Contingent Beneficiary(ies). If there is no primary beneficiary living or in existence at the Executive’s death, then in equal shares to those of the following beneficiary(ies) who are living or in existence at the Executive’s death:
Contingent Beneficiary(ies). In the event all of the persons designated as Primary Beneficiaries shall predecease me or disclaim all of any portion of his or her interest granted herein or shall die before receiving all installment payments of benefits pursuant to the Plan, I hereby designate the following person(s) as my contingent beneficiary(ies) in the percentages noted or, if none, equally: % % %
Contingent Beneficiary(ies). (If more than one is listed, it is assumed that, if no Primary Beneficiary shall survive Employee, Employee intends for all Contingent Beneficiaries to share in payments as co-contingent beneficiaries in the percentages listed, or equally if no percentages are listed, rather than in the order in which they are listed or otherwise. If Employee intends for one or more Contingent Beneficiary(ies) to receive payments in any particular order or to the exclusion of any other(s) listed, that should be clearly indicated below.)
Contingent Beneficiary(ies). In the event all of the above named beneficiaries die or disclaim before the full amount of my benefits, if any, has been paid, I direct that my entire remaining interest in the Fund be paid to the following contingent beneficiary (or equally to the following contingent beneficiaries): Name Relationship Address Phone Number If none of the beneficiaries designated above survive me, payment shall be made to such beneficiary as the Fund’s plan document provides. I understand that if I am married and do not designate my spouse as the sole primary beneficiary, my spouse must Consent in writing to my designation on the form entitled “Spouse’s Consent to Designation of Beneficiary”. If I am presently (“unmarried” means I have never been married, or, if I was once married, I am not currently married because my marriage has been legally dissolved or because my spouse has died), no such spousal consent is necessary; however, if I later become married, my death benefits (if any) will automatically be paid to my spouse unless, after my marriage, I designate a non-spouse beneficiary to which my spouse consents. The above designation shall become effective without further notice upon the Fund’s receipt of this form before my death and, if necessary, with the written consent of my spouse, and is subject to all of the terms and conditions of the Fund and its governing documents. Signature Date
Contingent Beneficiary(ies). In the event all of the persons designated as Primary Beneficiaries shall predecease me or disclaim all of his or her interest granted herein, I hereby designate the following person(s) as my contingent beneficiary(ies):
Contingent Beneficiary(ies). In the event all of the persons designated as Primary Beneficiaries shall predecease me or disclaim all of any portion of his or her interest granted herein or shall die before receiving all installment payments of benefits pursuant to the Plan, I hereby designate the following person(s) as my contingent Beneficiary in the percentages noted or, if none, equally: Name Address SS# Percentage I hereby acknowledge that the beneficiary designations herein revoke and supersede any and all beneficiary designations previously made by me with regard to my benefits under the Plan. I reserve the right to revoke and/or change the beneficiary designations made herein at any time prior to my death by filing a new Beneficiary Designation Form with the Administrative. DATE PARTICIPANTS NAME Received and acknowledged by the Administrative Committee this the day of , 20 . By: Mr,/Mrs/Ms./ First Name Middle Last Name Home Address City State Zip Home Phone Business Phone Social Security Number Date of Birth
Contingent Beneficiary(ies). I hereby designate the following person(s) as my contingent Beneficiary(ies) under the Plan to receive benefits only if all of my primary Beneficiaries should predecease me, reserving the right to change or revoke this designation at any time prior to my death as to all outstanding Options:
Contingent Beneficiary(ies). If the Primary Beneficiary(ies) dies (or otherwise ceases to exist) before my death, the following shall be my Beneficiary(ies): Name and Address Relationship to Participant Percentage of Benefits
3. If more than one primary beneficiary or contingent beneficiary is named, each beneficiary will share equally in the benefits to be paid under the plan, unless I have indicated otherwise by specifying the percentage of plan benefits to be received by each beneficiary. If a primary or contingent beneficiary dies (or ceases to exist) prior to my death, the percentage that would have been received by that beneficiary shall be divided among the surviving primary or contingent beneficiary(ies), as the case may be, in proportion to the percentages denominated to each surviving beneficiary, unless I have indicated otherwise.
