 11,326.69 1,143,068 1,143,068 Lincoln, Abraham/100.00% 66 1,851.81 1,851.81 255,405 255,405 Active Subtotal (12) 46,684.27 46,390.34 4,912,087 4,903,272 Present values are determined based on the rates shown in the report heading. Actual present values may be more or less than the amounts illustrated based on statutory requirements. 16 The information reflected on this report is for illustrative purposes only. Page 20

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Present Benefits for Term Vested and Inactive Actuarial Equivalence Rates Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 Present Present Vested Value Value Termination Accrued Accrued Accrued Vested Name/Vesting AA Status Date Benefit Benefit Benefit Benefit Coolidge, Calvin/100.00% 37 T 12/09/2008 850.00 850.00 28,119 28,119 Term Vested Subtotal (1) 850.00 850.00 28,119 28,119 Active/Term Subtotal (13) 47,534.27 47,240.34 4,940,206 4,931,391 Unless indicated otherwise, present values are determined based on the rates shown in the report heading. Actual present values may be more or less than the amounts illustrated based on statutory requirements. 17 The information reflected on this report is for illustrative purposes only. Page 21

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Present Benefits for Retired Actuarial Equivalence Rates Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 Form of Commencement Monthly Present Value of Participant Name AA SA Status Benefit Date Benefit Monthly Benefit Jefferson, Thomas 78 R J&S 50% 06/01/2005 1,776.00 190,054.00 Retired Subtotal (1) 1,776.00 190,054.00 Total Participants (14) Total Accrued Benefit/PVAB 49,310.27 5,130,260 Total Vested Accrued Benefit/PVVAB 49,016.34 5,121,445 18 The information reflected on this report is for illustrative purposes only. Page 22

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Present Value Comparison Report Actuarial Equivalence: Pre: 5.00% GA2002U Post: 5.00% GA2002U 417(e) Segment Rates: (1) 1.96% (2) 3.58% (3) 4.35% Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 Proposed Distribution Date: 1/1/2018 Vested Present Present Vest A g e s Accrued Actuarial 417(e) 415 Value of Value of Active Pct Curr Ret Benefit Equiv Minimum Maximum Accr. Benefit Accr. Benefit Adams, John Q 100.00 62 65 1,448.56 172,367 216,415 623,210 216,415 216,415 Buchanan, James 100.00 51 65 3,108.18 206,964 276,962 863,328 276,962 276,962 Clinton, William 100.00 56 65 7,166.66 617,021 808,484 2,071,349 808,484 808,484 Doe, Jane 40.00 36 65 243.00 7,651 10,794 149,436 10,794 4,318 Washington, Martha 60.00 34 65 370.33 10,561 15,099 202,723 15,099 9,059 Eisenhower, Dwight 100.00 60 65 3,898.10 415,279 527,450 907,680 527,450 527,450 Ford, Gerald 100.00 60 65 2,825.89 301,052 382,370 668,725 382,370 382,370 Grant, Ulysses 100.00 60 65 4,363.31 464,839 590,397 1,235,700 590,397 590,397 Harrison, Benjamin 100.00 67 65 7,727.88 1,037,789 1,262,060 1,197,956 1,197,956 1,197,956 Johnson, Lyndon 100.00 62 65 2,353.86 280,091 351,667 590,033 351,667 351,667 Kennedy, John F 100.00 59 65 11,326.69 1,143,068 1,464,930 2,294,970 1,464,930 1,464,930 Lincoln, Abraham 100.00 66 65 1,851.81 255,405 310,432 482,572 310,432 310,432 Active Subtotal (12) 46,684.27 4,912,087 6,217,060 11,287,682 6,152,956 6,140,440 19 The information reflected on this report is for illustrative purposes only. Page 23

