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Santa Ana California Form 8916-A: What You Should Know

Use this form to identify and file a claim with the U.S. Department of Labor for the return of overpayments under the Abandoned Plan Search (CHILL, INC. RETIREMENT TRUST, 27-2221214) or the Contractor-Employee Profit Sharing Plan (COOPER CORP.).  You may contact the Internal Revenue Service at (for EFT/CTB/FT) if you require assistance with preparing Form 8916-A or filing your claim. You may locate the Department via the following links:  Department of Labor Abandoned Plan Search of the Department of Labor's Abandoned Plan Search Service, including instructions. COOPER CORPS Claims of overpayments for the Employer-Employee Profit Sharing Plan (COOPER CORP.) and the C Corporation Excess Profit Sharing Plan (CHILL, INC.) Note the dates on the form:  The date the information was processed and the final filing date. If you are claiming an overpayment, report the date you received the original or corrected Form 8916, plus the date that you filed the claim. Any overpayments after that date are not subject to any payment for them. You would then file a claim with the U.S. Department of Labor for the overpayments. Co-Payments/Overpayments Co-Payments — Do you know whether you are a Co-Pay or overpayment recipient? When you contact BSA, use the form e-Form RS in addition to this form to request information on how to determine if you are making or have made any contributions to a plan described in the section on Overpayments Schedule M-3/COOPER CORP. Use form 8916-A, Supplemental Attachment to Schedule M-3 to report the items of income and deduction, whether reporting these items, that apply only to the Employer-Employee Profit Sharing Plan (COOPER CORP.) or the Corporate Excess Profit Sharing Plan (CHILL, INC.). Abandoned Plan Search of the Department of Labor's Abandoned Plan Search Service, including instructions Cooper Corps Excess Profit Sharing Plan (Co-OPP) Co-OPP claims Use a CO-OPP claim to report income and deductions from the C Corporation Excess Profit Sharing Plan (CHILL, INC.) only.

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