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SCREEN 8
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e-4010 Home Page
Controlled Group Filing Drafts
Information
Year-end
12/31/2005
Create New 4010 Filing
Date
Created
Name
04/04/2006
ABC Holdings, Inc.
Edit Schedule P
12/31/2005
04/09/2006
Delete Filing
Reassign
Delete Filing
Reassign
Amend Filing
Reassign
Amend Filing
Reassign
Amend Filing
Reassign
XYZ Holdings, Inc.
Edit Filing
Controlled Group Filings Submitted to PBGC
Information Original
Amended
Year-end Submission Submission
Date
Date
12/31/2005
04/15/2006
N/A
Name
JKL Holdings, Inc.
View Schedule P
12/31/2005
03/13/2006
N/A
EFG Holdings, Inc.
View Filing
12/31/2005
03/13/2006
01/15/2005
EFG Holdings, Inc.
View Filing
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If user is the Filing Coordinator for this filing, the
button will be labeled “View Filing" and the
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If the user has been assigned as an actuary,
the button will be labeled “View Schedule P”
and the printable format for those schedule P’s
completed by the current user will be displayed.
If user is the Filing Coordinator for this
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If user has been assigned as an actuary
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Go to filing summary (screen 11).
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this filing to a new
coordinator.
SCREEN 9
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E-4010 - Create New Filing
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Select option for new filing:
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screen 10. If answer is “do not prepopulate”, go to Schedule G (screen 12).
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SCREEN 10
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E-4010 - Create New Filing
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Select the prior filing from which data will
be extracted to pre-populate the new filing:
Province (if outside the USA):
Country:
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Plan number (PN):
Enter New Member
(ex. 333)
Go back to Screen 18 (Schedule I.I
entry page).
Is this an exempt plan about which benefit liabilities are not required to be reported?
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All plans designated as “non-exempt” will show
up on the Schedule P Summary (Screen 34)
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If frozen, display screen 22
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Will require that
Screen 22 be
displayed
Back to Schedule Summary (Screen 12)
This page displayed only if the plan freeze question was answered “yes” (last question on Screen 21)
SCREEN 22
Help
Schedule I - Identifying Information
Section II - Plans
Controlled Group: ABC Holdings, Inc.
Member: ABC Financials, Inc.
Plan: Plan A
Error messages (EM##) shown here
Information related to plan freezes
Date of freeze:
(ex. MM/DD/YYYY)
Nature of freeze:
Plan closed to new entrants
Both pay and service are frozen
Service is frozen, but pay is not
Other/combination, enter explanation:
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Go to Screen 23a
SCREEN 23a
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Schedule I - Identifying Information
Section II - Plans
Controlled Group: ABC Holdings, Inc.
Member: ABC Financials, Inc.
Plan: Plan A
Error messages (EM##) shown here
Information on changes in EIN/PN
Has the EIN or PN changed since the beginning of the current information year?
Yes
No
N/A (new plan)
If “N/A”, will require that
screen 25 be displayed.
If “Yes”, will require that
Screen 24 be displayed.
If “No”, then finished
with this plan. Go to
Screen 23b.
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Depending upon
answer on this page,
go to Screen 23b, 24,
or 25
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SCREEN 23b
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Schedule I - Identifying Information
Section II - Plans
Controlled Group: ABC Holdings, Inc.
Member: ABC Financials, Inc.
Plan: Plan B
Plan Information Completed
Note: The text below is from message CS10
The information entered for this plan is now complete. Please click on the "Enter Next Plan" button below to
enter information for an additional plan.
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Enter Next Plan
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This page displayed if changes were made since the beginning of the year (“Yes” to the question on
Screen 23a)
SCREEN 24
Help
Schedule I - Identifying Information
Section II - Plans
Controlled Group: ABC Holdings, Inc.
Member: ABC Financials, Inc.
Plan: Plan A
Error messages (EM##) shown here
Information on changes in EIN/PN
Prior EIN:
Prior PN:
(ex. 11-1111111)
(ex. 333)
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SCREEN 25
This screen will appear only if “N/A (new plan)” was selected on Screen 23a.
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Schedule I - Identifying Information
Section II - Plans
Controlled Group: ABC Holdings, Inc.
Member: ABC Financials, Inc.
Plan: Plan B
Error messages (EM##) shown here
New plan information
Date plan was first maintained
by controlled group:
(ex. MM/DD/YYYY)
Explanation:
Newly established plan
Spun-off or transferred from plan sponsored by member outside controlled group
Spun-off from plan sponsored by member within controlled group
Other, enter explanation:
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SCREEN 26
Help
Schedule I - Identifying Information
Section III - Prior Members/Prior Plans
Controlled Group: ABC Holdings, Inc.
Error messages (EM##) shown here
Former controlled group members
If any entity, other than an exempt entity, ceased to be a member of the controlled group during the
information year, enter required information with respect to that entity (see instructions).
Former plans
If any plan, other than an exempt plan, ceased to be maintained by a member of the controlled group
during the information year, enter required information with respect to that plan (see instructions).
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This page will be displayed by clicking on “Schedule F” from the filing summary if user has not yet
indicated consolidated or individual filings. User can come back to this screen at any time to change
settings by pressing the “Change Consolidated or Individual Submission Status” button on Screen 29.
SCREEN 27
Help
Schedule I.I
F -–Financial
Information
Schedule
Basic Member
Information
Type of Submission
Controlled Group: ABC Holdings, Inc.
Error messages (EM##) shown here
Which of the permissible filing alternatives is being used?
§4010.9(a) - separate financial information (financial statements or tax returns) for each non-exempt controlled
group member will be provided
§4010.9(b) - consolidated financial information that includes combined information for all non-exempt controlled
group members will be provided
Consolidated financial information that includes combined information for some, but not all, controlled group
members will be provided, along with separate financial information for those non-exempt members whose
information is not included in the consolidated information.
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will not need Screen 20. If there are
some individual and some consolidated,
Screen 20 will be displayed next.
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28 or 29
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SCREEN 28
This screen will appear only if a combination of consolidated and individual is being reported
Help
Schedule I.I
F -–Financial
Information
Schedule
Basic Member
Information
Type of Submission
Controlled Group: ABC Holdings, Inc.
Indicate whether the financial information for the following non-exempt members will be submitted individually
or consolidated:
Member Company
EIN
ABC Holdings, Inc.
10-7894561
ABC Manufacturing, Inc.
10-7894562
ABC Distribution, Inc.
10-7894563
ABC Technologies Corp.
10-7894564
Consolidated
Individual
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Go to Screen 29
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Show only those members that were
marked as “non-exempt” on Schedule I.I
(last question on Screen 10)
SCREEN 29
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Schedule I.I
F -–Financial
Information
- Summary
Schedule
Basic Member
Information
Controlled Group: ABC Holdings, Inc.
Go to Screen 28
Change Consolidated or Individual Submission Status
Consolidated Members
Member Company
EIN
Complete
ABC Holdings, Inc.
10-7894561
Yes
ABC Distribution, Inc.
10-7894563
No
Edit
Go to Screen 30
Individually Listed Members
Member Company
EIN
Complete
ABC Manufacturing, Inc.
10-7894562
Yes
Edit
ABC Distribution, Inc.
10-7894564
No
Edit
Modify Member Information
Back to Filing Summary
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Back to Screen 11
Displays all members on Schedule I.I
Go to Screen 17
SCREEN 30
Help
Schedule F – Financial Information
Controlled Group: ABC Holdings, Inc.
Member: ABC Distribution, Inc.
Display “Consolidated” or
“Member: [Plan Name]”.
Error messages (EM##) shown here
Reporting Method
What type of information is being reported?
Audited financial statements
Go to Screen 31
Unaudited financial statements
Federal tax returns
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SCREEN 31
Help
Schedule F – Financial Information
Controlled Group: ABC Holdings, Inc.
Member: ABC Distribution, Inc.
Display “Consolidated” or
“Member: [Plan Name]”.
