Request a Proposal

1. Plan Name
2. Plan Type 401(k) Profit Sharing Only Money Purchase New Comparability Other
3. If "other", please describe
4. New or Existing Plan
   1. New
   2. Existing
5. Services Requested Full Administration Recordkeeping Only
6. Core Plan Assets
7. Number of Employees
8. Employees With Balances
9. Preferred Custodian Choose one Schwab Trust MidAtlantic Trust Matrix Trust Other
10. Trustee Services
    1. Yes
    2. No
11. Current Document Type Prototype Volume Submitter Custom Document
12. Document Services Desired
    1. Yes
    2. No
13. Payrolls per Year
14. Payroll Locations 1 2 3 More than 3
15. Loans Allowed
    1. Yes
    2. No
    3. Unknown
16. If "Yes", Approx. Number of Loans
17. Self-Directed Brokerage Accounts
    1. Yes
    2. No
18. Employer Stock
    1. Yes
    2. No
19. Other Outside Investments
    1. Yes
    2. No
20. If "Yes", please describe
21. Are all core assets in mutual fund investments?
    1. Yes
    2. No
22. If "No", please describe
23. Date Proposal Needed:
24. Anticipated Conversion Date
25. Additional Information

1. Firm Name
2. First Name
3. Last Name
4. Phone
5. E-Mail
6. Confirm E-Mail
7. Do you currently have plans with RiversEdge?
   1. Yes
   2. No
8. What role do you anticipate serving with the plan? Check all that apply.
   1. Investment Advisor
   2. Plan Fiduciary Support Services
   3. Broker Services
   4. Third Party Administration Services
   5. Accounting / Plan Audit Support Services
   6. Education & Enrollment Support
   7. Banking and / or Trustee Services
   8. No Ongoing Role Anticipated
   9. Other
9. If Other, Please describe
10. How do you expect to charge for your services?
11. Do you wish to see your fees incorporated into the RiversEdge proposal?
    1. Yes
    2. No

If you wish to see any revenue sharing or mutual fund servicing estimates as part of this proposal, please send as thorough information as possible on the expected investment details to ProposalRequests@RiversEdgeRet.com.