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Model: 401(k) Plan Fee Disclosure Form (PDF)
U.S. Department of Labor via American Benefits Council 
June 7, 2006
11 pages. Excerpt: [ERISA] requires employee benefit plan fiduciaries to act solely in the interests of, and for the exclusive benefit of, plan participants and beneficiaries. As part of that obligation, plan fiduciaries should consider cost, among other things, when choosing investment options for the plan and selecting plan service providers. This 401(k) plan fee disclosure form may assist you in making informed cost-benefit decisions with respect to your plan.
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