401(k) Plan Profile – Existing Plan

Company information

Company name:

Description of industry ______

Name of Contact(s)

E-Mail Address ______

Telephone: (O)(Fax)

Number of company locations What city or state?

Name of CPA? Attorney

Organizational structure: Reg. Corporation Subchapter S Corp.

Sole Proprietor Other (list)

Number of full-time employees (more than 20 hours per week) Part-time

How many employees are active participants in the plan? ______

How many active account balances for terminated employees? ______

Expected number of benefit distributions per year? ______

Are there Union employees? Y N Leased? Y N Contract? Y N

Is the employer part of a controlled group? If yes, how many entities?

Is the payroll processed internally? Externally (payroll service)

How many payroll locations? ______Are the locations processed independently? Y N

What is projected annual payroll? ______

Is there currently another plan? Y N Were any plans terminated in past year? Y N

How have the objectives of the plan changed since it was established?______

When was the last review of the plan design or features?

What is the most positive factor about the current provider(s)? ______

What are the primary problem areas with the current provider(s)? ______

______

If you could change one thing about the plan, what would it be? ______

How would you rate the employee communication efforts? ______

How would your employees rate the current provider? ______

How would your employees rate the current advisor? ______

How would you rate the current provider’s effort in communicating with the employer?

Describe problems with non-discrimination tests ______

______

Are you interested in looking at any specific providers? ______

Are you evaluating or considering the services of another advisor? ______

______

Plan Design

Employer match contribution? Y N Average match over last three years? ______

Discretionary profit sharing contributions? % Average over last three years? _____%_

Expected % of employee deferrals? ____Are problems expected with ADP test? Y N

Safe-Harbor provisions offered? Y N

Participant loans offered? Y N

Have you ever condidered a non-qualified plan? Y N

Plan Structure

Do you have a specific TPA firm you wish to use? Y N

List specific investment choices available

Will employer stock be an investment option? If so, is the stock publicly traded? Y N

Are there any current investment choices that must be retained? Y N

Do you offer lifestyle funds? Y N Personal Brokerage Accounts? Y N

Do you have an investment policy statement? Y N

What are the expected annual plan administration/Recordkeeping costs? ______

What are expected annual plan investment costs? ______

Are there other costs related to the plan? ______

Are there specific employee communication needs? Y N If so, please describe

Is the plan: self-trusteed? Y NDirective Corporate trustee Y N

Frequency of valuation:Daily ______Quarterly ______Annual ______

Conversion method preferred Fund Mapping ______Cash Conversion ______

Plan Review Checklist:

  1. Current Summary Plan Description
  2. Current Adoption Agreement
  3. Most Recent 5500 Form
  4. Description of Investment Options
  5. Investment Policy Statement

Financial Advisor Information

Name ______

FA # ______Branch _____