TakeoversStep 1 of 4 – Company Information25%Name(Required) First Last Business Name (include "Inc" or "LLC" as applicable)(Required)Email(Required) Enter Email Confirm Email Phone(Required)Business Type(Required) S-Corp C-Corp Partnership Sole Proprietor LLC OtherHow is your LLC taxed?(Required) C-Corp S-Corp Sole Proprietor PartnershipWhat type of Retirement Plan do you want us to takeover?(Required) 401(k) Plan Defined Benefit or Cash Balance Plan ONLY BothWhat plan year do you want us to start administration?(Required) 2022 2023 2024 – Plan Adoption Agreement with any amendments – Summary Plan Description, if available – IRS Favorable Determination Letter, if available – Submitted Form 5500 and Attachments for the prior 2 Years, if applicable. – Actuarial Valuations for the last 2 years – Year-end Statement of Plan Assets for the last 2 Years – Compensation History of ALL employees for the last 2 years – Current Employee Census for the prior 2 years – Sample Benefit calculation, if available. – Once we has received your documents, we will then confirm that we have received all of the documents necessary. Please allow up to two weeks to review your documents. During this time period, an actuary will review to check for compliance. – If needed, we will recommend possible amendments to optimize your funding. – After the review, Emparion will confirm whether your plan meets the take-over requirements. – We will then amend your plan to align with Emparion’s pre-approved plan. This will ensure the plan is up to date with current legislation and the plan will be on our cycle for plan restatements that are required by the IRS and DOL. – No additional fees will be required for this restatement. – During this call we will go over Emparion’s annual process, review our secure, online portal, SmartVault, go over any open questions, and ensure the details of your plan and situation are correctly notated in our system.Consent(Required) I agree to the terms listed below.By filling out this form you agree to the following terms: – I will submit the documents mentioned in the Emparion Take-Over Form within 30 days of submitting the form or Emparion has the right to terminate the plan takeover. – I understand the annual administration fees and agree to be charged upon take-over (see pricing page). – I understand that annual administration fees are billed in April/May for the prior plan year.Δ