الاستمارة 5310-A
Instructions for Form 5310-A, Notice of Plan Merger or Consolidation, Spinoff, or Transfer of Plan Assets or Liabilities; Notice of Qualified Separate Lines of Business
Rev. December 2020
النماذج ذات الصلة
- الاستمارة 5310-A - Notice of Plan Merger or Consolidation, Spinoff, or Transfer of Plan Assets or Liabilities; Notice of Qualified Separate Lines of Business
Department of the Treasury
Internal Revenue Service
Instructions for
Form 5310-A
(Rev. December 2020)
Notice of Plan Merger or Consolidation, Spinoff, or Transfer of Plan Assets or
Liabilities; Notice of Qualified Separate Lines of Business
Section references are to the Internal Revenue
Code unless otherwise noted.
the plan merger and plans that cease to
exist after the plan merger. In the case
of a plan spinoff, file Form 5310-A only
for the plan in existence before the
spinoff.
treated as the only notice filed for the
2019 testing year (see Part III).
Future Developments
Example Three - Revocation
For the latest information about
The facts are the same as in Example
Two. Assume that Employer A timely
filed a new notice for the 2019 testing
year. During 2020, Employer A elects
not to treat itself as operating QSLOBs
for the 2020 testing year. Employer A
must revoke the last notice it filed (that
is, the notice for the 2019 testing year).
Employer A must revoke the notice filed
for the 2019 testing year by filing Form
5310-A for the 2020 testing year and
indicating on line 9 of the Form 5310-A
that it is revoking a previously filed
notice and is no longer testing on a
QSLOB basis. If such notice is not filed
on or before the notification date for the
2020 testing year, the notice filed for the
2019 testing year will be treated as the
only notice filed for the 2020 testing
year (see Part III).
developments related to Form 5310–A
and it’s instructions, such as legislation
enacted after they were published, go to
Qualified separate lines of
•
business. The employer must file
notice that it elects to be treated as
operating QSLOBs or that it either
modifies or revokes a previously filed
notice. Only one notice per employer,
within the meaning of sections 414(b),
(c), and (m) is required.
General Instructions
Purpose of Form
Examples
Example One - Initial Notice
Form 5310-A is used by employers to
give notice of:
A plan merger or consolidation that is
•
Employer A is composed of four
the combining of two or more plans into
a single plan.
separate corporations that are treated
as one employer within the meaning of
section 414(b). Employer A treats each
corporation as a separate line of
A plan spinoff that is the splitting of a
•
single plan into two or more spinoff
plans.
business. The 2018 testing year is the
first year for which Employer A elects to
be treated as operating QSLOBs for the
purpose of section 410(b) (see When
To File for a definition of “testing year”).
Employer A must file Form 5310-A and
provide information on each of the four
QSLOBs on or before the notification
date for the 2018 testing year (see
When To File for a definition of
A plan transfer of plan assets or
•
liabilities to another plan that is the
splitting off of a portion of the assets or
liabilities of the transferor plan and the
concurrent acquisition or assumption of
these split-off assets or liabilities by the
transferee plan.
Exceptions From Filing
Notice of Plan Merger or
Consolidation, Spinoff, or
Transfer of Plan Assets or
Liabilities
Direct rollover. Do not file Form
5310-A for an eligible rollover
distribution that is paid directly to an
eligible retirement plan in a direct
rollover as described in section 401(a)
(31).
Plan merger or consolidation or
spinoff. Do not file Form 5310-A if the
plan merger or consolidation or the
spinoff complies with Regulations
section 1.414(l)-1(d), (h), (m), or (n)(2).
Generally, these requirements will be
satisfied in the following four situations:
1. Two or more defined contribution
plans are merged and all of the
following conditions are met:
Qualified separate lines of business
•
(QSLOBs).
“notification date”). If the notice is not
timely filed, Employer A is not treated as
operating QSLOBs for purposes of the
coverage rules for the 2018 testing year
(see Part III ).
Note. An IRS determination letter will
not be issued when a Form 5310-A is
filed.
