DECLARATION OF TERMINATION OF A PENSION PLAN
(following a decision of the Régie des rentes du Québec)
Name of the plan: ______________________________________________________________
____________________________________________________________________________
Number: _________________________
I, _________________________, being duly authorized to act as administrator or as the mandatary of the administrator of the plan mentioned above, declare that I was notified of the decision of the Régie des rentes du Québec (the Régie) to terminate the plan at ________________________,
I certify that:
(1) the pension committee that administers the plan received a copy of the Régie’s decision on _______________________;
(2) the pension committee transmitted a copy of the decision of the Régie to all the members and beneficiaries affected by the decision, the accredited association representing the members, the employer and the insurer, if any.
__________(signature)__________ __________(date)__________