EX-4 3 dkm253a.txt EXHIBIT 4 - ADOPTION AGREEMENT Prototype Cash or Deferred Profit- Sharing Plan #004 EXHIBIT 4 NONSTANDARDIZED ADOPTION AGREEMENT PROTOTYPE CASH OR DEFERRED PROFIT-SHARING PLAN AND TRUST/CUSTODIAL ACCOUNT Sponsored by SUNTRUST The Employer named below hereby establishes a Cash or Deferred Profit-Sharing Plan for eligible Employees as provided in this Adoption Agreement and the accompanying Basic Prototype Plan and Trust/Custodial Account Basic Plan Document #04. 1. EMPLOYER INFORMATION NOTE: If multiple Employers are adopting the Plan, complete this section based on the lead Employer. Additional Employers may adopt this Plan by attaching executed signature pages to the back of the Employer's Adoption Agreement. (a) NAME AND ADDRESS: Nobility Homes, Inc. 3741 SW 7th Street Ocala, FL 34474 (b) TELEPHONE NUMBER: (352) 732-5157 (c) TAX ID NUMBER: 59-1166102 (d) FORM OF BUSINESS: [ ] (i) Sole Proprietor [ ] (ii) Partnership [x ] (iii) Corporation [ ] (iv) "S" Corporation (formerly known as Subchapter S) Page 1 of Exhibit 4 [ ] (v) Other: _________________________ (e) NAME OF INDIVIDUAL AUTHORIZED TO ISSUE INSTRUCTIONS TO THE TRUSTEE/CUSTODIAN: Those as certified by the employer (P&T 11.4(d)) (f) NAME OF PLAN:Nobility Homes, Inc. 401(k) Profit Sharing Plan (g) THREE DIGIT PLAN NUMBER FOR ANNUAL RETURN/REPORT: 001 2. EFFECTIVE DATE (a) This is a new Plan having an effective date of ____________. (b) This is an amended Plan. The effective date of the original Plan was January 1, 1996. The effective date of the amended Plan is April 1, 1999. (c) If different from above, the Effective Date for the Plan's Elective Deferral provisions shall be ___________. NOTE: See Appendix A before Signatures at Paragraph 23 for provisions which differ from this final Tax Reform Act of 1986 Plan Document and their effective periods. 3. DEFINITIONS (a) "Collective or Commingled Funds" (Applicable to institutional Trustees only.) Investment in collective or commingled funds as permitted at paragraph 13.3(b) of the Basic Plan Document #04 shall only be made to the following specifically named fund(s): SunTrust Employee Benefit Stable Asset Fund Funds made available after the execution of this Adoption Agreement will be listed on schedules attached to the end of this Adoption Agreement. (b) "Compensation" Compensation shall be determined on the basis of the: [x] (i) Plan Year. Page 2 of Exhibit 4 [ ] (ii) Employer's Taxable Year. [ ] (iii) Calendar Year. NOTE: If Plan Year is selected, Compensation will only include amounts earned while a Participant. Compensation shall be determined on the basis of the following safe-harbor definition of Compensation in IRS Regulation Section 1.414(s)-1(c): [x] (iv) Code Section 6041 and 6051 Compensation, [ ] (v) Code Section 3401(a) Compensation, or [ ] (vi) Code Section 415 Compensation. Compensation [x] shall [ ] shall not include Employer contributions made pursuant to a Salary Savings Agreement which are not includable in the gross income of the Employee for the reasons indicated in the definition of Compensation at 1.12 of the Basic Plan Document #04. NOTE: Any exclusion of Compensation must satisfy the requirements of Section 1.401(a)(4) of the Income Tax Regulations and Code Section 414(s) and the regulations thereunder. For purposes of the Plan, Compensation shall be limited to $____, the maximum amount which will be considered for Plan purposes. [If an amount is specified, it will limit the amount of contributions allowed on behalf of higher compensated Employees. Completion of this section is not intended to coordinate with the $150,000 of Code Section 401(a)(17), thus the amount should be less than $150,000 as adjusted for cost-of-living increases.] If the Employer chooses a non-integrated allocation formula, Compensation will exclude: [ ] (1) overtime. [ ] (2) bonuses. [ ] (3) commissions. [ ] (4) _________________. Page 3 of Exhibit 4 NOTE: Any exclusion of Compensation must satisfy the requirements of Section 1.401(a)(4) of the Income Tax Regulations and Code Section 414(s) and the regulations thereunder. For purposes of ADP and ACP testing, calculations shall be determined based on [x] Compensation amounts for the periods which the Employee was eligible to participate or [ ] Compensation amounts for the entire Plan Year, whether or not the Employee was a Participant for the entire Plan Year. (c) "Entry Date" [ ] (i) The first day of the Plan Year nearest the date on which an Employee meets the eligibility requirements. [x] (ii) The earlier of the first day of the Plan Year or the first day of the seventh month of the Plan Year coinciding with or following the date on which an Employee meets the eligibility requirements. [ ] (iii) The first day of the Plan Year following the date on which the Employee meets the eligibility requirements. If this election is made, the Service requirement at 4(a)(ii) may not exceed 1/2 year and the age requirement at 4(b)(ii) may not exceed 20 1/2. [ ] (iv) The first day of the month coinciding with or following the date on which an Employee meets the eligibility requirements. [ ] (v) The first day of the Plan Year, or the first day of the fourth month, or the first day of the seventh month or the first day of the tenth month, of the Plan Year coinciding with or following the date on which an Employee meets the eligibility requirements. (d) "Hours of Service" Shall be determined on the basis of the method selected below. Only one method may be selected. The method selected shall be applied to all Employees covered under the Plan as follows: [x] (i) On the basis of actual hours for which an Employee is paid or entitled to payment. [ ] (ii) On the basis of days worked. An Employee shall be credited with ten (10) Hours of Service if under paragraph 1.44 of the Basic Plan Document #04 such Employee would be credited with at least one (1) Hour of Service during the day. Page 4 of Exhibit 4 [ ] (iii) On the basis of weeks worked. An Employee shall be credited with forty-five (45) Hours of Service if under paragraph 1.44 of the Basic Plan Document #04 such Employee would be credited with at least one (1) Hour of Service during the week. [ ] (iv) On the basis of semimonthly payroll periods. An Employee shall be credited with ninety-five (95) Hours of Service if under paragraph 1.44 of the Basic Plan Document #04 such Employee would be credited with at least one (1) Hour of Service during the semimonthly payroll period. [ ] (v) On the basis of months worked. An Employee shall be