1295 Butterfield Rd., Aurora, IL 60504-8879 Ph (630) 978-4600 

                              Fax (630) 978-4616     benefitfunds@ualocal501.org

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Summary Plan Description *

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                                      PENSION FUND

                           Pension Application Package

* In order to view these documents you must have Adobe® Acrobat® Reader. If you do not have this software, you can download it for free from Adobe's Web Site.

Below is a complete pension application package. Please complete the appropriate forms and return them to the Fund Office 30 days before your commencement date, but not more than 90 days before your commencement date, along with your certified birth certificate. If you are married a certified marriage certificate and certified birth certificate for your spouse is also required.

Following is a list of the forms and instructions included in this portion of the web site. To view and/or download the form, simply click on the appropriate form.

Form 1:    Notice of Automatic Forms of Payment; this is an explanation of the "automatic" forms of payment.

Form 2:    Explanation of Optional Forms of Payment

Form 3:    Pension Application this form must be completed and returned with proof of age and marriage

Form 4:    Election of Optional Forms of Payment you elect the form of payment you wish to receive. There are five (5) different Forms for this election, they are differentiated at the top right corner. The form you complete will depend on your past service. The appropriate form is completed as follows:

• 319dv- 319 participant terminated before the merger (6/1/98)
• 514dv- 514 participant terminated before the merger (6/1/98)
• 319- 501 participant with a frozen 319 benefit
• 514- 501 participant with a frozen 514 benefit
• 501- 501 participants with all 501 service includes former 507 participants

Form 4 part 2: Election of Direct Rollover applies to a lump sum distribution. After reading the Special Tax Notice Regarding plan payments you elect whether or not to roll your distribution over into another qualified plan or an IRA

Form 5:    Automatic Form of Payment Waiver on this form a married participant may elect to waive the Normal Form of Payment.

• Local 501 (Northern Illinois Benefit Fund) -Normal form for a married participant is the joint and 75% survivor benefit
  
  
• Local 319 and Local 514 Frozen Benefit and Deferred Vested -Normal form for a married participant is the joint and 50% survivor benefit.

Form 6:    Consent of Spouse on this form your spouse consents to your election to waive the Normal form of payment.

Form 7:    Certification of Marital Status this form must be completed by any participant whose marital status is single.

Form 8:    Statement of Non-Work all participants must complete form 8.

Form 9:     Application For Electronic Wire Transfer this is a voluntary election to have your pension wired to your financial institution

Form 10:    W-4P Federal Withholding on Pension Plan Distributions. If you want income tax to be withheld, you must designate the number of withholding allowances on line 2 of this form. Under current law, you cannot designate a specific dollar amount to be withheld. However, you can designate an additional amount to be withheld on line 3. If you do not want any income tax with held check the box on line 1.

If you do not submit form W-4P the Fund must withhold as if you are married claiming three withholding allowances. Generally, this means that tax will be withheld if your pension is at least $1,320.00 a month.

Form 11:    Federal Withholding Tax Election to be completed if you are receiving a one time payment

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This site as last updated : 05/13/08

Plumbers and Pipefitters Local 501
Northern Illinois Benefit Funds
1295 Butterfield Rd., Aurora, IL 60504-8879
Ph (630) 978-4600 Fax (630) 978-4616