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Benefits Department
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401(k) Fact Finder

401(k) Fact Find Questionnaire

*Required
Name
*
Company *
Address *
City *
State *
Zip Code *
Phone *
E-Mail *

1. What type of Retirement Plans do you currently have?

2. Number of eligible employees?

3. Current plan assets?

4. Current plan provider?

5. What is the Annual Cash Flow including employer and employee contributions?

6. Additional Comments: