HomeMy WebLinkAbout27401 / 75-02k 2II P�SOLUTION
DEC 1 91914
JAN 21°�5
WHEREAS, the City of Oshkosh has previously established the
ICMA Retirement Corporation's de£erred compensation plan for certain
nf its =_mplouce:, snd
WHEREAS, Lhe ICMA Retirement Corporation has requested that
certain amendments be made to said plan, and
WHERL•'AS, said amendments assist the City by simplifying the
administration of said plan,�and .
WHEREAS, the City will assist its employees, at no cost to
itself,.by the incorporation into said plan adclitional attracCive
fzatures,
NOW, THEREFORE, BE IT RLSOLVED by the Common Council of the
Ci.ty of Oshkosh that the Trust Agreement with the ICMA ReT.irement
Corporation is amended by substitution therefor the Deferred Compen-
sation Plan, attached hereto as I+ppendix F1, and hereby authorizes
its City Manager co execate the Deferred Cor�.pensation Plan with the
International City blanagement F�ssociation Retirement Corporation, and
BE IT FORTII7iR RESOLVP� that the City Manager may, on behal£ of
the City, execute all Join3er Agr.eements with said employees and
other eligible officials and officcrs, which are necessary for said
persons participation in the plan, an example of which appears at
Hppendix B, except that any Joinder Agreetsent for said.designated
oEficial shall be executed by the City N.anager.
- 37 -
INT�Rn'A"CIUNAL CIT1' Af A�AGGAIGn1' ASSOCIATION
RISI'IAFR1HNT CUItPOKAlIOti
DEf ERKF.D CONPr�SAT[ON PLAN
Amended es of June'_F. 1974
THISDEFERREDCOMPENSATIONPLAN,pc�ebvesmbl�rshetlbv C1tV of Oshkosh, Wiseonsin
M1enM1na(ter �M1e Employer; bV ngrcumems wlffi iFe Incemailunul Crtv Mana9ement Assoclation Retlrement Corpors�im� anJ witM1 iM1e
cmployaes, of�leers, and of�lcials u! mltl employer wM1O bacOme perty m tbis agreemant, Dy reeson o! a'Volntler A9rcement" slgnetl
e� 1FI5 tlma, Or nt somv lime in Ihe luwre. '
WHEREAS, �hu EmpluVer M1as certain einVloyees mnJeriny w it valuable services;antl
WHEREAS, tbe EmVloyer is able m prooide I�s employues with certain bene�i�s under tM1ls Plan wM1ICM1 assmefotM1OSe partieipa[ing
employocs rizsonoble reJrammn sewrliy; untl
WHEREP.S,t�eEniploVerre veslx�nell�stromthisPlanbyincreasin9hsabilirymauractandretaincom0atantPersonnelantlbY
mcreasinq lu flexibillty In personnel management.
NOW THEREFORL WITWESSETH rM1at the Employer M1as es�abllsM1atl �Fis Intema�ional Cl�y Mana9em✓nt Associa�ion Retiremen[
Corpomllon Ue�ened Compenulion Plan and M1as causetl i� �o be executed by �M1e o�iicial afflxln9 h�s signawre on beM1a�i ol tM1e
EmploVei s 9overnin9 body.
Conversion F�ovision: WM1Cre an EmPloVer Fac prevlously establisM1CU Ne ICMA�RC tleterred mm0ensation plan fur Ics employees,
tM1is Plan sM1all wpemude all prealous documena antl pmvisions t�ermi e cep[ �M1a� ezi5ting tlelerrctl compensalmn employment
a9ruemenis wlll continue in lull force antl etfec� in Ilcu ol Por� I o� tM1ls plan, and es sucM1, have tM1e Immatllate lorce and e(fect ol a
"JOintler Agreemm�Y' m t�is Plan. If tM1e Emplover an� EmploVee dusire m amend [be ezlsting Uetened Compensation Employment
Agreement by substiw�ing Part I o� tM1is Plan thcre�oq tM1is may be tlone by executlon oi a"Jointler AgreemenY'.
Auest to� Employer:
- I -�]LCV. ��1 ����I[I . __
SigNwreo(.SU[�ori dOfficial.-�
ISeal)
p. ed toFOrm: �
�V / \ �
. .._ L�.`�-�, �.. .�� __
qt fort�eEmployer
N[(e5tforICMA-Re�iremen� p�oorauo�
��G �i..-��e:n.�'_—.
Signewre o! Aud onzetl Official
isean
N°,ter A . „r=. i�t.,
Porth E plqy� � /�
� �� � ��i. 5� �/��'� '" �
By- �
Sig t! tA ho d0�(ICial/Dat
� %
GOrdon B. Jaeqer, Citv Manaqer
Print Name antlTitle
Fm [M1e ICMA Retiremem Corporation
a�= �/�,_, E G� 6� � a A,
Signa� re of putFOrizetl Otiici IIDare �
. _...:..e:. 99sun.,;_.,, S�cro'.urY.'ireas,.r�a'
Comple�e tM1e tollowing V��or to mailing �bia agreement m tM1e Re�iremenl Gorpuration
FuIlNamelCitYOqCounWOtem.1: C1tV of Oshkosh
Title of OHicial to wM1Om corrcspontlamce anA reports are m be meiled'.
looc�emel City Clerk -
nda.�::l���d�aa.��uooae� p O Box �73p_, Oshk �,s;�is e.nsin 5G9B1
Emoiaye�s Feae�aiiaxmemif�caronr���n��r. 39-600-5563
�
Io,:�lli�.s .-u:xr:,:��i:��r
PO �fHP: 1(;,AG\ RI':IIRI'VIfAT C'.ORYOR.A'I'IOA
llI?FLRRliU C.OAIYIiSS.1110A" P1.:1S
Ta. City of Oshkosh, Wisconsin
iEmploprrl �
a��o�
(chock eppmpdalc boat
❑ N[W AGREEMENT �� AcreunQ i�. iJU;n�n �, . s recelG� 0 3 1 re�s'� e..^�s eod contll9ons oi Ne ICMN-RC
U ivred Compa .�.n Pio��. a,. n n fetl -ro ?� �� � Vofmr, m _lar �s robaiec �clow�.
i� AMLNCM1ILNT O' CXISTING AGRN I oVf D= ^ �'-� - �' �` �ha' �Fe tollaw.ng amenOmen� be matle �o �he
19mo:r.e tv.nlen orovld�d r��n.ci� i � _�, h � ._� �. , rafon Plan, as amendad.
19i:FY�L'L\� I:IS�1:151atlb]:P
��,,r
I "^
rr
�,,,u�,�y«.,.Nan,,,`�r,�"� Gordon Berthold
❑ nls _ _ __ _—JaPar+r
�Irst �ll�Ja'.e Last
HeS,� 2930 Kingston Place Oshkosh Wisconsin Sj—j����
Struel C[y Sta�e Zip
City Manager . x-�mi March
JobTi�lc ___ ... Gl.h
Mo.
5o�,a� se��.�,Y N��,h�„ o00 - o� - r��r��
To whlcM1 ol Iho A;soualious yyoiuo�ing iM1ls plan tlo you bolonp°
1931
Day Year
�ESIGNATION OF AGE OF PETIflEMENT undan'snJ ihol tha acslgnallon ol �cic��ca compensa�irn mey no�
(FO� N AecOUn�s O ly) � be chan9etl �:�hou� pro a a °mcnt o� �Ifs ayreenienL How-
inc �. ot Hc���re n. ����Y�; a: .' -n� s"iull be ... �> e. wh o he �.rron� q m �h tl hds been usotl to tle5.pnale
ryr. ��-1uc:arv, f �� �„_, �e�efred compe 'n. I f Ih -�tlorsland �hal ihe pemonla9e,
� �� � �or bo�h t o em r,era a. � I�r _mployee'e contribvlion, will be
apo'Intl io any chann�.s. In my Oaza pay, �hereby resul�ing In e
coves'qondioa cFan9c m my delenad com0ansellon_
DESIGNATION OF DEFERPEO COMPENSATION
[Iledlve on Ihe tlalc ��nJlcalrtl ba'�.. , requee; :hat I L paia
Iho �or � al bolh co L vn� cefnr �. zf.an h amw ..
ol tlelerretl compen^a �-n : � coi�W 1 1 �ollovrs.
enoon�eoam�. Januarv 1, 1975
MeN tl � 4 CI
OIYO.sI�v L �u.�.
i11 � c � . Nelo�� .
_ 1
1'J Ue�lai'AOIIO.J 3�. Q�� - G 1 ���
II you hava usetl t�e Dollar MetnoC. Oow �as I� bcen slalotl ({:er Pay
pOIIOU, BMOfiI� B�C.IP �������
For Olhzr Al�emelives or Supplemenlal Prwlslons'.
