Conversion Plan MDB401k Order Form for converting existing 401k or other qualified retirement plans into MDB401k run-it-yourself plans (NOTE: though SARSEPS have many 401k characteristics, including a payroll deduction feature, they cannot be converted to 401k plans under current IRS regulations). 1) Will this be your company's first 401k plan or are you replacing an already-existing plan? First 401k plan (STOP!!! Please use our First Plan Order Form instead of this Plan Conversion Order Form. Thank You.) Already-existing 401k plan to be converted to a MDB401k plan Part I:Company Information... 2) Company name: 3) Contact person: 4) Title: 5) Phone: - 6) Fax: - 7) E-mail: 8) Your 401k decision-making role: Sole decision maker Making recommendation Leading committee to gather information Member of committee to evaluate options Interested employee Other: 9) Company address: 10) City: 11) State: 12) Zip: 9-12alt) Company mail-to address: Use address listed above as mail-to address Use other address: 13) Federal ID number: 1) Employer federal ID number: 2) Plan/trust federal ID number (if different from Employer ID number): 14) Date business commenced: 15) Type of entity: Please indicate your company's type: S Corporation Professional Service Corporation Corporation Sole Proprietorship Partnership other: Is your company a member of a controlled group?   Yes No Unsure. Please contact me regarding this question. Is your company a member of an affiliated service group? YesNoUnsure. Please contact me regarding this question. 16) # of employees on payroll: 17) Fiscal year on which business is run: January 1 - December 31 Other: Unsure. Please contact me regarding this item. 18) Computer system: MDB401k runs on Windows 95 and above. Is your computer running Windows 95 or above? Yes No Unsure. Please contact me regarding this item.

Part II:Plan Information... Note: Complete the below ONLY if your company already has a retirement plan and will be having MDB401k replace that plan. If the MDB401k plan will be your company's first retirement plan ever, please use our First Plan Order Form instead of this Plan Conversion Order Form. Thank you. ... regarding your existing plan and its conversion into a MDB401k plan 19) What type of plan do you want converted into a MDB401k plan? Profit-sharing plan (without 401k features) Defined benefit plan Other (please describe): Unsure. Please contact me with help regarding this item. 20) Approximate size, in assets, of your existing plan: No retirement plan (STOP!!! Please use our First Plan Order Form instead of this Plan Conversion Order Form. Thank You.) Less than $250,000 $250,001-$500,000 $500,001-$10,000,000 More than $10,000,000 Unsure. Please contact me regarding this item. 21) Potential size, in number of employees, of your MDB401k plan: Number of full-time employees currently on your payroll: 1-4 5-15 16-25 26-50 51-75 76-100 101-125 126-150 151-175 176-200 more than 200 Unsure. Please contact me regarding this item. 22) Existing plan's in-house Plan Administrator: Please name your company's in-house plan administrator (that is, the person at your company who has been handling any 401k-related matters and interacting with the outside administrator servicing your plan). Please include his/her title (such as "Controller"), if applicable: Administrator's phone number: Administrator's e-mail address: . 23) ...and for your MDB401k plan? Will the same person serve as Plan Administrator for your MDB401k plan? Yes No. will serve as Plan Administrator for our MDB401k plan. His/her phone number is and e-mail address is . His/her title is . 24) Existing plan's Trustee(s): Please name your existing plan's Trustee(s), including his/her/their title(s) (such as "CFO"), as applicable: . Current plan's Trustee(s) phone number(s): . 25) ...and for your MDB401k plan? Will the same person(s) serve as Trustee(s) for your MDB401k plan? Yes No If "No", please name the Trustee(s) for your MDB401k plan. Please list each new Trustee's name, title and phone number: . 26) Compliance test history for your existing plan: Did your plan pass last year's compliance tests? Yes  No Unsure. Please contact me regarding this item. Were the compliance tests based upon Highly-Compensated Employees defined by the current year's wages or the previous year's wages? Current-year  Previous year Unsure. Please contact me regarding this item. Do you want to change this basis definition of HCEs for your MDB401k plan? Keep definition of HCEs as in existing plan. Change definition of HCEs to based upon current year's wages. Change definition of HCEs to based upon previous year's wages. Unsure. Please contact me regarding this item. Does your plan limit the definition of Highly-Compensated Employees to "the top 20% of employees"? Yes  No Unsure. Please contact me regarding this item. Do you want to change this definition for your MDB401k plan? Yes No Unsure. Please contact me regarding this item. Is your plan currently top-heavy? Yes No Unsure. Please contact me regarding this item. Date of last battery of compliance tests: Unsure. Please contact me regarding our last battery of compliance tests. 