401k Easy Online Conversion Plan Order Form

for converting existing 401k or other qualified retirement plans into 401k Easy Online run-it-yourself plans (NOTE: though SARSEPS have many 401k characteristics, including a payroll deduction feature, they cannot be converted to 401k plans under current IRS regulations).

First 401k plan (STOP!!! Please use our First Order Form instead of this Conversion Plan Order Form. Thank You.)

Already-existing 401k plan to be converted to a 401k Easy Online plan 

Part I:Company Information...

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:

1`) State:

12) Zip:

9-12alt) 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:

January 1 - December 31

Other:

Unsure. Please contact me regarding this item.

18) Computer system:

401k Easy Online runs over the Internet. For our records, which computer system do you use most frequently?

Desktop PC

MAC

Unsure. Please contact me regarding this item.

Part II:Plan Information...

Note:

Complete the below ONLY if your company already has a retirement plan and will be having 401k Easy Online replace that plan.

If the 401k Easy Online plan will be your company's first retirement plan ever, please use our First Plan Order Form instead of this Plan Conversion Order Form. Thank You.

19) What type of plan do you want converted into a 401k Easy Online plan?

Profit-sharing plan (without 401k features)

Defined benefit plan

Other (please describe):

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.

21) Potential size,
in number of employees,
of your 401k Easy Online plan:

Number of full-time employees currently on your payroll:

2-4

5-10

11-15

16-20

21-25

26-30

31-35

36-40

41-45

46-50

more than 50

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) Easy 
Online plan?  

Will the same person serve as Plan Administrator for your 401k Easy Online plan?

Yes

No. will serve as Plan Administrator for our 401k Easy Online 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) Easy
Online plan?

Will the same person(s) serve as Trustee(s) for your 401k Easy Online plan?

Yes

No

If "No", please name the Trustee(s) for your 401k Easy Online plan. Please list each new Trustee's name, title and phone number:

.

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 401k Easy Online 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) Easy
Online plan?

What age requirement do you want use for your 401k Easy Online plan?

Keep existing plan's age requirement for 401k Easy Online plan

Change age requirement to "None" for 401k Easy Online plan.

Change age requirement to "20 1/2" for 401k Easy Online plan.

Change age requirement to "21" for 401k Easy Online plan.

Change age requirement to for our 401k Easy Online plan.

Unsure. Please contact me with help regarding our 401k Easy Online 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 401k Easy Online plan length of service requirement.

33) ...and for your
401(k) Easy 
Online plan?

What length of service requirement do you want use for your 401k Easy Online plan?

Keep existing plan's length of service requirement for our 401k Easy Online plan.

Change length of service requirement to "None" for our 401k Easy Online plan.

Change length of service requirement to "Three (3) months" for our 401k Easy Online plan.

Change length of service requirement to "Six (6) months" for our 401k Easy Online plan.

Change length of service requirement to "One (1) year" for our 401k Easy Online plan.

Change length of service requirement to "" for our 401k Easy Online plan.

Unsure. Please contact me regarding our 401k Easy Online 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) Easy 
Online plan?

Do you want your 401k Easy Online plan to exclude any categories of employees from participation?

Yes

No

Unsure. Please contact me regarding participation exclusions for our 401k Easy Online plan.

If "Yes", please identify the classes of employees you'd like excluded from participation in your 401k Easy Online plan: (check all that apply)

36) Automatic enrollment
in your existing
plan:

Does your plan currently use automatic enrollment?

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 401k Easy Online plan.

3% 4% 5%

Unsure. Please contact me regarding using auto enrollment in our 401k Easy Online plan.

37) ...and for your
401(k) Easy 
Online plan?

Do you want your 401k Easy Online plan to use automatic enrollment?

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 401k Easy Online plan.

3% 4% 5%

Unsure. Please contact me regarding using auto enrollment in our 401k Easy Online 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 401k Easy Online plan?

1) Do you want to use a different MATCHING CONTRIBUTION formula for your 401k Easy Online plan?

Use our existing plan's matching contribution formula for our 401k Easy Online plan.

