Section I - Company Information
Name of Company:
Address:
Web Address:
City, State ZIP:
Primary Contact:
Email :
Phone :
Fiscal Year End (month/day)
Date Business Established (month/year)
Business Structure
C Corporation
S Corporation
Partnership
LLP
Sole Proprietor
LLC
(is taxed as a
Corporation or a
Partnership? Please check one)
PSA In The Media
Any predecessor business entities
Yes
No
Number of Employees :
Does the company currently have or ever had a plan?
(if yes, Please complete Sections II & V)
Do the owners of this company or their spouses own any other company(ies)?
(If yes, please provide details on ownership and Fiscal Year End in comments section.)
Does the company have prevailing wage projects?
If yes, How much?
Does the company have union employees?
If yes, will they be excluded from the plan?
Does the company have leased employees?
What is the average annual turnover rate among employees?
What is the average tenure of employees?
Does the company provide any supplemental executive retirement plans (SERP) for key employees?
Section II - Existing/Prior Retirement Plan Information
What is the existing plan type?
SEP
Money Purchase
Defined Benefit Pension
401(k)
Simple IRA
Simple 401(k)
403(b)
Safe Harbor 401(k)
Other
Profit Sharing (check one):
Basic (includes integrated)
Age Weighted
Comparability
Plan Year End:
Existing Plan Assets:
Number of Employees:
Eligible:
Participating:
Estimated Annual Contributions
Employee:
Employer:
Contribution Frequency
weekly
monthly
other
Method of transmission to record keeper
Institution where existing assets are invested
What was the prior plan type?
Profit Sharing
401(k) if checked, date assets distributed:
Please provide Plan Document, Adoption Agreement, Summary Plan Description and most recent 5500 Filing
Section III - Financial Information
Increasing
Stable
Declining
Fluctuating
1.
What has been the cash flow trend during the past five years?
2.
What is the outlook for cashflow available for SERP plan contributions?
3.
What is the owner's annual pre-tax retirement savings need?
4.
What is the maximum amount the business could have afforded to contribute to a qualified plan for the last fiscal year?
5.
What is the projected maximum amount the business could have afforded to contribute to a qualified plan for the fiscal year?
6.
Is the owner willing to make a commitment to fund annual contribution :
Yes No
Please provide previous two years financial statements.
Section IV - Employment Benefit Objectives
PERSONAL OBJECTIVES
Not Important
Somewhat Important
Very Important
Maximize Tax Benefits for Owners
Maximize Benefits for Owners
Meet Retirement Income Objective
Provide Estate Liquidity
BUSINESS OBJECTIVES
Reduce Corporate Income Tax
Reward Valued/Key Employees
Recruit New Employees
Reduce Employee Turnover
ALTRUISTIC OBJECTIVES
Promote Employee Savings for Retirement
Provide Employees with a flexible plan
Share Business Profits with Employees
Share Business Ownership with Employees
Section V - Retirement Plan Evaluator
How would you evaluate each of the following components of your existing plan? Please check appropriate box with "*" as worst and "****" as best.
*
**
***
****
Communication to Participants
Flexibility of Fund Offering
Internal Administration
Performance of Investment Options
Cost to Company
Cost to Participant
Administer Company Stock
Self Directed Brokerage
Accuracy/Timeliness of Administration
Fiduciary and 404(c) Concerns
Section VI - Additional Comments
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