27) 5500 Series filing: For what year was your last plan 5500 series filing with the IRS? Unsure. Please contact me regarding our last 5500 series filing year. Date filed (month, year): Unsure. Please contact me regarding our last 5500 series filing date. 28) Plan Year for your existing plan: On what Plan Year does your existing plan operate? Calendar year (January 1 - December 31) Other: Unsure. Please contact me regarding this item. 29) Plan inception date for your existing plan: When was your current plan established? month: year: Unsure. Please contact me regarding this item. 30) Age requirement used for participation in your existing plan: What age requirement is currently being used for participation in your existing company plan? None 20 1/2 21 Other (please specify): Unsure. Please contact me regarding this item. 31) ...and for your MDB401k plan? What age requirement do you want use for your MDB401k plan? Keep existing plan's age requirement for our MDB401k plan Change age requirement to "None" for our MDB401k plan. Change age requirement to "20 1/2" for our MDB401k plan. Change age requirement to "21" for our MDB401k plan. Change age requirement to for our MDB401k plan. Unsure. Please contact me with help regarding our MDB401k plan age requirement. 32) Length of service requirement for participation in your existing plan: What length of service requirement is currently being used for participation in your existing company plan? None Three (3) months of service Six (6) months of service 1 year of service Other (please specify): Unsure. Please contact me regarding our current length of service participation requirement. 33) ...and for your MDB401k plan? What length of service requirement do you want use for your MDB401k plan? Keep existing plan's length of service requirement for our MDB401k plan. Change length of service requirement to "None" for our MDB401k plan. Change length of service requirement to "Three (3) months" for our MDB401k plan. Change length of service requirement to "Six (6) months" for our MDB401k plan. Change length of service requirement to "One (1) year" for our MDB401k plan. Change length of service requirement to "" for our MDB401k plan. Unsure. Please contact me regarding our MDB401k plan length of service requirement. 34) Participation exclusions in your existing plan: Does your current plan exclude any categories of employees from participation? Yes No Unsure. Please contact me regarding participation exclusions used in our existing company plan. If "Yes", please identify the classes of employees currently excluded from participation in your existing company plan: (check all that apply) Union members Non-resident aliens Other: 35) ...and for your MDB401k plan? Do you want your MDB401k plan to exclude any categories of employees from participation? Yes No Unsure. Please contact me regarding participation exclusions for our MDB401k plan. If "Yes", please identify the classes of employees you'd like excluded from participation in your MDB401k plan: (check all that apply) Union members Non-resident aliens Unsure. Please contact me regarding what participation exclusions to use for our MDB401k plan. 36) Automatic enrollment in your existing plan: Does your plan currently use automatic enrollment? Yes No  Unsure. Please contact me regarding this item. If "Yes", what is your current plan's default contribution level for automatically enrolled participants? Not applicable. Auto enrollment is not currently used in our existing plan. 3% 4% 5% Unsure. Please contact me regarding this item. 37) ...and for your MDB401k plan? Do you want your MDB401k plan to use automatic enrollment? Yes No Unsure.  Please contact me regarding this item. If "Yes", what would you like the default contribution rate to be for automatically enrolled participants? Not applicable. Do not want auto enrollment used in our MDB401k plan. 3% 4% 5% Unsure. Please contact me regarding using auto enrollment in our MDB401k plan. 38) Employer contributions in your existing plan: Your company can contribute to plan participants' accounts in any of three ways: (1) regular matching contributions, (2) discretionary employer contributions, and/or (3) qualified nonelective contributions. Regular matching contributions (RMCs) are defined in terms of participant's elective contribution (e.g., 50¢ contributed by the employer for each dollar contributed by the plan participant). Discretionary employer contributions (DECs) are basically profit-sharing contributions, although the employer's contribution does not have to be limited to net profits. Qualified nonelective contributions (QNECs) are allocated on the basis of compensation or some other variable aside from a participant's elective contribution; they are made to ALL eligible employees regardless of whether or not the employee contributes to or participates in the 401(k) plan -- unless the QNEC is being used to satisfy ADP or ACP test corrections. As for vesting, RMCs and DECs can be subject to vesting schedules, but QNECs are always 100% vested to employees' accounts when made. 1) What MATCHING CONTRIBUTION formula is currently being used in your existing company plan? No employer matching contributions are being made. Our company makes matching contributions at a rate of % (e.g., 50%) to each dollar our participants defer into the plan. Our company makes matching contributions at a rate of % (e.g., 50%) to each dollar our participants defer into the plan, up to a maximum annual matching contribution of $ per participant per year. Other: Unsure. Please contact me regarding our existing plan's matching contribution formula. 