401k Enrollment Guide, Forms Editable
401k Enrollment Guide, Forms Editable
Fill out all the information requested then sign and date
both forms. Be sure to indicate the percentage of your
wages/salary you want to withhold each pay period.
Consider this:
* This example assumes a hypothetical 8% annual return before inflation with all
capital gains and dividends reinvested. It also assumes a 28% tax rate on savings.
Fundamentals of
Enrollment Investing
Guide
Investment results
Life changes, such as employment status,
housing or health
Your financial situation
Your objectives & portfolio allocation
1. Approximate number of years until you plan on retiring?
1 Strongly Agree
2 Agree
3 Neutral
4 Disagree
5 Strongly Disagree
1 Strongly Agree
2 Agree
3 Neutral
4 Disagree
5 Strongly Disagree
1 Strongly Agree
2 Agree
3 Neutral
4 Disagree
5 Strongly Disagree
1 Strongly Agree
2 Agree
3 Neutral
4 Disagree
5 Strongly Disagree
8. Which combination of the investments you currently own or have owned in the past:
1 Money Market/Cash
2 Cash/Bonds/Bond Funds
3 Cash/Stocks/Stock Funds
Add up your responses to get 4 Cash/Bonds/Stocks
your total score. Apply your 5 All of the Above
score to the profile results on
the following page. ________ Total Score
Score 8
Conservative Profile
Score 9-15
Moderate
Conservative Profile
Score 16-24
Moderate Profile
Score 25-31
Moderate Aggressive
Profile
Score 32-39
Aggressive Profile
Questions
&
Enrollment Answers
Guide What is a 401(k) plan?
2018: $18,500
2018: $6,000
Federal and state penalties may apply if you are under age
59½.
Elective Deferral Agreement
mcdonalds
mohammed alshuaibi
Social Security Number Employee ID (if applicable)
5555555555 559841
Limits on Elective If you are eligible, according to the requirements of your employer’s 401(k) plan, to
Deferrals enroll as a contributing participant, you may set aside a percentage or fixed amount of
your pay into the plan (“elective deferrals”) by signing this Elective Deferral Agreement.
This Elective Deferral Agreement replaces any earlier agreement and will remain in effect
as long as you remain an eligible employee or until you provide your employer with a
new Elective Deferral Agreement as permitted by the plan. Your elective deferrals may
not exceed $13,000 in the 2004 calendar year.
You may change the percentage of pay you are setting aside into the plan. If you wish to
Changing this
make such a change, you must complete and sign a new Elective Deferral Agreement and
Agreement
give it to your employer. The change will take effect during the enrollment period(s) your
employer has specified on the Summary Plan Description Form.
You may terminate this Elective Deferral Agreement anytime. The change will occur as
Terminating this soon as administratively feasible. After terminating this Agreement, you cannot enroll as
Agreement a contributing participant until the first of the following month or during the enrollment
period(s) your employer has specified on the Summary Plan Description Form.
564
I, the undersigned employee, wish to set aside ________ % or a fixed amount of
Authorization 48
$__________ of my compensation as elective deferrals into my company’s 401(k) Plan by
way of payroll deduction.
I agree that my pay will be reduced in the manner I have indicated above and I
acknowledge that I am responsible for directing the investments of these elective deferral
contributions within the 401(k) Plan investment options. This Elective Deferral Agreement
will continue to be in effect while I am employed, unless I change or terminate it as
explained in Section 3 above. I acknowledge that I have read and understand this entire
agreement and I accept its terms. Furthermore, I acknowledge I have received a copy of
the Summary Plan Description. In addition, in the event that an erroneous contribution or
excess contribution is made to my account, I authorize my employer to make necessary
corrections to ensure elective deferrals made to my account are in accord with my
instructions. In the event that such a correction is made, I will be informed of any
corrections made to my account by my employer.
Effective Date
This Agreement will be effective for the pay period that begins _________________.
Section 4 Execution
1. General Information
Company Name: mcdonalds
Participant’s Name: mohammed
Social Security #:
5555555 Relationship:
Address:
8932 golden oak ct
City,State,Zip:
hickory hills ill 60457
Phone Number: 7084659557 %Share: 65
Name:
Address:
City,State,Zip:
Address:
8932 golden oak ct
City,State,Zip:
hickory hills ill 60457
Phone Number:
7084659557 %Share:
5
Name:
Address:
City,State,Zip:
mohammed
Signature Date
5. Spousal Waiver
Witness of Notary
Your Name
mohammed alshuaibi
mohammed 552022
________________________________________________________ ________________________
Signature Date