credited with one-hundred-ninety (190) Hours of Service if under paragraph 1.44 of the Basic Plan Document #04 such Employee would be credited with at least one (1) Hour of Service during the month. (e) "Limitation Year" The 12-consecutive month period commencing on January 1 and ending on December 31. If applicable, the Limitation Year will be a short Limitation Year commencing on ____________ and ending on ____________. Thereafter, the Limitation Year shall end on the date last specified above. (f) "Net Profit" [x] (i) Not applicable (profits will not be required for any contributions to the Plan). [ ] (ii) As defined in paragraph 1.51 of the Basic Plan Document #04. [ ] (iii) Shall be defined as: __________________________________ (Only use if definition in paragraph 1.51 of the Basic Plan Document #04 is to be superseded.) (g) "Plan Year" The 12-consecutive month period commencing on January 1 and ending on December 31. Page 5 of Exhibit 4 If applicable, the Plan Year will be a short Plan Year commencing on _____ and ending on ____. Thereafter, the Plan Year shall end on the date last specified above. (h) "Qualified Early Retirement Age" For purposes of making distributions under the provisions of a Qualified Domestic Relations Order, the Plan's Qualified Early Retirement Age with regard to the Participant against whom the order is entered [x] shall [ ] shall not be the date the order is determined to be qualified. If "shall" is elected, this will only allow payout to the alternate payee(s). (i) "Qualified Joint and Survivor Annuity" The safe-harbor provisions of paragraph 8.7 of the Basic Plan Document #04 [x] are [ ] are not applicable. If not applicable, the survivor annuity shall be ___% (50%, 66%, 75% or 100%) of the annuity payable during the lives of the Participant and Spouse. If no answer is specified, 50% will be used. (j) "Taxable Wage Base" [ ] (i) Not Applicable - Plan is not integrated with Social Security. [x] (ii) The maximum earnings considered wages for such Plan Year under Code Section 3121(a). [ ] (iii) _____% (not more than 100%) of the amount considered wages for such Plan Year under Code Section 3121(a). [ ] (iv) $__________, provided that such amount is not in excess of the amount determined under paragraph 3(j)(ii) above. [ ] (v) For the 1989 Plan Year $10,000. For all subsequent Plan Years, 20% of the maximum earnings considered wages for such Plan Year under Code Section 3121(a). NOTE: Using less than the maximum at (ii) may result in a change in the allocation formula in Section 7. (k) "Valuation Date(s)" Allocations to Participant Accounts will be done in accordance with Article V of the Basic Plan Document #04: (i) Daily (v) Quarterly (ii) Weekly (vi) Semiannually (iii) Monthly (vii) Annually (iv) Bimonthly Page 6 of Exhibit 4 Indicate Valuation Date(s) to be used by specifying option from list above: Type of Contribution(s) Valuation Date(s) ----------------------- ----------------- After-Tax Voluntary Contributions [Section 6] n/a Elective Deferrals [Section 7(b)] (i) Matching Contributions [Section 7(c)] (i) Qualified Non-Elective Contributions [Section 7(d)] (i) Non-Elective Contributions [Section 7(e), (f) and (g)] (i) Minimum Top-Heavy Contributions [Section 7(i)] (i) (1) "Year of Service" (i) For Eligibility Purposes: The 12-consecutive month period during which an Employee is credited with 1,000 (not more than 1,000) Hours of Service. (ii) For Allocation Accrual Purposes - Employer Matching Contributions: The 12-consecutive month period during which an Employee is credited with 1,000 (not more than 1,000) Hours of Service. (iii) For Allocation Accrual Purposes -All Other Employer Contributions: The 12-consecutive month period during which an Employee is credited with 1,000 (not more than 1,000) Hours of Service. (iv) For Vesting Purposes: The 12-consecutive month period during which an Employee is credited with 1,000 (not more than 1,000) Hours of Service. 4. ELIGIBILITY REQUIREMENTS (a) Service: [ ] (i) The Plan shall have no Service requirement. [x] (ii) The Plan shall cover only Employees having completed at least 1 [not more than one (1)] Years of Service. NOTE: If the eligibility period selected is less than one year, an Employee will not be required to complete any specified number of Hours of Service to receive credit for such period. Page 7 of Exhibit 4 (b) Age: [ ] (i) The Plan shall have no minimum age requirement. [x] (ii) The Plan shall cover only Employees having attained age 21 (not more than age 21). (c) Classification: The Plan shall cover all Employees who have met the age and service requirements with the following exceptions: [ ] (i) No exceptions. [x] (ii) The Plan shall exclude Employees included in a unit of Employees covered by a collective bargaining agreement between the Employer and Employee Representatives, if retirement benefits were the subject of good faith bargaining. For this purpose, the term "Employee Representative" does not include any organization more than half of whose members are Employees who are owners, officers, or executives of the Employer. [x] (iii) The Plan shall exclude Employees who are nonresident aliens and who receive no earned income from the Employer which constitutes income from sources within the United States. [ ] (iv) The Plan shall exclude from participation any nondiscriminatory classification of Employees determined as follows: _______________________________________ NOTE: Employees, if otherwise permitted under law and regulations, may waive out from all or a portion of this Plan if the Employer so provides above and the Plan continues to meet the requirements of Code Sections 401(a)(26) and 410(b). In addition, eliminating part-time employees, as announced by several Key Districts, is not acceptable since the IRS considers that to be discriminatory classification. (d) Employees on Effective Date: [x] (i) Not Applicable. All Employees will be required to satisfy both the age and Service requirements specified above. Page 8 of Exhibit 4 [ ] (ii) Employees employed on the Plan's Effective Date do not have to satisfy the Service requirements specified above. [ ] (iii) Employees employed on the Plan's Effective Date do not have to satisfy the age requirements specified above. 5. RETIREMENT AGES (a) Normal Retirement Age: If the Employer imposes a requirement that Employees retire upon reaching a specified age, the Normal Retirement Age selected below may not exceed the Employer imposed mandatory retirement age. [x] (i) Normal Retirement Age shall be 60 (not to exceed age 65). [ ] (ii) Normal Retirement Age shall be the later of attaining age (not to exceed age 65) or the ____ (not to exceed the 5th) anniversary of the first day of the first Plan Year in which the Participant commenced participation in the Plan. (b) Early Retirement Age: [x] (i) Not Applicable. [ ] (ii) The Plan shall have an Early Retirement Age of __ (not less than 55) and completion of ____ Years of Service. 6. EMPLOYEE CONTRIBUTIONS [x] (a) Participants shall be permitted to make Elective Deferrals in any amount from 0.1% up to 20 % of their Compensation. If (a) is applicable, Participants shall be permitted to amend their Salary Savings Agreements to change the contribution percentage as provided below: [ ] (i) On the Anniversary Date of the Plan, [ ] (ii) On the Anniversary Date of the Plan and on the first day of the seventh month of the Plan Year, [ ] (iii) On the Anniversary Date of the Plan and on the first day following any Valuation Date, Page 9 of Exhibit 4 [x] (iv) On the Anniversary Date of the Plan and on the first day of the fourth, seventh and tenth months of the Plan Year, or [ ] (v) Upon 30 days' notice to the Employer. [ ] (b) Participants shall be permitted to make after tax Voluntary Contributions up to ___% of Compensation. [ ] (c) Participants shall be required to make after tax Voluntary Contributions as follows (Thrift Savings Plan): [ ] (i) ____% of Compensation. [ ] (ii) A percentage determined by the Employee on his or her enrollment form. NOTE: If Employee after-tax Voluntary Contributions are required for the Employee to participate in the Plan, the Employer Contribution shall be deemed Employer Matching Contributions subject to the Average Contribution Percentage [401(m)] Test. [x] (d) If necessary to pass the Average Deferral Percentage Test, Participants [ ] may [x] may not have Elective Deferrals recharacterized as Voluntary Contributions. NOTE: The Average Deferral Percentage Test will apply to contributions under (a) above. The Average Contribution Percentage Test will apply to contributions under (b) and (c) above, and may apply to (a). 7. EMPLOYER CONTRIBUTIONS AND ALLOCATION THEREOF NOTE: The Employer shall make contributions to the Plan in accordance with the formula or formulas selected below. The Employer's contribution shall be subject to the limitations contained in Articles III and X. For this purpose, a contribution for a Plan Year shall be limited for the Limitation Year which ends with or within such Plan Year. Also, the integrated allocation formulas below are for Plan Years beginning in 1989 and later. The Employer's allocation for earlier years shall be as specified in its Plan prior to amendment for the Tax Reform Act of 1986. Page 10 of Exhibit 4 (a) Profits Requirement: (i) Current or Accumulated Net Profits are required for: [ ] (A) Matching Contributions. [ ] (B) Qualified Non-Elective Contributions. [ ] (C) discretionary contributions. (ii) No Net Profits are required for: [x] (A) Matching Contributions. [x] (B) Qualified Non-Elective Contributions. [x] (C) discretionary contributions. NOTE: Elective Deferrals can always be contributed regardless of profits. [x] (b) Salary Savings Agreement: The Employer shall contribute and allocate to each Participant's account an amount equal to the amount withheld from the Compensation of such Participant pursuant to his or her Salary Savings Agreement. If applicable, the maximum percentage is specified in Section 6 above. An Employee who has terminated his or her election under the Salary Savings Agreement other than for hardship reasons may not make another Elective Deferral: [ ] (i) until the first day of the next Plan Year. [ ] (ii) until the next Valuation Date. [ ] (iii) until the first day of the next Plan Year or, if earlier, on the first day of the seventh month of the current Plan Year. [x] (iv) until the first day of the next Plan Year or, if earlier, on the first day of the fourth, seventh and tenth months of the current Plan Year. [ ] (v) for a period of _____ month(s) (not to exceed 12 months). Page 11 of Exhibit 4 [x] (c) Matching Employer Contribution [See paragraphs (h) and (i)]: [ ] (i) Percentage Match: The Employer shall contribute and allocate to each eligible Participant's account an amount equal to ____% of the amount contributed and allocated in accordance with paragraph 7(b) above and (if checked) ____% of [ ] the amount of Voluntary Contributions made in accordance with paragraph 4.1 of the Basic Plan Document #04. The Employer shall not match Participant Elective Deferrals as provided above in excess of $________ or in excess of ______% of the Participant's Compensation or if applicable, Voluntary Contributions in excess of $______ or in excess of ____% of the Participant's Compensation. In no event will the match on both Elective Deferrals and Voluntary Contributions exceed a combined amount of $_____ or ___%. [x] (ii) Discretionary Match: The Employer shall contribute and allocate to each eligible Participant's account a percentage of the Participant's Elective Deferral contributed and allocated in accordance with paragraph 7(b) above. The Employer may set such percentage prior to the end of the Plan Year. The Employer shall not match Participant Elective Deferrals in excess of $________ or in excess of ______% of the Participant's Compensation. [ ] (iii) Tiered Match: The Employer shall contribute and allocate to each Participant's account an amount equal to ____% of the first ____% of the Participant's Compensation, to the extent deferred. _____% of the next ____% of the Participant's Compensation, to the extent deferred. _____% of the next ____% of the Participant's Compensation, to the extent deferred. NOTE: Percentages specified in (iii) above may not increase as the percentage of Participant's contribution increases. [ ] (iv) Flat Dollar Match: The Employer shall contribute and allocate to each Participant's account $_______ if the Participant defers at least 1% of Compensation. [ ] (v) Percentage of Compensation Match: The Employer shall contribute and allocate to each Participant's account _____% of Compensation if the Participant defers at least 1% of Compensation. Page 12 of Exhibit 4 NOTE: Matching options (iv) or (v) may violate the Code Section 401(a) regulations by failure to make the match effectively available to all Participants. [ ] (vi) Proportionate Compensation Match: The Employer shall contribute and allocate to each Participant who defers at least 1% of Compensation, an