MAKE YOUR ALLOCATION CHANGES NOWLet’s get your 401k in the Right Funds! Make My Allocation Changes "*" indicates required fields Step 1 of 5 20% Please complete and submit this 5-step form and get ready for your custom allocation changes to your 401k. For this intake form, we’ll ask you for basic contact info, a few questions to determine your investment goals, billing information, and information to help us review your current 401k fund lineup. It should only take 5-10 minutes or less!Name* First Last Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Date of Birth* Month Day Year Which of the following best describes your current employment status? Full-Time Part-Time Retired Unemployed How soon do you want to retire? 0-5 Years 5-10 Years 10+ Years I’m not sure. How much of your retirement income do you anticipate coming from this account? Very Little A Fair Amount Most / All of It I’m not sure. What's your level of experience with investing? None Limited Good Extensive What is your top priority for this account? I want my account to grow but not to fluctuate. I want my account to grow but I don’t mind seeing more fluctuation . In good markets I want my account to grow as aggressively as possible but I want to preserve in bad markets I am not sure Your Annual Income* $0-$50,000 $50,000-$100,000 $100,000-$250,000 $250,000+ Your Net Worth* $0-$100,000 $100,000-$250,000 $250,000-$500,000 $500,000-$750,000 $750,000-$1 Million $1 Million+ Years of Investing < 2 Years 2-5 Years 5-10 Years 10+ Years Any Additional Information?*Please complete box below if you answered YES to this question. Yes No Any Additional Information? – Please give details here. *Password must contain at least 8 characters, containing at least 1 number, 1 uppercase letter and 1 lowercase letter. Create Your Citrix ShareFile Password*Each quarter, you will receive an investment allocation via Citrix ShareFile. Please select a password for your Citrix ShareFile account and keep in safe place.SignaturePlease provide your signature to authorize 401karat to analyze your files and provide financial advice.Upload Your Retirement Plan Investment Options**Please upload your current 401(k) investment options to complete your account. Your documentation will be securely stored with Citrix ShareFile. Scan a 401(k) statement from your employer or screenshot options from your 401(k) login website. Still can’t figure it out? Call us at (833) 527-2848.Accepted file types: pdf, xls, xlsx, doc, docx, jpg, gif, png, Max. file size: 50 MB. DON’T FORGET! Your first quarter of 401karat allocation changes is completely free! After your first quarter, we will only bill you $50.00 every 90 days. No contracts. No commitments. 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