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2023 401k Plan

Let’s Get Started

Name of Person Completing Submission

First Last

How much are you looking to shelter in taxes or contribute to the plan?

More than $60,000

Less than $60,000

Do you have plans to exit or acquire a business soon?

Yes

Do you need investment management?

Yes

2023 401k Plan

Client Information

Legal Employer Name

d.b.a. (if applicable)

Employer Street Address

Street Address Address Line 2 City State ZIP Code

Company Phone

Company Fax

Primary Contact

Title

Email Address

Phone Number

Preferred Method of Contact

Address (If different from address above)

Street Address Address Line 2 City State ZIP Code

2023 401k Plan

Client Information

Sponsoring Employer's Tax Identification Number (EIN)

Business Entity Type

Corporation

Sole Proprietor

Limited Liability Company (LLC)

S-Corp

Partnership

Other

If your business is an LLC/LLP, how do you file for tax reporting purposes?

Corporation

S-Corp

Partnership or Sole Proprietor

Fiscal Year End

Business Commencement or Incorporation Date

MM slash DD slash YYYY

Principal Business Activity

Business Entity Code (6 digits, can be found on tax return)

Approximate Number of Eligible Employees

Payroll Vendor

Payroll Frequency

2023 401k Plan

Client Information

Please provide the following information as it pertains to all owners and officers of the employer and all of the participating employers (i.e. members of the controlled group or affiliated service group) who were employed at any time during the plan year OR if the owner or officer was not an employee. Please add lines as needed. If none, please leave blank.

Owners/Officers

Name of Owner/Officer

Ownership %

Officer (Y/N)

Employee (Y/N)

For attribution purposes, please identify all family members of all owners who were employed by the employer OR any of the participating employers (i.e. include all members of each business within the controlled group or affiliated service group) at anytime during the plan year, even if the owner was not an employee. Please add lines as needed. If none, please leave blank.

Family Members

Name of Owner

Name of Family Member

Relationship to Owner

Does the employer or any of its owners or its owners' family members have more than 50% ownership interest in another business?

Yes

Is the Employer a member of a controlled group?

Yes

Is the Employer a member of an affiliated service group?

Yes

Owners/Officers

Business Name

Business Address

Business Phone Number

EIN

Entity Type

Number of Employees

Will any of the above entities be a participating employer in the plan?

Yes

Name of Participating Employer

Does the employer have any leased employees?

Yes

How many leased employees?

Union employees, non-resident aliens, and leased employees will be excluded from participation in the plan unless otherwise specified.

I would like to include them

2023 401k Plan

Client Information

Do you have a financial advisor?

Yes

Contact Name

Company Name

Email Address

Phone Number

Preferred Method of Contact

Address

Street Address Address Line 2 City State ZIP Code

Would you like us to help you find one?

Yes

2023 401k Plan

Existing and Terminated Plan Information

Does the employer currently sponsor any other pension, profit sharing, 401(k) or other type of retirement plan?

Yes

Plan Type

Legal Plan Name

Plan Effective Date

MM slash DD slash YYYY

Plan Year End

MM slash DD slash YYYY

Trustees for the Plan

Plan Provider for Current Plan Assets

Has the employer sponsored any plans that have been terminated?

Yes

Plan Type

Legal Plan Name

Plan Effective Date

MM slash DD slash YYYY

Plan Termination Date

MM slash DD slash YYYY

Which of these applies?

I would like to keep my current plan’s features

I would like to receive feedback on my current plan’s features

You can upload the current plan's Adoption Agreement here if you have it (if not, we can collect it later).

Max. file size: 100 MB.

2023 401k Plan

Investment Data Collection

Select a Legal Name for the Plan

Title the plan’s legal name under the legal name of the plan sponsor.

Other

For which plan year would you like the plan to be in effect?

2024

2025

2026

Plan Year End

MM slash DD slash YYYY

Who will be the Plan's Trustees?

Name

Title

2023 401k Plan

Employer Contributions

Retirement plan discrimination testing is a process that ensures that retirement plans, such as 401(k) plans, meet certain requirements set by the Internal Revenue Service (IRS) to prevent discrimination in favor of highly compensated employees (HCEs). The purpose of these tests is to ensure that retirement plans do not unfairly benefit the higher-paid employees at the expense of lower-paid employees. The plan can avoid annual non-discrimination testing by making a mandatory contribution to the plan.

Please select one of the following

I intend to make traditional safe harbor contributions.

I intend to make automatic enrollment safe harbor contributions (QACA).

I do NOT intend to make any safe harbor contributions.

Traditional Safe Harbor Contributions

Basic matching contribution – $1 for $1 up to 3% and $.50 on the $1 on the next 2%

Enhanced matching contribution – $1 for $1 up to 4%

3% nonelective contribution to all eligible employees

Automatic Enrollment Safe Harbor Contributions (QACA)

Matching Contribution – $1 for $1 up to 1% and $.50 on the $1 from 1% to 6%

3% nonelective contribution to all eligible employees

The plan will be required to automatically withhold deferrals from compensation for employees who become eligible for the plan after the effective date who do not elect otherwise.

Vesting schedule for automatic safe harbor contribution

100% Vested upon entering plan

2-Year Cliff*

Safe harbor matching contribution will be made on the following basis

Per payroll (Contributions must be made at least on a quarterly basis)

Annually (Contributions must be made on an annual basis {at the end of the plan year})

2023 401k Plan

Plan Design

Service requirement for eligibility to participate in the plan

None

Consecutive months of service reverting to 1 Year of Service if not satisfied initially

Months of service based on elapsed time

1 Year of Service: A year of service is defined as 1,000 hours worked from the date of hire to the one year anniversary of the date of hire for initial eligibility. If initial eligibility is not met in the first anniversary year it reverts to 1,000 hours in any plan year.

Hours of Service (not to exceed 1,000) within X-months reverting to 1 Year of Service if not satisfied initially

Number of Months

Please enter a number greater than or equal to 0.

Age requirement for eligibility to participate in the plan

None

Other

On which days will participants be eligible to enter the plan once they satisfy the eligibility requirements above?

First day of the Month

First day of the Quarter

Semi-Annually

Use full year compensation for allocation purposes?

Yes

No – select this if you want allocations based on compensation only while a participant. When submitting annual census data, both compensation from date of participation and full-year compensation will be needed.

Will the plan automatically withhold deferrals from compensation for eligible employees who do not elect otherwise for deferrals?

Yes, by 6% of compensation for each payroll period

Will the plan automatically withhold deferrals from compensation for eligible employees who do not elect otherwise for deferrals?

Yes, by 6% of compensation for each payroll period

Yes, by X-% of compensation (not to exceed 10%) for each payroll period

Percentage of Compensation for each payroll period

Please enter a number greater than or equal to 0.

Testing method for Plan Year – The ADP ratio for non-highly compensated employees will be based on the following

Prior year testing: The primary advantage for prior year testing is that it gives the employer an effective tool for determining the maximum ADP and ACP for highly compensated employees in advance. The ADP ratio for non- highly compensated employees will be deemed to be the greater of 3% or the actual percentage for the initial plan year.

Current year testing: Current year testing may be a good approach for an employer who will be making discretionary matching contributions that may differ from year to year. In addition, the benefits of increased enrollment may be realized immediately with current year testing, but consequently so will decreased enrollment. An employer selecting this testing method will need to consistently monitor the current deferral elections throughout the year to ensure that the highly compensated employees will not defer a significantly higher average deferral percentage which may result in nondiscrimination testing failure.

Prior year testing for deferrals and current year testing for matching contributions

N/A – safe harbor plan

You have the discretion to contribute more than the Safe Harbor contributions to your employees. This can be accomplished through annual profit sharing or discretionary contributions above and beyond the Safe Harbor contributions. The discretionary contributions can be each pay period, monthly, quarterly, semi-annually or at the end of the plan year. Would you like to discuss these questions further?

Yes

Please specify the vesting schedule you wish to apply for discretionary employer profit sharing and matching contributions

N/A – no profit sharing or matching contributions

100% upon entering plan

3 year cliff – 0 / 0 / 100%

6 year graded – 0 / 20 / 40 / 60 / 80 / 100%

Other

Please specify

Year 1 %

Year 2 %

Year 3 %

Year 4 %

Year 5 %

Year 6 %

2023 401k Plan

Extras

Please select the features you would like

Employee Roth contributions

Employer Roth contributions

In-Plan Roth Conversions

Hardship Withdrawals

Qualified In-Service Distributions

Participant Loans

2023 401k Plan

Electronic Signature and Purchase

Electronically sign your full name*

Consent*

I agree

By selecting the “I agree” button, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document. By selecting “I agree” using any device, means, or action, I consent to the legally binding terms and conditions of this document. I further agree that my signature on this document is as valid as if I signed the document in writing. I am also confirming that I am authorized to enter into this Agreement.

Pricing Plan*

OMNIA Standard

OMNIA Enhanced

OMNIA All Inclusive

Safe Harbor 401(k) Plans	New Plan Setup	$800
	Transition of Existing Plan	$1,500
	Administration and Annual Compliance Services	$1,000 + $15 Per Participant + 0.05% of plan assets *