Plan Sponsor Direction for Managed Account Service. The Sponsor has selected a Managed Account Service for the Plan that is available across Nationwide’s entire private sector business platform. In connection with the Sponsor’s initial selection of this Managed Account Service, the Sponsor hereby authorizes IRON to provide on-going monitoring of the Managed Account Service and make recommendations, when appropriate, for (a) the Managed Account Service Provider to replace any applicable portfolio advisor or subadvisor, or (b) the Sponsor to discontinue the Managed Account Service in the event any such portfolio advisor or subadvisor is not appropriately replaced. The approved Managed Accounts Provider as of the Effective Date of this Agreement is: Nationwide Investment Advisors, LLC. (Please Note: Additional paperwork is required to establish the Managed Account Service with Nationwide Investment Advisors, LLC.) The Plan Sponsor by accepting and acknowledging this Agreement represents that performance of the Agreement is within the scope of the activities authorized by the Plan and applicable laws and that he or she is duly authorized to negotiate, enter into, and renew this Agreement on behalf of the Plan. Each party represents to the others that the person executing this Agreement on its behalf is duly authorized and empowered to execute this Agreement. IRON Financial, LLC and the Plan Sponsor hereby agree with the provisions set forth in this Agreement and the verification set forth above. The Parties have executed this Agreement as of , 20 , the Effective Date. (Date: MM/DD) (YY) Sponsor/Responsible Plan Fiduciary Plan Sponsor Signature: Plan Sponsor Printed Name: Plan Sponsor Title: Plan Sponsor Address: (Street) (City) (State/Zip) Plan Sponsor Email: IRON Financial, LLC IRON Representative Signature: IRON Representative Printed Name: Xxxxxxx Xxxxx IRON Representative Title: Chief Compliance Officer APPENDIX A Retirement Plan Client Profile SECTION I: COMPANY & PLAN INFORMATION Company Name: Company Address: Plan Type: Name of Responsible Plan Fiduciary (the person(s) authorized to enter into arrangements for service on behalf of the Plan): Company Phone: Company Fax: Company Email: Is the Company USA-based? □ Yes □ Other: TIN: DBA: Number of Company Locations: State(s) in which there are Company Location(s): Current Designated Investment Alternatives: Description of Business: (i.e. manufacturing, consulting, etc.) Does the Plan have a preexisting relationship with IRON Financial or an affiliate? □ Yes ...
Plan Sponsor Direction for Managed Account Service. By accepting the Nationwide Program Agreement and related platform and service offering, the Sponsor has selected a Managed Account Service for the Plan that is available across Nationwide’s entire private sector business platform. In connection with the Sponsor’s initial selection of this Managed Account Service, the Sponsor hereby authorizes IRON to provide on-going monitoring of the Managed Account Service and make recommendations, when appropriate, for (a) the Managed Account Service Provider to replace any applicable portfolio advisor or subadvisor, or (b) the Sponsor to discontinue the Managed Account Service in the event any such portfolio advisor or subadvisor is not appropriately replaced. The approved Managed Accounts Provider as of the Effective Date of this Agreement is: Nationwide Investment Advisors, LLC. (Please Note: Additional paperwork is required to establish the Managed Account Service with Nationwide Investment Advisors, LLC.) The Plan Sponsor by accepting and acknowledging this Agreement represents that performance of the Agreement is within the scope of the activities authorized by the Plan and applicable laws and that he or she is duly authorized to negotiate, enter into, and renew this Agreement on behalf of the Plan. Each party represents to the others that the person executing this Agreement on its behalf is duly authorized and empowered to execute this Agreement. IRON Financial, LLC and the Plan Sponsor hereby agree with the provisions set forth in this Agreement and the verification set forth above.
