Life Portraits SS Financial Analysis FactFinder Business Needs Analysis Data

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1 Group Data Life Portraits SS Financial Analysis FactFinder Business Needs Analysis Data Name Address Address Category Client Prospect Lead Business Type Business n-profit Organization Education Religious Org Association Status Placed Inactive Pending City State, Zip Last Contact Date Comments Next Contact Date Group Members. Business Needs - 1

2 Group Members (continued). Business Needs - 2

3 Group Defaults Tax Bracket of Employer % Cost of Money Before Tax % Assume Death at Age (either from Life Expectancy Table next field or entered by user) Funding Options method of funding split dollar rollout and deferred compensation payouts Withdrawal Loan Withdrawal/Loan Bonus Discount Rate Before Tax % Life Expectancy Table Single Life Table Enter Age Economic Benefit ne Government Rates (Table 2001) Client Company Term Rates, if available Use Sinking Fund vs. FASB Unit Credit (for deferred compensation reports Yes Key Employee Valuation Business Needs Presentation Data Business Value ($) Net Annual Income Capitalization Rate (%) Value of Business Assets ($) Fair Return on Assets (%) % % Business Continuation Total Estimated Business Value: Select one: Entity Purchase Cross Purchase : If Cross Purchase, select one Proportional n-proportional Shrinkage in value at forced sale % Bank Loan: Interest Rate: % No. of Years: Installment Loan: Interest Rate % No. of Years:. Business Needs - 3

4 Business Valuation Balance Sheet Data $ Cash $ Receivables $ Inventory $ Other Current Assets $ Land $ Plant and Equipment $ Depreciation $ Current Liabilities $ Long-term Liabilities Income Statement Data $ Sales $ Cost of Goods Sold $ Operating Expenses $ Excess Compensation $ Nonrecurring expenses Direct Estimate of Book Value $ Direct Estimate of Book Value Weight (0-5) Capitalization of Earnings Rate % Capitalization of Earnings Weight (0-5) Expected Fair Market Return (On Tangible Assets) % Excess Earnings Weight (0 5) Goodwill Capitalization Rate % Annual Revenue Multiplier % Multiple of Revenue Weight (0-5) Executive Compensation Ownership and Control (select one) Executive owns and controls policy Executive owns, corporation receives an assignment of the policy for premium loans until retirement Corporation owns, corporation endorses the amount at risk to executive s beneficiaries Corporation owns and controls the policy Deductibility (select one) All contributions to the plan may be fully deductible now by the corporation Some contributions to the plan may be partially deductible now by the corporation Primary Benefits (select one) Provide survivor benefits now and cash benefits now Provide survivor benefits now and cash benefits later Provide survivor benefits later and cash benefits later All contributions to the plan may be fully deductible later by the corporation All contributions to the plan may be deductible by the employee now, deductible later by the corporation. Business Needs - 4

5 Employee Benefits Group Life Anticipated employee appreciation: Group Medical Anticipated employee appreciation: Group Disability Anticipated employee appreciation: Qualified Plans Anticipated employee appreciation: Cafeteria Plans Anticipated employee appreciation: Payroll Deduction Anticipated employee appreciation:. Business Needs - 5

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