YOUR COMPANY

AGREEMENT TO ADOPT AN ACCOUNTABLE PLAN

PART I: ACCOUNTABLE PLAN

         ___________________________________________desires to establish an expense reimbursement policy with

__________________________________________
 pursuant to Reg. 1.62-2, upon the following terms and conditions:

  1. Except as otherwise noted in Part II below, any person now or hereafter employed by shall be reimbursed for any   ordinary   and   necessary   business   and    professional    expenses    incurred    on    behalf    of only if the expenses are adequately substantiated as required by the Company policy on expense reimbursements. (See policy memo.)

  1. Under no circumstances will reimburse employees for business or professional expenses incurred on behalf of that   are   not   properly      substantiated.        and employees understand that this requirement is necessary to prevent our expense reimbursement plan from being classified as a “non-accountable” plan.

  1. All expenses must be substantiated within a reasonable period of time.1 See our Company policy statement of substantiation for what constitutes a reasonable period of time.

  1. All charges to company credit cards must be substantiated in the same manner as the above mentioned reimbursements.

  1. Advances that are not substantiated within a reasonable period of time must be returned (paid back) within a reasonable period of time.2

PART II:    EXCEPTIONS TO ACCOUNTABLE PLAN

Notwithstanding any term or condition in Part I of this document, the following persons, expenses, or arrangements are not considered to be covered under this accountable plan and are subject to terms and conditions of a separate expense reimbursement policy:

1.                 

2.                 

3.                 

Company officer: ______________________________________________________          Date:  _________________        

  1. Must be 60 days or less after the expense is paid or incurred if the company wants to qualify for the “fixed date” safe harbor substantiation rule.
  2. Must be 120 days or less after the expense is paid or incurred if the company wants to qualify for the “fixed date” safe harbor

substantiation rule.