Common use of Employee Signature Clause in Contracts

Employee Signature. I certify that I have read this complete agreement and provided the information necessary for the employer to administer the plan and that my salary reductions will not exceed the elective deferral or contribution limits as determined by Applicable Law. I understand my responsibilities as an Employee under this Program, and I request that Employer take the action specified in this agreement. I understand that all rights under the annuity or custodial account established by me under the Program are enforceable solely by my beneficiary, my authorized representative or me. I understand that certain information about my 403(b) account is necessary to properly maintain and administer my account under the 403(b) plan. I authorize the holder of that information to make it available to the plan sponsor, the administrator of the plan and/or their representative(s) so long as the information is used exclusively for purposes of complying with legal and regulatory requirements and proper administration of the plan and my account there under. I am aware that if I participate through Vanguard, Employer Admin Services, Inc. will deduct their $10.00 annual administrative fee from my deductions on a pro-rated, monthly basis. Employee Signature: Date:

Employee Signature. I certify that I have read this complete agreement and provided the information necessary for the employer to administer the plan and that my salary reductions will not exceed the elective deferral or contribution limits as determined by Applicable Law. I understand my responsibilities as an Employee under this Program, and I request that Employer take the action specified in this agreement. I understand that all rights under the annuity or custodial account established by me under the Program are enforceable solely by my beneficiary, my authorized representative or me. I understand that certain information about my 403(b) account is necessary to properly maintain and administer my account under the 403(b) plan. I authorize the holder of that information to make it available to the plan sponsor, the administrator of the plan and/or their representative(s) so long as the information is used exclusively for purposes of complying with legal and regulatory requirements and proper administration of the plan and my account there under. I am aware that if I participate through Vanguardselect Vanguard Funds as my investment provider, Employer Admin Services, Inc. plan administration expenses will deduct their $10.00 annual administrative fee be deducted from my deductions contributions on a pro-rated, monthly prorated “per payroll” basis. This annual fee is $24.00 as of 10/01/13 and may be changed in the future subject to notification to me of such change. Employee Signature: Date:

Employee Signature. I certify that I have read this complete agreement and provided the information necessary for the employer to administer the plan and that my salary reductions will not exceed the elective deferral or contribution limits as determined by Applicable Law. I understand my responsibilities as an Employee under this Program, and I request that Employer take the action specified in this agreement. I understand that all rights under the annuity or custodial account established by me under the Program are enforceable solely by my beneficiary, my authorized representative or me. I understand that certain information about my 403(b) account is necessary to properly maintain and administer my account under the 403(b) plan. I authorize the holder of that information to make it available to the plan sponsor, the administrator of the plan and/or their representative(s) so long as the information is used exclusively for purposes of complying with legal and regulatory requirements and proper administration of the plan and my account there under. I am aware that if I participate through Vanguard, Employer Admin Services, Inc. will deduct their $10.00 annual administrative fee from my deductions on a pro-rated, monthly basis. Employee Signature: Date:

Employee Signature. I certify that I have read this complete agreement and provided the information necessary for the employer to administer the plan and that my salary reductions will not exceed the elective deferral or contribution limits as determined by Applicable Law. I understand my responsibilities as an Employee under this Program, and I request that Employer take the action specified in this agreement. I understand that all rights under the annuity or custodial account established by me under the Program are enforceable solely by my beneficiary, my authorized representative or me. I understand that certain information about my 403(b) account is necessary to properly maintain and administer my account under the 403(b) plan. I authorize the holder of that information to make it available to the plan sponsor, the administrator of the plan and/or their representative(s) so long as the information is used exclusively for purposes of complying with legal and regulatory requirements and proper administration of the plan and my account there under. I am aware that if I participate through Vanguardselect Vanguard Funds as my investment provider, Employer Admin Services, Inc. plan administration expenses will deduct their $10.00 annual administrative fee be deducted from my deductions contributions on a pro-rated, monthly prorated ‘per payroll’ basis. This annual fee is $24.00 as of 10/1/2013 and may be changed in the future subject to notification to me of such change. Employee Signature: Date:

Employee Signature. I certify that I have read this complete agreement and provided the information necessary for the employer to administer the plan and that my salary reductions will not exceed the elective deferral or contribution limits as determined by Applicable Law. I understand my responsibilities as an Employee under this Program, and I request that Employer take the action specified in this agreement. I understand that all rights under the annuity or custodial account established by me under the Program are enforceable solely by my beneficiary, my authorized representative or me. I understand that certain information about my 403(b) account is necessary to properly maintain and administer my account under the 403(b) plan. I authorize the holder of that information to make it available to the plan sponsor, the administrator of the plan and/or their representative(s) so long as the information is used exclusively for purposes of complying with legal and regulatory requirements and proper administration of the plan and my account there under. I am aware that if I participate through Vanguard, Employer Admin Services, Inc. will deduct their $10.00 annual administrative fee from my deductions on a pro-rated, monthly basis. Employee Signature: Date: Part 7. Representative Signature NOTE: 403(b) Representative’s signature ONLY required for opening a new account. For NEW Vanguard accounts, in place of Representative’s signature, please write your Vanguard account number below. Signature: Company Name: Date:

Employee Signature. I certify that I have read this complete agreement and provided the information necessary for the employer to administer the plan and that my salary reductions will not exceed the elective deferral or contribution limits as determined by Applicable Law. I understand my responsibilities as an Employee under this Program, and I request that Employer take the action specified in this agreement. I understand that all rights under the annuity or custodial account established by me under the Program are enforceable solely by my beneficiary, my authorized representative or me. I understand that certain information about my 403(b) account is necessary to properly maintain and administer my account under the 403(b) plan. I authorize the holder of that information to make it available to the plan sponsor, the administrator of the plan and/or their representative(s) so long as the information is used exclusively for purposes of complying with legal and regulatory requirements and proper administration of the plan and my account there under. I am aware that if I participate through Vanguard, Employer Admin Services, Inc. will deduct their $10.00 annual administrative fee from my deductions on a pro-rated, monthly basis. Employee Signature: _ Date: Part 7. Representative Signature Note: 403(b) Representative’s signature ONLY required for opening a new account. For NEW Vanguard accounts, in place of Representative’s signature, please write your Vanguard account number below. Signature: Company Name: Date:

Employee Signature. I certify that I have read this complete agreement and provided the information necessary for the employer to administer the plan and that my salary reductions will not exceed the elective deferral or contribution limits as determined by Applicable Law. I understand my responsibilities as an Employee under this Program, and I request that Employer take the action specified in this agreement. I understand that all rights under the annuity or custodial account established by me under the Program are enforceable solely by my beneficiary, my authorized representative or me. I understand that certain information about my 403(b) account is necessary to properly maintain and administer my account under the 403(b) plan. I authorize the holder of that information to make it available to the plan sponsor, the administrator of the plan and/or their representative(s) so long as the information is used exclusively for purposes of complying with legal and regulatory requirements and proper administration of the plan and my account there under. I am aware that if I participate through Vanguard, Employer Admin Services, Inc. will deduct their $10.00 annual administrative fee from my deductions on a pro-rated, monthly basis. Employee Signature: Date:.