Top Hat Plan Statements Online Filing System

First Name last Name

All fields required except as indicated by an asterisk (*).

OMB Control Number 1210-0153 (expires 06/30/2028)

Amended Filing Information

Check if this is an amended filing

Prior Confirmation Number

Employer Information

EIN

Name

Mailing Address

U.S. Foreign

Address

City

State

Province or State

Country

Zip Code

Declaration: Employer maintains the plan or plans primarily for the purpose of providing deferred compensation for a select group of management or highly compensated employees.

I agree

Plan Administrator Information

Name/Office

Mailing Address

U.S. Foreign

Address

City

State

Province or State

Country

Zip Code

* Telephone

Plan Information: Input the total number of plans and click Submit.

Number of Plans

Provide Plan Names (optional) and number of employees for each row in the grid

Additional Information

Additional Information (optional, up to 5000 characters)

5000 characters remaining

When you have completed the required information above click Review.

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Top Hat Plan Statements Online Filing System

Top Hat Plan Statements Online Filing System