amount determined by multiplying such Employer Matching Contribution by a fraction the numerator of which is the Participant's Compensation and the denominator of which is the Compensation of all Participants eligible to receive such an allocation. The Employer shall set such discretionary contribution prior to the end of the Plan Year. [x] (vii) Qualified Match: Employer Matching Contributions will be treated as Qualified Matching Contributions to the extent specified below: [ ] (A) All Matching Contributions. [x] (B) None. [ ] (C) ____% of the Employer's Matching Contribution. [ ] (D) Up to ____% of each Participant's Compensation. [ ] (E) The amount necessary to meet the [ ] Average Deferral Percentage (ADP) Test, [ ] Average Contribution Percentage (ACP) Test, [ ] Both the ADP and ACP Tests. (viii) Matching Contribution Computation Period: The time period upon which matching contributions will be based shall be: [ ] (A) weekly [ ] (B) biweekly [ ] (C) semimonthly [ ] (D) monthly [ ] (E) quarterly [ ] (F) semiannually Page 13 of Exhibit 4 [x] (G) annually [ ] (H) the Participant's payroll period (ix) Eligibility for Match: Employer Matching Contributions, whether or not Qualified, will only be made on Employee Contributions not withdrawn prior to the end of the [ ] valuation period [ ] Plan Year. NOTE: This Eligibility for Match shall override any conflicting Employer contribution requirements in the Basic Plan Document since the Employee Elective Deferrals and/or Contributions shall be deemed not made if withdrawn. [x] (d) Qualified Non-Elective Employer Contribution - [See paragraphs (h) and (i)] These contributions are fully vested when contributed. The Employer shall have the right to make an additional discretionary contribution which shall be allocated to each eligible Employee in proportion to his or her Compensation as a percentage of the Compensation of all eligible Employees. This part of the Employer's contribution and the allocation thereof shall be unrelated to any Employee contributions made hereunder. The amount of Qualified non-Elective Contributions taken into account for purposes of meeting the ADP or ACP test requirements is: [ ] (i) All such Qualified non-Elective Contributions. [x] (ii) The amount necessary to meet [ ] the ADP test, [ ] the ACP test, [x] Both the ADP and ACP tests. Qualified non-Elective Contributions will be made to: [ ] (iii) All Employees eligible to participate. [x] (iv) Only non-Highly Compensated Employees eligible to participate. [ ] (e) Additional Employer Contribution Other Than Qualified Non-Elective Contributions - Non-Integrated [See paragraphs (h) and (i)] The Employer shall have the right to make an additional discretionary contribution which shall be allocated to each eligible Employee in proportion to his or her Compensation as a percentage of the Compensation of all eligible Employees. This Page 14 of Exhibit 4 part of the Employer's contribution and the allocation thereof shall be unrelated to any Employee contributions made hereunder. [x] (f) Additional Employer Contribution - Integrated Allocation Formula [See paragraphs (h) and (i)] The Employer shall have the right to make an additional discretionary contribution. The Employer's contribution for the Plan Year plus any forfeitures shall be allocated to the accounts of eligible Participants as follows: (i) First, to the extent contributions and forfeitures are sufficient, all Participants will receive an allocation equal to 3% of their Compensation. (ii) Next, any remaining Employer Contributions and forfeitures will be allocated to Participants who have Compensation in excess of the Taxable Wage Base (excess Compensation). Each such Participant will receive an allocation in the ratio that his or her excess compensation bears to the excess Compensation of all Participants. Participants may only receive an allocation of 3% of excess Compensation. (iii) Next, any remaining Employer contributions and forfeitures will be allocated to all Participants in the ratio that their Compensation plus excess Compensation bears to the total Compensation plus excess Compensation of all Participants. Participants may only receive an allocation of up to 2.7% of their Compensation plus excess Compensation, under this allocation method. If the Taxable Wage Base defined at Section 3(j) is less than or equal to the greater of $10,000 or 20% of the maximum, the 2.7% need not be reduced. If the amount specified is greater than the greater of $10,000 or 20% of the maximum Taxable Wage Base, but not more than 80%, 2.7% must be reduced to 1.3%. If the amount specified is greater than 80% but less than 100% of the maximum Taxable Wage Base, the 2.7% must be reduced to 2.4%. NOTE: If the Plan is not Top-Heavy or if the Top-Heavy minimum contribution or benefit is provided under another Plan [see Section 11(c)(ii)] covering the same Employees, sub-paragraphs (i) and (ii) above may be disregarded and 5.7%, 4.3% or 5.4% may be substituted for 2.7%, 1.3% or 2.4% where it appears in (iii) above. (iv) Next, any remaining Employer contributions and forfeitures will be allocated to all Participants (whether or not they received an allocation under the preceding paragraphs) in the ratio that each Participant's Compensation bears to all Participants' Compensation. Page 15 of Exhibit 4 [ ] (g) Additional Employer Contribution-Alternative Integrated Allocation Formula. [See paragraph (h) and (i)]. The Employer shall have the right to make an additional discretionary contribution. To the extent that such contributions are sufficient, they shall be allocated as follows: ___% of each eligible Participant's Compensation plus ____% of Compensation in excess of the Taxable Wage Base defined at Section 3(j) hereof. The percentage on excess compensation may not exceed the lesser of (i) the amount first specified in this paragraph or (ii) the greater of 5.7% or the percentage rate of tax under Code Section 3111(a) as in effect on the first day of the Plan Year attributable to the Old Age (OA) portion of the OASDI provisions of the Social Security Act. If the Employer specifies a Taxable Wage Base in Section 3(j) which is lower than the Taxable Wage Base for Social Security purposes (SSTWB) in effect as of the first day of the Plan Year, the percentage contributed with respect to excess Compensation must be adjusted. If the Plan's Taxable Wage Base is greater than the larger of $10,000 or 20% of the SSTWB but not more than 80% of the SSTWB, the excess percentage is 4.3%. If