Enter the name, address and telephone number of the plan sponsor. The plan sponsor information used on this Form 8950 must
be the same plan sponsor information that is being reported on the related Form 8951. The plan information entered should
be the same information used on the applicable filed Form 5500, Annual Return/Report of Employee Benefit Plan; Form 5500-EZ,
Annual Return/Report of One-Participant (Owners and Their Spouses) Retirement Plan; or Form 5500-SF, Short Form Annual Return/Report
of Small Employee Benefit Plan.
The plan sponsor is:
For a plan maintained by a single employer, the employer;
For a plan maintained by two or more unrelated employers (a multiple employer plan or multiemployer plan), enter the name
of the plan administrator as if it was the plan sponsor (see Regulations section 1.414(g)-1). Items 1b-1k should be completed
as if the plan administrator were the plan sponsor;
For a plan sponsored by two or more entities required to be combined under sections 414(b), (c), or (m), one of the members
participating in the plan;
For a plan that covers the employees and/or partners of a partnership, the partnership;
For an orphan plan, the name of the eligible party. Include a court order or other evidence documenting that the VCP applicant
is an eligible party. See Rev. Proc. 2013-12, section 11.10, as modified by Rev. Proc. 2015–27;
For an anonymous submission, enter “Anonymous” and include the specific name of the plan sponsor’s authorized representative as well as the unique identifying number the
representative has assigned to the specific submission, as required by Rev. Proc. 2013-12, section 10.10. Enter this information
on line 1a. The identifying number should not be used for any other anonymous submission. Lines 1b, 1c, 1e, 1f, 1g, 1h, 1j,
1k, and 1l can be left blank. For line 1d, include the abbreviation of the state where the plan sponsor is located; and
For a group submission, enter the name of the eligible organization. Enter this information on line 1a. Items 1b-1k should
be completed as if the eligible organization were the plan sponsor.
Enter the address of the plan sponsor. If applicable, include the suite, room, or other unit number after the street
address. If the Post Office does not deliver mail to that address, show the box number instead of the street address.
If the plan sponsor has a foreign address, complete lines 1f, 1g, and 1h. Do not abbreviate the country name. Follow
the country's practice for entering the postal code and the name of the province, county, or state.
Enter the nine-digit EIN assigned to the applicant. For those applicants required to file a Form 5500 series return,
the EIN should be the same EIN that is used when the Form 5500 series return is filed. Also, the EIN used on this Form 8950
must be the same EIN that is being reported on the attached Form 8951.
If this is an anonymous submission, enter the EIN of the authorized representative's employer.
Do not use a social security number or trust EIN.
An applicant must have an EIN. If you do not have an EIN, you may apply for one online. Go to the IRS website at www.irs.gov/businesses/small
and click on the “Employer ID Numbers (EINs)
” link. Alternatively, an applicant can apply for an EIN by calling 1-800-829-4933 or by mailing or faxing a completed Form
SS-4, Application for Employer Identification Number, to the IRS.
Enter the six-digit applicable code that best describes the nature of the plan sponsor's business from the list of
principal business activity codes that appear after these instructions.
If a Form 2848 is included with your submission, leave this section blank and check the box. If you want the IRS
to mail copies of correspondence to any other individual (including a different employee of the plan sponsor listed on line
1), include a completed Form 8821 with your submission and complete this section. The individual listed on a Form 8821 is
not a representative, and therefore isn’t permitted to submit information or otherwise contact the IRS if questions or issues
arise during the processing of a VCP submission. Leave this section blank if a Form 8821 is not enclosed with your submission
Check the box that best describes the type of submission that is being mailed to the IRS. Most submissions will be
regular VCP submissions. VCP group submissions, anonymous submissions, or non-VCP submissions involving 457(b) plans should
be identified by checking the appropriate box. Do not check more than one box.
Enter the full name of the plan, as shown on Form 5500 or other documents. For example, you can enter the XYZ Company
Profit-Sharing Plan. If this is an anonymous submission, leave this line blank.
Enter the plan’s three-digit plan number. Typically, three-digit plan numbers begin with “001
” and continue in numerical order for each plan that has been adopted by the plan sponsor. The number you assign to a plan
must not be changed or used for any other plan. For those plan sponsors required to file a Form 5500 series return, the plan
number entered on Form 8950 should be the same as the plan number that was or will be used when the Form 5500 series return
is filed. The plan number used on this Form 8950 must be the same plan number that is being reported on the related Form 8951.
If your plan is a SEP, SARSEP, or SIMPLE IRA, leave this line blank.
For anonymous submissions, enter “401
” for the first anonymous submission made by the authorized representative using Form 8950. For subsequent anonymous submissions
made by the authorized representative, the plan number to be entered on each Form 8950 will be the next number following 401
(for example, 402, 403, 404, etc.) resulting in unique plan numbers for each subsequent anonymous submission. The number assigned
to a specific anonymous submission must not be changed or used for any other anonymous submission made by the authorized representative.
Enter the month the plan year ends. Plan year means the calendar, policy, or fiscal year on which the records of the
plan are kept. If this is an anonymous submission, leave this line blank.
Enter the total dollar value of the retirement plan’s assets. For Form 5500 series filers, this information comes
from the most recently filed return for the plan determined as of the date the Form 8950 is mailed to the IRS. Filers of the
2013 and 2014 Form 5500 can find this information on Schedule H or I. Filers of Form 5500-SF or Form 5500-EZ, look to line
7. For plans that are exempt from filing a Form 5500 series return, enter the total dollar value of the retirement plan assets
as of the last day of the most recently completed plan year.
