Page 36 - Public Citizen 2021-2022
P. 36

Page 1




              Summary Plan Description



             Note to Employer: The United States Department of Labor (DOL) requires this summary or a copy of it to be distributed
             to each eligible Employee.
              Plan Sponsor (Employer), Plan Administrator, and Agent for Legal Service

              Employer/Plan Sponsor Name:   Public Citizen
              Contact Name:        Joseph Stoshak                      Phone Number:         202-588-7706
              Employer Address:    1600 20th Street NW
                                                                       Federal Tax ID:       23-7104508
                                   Washington, DC 20009                ERISA Plan Number:    501
              Plan Administrator accepts service of legal process.
              Employer’s Plan Name:  Public Citizen Flexible Compensation Plan
              Group Name:
              Plan Year:           1/1/2020 to 12/31/2020              Client TASC ID:      4303-4138-6885
              Healthcare FSA                                           Plan Runout
                                   $500.00                                                  4/30/2021
              Carryover Maximum:                                       End Date:

             PURPOSE
             Your Employer has adopted this Flexible Compensation Plan to allow you to pay for benefit options made
             available under this Flexible Compensation Plan for yourself, your spouse, and your dependents via pre-taxed
             salary reduction contributions. You may choose from these “tax free” benefits in lieu of receiving taxable
             compensation. The plan is intended to qualify as a “Cafeteria Plan” within the meaning of Section 125(d) of the
             Internal Revenue Code, and the benefits you elect will be excluded from your income under Section 125(a).

                                              Maximum          Minimum         Healthcare FSA Carryover
              BENEFITS OFFERED TO
                                              Participant Salary  Participant   or -
              EMPLOYEES
                                              Reduction        Salary Reduction   Grace Period End Date
              Healthcare FSA                  $2750.00         $0              Carryover

              Dependent Care FSA              $5000.00         $0              1/31/2021
              Medical or Medical-Related      Offered          N/A             N/A
              Premiums
              Disability Insurance Premiums   Offered          N/A             N/A
              Dental Premiums                 Offered          N/A             N/A
              Voluntary/Group Term Life
                                              Offered          N/A             N/A
              Insurance Premiums


             This Flexible Compensation Plan allows you to reduce your taxable income in direct proportion to (a) your contribution to
             the cost of your elected benefits and (b) your contribution to any account-based tax advantaged plan or fringe benefit
             plan offered by your Employer.

             ELIGIBILITY REQUIREMENTS


           TASC   I   2302 International Lane   I   Madison, WI 53704-3140   I   1.800-422-4661   I   www.tasconline.com   I   FX-5297a-061819
               The information contained in this communication is confidential and to be used by TASC employees and representatives for only its intended purpose.
                                                            ©TASC
   31   32   33   34   35   36   37   38   39   40   41