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Additional Information
How Soon Do You Want to Implement a New 401(k) Plan?:	ASAP Within two weeks Within one month Within two months More than two months
Do You Currently Offer a 401(k) Plan?:	No   Yes If 'Yes', Approximately How Much Do You Plan to Rollover Into the New Plan? If 'Yes', What Is the Approximate Amount of the Annual Contributions to Your Current Plan? (include employee plus employer contributions - excluding company stock)
Number of Eligible Employees:
Number of Employees Likely to Participate in the Plan:
Number of Domestic Locations/Offices Your Business Maintains:	Less than 5 5-25 26-100 100+
Type of Investment Vehicle: (check all that apply)	Multiple Mutual Funds in a Single Fund Family No-Load Mutual Fund Self-Directed Brokerage Account Not Sure
Number of Investment Choices You Would Like the Plan to Offer:	1-3 4-6 7-9 10+
Will You Be Matching Any Portion of the Employee's Contribution?:	No, We Will Not Be Matching At This Time Yes, We Will Be Matching Based on Profitability Yes, We Will Specify the Percentage Amount

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