the Plan's Taxable Wage Base is greater than 80% of the SSTWB but less than 100% of the SSTWB, the excess percentage is 5.4%. NOTE: Only one plan maintained by the Employer may be integrated with Social Security. (h) Allocation of Excess Amounts (Annual Additions) In the event that the allocation formula above results in an Excess Amount, such excess shall be: [ ] (i) placed in a suspense account accruing no gains or losses for the benefit of the Participant. [x] (ii) reallocated as additional Employer contributions to all other Participants to the extent that they do not have any Excess Amount. (i) Minimum Employer Contribution Under Top-Heavy Plans: For any Plan Year during which the Plan is Top-Heavy, the sum of the contributions and forfeitures as allocated to eligible Employees under paragraphs 7(d), 7(e), 7(f), 7(g) and 9 of this Adoption Agreement shall not be less than the amount required under paragraph 14.2 of the Basic Plan document #04. Top-Heavy minimums will be allocated to: [x] (i) all eligible Participants. Page 16 of Exhibit 4 [ ] (ii) only eligible non-Key Employees who are Participants. (j) Return of Excess Contributions and/or Excess Aggregate Contributions: In the event that one or more Highly Compensated Employees is subject to both the ADP and ACP tests and the sum of such tests exceeds the Aggregate Limit, the limit will be satisfied by reducing the: [ ] (i) the ADP of the affected Highly Compensated Employees. [ ] (ii) the ACP of the affected Highly Compensated Employees. [x] (iii) a combination of the ADP and ACP of the affected Highly Compensated Employees. 8. ALLOCATIONS TO TERMINATED EMPLOYEES [ ] (a) The Employer will not allocate Employer related contributions to Employees who terminate during a Plan Year, unless required to satisfy the requirements of Code Section 401(a)(26) and 410(b). (These requirements are effective for 1989 and subsequent Plan Years.) [x] (b) The Employer will allocate Employer matching and other related contributions as indicated below to Employees who terminate during the Plan Year as a result of: Matching Other -------- ----- [x] [x] (i) Retirement. [x] [x] (ii) Disability. [x] [x] (iii) Death. [ ] [ ] (iv) Other termination of employment provided that the Participant has completed a Year of Service as defined for Allocation Accrual Purposes. [ ] [ ] (v) Other termination of employment even though the Participant has not completed a Year of Service. Page 17 of Exhibit 4 [ ] [ ] (vi) Termination of employment (for any reason) provided that the Participant had completed a Year of Service for Allocation Accrual Purposes. 9. ALLOCATION OF FORFEITURES NOTE: Subsections (a), (b) and (c) below apply to forfeitures of amounts other than Excess Aggregate Contributions. (a) Allocation Alternatives: If forfeitures are allocated to Participants, such allocation shall be done in the same manner as the Employer's contribution. [ ] (i) Not Applicable. All contributions are always fully vested. [ ] (ii) Forfeitures shall be allocated to Participants in the same manner as the Employer's contribution. If allocation to other Participants is selected, the allocation shall be as follows: [1] Amount attributable to Employer discretionary contributions and Top-Heavy minimums will be allocated to: [ ] all eligible Participants under the Plan. [ ] only those Participants eligible for an allocation of Employer contributions in the current year. [ ] only those Participants eligible for an allocation of matching contributions in the current year. [2] Amounts attributable to Employer Matching contributions will be allocated to: [ ] all eligible Participants. [ ] only those Participants eligible for allocations of matching contributions in the current year. [x] (iii) Forfeitures shall be applied to reduce the Employer's contribution for such Plan Year. Page 18 of Exhibit 4 [ ] (iv) Forfeitures shall be applied to offset administrative expenses of the Plan. If forfeitures exceed these expenses, (iii) above shall apply. (b) Date for Forfeitures: NOTE: If no distribution has been made to a former Participant, sub-section (i) below will apply to such Participant even if the Employer elects (ii), (iii), (iv) or (v) below as its normal administrative policy. [ ] (i) Forfeitures shall be applied pursuant to the selection in (a) above at the end of the Plan Year during which the former Participant incurs his or her fifth consecutive one year Break In Service. [ ] (ii) Forfeitures shall be applied pursuant to the selection in (a) above immediately as of the beginning of the next month. [ ] (iii) Forfeitures shall be applied pursuant to the selection in (a) above immediately as of the beginning of the next quarter. [ ] (iv) Forfeitures shall be applied pursuant to the selection in (a) above at the end of the Plan Year during which the former Employee incurs his or her _____ (1st, 2nd, 3rd, or 4th) consecutive one year Break In Service. [x] (v) Forfeitures shall be applied pursuant to the selection in (a) above immediately as of the Plan Year end. (c) Restoration of Forfeitures: If amounts are forfeited prior to five consecutive 1-year Breaks in Service, the Funds for restoration of account balances will be obtained from the following resources in the order indicated (fill in the appropriate number): [1] (i) Current year's forfeitures. [2] (ii) Additional Employer contribution. [ ] (iii) Income or gain to the Plan. Page 19 of Exhibit 4 (d) Forfeitures of Excess Aggregate Contributions shall be: [x] (i) Applied to reduce Employer contributions for the Plan Year in which the excess arose, but allocated under (ii) below to the extent the excess exceeds the Employer contribution or the Employer has already contributed for such Plan Year. [ ] (ii) Allocated, after all other forfeitures under the Plan, to the Matching Contribution account of each non-highly compensated Participant who made Elective Deferrals or Voluntary Contributions in the ratio which each such Participant's Compensation for the Plan Year bears to the total Compensation of all Participants for such Plan Year. Such forfeitures cannot be allocated to the account of any Highly Compensated Employee. NOTE: If (ii) is selected, amounts allocated thereunder must be included in the ACP Test for the Plan Year in which allocated to the Participant. Forfeitures of Excess Aggregate Contributions will be so applied at the end of the Plan Year in which they occur. 