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. <br /> .% r <br /> � y. <br /> DEPENDENT CARE ASSISTANCE PLAN <br />' ADOPTION AGREEI�NT <br /> By execution of this Adoption Agreement, the Employer <br /> identified below hereby adopts City of Decatur <br /> Dependent Care Assistance Plan with the elections herein set <br /> forth for its Eli ible Em lo ees. <br /> g P Y <br /> Non-discrimination Provision <br /> If, in the 'ud ent of the Plan Administrator, the II <br /> J 5n► <br /> Plan may or does discriminate, the Plan administrator <br />, shall: <br /> Exclude from coverage under the plan <br /> Highly Compensated Individual <br /> Participants from coverage under the <br />' Plan; or <br /> Reduce Highly Compensated Individuals' <br /> contributions and/or benefits under the <br /> Plan; or <br /> X Terminate all contributions to the Plan <br /> from Highly Compensated Individuals; or <br /> Other <br /> THIS ADOPTION AGREEMENT is executed on this K.�7f�day of��B�UA►�` , <br /> 19 �l� . <br /> City of Decatur <br /> (Employer Name) <br /> � <br /> By• �1� �- ��G, <br /> i�gnature of Autho ' zed Person) <br /> �! <br /> FSA-21A-192 <br />