PROPOSAL REQUEST by HC120706231748

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									                               PROPOSAL REQUEST



1. Name of Business
2. Business Entity(i.e. C-Corp, S-Corp, LLC)
3. Date Business Established
4. Fiscal Year End

5. Does the employer control over 50% of any other business organization?
(If yes, please provide complete census including percentage of ownership.)

6. Does the employer now maintain or has ever maintained a Qualified Pension or Profit
Sharing Plan (including Simplified Employee Pension Plan)? (Yes/No)

7. If Yes, please indicate Name of Plan and Effective Date:

8. Plan Type: 401(k)___ DB___ TB___ PS___ MP___ New Comparability___ Caf___
   Other:

9. Approximate Total Annual Contribution Desired: $
(Note: If Maximum benefits or contributions are desired, enter “MAX”)

10. Special objectives of the plan:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

11. Additional Comments and Information:
________________________________________________________________________
________________________________________________________________________



Note: Please include the Census Request Form with this proposal.

								
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