Business Type:
Employer I.D . (EIN):
Fiscal Year End:
Employer Information
Actuarial Consulting Group, Inc.

If unknown
please specify:

6 Digit Business
Acitivity Code:

If yes, please specify:

Are there any other
retirement plans in effect?

If yes,please specifiy:

Does the Employer
have any Unions?

Electronic Signature

Plan Administrator: Note: type full legal name

Position:

Acknowledgement
and Authorization:

This must be marked “yes” to proceed with plan submission

Today's Date:
Today's Date:
Business Name:
Address:
Phone:
Fax:
Email:
10 Pointe Drive, Suite 155, Brea, CA 92821
Tel: (626) 581-8210 Fax: (626) 581-8310 Email: webmaster@acgactuary.com

Content on this page requires a newer version of Adobe Flash Player.

Get Adobe Flash player

Copyright 2010 All Rights Reserved. Actuarial Consulting Group, Inc. Website design by eMarket 2.0