Fee Quote – 401(k) Plan Companies with Employees

Proposal Request Form

Fee Quote – 401(k) Plan (For Companies with Employees)

Advisor Information

Advisor’s Firm Name*

Advisor’s Name*

Advisor’s Email Address*

Advisor’s ZIP Code*

Advisor’s Phone Number*

Employer Information

Company’s Legal Name*

Total Number of Employees*

Anticipated Number of Eligible Employees*

Anticipated Number of Employees with an Account Balance*

Investment Platform to Quote

Platform*

Fees may vary depending on investment platform selected

Type of Safe Harbor 401(k)

Safe Harbor Provisions*

Is this a new plan or an existing plan?*

Current Plan Assets (Only Complete for Existing Plans)

Expected Annual Contributions (Optional)