Retirement Evaluation

Your name:		*
Position:
Business name:		*
Address:		*
Phone:		*
Email:		*

Plan type: (check all that apply)

		401(k)
		Profit Sharing
		Money Purchase
		New Comparability
		Defined Benefit
		Not sure
		No business retirement plan

Employer makes 401(k) matching contributions?

		No
		Yes, 1-3%
		Yes, 4-9%
		Yes, 10% or more

Employer makes non-matching contributions to the plan?

		No
		Yes, 1-3%
		Yes, 4-9%
		Yes, 10% or more

Number of years to full vesting in employer's contributions?

		0-2 years
		3-5 years
		6 years or more

Frequency of written reports:

		Quarterly
		Semiannual
		Annual

Timeliness of written reports (date received after end of reporting period):

		0-20 days
		21-45 days
		46-90 days
		91 days or more

Investments are valued:

		Daily
		Monthly
		Quarterly
		Annually

Employees choose investments?

Yes

If "yes," number of fund choices?

		0-5
		6-9
		10-15
		16 or more

Check all that apply:

		"Brand-name" funds
		404(c) notices provided
		Guaranteed Account available

Employee education: (check all that apply)

		Customized enrollment kits
		Online account information
		Online investment education

If your plan ranks below average, would you like to receive information about alternatives?

Yes

If "yes,"

Number of participants in plan:
Estimated annual contribution:
Approximate plan assets:		--choose one-- Below $100,000 $100,000 - 250,000 $250,001 - 500,000 $500,001 - 1,000,000 $1,000,001 - 2,000,000 $2,000,001 - 5,000,000 $5,000,001 - 20,000,000 Above $20,000,000