VGP 401k Registration

Please complete all the information in this form. This form is necessary for us to help design a plan that is most appropriate for your veterinary practice.
Practice Name
Legal Company Name
Veterinary Practice Tax ID
Fiscal Year End
Number of Employees
Date of Business Inception
Form of Entity
(if LLC/LLP, indicate tax treatment)
Veterinary Practice Number
Format: (000) 000-0000.
Veterinary Practice Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Contact Name

First NameLast Name
Primary Contact Email
Primary Mobile Number
Format: (000) 000-0000.
Veterinary Phone Number
Format: (000) 000-0000.
Authorized Signer Name (if not primary contact)
Authorized Signer Email

Additional Information
Related Companies (Including but not limited to holding companies, parent companies, and sister companies)
Owners and Officers of the Company
Family Relationships Between Owners and Other Employees
Highly Compensated Employees (Earning over $135k in 2023)
What is your practice revenue?
Who is your VGP coach?
Your Name

First NameLast Name
Please Sign Here
Should be Empty:

Payroll Information