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50 Change of Employer NC 401(k) PLAN Please print using blue or black ink. Employer: Use this form if an employee is transferring to or from a new Instructions employer. Employee: Use this form if
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Security Number (SSN) Employer: Employer's Social Security Number (SSN) if you are an employer. Employee: Your Social Security Number (SSN) must match the employer's Social Security Number (SSN). 4 Current employers's name Employer's name. Employee: Employer's name under Section 6.03(2) (4) and (5). 5 Date last paid: Date last paid under this plan. Correct if last pay under previous plan. Include the month, day, and year. Include the first and last name (include last name and first name). 6 Date beginning pay period: Date beginning pay period under this plan. 7 Annual enrollment period for current calendar year Beginning date for the calendar year. Correct if year is a leap year. Include the month and the years, if applicable. Include the full name, if appropriate. 8 Monthly enrollment fee: Monthly enrollment fee. Correct if your plan requires or covers annual membership fee. If you are not an employee of the Government, the fee is paid to You. Correct if this plan involves contributions made to the Employer's Individual Retirement Account by the Employee. 9 Number of participants in prior plan years Total number of participants in prior plan years. Correct if previous plan year(s) is an eligible plan year. Do not include participants who did not enroll in this plan. 10 Current date of plan year Effective date for plan year. Do not include Plan Year 6, Plan Year 4, or Plan Year 3. 11 Employees first pay period: Employer's first pay period, if applicable. Employees whose first pay period is prior to January 1 must use the preceding pay period as their first pay period, unless this form is used, in which case they must use the following pay period as their first pay period. Employee: Employee's first pay period. Employer: Employer's first pay period, if applicable. 12 Employees's last pay period: If an employee is eligible to earn benefits (including earnings deferral), this date is the last date for which the employee will earn benefits under the plan. Correct if the last date is on or after January 1st. Correct if the last date is after June 30, 2018, but before December 31, 2018. 13 Number of participants in prior calendar year Total number of participants in prior calendar year Table 3.

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The employer uses this form to report employee wages and taxes withheld to the IRS.
Employers who have employees to whom they pay wages and withhold taxes are required to file this form.
Employers fill out this form by providing the required employee wage and tax withholding information in the designated fields.
The purpose of this form is to ensure accurate reporting of employee wages and taxes withheld to the IRS for tax purposes.
The form requires reporting of employee wages, tips, and other compensation, as well as federal income tax withheld, Social Security tax withheld, and Medicare tax withheld.
The deadline to file this form in 2023 is typically January 31st.
The penalty for late filing of this form can vary depending on the size of the employer and the duration of the delay, but it can range from $50 to $270 per form, with higher penalties for intentional disregard.
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