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EMPLOYER BA NO. 5b. Street Address Line 1 Line 2 City State ZIP Code Effective Date 46-75 76-105 106-125 126-127 128-132 145-152 Form BA-6a 07-12 calendar year. UNITED STATES OF AMERICA RAILROAD RETIREMENT BOARD FORM APPROVED OMB NO. 3220-0005 FORM BA-6a ADDRESS REPORT SEE INSTRUCTIONS FOR COMPLETING AND MAILING THIS FORM ON REVERSE SIDE The information specified on this form which is required by law under Section 7 b 6 of the Railroad Retirement...
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The following information will be used to calculate and to mail the form. 1) The number of months of service for which payment is made; 2) The dates for which the employee served; 3) The amount of retired pay to be paid to the employee; 4) All deductions made for any and all retirement, survivor, disability, special, and other benefits; and 5) The amount of money needed to provide each employee with retirement, survivor, disability, special, and other benefits. The number of months of service to which payment is directed will be the same as the number of months of service specified in the certificate of service given to the employee. The employee must complete the forms only when serving, without interruption, in the same role for which they were certified during the year, and they must submit the original and two copies of such certificate. The forms must be mailed from a single address and the return envelope used should have the company name and the name of the person to be paid in the address to which it will be mailed. It is the employer's responsibility to ensure these forms and the necessary documents are mailed on the proper address. If you do not wish to accept or pay these forms, they may be mailed to you as they are not required by law to be submitted. This form is to be completed on a reverse side. To find the reverse side of the form, locate the name of the person you wish to be reimbursed for, the name of the person to whom you wish to provide additional or supplemental retirement, survivor's, and disability benefits, and then the appropriate section from Table 1. Table 1. Employee's Number of Years of Service Retired Pay Rate of Pay Rate of Amount of Pay 1. Number of Months Serving in the same Role 3 – 6 2 – 5.5 7 – 15.5 16 or more 3. Number of Years of Service in Each of the Positions 3. Number of Months in Each Position 2 3. Number of Months in Each of the Positions for Which Payment Is Permitted by Section 7(b)(6) of the Railroad Retirement Act (See Notice) 5 – 7 8 – 12 13 – 26 27 or more 4. Number of Years of Service in Each of the Positions in Which Payment is Permitted by Section 209.12 of the Code of Federal Regulations (See Notice) 3 4.

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Board Form BA is a form required by the Board of Directors for reporting certain financial information.
All companies and organizations governed by the Board of Directors are required to file Board Form BA.
Board Form BA can be filled out online through the official portal of the Board of Directors.
The purpose of Board Form BA is to collect and analyze financial information from companies and organizations under the Board's supervision.
Board Form BA requires reporting of financial statements, balance sheets, cash flow statements, and other relevant financial information.
The deadline to file Board Form BA in 2023 is December 31st.
The penalty for the late filing of Board Form BA is a fine of $500 per day past the deadline.
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