Quarterly/Annual Tracking Solo 401(k) AMP Tracking Worksheet YearAnnual / QuarterlyAnnualQuarterlyQuarterPlease complete this tracking worksheet for your Plan Bookkeeping Records and also submit a copy to Navigator. We recommend that this be completed quarterly but it should at least be completed annually. Navigator will comprise all information from this worksheet into a Quarterly or Annual Summary of information for your Solo 401k Plan. Each Participant of the Solo 401k Plan will complete a separate worksheet. Solo 401k Plan NameParticipant Name*Email* RolloversNoneTrad. IRATrad. 401kRoth 401kOtherDateAmount:ExplanationTrad. IRATrad. 401kRoth 401kOtherDateAmountExplanationContributionsIndicate if you had any Employee OR Employer Contributions. Please be sure to mark if it was an Employee contribution or if an Employer contribution, the date of the contribution and the amount of contribution made. **If it is Q1 of the new year and you've made a contribution for Q4 of the previous year indicate that is was for 'tax year' xxxx. *Employer contributions can only be Traditional dollars.None#1Traditional DollarsEmployeeEmployerDate / Tax YearAmount:Roth DollarsEmployeeDate / Tax YearAmount:#2Traditional DollarsEmployeeEmployerDate / Tax YearAmount:Roth DollarsEmployeeDate / Tax YearAmount:AssetsIn this Assets section, you will list the Assets of the Solo 401k Plan. If you need additional boxes to list all of the assets please make a copy of this page and mark it as "Page 2- Assets". You will enter the Quarter ending bank account balance of the Solo 401k Plan bank account. If you have no other Assets of the Solo 401k mark "none" on the next line. If you have a 401k/LLC established that owns the Solo 401k Plan enter the bank account balance of the 401k/LLC under Asset #1, give the name of the 401k/LLC and the bank account balance of the LLC. You will then list any properties that are owned by the LLC and give the Value or Purchase price of the property. Next, you will list any other assets of the Solo 401k Plan ie. loans for notes, investments, assignment of contracts, brokerage accounts etc. List the date the note or assignment was given and the loan amount. You will continue to list the note each quarter until it is paid back to the Solo 401k. Deposits of notes should be deposited directly into the Solo 401k Bank Account. ** For loans taken from the Solo 401k from you as a participant of the Plan will be listed under "Participant Loans" in the next section.NoneBank Account Balance: AmountEnding Date Asset #1 (401k/LLC)Name of 401k/LLC401k/LLC Balance:Assets held by the 401k/LLCReal Estate #1:Property Address / Description:Value/Purchase Price of PropertyReal Estate #2:Property Address / Description:Value/Purchase Price of PropertyReal Estate #3:Property Address / Description:Value/Purchase Price of PropertyOtherOther Assets: Real Estate held in the name of the 401k Plan(not held by the LLC) Notes on Investments (if not held by the LLC), Assignment of Contracts, Brokerage Accounts.Other Asset #1:Brief Description:Value/Note Amount/Brkg Acct Bal:Other Asset #2:Brief Description:Value/Note Amount/Brkg Acct Bal:Other Asset #3:Brief Description:Value/Note Amount/Brkg Acct Bal:DistributionsDistributions are not common if you are under the age of 59 1/2 as there are typically early withdrawal penalties. If you are 59 1/2 and need further information on taking Distributions, please refer to your 401k Plan Binder Section 8 or call to schedule a consult with your attorney.None#1Traditional DollarsDate AmountRoth DollarsDate Amount#2Traditional DollarsDate AmountRoth DollarsDate AmountParticipant LoansIf you have taken a Participant Loan from the Solo 401k you will list the Participant Loan information here. If it is a NEW loan within the Quarter you are reporting for enter the NEW loan Amount and the date the loan was taken. If you already reported the loan on a previous quarter you will now enter the payments made on that loan under "existing loan" and the total amount of payments that were made during the Quarter you are reporting for.NoneExisting LoanDate Amount/BalanceNew Loan #1Date Amount/BalanceTotal Amount of Payments Made:Date Amount/Balance This iframe contains the logic required to handle Ajax powered Gravity Forms.