DS4 SoloK
  • Discount Solo 401K

    Solo401(K) Application
  • We look forward to helping you unlock your retirement plan and start investing as you choose with a DS4 Solo 401(k). Please provide the information below and we’ll get started promptly.

  • Contact Information

    Plan Participant & Primary Trustee
  • Format: (000) 000-0000.
  • Business Information

    Tell us about the business that will sponsor the Solo 401 (K)
  • Integrated Plan Banking with Solera Bank

    Discount Solo 401K partners with Solera National Bank for Solo 401(k) bank setup. Integrated banking with Solera simplifies your plan setup and helps get your plan funded faster. Solera support is great, and they are trained on and understand the special needs of self-directed 401(k) plans. If you choose to use Solera for plan banking, we will use information you provide here to pre-fill your Solera application.

  • Trustees & Participants

    Tell us who will have control over the plan and who will hold retirement savings within the plan. If you choose to bank with Solera, any person who will have signing authority will be sent their own Solera application and need to provide identity verification.

     

    A co-trustee has discretionary power to administer the plan just like the primary trustee. A co-trustee may or may not also be a plan participant. A plan participant is a spouse or business partner who is employed by and compensated by the business, and will hold retirement savings within the plan.

  • Format: (000) 000-0000.
  • Bank Accounts to Setup

    A separate bank account will be setup for each participant and tax type. Pease tell us the types of accounts you will need for your plan. An account needs to exist for any type of funds you plan to rollover or contribute to the plan. Contact your DS4 consultant if you need assistance. You can skip this section and complete your application if you are unsure.

  • Qualifications and Acknowledgements

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    • Form SS-4 (Rev. December 2017)

      Application for Employer Identification Number (For use by employers, corporations, partnerships, trusts, estates, churches, government agencies, Indian tribal entities, certain individuals, and others

    • EIN

    • Department of the Treasury Internal Revenue Service

      a Go to www.irs.gov/FormSS4 for instructions and the latest information. a See separate instructions for each line.a Keep a copy for your records.

    • 6 County and state where principal business is located

    • Is this application for a limited liability company (LLC)

      8bIf 8a is “Yes,” enter the number of

    • 8c 9a

    • If 8a is “Yes,” was the LLC organized in the United States? Type of entity (check only one box Sole proprietor (SSN) Partnership

      Corporation (enter form number to be filed) a

      Personal service corporation Church or church-controlled organization

      Caution. If 8a is “Yes,” see the instructions for the correct box to check. Estate (SSN of decedent) Plan administrator (TIN) Trust (TIN of grantor) Military/National Guard Farmers’ cooperative

    • State/local government Federal government Indian tribal governments/enterprises

      Group Exemption Number (GEN) if any a

      If a corporation, name the state or foreign country (if applicable) where incorporated Reason for applying (check only one box)

      Started new business (specify type) a

      Banking purpose (specify purpose) a Changed type of organization (specify new type) a

      Hired employees (Check the box and see line 13

      Created a trust (specify type) a

    • Date business started or acquired (month, day, year See instructions.

    • If you expect your employment tax liability to be $1,000 or

      Highest number of employees expected in the next 12 months (enter -0- if none If no employees expected, skip line 14.

    • less in a full calendar year and want to file Form 944 annually instead of Forms 941 quarterly, check here. (Your employment tax liability generally will be $1,000 or less if you expect to pay $4,000 or less in total wages

      If you do not check this box, you must file Form 941 for

      First date wages or annuities were paid (month, day, year nonresident alien (month, day, year) Check one box that best describes the principal activity of your business.

      Note: If applicant is a withholding agent, enter date income will first be paid to

      Health care & social assistance

    • Indicate principal line of merchandise sold, specific construction work done, products produced, or services provided.

      Has the applicant entity shown on line 1 ever applied for and received an EIN?

    • If “Yes,” write previous EIN here a

      Complete this section only if you want to authorize the named individual to receive the entity’s EIN and answer questions about the completion of this form.

    • Third

    • Designee’s telephone number (include area code)

    • Party

    • Designee

    • Format: (000) 000-0000.
    • Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, it is true, correct, and complete.

      Applicant’s telephone number (include area code)

    • Format: (000) 000-0000.
    • For Privacy Act and Paperwork Reduction Act Notice, see separate instructions.

    • PRE-APPROVED STANDARDIZED “EZ-k” PROFIT SHARING PLAN;

    • SIMPLIFIED PROFIT SHARING AND MONEY PURCHASE PLAN ADOPTION AGREEMENT #01001

    • The undersigned Employer hereby adopts the Provider's Pre-Approved EZ-k Profit-Sharing Plan; or Simplified Profit Sharing or Money Purchase Plan in the form of a standardized Plan, as set out in this Adoption Agreement and the Pre-Approved Defined Contribution Plan Document #01 and all completed Addendums, and agrees that the following definitions, elections and terms shall be part of such Plan. Where applicable, certain items have a Default Provision indicated below the item number that will apply if no election is made by the Employer. Complete the sections of this adoption agreement that correspond with the plan type you are adopting as follows:

    • PLAN TYPE

    • SECTIONS FOR COMPLETION

    • “EZ-k” 401(k) plans Profit Sharing plans Money Purchase plans

      Parts 1, 2, 5, 6, and 8; Addendums A1, B

    • PART 1: COMPLETE THIS PART 1 FOR ALL PLAN TYPES EMPLOYER INFORMATION

    • Complete all Employer Information. Items 1 through 7 in this Part 1 shall apply to each plan type.

    • Format: (000) 000-0000.
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    • 7.The Plan Administrator shall be:

      (b) Other (specify name, address, phone):

    • PLAN INFORMATION

    • Complete all Plan Information. Items 8 through 14 in this Part 1 shall apply to each plan type. 8. Document Provider: Solera Plan Services, LLC Phone: 303-242-8155 Address: 319 S. Sheridan Blvd., Lakewood, CO 80226

      E-mail: soleraplansupport@solerabank.com

    • 12.Effective Date: The Employer has completed and signed this Adoption Agreement in order to: Initial Effective Date

      Amendment/Restatement Effective Date

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    • Copyright 2018 P enServ Plan Services, Inc. Control #01001a S EZ-k (11-18)

    • Merger, amendment and restatement of the

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    • Should be Empty: