Solo 401k 1099-R for in plan Roth conversion

Hi All!

I have a Solo 401k and the company that set-up is not very helpful in providing info on how to properly complete a 1099-R for an in-plan conversion of moving funds from the Traditional bucket to the Roth bucket (I will not call the company out here).  I would advise that if you set up a Solo 401k to make sure that the company you chose offers full support for 1099-R.

Can anyone with experience in this matter please provide feedback for completing this form?  

In 2014, within my Solo 401k I converted $15,000 from the Traditional Bucket to the Roth Bucket which I know is a taxable event for that year.  Below I have written out all of the boxes on the 1099-R; which do I fill out?

1099-R

-Payer Details (would this be the 401k entity and tax id?)

-Recipient Details (would this be the individual (myself) and social security number)

-1 Gross Distribution (I assume $15k entered here?)

-2a Taxable amount (I assume $15k?)

-2b Taxable amount not determined

-2b Total distribution

-3 Capital gain - included in box 2a

-4 Federal income tax withed

-5 Employee contributions/Roth contributions

-6 Net unrealized appreciation

-7 Distribution code(s)  

-8 Other amount

-9a Your percentage of total distribution

-9b Total employee contributions

-10 Amount allocable to IRR within 5 years

-11 1st year of desig. Roth contrib.

-12 State tax withheld

-13 State

-14 State distribution

-15 Local tax withheld

-16 Name of locality

-17 Local distribution