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Official form guide
IRS Form 5304-SIMPLE is a model plan document that lets eligible small employers establish a SIMPLE IRA, detailing employee eligibility, employer matching (up to 3% of compensation) or nonelective (2%) contributions, and salary‑reduction elections. Employers must have ≤100 employees earning $5,000+.
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IRS Form 5304-SIMPLE is a model plan document that lets eligible small employers establish a SIMPLE IRA, detailing employee eligibility, employer matching (up to 3% of compensation) or nonelective (2%) contributions, and salary‑reduction elections. Employers must have ≤100 employees earning $5,000+.
Plain English
This form creates a SIMPLE IRA plan for a small business. It lists which workers can join, how the employer will contribute, and how employees can set aside pay. The completed form stays in the employer’s records, not with the IRS.
Submission Date
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Form selector
You want contributions to go to a financial institution you designate
Employer‑designated institution is not allowed under Form 5304‑SIMPLE
✓ Verify you need a designated institution before proceeding
You need a SIMPLE IRA plan but cannot permit employee‑chosen institutions
This form requires employer designation of the institution
✓ Confirm that employee choice is not required
Your plan design includes a designated financial institution for contributions
Only Form 5305‑SIMPLE supports employer‑designated institutions
✓ Ensure the correct form is selected
Not stated in the official source.
Checklist
Employer name and EIN
Employer identification details · Top of Form 5304‑SIMPLE, page 1
Employee eligibility selection
Eligibility box (Full or Limited) · Article I, page 1
Filing instruction
Statement that the form is not filed with the IRS · Page 4 General Instructions
Retention instruction
Note to keep the form with your records · Page 4 General Instructions
Employer employee‑count limit
Count of employees earning $5,000+ · Page 4 employer eligibility section
Field map
General Info
2 items
Full legal name and taxpayer identification number (SSN or EIN).
Current mailing address.
Details
2 items
Complete all applicable sections of this form according to the official IRS instructions.
Enter the relevant dollar amount if this form involves tax calculation.
Certification
1 items
Read and acknowledge any certifications required by this form.
Signatures
1 items
Sign and date. Unsigned forms cannot be processed.
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Fillable formOpen in Editor->Form 5304‑SIMPLE revision date is March 2012; the source does not indicate a newer version or a latest‑information page.
Quick Facts
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Do I need to file this form with the IRS?
The form includes a statement 'Do not file with the Internal Revenue Service'
→ Verify that the form contains the 'Do not file' notice before attempting to send it
Can I use this form if I have more than 100 employees?
Employer eligibility is limited to 100 employees earning $5,000+
→ Confirm your employee count does not exceed the limit
What if I want to designate a specific financial institution?
Form 5304‑SIMPLE only permits employee‑chosen institutions
→ Check Form 5305‑SIMPLE instead for a designated institution
Are nonresident alien employees eligible?
The form excludes nonresident aliens with no U.S. earned income
→ Verify employee citizenship and source of compensation
Can I use this form to set up a SIMPLE 401(k) plan?
The form is expressly not for SIMPLE 401(k) plans
→ Ensure the plan type is a SIMPLE IRA before using this form
Do I need to file this form annually?
The form is a plan adoption document, not an annual filing
→ Keep the original form on file; no yearly submission is required
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This form creates a SIMPLE IRA plan for a small business. It lists which workers can join, how the employer will contribute, and how employees can set aside pay. The completed form stays in the employer’s records, not with the IRS.
Employers who want to establish and maintain a SIMPLE IRA plan and meet the eligibility requirements must complete IRS Form 5304-SIMPLE.
The form records employee eligibility criteria, the employer’s choice of matching contributions (up to 3% of compensation) or nonelective contributions (2%), and the details of salary‑reduction elections in Article II—Salary Reduction Agreements.
Do not file IRS Form 5304-SIMPLE with the IRS; keep it with your records.
First, determine employee eligibility using the compensation thresholds in sections (i) and (ii). Next, select either matching contributions (up to 3% of compensation) or nonelective contributions (2%) and complete the corresponding boxes. Then, complete Article II with each employee’s salary‑reduction election details, ensuring any reduced matching limit is communicated before the 60‑day election period. Finally, sign the form and retain it with your plan documents.
Filing the form with the IRS will result in rejection because it is a model document intended only for internal record‑keeping.
The form includes a statement 'Do not file with the Internal Revenue Service' Verify that the form contains the 'Do not file' notice before attempting to send it
Employer eligibility is limited to 100 employees earning $5,000+ Confirm your employee count does not exceed the limit
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