2) Has your company made any PROFIT-SHARING CONTRIBUTIONS in your existing company plan? No profit-sharing contributions have been or are being made in our existing plan. Yes. our company has made/does make profit-sharing contributions in our existing plan. Unsure. Please contact me regarding profit-sharing contributions made to our existing plan. 3) Has your company made any QUALIFIED NONELECTIVE CONTRIBUTIONS in your existing company plan (excluding those made for any ADP or other test corrections)? No qualified nonelective contributions have been or are being made in our existing plan. Yes. our company has made/does make qualified nonelective contributions in our existing plan. Unsure. Please contact me regarding qualified nonelective contributions made to our existing plan. 39) ...and for your MDB401k plan? 1) Do you want to use a different MATCHING CONTRIBUTION formula for your MDB401k plan? Use our existing plan's matching contribution formula for our MDB401k plan. Change our matching contribution formula for our MDB401k plan to "None". Change our matching contribution formula for our MDB401k plan to a rate of % (e.g., 50%) to each dollar our participants defer into the plan. Change our matching contribution formula for our MDB401k plan to a rate of % (e.g., 50%) to each dollar our participants defer into the plan, up to a maximum annual matching contribution of $ per participant per year. Change our matching contribution formula for our MDB401k plan to the following: Unsure. Please contact me regarding the matching formula for our MDB401k plan. 2) Would your company like to have the option of making PROFIT-SHARING CONTRIBUTIONS to employees' 401k accounts in your MDB401k plan? No, we do not want the option of even possibly making profit-sharing contributions. Yes, our company MAY make profit-sharing contributions in an amount to be determined by our company. We DO NOT want contribution amounts to be limited to current or accumulated net profit. (Checking this option in no way obligates your company to making any actual contributions, it simply leaves open the possibility that you might.) Yes, our company MAY make profit-sharing contributions in an amount to be determined by our company. We DO want contribution amounts to be limited to current or accumulated net profit. (Checking this option in no way obligates your company to making any actual contributions, it simply leaves open the possibility that you might.) Unsure. Please contact me regarding profit-sharing contributions. 3) Would your company like to have the option of making QUALIFIED NONELECTIVE CONTRIBUTIONS to employees' 401k accounts in your MDB401k plan? No, we do not want the option of even possibly making qualified nonelective contributions in our MDB401k plan. Yes, our company MAY make qualified nonelective contributions in our MDB401k plan in an amount to be determined by our company. (Checking this option in no way obligates your company to making any actual contributions, it simply leaves open the possibility that you might.) Yes, our company will make qualified nonelective contributions in our MDB401k plan equal to % of the total compensation of all participants eligible to share in the allocations. Unsure. Please contact me regarding qualified nonelective contributions in our MDB401k plan. 40) Vesting of employer contributions in your existing plan: 1) What vesting formula is currently being applied to any EMPLOYER MATCHING CONTRIBUTIONS being made in your existing company plan? . Not applicable (no matching contributions being made) 2) What vesting formula is currently being applied to any EMPLOYER PROFIT-SHARING CONTRIBUTIONS being made in your existing company plan? . Not applicable (no profit-sharing contributions being made) 41) ...and for your MDB401k plan? "Vesting" herein refers to ownership of employer contributions. It is a way to reward continued employment with your company. For instance, if you pick Schedule D below for any profit-sharing contributions made and a plan participant leaves your company after 2 years, he or she will only be entitled to 20% of any profit sharing contributions made to his or her account. The remainder will go into a pool that your company can choose to use for employer contributions owed to other participants. What vesting formula do you want to use for any matching and/or profit-sharing contributions (qualified nonelective contributions, by law, are 100% vested when made)? Mark your choice for profit-sharing contributions in column P-S Contribs and for matching contributions in column Match Contribs. P-S Contribs Match Contribs