Who Must File
Pension plan, profit-sharing plan,
•
Example Two - Modification
or other deferred compensation
plan. Any sponsor or plan administrator
of a pension, profit-sharing, or other
deferred compensation plan (except a
multi-employer plan covered by Public
Benefit Guaranty Corporation (PBGC)
insurance) should file this form for a
plan merger or consolidation, a spinoff,
or a transfer of plan assets or liabilities
to another plan. See section 6058(b).
The facts are the same as in Example
One. During the 2019 testing year,
Employer A sold QSLOB four. Also,
assume that Employer A timely filed
Form 5310-A for the 2018 testing year.
For the 2019 testing year, Employer A
intends to treat QSLOBs one and two as
a single QSLOB. Employer A must
modify its initial notice by filing Form
5310-A on or before the notification date
for the 2019 testing year, including a
revised list of QSLOBs for line 11 of the
form. If Employer A does not timely
provide a new notice, the initial notice
filed for the 2018 testing year will be
Note. This form must be filed for each
plan with a separate employer
a. The sum of the account balances
in each plan prior to the merger
identification and plan number if that
plan is involved in a merger or transfer
of plan assets or liabilities. This includes
plans that were not in existence before
(including unallocated forfeitures, an
unallocated suspense account for
excess annual additions, and an
Oct 19, 2020
Cat. No. 12899J
unallocated suspense account for an
ESOP) equals the fair market value of
the entire plan assets.
on Form 5310-A. Enter the date of the
second merger on line 6g.
spinoff occurring during the current plan
year.
Also, mergers occurring in previous
plan years are taken into account in
determining the percentage of assets
above if the series of mergers is, in
substance, one transaction with the
merger occurring during the current plan
year.
Aggregating spinoffs may cause a
spinoff, for which a Form 5310-A was
not initially required to be filed, to
become reportable as a result of a
subsequent spinoff. In this case, report
the spinoff(s) on the Form 5310-A filed
for the subsequent spinoff. Enter the
date of the subsequent spinoff on
line 6g.
Transfer of Plan Assets or Liabilities.
A transfer of plan assets or liabilities is
considered a combination of separate
plan spinoffs and mergers.
Example. Neither plan has an
outstanding section 412(d) waiver
balance.
b. The assets of each plan are
combined to form the assets of the plan
as merged.
c. Immediately after the merger,
Aggregating mergers may cause a
each participant in the plan has an
merger, for which a Form 5310-A was
account balance equal to the sum of the not initially required to be filed, to
account balances the participant had in
the plans immediately prior to the
merger.
become reportable as a result of a
subsequent merger. In this case, the
merger(s) must be reported on the Form
5310-A filed for the subsequent merger.
2. There is a spinoff of a defined
contribution plan and all of the following
conditions are met:
Do not file Form 5310-A for:
b. The provisions of the larger plan
that allocate assets at the time of
termination must provide that, in the
event of a spinoff or termination of the
plan within 5 years following the merger,
plan assets will be allocated first for the
benefit of the participants in the other
plan(s) to the extent of their benefits on
a termination basis just prior to the
merger.
4. There is a spinoff of a defined
benefit plan into two or more defined
benefit plans and both of the following
conditions are met:
a. For each plan that results from
the spinoff, other than the spunoff plan
with the greatest value of plan assets
after the spinoff, the value of the assets
spun off is not less than the present
value of the benefits spun off (whether
or not vested).
The transferor plan in a transfer
•
a. The sum of the account balances
in the plan prior to the spinoff equals the
fair market value of the entire plan
assets.
transaction if the assets transferred
satisfy the spinoff conditions in 2 or 4
above.
The transferee plan in a transfer
•
Example. The plan does not have an
outstanding section 412(d) waiver
balance.
transaction if the plan liabilities
transferred satisfy the merger conditions
in 1 or 3 above.
b. The sum of the account balances
for each of the participants in the
resulting plan(s) equals the account
balances of the participants in the plan
before the spinoff.
Note. In some situations, the transferor
plan may have to file Form 5310-A but
not the transferee plan, or the transferee
plan may have to file but not the
transferor plan.
c. The assets in each of the plans
immediately after the spinoff equal the
sum of the account balances for all
participants in that plan.
Examples
Transfer of Plan Assets or
Liabilities
Example. The plan does not have
unallocated accounts.
Plans A, B, and C are separate plans
within the meaning of section 414(l). A
portion of the assets and liabilities of
both Plan B and Plan C will be
3. Two or more defined benefit
plans are merged into one defined
benefit plan and both of the following
conditions are met:
b. The value of the assets spun off
to all the resulting spunoff plans (other
than the spunoff plan with the greatest
value of plan assets after the spinoff)
plus other assets previously spun off
(including transfers to another plan)
during the plan year in which the spinoff
occurs is less than 3% of the assets of
the plan before the spinoff as of at least
1 day in that plan's plan year.
transferred to Plan A. None of the plans
are excluded from filing under the
exceptions from filing listed above. In
this situation all 3 plans must:
a. The total liabilities (the present
value of benefits whether or not vested)
that are merged into the larger plan
involved in the merger are less than 3%
of the assets of the larger plan. This
condition must be satisfied on at least 1
day in the larger plan's plan year during
which the merger occurs. All previous
mergers (including transfers from
another plan) occurring in the same plan
year are taken into account in
File a completed Form 5310-A.
•
Enter code 4 (notice of a transfer of
•
plan assets or liabilities) as the reason
for filing.
Example. Assume that a spinoff
Complete all parts of Part I and II of
•
involving almost 3% of the assets of the
plan occurs in the first month of the plan
year. In the fourth month of the plan
year a second spinoff occurs involving
liabilities equal to 2% of the assets of
the plan. The total of both spinoffs
exceeds 3% of the plan assets. As a
result of the second spinoff, Form
5310-A must be filed to report both
spinoffs. Enter the date of the second
spinoff on line 6g.
the form.
For Plan A, line 6 of the form will show
information regarding Plan B and an
attached statement with the line 6
information for Plan C. Plan B and Plan
C will each enter the information
regarding Plan A on line 6.
determining the percentage of assets
described above.
Example. Assume that a merger
involving almost 3% of the assets of the
larger plan occurs in the first month of
the larger plan's plan year. In the fourth
month of the larger plan's plan year, a
second merger occurs involving
Plan Merger
Plans A, B, and C are separate plans
within the meaning of section 414(l).
Plans A, B, and C are being merged.
Assets and liabilities from each plan will
be merged into Plan D, a new plan that
was established for the purpose of
effecting the merger. None of the plans
liabilities equal to 2% of the assets of
the larger plan. The total of both
Spinoffs occurring in previous or
subsequent plan years are taken into
account in determining the percentage
mergers exceeds 3% of the assets of
the larger plan. As a result of the second of assets spun off if such spinoffs are, in
merger, both mergers must be reported
substance, one transaction with the
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are excluded from filing under the
exceptions from filing above.
Internal Revenue Service
7940 Kentucky Drive
Florence, KY 41042
How To Complete the
Notice
Form 5310-A is screened for
In this situation, four separate Forms
5310-A must be filed. Because Plan D is
receiving assets from Plans A, B, and C,
Plan D must file a complete Form
completeness. Incomplete notices will
be returned. Here are some tips to help
you complete the form correctly.
1. The notice has formatted fields
that will limit the number of characters
entered per field.
Private delivery services. In addition
to the United States mail, you can use
certain private delivery services
designated by the IRS to meet the
“timely mailing as timely filing/paying”
rule for tax returns and payments.
These private delivery services include
only the following.
5310-A, enter code 2 (notice of a plan
merger) as the reason for filing, and
complete all of Parts I and II of the form.
Line 6 of the form will show information
regarding Plan A and an attached
2. All data input will need to be
entered in Courier size 10 font.
statement with the line 6 information for
Plans B and C. Plans A, B, and C are
merging with Plan D. Plans A, B, and C
will each file a separate Form 5310-A
completed as follows: Enter code 2 as
the reason for filing, complete all of
Parts I and II, and enter the information
regarding Plan D on line 6.
DHL Express (DHL): DHL Same Day
•
3. Alpha characters should be
entered in all capital letters.
Service.
Federal Express (FedEx): FedEx
•
4. Enter spaces between any
Priority Overnight, FedEx Standard
Overnight, FedEx 2Day, FedEx
International Priority, and FedEx
International First.
words. Spaces will count as a character.
5. All data fields are entered as an 8
digit field in MMDDYYYY format.
United Parcel Service (UPS): UPS
6. If a number is requested, a
number must be entered.
7. For questions regarding this form,
call the Employee Plans Customer
Service at 1-877-829-5500.
•
Next Day Air, UPS Next Day Air Saver,
UPS 2nd Day Air, UPS 2nd Day Air
A.M., UPS Worldwide Express Plus,
and UPS Worldwide Express.
When To File
File Form 5310-A at least 30 days
•
prior to a plan merger or consolidation,
spinoff, or transfer of plan assets or
liabilities to another plan.
The private delivery service can tell
you how to get written proof of the
mailing date.
The IRS may, at its discretion,
If you are filing Form 5310-A to notify
•
require additional information or the
submission of a Form 5300, Application
for Determination for Employee Benefit
Plan, when it is deemed necessary.
the IRS that the employer treats itself as
operating QSLOBs or the employer is
modifying or revoking a previously filed
notice, file Form 5310-A on or before the
notification date for the testing year. The
“notification date” for a testing year is
the later of: (a) October 15 of the year
following the testing year, or (b) the 15th
day of the 10th month after the close of
the plan year of the plan of the employer
that begins earliest in the testing year.
“Testing year” means the calendar year.
Signature
Stamped signatures are not
acceptable; see Rev. Proc.
!
Specific Instructions
CAUTION
2020-4, which is on page 251 of
Internal Revenue Bulletin 2020-1 at
Line 1 — Reason for filing. Enter the
appropriate code that describes the
reason you are filing Form 5310-A.
In general, the employer or plan
administrator must sign the form. For
single employer plans the plan
Enter 1 for a notice of qualified
separate lines of business.
administrator and the employer are
generally the same person. When the
plan administrator is a joint employer —
union board or committee — at least
one employer representative and one
union representative must sign. A Form
5310-A filed with the IRS by a
Enter 2 for a notice of a plan merger
or consolidation.
Penalties
Enter 3 for a notice of a plan spinoff.
There is a penalty for the late filing of a
Form 5310-A to report a plan merger or
consolidation, spinoff, or transfer of plan
assets or liabilities. The penalty is $250
a day for each day the Form 5310-A is
late (up to a maximum of $150,000).
The form is late if it is not filed at least
30 days before the plan merger or
consolidation, spinoff, or transfer of plan
assets or liabilities.
Enter 4 for a notice of a transfer of
plan assets or liabilities to another plan.
Part I — All Filers Must
Complete Part I
Lines 2a and 2b. Enter the name and
address of the employer or plan
sponsor. A plan sponsor means:
1. In the case of a plan that covers
the employees of one employer, the
employer;
2. In the case of a plan sponsored
by two or more entities required to be
aggregated under sections 414(b), (c),
or (m), one of the members participating
in the plan; or
representative on behalf of an employer
or plan administrator must be
accompanied by:
1. A power of attorney specifically
authorizing such representation in this
matter (you may use Form 2848, Power
of Attorney and Declaration of
Where To File
Representative), or
File Form 5310-A at the address
indicated below:
2. A written declaration that the
representative is a currently qualified
attorney, certified public accountant,
enrolled actuary, or is currently enrolled
to practice before the IRS (include either
the enrollment number or the expiration
date of the enrollment card) and is
authorized to represent the employer or
plan administrator.
Internal Revenue Service
TE/GE Stop 31A Team 105
P.O. Box 12192
Covington, KY 41012-0192
3. In the case of a plan that covers
the employees and/or partners of a
partnership, the partnership.
Requests shipped by Express Mail or
a delivery service should be sent to:
The name of the plan sponsor/
employer should be the same name that
was or will be used when the Form
-3-
5500, Annual Return/Report of
Employee Benefit Plan, series returns/
reports are filed for the plan.
addition, Plans A, B, and C must each
file a separate Form 5310-A (see the
example of a plan merger).
Part II—Plan Merger,
Consolidation, Spinoff, or
Transfer
Address. Include the suite, room, or
other unit number after the street
address. If the Post Office does not
deliver mail to the street address and
the plan has a P.O. box, show the box
number instead of the street address.
This address should be the address of
the sponsor/employer.
Line 6h. Enter the code that describes
Line 4a. Enter the name you
the other plan.
designated for your plan. Due to space
restrictions, this field is limited to 70
characters, including spaces. Due to
this restriction, “Employee” and “Trust”
are not necessary in the plan name.
Line 4b. Enter the 3-digit number,
beginning with “001” and continuing in
numerical order for each plan you adopt
(001–499). The number assigned to a
plan must not be changed or used for
any other plan. This should be the same
number that was or will be used when
the Form 5500 series returns/reports
are filed for the plan.
Enter 1 for a defined benefit plan.
Enter 2 for a profit-sharing plan.
Enter 3 for a profit-sharing/401(k)
plan.
Enter 4 for a stock bonus plan.
Enter 5 for an ESOP plan.
Enter 6 for a money purchase plan.
Enter 7 for a target benefit plan.
Line 2g. Enter the 9-digit employer
identification number (EIN) assigned to
the plan sponsor/employer. This should
be the same EIN that was or will be
used when the Form 5500 series annual
returns/reports are filed for the plan. For
a multiple employer plan, the EIN
Part III—Qualified
Separate Lines of
Business
should be the same EIN that was or will
be used when Form 5500 is filed.
Rev. Proc. 93-40, 1993-2 C.B. 535,
contains procedures relating to the
notification requirements of section
414(r)(2)(B).
Lines 5a. Attach an actuarial statement
of valuation showing compliance with
section 414(l). The statement must (1)
identify the type of transaction involved
(for example, merger or consolidation,
spinoff, or transfer of plan assets or
liabilities), and (2) provide information
verifying compliance with the
Do not use a social security
number or the EIN of the trust.
!
CAUTION
The plan sponsor/employer must
have an EIN. A plan sponsor/employer
without an EIN can apply for one.
Notice given by an employer applies
to all plans maintained by the employer
for plan years beginning in the testing
year. Once the notification date (see
When To File) for a testing year has
passed, the employer is deemed to
have irrevocably elected to apply the
specified section(s) on the basis of
QSLOBs for all plan years beginning in
the testing year.
Online—Generally, a plan sponsor/
•
requirements of sections 401(a)(12) and
414(l). This statement need not be
signed by an actuary.
employer can receive an EIN by Internet
and use it immediately to file a return.
Go to the IRS website at www.irs.gov/
businesses/small and click on Employer
ID Numbers.
Line 5b. Enter the code that describes
your plan.
By telephone—Call 1-800-829-4933.
By mail or fax—Send in a completed
•
Enter 1 for a profit-sharing plan.
Enter 2 for a stock bonus plan.
Enter 3 for a money purchase plan.
Enter 4 for a target benefit plan.
•
In addition, after the notification date,
notice cannot be modified, withdrawn,
or revoked, and will be treated as
applying to subsequent testing years
unless the employer takes timely action
to provide new notice (see examples
under Who Must File). Timely action will
be deemed to have been taken any time
prior to the notification date for any
subsequent testing year.
Line 7a. If you previously filed a notice
of QSLOB for a testing year, enter the
first testing year for which such notice
applied on line 7b. Enter the date the
notice was filed on line 7c.
Form SS-4, Application for Employer
Identification Number, to apply for an
EIN.
Enter 5 for a profit-sharing/401(k)
Note. Form SS-4 can be obtained at
Social Security Administration (SSA)
offices or by calling 1-800-TAX-FORM.
plan.
Enter 6 for an ESOP plan.
Enter 7 for other and specify the type
For the plan of a group of entities
required to be combined under sections
414(b), (c), or (m), whose sponsor is
more than one of the entities required to
be combined, enter the EIN of only one
of the sponsoring members. This EIN
must be used in all subsequent filings of
determination letter requests, and for
filing annual returns/reports unless there
is a change of sponsor.
of plan.
Line 6a. Enter the total number of
plans, other than the plan named on
line 4a, involved in this transaction.
Lines 6c through 6h. Complete lines
6c through 6h for the other plan(s)
involved in the merger or consolidation,
spinoff, or transfer of plan assets or
liabilities with the plan named on line 4a.
If there is more than one other plan,
attach a separate statement showing
the information requested for lines 6c
through 6h.
Line 8. Enter the first testing year for
which this notice applies. See When To
File for the definition of “testing year.”
Line 3. The contact person will receive
copies of all correspondence as
authorized in a Form 2848, or Tax
Information Authorization, Form 8821.
Either complete the contact's
Line 9. Indicate whether you are filing
this form to give notice that you are no
longer testing on a QSLOB basis. If your
answer to line 9 is “Yes,” complete
line 10 and skip lines 11 and 12. Answer
line 10 based on the previously filed
notice that you are now revoking. If your
answer to line 9 is “No,” complete lines
10 through 12. See Who Must File for
an example of a revocation.
Example: Plans A, B, and C are
merging with Plan D. Plan D would
complete a Form 5310-A, reporting
information about itself on line 4. Plan D
would then complete the line 6
information on this line, or check the box
and attach a completed Form 2848 or
Form 8821.
information for Plan A and attach two
statements showing the line 6
information for Plans B and C. In
-4-
business or industry in which the
QSLOB is involved, the business unit
(such as corporation, partnership, or
division) the qualified line of business
comprises, and the name (formal or
informal) of the QSLOB.
Line 12. Enter the information
requested on lines 12a through 12e. If
there is more than one plan, attach a
separate statement showing the
information requested on lines 12a
through 12e for each plan.
Line 12b. Enter the date of the
determination letter, if any. Otherwise,
leave blank.
Line 12c. If the plan is a master or
prototype or volume submitter plan,
enter the date of the letter and the serial
number or the advisory letter number,
as applicable.
Line 10. Section 414(r) provides rules
for determining whether an employer
operates QSLOBs for purposes of
applying sections 410(b) (relating to
minimum coverage), 401(a)(26)
Line 12d. Enter the appropriate date of
any pending letter request. If this
question is not applicable, leave blank.
Line 12e. List on this line the QSLOBs
identified on line 11 that have
(relating to minimum participation rules),
and 129(d)(8) (relating to dependent
care assistance programs). If you are
treated as operating QSLOBs under
section 414(r), you will be permitted to
apply the aforementioned Code
employees benefiting under the plan. If
you need additional space to list the
QSLOBs, use the area below line 12e.
How To Get Forms
and Publications
provisions separately for the employees
in each QSLOB. Check the appropriate
box(es) for the section(s) you are testing
on a QSLOB basis. See instructions for
line 9 to determine how to answer this
question if you answered "Yes" to line 9.
Line 11. Attach a list identifying the part
or parts of the employer that make up
each QSLOB of the employer. The list
should include, for example, the type of
Getting tax forms, instructions, and
download current and prior-year forms,
instructions, and publications. Ordering
tax forms, Instructions, and
order forms, instructions, and
publications.
Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this form to carry out the Internal Revenue
laws of the United States. Our legal right to ask for this information is in sections 401, 403, 410, 411, 412, and 414 and their
regulations. Section 6109 requires you to provide your identifying number. This form must be filed for any plan with a separate
employer identification and plan number if that plan is involved in a merger or transfer of plan assets or liabilities. Failure to
provide all of the information requested may prevent processing of this form. In addition, failing to file this form timely and in
accordance with its instructions, or providing false information, may subject you to penalties. Routine uses of this information
include giving it to the Department of Justice for civil and criminal litigation, and to cities, states, the District of Columbia, and
U.S. commonwealths and possessions for administering their tax laws. We may also disclose this information to federal and
state agencies to enforce federal nontax criminal laws, or to federal law enforcement and intelligence agencies to combat
terrorism.
You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless
the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long
as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return
information are confidential, as required by section 6103.
The time needed to complete and file the form is listed below and will vary depending on individual circumstances. The
estimated average time is:
Recordkeeping
Learning about the
law or the form
Preparing, copying,
assembling, and sending the
form to the IRS
Part I
2 hr., 9 min.
3 hr., 21 min.
4 hr., 32 min.
1 hr., 3 min.
35 min.
2 hr., 20 min.
40 min.
Part II
Part III
35 min.
42 min.
If you have comments concerning the accuracy of these time estimates or suggestions for making this form simpler, we
would be happy to hear from you. You can write to Internal Revenue Service, Tax Products Coordinating Committee,
SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, IR-6526, Washington, DC 20224.
Do not send the form to this address. Instead, please see Where To File.
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