For a group submission, the eligible organization is to provide a good faith estimate of the value of the retirement
plan assets that are associated with the individual retirement plans that are part of the group submission.
Enter the total number of plan participants. For Form 5500 series filers, this information is on the most recently
filed return for the plan determined as of the date the Form 8950 is mailed to the IRS. Filers of the 2013 and 2014 Form 5500
can find this information on line 6(f). Filers of Form 5500-SF look to line 5b and Form 5500-EZ fillers look to line 6(b).
For applicants that are exempt from filing a Form 5500 series return, enter the number of plan participants determined
as of the last day of the most recently ended plan year. However, if this information is not available at the time the VCP
submission is being mailed to the IRS, it is acceptable to use the most recently ended prior plan year for which information
on the number of plan participants is available. The exception does not apply if the VCP submission is mailed to the IRS
more than seven months after the close of the most recently ended plan year preceding the date of the VCP submission. See
Rev. Proc. 2013-12, section 12.08.
Plans that have terminated and filed a final form 5500 series return should enter the number of participants on the
return filed for the year prior to the year all assets were distributed.
For group submissions, the eligible organization must provide a good faith estimate of the number of plan participants
associated with the individual retirement plans that are part of the group submission.
The number of participants reported on this Form 8950 must be the same number that is being reported on the related
Review all possible choices before selecting an answer. Enter the type of plan that is the subject of this VCP submission
by selecting the appropriate number from the choices associated with this line.
For this purpose, governmental section 414(d) plans are section 401(a) plans sponsored by a governmental entity, as
defined in section 414(d).
If your plan type is not listed among the various available choices, enter 99 and attach a detailed description of
your plan. It is expected that plan type 99 would be used in very rare circumstances.
” is chosen, check the boxes indicating which model document schedules in the Form 14568 series (that is, Forms 14568-A through
Form 14568-I) are being submitted with the VCP submission. See Rev. Proc. 2013-12, section 11.02 (as modified by Rev. Proc.
2015-27), for descriptions of the Schedules.
VCP submissions that involve 403(b) plans, SEPs, and SIMPLE plans may skip all questions on line 7. Anonymous submissions
may also skip all questions on line 7. However, a determination letter application may need to be submitted to the IRS upon
disclosure of the applicant’s identity.
Rev. Proc. 2013-12, section 6.05, generally requires that a determination letter application be included with a VCP
submission if a section 401(a) plan document or operational failure (not a demographic failure) is being corrected by a retroactive
plan amendment. However, no determination letter application is required to be submitted with a VCP submission in the following
The failure is limited to late interim amendments or amendments required to implement optional changes associated with a change
in tax law;
The failure is being corrected by adopting IRS model amendments or an IRS pre-approved prototype or volume submitter plan
on which the plan sponsor has reliance;
For off-cycle plans (as of the date of the VCP submission), the failure is an operational failure that is being corrected
by retroactive plan amendment. To determine whether a plan is on-cycle or off-cycle, see Rev. Proc. 2007-44 (or its successor).
Generally, a plan’s cycle is determined by reference to the EIN of the plan sponsor if it is an individually designed document.
If the plan document, at the time of the failure, is a pre-approved document, a different method is used to determine the
If 7b is checked “No,
” include an attachment that explains why a determination letter application was not submitted with Form 8950 and related
VCP submission. The attachment should refer to line 7b and include the applicant's name, plan number, and EIN.
If 7a is checked Yes, enter the plan’s remedial amendment cycle. For individually designed plans, plan sponsors would
pick one of the five cycles from Cycle A through Cycle E. For plans that are under the six-year cycle associated with pre-approved
documents, enter either “pre-approved defined contribution plan
” or “pre-approved defined benefit plan,
” as applicable. To determine a plan’s cycle, refer to the instructions for line 7b and Rev. Proc. 2007-44.
If Yes, attach a written explanation that provides details of the transaction(s). See Rev. Proc. 2013-12, section
4.13(2). Include the applicant’s name, plan number, and EIN at the top of the attachment.
See Eligibility Requirements for the Use of VCP
, earlier, and Rev. Proc. 2013-12, section 4.02.
” include an attachment that indicates when the determination letter application was submitted to the IRS, along with the
case number that has been assigned, if known. Include the applicant’s name, plan number, and EIN at the top of the attachment.
This question should be answered “Yes,
A past determination letter application was withdrawn by the plan sponsor; or
A past determination letter application was closed as incomplete due to a failure to respond to a question and the VCP submission
includes qualification failures that were identified during the application process or would have been discovered by the IRS
had the application not been withdrawn or closed as incomplete.
If line 12 was checked “Yes,
” attach an explanation. Include the applicant's name, plan number, and EIN at the top of the attachment.
Consider the following example: Plan Sponsor X submits a determination letter application to the IRS. During the
review process, additional information is solicited in order to determine whether the plan had been timely amended for past
tax law changes. The determination letter application is withdrawn by Plan Sponsor X. Two months later, Plan Sponsor X submits
a VCP submission to the IRS indicating the plan document was not timely updated for various specified tax law changes. When
completing Form 8950, Plan Sponsor X should answer “Yes
” to question 12 and include a written attachment that explains why the determination letter application was withdrawn.