Plan identification
Plan name, EIN and plan number. The form says to include them on each page of the compliance statement.
14568-F
Model VCP Compliance Statement-Schedule 6 Employer Eligibility Failure (401(k) and 403(b) Plans Only)
Form 14568-F is Schedule 6 of the IRS Model VCP Compliance Statement. It covers an employer eligibility failure in 401(k) and 403(b) plans only: a plan meant to be a 403(b) plan that was adopted by a sponsor that was not a tax-exempt organization described in IRC Section 501(c)(3) or a public educational organization described in IRC Section 170(b)(1)(A)(ii), or a plan meant to include a 401(k) arrangement that was adopted by an employer that did not meet the eligibility requirements to establish one.
The statement is completed for the plan, not by plan participants. Each page carries the plan name, the applicant's employer identification number (EIN) and the plan number. It identifies the failure, sets out the proposed method of correction, and explains the change in administrative procedures. The form refers to the VCP submission filed with the IRS and, for Paperwork Reduction Act information, to the current EPCRS Revenue Procedure.
You can fill out Form 14568-F free in your browser on this page and download it without an account.
Plan name, EIN and plan number. The form says to include them on each page of the compliance statement.
Two checkboxes, one for Section 403(b) plans and one for Section 401(k) plans, with space to describe the sponsoring organization or why the sponsor was ineligible, and the plan years of the failure.
Three statements for each plan type: the date all contributions ceased, that no new employee or employer contributions will be permitted, and that assets stay in the plan until a permitted distribution event.
Space to explain how and why the failures arose and the measures that have been or will be put in place so the same failures do not recur.
Sections I and III allow extra pages, labeled with the section name and carrying the plan name, applicant's EIN and plan number at the top of each page.
Enter the plan name, the applicant's EIN and the plan number at the top.
Check the Section 403(b) box and describe the type of organization that sponsored the plan during the failure period and the plan years, or check the Section 401(k) box and describe why the sponsor was ineligible.
Insert the date all contributions ceased. The form says the date begins no later than the date the VCP submission was filed with the IRS.
Describe how and why the failures arose and the measures taken or planned so they do not recur.
Label attachments as "Section I of Form 14568-F, Identification of Failure" or "Section III of Form 14568-F, Change in Administrative Procedures", with the plan name, applicant's EIN and plan number at the top.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form refers to the VCP submission filed with the IRS. It prints no separate mailing address or filing deadline.
The form title limits it to 401(k) and 403(b) plans with an employer eligibility failure.
The form says to see the current EPCRS Revenue Procedure for Paperwork Reduction Act information.
The form says to include the plan name, the applicant's EIN and the plan number on each page of the compliance statement, including attachments.
14568
45 fields, 3 pages
14568-A
18 fields, 2 pages
14568-B
21 fields, 2 pages
14568-E
130 fields, 5 pages
14568-G
20 fields, 1 page
14568-H
36 fields, 2 pages
The form is a compliance statement about a retirement plan. It names the plan sponsor or employer and the applicant, identified by EIN.
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The form title says 401(k) and 403(b) plans only, for an employer eligibility failure.
The form says the plan was intended to satisfy IRC Section 403(b) but was adopted by a sponsor that was not a 501(c)(3) organization or a public educational organization described in IRC Section 170(b)(1)(A)(ii).
All contributions cease as of a stated date, no new employee or employer contributions are permitted, and assets remain in the plan until a permitted distribution event under the Code section the form names.
The form says to insert a date beginning no later than the date the VCP submission was filed with the IRS.
No. It is a compliance statement about the plan, identified by the plan name, the applicant's EIN and the plan number.