Below is the 401(k) Easy Order Form for companies that do NOT currently sponsor a retirement plan. For any plan customization item about which you are undecided or would like some help or additional information, please mark the "Unsure..." button.

-- If your company already has a 401k plan or other retirement plan and is interested in converting it to a 401(k) Easy run-it-yourself plan, please DO NOT complete the below but instead use our Conversion Plan Order Form.

-- For One-Person 401(k) plans, please click here.

401(k) Easy First Plan Order Form

for companies with no previously established 401k plan or other company retirement plan

1) Will this be your company's first 401k plan or are you replacing an already-existing plan?

First 401k plan

Already-existing 401k plan to be converted to a 401(k) Easy plan (STOP!!! Please use our Plan Conversion Order Form instead of this New Plan Order Form if your company already has a 401k plan. Thank You.)

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:

11) 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:

S Corporation

Professional Service Corporation

C Corporation

Sole Proprietorship

Partnership

Limited Liability Company taxed as (check one)...

Partnership or Sole Proprietorship
Corporation
S Corporation

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:

401(k) Easy runs on Windows 98 (and above). Is your computer running Windows 98 or above?

Yes

No

Unsure. Please contact me regarding this item.

Part II:Plan Information...

Note:

Complete the below ONLY if the 401(k) Easy plan will be your company's FIRST retirement plan ever.

If your company already has a retirement plan and will be having 401(k) Easy replace that plan, please use our Conversion Plan Order Form instead of this New Plan Order Form. Thank You.

19) Potential size,
in number of employees,
of your 401(k) Easy 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.

20) Plan Administrator:

Who at your company will serve as Plan Administrator for your 401(k) Easy plan? If you don't know who will serve as your Plan Administrator, mark the "Unsure. Please contact..." box below.

will serve as Plan Administrator for our 401(k) Easy plan. His/her phone number is , and email address is . Optional: His/her title ("Controller," "CFO," "President" etc.) is .

Unsure. Please contact us about naming a Plan Administrator.

21) Plan Trustee(s):

Who at your company will serve as your 401(k) Easy plan's Trustee(s)? Please include his/her/their title(s) (such as "CFO"), as applicable. If you are unsure who will serve as your plan's trustee(s), mark the "Unsure. Please contact..." box below.

.

Trustee(s) phone number(s): .

Unsure. Please contact us about naming a Plan Administrator.

22) Compliance test preferences:
(remember, just mark "Unsure" if you want help with any item; compliance test preferences is something people new to 401k plans usually need help with)

You have some flexibility regarding the parameters by which the IRS compliance tests your plan will have to pass each year are run. Your 401(k) Easy software will have your preferences hardwired into it so you can run accurate compliance tests as often as you like (we recommend monthly) from your 401(k) Easy software to keep you apprised of your plan's health and help ensure your plan passes its critical year-end tests.

The determination of Highly-Compensated versus Non-Highly-Compensated Employees for your plan will be based on the previous year's wages. Would you like your plan to limit the definition of Highly-Compensated Employees to "the top 20% of employees"?

Not applicable: Safe harbor plan

Yes (recommended)

No

Unsure. Please contact me regarding this item.

23) Age requirement for participation
in 401(k) Easy plan:

What age requirement do you want for your 401(k) Easy plan?

None

21

Other (please specify):

Unsure. Please contact me regarding this item.

24) Length of Service requirement for your
401(k) Easy plan?

What length of service requirement do you want for participation in your 401(k) Easy 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 401(k) Easy plan length of service requirement.

25) Participation exclusions:

Would you like to exclude any categories of employees from participation in your 401(k) Easy plan?

Yes

No

Unsure. Please contact me regarding participation exclusions used in our existing company plan.

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

Union members

Non-resident aliens

26) Automatic enrollment:

Do you want your 401(k) Easy 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 401(k) Easy plan.

3% 4% 5%

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

27) Employer contributions:

NOTE: If you plan to run your 401k as a safe harbor plan, please indicate any relevant safe harbor employer contributions at item 32 of this order form and DO NOT include your safe harbor contribution formula(s) herein under item 27 Employer Contributions.

Your company can contribute to plan participants' accounts in any of three ways:
(1) regular matching contributions,
(2) discretionary employer contributions, and/or
(3) qualified nonelective contributions.

Regular matching contributions (RMCs) are defined in terms of participant's elective contribution (e.g., 50¢ contributed by the employer for each dollar contributed by the plan participant). Discretionary employer contributions (DECs) are basically profit-sharing contributions, although the employer's contribution does not have to be limited to net profits. Qualified nonelective contributions (QNECs) are allocated on the basis of compensation or some other variable aside from a participant's elective contribution; they are made to ALL eligible employees regardless of whether or not the employee contributes to or participates in the 401(k) plan -- unless the QNEC is being used to satisfy ADP or ACP test corrections. As for vesting, RMCs and DECs can be subject to vesting schedules, but QNECs are always 100% vested to employees' accounts when made.

1) Will your company be making any REGULAR MATCHING CONTRIBUTIONS to employees' accounts?

No regular matching contributions will be made.

Our company will make regular matching contributions at a rate of % (e.g., 50%) to each dollar our participants defer into the plan.

Our company will make regular 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 regular matching contributions.

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.)

Yes, our company will POSSIBLY make profit-sharing contributions in an amount to be determined by our company AND DOES 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.

3) Would your company like to have the option of being able to make QUALIFIED NONELECTIVE CONTRIBUTIONS to employees' accounts?

No (except as needed for discrimination test corrections).

Yes, our company will POSSIBLY make qualified nonelective contributions in an amount to be determined by our company. (Checking this option in no way obligates your company to making any actual contributions, it simply leaves open the possibility that you might.)

Yes, our company will make qualified nonelective contributions equal to % of the total compensation of all participants eligible to share in the allocations.

Unsure. Please contact me regarding profit-sharing contributions.

28) Vesting of
employer contributions:

"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:
Unsure. Please contact me regarding the vesting schedule(s) to use for our 401k plan.

29) Loans:

Do you want your 401(k) Easy plan to allow for 401k loans (that is, for participants to borrow from their accounts)? 

Yes

No

Unsure. Please contact me regarding this item.

30) Investments:
Investment Type

(view investment listings)

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

Self-Directed Brokerage Accounts only

Self-Directed Brokerage Accounts PLUS a family of No-Load Mutual Funds

No-Load Mutual Funds only

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

31) Investments:
Investment Family

(view investment listings)

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

.

Unsure. Please contact me regarding the exact investment family and/or brokerage account to offer within our 401(k) Easy plan.

32) 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 401(k) Easy 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 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:401(k) Easy Purchase...

33) The price of your 401(k) Easy system:

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

34) $795 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 a customized a system for them.)

35) 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.

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

Contact by phone

Contact by e-mail

When your 401(k) Easy 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) Easy 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!

37) How will you prefer to pay for your 401(k) Easy 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?

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

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

Linked to the 401(k) Easy 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 send to us that adopts a 401(k) Easy run-it-yourself 401k plan!

Sign up today -- it's free!