10. CASH OPTION [x] (a) The Employer may permit a Participant to elect to defer to the Plan, an amount not to exceed 100% of any Employer paid cash bonus made for such Participant for any year. A Participant must file an election to defer such contribution at least fifteen (15) days prior to the end of the Plan Year. If the Employee fails to make such an election, the entire Employer paid cash bonus to which the Participant would be entitled shall be paid as cash and not to the Plan. Amounts deferred under this section shall be treated for all purposes as Elective Deferrals. Notwithstanding the above, the election to defer must be made before the bonus is made available to the Participant. [ ] (b) Not Applicable. 11. LIMITATIONS ON ALLOCATIONS [x] This is the only Plan the Employer maintains or ever maintained, therefore, this section is not applicable. Page 20 of Exhibit 4 [ ] The Employer does maintain or has maintained another Plan (including a Welfare Benefit Fund or an individual medical account (as defined in Code Section 415(l)(2)), under which amounts are treated as Annual Additions) and has completed the proper sections below. Complete (a), (b) and (c) only if the Employer maintains or ever maintained another qualified plan, including a Welfare Benefit Fund or an individual medical account [as defined in Code Section 415(l)(2)] in which any Participant in this Plan is (or was) a participant or could possibly become a participant. (a) If the Participant is covered under another qualified Defined Contribution Plan maintained by the Employer, other than a Master or Prototype Plan: [ ] (i) the provisions of Article X of the Basic Plan Document #04 will apply, as if the other plan were a Master or Prototype Plan. [ ] (ii) Attach provisions stating the method under which the plans will limit total Annual Additions to the Maximum Permissible Amount, and will properly reduce any Excess Amounts, in a manner that precludes Employer discretion. (b) If a Participant is or ever has been a participant in a Defined Benefit Plan maintained by the Employer: Attach provisions which will satisfy the 1.0 limitation of Code Section 415(e). Such language must preclude Employer discretion. The Employer must also specify the interest and mortality assumptions used in determining Present Value in the Defined Benefit Plan. (c) The minimum contribution or benefit required under Code Section 416 relating to Top-Heavy Plans shall be satisfied by: [ ] (i) this Plan. [ ] (ii) ______________________________________ (Name of other qualified plan of the Employer). [ ] (iii) Attach provisions stating the method under which the minimum contribution and benefit provisions of Code Section 416 will be satisfied. If a Defined Benefit Plan is or was maintained, an attachment must be provided showing interest and mortality assumptions used in the Top-Heavy Ratio. Page 21 of Exhibit 4 12. VESTING Employees shall have a fully vested and nonforfeitable interest in any Employer contribution and the investment earnings thereon made in accordance with paragraphs (select one or more options) [ ] 7(c), [ ] 7(e), [ ] 7(f), [ ] 7(g) and [ ] 7(i) hereof. Contributions under paragraph 7(b), 7(c)(vii) and 7(d) are always fully vested. If one or more of the foregoing options are not selected, such Employer contributions shall be subject to the vesting table selected by the Employer. Each Participant shall acquire a vested and nonforfeitable percentage in his or her account balance attributable to Employer contributions and the earnings thereon under the procedures selected below except with respect to any Plan Year during which the Plan is Top-Heavy, in which case the Two-twenty vesting schedule [Option (b)(iv)] shall automatically apply unless the Employer has already elected a faster vesting schedule. If the Plan is switched to option (b)(iv), because of its Top-Heavy status, that vesting schedule will remain in effect even if the Plan later becomes non-Top-Heavy until the Employer executes an amendment of this Adoption Agreement indicating otherwise. (a) Computation Period: The computation period for purposes of determining Years of Service and Breaks in Service for purposes of computing a Participant's nonforfeitable right to his or her account balance derived from Employer contributions: [ ] (i) shall not be applicable since Participants are always fully vested, [ ] (ii) shall commence on the date on which an Employee first performs an Hour of Service for the Employer and each subsequent 12-consecutive month period shall commence on the anniversary thereof, or [x] (iii) shall commence on the first day of the Plan Year during which an Employee first performs an Hour of Service for the Employer and each subsequent 12-consecutive month period shall commence on the anniversary thereof. A Participant shall receive credit for a Year of Service if he or she completes at least 1,000 Hours of Service [or if lesser, the number of hours specified at 3(l)(iii) of this Adoption Agreement] at any time during the 12-consecutive month computation period. Consequently, a Year of Service may be earned prior to the end of the 12-consecutive month computation period and the Participant need not be employed at the end of the 12-consecutive month computation period to receive credit for a Year of Service. Page 22 of Exhibit 4 (b) Vesting Schedules: NOTE: The vesting schedules below only apply to a Participant who has at least one Hour of Service during or after the 1989 Plan Year. If applicable, Participants who separated from Service prior to the 1989 Plan Year will remain under the vesting schedule as in effect in the Plan prior to amendment for the Tax Reform Act of 1986. (i) Full and immediate vesting.
Years of Service ---------------- 1 2 3 4 5 6 7 - - - - - - - (ii) ___% 100% (iii) ___% ___% 100% (iv) ___% 20% 40% 60% 80% 100% (v) 0% 0% 20% 40% 60% 80% 100% (vi) 10% 20% 30% 40% 60% 80% (vii) ___% ___% ___% ___% 100% 100% (viii) ___% ___% ___% ___% ___% ___% 100%