My r,rrom bese u� r , s�8 g69 � F° pr.
underslantl �hai m/ L �ay +�di �� � 7lcally 1�`��ini �: i'�
eccortlance wilh epF��Vdale luw. proceJUre. enJ poLr.y I�c
`
DESIGNATION OF INVESTMENT FUNDS
uos� .M1-t 1• ctal amr.: o' mferretl compensalion be
apolEtl te Ihe av�iqble n. c�l �unds ln ihe tcllowing pe�-
Wa �m
ceniages (See bookle� lor Ciscusston oi �untls)�.
r�untl W "'��
Iao
.i.� �R�.�n. %a
L t 100 %
I bllliCl5l��1(� �h81 YVOPIB 6�3�0 DI IOL31 12W lES�1IGIS IhB IId�111C O�
��1P If1V9511➢BfII V( I11CSB �0lId5 Ihel 1� WIII bB IIPCESSd�y 10 IBS�1�IC(
ihe imes;men: choices to ihose aveileble unaer �he law-
I heve compte!ed tFe designalion ol beneficlary torm on ihe re-
vcrsc slde ot�h��s agreemen�.
SlynaWre o� Employee Daie
FOH EMPLOYER
To: Gordon B. Jaeqer COPVTO�.ICMARe�iremenlCOrporalion
(Employoe s Name)
TMS eppllca�ion �or employoo patllcipatlon In �ha IGMA Hetlremenl Corpoialmn s Doterretl Compensatlon Plan. wMCM1 M1as been es�abhshetl by
�hls Employer, le hersby eppmvetl and e3reetl to in respect to all reques�s ihereln maqe: - \I
`� '- �' j ��-"�—
. - ; �� -.' � i
(S1gnaW�e o! Authofixea Oihcial oi Employer7�
Gordon B. Jaeaer,��Citv Manaqer
(Date) (Prinl Namo & Title ofAU:horizetl O�Itciel)
UESIGNATION OF BENEFICIAHY (COmplete �'�is portion only it you have noi previcusly tles�gna�eh a beneficiary when entering the plan
wi�h a prevlous employar or If you wish Io chonga benellclaries)-
To whom shell ihe tle�ermd compensa�lon funds, asaots antl accumulaoone in the IGMA-RC accoun� be payebla in cese o� ywr dealh? In t�e
statemenl below, give flrst namq mitltlle In�tial en� last name. Example_ Mary A. Sml'�h (nol Mrs John Smith). For your cNltlreo you may slmply
use Ihe lerm "my cNldren" antl Iaave Ihe share column blank. TM1is �e�m stiall pmvide eauel Irea�menl among your chlltlrer�—presen� and
fulm�bom of eny antl all marriages and any chlldren legally aaupted al any tlme. In �he even� you choosa to leave tho tle�ertetl compen-
sallon funds, assels antl aecumulellons, lo u cl�arity or Ins�IW[ion, specify Its complete legel name antl atldress.
i, iho ontlerslgned, bein5 8 Particlpanl In Ihe ICMA-HC Defermd Compensa�lon Plan and �hus having ihe sole rigM to tlesignele, chenge, entl
succcsslvoly chenyc Ihe pereon, persons. o� tns�l�utions dealgnate� es beneficiary or beneficiaries, tlo �ereby dlreci that any end all tleferred
compenealion �untls, assels', antl acevnwlallons heltl for my rehroment benefi! by No IGMA Retlremenl Corpora[ion (or any successor ihere�o)
BB TN512B �Ol PII O� TY PB9�, P(B320I dlld �UWIE p91��IGIG8���9 Emi��0Y6I8i btl {IdY9t�0 �9 �O��OW6 �I� �IV�I19 9� �hP 11T0 Of TY (�BB�hi
NAM[ AD�FE55 SHARE
(Please �ype o� prin!)
In Ihe even� oi �he dealh�oi my beneficlary or beneficlaries prior to fic tlale o� ihe tlls�ribution ol :he de(erred rompensatlon �untls, assets
ond awomulalions by ihe employer, I�en to Ihe following porson, persons, or insti!utions- II living et Iho lime o� my tlwth:
NAME ADDPE55 SHARE
(Please lype ar F�inl)
(TO be used �or spocial provisions ihe Employae mey choose to Indutle).
