If your company currently has a 401(k) plan or other retirement plan and is interested in converting that plan to a Low Fee 401(k) plan, please complete the below Conversion Plan Order Form. What happens then?
Depending on how quickly you get back to us, the whole process typically takes less than two weeks!

Conversion Plan Low Fee 401(k) Order Form for converting existing 401k or other qualified retirement plans into Low Fee 401(k) plans (NOTE: though SARSEPS have many 401k characteristics, including a payroll deduction feature, they cannot be converted to 401k plans under current IRS regulations).
1.Will this be your company's first 401k plan or are you replacing an already-existing plan? First 401k plan (STOP!!! Please use our First Plan Order Form instead of this Plan Conversion Order Form. Thank You.) Already-existing 401k plan to be converted to a Low Fee 401(k) 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
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 1) Employer federal I.D. number: 2) Plan/trust federal I.D. number (if different from Employer I.D. number):
14.Date business commenced:
15.Type of entity Please indicate your company's type: S Corporation Limited Liability Company taxed as (check one)... Partnership or Sole Proprietorship Corporation S Corporation Professional Service Corporation C Corporation Sole Proprietorship Partnership Other Is your company a member of a controlled group? More info Yes    No    Unsure. Please contact me regarding this question. Is your company a member of an affiliated service group? More info 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 Low Fee 401(k) 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 your company already has a retirement plan and will be having Low Fee 401(k) replace that plan. If the Low Fee 401(k) 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.
... regarding your existing plan and its conversion into a Low Fee 401(k) plan
19. What type of plan do you want converted into a Low Fee 401(k) 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 Low Fee 401(k) 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 Low Fee 401(k) plan? Will the same person serve as Plan Administrator for your Low Fee 401(k) plan? Yes No. will serve as Plan Administrator for our Low Fee 401(k) 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 Low Fee 401(k) plan? Will the same person(s) serve as Trustee(s) for your Low Fee 401(k) plan? Yes No If "No", please name the Trustee(s) for your Low Fee 401(k) 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 Low Fee 401(k) 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 this item.
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 participation exclusions used in our existing company plan. 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 Low Fee 401(k) plan? What age requirement do you want use for your Low Fee 401(k) plan? Keep existing plan's age requirement for Low Fee 401(k) plan Change age requirement to "None" for Low Fee 401(k) plan. Change age requirement to "21" for Low Fee 401(k) plan. Change age requirement to for our Low Fee 401(k) plan. Unsure. Please contact me with help regarding our Low Fee 401(k) plan age requirement.
32. Length of service requirement for participation in your existing plan: What length of service requirement is currently being used for participation in your existing company plan? None Three (3) months of service Six (6) months of service 1 year of service Other (please specify): Unsure. Please contact me regarding our current length of service participation requirement.
33. ...and for your Low Fee 401(k) plan? What length of service requirement do you want use for your Low Fee 401(k) plan? Keep existing plan's length of service requirement for our Low Fee 401(k) plan. Change length of service requirement to "None" for our Low Fee 401(k) plan. Change length of service requirement to "Three (3) months" for our Low Fee 401(k) plan. Change length of service requirement to "Six (6) months" for our Low Fee 401(k) plan. Change length of service requirement to "One (1) year" for our Low Fee 401(k) plan. Change length of service requirement to "" for our Low Fee 401(k) plan. Unsure. Please contact me regarding our Low Fee 401(k) 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 Low Fee 401(k) plan? Do you want your Low Fee 401(k) plan to exclude any categories of employees from participation? Yes No Unsure. Please contact me regarding participation exclusions for our Low Fee 401(k) plan. If "Yes", please identify the classes of employees you'd like excluded from participation in your Low Fee 401(k) plan: (check all that apply) Union members Non-resident aliens Unsure. Please contact me regarding what participation exclusions to use for our Low Fee 401(k) plan.
36.Automatic enrollment in your existing plan: Does your plan currently use automatic enrollment? more info Yes No Unsure. Please contact me regarding this item. If "Yes", what is your current plan's default contribution level for automatically enrolled participants? Not applicable. Auto enrollment is not currently used in our existing plan. 3%      4%      5% Unsure. Please contact me regarding this item.
37....and for your Low Fee 401(k) plan? Do you want your Low Fee 401(k) plan to use automatic enrollment? more info 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 Low Fee 401(k) plan. 3%      4%      5% Unsure. Please contact me regarding using auto enrollment in our Low Fee 401(k) 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 Low Fee 401(k) plan? 1) Do you want to use a different MATCHING CONTRIBUTION formula for your Low Fee 401(k) plan? Use our existing plan's matching contribution formula for our Low Fee 401(k) plan. Change our matching contribution formula for our Low Fee 401(k) plan to "None". Change our matching contribution formula for our Low Fee 401(k) plan to a rate of % (e.g., 50%) to each dollar our participants defer into the plan. Change our matching contribution formula for our Low Fee 401(k) 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 Low Fee 401(k) plan to the following: . Unsure. Please contact me regarding the matching formula for our Low Fee 401(k) 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.) 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.
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.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: .
42. Loans in your existing plan: 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 Low Fee 401(k) plan? Do you want your Low Fee 401(k) plan to allow for new 401(k) loans? more info 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 Low Fee 401(k) plan? Do you want to continue offering these investments within your Low Fee 401(k) 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): Unsure. Please contact me regarding investment offerings for our Low Fee 401(k) plan. Continue with existing plan investments (SKIP TO NEXT SECTION: Shopping Cart) Have new deferrals go to a new set of investments, as defined in your responses to questions 46 and 47, below.
46.Low Fee 401(k) plan investments INVESTMENT TYPE: (view investment listings) Not applicable; keep our existing plan's investments for our Low Fee 401(k) plan Participant-Directed Brokerage Accounts only Participant-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 Low Fee 401(k) plan.
47.Low Fee 401(k) plan investments INVESTMENT CHOICE: (view investment listings) Please indicate the FAMILY of funds and/or the brokerage account you wish to offer within your Low Fee 401(k) 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: Not applicable; keep our existing plan's investments for our Low Fee 401(k) plan. New investment family or brokerage account for our Low Fee 401(k) plan: . Unsure. Please contact me regarding the exact investment family or brokerage account to offer within our Low Fee 401(k) plan.
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. more info Do you want to operate your Low Fee 401(k) 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: Low Fee 401(k) Purchase...
49.Annual Fee (based on plan size): (Low Fee 401(k) is licensed on a calendar year basis, which requires the purchase of a new license at the beginning of each New Year)
Plan Size Annual Fee 2-4 eligible employee $495 per year 5-10 eligible employees $595 per year 11-15 eligible employees $695 per year 16-20 eligible employees $895 per year 21-25 eligible employees $1045 per year 26-30 eligible employees $1195 per year 31-35 eligible employees $1345 per year 36-40 eligible employees $1575 per year 41-45 eligible employees $1725 per year 46-50 eligible employees $1875 per year more than 50 eligible employees ($1875 plus $200 per each add'l '5 participants' pack)
50.$495 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.)
51.TOTAL (annual + setup fee):
Additional items: Please check off each additional item that is relevant to your plan.
52. Conversion of an existing plan into a Low Fee 401(k) plan: -- NO CHARGE --
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, answer any questions you have, and give you quotes on any Additional Items you've requested.
53. Do you prefer to be contacted regarding your order by telephone or e-mail? Contact by phone Contact by e-mail When your Low Fee 401(k) 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 Low Fee 401(k) 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!
54.How will you prefer to pay for your Low Fee 401(k) system when we contact you? credit card* via phone credit card* via e-mail check * 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.
Part V: How did you hear about us?
55. One last thing before you submit your order: Please tell us how your heard about Low Fee 401(k)... Financial planning professional, friend or colleague. Please list the person and/or company name: Linked to the Low Fee 401(k) 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:
56. 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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