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Accrued Benefit Comparison Report Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 415 Final Vested 415 Vest A g e s Accrued $ Limit 415 Accrued Accrued $ Limit Name Pct Curr Ret Benefit At Ret Age % Limit Benefit Benefit At Curr Age Adams, John Q 100.00 62 65 1,448.56 18,333.33 4,095.83 1,448.56 1,448.56 18,333.33 Buchanan, James 100.00 51 65 3,108.18 18,333.33 4,730.56 3,108.18 3,108.18 8,238.93 Clinton, William 100.00 56 65 7,166.66 18,333.33 13,437.50 7,166.66 7,166.66 12,111.14 Doe, Jane 40.00 36 65 243.00 3,666.66 1,215.00 243.00 97.20 729.45 Washington, Martha 60.00 34 65 370.33 5,499.99 1,851.67 370.33 222.20 980.39 Eisenhower, Dwight 100.00 60 65 3,898.10 18,333.33 5,708.33 3,898.10 3,898.10 15,912.25 Ford, Gerald 100.00 60 65 2,825.89 18,333.33 4,205.56 2,825.89 2,825.89 14,843.78 Grant, Ulysses 100.00 60 65 4,363.31 18,333.33 7,771.22 4,363.31 4,363.31 15,912.25 Harrison, Benjamin 100.00 67 65 7,727.88 19,713.32 8,920.56 7,727.88 7,727.88 19,713.32 Johnson, Lyndon 100.00 62 65 2,353.86 18,333.33 3,877.78 2,353.86 2,353.86 18,333.33 Kennedy, John F 100.00 59 65 11,326.69 18,333.33 14,727.78 11,326.69 11,326.69 13,859.09 Lincoln, Abraham 100.00 66 65 1,851.81 19,713.32 3,498.89 1,851.81 1,851.81 19,713.32 Total 46,684.27 195,259.93 74,040.68 46,684.27 46,390.34 158,680.58 22 The information reflected on this report is for illustrative purposes only. Page 26

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS Projected Benefit Comparison Report Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 Final 415 Vest A g e s Formula 415 415 Projected Max Proj Name Pct Curr Ret Benefit $ Limit % Limit Benefit Lump Sum Adams, John Q 100.00 62 65 1,746.15 18,333.33 4,250.00 1,746.15 601,498 Buchanan, James 100.00 51 65 3,418.33 18,333.33 4,883.33 3,418.33 691,133 Clinton, William 100.00 56 65 10,462.40 18,333.33 13,583.33 10,462.40 1,922,435 Doe, Jane 40.00 36 65 2,624.00 18,333.33 4,100.00 2,624.00 580,269 Washington, Martha 60.00 34 65 3,272.50 18,333.33 4,675.00 3,272.50 661,648 Eisenhower, Dwight 100.00 60 65 4,054.17 18,333.33 5,791.67 4,054.17 819,689 Ford, Gerald 100.00 60 65 3,033.33 18,333.33 4,333.33 3,033.33 613,292 Grant, Ulysses 100.00 60 65 5,661.25 18,333.33 7,900.00 5,661.25 1,118,079 Harrison, Benjamin 100.00 67 65 7,727.88 19,713.32 8,920.56 7,727.88 1,197,960 Johnson, Lyndon 100.00 62 65 2,676.94 18,333.33 4,025.00 2,676.94 569,654 Kennedy, John F 100.00 59 65 12,862.50 18,333.33 14,850.00 12,862.50 2,101,706 Lincoln, Abraham 100.00 66 65 1,851.81 19,713.32 3,498.89 1,851.81 482,570 Total 59,391.26 222,759.94 80,811.11 59,391.26 11,359,933 23 The information reflected on this report is for illustrative purposes only. Page 27

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS PPA Funding Values Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 Minimum Funding Segment Rates 3.92% / 5.52% / 6.29% Maximum Deductible Segment Rates 1.81% / 3.68% / 4.53% (1) (2) Minimum Present Vested Present BOY Mo. Expected Present Value Pres Val Value Accrued Mo. Accr Value of (1) of (1) of (2) Participant Name/Age Benefit in Year Factor at BOY at BOY at BOY Stat Adams, John Q / 62 1,448.56 171.25 117.288 169,899 169,899 20,087 A Buchanan, James / 51 3,108.18 191.94 63.319 196,806 196,806 12,154 A Clinton, William / 56 7,166.66 587.77 83.536 598,674 598,674 49,101 A Doe, Jane / 36 243.00 84.52 24.174 5,874 2,350 2,043 A Washington, Martha / 34 370.33 97.25 21.809 8,077 4,846 2,121 A Eisenhower, Dwight / 60 3,898.10 96.43 103.837 404,768 404,768 10,014 A Ford, Gerald / 60 2,825.89 109.90 103.837 293,432 293,432 11,412 A Grant, Ulysses / 60 4,363.31 594.91 103.837 453,074 453,074 61,774 A Harrison, Benjamin / 67 7,727.88 0.00 134.710 1,041,024 1,041,024 0 A Johnson, Lyndon / 62 2,353.86 181.29 117.288 276,080 276,080 21,264 A Kennedy, John F / 59 11,326.69 1,359.96 98.285 1,113,244 1,113,244 133,665 A Lincoln, Abraham / 66 1,851.81 0.00 137.759 255,104 255,104 0 A Active Subtotal 46,684.27 3,475.22 4,816,056 4,809,301 323,635 Retireds & Vesteds* Coolidge, Calvin / 37 850.00 0.00 24.588 20,900 20,900 0 T Jefferson, Thomas / 78 1,776.00 0.00 111.911 198,754 198,754 0 R Vesteds Subtotal 850.00 0.00 20,900 20,900 0 Retireds Subtotal 1,776.00 0.00 198,754 198,754 0 Total 49,310.27 3,475.22 5,035,710 5,028,955 323,635 Total Minimum Funding Values at Valuation Date 5,359,345 * Vested amounts shown in all columns for Terminated Vesteds 24 The information reflected on this report is for illustrative purposes only. Page 28

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS PPA Funding Values Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 Minimum Funding Segment Rates 3.92% / 5.52% / 6.29% Maximum Deductible Segment Rates 1.81% / 3.68% / 4.53% (1) (2) Maximum Present Vested Present BOY Mo. Expected Present Value Pres Val Value Accrued Mo. Accr Value of (1) of (1) of (2) Participant Name/Age Benefit in Year Factor at BOY at BOY at BOY Stat Adams, John Q / 62 1,448.56 171.25 144.888 209,879 209,879 24,814 A Buchanan, James / 51 3,108.18 191.94 92.357 287,061 287,061 17,727 A Clinton, William / 56 7,166.66 587.77 113.143 810,859 810,859 66,503 A Doe, Jane / 36 243.00 84.52 44.981 10,930 4,372 3,802 A Washington, Martha / 34 370.33 97.25 41.619 15,413 9,248 4,048 A Eisenhower, Dwight / 60 3,898.10 96.43 132.335 515,854 515,854 12,762 A Ford, Gerald / 60 2,825.89 109.90 132.335 373,963 373,963 14,544 A Grant, Ulysses / 60 4,363.31 594.91 132.335 577,417 577,417 78,728 A Harrison, Benjamin / 67 7,727.88 0.00 157.306 1,215,642 1,215,642 0 A Johnson, Lyndon / 62 2,353.86 181.29 144.888 341,047 341,047 26,268 A Kennedy, John F / 59 11,326.69 1,359.96 127.211 1,440,881 1,440,881 173,003 A Lincoln, Abraham / 66 1,851.81 0.00 161.493 299,055 299,055 0 A Active Subtotal 46,684.27 3,475.22 6,098,001 6,085,278 422,199 Retireds & Vesteds* Coolidge, Calvin / 37 850.00 0.00 46.256 39,318 39,318 0 T Jefferson, Thomas / 78 1,776.00 0.00 126.819 225,231 225,231 0 R Vesteds Subtotal 850.00 0.00 39,318 39,318 0 Retireds Subtotal 1,776.00 0.00 225,231 225,231 0 Total 49,310.27 3,475.22 6,362,550 6,349,827 422,199 Total Maximum Values at Valuation Date 6,784,749 * Vested amounts shown in all columns for Terminated Vesteds 25 The information reflected on this report is for illustrative purposes only. Page 29

