PRIMARY BENEFICIARY(IES. You may designate anyone you wish, subject to spousal consent requirement. (check one) ☐ A. 100% to my spouse, if living;
PRIMARY BENEFICIARY(IES. Check box(es) and complete percentage. If you have checked Box 3, complete the additional information requested.
PRIMARY BENEFICIARY(IES. I hereby designate the following person as my primary Beneficiary under the Plan, reserving the right to change or revoke this designation at any time prior to my death: Name Address Relationship Birthdate Share % % % Total=100%
PRIMARY BENEFICIARY(IES. In equal shares to those of the following beneficiary(ies) who are living or in existence at the Executive's death: Name Relationship Address
