• This form is ONLY to be used to submit your 2025 Defined Benefit or Cash Balance Plan & 401(k) Funding Request.

    Click to View Funding Form FAQ Click to View Documents Needed to Help Complete the Form

    Important: We do not accept estimated amounts.

    Please complete this form once you have all final numbers.

    Please note the following:

    • Please carefully review your entries for 100% accuracy as they will be used to finalize your funding range.
    • At the end of each form section, you will have a space to make any comments or ask questions. Our support team will answer any questions you have.
    • A copy of your submission will be emailed to you for your records.
    • Once the form is submitted, we will provide you with a funding range within 10 business days.
  • General Information

  • Format: 000-000-0000.
  • Plan Information

  • Click here for more information on group plans vs solo plans

  • First-Year Client Information

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  • Please be aware of the Form 5500 Filing Rules for owner-only plans and the filing threshold of $250,000. This threshold is determined by the sum of all assets in qualified plan assets sponsored by your company. Make sure you are filing this form, since Emparion will not be assisting you with that process.
  • Compensation Information

  • For add'l information regarding how to calculate your business profit please click here.

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  • For add'l information regarding how to calculate your business profit please click here.

  • To determine the proper W2 amount to report to us, please click here.

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  • If you need the template, click here to download.

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  • For each partner, enter their full name and profit as reported on Form K1:

  • For information on how profit is calculated, click here.

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  • If you need the template, click here to download.

  • Defined Benefit / Cash Balance Plan Information

  • If your plan is self-directed and has non-qualified assets, including real estate, please follow the instructions using this link.

  • List each contribution amount and the date it was made:

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  • WARNING: Listed contributions do not equal to the total 2025 contribution made. Please review.

  • 401(k) Information

  • Note: We are now requiring this for all clients. This should cover all participants, all plan asset types (pre-tax & roth)
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    • Participant #1: 
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    • Participant #2: 
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    • Participant #3: 
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    • Comments 
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  • Distribution Information

  • Cash Balance

  • 401(k)

    • Participant #1 (Cash Balance) 
    • Participant #1 (401k) 
    • Participant #2 (Cash Balance) 
    • Participant #2 (401k) 
    • Participant #3 (Cash Balance) 
    • Participant #3 (401k) 
    • 4+ 
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  • Additional Documents/Files

  • Please upload any additional documents/files below: 

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  • Review

  • Should be Empty: