Common use of Employee Approval Clause in Contracts

Employee Approval. IMPORTANT: You may rely on the accuracy of this Worksheet if the information you provide is correct and complete. Neither your Employer, nor National Benefit Services, LLC possess data for purposes of calculating the 403(b) Special 15-Year Catch-up Contribution. By signing this Worksheet, you certify that all the information provided is accurate and you agree to indemnify and hold harmless your Employer, and National Benefit Services, LLC from any and all damages which may result from providing inaccurate or incomplete information. You understand and agree that your total annual contributions to the combined 403(b) and Xxxx 403(b) Plan may not exceed the lesser of $53,000 or 100% of compensation. Your Salary Reduction Agreement must include a copy of this form. Employee Signature Date Form - 403-201FBC (12/2014) 2015 Maximum Allowable Contribution Worksheet – Part 2 457 (b) Final Three Year Catch-up Calculation

Employee Approval. IMPORTANT: You may rely on the accuracy of this Worksheet if the information you provide is correct and complete. Neither your Employer, nor National Benefit Services, LLC possess data for purposes of calculating the 403(b) Special 15-Year Catch-up Contribution. By signing this Worksheet, you certify that all the information provided is accurate and you agree to indemnify and hold harmless your Employer, and National Benefit Services, LLC from any and all damages which may result from providing inaccurate or incomplete information. You understand and agree that your total annual contributions to the combined 403(b) and Xxxx 403(b) Plan may not exceed the lesser of $53,000 52,000 or 100% of compensation. Your Salary Reduction Agreement must include a copy of this form. Employee Signature Date Form Page 1 of 0 - 403000-201FBC 000 FBC (12/2014) 2015 Maximum Allowable Contribution Worksheet – Part 2 457 (b) Final Three Year Catch-up Calculation12/2013)

Employee Approval. IMPORTANT: You may rely on the accuracy of this Worksheet if the information you provide is correct and complete. Neither your Employer, nor National Benefit Services, LLC possess data for purposes of calculating the 403(b) Special 15-Year Catch-up Contribution. By signing this Worksheet, you certify that all the information provided is accurate and you agree to indemnify and hold harmless your Employer, and National Benefit Services, LLC from any and all damages which may result from providing inaccurate or incomplete information. You understand and agree that your total annual contributions to the combined 403(b) and Xxxx 403(b) Plan may not exceed the lesser of $53,000 or 100% of compensation. Your Salary Reduction Agreement must include a copy of this form. Employee Signature Date Form - 403-201FBC (12/201411/2015) 2015 2016 Maximum Allowable Contribution Worksheet – Part 2 457 (b) Final Three Year Catch-up Calculation