401(k) Easy - Order Low Cost 401(k) for Takeover 401(k)

for converting existing 401(k) or another qualified retirement plan into a 401(k) plan
Note: Though SARSEPs have many 401(k) characteristics, including a payroll deduction feature, they cannot be converted to 401(k) plans under current IRS regulations.
1.Will this be your company's first 401(k) plan, or are you replacing an already-existing plan? First 401(k) plan (STOP!!! Please use our New/First Plan Order Form instead of this Conversion Plan Order Form. Thank You.)
Already-existing 401(k) plan to be converted to a 401(k) Easy plan.
2.Company name*
3.Contact person*
4.Title
5.Phone*
 - 
6.Fax
 - 
7.E-mail*
8.Your 401(k) decision-making role Sole decision maker
Making recommendation
Leading committee to gather information
Member of committee to evaluate options
Interested employee
Unsure. Please contact me with help regarding this item.
9.Company address
10.City
11.State
Zip Code
12.Company mail-to address
Use address listed above as mail-to address
Use other address
13.Federal ID Number
14.Date business commenced
15.Type of entity Please indicate your company's type:
C Corporation
Professional Service Corporation
S Corporation
Limited Liability Company taxed as (check one)...
Partnership or Sole Proprietorship
Corporation
S Corporation
Sole Proprietorship
Partnership
Other:    

Is your company a member of a controlled group?

Yes No Unsure. Please contact me regarding this question.

Is your company a member of an affiliated service group?

Yes No Unsure. Please contact me regarding this question.
16.# of employees on payroll
17.Fiscal year on which business is run
18.Computer system
PART II: PLAN INFORMATION...
Note: Complete the below ONLY if your company already has a retirement plan and will be having 401(k) replace that plan.
the 401(k) plan will be your company's first retirement plan ever, please use our New Plan Order Form instead of this Conversion Plan Order Form. Thank You.
19.Type of plan do you want converted into a 401(k) Easy plan: Profit-sharing plan (without 401(k) features)
Defined benefit plan
Existing 401(k)
Unsure. Please contact me with help regarding this item.
20.Approximate size, in assets, of your existing plan: No retirement plan (STOP!!! Please use our First Plan Order Form instead of this Plan Conversion Order Form. Thank You.)
Less than $250,000
$250,001-$500,000
$500,001-$10,000,000
More than $10,000,000
Unsure. Please contact me regarding this item.
22.Existing plan's in-house Plan Administrator: Please name your company's in-house plan administrator (that is, the person at your company who has been handling any 401(k)-related matters and interacting with the outside administrator servicing your plan). Please include his/her title(such as "Controller), if applicable.

Administrator's phone number: ,
and e-mail address is .
23....and for your 401(k) plan: Will the same person serve as Plan Administrator for your 401(k) plan?
Yes
No    will serve as Plan Administrator for our 401(k) plan.
His/her phone number is  ,
and e-mail address is  .
His/her title is  .
24.Existing plan's Trustee(s):
Please name your existing plan's Trustee(s), including his/her/their title(s) (such as "CFO"), as applicable:
Current plan's Trustee(s) phone number(s):
25....and for your 401(k) plan: Will the same person(s) serve as Trustee(s) for your 401(k) plan?
Yes
No

If "No", please name the Trustee(s) for your 401(k) plan. Please list each new Trustee's name, title and phone number:
We recommend only one Trustee be listed, even if your organization has more than one trustee. The reason for this recommendation is that sometimes the 401(k) asset custodian may be contacted to perform a routine administrative task, and if more than one trustee is listed in the master 401(k) account, the custodian may require the approval of the second (or even more) trustees before they will perform the task. This can greatly complicate and delay the processing of routine administrative tasks needed to keep your company's 401(k) plan running efficiently.
26.Compliance test history for your existing plan: Did your plan pass last year's compliance tests?
Yes
No
Unsure. Please contact me regarding this item.

Does your plan limit the definition of Highly-Compensated Employees to "the top 20% of employees"?
Yes
No
Unsure. Please contact me regarding this item.

Do you want to change this definition for your 401(k) plan?
Yes
No
Unsure. Please contact me regarding this item.

Is your plan currently top-heavy?
Yes
No
Unsure. Please contact me regarding this item.

Date of last battery of compliance tests:
Unsure. Please contact me regarding our last battery of compliance tests.
27.5500 Series filing: For what year was your last plan 5500 series filing with the IRS?
Unsure. Please contact me regarding our last 5500 series filing year.
Date filed (month, year):
Unsure. Please contact me regarding our last 5500 series filing date.
28.Plan Year for your existing plan: On what Plan Year does your existing plan operate?
Calendar year (January 1 - December 31)
Other:
Unsure. Please contact me regarding this item.
29.Plan inception date for your existing plan: When was your current plan established?
Month: Year:
Unsure. Please contact me regarding this item.
30.Age requirement used for participation in your existing plan: What age requirement is currently being used for participation in your existing company plan?
None
20 1/2
21
Other (please specify):
Unsure. Please contact me regarding this item.
31....and for your 401(k) plan: What age requirement do you want use for your 401(k) plan?
Keep existing plan's age requirement for 401(k) plan.
Change age requirement to "None" for 401(k) plan.
Change age requirement to "20 1/2" for 401(k) plan.
Change age requirement to "21" for 401(k) plan.
Change age requirement to for our 401(k) plan.
Unsure. Please contact me with help regarding our 401(k) plan age requirement.
32.Length of Service requirement for participation in your current plan: What length of service requirement is currently being used for participation in your existing company plan?
None
Three (3) months of service with the company
Six (6) months of service with the company
One (1) year of service with the company
Other (please specify):
Unsure. Please contact me regarding our 401(k) plan length of service requirement.
33....and for your 401(k) plan: What length of service requirement do you want use for your 401(k) plan?
Keep existing plan's length of service requirement for our 401(k) plan.
Change length of service requirement to "None" for our 401(k) plan.
Change length of service requirement to "Three (3) months" for our 401(k) plan.
Change length of service requirement to "Six (6) months" for our 401(k) plan.
Change length of service requirement to "One (1) year" for our 401(k) plan.
Change length of service requirement to "" for our 401(k) plan.
Unsure. Please contact me regarding our 401(k) plan length of service requirement.
34.Participation exclusions in your existing plan: Does your current plan exclude any categories of employees from participation?
Yes
No
Unsure. Please contact me regarding participation exclusions used in our existing company plan.

If "Yes", please identify the classes of employees currently excluded from participation in your existing company plan: (check all that apply)
Union members
Non-resident aliens
Other:
35....and for your 401(k) plan: Do you want your 401(k) plan to exclude any categories of employees from participation?
Yes
No
Unsure. Please contact me regarding participation exclusions for our 401(k) plan.

If "Yes", please identify the classes of employees you'd like excluded from participation in your 401(k) plan: (check all that apply)
Union members
Non-resident aliens
Unsure. Please contact me regarding what participation exclusions to use for our 401(k) plan.
36.Automatic enrollment in your existing plan: Does your plan currently use automatic enrollment? (click for more information)
Yes
No
Unsure. Please contact me regarding this item.

If "Yes", what is the existing default contribution rate to be for automatically enrolled participants?
Not applicable. Do not want auto enrollment used in our 401(k) plan.
3%     4%     5%
Unsure. Please contact me regarding using auto enrollment in our 401(k) plan.
37....and for your new 401(k) Easy plan: Do you want your 401(k) Easy plan to use automatic enrollment? (click for more information)
Yes
No
Unsure. Please contact me regarding this item.

If "Yes", what would you like the default contribution rate to be for automatically enrolled participants?
Not applicable. Do not want auto enrollment used in our 401(k) plan.
3%     4%     5%
Unsure. Please contact me regarding using auto enrollment in our 401(k) plan.
38.Employer contributions in your existing plan: Your company can contribute to plan participants' accounts in either (or both) of two ways: (1) matching contributions and/or (2) profit-sharing contributions. Matching contributions are defined in terms of participant contributions (e.g., 50¢ contributed by the employer for each dollar contributed by the plan participant), whereas profit-sharing contributions are tied to some other variable, such as compensation.

1) What MATCHING CONTRIBUTION formula is currently being used in your existing company plan?
No employer matching contributions are being made.
Our company makes matching contributions at a rate of  % (e.g., 50%) to each dollar our participants defer into the plan.
Our company makes matching contributions at a rate of  % (e.g., 50%) to each dollar our participants defer into the plan, up to a maximum annual matching contribution of $ per participant per year.

Other:
Unsure. Please contact me regarding our existing plan's matching contribution formula.

2) Has your company made any PROFIT-SHARING CONTRIBUTIONS in your existing company plan?
No profit-sharing contributions have been or are being made in our existing plan.
Yes, our company has made/does make profit-sharing contributions in our existing plan.
Unsure. Please contact me regarding profit-sharing contributions made to our existing plan.
39....and for your 401(k) Easy plan: 1) Do you want to use a different MATCHING CONTRIBUTION formula for your 401(k) plan?
Use our existing plan's matching contribution formula for our 401(k) plan.
Change our matching contribution formula for our 401(k) plan to "None".
Change our matching contribution formula for our 401(k) plan to a rate of  % (e.g., 50%) to each dollar our participants defer into the plan.
Change our matching contribution formula for our 401(k) plan to a rate of  % (e.g., 50%) to each dollar our participants defer into the plan, up to a maximum annual matching contribution of
$  per participant per year.
Change our matching contribution formula for our 401(k) plan to the following:
Unsure. Please contact me regarding the matching formula for our 401(k) plan.
2) Would your company like to have the option of being able to make DISCRETIONARY EMPLOYER CONTRIBUTIONS (i.e., profit-sharing contributions) to employees' accounts?

No, we do not want the option of even possibly making profit-sharing contributions.
Yes, our company will POSSIBLY make profit-sharing contributions in an amount to be determined by our company. AND DOES NOT want contribution amounts to be limited to current or accumulated net profit. (Checking this option in no way obligates your company to making any actual contributions, it simply leaves open the possibility that you might.)
Yes, our company will POSSIBLY make profit-sharing contributions in an amount to be determined by our company AND DOES want contribution amounts to be limited to current or accumulated net profit. (Checking this option in no way obligates your company to making any actual contributions, it simply leaves open the possibility that you might.)
Unsure. Please contact me regarding profit-sharing contributions.
40.Vesting of employer contributions in your existing plan: 1) What vesting formula is currently being applied to any EMPLOYER MATCHING CONTRIBUTIONS being made in your existing company plan?

Not applicable (no matching contributions being made) (SKIP TO NEXT SECTION: Loans)
2) What vesting formula is currently being applied to any EMPLOYER PROFIT-SHARING CONTRIBUTIONS being made in your existing company plan?


Not applicable (no profit-sharing contributions being made) (SKIP TO NEXT SECTION: Loans)
41....and for your 401(k) Easy plan: "Vesting" refers to ownership. For instance, if you pick Schedule D below and a plan participant leaves your company after 2 years, he or she will only be entitled to 20% of any relevant employer contributions made by your company to his or her account. The remainder will go into a pool that your company can choose to use for employer contributions owed to other participants.

What vesting formula do you want to use for any employer contributions? Mark your choice for any profit-sharing contributions in column P-S Contribs and for any matching contributions in column Match Contribs.

P-S Contribs Match Contribs Vesting Schedules
Not applicable (no employer contributions, so no vesting)
SCHEDULE A: 100% immediate vesting
SCHEDULE B: 0-2 years
3 years		 =
=		 0% vested
100% vested
SCHEDULE C:
WARNING: not recommended due to likelihood of causing top heavy testing problems. 		0-4 years
5 years		 =
=		 0% vested
100% vested
SCHEDULE D: 0-1 years
2 years
3 years
4 years
5 years
6 years 		=
=
=
=
=
=		 0% vested
20% vested
40% vested
60% vested
80% vested
100% vested
SCHEDULE E: 1 year
2 year
3 year
4 year 		=
=
=
=
 25% vested
50% vested
75% vested
100% vested
SCHEDULE F: 1 year
2 year
3 year
4 year
5 year
 =
=
=
=
=		 20% vested
40% vested
60% vested
80% vested
100% vested
Other:
Unsure. Please contact me regarding the vesting schedule(s) to use for
   our 401(k) plan.
42.Loans: Does your existing plan currently allow for 401(k) loans? (click for more information)
Yes (approximate number of outstanding loans: ).
No.
Unsure. Please contact me regarding this item.
43.and for your 401(k) Easy plan: Do you want your 401(k) plan to allow for new 401(k) loans? (click for more information)
Yes
No
Unsure. Please contact me regarding this item.
44.Investments offered in your existing plan: Please list the investments currently being offered within your company plan:
45....and for your 401(k) Easy plan: Do you want to continue offering these investments within your 401(k) plan, or would you prefer to have 401(k) deferrals from the plan conversion date forward go into a different set of investments (existing deferrals will stay in the funds in which they are currently invested):
Unsure. Please contact me regarding investment offerings for our 401(k) plan.
Continue with existing plan investments (SKIP TO SAFE HARBOR)
Have new deferrals go to a new set of investments, as defined in your responses to items 46 and 47, below.
46.401(k) plan Investments:
INVESTMENT TYPE
(view investment listings)		 Please indicate the type of investments you want for your 401(k) plan:
Self-Directed Brokerage Accounts only
No-Load Mutual Funds only
Unsure. Please contact me regarding the type of investments to offer within our 401(k) plan.
47.401(k) plan Investments:
INVESTMENT FAMILY
(view investment listings)		 Please indicate the family of mutual funds and/or the brokerage account you wish to offer within your 401(k) plan (for example, T. Rowe Price mutual funds or Charles Schwab OneSource brokerage accounts). If you have not already done so, you should look through our investment listings to view your options. Alternately, you can contact us for help by clicking the "Unsure..." button below.
Self-Directed Brokerage Accounts only
No-Load Mutual Funds only
Unsure. Please contact me regarding the type of investments to offer within our 401(k) plan.
47A.Is your current 401(k) a "Safe Harbor" plan?
 Yes
No
Unsure. Please contact me regarding the "Safe Harbor" designation.
48.Safe Harbor Designations: The IRS allows 401(k) plan sponsors an alternative to subjecting their 401(k) plans to annual discrimination testing. The safe harbor method of plan operation lets employers instead make certain contributions to the plan, with immediate vesting of the contributions to employees' 401(k) accounts. (click for more information)

Do you want to operate your 401(k) Easy plan as a safe harbor 401(k) plan?
Yes
No (you can skip the rest of this section 48)
Unsure. Please contact me regarding operating our 401(k) plan as a safe harbor plan.

If you are choosing to operate your 401(k) Easy plan as a safe harbor plan, which employer contribution formula would you like to employ?
Not applicable (don't want to use the safe harbor method)
Make a qualified nonelective contribution equal to 3% of compensation to each eligible employee's account. (Note: Qualified nonelective contributions are made to ALL eligible employees accounts, regardless of whether the persons participate in the company 401(k) plan.)
Make a dollar-for-dollar matching contribution to non-highly-compensated employees on salary deferrals up to 3% of compensation and 50¢ to the dollar matching contributions to non-highly compensated employees on salary deferrals of 3% to 5% of compensation, making sure not to exceed these rates in any matching contributions made to highly compensated employees. (Note: Matching contributions, because they're based upon salary deferral amounts, are made only to currently-participating employees' 401(k) accounts.)
Unsure. Please contact me regarding the type of 401(k) safe harbor contribution to make.


If you are choosing to operate your 401(k) Easy plan as a safe harbor MATCHING CONTRIBUTION plan, how often do you want your employer matching contributions to be made?
Not applicable (don't want to use the safe harbor method)
Annually
Per payroll period
Per month
Per quarter
Unsure. Please contact me regarding the frequency of making our 401(k) safe harbor employer contributions.
48A.401(k) Cost Sharing Program: Should employees who participate in the company's 401(k) pay a nominal fee towards the plan's annual administration costs? Today many 401(k) plans of all sizes require participants to pay a small portion of the 401(k) administration costs, in the same way that employees are required to pay towards their employer-provided health insurance. Nominal 401(k) administration fees (i.e. $3, $6, $9, $12, etc.) deducted quarterly from each participant's 401(k) account can reduce the net cost of the company's 401(k) administration costs by 20% to 50% annually.
Yes
No
Unsure. I would like to learn more about the 401(k) Cost Sharing Program
PART III: PURCHASE INFORMATION...
49.The price of your 401(k) system: (The 401(k) is licensed on a calendar year basis, which requires the purchase of a new license at the beginning of each calendar year)

401(k) Easy Value
Starter		 401(k) Easy Plus
Complete
Pricing
One-time only set-up $495/one-time $545/one-time $595/one-time
Base Monthly Price $50 Per Month $75 Per Month $100 Per Month
Eligible Employee Price $4 Per Month $4 Per Month $4 Per Month
  Please Note: 401(k) Easy is sold on a Calendar Year basis only. All first-year clients are charged the one-time only plan set-up fee. The pricing above applies to the first year of service only. Renewal fees may be adjusted because no set-up fee is charged in subsequent years. Payroll integration adds an additional 10% to annual price.
Key Features
IRS-Approved 401(k) Prototype and Summary Plan Description Customized to the Client's Requirements tick tick tick
Live Online Plan Set-Up and Training for 401(k) Plan Sponsor tick tick tick
Ongoing Telephone and Email Pension Rules Consulting and Support for 401(k) Plan Sponsor tick tick tick
401(k) Plan Compliance and Top-Heavy Testing Available Online at a Mouse Click tick tick tick
Secure Online 401(k) Account Management for Employer and Employees tick tick tick
Self-Directed 401(k) Brokerage with Commission-Free Stock Trading and No-Load Mutual Funds tick tick tick
Quick & Easy Conversion of a Participant's 401(k) to an IRA Rollover at Self-Directed Brokerage tick tick tick
Employer can Upload Payroll and Contribution Data and Authorize Purchases 24/7 tick tick tick
Self-Directed Brokerage Education, Assistance and Investment Selection for 401(k) Participants 24/7 tick tick tick
Complete ERISA 404(C) Fiduciary Protion tick tick tick
Complete ERISA 3(16) Fiduciary Protection tick tick tick
Claim Up to $15,000 in Tax Credits tick tick tick
401(k) is Eligible for Supplemental 401(k) Contributions for Persons 55+   tick tick
401(k) is Eligible for Traditional Safe Harbor 401(k)   tick tick
401(k) is Eligible for QACA Safe Harbor 401(k)   tick tick
401(k) is Eligible for Hardship Withdrawals   tick tick
401(k) is Eligible for Full Immediate Vesting of Profit-sharing Contributions   tick tick
401(k) is Eligible for Roth 401(k)   tick tick
401(k) is Eligible for 401(k) Loans   tick tick
Automatic Payroll Integration     tick
Signature-Ready Forms 1099R and 1096 Preparation and Filing     tick
Signature-Ready Form 5500-SF Preparation and Filing     tick
Signature-Ready Summary Annual Report     tick
401(k) is Eligible for In-Service Distributions     tick
Options Trading (ERISA Limits Apply)     tick
401(k) is Eligible for Vesting Profit-Sharing Contributions From 1 to 6 Years     tick
Backdoor Roth 401(k) (ERISA Limits Apply)     tick

The price of your 401(k) Easy: (The 401(k) is licensed on a calendar year basis, which requires the purchase of a new license at the beginning of each calendar year)

$ (ANNUAL FEE)
50. FIRST-YEAR-ONLY setup fee
(Remember, this fixed fee, unlike the above Annual Fee, is NONREFUNDABLE, though generally tax-deductible. We encourage prospective clients to try our free Product Demo to make sure they like 401(k) before they have us set up a customized a system for them.)
$ (SET-UP FEE)
51.TOTAL (system price + setup fee):
$ (TOTAL)
PART IV: PAYMENT PREFERENCE...
52.NO PAYMENT IS DUE AT THIS TIME.
We will contact you within 24 hours of receiving your order to confirm your designations and answer any questions you have.

Do you prefer to be contacted regarding your order by telephone or e-mail?
Contact by phone
Contact by e-mail
53.When your 401(k) representative calls you to go over any items about which you marked "Unsure..." and to collect additional information needed for your plan's official Summary Plan Description (SPD) and Prototype Plan Adoption Agreement, you will be able to pay your 401(k) customization fee using your Visa, Mastercard, or by check through the mail; there is a five-day holding period on all check orders.

As soon as we receive your payment we will customize your software, prepare official documents for your review, then set-up out your customized system. You can have your 401(k) up and running within the week.
Part V: How did you hear about 401(k) Easy?
54.Before submitting your order form, please tell us how you learned about 401(k) Easy:

Web search. Please list the search term(s) you recall using:
Financial planning professional, friend or colleague. Please list the person and/or company name:
Linked to the 401(k) Easy web site from another web site. Please tell us the name of the site and/or company sponsoring it:
55. (OPTIONAL) We have years of experience converting 401(k) plans from the following 401(k) providers. They all charge you, the employer, annual fees, and without exception they all deduct fees from employees’ 401(k) assets as part of their compensation. If you are considering leaving one of the providers listed, please let us know because this information will help speed-up the conversion process. We pledge that your information and intentions will be held in strictest confidence.
Americas Best 401(k) Employee Fiduciary 401(k) Fisher 401(k)
Guideline 401(k) Human Interest 401(k) Launch 401(k)
Low Cost 401(k) Microbusiness 401(k) Quorum 401(k)
Saturna 401(k) Saveday 401(k) Sharebuilder 401(k)
Spark 401(k) TransAmerica 401(k) Ubiquity 401(k)
56.* Now please look over our User's Agreement, then submit your order or inquiry. (Submitting an order acknowledges that you have read and accept our User's Agreement but in no way obligates you to making any purchase.)
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