In additlon lo eny oontlllions stetetl abovo, I dlrect ihe lollowing (pinuso print or rype)
underslentl ihat it �he banafl�s ere peld to me under en optlon requlrioy �he pumhese of an annwty for my benelit. Na[ my tlesignaYion or
mtlesignailon oi a bene(Iciery or beneficianos may h3ve lo be repeated el ihal tlme, In ecmrdence wi�h the rapulremenls ot Ihe annullo[ I
Wtlhar undersland Ihal Ihe Iasi datetl deslgne�ion o� a boneliolery or beneilcianes liletl wi�h ICMA�RC ae Tmslee for eny Oatllcipaiing amployer,
ehell, In �he evaot o� my dea�h prio� �o full tlisl�ibulion to ma eltar my m�nemen�, conlrol Ihe acfions oi ICMA-RC, es Tms�ee in Ihe tlislribution
of ihe tlelerred compensation funtls, assets antl accumulatlons In ine relevanl ICMA-FiC Account or Accounls.
J uo i
�� JOINDER AGREEMP,NT C
TO TH� ICMA RETIREMI?�1' C:ORYORATION
DEFlRRED C01TPI?NSATION PI.AN
City of Oshkosh, Wisconsin
. (Employer)
Od3•�—�
REC'D BY ICMA-
JAN 1 0 1975
RETIREMENT Gu�P,
(check appmpriate box)
❑ NEW A6REEMENT (or'Accbunt): The� undersigned hereby acknowletlges receipt ot and agrees lo Ihe �erms antl contlitions of �he ICMA-RC
Dc�errzd Compensation Plaq as amentled, antl hereby apP�ies �or participalion in said plan as indica�ed below:
R] AMF.N�MENT OF EXISTING AGREEMENT (or Account): The untlersigneC hereby requesis ihat Ihe follawing amendment be matle to ihe �
Jointler AgreemeN which pmvitlzd fo� my patlicipa�ion in the ICMA-RC �eterretl Compensalion Plan, as amantletl.
PEPSONALINFOHMATION:
(g Mr.
p Mrs.
❑ M�ss Gordon Berthold Jae er
[mployea's Name � Ms. g
First Midtlle Last
aes�aence � 2�30 Kingston Place Oshkosh Wiseonsin 5 4�9 JO �l
S�ree� � Cily Staie Tip
JobTitle Citv Manaqer sexoM s�nn March 9 1931
Mo. �ay Year
Social Sewri�y Numbero�o _ oo - o000 �
To which of ihe AsSOCieiions sponsorin9 ihis plan tlo you belong?
DESIGNATIDN OF AGE OF NETIFENENT
(FOr New Accounle Only) �
Th: age o( Reiirement untler Ihis agreement shall be .......
(You may select any age irom agc 55 up.)
OESIGNATION OF OEFEflPED COMPENSATION
E��eclive on the tlaie intlica�ea below, I request Ihat I be paitl in
Ihe torm ot both current anG tlefertetl compensatioq (he amounl
of tleferretl compensalion to be calculaletl as follows: .
Enea;�eoa�e�. January 1,� 1975
ueinoa i oesiywr�q 000i��o�im�� comno�no��
oelm�ee�COmp ns tion Base paY s�all �e Base pay sM1a�l bo T°�°�
(USB OOIy One� retlucetl by etltloE�o Ly
�If Perwninge Mel0o0 q�
:....................
�z� oon�,me�noa s 1 000 s s 1 000
If you have usetl tha Dollar Methnd, how has il been s�aled (per pay
pariod, annval, etcJ? „
Por Other Altemalives or SupplemeNal Pmvisions:
My cortent base pay or salary is $� g69 per �'r.—.
I unders�ond Ihat my base pay will be periotlicalty tlelermineG in
accordance viith appmpriale law, pmcedure, antl policy. i also
�!
untlerstand �hal �he tlesignation ot deterred wmpensation may nol
be changetl wi�hout proper amentlmen[ ot this agreemenl. How-
ever, where �he percentaqe me�hotl has been used lo designale
tle(erretl compensa�ion, I further underslantl �hal ihe pementage,
b� bo�h ihe employer's and �o� employee's conVibvlion, will be
applied �o any changes in my base pay�, ihereby resWting in a
correspondin9 change in my tleferred compensa�ion.