NOTE: The percentages selected for schedule (viii) may not be less for any year than the percentages shown at schedule (v). [x] All contributions other than those which are fully vested when contributed will vest under schedule (v) above. [ ] Contributions other than those which are fully vested when contributed will vest as provided below: Vesting Option Selected Type Of Employer Contribution --------------- ----------------------------- ____ 7(c) Employer Match on Salary Savings ____ 7(c) Employer Match on Employee Voluntary ____ 7(e) Employer Discretionary ____ 7(f) & (g) Employer Discretionary - Integrated Page 23 of Exhibit 4 (c) Service disregarded for Vesting: [ ] (i) Not Applicable. All Service shall be considered. [ ] (ii) Service prior to the Effective Date of this Plan or a predecessor plan shall be disregarded when computing a Participant's vested and nonforfeitable interest. [x] (iii) Service prior to a Participant having attained age 18 shall be disregarded when computing a Participant's vested and nonforfeitable interest. 13. SERVICE WITH PREDECESSOR ORGANIZATION For purposes of satisfying the Service requirements for eligibility, Hours of Service shall include Service with the following predecessor organization(s): (These hours will also be used for vesting purposes.) NOTE: Past Service credit may only be given to Employees of a predecessor employer in situations where there was a transaction between the predecessor employer and this Plan's Employer in which there was a stock or asset acquisition, a merger, or similar transaction involving a change in the Employer of the Employees of a trade or business. 14. ROLLOVER/TRANSFER CONTRIBUTIONS (a) Rollover Contributions, as described at paragraph 4.3 of the Basic Plan Document #04, [x] shall [ ] shall not be permitted. If permitted, Employees [x] may [ ] may not make Rollover Contributions prior to meeting the eligibility requirements for participation in the Plan. (b) Transfer Contributions, as described at paragraph 4.4 of the Basic Plan Document #04, [ ] shall [x] shall not be permitted. If permitted, Employees [ ] may [x] may not make Transfer Contributions prior to meeting the eligibility requirements for participation in the Plan. NOTE: Even if available, the Employer may refuse to accept such contributions if its Plan meets the safe-harbor rules of paragraph 8.7 of the Basic Plan Document #04. Page 24 of Exhibit 4 15. HARDSHIP WITHDRAWALS Hardship withdrawals, as provided for in paragraph 6.9 of the Basic Plan Document #04, [ ] are [x] are not permitted. Hardship withdrawals shall be made from [ ] all eligible monies [ ] only from eligible Employee Elective Deferrals and eligible earnings thereon. 16. PARTICIPANT LOANS Participant loans, as provided for in paragraph 13.5 of the Basic Plan Document #04, [x] are [ ] are not permitted. If permitted, repayments of principal and interest shall be repaid to [x] the Participant's segregated account or [ ] the general Fund. 17. INSURANCE POLICIES The insurance provisions of paragraph 13.6 of the Basic Plan Document #04 [ ] shall [x] shall not be applicable. 18. EMPLOYER INVESTMENT DIRECTION The Employer investment direction provisions, as set forth in paragraph 13.7 of the Basic Plan Document #04, [x] shall [ ] shall not be applicable. 19. EMPLOYEE INVESTMENT DIRECTION (a) The Employee investment direction provisions, as set forth in paragraph 13.8 of the Basic Plan Document #04, [x] shall [ ] shall not be applicable. If applicable, Participants may direct their investments: [ ] (i) among funds offered by the Trustee. [x] (ii) among any allowable investments. (b) Participants may direct the following kinds of contributions and the earnings thereon (check all applicable): [ ] (i) All Contributions [x] (ii) Elective Deferrals [ ] (iii) Employee Voluntary Contributions (after-tax) [ ] (iv) Employee Mandatory Contributions (after-tax) Page 25 of Exhibit 4 [ ] (v) Employer Qualified Matching Contributions [ ] (vi) Other Employer Matching Contributions [ ] (vii) Employer Qualified Non-Elective Contributions [ ] (viii) Employer Discretionary Contributions [x] (ix) Rollover Contributions [ ] (x) Transfer Contributions NOTE: To the extent that Employee investment direction was previously allowed, the Trustee shall have the right to either make the assets part of the general Trust, or leave them as separately invested subject to the rights of paragraph 13.8. 20. EARLY PAYMENT OPTION (a) A Participant who separates from Service prior to retirement, death or disability [x] may [ ] may not make application to the Employer requesting an early payment of his or her vested account balance. NOTE: If the above early payment of Vested Account Balances is selected, either option 21(a)(i) or 21(a)(ii) below should also be selected. (b) A Participant who has attained age 59 1/2 and who has not separated from Service [x] may [ ] may not obtain a distribution of his or her vested Employer contributions. Distribution can only be made if the Participant is 100% vested. (c) A Participant who has attained the Plan's Normal Retirement Age and who has not separated from Service [x] may [ ] may not receive a distribution of his or her vested account balance. NOTE: If the Participant has had the right to withdraw his or her account balance in the past, this right may not be taken away. Notwithstanding the above, to the contrary, required minimum distributions will be paid. For timing of distributions, see item 21(a) below. Page 26 of Exhibit 4 21. DISTRIBUTION OPTIONS (a) Timing of Distributions: In cases of termination for other than death, disability or retirement, benefits shall be paid: [ ] (i) As soon as administratively feasible, following the close of the valuation period during which a distribution is requested or is otherwise payable. [ ] (ii) As soon as administratively feasible following the close of the Plan Year during which a distribution is requested or is otherwise payable. [x] (iii) As soon as administratively feasible, following the date on which a distribution is requested or is otherwise payable. [ ] (iv) As soon as administratively feasible, after the close of the Plan Year during which the Participant incurs ___ consecutive one-year Breaks in Service. [ ] (v) Only after the Participant has achieved the Plan's Normal Retirement Age, or Early Retirement Age, if applicable. In cases of death, disability or retirement, benefits shall be paid: [ ] (vi) As soon as administratively feasible, following the close of the valuation period during which a distribution is requested or is otherwise payable. [ ] (vii) As soon as administratively feasible following the close of the Plan Year during which a distribution is requested or is otherwise payable. [x] (viii) As soon as administratively feasible, following the date on which a distribution is requested or is otherwise payable. NOTE: A Participant (and the Participant's spouse, if applicable) must consent to any distribution if the Participant's Vested Account Balance exceeds $3,500 or if at the time of any prior distribution it exceeded $3,500. Page 27 of Exhibit 4 (b) Optional Forms of Payment: [x] (i) Lump Sum. [x] (ii) Installment Payments. For