TRADITIONAL DEFINED BENEFIT PLAN SAMPLE PLAN FOR PPA REPORTS PPA Funding Values Plan Year: 1/1/2018 to 12/31/2018 Valuation Date: 1/1/2018 Minimum Funding Segment Rates 3.92% / 5.52% / 6.29% Maximum Deductible Segment Rates 1.81% / 3.68% / 4.53% (a) Values as of 1/1/2018 Minimum Maximum (1) Funding Target 5,035,710 6,362,550 (2) Target Normal Cost 323,635 422,199 No. of Vested Total (b) Minimum Funding Target as of 1/1/2018 Persons Benefits Benefits (1) Retirees Receiving Payments 1 198,754 198,754 (2) Terminated Vesteds 1 20,900 20,900 (3) Actives 12 4,809,301 4,816,056 (4) Total 14 5,028,955 5,035,710 26 The information reflected on this report is for illustrative purposes only. Page 30

CASH BALANCE PLAN SAMPLE PLAN FOR PPA REPORTS Actuarial Valuation Plan Year: January 1, 2017 to December 31, 2017 Valuation Date: December 31, 2017 Prepared by Actuarial Systems Corporation February 15, 2018 The information reflected on this report is for illustrative purposes only. Page 31

CASH BALANCE PLAN SAMPLE PLAN FOR PPA REPORTS Table of Contents Plan Year: 1/1/2017 to 12/31/2017 Valuation Date: 12/31/2017 Page Section 1 - Actuarial Results Actuarial Certification 1 Determination of Minimum Contribution 2 Determination of Maximum Deductible Contribution 3 Funded Status 4 Shortfall Amortization Schedule 5 Quarterly Contributions 6 AFTAP Certification 7 Section 2 - Basis of Valuation Statement of Actuarial Assumptions and Method 8 Statement of Plan Provisions 10 Schedule of Active Participant Data 12 Section 3 - Participant Information Active Participant Census 13 Inactive Employee Census 14 Estimated Retirement Benefits and Costs 15 Present Benefits 16 Present Value Comparison 17 Accrued/Projected Benefit Comparison 18 Cash Balance Summary 20 Funding Values 21 The information reflected on this report is for illustrative purposes only. Page 32

