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Click ‘Get Form’ to open it in the editor.
Begin by entering the 'Name of Taxpayer' and 'Schedule No. or Exhibit' along with the 'Year/Period Ended' at the top of the form.
In the first section, answer whether your review confirmed a failure to meet the universal availability requirement. Select 'Yes' or 'No'. If you select 'No', provide an explanation in the space provided.
If you answered 'Yes', indicate the employee groups affected and their respective numbers in the designated area.
Proceed to question two regarding contributions made to correct any failures. Again, select 'Yes' or 'No', and if applicable, provide details about the contribution amount and date.
For question three, describe how you corrected the failure, including methods used for determining contribution amounts.
Finally, fill in your contact name, signature, title, and phone number at the bottom of the form before saving your work.
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Form 886-A. EXPLANATIONS OF ITEMS. Schedule number or exhibit. (Rev. January 1994). Name of taxpayer. Tax Identification Number. Year/Period ended. N/A. PleaseRead more
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