REVISED FORM TEST PAGE - MarylandSaves

My business is not a "covered employer" because: *

required to choose one of the following

I qualify for the SDAT Annual Report Filing Fee Waiver because my business offers a qualified retirement program.

An employer-sponsored retirement plan includes a plan qualified under Internal Revenue Code sections 401(a) (including a 401(k) plan), qualified annuity plan under section 403(a), tax-sheltered annuity plan under section 403(b), Simplified Employee Pension plan under section 408(k), a SIMPLE IRA plan under section 408(p), or governmental deferred compensation plan under section 457(b). It does not include payroll deduction IRAs.

I certify that my business offers a qualified retirement program

Please select the type of qualified plan you offer your employees from the list below. *

401(a) plan (including a 401(k) plan)

qualified annuity plan under section 403(a)

tax-sheltered annuity plan under section 403(b)

Simplified Employee Pension plan under section 408(k)

a SIMPLE IRA plan under section 408(p)

governmental deferred compensation plan under section 457(b)

Business Name *

Business Physical Address: Street Address *

Business Physical Address: Suite Number or Mail Stop

Business Physical Address: City *

Business Physical Address: State *

Business Physical Address: Zip Code *

Business Mailing Address: Street Address or P.O. Box *

Business Mailing Address: Suite Number or Mail Stop

Business Mailing Address: City *

Business Mailing Address: State *

Business Mailing Address: Zip *

Federal Employer Identification Number (FEIN) *

SDAT ID *

Businesses that participate in the MarylandSaves program or offer another qualified retirement option for their employees will qualify for a waiver of their SDAT Annual Report Filing Fee. To qualify for your waiver, please enter your SDAT Account Number here.

If you need to look up your SDAT ID please visit: https://egov.maryland.gov/BusinessExpress/EntitySearch

Employer Contact: First Name *

Employer Contact: Last Name *

Employer Contact: Email Address *

Employer Contact: Phone Number *

Number of Employees *

Captcha *

For security verification, please enter any random two digit number. For example: 77