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DocuSign Envelope ID: FAA4141C-02DF-41B5-A6D3-14CDB4ABD65B <br />SCHEDULE A - FEES <br />The Employer will pay to P&A. <br />1. INSTALLATION FEE. N/A <br />2. ADMINISTRATION FEES. Administration fees for each calendar month commencing while this Agreement remains <br />in effect. <br />After open enrollment of Plan Participants has been completed for each Plan Year, P&A shall determine if an Annual <br />Minimum Fee in the amount of $1,250.00 is due with respect to that Plan Year. This Annual Minimum Fee shall be due only <br />if the following total is less than $1,250.00: The number of Plan Participants who enrolled in any of the Plan's Flexible <br />Spending Account options during open enrollment multiplied by 3.00 (the per Participant monthly fees described below) then <br />multiplied again by 12 months. <br />If it is determined, with respect to a particular Plan Year, that the Annual Minimum Fee provision above does not <br />apply, P&A shall begin during the second month of this Agreement to extract the administrative fees due for services in the <br />prior month from a bank account designated by the Employer for purposes of providing P&A with the funds needed for the <br />administration of the Plan (the "Employer's Account"). The fees for a given month shall equal $3.00 for each individual who <br />was eligible for the reimbursement of expenses under any of the Plan's Flexible Spending Account options as of the first day <br />of that month on account of a salary reduction agreement in effect on that date or otherwise, including (i) any individual who, <br />on that date, would have been eligible for reimbursement under any of the Plan's Flexible Spending Account options but for <br />the fact that he or she previously was reimbursed for the full amount of his or her benefit election for the Plan Year; (ii) any <br />individual whose eligibility to make additional salary reduction contributions to the Plan had terminated prior to that date but <br />who, on that date, remained eligible to submit post -termination run -out claims under the terms of the Plan; and (iii) any <br />individual who had elected COBRA coverage prior to that date and whose COBRA coverage remained in effect on that date. <br />If it is determined to apply with respect to a Plan Year, P&A shall extract the Annual Minimum Fee from the Employer's <br />Account. Once extracted, this Annual Minimum Fee shall be credited against the Employer's obligation for monthly fees as <br />determined in accordance with the preceding paragraph. As soon as the year-to-date total of those monthly fees exceeds <br />the amount of the Annual Minimum Fee, P&A shall begin to extract the excess monthly fees from the Employer's Account. <br />3. ANNUAL REPORT PREPARATION. $300.00 for each annual return (Form 5500 Series or equivalent) that is <br />prepared by P&A pursuant to Section 1 of this Agreement. <br />4. REQUESTED ADDITIONAL SERVICES AND MATERIALS. For such services and materials requested by the <br />Employer that are in addition to the services and materials described in Section 1 of this Agreement, P&A shall be entitled to <br />such additional compensation from the requesting party as is mutually agreed upon by the requesting party and P&A. <br />5. MAILING EXPENSES. The cost of any mailing required under the Agreement the rate for which exceeds the first- <br />class rate charged by the U.S. Post Office. <br />6. RECOUPMENT OF PENALTIES AND FEES. The amount of any penalty or like fee that is imposed on P&A as a <br />result of any action or inaction by the Employer or by the employees or other agents of the Employer with respect to the <br />administration of the Plan, including but not limited to returned check charges or ACH rejection fees. P&A shall be entitled to <br />immediately recoup any such penalty or fee from the Employer after giving the Employer written notice that P&A has paid <br />such amount. <br />Note: Should the Employer elect to change the terms of the Plan or should changes in applicable laws necessitate changes <br />