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RES 1982-37 DEFERRED COMPENSATION .+ 5l'I?('rngisN (,u ?y ( STATE OF Montana COUNTY OF jOffer$on In the above County Court of said County, on the 21 day of December , 19 g ,lthe following err)on.g other proceedings, were had, viz: IN THE MATTER OF ESTABLISHING A DEFERRED COMPENSATION PLAN FOR THE COUNTY OF WHEREAS, the County has considered the estsblishment of a Deferred Comp.nnsation Plan to be made available to all eligible County employees, elected officials, and independent contractors pursuant to Section 457 of the Internal Revenue Code permitting such Plans; and WHEREAS, certain tax benefits could accrue to employees, elected officials, and indepen- dent contractors participating in said Deferred Compensation Plans; and WHEREAS, such benefits will act as incentives to County employees to voluntarily set aside and invest portions of their current income to meat their future financial requirements and supplement their County retirement and Social Security (if applicable); and WHEREAS, the National Association of Counties h-s established a Master Deferred Com- pensation Program for its member Counties, permitting its member Counties nr►d their employees to enjoy the advantages of this Program; WHEREAS, by adoption of the NACo Program, all regulatory, operational, administrative and fiduciary responsibilities are hereby assumed by NACo in behalf of County; and WHEREAS, NACo, as Plan Administrator, agrees. to hold harmless and indemnify the County, its appointed and elected officers and participating employees from any loss resulting from NACo or its Agent's failure to perform its duties and services pursuant to the NACo Program; NOW, THEREFORE THE COUNTY GOVERNING BODY DOES HEREBY RESOLVE AS FOLLOWS: The County governing body, meeting in regular scheduled session, this 21st day of December , 19 gL, hereby adopts the 14r4ticnni Association of Counties Deferred Compensation Program and hereby establishes the County of Jefferson, State of Mon tana Deferred Compensation Plan for the voluntr;ry participation a ell eligible County em- ployees, elected officials and independent contractors. The (Presiding Judge, County Administrator, Ccmunty Clerk, etc.) (select one) is hereby authorized to execute for the County, individual participation agreements with each said employee requesting same, and to act as the "Administrator" of the Plan representing the County, and to execute such agreements and cc ►►tracts as are necessary to implement the program. It is implicitly understood that, other than the incidental expenses of collecting and disbursing of the employees' deferrals ar"d other minor administrative matters, there is to be no cost or contribution by the County to the program. IT LS HEREBY FURTHER ORDERED, that a true copy of this Court Order /Resolution be spread upon the Court's record of this date. ILE K B oard o ounty Commissioners CC y , to na (, TL , hai an P em Commissioners ATTEST c> 0 �Cl and - Re cdrder *This Court Order /IlENolution contains the ncees%riry technical language as to content and substance. If any change in form is necessary in order to comply with applicable County requirements, please make such changes. f r NATION WIDE LIFE TNSLRVY'E CCEPANY (The Company) APPLICATION FOR AND A=LANCE OF GROUP FIX1 Fl Z RET'IREME r CONIVtC'T Application is hereby rode to the Company by (The Applicant) for the attached Group Fixed Fund Retirement Contract No. The Applicant approves and accepts the terms of the Contract. The Applicant agrees to perform the duties of the Owner under the Contract. It is further agreed that as of the later of: (1) the date this YVplication for and Acceptance of Group Fixed Fjnd Retirement Contract is signed; or (2) the date as of wfiich the Contract is executed by the CUccxTany: this i Application for and Acceptance of Group Fixed Fwd Retirement Contract . shall supersede any preliminary application previously executed. 0 1 - \1 s. (Applicant) Chairman, Board of,.Co. Commissioners Dated: By: Title: Jefferson County, Montana a 4 P i %ACo /USCM PRE- PI RF,.eORT ENTITY NAME Jefferson County � / Mon tan dDATE � - 12/21/81 CASE CODE (CITY /COUNTY ) (H2F,E} (to be assigned by Home Office) ATO. OF EMPLOYEES 5 8 FED. TAX IDLE 8 16001377 CASE SUPERVISOR ` (One per payroll center) .ENTITY ESTABLISHED RETIREMENT AGE N/A POINT OF CONTACT (If other than the Finance Director or Payroll Supervisor) Joanne P. McFarlane Coun Clerk & Recorder (40 225 -3332 (N) (TITLE) (PHONE) P.O. Box 115, Boulder, Montana 59632 (MAILING ADDRESS) (ZIP) ANTICIPATED DATE COMPLETED & COMPLETION DATE SENT TO PEBSCO I. PAYROLL QUESTIONNAIRE (Original to PEBSCO for ' approval before resolution) _'. ORIGINAL DOCUMENTS ( SIGNED AND DATED a. Ordinance /Resolution /Court Order b. Administrative Service Agreement C. Plan Agreement d. Request for Master Application /Contract Fixed /Variable 3. ENDORSEMENT LETTER (Letterhead to Nat'l) 4. PAYROLL PERSONNEL PROCEDURES MEETING 5. KICK -OFF MEETING 3. FIRST ENROLLMENT (After ALL of the above items COMPLETED and PEBSCO /Nat'l allowed 7 days to mail completed documents to Nationwide)" 7. FIRST PAYROLL DEDUCTION SCHEDULED (Notify Nat'l if date changes *) Jan, 5, 1982 Jan. 7, 182 FIRST MOVEMENT OF MONEY SCHEDULED (Notify Nat'l if date changes *) Jan. 5, 1982 Jan. 7, 1982 COM4ISSZON DATA : `� # AREA DIRECTOR # STATE DIRECTOR # ENROLLER/AGENT # '.; AREA DIRECTOR # ENROLLER/AGENT # It CONTACT PEBSCO /NATIONAL AT ONCE ON ANY CHANGES h . s m PG Ds 0 All PAYROLL QUESTIONNAIRE 1. City /County Jefferson County Address Box 115 Boulder, Montana (City, State, Zip Code _ 59632 2. Finance Director Joanne P. McFarlane Telephone Number (406)225 3. Individual Responsible for Payroll System ahnya__- also Deputy has ajh prlty Telephone Number 225 -333 4. Number of employees eligible to participate in Plan 5g 5. Number of Payroll Centers (If more than one, complete Payroll Center Irformation SCHEDULE I) 6. a. Type of Payroll System: C3Computer C3 Manual b. Do you employ social secsrity as part of your payroll record? 7. Complete Payroll Calendar SCHEDULE II. 8. Does your entity currently participate in a deferred compensation program? no If yes, complete SCHEDULE III. 9. Can you furnish payroll data on magnetic tape? 0 yes [ no. If yes, indicate areas of compatibility: a. Tape density: 071600 O 800 Other (specify) b. Tracks: C3 9 0 Other (specify) c. Label: E- - ] Standard label O Non -label 0 Other (specify) �- d. Format: E] Unblocked O Blocked C Unpacked 0 Packed 10. Certain localities have tax laws which provide that state and /or city income tax withholdings be based on gross salary, while others allow withholding to be based on reduced salary (gross salary less deferred compensation contribution.) Under the laws governing your locality, a. State income tax withholdings are based on Q gross salary ® reduced salary E3 N/A b. City income tax withholdings are based on [] gross salary 0 r educed salary M N/A C. If there are other considerations, please explain on back of this questionnaire. Completed by Joanne P. McFarlane MAIL TO: PEBSCO -Plan Administration Dept. Title County Clerk a n d Recorder 3233 N.W. 63rd Oklahoma City, OK 73116 Date HOME OFFICE USE ONLY: D.R. D.A. Init. D. Ret. Code w EXISTING PROGRAMS - SCHEDULE III Number of Number of Annual Products Offered Total Participants Active Participants Contributions 4 6 6 7 A q & i' m PAYROLL CALENDAR m SCHEDULE II PEBsco c° # P n R k For each payroll center, complete the following: 1. Frequency of payroll reduction (check appropriate boxes) E3 weekly ** 0 bi- weekly ** * *In months with 5 weekly /3 bi- weekly E] semi- monthly pays; deductions are O made every ® monthly pay; ED not made in the "extra pay 0 other period. 2. Specify in number of working days and /or day of week the relationship of following payroll dates: 173.33 units per month A. Date by which payroll information must be received by payroll clerk in order to implement reductions and /or changes to reductions: on the 26th of the preceeding mon th B. Pay period ending date: 1st of month till the last day of the month C. Date payroll checks are issued: on the 5th of each month D. Date money is transferred to depository account: 6th or 7th of each month E. Date listing (and tape) are distributed to PEBSCO: 6th or 7th of each month Example: . A. 10th of every mo B. 4th Friday of each month C. Last working calendar day of month D. Same as C E. Same as C �� F.J J tii r J J � � `�' �� �� _ ` �o � J � J � i � � �' �� .� � �, ��.