Below is the 401k Solution Conversion Plan Order Form for companies that 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 DOES NOT currently have a 401(k) plan or other retirement plan, please use our First Plan Order Form.
For One-Person 401(k) plans, please click here.

401k Solution Conversion Plan Order Form
for converting existing 401k or other qualified retirement plans into 401k Solution run-it-yourself 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 Order Form instead of this Conversion Plan Order Form. Thank You.)
Already-existing 401k plan to be converted to a 401k Solution 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
   Zip 
12. 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:
C Corporation
Professional Service Corporation
S Corporation
Limited Liability Company taxed as (check one)...
Partnership or Sole Proprietorship
Corporation
S 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: 401k Solution runs over the Internet. For our records, which computer system do you use most frequently?
Desktop PC
MAC
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 401k Solution replace that plan.

If the 401k Solution 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.
19. What type of plan do you want converted into a 401k Solution plan? Profit-sharing plan (without 401k features)
Defined benefit plan
Other (please describe):
Unsure. Please contact me with help regarding this item.

Exact name of your current plan as listed on your current plan documents
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 401k Solution 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 401(k) Easy Online plan? Will the same person serve as Plan Administrator for your 401k Solution plan?
Yes
No. will serve as Plan Administrator for our 401k Solution 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 401(k) Easy Online plan? Will the same person(s) serve as Trustee(s) for your 401k Solution plan?
Yes
No

If "No", please name the Trustee(s) for your 401k Solution 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 401k Solution 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 our last 5500 series filing date.
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 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 401(k) Easy Online plan? What age requirement do you want use for your 401k Solution plan?
Keep existing plan's age requirement for 401k Solution plan
Change age requirement to "None" for 401k Solution plan.
Change age requirement to "20 1/2" for 401k Solution plan.
Change age requirement to "21" for 401k Solution plan.
Change age requirement to for our 401k Solution plan.
Unsure. Please contact me with help regarding our 401k Solution plan age requirement.
32. Length of Service requirement for participation in your current plan? What length of service requirement is currently being used for participation in your existing company 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 401k Solution plan length of service requirement.
33. ...and for your 401(k) Easy Online plan? What length of service requirement do you want use for your 401k Solution plan?
Keep existing plan's length of service requirement for our 401k Solution plan.
Change length of service requirement to "None" for our 401k Solution plan.
Change length of service requirement to "Three (3) months" for our 401k Solution plan.
Change length of service requirement to "Six (6) months" for our 401k Solution plan.
Change length of service requirement to "One (1) year" for our 401k Solution plan.
Change length of service requirement to "" for our 401k Solution plan.
Unsure. Please contact me regarding our 401k Solution 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 401(k) Easy Online plan? Do you want your 401k Solution plan to exclude any categories of employees from participation?
Yes
No
Unsure. Please contact me regarding participation exclusions for our 401k Solution plan.

If "Yes", please identify the classes of employees you'd like excluded from participation in your 401k Solution plan: (check all that apply)
Union members
Non-resident aliens
Unsure. Please contact me regarding what participation exclusions to use for our 401k Solution 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 would you like the default contribution rate to be for automatically enrolled participants?
Not applicable. Do not want auto enrollment used in our 401k Solution plan.
3% 4% 5%
Unsure. Please contact me regarding using auto enrollment in our 401k Solution plan.
37. ...and for your 401(k) Easy Online plan? Do you want your 401k Solution 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 401k Solution plan.
3% 4% 5%
Unsure. Please contact me regarding using auto enrollment in our 401k Solution 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 401k Solution plan? 1) Do you want to use a different MATCHING CONTRIBUTION formula for your 401k Solution plan?
Use our existing plan's matching contribution formula for our 401k Solution plan.
Change our matching contribution formula for our 401k Solution plan to "None".
Change our matching contribution formula for our 401k Solution plan to a rate of   % (e.g., 50%) to each dollar our participants defer into the plan.
Change our matching contribution formula for our 401k Solution 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 401k Solution plan to the following:
Unsure. Please contact me regarding the matching formula for our 401k Solution 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. ...and for your 401(k) Easy Online plan: "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: Does your existing plan currently allow for 401(k) loans? more info Yes (approximate number of outstanding loans: )
No
Unsure. Please contact me regarding this item.
43. ...and for your 401k Solution plan? Do you want your 401k Solution plan to allow for new 401(k) loans?
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 401k Solution plan? Do you want to continue offering these investments within your 401k Solution 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 401k Solution 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. Investments: Investment Type
(view investment listings)
Please indicate the type of investments you want for your 401k Solution plan:
more info
Self-Directed Brokerage Accounts only
No-Load Mutual Funds only
Load Mutual Funds only
Unsure. Please contact me regarding the type of investments to offer within our 401k Solution plan.
47. 401k Solution plan investments
INVESTMENT CHOICE:

(view investment listings)
Please indicate the FAMILY of funds and/or the brokerage account you wish to offer within your 401k Solution 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 401k Solution plan.
New investment family or brokerage account for our 401k Solution plan:
Unsure. Please contact me regarding the exact investment family or brokerage account to offer within our 401k Solution 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 401k Solution 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 matching 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: 401k Solution Purchase...
49. The price of your 401k Solution system:
(401(k) Easy Online is licensed on a calendar year basis, which requires the purchase of a new license at the beginning of each New Year)

Plan Size
(in number of eligible employees)
401k Solution Online Pricing
for your custom 401k plan and plan administration system
2-4 eligible employee $1795 per year
5-10 eligible employees $1945 per year
11-15 eligible employees $2245 per year
16-20 eligible employees $2545 per year
21-25 eligible employees $2845 per year
26-30 eligible employees $3145 per year
31-35 eligible employees $3595 per year
36-40 eligible employees $4045 per year
41-45 eligible employees $4495 per year
46-50 eligible employees $4945 per year
more than 50 eligible employees ($4945 plus $275 for each additional 5 eligible employees

50. $995 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 Solution before they have us set up a customized a system for them.)
51. 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.

52. Do you prefer to be contacted regarding your order by telephone or e-mail?
Contact by phone
Contact by e-mail

When your 401k Solution 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 401k Solution 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!

53. How will you prefer to pay for your 401k Solution 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?
54. One last thing before you submit your order: Please tell us how your heard about 401k Solution...
Financial planning professional, friend or colleague. Please list the person and/or company name:
Linked to the 401k Solution 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:
55. 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.)