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IRSExempt Organizations & Benefit Plans (5000 Series)

Official form guide

Form 5304-SIM: 5304-SIMPLE

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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Form Overview

IRS Form 5304-SIM - 5304-SIMPLE

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+.

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.

Risk Radar

Scan points
  • 1Filing the form with the IRS instead of keeping it for records triggers rejection.
  • 2Failing to limit matching contributions to a maximum of 3% of compensation.
  • 3Reducing the matching limit below 1% when using a reduced limit option.
  • 4Exceeding the allowed two‑year reduction within a five‑year period.
  • 5Not notifying employees of a reduced matching limit before their 60‑day election period.

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

  • Filing date: 2012-08-06 00:00:00
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • Use this form when establishing a SIMPLE IRA plan and you want to permit each eligible employee to choose their own financial institution for contributions.
  • Do not use it when you want to require that all contributions initially go to a financial institution you designate, when you want nonresident alien employees with no U.S. earned income to be eligible, or when you want to establish a SIMPLE 401(k) plan.
  • Check Form 5305‑SIMPLE instead when you want to require contributions to go to a financial institution designated by the employer.

Form selector

Use this form or another form?

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

Form 5305‑SIMPLE

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

Form 5305‑SIMPLE

Your plan design includes a designated financial institution for contributions

Only Form 5305‑SIMPLE supports employer‑designated institutions

Ensure the correct form is selected

Form 5305‑SIMPLE

Deadline or filing window

Not stated in the official source.

Checklist

What you need before filling it out

1

Employer name and EIN

Employer identification details · Top of Form 5304‑SIMPLE, page 1

Leaving the field blank or entering an incorrect EINHigh
2

Employee eligibility selection

Eligibility box (Full or Limited) · Article I, page 1

Selecting the wrong eligibility box for the workforceMedium
3

Filing instruction

Statement that the form is not filed with the IRS · Page 4 General Instructions

Sending the form to the IRSHigh
4

Retention instruction

Note to keep the form with your records · Page 4 General Instructions

Assuming the form must be mailed to the IRSMedium
5

Employer employee‑count limit

Count of employees earning $5,000+ · Page 4 employer eligibility section

Exceeding the 100‑employee threshold without realizing itHigh

Before you submit

  1. 1Verify the employer name and EIN are entered correctly
  2. 2Confirm the appropriate employee eligibility box (Full or Limited) is checked
  3. 3Ensure no indication that a designated financial institution is required
  4. 4Check that the employer does not exceed 100 employees earning $5,000 or more
  5. 5Confirm the employer does not maintain another qualified plan during the year
  6. 6Sign the form where required
  7. 7Date the form
  8. 8Retain a signed copy for your records
  9. 9Do not mail the form to the IRS

How to file this form

  1. 1Complete all required fields on Form 5304‑SIMPLE
  2. 2Execute the form by signing and dating it
  3. 3Retain the signed form in your business records
  4. 4Distribute copies to eligible employees as proof of plan adoption
  5. 5Maintain the form as evidence of plan establishment

Known limitations

  1. 1Not for use with a designated financial institution
  2. 2Not for nonresident alien employees with no U.S. earned income
  3. 3Not for establishing a SIMPLE 401(k) plan
  4. 4Cannot be used if the employer exceeds 100 employees earning $5,000+ or maintains another qualified plan

Field map

Compact field-by-field guide

6 fields

General Info

2 items

Taxpayer Name and TIN

Full legal name and taxpayer identification number (SSN or EIN).

Requiredtext
Address

Current mailing address.

Requiredtext

Details

2 items

Required Information

Complete all applicable sections of this form according to the official IRS instructions.

Requiredtext
Amount (if applicable)

Enter the relevant dollar amount if this form involves tax calculation.

amount

Certification

1 items

Certification Statement

Read and acknowledge any certifications required by this form.

Requiredcheckbox

Signatures

1 items

Signature

Sign and date. Unsigned forms cannot be processed.

Requiredsignature
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Current form status
IRS

Form 5304‑SIMPLE revision date is March 2012; the source does not indicate a newer version or a latest‑information page.

What changed or needs a fresh check

  • Edition date — confirm the revision reads March 2012
  • Fee — Not stated in the official source
  • Mailing address — Not stated in the official source
  • Signature — Not stated in the official source

Quick Facts

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.
Not stated in the official source.
Do not file IRS Form 5304-SIMPLE with the IRS; keep it with your records.
Filing the form with the IRS will result in rejection because it is a model document intended only for internal record‑keeping.
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.

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After you file

  1. 1Store the signed Form 5304‑SIMPLE with your plan documents
  2. 2Keep the form in your records indefinitely as the official plan document
  3. 3Provide copies to each eligible employee
  4. 4If an error is discovered, prepare a corrected Form 5304‑SIMPLE and retain both versions
  5. 5Update the plan document if any eligibility or contribution rules change

Sources

  • SRCForm p.1 — revision date March 2012
  • SRCForm p.4 — 'Do not file with the Internal Revenue Service' statement
  • SRCForm p.4 — When To Use Form 5304‑SIMPLE description of permissible employee‑chosen institutions
  • SRCForm p.4 — Do not use if you want to require contributions go to a designated financial institution
  • SRCForm p.4 — Do not use if you want nonresident alien employees with no U.S. earned income to be eligible
  • SRCForm p.4 — Do not use if you want to establish a SIMPLE 401(k) plan
  • SRCForm p.4 — 'Check Form 5305‑SIMPLE' recommendation for designated financial institution
  • SRCForm p.4 — Employer eligibility: no more than 100 employees earning $5,000+
  • SRCForm p.4 — One‑plan rule: no other qualified plan maintained during the year
  • SRCForm p.4 — Keep the form with your records, do not send to IRS

Common confusion points

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

Workflow map

Related forms and next steps

4 signals

Before

Form 5305‑SIMPLE — use when you want a designated financial institution

Current

5304-SIM

After

Form 5304‑SIMPLE — retain as part of your plan records

Often used with

Form 5304‑SIMPLE — model plan document for employee‑chosen institutions

⚠ If something goes wrong

  • Form 5305‑SIMPLE — switch to this form if you need employer‑designated institutions

Questions about IRS Form 5304-SIM

What is IRS Form 5304-SIM used for?

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.

Who must file IRS Form 5304-SIM?

Employers who want to establish and maintain a SIMPLE IRA plan and meet the eligibility requirements must complete IRS Form 5304-SIMPLE.

What information does IRS Form 5304-SIM require?

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.

Where do I file IRS Form 5304-SIM?

Do not file IRS Form 5304-SIMPLE with the IRS; keep it with your records.

How do I complete IRS Form 5304-SIM?

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.

What happens if IRS Form 5304-SIM is filed incorrectly?

Filing the form with the IRS will result in rejection because it is a model document intended only for internal record‑keeping.

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

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Source transparency

Copyright & Licensing - US Government Forms

Independent guide

BrieflyGo links to and explains official public form sources. We are not a government agency, and this page is for general form guidance, not legal advice.

Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
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