Request a Free Proposal

Please compete the information below to request a free proposal for your retirement plan

Business Information (required)
Name of Business:
 
Business Structure:
 







If you are an LLC or an LLP please select one of the following:




Date Business Established:
  (mm/dd/yy)
Fiscal Year End:
  (mm/dd)
Please select the type of Plan that you would like to see illustrated:
401(k) Profit Sharing Defined Benefit All
Approximate Annual Contribution Budget:
  $ Please calculate maximum
Does the empoyer control over 50% of any other business organizations?
(if "Yes" please complete and submit a second form)
Does the employer maintain or has the employer ever mainatined another retirement plan?
If yes, please check all that apply
401(k) 403(b) Money Purchase Profit Sharing Defined Benefit Governmental Plan

Census Information (required)
You may fax this information to (203) 964-1949 if preferred
Employee Name:   Date of Birth   Date of Hire  

Hours per Year
(Part Time EE's)

  Annual Compensation   Owner?
   
    %
   
    %
   
    %
   
    %
   
    %
   
     
   
     
   
     
   
     
   
     
   
     
   
     
   
     
   
     
   
     
Please list any additional employee information here:

NOTES:

Your Name:
Your E-Mail:
Relationship to above business:


         
                 

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