Solo 401k |
Annual Contribution Form
Plan Name
___________________________________________ __________________________________________
Solo 401k Plan Name Participant Name
Contribution Information: Select and fill‐in all that apply
1. A Roth (After‐Tax) Elective Deferral contribution in the amount of $____________ for the plan year
ending ______is hereby being remitted for the above‐named participant.
2. A pre‐tax Elective Deferral (Employee) contribution in the amount of $____________________ for the plan year
ending_______ is hereby being remitted for the above‐named participant.
3. A Profit Sharing (Employer/discretionary) contribution in the amount of $_______________ for the plan year
ending ________is hereby being remitted for the above‐named participant.
Employer/Trustee Signature
_________________________________________________ _______________________________
Employer/Trustee/Participant Signature Date