Freeze or Termination FormPlease review the Defined Benefit Termination FAQ before completing the form.Please select an option:(Required) I want to freeze my plan(s) I want to terminate my plan(s)Click here to learn more about freezing a planEnter your name:(Required) First Last Enter your business name:(Required)If you have multiple businesses, enter your primary business name or the name tied to this plan.How is your business entity taxed?(Required) Sole Proprietor (Including Single Member LLC) S-Corp (Including LLC Taxed as S-Corp) C-Corp PartnershipWhat is the expected W2 you will have for the year of termination?(Required)What is your expected business profit in the year of termination?(Required)Which retirement plan do wish to terminate?(Required) 401(k) Plan Only Defined Benefit or Cash Balance Plan ONLY BothWhat year would you like the plan to be terminated for?(Required) 2023 2024Do you want to contribute for the year of termination?(Required) Yes NoIf you select “No”, you may still be required based on actuarial evaluation.How much do you want to contribute for the plan termination year?(Required)Please enter below the balance in your 401(k) plan as of today (or a recent applicable date):(Required)Please enter below the balance in your cash balance plan or defined benefit plan as of today (or a recent applicable date):(Required)Please select a reason for termination:(Required) Closing Business Sale of Business Expected Decrease in Income Death of Owner Other Please review the fee table below:Defined Benefit or Cash Balance Plan Fees401(K) Plan FeesTermination Fee: $1,250Termination Fee: $490Employee Distributions (Per Employee): $275Employee Distributions (Per Employee): $275By submitting this termination request, I acknowledge the following (please check all the boxes):(Required) I agree that I will be billed a termination fee and annual administration fee upon termination. I understand Emparion’s actuaries will review my plan for overfunding and/or underfunding and provide guidance as necessary. I understand that Emparion will not begin the termination process until I have paid all fees. I understand that I will be billed for the final year actuarial and processing work upfront. This is normally billed in the subsequent year. I understand that if my plan assets are not rolled out by the end of the year, I may be subject to another year of administration fees. I understand that the IRS has plan permanency rules for defined benefit plans and I believe that I have a valid reason for termination. I understand that all participant accounts will become 100% vested. I understand that all outstanding loans must be repaid or they will become taxable.Please see our Pricing Schedule Here >> Pricing ScheduleIf you have any additional comments/questions, please write them below:Δ