DC-1 (Internet) Employer's Quarterly Report of Contributions Under the R

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UNITED STATES OF AMERICA
RAILROAD RETIREMENT BOARD
Employer's Quarterly Report of contributions under
the Railroad Unemployment Insurance Act
This Report is Required By Law - 20 C.F.R. 345.5

Co. Name

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Address

f ~ h e c ~ ~ Order
o n e ~

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1
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Employer Number

Check appropriate box for report statuslmethod of payment
Final Report

FORM APPROVED
O.M.B. NO.3220-0012
Calendar Quarter and Year

>PaperworkReduction Act Notice

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Electronic Form DC-I will be filed with:
CHIEF FINANCIAL OFFICER
U.S. RAILROAD RETIREMENT BOARD
844 N Rush Street, Chicago, Illinois 60611-2092
Month BA-4
Prepared

2. Compensation Adj.
Reported on Form BA-4

Year Adjusted Amount of Compensation Contribution Rate
subject to contribution
(b)
(dl

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- -- --

-

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-- -

-

Amount of Contribution Due
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7-7
-777
1 7 7
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0.00
-0.00

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0.00
0.00

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I I 7 I

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0.00
-77.

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0.00
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4. Corrections to prior
Form DC-1

0.00

8. Amount of Remittance
9. Preparer's Name

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l~obert~llin~

1 1312-7514310

I CERTIFY THAT I HAVE EXAMINED THIS REPORT, THAT IT IS MADE IN GOOD FAITH AND THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF ALL ENTRIES MADE
HEREIN ARE TRUE AND CORRECT, AND IN ACCORDANCE WITH THE LAW AND REGULATIONS APPLICABLE HERETO. I UNDERSTAND THAT PROVIDING FALSE OR
FRAUDULENT INFORMATION OR FAILING TO PROVIDE REQUIRED INFORMATION IS A VIOLATION OF FEDERAL LAW PUNISHABLE BY FINE, IMPRISONMENT OR
BOTH.

RobertElling
FORM DC-l(4-03)

DESTROY PRIOR EDITIONS

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Submit-

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TITLE
DATE

312512009

INSTRUCTIONS

PAPERWORK REDUCliON ACT HaliCE

1Ae ask fOr !his infOfmation to carry out Ibe provisions of Ibe Railroad
Unemployment Insurance Ad. 1Ae need it to ensure that railroad employers
are complying with the.Ad and to allow us to compute and collect the CXlIIecI:
amount of contributions. You are required to give us !his infonnatioo.
1Ae estimate !his ilrm takes an awrage of 25 minutes per- response to
complete, including the lime fOr revielMng the insIructions. getting the
needed data, and revielMng the completed fi:lnn. Federal agencies may not
conduct or sponsor, and respondents are not required to respond to, a
collection of infOfmation unless it displays a valid OMB number. Ifyou wish,
send commenls reganling the acancy of our estimate or any other aspect
of !his foon, including suggestions fOr reducing completion tirne.. to Ibe
Chief of Infonnation Resoun::es Management. Railroad Retirement Board,

844 N. Rush St, Chicago,ll60611-2092.

EMPLOYER'S CONTRIBU110NS AND CONTRIBU11ON REPORTS
Genend requirements E\IeI'Y employer under the Railroad
Unemployment Insurance.Ad is required to pay a contribution equal to a
pen:enlage of the compensaIion earned by any employee. All employers
are notified annually of the con1ributioo rate wiIh Form J[)..4Or-, Annual NoIice
to Employer - RUI Ad. in October. The monthly compensation base is
established evefy Novembervra a separate notice.
Reporting requirements Every employer must file a report and pay
contriI:lutions for each talerIdar" quarter in wttid1 compensation is earned by
one or more employees.

The report fOr each quarter must be filed and the contriilutions must be paid
on or betbre the due dale shown below:
QUARTER ENDED

DUE ON OR BEFORE

Man:h31
June 30
September 30
December 31

April 30
July 31

October 31
Janumy31

Ifthe due date falls on Saturday, SUnday, ora national legal holiday, the
report must be filed and the payment made on or before the next ilIlowing
business day. The report must be pos1marked on or before the date on
which the report is required to be filed. Payments by eIedronic medium
must be effective on or before the date on wttid1 the ()c"1 report is
required to be filed.

Penalties - Forfailure to file a report on or before the date on which it is
due, sedion 345 of the regulations provides a penally ofive to twenty-five
percent of the contribution. depending upon the duration of the delinquency.
unless the employer establishes to the saIisIadion of the Railroad
Retirement Board (RRB) that a reasonable cause exisIs for the delinquency.
Intelest- If any contribution is not paid when due, interest will acaue
thereon at the rate of one percent per month orfi8ction of a month from the
date on wttich it beI::ame due unIiJ it is paid. A fmclional part of the month
will be treated the same as a full month, ag. a contribution postmarked one
day after the due date will be assessed a full month's interest
Records - E\IeI'Y employer under the Railroad Unemployment Insurance Ad
must keep accurate records containing sufIicient infOnnation to enable the
RRB to det.ennine wfleUterthe contributions have been correcIIy compuI.ed
and paid. SUch recon:Is shall be maintained fOr a period of at least five yeafS
alter the date the contnbulion to wttid1 they relate becomes due or the date
1he conb:ibution is paid, wIlichew!r is later, and shall be open at all times to
the inspection of the RRB or any of its offic:ers or employees.