OESIGNATION OF INVESTMENT FUNDS
I reqves� fia� �he lolal �amoun(s oi tlelerred compensa�ion be
applietl to the available inveslment funds in �he tollowing per-
ceniages (See boakle� fo� discussion o� Wnds):
F��a wnoie
oercema9e:
ve.�aoie r��e r,
Fi:eJ Incame FwE %
T��a� mo w
I untlerclantl thal where sla�e or Iocai law reslric�s Ihe naWre oi
�he inveslmen� of �hese Wnds ihal i� will be necessary lo resiricl
ihe investment choices to ihose available under Ihe law.
The employer, City of Oshkosh, is a Wis—
consin municipality and as such the
investment o£ said £unds must be
restricted to those i�nv)estments authoriz�
ed by Wisconsin laL%/4� �f`i����
I have compleled �he tlesigna�ion of dsY�fQ(m 7
verse sitle o�this agreemenL °«'
z-ir-i97s
Si9nature ot Employee �ate
im�:�araeso•�a:i
TO�. �:nrdnn R. .Taan[�r , COPVTO:IQJARe�iremenlCOrporation
(E�nployee's Name)
This application !or employee parlicipa�ion in fie ICMA RetiremeM Corpore�ion's Deicrretl Gompensalion Plan, which has been eslablished by
fiis [mployer, is her=by appmvetl antl a9reetl �o in respect to all m4vests Iherein tle.
� � l
� ��� �
( y� yre o Au nonzetl O� loyer)�
dordon 8. Jaeqer, City Manager�_
(DataJ (prinl Name & TIIIe of Aulhorizetl Olficlal)
DESIGNATION OF BENEfICIARY (Complete �his potlion only if you have noi previously designaletl a beneficiary when entering liie pian
with a previous employer or if you wish lo change beneticiaries).
To whom shall Ue delerred compensaiion �untls, asse�s antl accumvla�ions in ihe ICMA-RC ar,coun� be payable in case o� your dealh? In Ne
s[atement below, give firsl name, middle Ini�ial antl lasl name Example: Mary A. Smith (not Mrs. John Smith). Por your chiltlren you may simply
use ihe �erm "my chiltlren" and leave �he share column blan4. This [erm shall provitle equal IrealmeN among your children—present antl
hWre—�om oi any antl all marriages and any chiltlren legally atloptetl &t any [ime. In Ihe event yov choose �o leave Ihe delerted comp��n-
sation funtls, assels antl acwmulaiions, lo a charity or instiNlion, specity its complele leyal name entl atltlress .
1, Ne undersigned, being a par[icipant in �he ICMA-RC Deterred Compensation Plan and thus having Ihe sole righ� Io �esignaie, change. anA
successivety change Ihe person, pe�snns, o� insliWtions deslgnaled as beneliciary or benaficiaries, do hereby tlirecl ihal any and all de�erretl
compensa�ion funds, asse�s, antl accumulalions heltl ior my reiirement benefit �y the ICMA Re�irement Corporation (or any svccessor iherelo)
as Tmstee for all ol my past, present and �uture participatiog Employers, Ge payable as follows it living ai ihe time o� my tlealh:
NAME
�vue or print) ADDRESS � SHARE
In the event of Ihe deaih�o! my beneliciary or bene'icizries prior �o the tlale of Ihe tlisiribulion of fho deferretl comp�nsation funds, assets
end accumuletions by ihe employer, �hen �o �hc fol!owiog person, persons, or ins�iNtions 1f Ilving at tho tlmo ol my dea�h:
NAME
(Pleace lype or print) ADDHE55 SHARE
(To be used tor special pmvisions iho Gmployee may choose to include).
In etltli�ion ro any contlilions statetl above, I tlirect ihe folimving (please p�int or �ype)
1 untlerstand that if �he benefils are paitl lo me untler an option mquirin9 �he purchase ot an annui:y for my Cene�it, �ha( my tlesi9nation or
reJesiynalion o� a beneticiary or beneficiaries may havz to be repeatetl at Ihat time, in acmrtlance �vilh 1he requiremenls of Ihe annvitor. I
fu« her unders�and �hat �he last tlated designalion of a beneliciary or beneficiaries tilctl �eith ICMA-fiC zs Trustee br any patlicipatln9 emplo9er,
shall, in the eveni of my deaih prior to full distribulion �o me aller my 2:irvmen�, conhei �he actione o( ICMA-RG, as Truslee in Ihe tlisVibulion
of Ne Ceferred compensation ivnds, as,els antl accumulations in t�e relevant ICMA-HC Account or Accounis.
Date
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