Error messages (EM##) shown here
Reporting Method
If individually submitting financial information,
Will financial information be attached to this filing?
first question is displayed
Will consolidated financial information be attached to this filing?
If consolidated financial information, second
question is displayed
Yes
No, because it is publicly available
Will require that Screen
32 be displayed
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To Screen 32 if information is
publicly available. If not, and
is for consolidated, go to
Screen 33. If not and
individual, display message
indicating that Schedule F is
complete.
SCREEN 32
Help
Schedule F – Financial Information
Controlled Group: ABC Holdings, Inc.
Member: ABC Distribution, Inc.
Display “Consolidated” or
“Member: [Plan Name]”.
Error messages (EM##) shown here
Reporting Method
Where can the publicly available information be obtained?
SEC
Elsewhere, enter explanation:
Date information was made available to the public:
(ex. MM/DD/YYYY)
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Next>
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If is consolidated, go to
Screen 33. If individual,
display message
indicating that Schedule
F is complete.
SCREEN 33
This screen is only to be shown for consolidated members
Help
Schedule F – Financial Information
Controlled Group: ABC Holdings, Inc.
Consolidated
Display “Consolidated” or
“Member: [Plan Name]”.
Error messages (EM##) shown here
Additional Required Financial Information for each Non-Exempt Member of the Controlled Group
ABC Holdings, Inc. / 10-7894561
Revenues for the current information year: $
Operating income for the current information year: $
Net assets at the end of the current information year: $
List out each member that is
indicated as “Consolidated” on
Screen 28 of Schedule F.
ABC Distribution, Inc. / 10-7894562
Revenues for the current information year: $
Operating income for the current information year: $
Net assets at the end of the current information year: $
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Save
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Summary (Screen 29)
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SCREEN 34
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Schedule P – Plan Actuarial Information - Summary
Controlled Group: ABC Holdings, Inc.
Plan Name
Plan A
Comments
ABC Holdings, Inc.
Attachments
Print Schedule P Certification
Plan B
Comments
Print Schedule P Certification
Plan C
Comments
Print Schedule P Certification
Plan D
Comments
Print Schedule P Certification
10-7894561/002
N
10-7894563/001
N
10-7894564/001
N
Notify FC
ABC Distribution, Inc.
Attachments
Y
Notify FC
ABC Technologies, Inc.
Attachments
10-7894561/001
Notify FC
ABC Holdings, Inc.
Attachments
Complete?
EIN/PN
Sponsor
Notify FC
Modify Member Information
Modify Plan Information
Back to Filing Summary
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Go to Screen 41
Go to Screen 40
Hyperlinks to Screen 35 (prepopulated if already filled out).
Displays only those plans that
were marked as “non-exempt”
on Schedule I.II (Screen 21)
These buttons will open this
plan's Schedule P for printing
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Go to Screen 20
These buttons will only appear if this
schedule P has been assigned to an
actuary. When pressed, a confirmation
page will be displayed asking the
actuary if they are sure they want to
notify the FC that the Schedule has
been completed.
SCREEN 35
Help
Schedule P – Plan Actuarial Information
Basic Plan Information
Controlled Group: ABC Holdings, Inc.
Plan Sponsor: ABC Financials, Inc.
Plan Name: Plan A: 10-7894562/001
Error messages (EM##) shown here
Enrolled Actuary Information
First name:
Last name:
EA number
Telephone:
(ex. 02-1111)
(ex. 111-111-1111)
Ext.
E-mail (optional):
(ex. aa@a.com)
Enter the following information with respect to the plan year ending within the information year
Plan year end:
(ex. MM/DD/YYYY)
Is this plan year a short plan year?
Yes
No
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SCREEN 36
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Schedule P – Plan Actuarial Information
Funded Status Information
Controlled Group: ABC Holdings, Inc.
Plan Sponsor: ABC Financials, Inc.