COMPLE11NG FORM 00-1
Identifying InfGnnation - Enter the employer number used in reporting
compensaOOn to the RRB's Chief of Compensation and Employer Services
Center, the calendar quarter and year covered, and the full name and
address of the employer. Iffuture reports are not required please check
"ANAl.. REPORT.' Also check the box to indicate method of payment.

No enIJy required in columns (a)
Item 1- Cunent repoIting period and (b). Enter in column (c) the total compensation subject to
contribution for the current reporting period, in column (d) the
contribution rate indicated in the annual notice and in column (e) the
amount of contribution due..

Item 2 - Compensation Adjustments Enter in column (a) the monlb
indicated on Form BA-4, Report of Credif8ble Compensation
Adjustments. Enter in column (b) the calendaryearwtJk;h was adjusted
by the Form BA-4 (a BA-4 that adjusts more than 1 talendaryear
requires a separate line for each year). Enterin column (c) on the
approflfiate line the amount of the net irta'ease or deaease resulting
from compensation adjustments app[lCabIe to prior periods as repoI1ed
on the Form BA-4 filed during the period covered by the I'eflOI1. The entry
is to be made in the space provided fOrthe period aIfeded by the
adjustment Enter in column (d) the contribution rate applicable (8.0%)
for yems from 1/111981 through 12131/1990; see section 345 of the
RRB's regulalionforyems prior to 1981. Enter in column (e) the amount
of contributions due.
If any amount is a deaease. it should be noted by inserting the leIter"D"
alter the amount

Item 3 - Total- Enterthe total of the compensation amounts shown fOr
items 1 and 2 in column (e) and the total of the contribution amounts in
column (el. The total compensation reported on line 3 fOr the four­
quartets of each year should be the same as the total compensation
repoI1ed on Forms BA-3, Annual Report of Credif8bIe Compensalion,
and BA-4 to the Chiefof Compensation and Employer Services Center
If they do not agree, please atIach a slatement that explains the
reason(s) for the diIferem:e in total compensation repoI1ed here and
separately repoI1ed to the
Chief of Compensation and Employer
Services Center . The total compensation to be listed on !his contnbulion
report is to be demred from payrolls or other disbursement documents
for an appropriate quarter.
Enter t:on'edions,
Item 4 - Com!etion to prior Forms DC-1underpayments or overpayments of contribution not invohring BA-4
adjustments appIicalJle to prior compensation reports. On line 1 in column
(a) enter the talerIdar" quarter and year ofthe Form ()C..1 which requires
conedion. Enter in column (b) the calendaryear adjusted. Entries in
columns (c) through (e) should be the same infonnatioo as indicated on
Form ()c"1 to be cooected. Enter on line 2 in columns (c) through (e). the
CXlIIecI: inmrmaliol ~ Additional corredions to Forms ()C..1 should be
documented on an atIachment in the same format as the first conedion.
On line 3 of columns (e) and (e) the net correction total is entered.
ItemS- TobII- Add columns (c) and (e) of item 3 and line 3 of item 4

and enter the totals.
Items 6a & b -lntemstIpenaItie Indicale the quarter and year
applicable in item Sa. Enter the amount of interestJpenaItes in item 6b.
Item 7 - Report TobII- Enterthe total amount of the remiUanc:e required
by this I'eflOI1. Add the amounts shown in items 5e and 6b.

Item 8 - Amount of Remillanc:e Enter, in column (el, the foIaI amount
remitted for-!his I!!flOIt It should be the amount shown in item 7.
Item 9 - Enter the name and telephone number of the individual preparing
thefonn.

Signature - Each report must be signed by (i) the individual if the
employer is an indMduai, (2) 1he president, vice president, or other duly
authorized oIicer if the employer is a corporation, or (3) a responsible or
duly authorized member or ofIicer having knowledge of its aII8irs, if the
employer is a parIneIship or other incofporated organization. The IiIIe of
the oIicer must be indicated as well as the date signed.

DC-1 (12-11)

Paperwork Reduction Act Notice

Page 1 of 1

Paperwork Reduction Act Notice
We ask for this information to carry out the provisions of the Railroad Unemployment Insurance Act. We need
it to ensure that railroad employers are complying with the act and to allow us to compute and collect the
correct amount of contributions. You are required to give us this information.
We think this form takes an average of 25 minutes per response to complete, including the time for reviewing
the instructions, getting the-needed data, and reviewing the completed form. Federal agencies may not conduct
or sponsor, and respondents are not required to respond to, a collection of information unless it displays a valid
OMB number. If you wish, send comments regarding the accuracy of our estimate or any other aspects of this
form, including suggestions for reducing completion time, to the Chief of Information Resources Management,
Railroad Retirement Board, 844 N. Rush St., Chicago, IL 6061 1-2092. Please do not return this form to this
address.

https://www.pay.gov/FormServer/RRl3kelp/Paperwork-Reduction-Act-Notice. html