Change our matching contribution formula for our 401k Easy Online plan to "None".

Change our matching contribution formula for our 401k Easy Online plan to a rate of % (e.g., 50%) to each dollar our participants defer into the plan.

Change our matching contribution formula for our 401k Easy Online 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 401k Easy Online plan to the following:

Unsure. Please contact me regarding the matching formula for our 401k Easy Online 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.)

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 
Online 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 Schedule
		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 years 3 years 4 years	= = = =	25% vested 50% vested 75% vested 100% vested
		SCHEDULE F:	1 year 2 years 3 years 4 years 5 years	= = = = =	20% vested 40% vested 60% vested 80% vested 100% vested
		Other:

42) Loans:

Does your existing plan currently allow for 401(k) loans?

Yes (approximate number of outstanding loans: )

No

Unsure. Please contact me regarding this item.

43) ...and for your 401k Easy Online plan?

Do you want your 401k Easy Online plan to allow for new 401(k) loans?

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 401k Easy Online plan?

Do you want to continue offering these investments within your 401k Easy Online 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):

Continue with existing plan investments (SKIP TO NEXT SECTION: Shopping Cart)

46) Investments:
Investment Type

(view investment listings)

Please indicate the type of investments you want for your 401k Easy Online plan:

Self-Directed Brokerage Accounts only

No-Load Mutual Funds only

Load Mutual Funds only

Unsure. Please contact me regarding the type of investments to offer within our 401k Easy Online plan.

47) 401k Easy Online plan investments
INVESTMENT CHOICE:

(view investment listings)

Please indicate the FAMILY of funds and/or the brokerage account you wish to offer within your 401k Easy Online 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:

48) Safe Harbor Designations:

The IRS allows 401k plan sponsors an alternative to subjecting their 401k 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' 401k accounts.

Do you want to operate your 401k Easy Online plan as a safe harbor 401(k) plan?

Yes

No (you can skip the rest of this section 32)

Unsure. Please contact me regarding operating our 401k plan as a safe harbor plan.

If you are choosing to operate your 401k 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 401k 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' 401k accounts.)

Unsure. Please contact me regarding the type of 401k safe harbor contribution to make.

If you are choosing to operate your 401k 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 401k safe harbor employer contributions.

Part III:401k Easy Online Purchase...

49) The price of your 401k Easy Online system:

(401(k) Easy Online is licensed on a calendar year basis, which requires the purchase of a new license at the beginning of each New Year)

50) $995 FIRST-YEAR-ONLY setup fee:
(Remember, this fee, unlike the above money-back guaranteed Annual Fee, is
NONREFUNDABLE but generally tax rebatable.
We encourage prospective clients to try our free Demo
to make sure they like 401k Easy Online before they have us set up or customized a system for them.)

50A) $500 Plan Data Conversion fee:
We will notify you before work begins if this fee needs to be increased to reflect a complex conversion.

51) TOTAL (system price + setup fee):

Part IV:Payment Preference...

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.

52) Do you prefer to be contacted regarding your order by telephone or e-mail?

Contact by phone

Contact by e-mail

When your 401k Easy Online 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 401k Easy Online customization fee using your Visa, Mastercard, American Express Card, 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 send out your customized system. You can have your 401k up and running within two weeks -- or less!

53) How will you prefer to pay for your 401k Easy Online system when we contact you?

* Pension Systems Corporation does not add credit card processing fees to Mastercard or Visa transactions, but adds a $25 processing fee to all American Express transactions.

credit card* via phone

credit card* via e-mail

check

Part V:How did you hear about us?

54) One last thing before you submit your order: Please tell us how your heard about 401k Easy Online...

Financial planning professional, friend or colleague. Please list the person and/or company name:

Linked to the 401k Easy Online website from another website. Please tell us the name of the site and/or company sponsoring it:

Web search. Please list the browser and search term(s), if you remember them (e.g., Netscape, 401k software):

Business or trade publication. Please give the name of the publication:

Other. Please explain:

Earn $$$ for every company
you refer to us that adopts a 401k Easy Online self-service 401k plan!

Contact us to sign up!

55) 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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