CASH BALANCE PLAN SAMPLE PLAN FOR PPA REPORTS Actuarial Certification Plan Year: 1/1/2017 to 12/31/2017 Valuation Date: 12/31/2017 This report has been prepared for the plan sponsor and his/her professional advisors in accordance with generally accepted actuarial principles and practices and, to the best of my knowledge, fairly reflects the actuarial condition of the CASH BALANCE PLAN SAMPLE PLAN FOR PPA REPORTS. The purpose of this report is to communicate the minimum required and maximum deductible contributions for the plan year. Certain assumptions used in the determination of these values and related amounts such as the Adjusted Funding Target Attainment Percentage (AFTAP), are prescribed by the Internal Revenue Code, Regulations and other official guidance, including the Highway and Transportation Funding Act of 2014 (HATFA). The prescribed mortality table and discount rates were applied in accordance with my understanding of the applicable law and regulations. In my opinion, each other assumption is reasonable both individually and in the aggregate, taking into account the experience of the plan and reasonable expectations and, in combination, offers my best estimate of anticipated experience under the plan. This report, and accompanying schedules describing the actuarial assumptions and methods employed and the principal document provisions on which the valuation is based, are complete and accurate to the best of my knowledge. In preparing this report I have relied upon employee information provided by the Plan Sponsor and plan asset information provided by the Trustee, both as of the valuation date. In accordance with generally accepted actuarial principles and practices, I have reviewed, but not audited, this information and the data has been found to be of acceptable quality for purposes of this actuarial report. Future actuarial measurements may differ significantly from the measurements presented in this report due to such factors as plan experience differing from that anticipated, changes in economic or demographic assumptions, and changes in plan provisions or applicable law. Due to the limited scope of this actuarial assignment, no analysis was performed of the potential range of such future measurements. In addition, determinations of the condition of the plan for other purposes, such as satisfying the reporting requirements of the Financial Accounting Standards Board, if any, and measuring the level of funding for plan termination, may require different assumptions and methods and the results may differ significantly from those presented here. To the best of my knowledge, there is no conflict of interest which would impair, or appear to impair, the objectivity of my work on this assignment. If the information contained in this report is provided to others, the report should be provided in its entirety to limit the risk of misinterpretation. Please contact me if you require additional explanations for any item(s) contained in this report or for any other communications related to my engagement as actuary for the plan. Certified by: John Doe, EA, MSPA 17-12345 17-54321 Jane Doe, EA, MAAA, FSA Enrollment Number Date Enrollment Number Date We meet the Qualification Standards of the American Academy of Actuaries to render the actuarial opinion contained herein. 1 The information reflected on this report is for illustrative purposes only. Page 33

CASH BALANCE PLAN SAMPLE PLAN FOR PPA REPORTS Determination of Minimum Contribution Plan Year: 1/1/2017 to 12/31/2017 Valuation Date: 12/31/2017 The Minimum Required Contribution to your pension plan is defined in Section 430 of the Internal Revenue Code. A funding deficiency should not be allowed to develop as it is subject to a penalty tax. To prevent a deficiency, your contribution should be at least equal to the minimum deposit shown below, adjusted by the effective interest rate to the date it is actually deposited. The application of the carryover balance and/or prefunding balance is not available if the prior year funding ratio is less than 80%. Charges Valuation Date: 12/31/2017 (a) Target Normal Cost $146,850 (b) (c) Credits Shortfall Amortization Payment (outstanding balance $31,359 as of 12/31/2017) $5,149 Waiver Amortization Payment (outstanding balance $0 as of 12/31/2017) $0 Total Charges $151,999 (d) Available carryover balance $0 Interest at effective interest rate of 5.73% $0 Total $0 (e) Available prefunding balance $12,488 Interest at effective interest rate of 5.73% $716 Total $13,204 (f) Pre-contributions $0 Pre-contributions adjusted to valuation date $0 Discounted contributions deposited after valuation date $0 Total (f) $0 Total Credits $13,204 Minimum Balance of Contribution Due as of the end of the year $138,795 Interest at effective interest rate to 8 1/2 months past the end of the year $5,577 Additional interest for quarterly payments made after the due date $937 Minimum Balance of Contrib. Due 8 1/2 months past the end of the year $145,309 2 The information reflected on this report is for illustrative purposes only. Page 34

CASH BALANCE PLAN SAMPLE PLAN FOR PPA REPORTS Determination of Maximum Deductible Contribution Plan Year: 1/1/2017 to 12/31/2017 Valuation Date: 12/31/2017 (a) Minimum contribution due as of the end of the year $151,999 (b) Target Normal Cost $207,731 (c) Funding Target $411,792 (d) (e) Cushion Amount (1) Liability for HCE Benefit Increases in Prior 2 Years $0 (2) Funding Target (c) - (d1) $411,792 (3) 50% of Funding Target $205,896 (4) Increase in Funding Target due to salary increases $0 (5) Cushion Amount (d3) + (d4) $205,896 Target Normal Cost + Funding Target + Cushion Amount (b) + (c) + (d5) $825,419 (f) Target Normal Cost with At Risk Loads $216,040 (g) Funding Target with At Risk Loads $435,963 (h) Total (f) + (g) $652,003 (i) Greater of (e) and (h) $825,419 (j) Actuarial Value of Assets $272,405 (k) Maximum Deductible Contribution - greater of (a) and (i) - (j) $553,014 3 The information reflected on this report is for illustrative purposes only. Page 35

