First Name

Last Name

Email

Job Title

Company

Phone

Company City

Company State

Number of Employees

Tech Association Affiliation Arizona Technology Council BC Tech Association California Technology Council Chattanooga Technology Council Colorado Technology Association Communitech Computer Measurement Group, Inc. Connecticut Technology Council DC Tech & Venture Association Digital Nova Scotia FlagshipKansas.Tech Florida Technology Council GCP Tech Greater Memphis IT Council Greater Nashville Technology Council Idaho Technology Council Illinois Technology Association Indiana Technology & Innovation Association Invest Ottawa KC Tech Council Knoxville Technology Council MaRS Discovery District Maryland Tech Council Massachusetts Technology Leadership Council Mid-America Technology Alliance Minnesota Technology Association Montana High Tech Business Alliance Nebraska Tech Collaborative Nevada Technology Association New Mexico Technology Council NH Tech Alliance North Carolina Technology Association North of 41 Northern Virginia Technology Council NY Tech Alliance Ohio IT Association Palm Beach Tech Association Philadelphia Alliance for Capital and Technologies Pittsburgh Technology Council Quebec Technology Association Roanoke Blacksburg Technology Council Silicon Slopes Commons Tampa Bay Tech Tech Collective Tech Manitoba Tech San Diego Tech Titans TechBirmingham TechLauderdale Technology Association of Georgia Technology Association of Iowa Technology Association of Louisville Kentucky Technology Association of Oregon Technology Association of South Carolina Technology Council of Central Pennsylvania Technology Council of North Dakota (TechND) TechPoint TechRochester TechUnited:NJ Venn Innovation Inc. Victoria Innovation, Advanced Technology and Entrepreneurship Council (VIATEC) Volta Washington Technology Industry Association WEtech Alliance Wisconsin Technology Council Other No Association Affiliation

Do you have an existing 401(k) plan? Yes No

What are your total 401(k) assets? 0-10 Million 10-25 Million 25+ Millioni

Who is your current 401(k) record keeper?:

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