Common use of SRA Clause in Contracts

SRA. You must list all new and existing 403(b) deductions on this SRA form or they will be cancelled. The salary reductions identified in the space below will be the only deductions performed starting on the Effective Date. Investment Provider Name* Monthly Dollar Type of Deferrals Requested Action Effective Pre-Tax 403(b) Other New Existing Date** $ Change Cancel 1, 2022 New Existing $ Change Cancel 1, 2022 New Existing $ Total Monthly Contributions Change Cancel 1, 2022 *Please Note: Certain investment providers may not pay the administration fee. If you select an investment provider that does not pay the administration fee, the fee will be deducted and paid from your salary reduction amount. Please refer to the approved vendor list at xxx.xxxxxxxxxxx.xxx/000x for a current listing of providers that have agreed to pay the fee. ** Please submit the SRA to NBS 5 business days prior to the SRA due date to ensure your contributions begin as you intended.

SRA. You must list all new and existing 403(b) deductions on this SRA form or they will be cancelled. The salary reductions identified in the space below will be the only deductions performed starting on the Effective Date. Investment Provider Name* Monthly Dollar or Type of Deferrals Requested Action Effective Percentage Amount Pre-Tax 403(b) Xxxx 403(b) Other New Existing Date** $ or % Change Cancel 1, 2022 New Existing $ or % Change Cancel 1, 2022 New Existing $ or % Total Monthly Contributions Change Cancel 1, 2022 *Please Note: Certain investment providers may not pay the administration fee. If you select an investment provider that does not pay the administration fee, the fee will be deducted and paid from your salary reduction amount. Please refer to the approved vendor list at xxx.xxxxxxxxxxx.xxx/000x for a current listing of providers that have agreed to pay the fee. ** Please submit the SRA to NBS 5 business days prior to the SRA due date to ensure your contributions begin as you intended.

SRA. You must list all new and existing 403(b) deductions on this SRA form or they will be cancelled. The salary reductions identified in the space below will be the only deductions performed starting on the Effective Date. Investment Provider Name* Monthly Dollar or Type of Deferrals Requested Action Effective Percentage Amount Pre-Tax 403(b) Xxxx 403(b) Other New Existing Date** $ or % Change Cancel 1, 2022 2020 New Existing $ or % Change Cancel 1, 2022 2020 New Existing $ or % Total Monthly Contributions Change Cancel 1, 2022 2020 *Please Note: Certain investment providers may not pay the administration fee. If you select an investment provider that does not pay the administration fee, the fee will be deducted and paid from your salary reduction amount. Please refer to the approved vendor list at xxx.xxxxxxxxxxx.xxx/000x for a current listing of providers that have agreed to pay the fee. ** Please submit the SRA to NBS 5 business days prior to the SRA due date to ensure your contributions begin as you intended.

SRA. You must list all new and existing 403(b) deductions 403(b)deductions on this SRA form or they will be cancelled. The salary reductions identified in the space below will be the only deductions performed starting on the Effective Date. This is based on calendar year, not fiscal year. Investment Provider Name* Monthly Dollar Type of Deferrals Requested Action Effective Amount Pre-Tax 403(b) Xxxx 403(b) Other New Existing Date** $ Change Cancel 1, 2022 2021 New Existing $ Change Cancel 1, 2022 2021 New Existing $ Total Monthly Contributions Change Cancel 1, 2022 2021 *Please Note: Certain investment providers may not pay the administration fee. If you select an investment provider that does not pay the administration fee, the fee will be deducted and paid from your salary reduction amount. Please refer to the approved vendor list at xxx.xxxxxxxxxxx.xxx/000x for a current listing of providers that have agreed to pay the fee. ** *Please submit the SRA to NBS 5 business days prior to the SRA due date to ensure your contributions begin as you intended.

SRA. You must list all new and existing 403(b) deductions on this SRA form or they will be cancelled. The salary reductions identified in the space below will be the only deductions performed starting on the Effective Date. Investment Provider Name* Monthly Dollar Type of Deferrals Requested Action Effective Pre-Tax 403(b) Other New Existing Date** $ Change Cancel 1, 2022 2021 New Existing $ Change Cancel 1, 2022 2021 New Existing $ Total Monthly Contributions Change Cancel 1, 2022 2021 *Please Note: Certain investment providers may not pay the administration fee. If you select an investment provider that does not pay the administration fee, the fee will be deducted and paid from your salary reduction amount. Please refer to the approved vendor list at xxx.xxxxxxxxxxx.xxx/000x for a current listing of providers that have agreed to pay the fee. ** Please submit the SRA to NBS 5 business days prior to the SRA due date to ensure your contributions begin as you intended.