Participants with balances as of 3/31/99. [ ] (iii) Life Annuity*. [ ] (iv) Life Annuity Term Certain*. Life Annuity with payments guaranteed for ___________ years (not to exceed 20 years, specify all applicable). [ ] (v) Joint and [ ] 50%, [ ] 66%%, [ ] 75% or [ ] 100% survivor annuity* (specify all applicable). [x] (vi) Other form(s) specified: See Attached Addendum *Not available in Plan meeting provisions of paragraph 8.7 of Basic Plan Document #04. NOTE: Only optional Forms of Payments properly permitted under a prior plan of the Employer or predecessor Employer may be selected at subparagraph (b)(vi) above. (c) Recalculation of Life Expectancy: In determining required distributions under the Plan, Participants and/or their Spouse (Surviving Spouse) [x] shall [ ] shall not have the right to have their life expectancy recalculated annually. If "shall", [ ] only the Participant shall be recalculated. [ ] both the Participant and Spouse shall be recalculated. [x] who is recalculated shall be determined by the Participant. Page 28 of Exhibit 4 22 SPONSOR CONTACT Employers should direct questions concerning the language contained in and qualification of the Prototype to: SunTrust Bank, Central Florida, N.A. (Job Title) Trust Administrator (Phone Number) (407) 237-4254 In the event that the Sponsor amends, discontinues or abandons this Prototype Plan, notification will be provided to the Employer's address provided on the first page of this Agreement. Page 29 of Exhibit 4 APPENDIX A PRIOR PROVISIONS DIFFERENT EFFECTIVE PERIODS Provisions of this Adoption Agreement which were effective on different dates than this final Tax Reform Act of 1986 amended Plan are:
Adoption Agreement Section Prior Provisions Effective Periods -------------------------- ---------------- ----------------- __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________ __________________________ ____________________________ ___________ to __________
NOTE: This Appendix A only may be used to reflect the periods and provisions which are different from those selected in this Adoption Agreement, the Adopting Employer's final Plan. For example, this Appendix A may be used to show different vesting schedules, different entry dates, different eligibility requirements, etc., for any periods prior to the final restatement for all changes required by the Tax Reform Act of 1986 and subsequent legislation requiring changes in qualified plans by the 1994 Plan Year. Page 30 of Exhibit 4 23. SIGNATURES: Due to the significant tax ramifications, the Sponsor recommends that before you execute this Adoption Agreement, you contact your attorney or tax advisor, if any. (a) EMPLOYER: Name and address of Employer if different than specified in Section 1 above. This agreement and the corresponding provisions of the Plan and Trust/Custodial Account Basic Plan Document #04 were adopted by the Employer the ____ day of ___________, 19___. Signed for the Employer by: Tom Trexler Title: Executive Vice President Signature: /s/ Tom Trexler --------------------------------- The Employer understands that its failure to properly complete the Adoption Agreement may result in disqualification of its Plan. Employer's Reliance: The adopting Employer may not rely on an opinion letter issued by the National Office of the Internal Revenue Service as evidence that the Plan is qualified under Code Section 401. In order to obtain reliance with respect to Plan qualification, the Employer must apply to the appropriate Key District Office for a determination letter. This Adoption Agreement may only be used in conjunction with Basic Plan Document #04. Page 31 of Exhibit 4 24. SIGNATURES: Due to the significant tax ramifications, the Sponsor recommends that before you execute this Adoption Agreement, you contact your attorney or tax advisor, if any. (a) EMPLOYER: Name and address of Employer if different than specified in Section 1 above. Prestige Home Centers, Inc. This agreement and the corresponding provisions of the Plan and Trust/Custodial Account Basic Plan Document #04 were adopted by the Employer the 12 day of February, 1999. Signed for the Employer by: Tom Trexler Title: President Signature: /s/ Tom Trexler ------------------------------ The Employer understands that its failure to properly complete the Adoption Agreement may result in disqualification of its Plan. Employer's Reliance: The adopting Employer may not rely on an opinion letter issued by the National Office of the Internal Revenue Service as evidence that the Plan is qualified under Code Section 401. In order to obtain reliance with respect to Plan qualification, the Employer must apply to the appropriate Key District Office for a determination letter. This Adoption Agreement may only be used in conjunction with Basic Plan Document #04. [x] (b) TRUSTEE: Name of Trustee: SunTrust Bank, Central Florida, N.A. Page 32 of Exhibit 4 The assets of the Fund shall be invested in accordance with paragraph 13.3 of the Basic Plan Document #04 as a Trust. As such, Employer's Plan as contained herein was accepted by the Trustee the 12 day of February, 1999 Signed for the Trustee by: Judy H. Smith Title: Assistant Vice President and Trust Officer Signature: /s/ Judy H. Smith ------------------------------------ [ ] (c) CUSTODIAN: Name of Custodian: The assets of the Fund shall be invested in accordance with paragraph 13.4 of the Basic Plan Document #04 as a Custodial Account. As such, the Employer's Plan as contained herein was accepted by the Custodian the ___ day of _____________, 19__ Signed for the Custodian by: Title: Signature: -------------------------------------- (d) SPONSOR: The Employer's Agreement and the corresponding provisions of the Plan and Trust/Custodial Account Basic Plan Document #04 were accepted by the Sponsor the 12 day of February, 1999. Signed for the Sponsor by: Judy H. Smith Title: Assistant Vice President and Trust Officer Signature: /s/ Judy H. Smith ------------------------------------- Page 33 of Exhibit 4 Addendum to Adoption Agreement for the Nobility Homes, Inc. 401(k) Profit Sharing Plan Attachment to Section 21(b)(vi) ------------------------------- In addition to the Optional Forms of Payment permitted in Section 21(b) of the foregoing Adoption Agreement, the following Optional Forms of Payment shall be available under the Plan: 1. Purchase of a single premium nontransferable annuity contract; and 2. A combination of the methods specified in subparagraphs (i), (ii), and (vi) above. x:\nobimemo Page 34 of Exhibit 4