CASH BALANCE PLAN SAMPLE PLAN FOR PPA REPORTS Funded Status Plan Year: 1/1/2017 to 12/31/2017 Valuation Date: 12/31/2017 Prior Year Current Year (a) Funding Target $180,538 $290,560 (b) Actuarial Value of Assets $256,123 $272,405 (c1) Carryover Balance Beginning of Year $0 $0 (c2) Carryover Balance End of Year $0 $0 (d1) Prefunding Balance Beginning of Year $0 $12,488 (d2) Prefunding Balance End of Year $0 $13,204 (e) Funding Ratio [(b)-(d2)]/(a), not less than 0% 141.86% 89.20% Must be at least 80% in prior plan year to apply carryover and prefunding balances to current minimum contribution. (f) Funding Target Attainment Percentage (FTAP) 98.73% 89.20% [(b)-(c2)-(d2)]/(a), not less than 0% (100.00% for plans with zero funding target) (g) Funding shortfall (a)-[(b)-(c2)-(d2)], not less than zero) $0 $31,359 (If greater than zero, quarterly contributions are required in next plan year. If equal to zero, there is no Shortfall Amortization Base for the current year and prior bases are reduced to zero.) (h) Was a portion of the prefunding balance used to satisfy the minimum contribution in the current plan year? (i) Shortfall Exemption Asset Value $259,201 If (h)=yes, (b)-(d2). If (h)=no, (b) (j) Shortfall base required this plan year? Yes Yes if (a) greater than (i) AFTAP Percentage Adjustment to Avoid Benefit Restrictions (k) AFTAP percentage based on current plan year values 59.25% (l1) Credit balance reduction to increase AFTAP to 60% or 80% (BOY) $3,070 * (l2) Credit balance reduction to increase AFTAP to 60% or 80% (EOY) $3,245 * *Assumes that Discounted Contributions made after the Valuation Date are included in assets Yes 4 The information reflected on this report is for illustrative purposes only. Page 36

CASH BALANCE PLAN SAMPLE PLAN FOR PPA REPORTS Shortfall Amortization Plan Year: 1/1/2017 to 12/31/2017 Valuation Date: 12/31/2017 If the plan has a funded status below 100%, the plan may require additional payments in the form of shortfall amortization payments. A plan's amortization payments are calculated to pay down the plan's underfunding over a seven year period (unless a plan sponsor has elected to use allowable relief, in which case the payment period will be longer). Number of Value of Amortization Future Future Valuation Date Method Installments Installment Installments 12/31/2017 7-year 7 $5,149 $31,359 Total $5,149 $31,359 5 The information reflected on this report is for illustrative purposes only. Page 37

CASH BALANCE PLAN SAMPLE PLAN FOR PPA REPORTS Quarterly Contributions Plan Year: 1/1/2017 to 12/31/2017 Valuation Date: 12/31/2017 Installment Payments (a) Prior year funding target attainment percentage 98.73% Quarterly contributions are required for this plan year (b) 90% of minimum required contribution for the plan year $136,799 (c) 100% of minimum required contribution for prior plan year $8,671 (d) Lesser of (b) and (c) $8,671 (e) Amount of each installment payment $2,168 Installment Due Dates and Amounts (f) Installment Payment 1 4/15/2017 $2,168 (g) Installment Payment 2 7/15/2017 $2,168 (h) Installment Payment 3 10/15/2017 $2,168 (i) Installment Payment 4 1/15/2018 $2,168 6 The information reflected on this report is for illustrative purposes only. Page 38