Vesting Schedule Not applicable (no employer contributions of this type, so no vesting) SCHEDULE A: 100% immediate vesting SCHEDULE B: 0-2 years 3 years = = 0% vested 100% vested SCHEDULE C: 0-4 years 5 years = = 0% vested 100% vested SCHEDULE D: 0-1 years 2 years 3 years 4 years 5 years 6 years = = = = = = 0% vested 20% vested 40% vested 60% vested 80% vested 100% vested SCHEDULE E: 1 year 2 years 3 years 4 years = = = = 25% vested 50% vested 75% vested 100% vested SCHEDULE F: 1 year 2 years 3 years 4 years 5 years = = = = = 20% vested 40% vested 60% vested 80% vested 100% vested Other: Unsure. Please contact me regarding the vesting schedule(s) to use for our 401k plan. On what basis would you like vesting to be calculated for your MDB401k plan? Effective date of plan Date employee hired (recommended) Unsure. Please contact me regarding our plan's vesting basis.  42) Loans in your existing plan: Does your existing plan currently allow for 401(k) loans? Yes (approximate number of outstanding loans: ) No Unsure. Please contact me regarding this item. 43) ...and for your MDB401k plan? Do you want your MDB401k plan to allow for new 401(k) loans? Yes No Unsure. Please contact me regarding this item. 44) Investments offered in your existing plan: Please list the investments currently being offered within your company plan: . 45) ...and for your MDB401k plan? Do you want to continue offering these investments ONLY within your MDB401k plan, or would you prefer to have 401k deferrals from the plan conversion date forward go into investments selected by plan participants through Mydiscountbroker.com self-directed discount brokerage accounts? Have new deferrals go to Mydiscountbroker.com self-directed discount brokerage accounts for plan participants to choose their own investments for deferrals from the plan conversion date forward. (recommended) Continue with existing plan investments. Unsure. Please contact me regarding investment offerings for our MDB401k plan.

Part III:MDB401k Shopping Cart... 46) MDB401k Annual Fee (based on plan size): Plan Size Annual Fee 1-4 eligible employees $495 a year 5-15 eligible employees $695 a year 16-25 eligible employees $995 a year 26-50 eligible employees $1295 a year 51-75 eligible employees $1495 a year 76-100 eligible employees $1995 a year 101-125 eligible employees $2295 a year 126-150 eligible employees $2495 a year 151-175 eligible employees $2795 a year 176-200 eligible employees $2995 a year more than 200 eligible employees (contact us for quote) 47) One-time, first-year-only setup fee (covers all plan conversion services plus MDB401k plan and software customization): 48) TOTAL (annual + setup fee): Additional items: Please check off each additional item that is relevant to your plan. 49) Conversion of an existing plan into a MDB401k plan: -- NO CHARGE --   Part IV:Payment Preference... NO PAYMENT IS DUE AT THIS TIME. We will contact you within 24 hours of receiving your order to confirm your designations, answer any questions you have, and give you quotes on any Additional Items you've requested. 51) Do you prefer to be contacted regarding your order by telephone or e-mail? contact by phone contact by e-mail After you submit your MDB401k order, a representative will call you within 24 hours (on business days) to go over any items you marked as "Unsure" and to answer any additional questions you have. When our representative calls you, you will be able to pay your $500 MDB401k setup fee using your Visa, Mastercard, or American Express Card, or you can send a check through the mail; there is a five-day holding period on all check orders. As soon as we receive your setup fee, we will prepare your official 401k Adoption Agreement and Summary Plan Description for your review, then customize your 401k software upon your OK of the documents and payment of your year's MDB401k annual fee. Depending on how quickly they get back to us in reviewing their 401k Adoption Agreement, most clients have their customized MDB401k systems within two weeks. 52) How will you prefer to pay for your MDB401k system when we contact you? credit card via phone credit card via e-mail check

Part V:How did you hear about us? 53) One last thing before you submit your order: Please tell us how you heard about MDB401k: Financial planning professional, friend or colleague. Please list the person and/or company name: Linked to the MDB401k website from another website. Please tell us the name of the site and/or company sponsoring it: Web search. Please list the browser and search term(s), if you remember them (e.g., Netscape, 401k software): Business or trade publication. Please give the name of the publication: Other. Please explain:

54) Now please look over our 401k Software User's Agreement, then submit your order or inquiry. Please note, as the User's Agreement stipulates, that the 401k software and related services are provided by 401(k) Pro, Inc.; Mydiscountbroker is solely the investment provider. Please also note that submitting an order acknowledges that you have read and accept the User's Agreement but in no way obligates you to making any purchase.