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953 Criminal Investigation Strategiesinternal Revenue Form

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Key Employee Notice Date: _______Employee Name: SSN: Address: ________________________________________________City, State, Zip: __________________________________________ Dear _________ : On you requested a leave of absence under the Family and Medical Leave Act (“FMLA”). Upon review, we have determined that it would cause the Company substantial economic harm to reinstate you to your former position following your requested leave. Under the FMLA the Company has the option of declining to reinstate you based upon your status as a “key employee” (“key employees” are defined as salaried employees among the highest-paid ten percent of a company’s workforce). We have determined that it is in the Company’s best interests to exercise that option, and you are hereby advised that the Company is unable to reinstate you to your former position at the conclusion of your requested leave of absence. Please contact me at your earliest convenience to discuss other options that may be available. Sincerely, __________________________________Signature Printed Name Position Title Telephone Number

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