Plan Name: Plan A: 10-7894562/001
Error messages (EM##) shown here
Participant Counts and Benefit Liabilities
Benefit Liabilities
Number of Participants
Participant Status
(Before reflecting expense load)
Active
###,###
$
###,###,###
Terminated vested
###,###
$
###,###,###
Receiving benefits
###,###
$
###,###,###
###,###
$
###,###,###
Expense load per § 4044.52(e)
$
###,###,###
Total Benefit Liabilities*
$
###,###,###
Total
Benefit Liabilities after reflecting expense load
* Determined using assumptions (i.e. retirement age, interest, mortality, expense load)
provided in §4044.51-57
Clicking button will calculate and display total benefit
liabilities before and after expense load as been factored in
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Back to Screen 34
Go to Screen 37
SCREEN 37
Help
Schedule P – Plan Actuarial Information
Funded Status Information
Controlled Group: ABC Holdings, Inc.
Plan Sponsor: ABC Financials, Inc.
Plan Name: Plan A: 10-7894562/001
Error messages (EM##) shown here
Census Data used to determine benefit liabilities:
Projected from a date within the plan year ending within the information year
As of the end of the plan year ending within the information year or the beginning of the subsequent year
Interest rate used to determine benefit liabilities
years
Period 1:
% for first
Period 2:
% for all years thereafter
(ex. 4.21% for first 20 years)
Fair market value of assets (excluding receivables):
$
< Back
###,###,###
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Back to Screen 34
Go to Screen 38
SCREEN 38
Help
Schedule P – Plan Actuarial Information
Additional Actuarial Information
Controlled Group: ABC Holdings, Inc.
Plan Sponsor: ABC Financials, Inc.
Plan Name: Plan A: 10-7894562/001
Error messages (EM##) shown here
Which of the following five statements describes the method under which the additional information required
under §4010.8(a)(3) will be provided?
All of the information is included in one actuarial valuation report. It is my understanding that the report will be
submitted:
As an attachment to this filing
Electronically within 15 days of the IRS Form 5500 filing deadline for the plan year ending within the information
year
The actuarial valuation report does not contain all of the additional required information. Therefore, supplemental
information will also be provided. It is my understanding that the report and the supplemental information will be
submitted:
As an attachment to this filing
Electronically within 15 days of the IRS Form 5500 filing deadline for the plan year ending within the information
year
A combination of the two above
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Go to Screen 39
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SCREEN 39
Help
Schedule P – Plan Actuarial Information
Controlled Group: ABC Holdings, Inc.
Plan Sponsor: ABC Financials, Inc.
Plan Name: Plan A: 10-7894562/001
Actuarial Information Completed
You have reached the end of this schedule.
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Screen 34
Back to
Screen 34
(no save)
Show appropriate Schedule depending on button pushed on Filing Summary (Screen 11)
or Schedule P Summary (Screen 34).
SCREEN 40
Help
Schedule I/F/P – Attachments
Controlled Group: ABC Holdings, Inc.
Attachments
Description
org_chart1.pdf
org chart for the controlled group
Delete
sal_avg.doc
valuation report for the salaried plan
Delete
Browse
File:
Description:
Back to Schedule P Summary
Back to Filing Summary
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Files are displayed after
the “Attach” button has
been clicked.
If Schedule I or
Schedule F
attachment, go back
to Filing Summary
(Screen 11).
If Schedule P attachment
then go to Schedule P
Summary (Screen 34).
Show appropriate Schedule depending on appropriate “Comments” button from Screen 11 on
Screen 34.
SCREEN 41
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Schedule G/FG/I/F/P – Comments
Comments:
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SCREEN 42
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Reassign Filing
Controlled Group: ABC Holdings, Inc.
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Enter the email address of the person you would like to assign this filing:
Email address:
(ex. aa@a.com)
Note: You may only assign a filing to someone who
has an e-4010 account.
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This button will first check that the
entered email is associated with an
existing e-4010 account. If not,
display error message. If account with
the entered email exists, then assign
this filing to the new filing coordinator
and return to screen 8.
SCREEN 43
Help
Assign to Actuary
Controlled Group: ABC Holdings, Inc.
Error messages (EM##) shown here
This drop-down list will be
populated with the first name, last
name, and email addresses of
those actuaries already assigned by
the current FC.
Actuaries currently assigned: