for with or without spousal participation
|
|
| 1. Company name |
|
|
| 2. Contact person* |
|
|
| 3. Title |
|
|
| 4. Phone* |
|
|
| 5. Fax |
|
|
| 6. E-mail* |
|
|
| 7. 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.
|
|
| 8. Company address |
|
|
| 9. City |
|
|
| 10. State |
|
|
| 11. Company mail-to address: |
|
|
| 12. Federal ID Number |
|
|
| 13. Date business commenced |
|
|
| 14.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.
|
|
| 15. # of employees on payroll: |
|
|
| 16. Fiscal year on which business is run |
|
|
| 17. Computer system |
|
|
| PART II: PLAN INFORMATION... |
|
18. 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.
|
|
19. 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 One Source brokerage accounts). If you have not
already done so, you should look through our investment listings to view your options — or simply contact us for help by clicking the "Unsure..." button below.
|
|
| PART III: PURCHASE INFORMATION... |
|
20. 401(k) One-Person Plan Annual Fee (assessed per calendar year)
$ (ANNUAL FEE)
|
|
21. 401(k) One-Person Plan Setup Fee (assessed one time only: at your plan's outset) (Remember, unlike the above
Annual Fee, this fee is NONREFUNDABLE but 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)
|
|
22. TOTAL (system price + setup fee):
$ (TOTAL)
|
|
| PART IV: PAYMENT PREFERENCE... |
|
23. 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
|
|
24. 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? |
|
25. Before submitting your order form, please tell us how you learned about 401(k) Easy:
|
|
26.* 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.)
|
Captcha code*
|
|
|
|
