Helpful Things To Know – RPA Georgia's Premier Elite TPA

Name of Company *

Company Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Fed Tax ID#: *

Fiscal Year End of Company: *

Is the company a member of a controlled group of corporation, under common control, or an affiliated service group?

Primary Contact Name *

First

Last

Email of Primary Contact: *

Name of Trustee(s):

Trustee's Email Address:

Plan Name (if not a startup):

Fidelity Bond Company

(Trustees are required to be bonded for at least 10% of plan assets)