PLAN PARTICIPANTS

Distribution and other forms may be downloaded from the list below. Please contact your Plan Administrator for the package number designated for your plan.

PLAN SPONSORS AND FINANCIAL ADVISORS

You may find the forms below useful for planning:

• The Retirement Plan Design Questionnaire will provide us the information necessary to make recommendations regarding plan design and to complete plan documents.

• The Census Data Submission Form is a data template requesting information about your company's employees that will allow us to prepare a detailed analysis illustrating the benefits and costs of various plan design options.

• The Takeover Documents Checklist is useful if an existing retirement plan is already in place.  It lists the various items we will need in order to transition the administration of your existing plan to PPPC.

• The 401(k) Plan Survey will help you determine your employees' interest in a 401(k) Plan and is helpful in designing the provisions of the plan.

• The Financial Data Summary may be used to summarize your plan’s annual financial activity.

In order to download forms, you will need Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader, you may obtain a free copy by clicking on the button below.

DISTRIBUTION FORMS

Please contact your Employer or your PPPC Administrator for the appropriate package number.

NOTE: DISTRIBUTIONS WILL BE PROCESSED
PROPORTIONATELY FROM ALL FUNDS UNLESS OTHERWISE DIRECTED.

Package #1: No J&S, Retain $5,000 Automatic Rollover, Nationwide Bank Agreement
Package #2: No J&S, Retain $5,000 Automatic Rollover
Package #3: No J&S, Reduce to $1,000 Automatic Rollover
Package #4: No J&S, Eliminate Automatic Rollover
Package #5: J&S, Retain $5,000 Automatic Rollover, Nationwide Bank Agreement
Package #6: J&S, Retain $5,000 Automatic Rollover
Package #7: J&S, Reduce to $1,000 Automatic Rollover
Package #8: J&S, Eliminate Automatic Rollover
Special Tax Notice - 402(f) Notice for Roth Distributions
Hardship Certification Form
Designation of Beneficiary Form - No J&S
Designation of Beneficiary Form - With J&S

PLAN SPONSOR AND FINANCIAL ADVISOR PLANNING FORMS

Retirement Plan Design Questionnaire
Census Data Submission Form
Takeover Documents Checklist
401(k) Plan Survey
Financial Data Summary

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