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calendar year. If you have not met the age requirement, you will not be enrolled in catch-up TIS I! THE 401K YOUR EMPLOYER OFFERED YOU IN PAYCHEX 401k Enrollment Form Enrollment Methods Retirement Services Onlineb site: https://ben Employee Services Informati Fill out this form and fax it to: Note: payc ex.com 877-244 retire nt services option LIEU OF A By using the Web site eed to se o Paychex, Inc. PENSION PLAN! Employee Information Employee Name Number Company Name ent Number Date of Birth Phone Number ( THIS FEEBLE INVESTMENT WILL NEVER BE E-mail Address | Enrollment (Check on If neither box is checked plan at the stated amount. O Yes, I want to enroll Participants. I have indicated below the percen be in increments of 1% (non-whole numbersNill h eived a copy of the plan's Fee Disclosure Statement for bute to the plan through payroll deduction. Deferrals must wn to the nearest percent). ENOUGH FOR Pretax Salary Deferral *Consult with your employer to determine if the Roth 401(k) option is available in veun plan. Also, loans and hardship withdrawals will not be issued from your Roth 401 RETIREMENT!!! Roth 401(k) Deferral balance. *For catch-up deferrals, you must be eligible to make elective deferrals under employer's 401(k) plan and have, or will have, attained age 50 before the clos et Pretax Catch-up Deferral** Roth Catch-up Deferral** contributions. Important: All deferrals that you elect in this section will be invested using the same fund allocation pereen HAPPYROADKILL Your costume NOW. o;h god,, the is too scary. I am so future is sso uncertai,n,, Get out. sorry... PAYCHEX 401k Enrollment Form Enrolment Methods Retirement Services Online Web • Emplo ices Information • Flout By u payches.com ment services option Note d to se her, Inc. Employee Infocmat Employee Name Company Name Date of Birth Email Add ILL hone Number Enrollme oe h If neither bo at the stated amount. O Yes, I wan Participants. I be in increments of a copy of the plan's Fee Disclosure Statement for to the plan through payroll deduction. Deferrals must o the nearest percent. Pretax Salary Deferral *Consult with your employer to determineif the Roth 4010 option is avalable in your plan. Also, loans and hardshp withdrawas wil not be issued from your Roth 401aI 401) Deferal balance Pretax Catch up Deferal TUNE QUAD **For catchup deferrals. you must be eligble to make elective deferals under your employer's 401 plan and have, or will have, attained age s0 before the close of the calendar year. If you have not met the ge requirement, you will not be evolled in catch up contributions Roth Catch up Deferal Important: All deferrals that you elect in this section wil be invested using the same fund allocation percentages that you select in the "Investment Selection" below. O No, I do not want to enroll in the plan at this time. My deferral is zero. Investment Selection In the "Investment Selection" column, I have entered the percent of my contribution that I want allocated in the fundisi choices. All contributions elected on this form will be allocated in the fundisi that I have selected. Iunderstand the "Investment Selection" and corresponding percentage will remain in effect until i request a change, in accordance with the provisions of the plan. I will receive a confirmation of the requested change. You may select any combination in 1% increments totaling 100% inen whole umbers will be rounded down to the nearest p percenti. These investment selections are for future alocations only and will not impact curendly invested funds. Guided Fund Select Non-broker Series Investment Selection 141 Federated Automated Cash Management IS 3326 Fidelity Advisor New Insights! American Century Heritage INV 4620 Columbia Acom Intemational 4472 Iunderstand that if this section is not completed, or it the fund percentages total more than 100%, that 100% of the contribution will be invested in the Money Market fund for the frst 90 days. H further reinvestment direction is not received within 90 days. all investments and any future contributions will be moved to a GuidedSavings managed account. 5123 Vanguard infation Protected Securties Inv 5126 Vanguard intermedate Term US Treasury In 5139 Vanguard Short Term Federal INV 5161 Yacktman 5267 Royce Special Equity Inv 5651 Prudential High Yield Z Iunderstand that i the "Investment Selection" percentages total less than 100%, the difference wil be invested in the Money Market fund. 6395 Schwab SAP Index Select 9376 Manning & Napier World Opportunities Series

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C-SPAN Erm... heh... guys? I DON'T think he's allowed to do that. who's gonna tell him...? HAPPYROADKILL
Remember ONLY YOU CAN PREVENT FOREST FIRES SMOKEY SMOKEY SMOKEY BY STOPPING THEM AT THE SOURCE HAPPYROADKILL SMOKEY SMOKEY
VITY Even Meemaw's pirating!? No wonder my favorite shows keep getting cancelled! TRAIN THES Heyo! Warner Brother here. Look don't worry about pirating, kid. We're gonna cancel your favorite shows whether they do well or not. Wh-? BUT WHY?!? Wakko does it for the tax write offs. But personally? I do it for the faint tingle I get in my shriveled up dead little penis. Hope this helped. HAPPYROADKILL
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calendar year. If you have not met the age requirement, you will not be enrolled in catch-up TIS I! THE 401K YOUR EMPLOYER OFFERED YOU IN PAYCHEX 401k Enrollment Form Enrollment Methods Retirement Services Onlineb site: https://ben Employee Services Informati Fill out this form and fax it to: Note: payc ex.com 877-244 retire nt services option LIEU OF A By using the Web site eed to se o Paychex, Inc. PENSION PLAN! Employee Information Employee Name Number Company Name ent Number Date of Birth Phone Number ( THIS FEEBLE INVESTMENT WILL NEVER BE E-mail Address | Enrollment (Check on If neither box is checked plan at the stated amount. O Yes, I want to enroll Participants. I have indicated below the percen be in increments of 1% (non-whole numbersNill h eived a copy of the plan's Fee Disclosure Statement for bute to the plan through payroll deduction. Deferrals must wn to the nearest percent). ENOUGH FOR Pretax Salary Deferral *Consult with your employer to determine if the Roth 401(k) option is available in veun plan. Also, loans and hardship withdrawals will not be issued from your Roth 401 RETIREMENT!!! Roth 401(k) Deferral balance. *For catch-up deferrals, you must be eligible to make elective deferrals under employer's 401(k) plan and have, or will have, attained age 50 before the clos et Pretax Catch-up Deferral** Roth Catch-up Deferral** contributions. Important: All deferrals that you elect in this section will be invested using the same fund allocation pereen HAPPYROADKILL Your costume NOW. o;h god,, the is too scary. I am so future is sso uncertai,n,, Get out. sorry... PAYCHEX 401k Enrollment Form Enrolment Methods Retirement Services Online Web • Emplo ices Information • Flout By u payches.com ment services option Note d to se her, Inc. Employee Infocmat Employee Name Company Name Date of Birth Email Add ILL hone Number Enrollme oe h If neither bo at the stated amount. O Yes, I wan Participants. I be in increments of a copy of the plan's Fee Disclosure Statement for to the plan through payroll deduction. Deferrals must o the nearest percent. Pretax Salary Deferral *Consult with your employer to determineif the Roth 4010 option is avalable in your plan. Also, loans and hardshp withdrawas wil not be issued from your Roth 401aI 401) Deferal balance Pretax Catch up Deferal TUNE QUAD **For catchup deferrals. you must be eligble to make elective deferals under your employer's 401 plan and have, or will have, attained age s0 before the close of the calendar year. If you have not met the ge requirement, you will not be evolled in catch up contributions Roth Catch up Deferal Important: All deferrals that you elect in this section wil be invested using the same fund allocation percentages that you select in the "Investment Selection" below. O No, I do not want to enroll in the plan at this time. My deferral is zero. Investment Selection In the "Investment Selection" column, I have entered the percent of my contribution that I want allocated in the fundisi choices. All contributions elected on this form will be allocated in the fundisi that I have selected. Iunderstand the "Investment Selection" and corresponding percentage will remain in effect until i request a change, in accordance with the provisions of the plan. I will receive a confirmation of the requested change. You may select any combination in 1% increments totaling 100% inen whole umbers will be rounded down to the nearest p percenti. These investment selections are for future alocations only and will not impact curendly invested funds. Guided Fund Select Non-broker Series Investment Selection 141 Federated Automated Cash Management IS 3326 Fidelity Advisor New Insights! American Century Heritage INV 4620 Columbia Acom Intemational 4472 Iunderstand that if this section is not completed, or it the fund percentages total more than 100%, that 100% of the contribution will be invested in the Money Market fund for the frst 90 days. H further reinvestment direction is not received within 90 days. all investments and any future contributions will be moved to a GuidedSavings managed account. 5123 Vanguard infation Protected Securties Inv 5126 Vanguard intermedate Term US Treasury In 5139 Vanguard Short Term Federal INV 5161 Yacktman 5267 Royce Special Equity Inv 5651 Prudential High Yield Z Iunderstand that i the "Investment Selection" percentages total less than 100%, the difference wil be invested in the Money Market fund. 6395 Schwab SAP Index Select 9376 Manning & Napier World Opportunities Series

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Uploaded Oct 19, 2021 at 04:49PM EDT

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