CASH BALANCE PLAN SAMPLE PLAN FOR PPA REPORTS Adjusted Funding Target Attainment Percentage (AFTAP) Certification for 2018 Plan Year Valuation Date: 12/31/2017 Plan Effective Date: January 1, 2013 EIN: 99-1234567 PN: 002 1. Funding Target without regard to at-risk $290,560 2. Target Normal Cost without regard to at-risk 146,850 3. Actuarial Value of Assets 272,405 4. Pre-Contributions and Interest 0 5. Discounted Contributions made after Valuation Date 0 6. Carryover Balance 0 7. Prefunding Balance 13,204 8. Annuity Purchases for NHCEs in Prior Two Years 0 9. Funding Percentage for IRC Section 436(j)(3) (3+4+5)/(1+2) 62.27% 10. Item 9 at least 100%? No 11. Certified Adjusted Funding Target Attainment Percentage (3+4+5-6-7+8)/(1+2+8) 59.25% Disclosures IRC Section 436(f) Contributions Included in Assets $0 Benefit Increase Amendments for HCEs in Prior Two Years? Based on information received from the Plan Administrator, I hereby certify that the above is true and accurate to the best of my knowledge. Certified by: John Doe, EA, MSPA Date No 17-12345 Enrollment Number I meet the Qualification Standards of the American Academy of Actuaries to render the actuarial opinion contained herein. 7 The information reflected on this report is for illustrative purposes only. Page 39

CASH BALANCE PLAN SAMPLE PLAN FOR PPA REPORTS Summary of Actuarial Assumptions and Method Plan Year: 1/1/2017 to 12/31/2017 Valuation Date: 12/31/2017 For Funding Min Max For 417(e) For Actuarial Equiv. Interest Rates Seg 1: 4.16% 1.79% Seg 1: 1.57% Pre-Retirement: 5.00% Pre-Retirement Seg 2: 5.72% 3.70% Seg 2: 3.45% Post-Retirement: 5.00% Seg 3: 6.48% 4.56% Seg 3: 4.39% Turnover None None None Mortality None None None Assumed Ret Age Normal retirement age 62 and Normal retirement age 62 and 5 years of participation 5 years of participation Post-Retirement Mortality Male-modified RP2000 2017 Applicable Mortality 2017 Applicable Mortality combined healthy male Table from Notice 2016-50 Table from Notice 2016-50 projected 32 & 24 years Female-modified RP2000 combined healthy female projected 32 & 24 years Assumed Benefit Form For Funding Lump Sum Assumed Spouse's Age Wives assumed to be the same Wives assumed to be the same age as husbands age as husbands Participant is assumed to be married to current spouse at retirement if spouse's date of birth is known Participant is assumed to be married to current spouse at retirement if spouse's date of birth is known Calculated Effective Interest Rate 5.73% Cash Balance Projected Interest Crediting Rate 5.00% Actuarial Cost Method The Unit Credit funding method was used as prescribed by the Pension Protection Act. This method sets the funding target equal to the present value of accrued benefits, and sets the normal cost equal to the present value of the benefit accrued in the current year. Maximum Deduction Limit Loading factor for plans eligible to use the special rule under IRC 404(o)(2)(B): Percent Load: 4.00% $ per Partic Load $700.00 8 The information reflected on this report is for illustrative purposes only. Page 40

CASH BALANCE PLAN SAMPLE PLAN FOR PPA REPORTS Summary of Actuarial Assumptions and Method Plan Year: 1/1/2017 to 12/31/2017 Valuation Date: 12/31/2017 An actuarial value of assets is used for funding purposes. This year the actuarial value of assets is 100.0% of the market value of assets. Change in Actuarial Assumptions The projected interest crediting rate was reduced from 4.5% to 4.0% to reflect expected experience. 9 The information reflected on this report is for illustrative purposes only. Page 41