Page 15 - PWH 2018 Plan Documents

ADOPTION AGREEMENT

I. Administrative Information
Company: Positrol Workholding [Plan Sponsor]
Effective Date: 1/1/2018

Affiliated Effective Date EIN:
Participating Employers of Participation
Positrol Workholding 1/1/2018 31-0854367
__________________________ ______________ _____________
__________________________ ______________ _____________
__________________________ ______________ _____________

Administrator: Identify the individuals or committees who have been appointed to
serve as plan administrator.

• David Weber

Plan Year: Twelve-month period ending each 12/31/2018.

Controlling Law: Except to the extent preempted by federal law, the laws of the
State of Ohio shall apply.

Plan Number: 501

II. Section 125 Cafeteria Plan

Check one. Identify and list documents as applicable.

The Plan shall not include a Cafeteria Plan Arrangement.

The Plan shall include a Cafeteria Plan Arrangement that provides
Employees the option of electing to participate in the Benefit Programs
indicated below. The Cafeteria Plan Arrangement:

includes a dependent care flexible spending arrangement.

does not include a dependent care flexible spending arrangement.

includes the following Benefit Programs not otherwise listed here
or in Sections III and IV.
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