CONTRIBUTION VERIFICATION

12/31/99

A. Total employee contributions submitted $ _____________

B. Desired discretionary matching contribution* $ _____________

C. Desired discretionary profit sharing contribution** $ _____________

--- TOTAL PLAN CONTRIBUTIONS $

=============

* Please complete the BOARD RESOLUTION on the following page.

Would you like Alliance Benefit Group to calculate the Discretionary Employer Matching Contribution?

YES NO

** Please complete the BOARD RESOLUTION on the second following page.

Would you like Alliance Benefit Group to calculate the Discretionary Profit Sharing Contribution?

YES NO

Verified by: _______________________________________________________

Plan Sponsor: ______________________________________________________

Date: _____________________________________________________________

VBA Defined Contribution Manual Revised 1/00

..pre-set matching contribution formula

VIRGINIA BANKERS ASSOCIATION 401(k) RETIREMENT PLAN

CONTRIBUTION VERIFICATION

12/31/99

A. Total employee contributions submitted $ _____________

B. Employer matching contribution* $ _____________

C. Desired discretionary profit sharing contribution** $ _____________

--- TOTAL PLAN CONTRIBUTIONS $

=============

* Would you like Alliance Benefit Group to calculate the Employer Matching Contribution?

YES NO

** Please complete the BOARD RESOLUTION on the following page.

Would you like Alliance Benefit Group to calculate the Discretionary Profit Sharing Contribution?

YES NO

Verified by: _______________________________________________________

Plan Sponsor: ______________________________________________________

Date: _____________________________________________________________

VBA Defined Contribution Manual Revised 1/00 VIRGINIA BANKERS ASSOCIATION

401(k) RETIREMENT PLAN

BOARD RESOLUTION

This section is to be completed only if the employer is making a discretionary employer matching contribution to the plan.

Plan Year End: 12/31/99 Fiscal Year End: _______________

The board unanimously approved that for the plan year named above, the employer shall make a discretionary employer matching contribution of

$ ___________________________ OR __________________ %

into the SAMPLE, INC. 401(k) PLAN. The Board intends to have the Employer make the above contribution on or before 75 days after plan year end (12/31/2000).

________________________________________ ________________

Secretary Signature Date

The board unanimously approved that for the plan year ended DECEMBER 31, 1999 SAMPLE, INC. will not make a discretionary employer matching contribution to the SAMPLE, INC. 401(k) PLAN.

________________________________________ ________________

Secretary Signature Date

VBA Defined Contribution Manual Revised 1/00 VIRGINIA BANKERS ASSOCIATION

401(k) RETIREMENT PLAN

BOARD RESOLUTION

This section is to be completed only if the employer is making a discretionary profit sharing contribution to the plan.

Plan Year End: 12/31/99 Fiscal Year End: _______________

The board unanimously approved that for the plan year named above, the employer shall make a discretionary profit sharing contribution of

$ ___________________________ OR __________________ %

into the SAMPLE, INC. 401(k) PLAN. The Board intends to have the Employer make the above contribution on or before 75 days after plan year end (03/15/2000).

________________________________________ ________________

Secretary Signature Date

The board unanimously approved that for the plan year ended DECEMBER 31, 1999 SAMPLE, INC. will not make a discretionary profit sharing contribution to the SAMPLE, INC. 401(k) PLAN.

________________________________________ ________________

Secretary Signature Date

VBA Defined Contribution Manual Revised 1/00 VIRGINIA BANKERS ASSOCIATION

401(k) RETIREMENT PLAN

KEY EMPLOYEES/ HIGHLY COMPENSATED EMPLOYEES

 LIST ALL OFFICERS OF YOUR BANK BY NAME AND POSITION:

(LIST ONLY THE OFFICERS WHO ARE EMPLOYEED BY THE BANK AND WHO CARRY THE AUTHORITY OF AN ADMINISTRATIVE EXECUTIVE EITHER BY TITLE, PRACTICE OR BOTH)

NAME TITLE

 LIST ALL EMPLOYEE STOCKHOLDERS AND THEIR PERCENT OF OWNERSHIP:

NAME % OF OWNERSHIP

 LIST ANY EMPLOYEES RELATED TO THOSE EMPLOYEES WHO ARE MORE THAN 5%

STOCKHOLDERS AND INCLUDE THEIR RELATIONSHIP, I.E. SPOUSE, CHILD, BROTHER, SISTER, PARENT OR IN-LAW:

STOCKHOLDER NAME RELATED EMPLOYEE NAME RELATIONSHIP

________________________________________________ ___________

VBA Defined Contribution Manual Revised 1/00 Plan Sponsor Date

YEAREND DATA REQUIREMENTS

With your Plan Year End processing nearly complete, we will need the year end data in order to update vesting, if necessary, and perform ADP and/or ACP testing for your Plan.

In order to prepare the necessary tests, we will need the following information as soon as possible. Please provide this data on a diskette (ASCII format, fixed or variable; EXCEL;

LOTUS) or via modem/e-mail ([email protected]) to insure the accuracy of the tests.

Information submitted on paper increases the chance for errors and will take additional time to process.

 Social Security Number - may contain “-‘s” if your system produces them

 Name - the preferred format is Last Name, First Name Middle Initial. If this is not available, other formats are acceptable.

 Date of Birth - the format used should be consistent throughout the file (i.e., 07/30/53 or 19530730)

 Date of Hire - once again, consistency required

 Date of Termination - consistency required

 Year to Date Gross Compensation - this information will be used for testing unless your Plan’s definition differs. This is also used for other tests at yearend.

 Year to Date ADP/ACP Testing Compensation - this is the compensation on which you base your deferrals. This is the actual testing compensation.

 Year to Date Plan Defined Compensation - this is the compensation on which allocations to participants are based.

 Year to Date Hours of Service - this information is also used at year to calculate vesting increments, if applicable, or determine eligibility for Year End contributions.

This is also used to determine whether or not your Plan passes other required tests.

This can be actual hours worked or you can use the codes on the enclosed list.

 Status Code – if applicable, for terminated or ineligible employees please use the codes on the enclosed list.

We realize that this is a lot of information and will take time to create a format for your software.

If this format could be used for your periodic contribution submission, it would eliminate the need for the yearend hassle. January gets very hectic in most businesses and we think this will reduce the amount of time it takes to complete your yearend processing.

VBA Defined Contribution Manual Revised 1/00