Common use of TABLE OF INVESTMENT ACCOUNTS Clause in Contracts

TABLE OF INVESTMENT ACCOUNTS. The following Investment Accounts are made available to [you] under this contract. By completing a form we require, [you] may restrict the Investment Accounts [you] make available to [your] Participants. Amounts allocated to any Investment Account identified below are invested in the shares of the corresponding Mutual Fund, Portfolio, or other entity listed below. (Use the following sentence and asterisks only if we allow the 90-day equity wash option for this contract) [The Competing Investment Accounts marked with an asterisk (*) are not available if you do not want the FIA 20% annual transfer restriction provided in Section 5.5(b) to apply. Investment Account Mutual Fund, Portfolio, or Other Entity AIM Basic Value AIM Basic Value Fund AIM Mid Cap Core Equity AIM Mid Cap Core Equity Fund AIM Small Cap Growth AIM Small Cap Growth Fund Xxxxx American Balanced Xxxxx American Balanced Portfolio Xxxxx American Growth Xxxxx American Growth Portfolio Xxxxx American Leveraged AllCap Xxxxx American Leveraged AllCap Portfolio American Century Equity Income American Century Equity Income Fund American Century Income & Growth American Century Income & Growth Fund American Century International Growth American Century International Growth Fund American Century Select American Century Select Fund American Century Small Cap Value American Century Small Cap Value Fund American Century Strategic Allocation: American Century Strategic Allocation: Aggressive Aggressive Fund American Century Strategic Allocation: American Century Strategic Allocation: Conservative Conservative Fund American Century Strategic Allocation: American Century Strategic Allocation: Moderate Moderate Fund American Century Ultra American Century Ultra Fund American Century VP Capital Appreciation American Century VP Capital Appreciation Fund Xxxxx Xxxxx Fund Ariel Appreciation Ariel Appreciation Fund Xxxxxxx Income Xxxxxxx Income Fund Xxxxxxx New Vision Small Cap Xxxxxxx New Vision Small Cap Fund Xxxxxxx Social Investment Equity Xxxxxxx Social Investment Equity Portfolio Xxxxxxx Social Mid-Cap Growth Xxxxxxx Social Mid-Cap Growth Portfolio Fidelity VIP Asset Manager Fidelity VIP Asset Manager Portfolio Fidelity VIP Contrafund Fidelity VIP Contrafund Portfolio Fidelity VIP Equity-Income Fidelity VIP Equity-Income Portfolio Fidelity VIP Growth Fidelity VIP Growth Portfolio Fidelity VIP High Income Fidelity VIP High Income Portfolio Fidelity VIP Overseas Fidelity VIP Overseas Portfolio INVESCO Dynamics INVESCO Dynamics Fund INVESCO Energy INVESCO Energy Fund INVESCO Financial Services INVESCO Financial Services Fund INVESCO Health Sciences INVESCO Health Sciences Fund INVESCO Technology INVESCO Technology Fund INVESCO Telecommunications INVESCO Telecommunications Fund Janus Aspen Series Flexible Income Janus Aspen Series Flexible Income Portfolio Janus Aspen Series Worldwide Growth Janus Aspen Series Worldwide Growth Portfolio MFS International New Discovery MFS International New Discovery Fund MFS Mid Cap Growth MFS Mid Cap Growth Fund MFS Strategic Value MFS Strategic Value Fund MFS Value MFS Value Fund OneAmerica Investment Grade Bond OneAmerica Investment Grade Bond Portfolio OneAmerica Value OneAmerica Value Portfolio OneAmerica Asset Director OneAmerica Asset Director Portfolio

Appears in 1 contract

Samples: Aul American Unit Trust

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TABLE OF INVESTMENT ACCOUNTS. The following Investment Accounts are made available to [you] under this contract. By completing a form we require, [you] may restrict the Investment Accounts [you] make available to [your] Participants. Amounts allocated to any Investment Account identified below are invested in the shares of the corresponding Mutual Fund, Portfolio, or other entity listed below. (Use the following sentence and asterisks only if we allow the 90-day equity wash option for this contract) [The Competing Investment Accounts marked with an asterisk (*) are not available if you do not want the FIA 20% annual transfer restriction provided in Section 5.5(b) to apply. Investment Account Mutual Fund, Portfolio, or Other Entity AIM Basic Value AIM Basic Value Fund AIM Mid Cap Core Equity AIM Mid Cap Core Equity Fund AIM Small Cap Growth AIM Small Cap Growth Fund Xxxxx American Balanced Xxxxx American Balanced Portfolio Xxxxx American Growth Xxxxx American Growth Portfolio Xxxxx American Leveraged AllCap Xxxxx American Leveraged AllCap Portfolio American Century Equity Income American Century Equity Income Fund American Century Income & Growth American Century Income & Growth Fund American Century International Growth American Century International Growth Fund American Century Select American Century Select Fund American Century Small Cap Value American Century Small Cap Value Fund American Century Strategic Allocation: American Century Strategic Allocation: Aggressive Aggressive Fund American Century Strategic Allocation: American Century Strategic Allocation: Conservative Conservative Fund American Century Strategic Allocation: American Century Strategic Allocation: Moderate Moderate Fund American Century Ultra American Century Ultra Fund American Century VP Capital Appreciation American Century VP Capital Appreciation Fund Xxxxx Xxxxx Fund Ariel Appreciation Ariel Appreciation Fund Xxxxxxx Income Xxxxxxx Income Fund Xxxxxxx New Vision Small Cap Xxxxxxx New Vision Small Cap Fund Xxxxxxx Social Investment Equity Xxxxxxx Social Investment Equity Portfolio Xxxxxxx Social Mid-Cap Growth Xxxxxxx Social Mid-Cap Growth Portfolio Fidelity VIP Asset Manager Fidelity VIP Asset Manager Portfolio Fidelity VIP Contrafund Fidelity VIP Contrafund Portfolio Fidelity VIP Equity-Income Fidelity VIP Equity-Income Portfolio Fidelity VIP Growth Fidelity VIP Growth Portfolio Fidelity VIP High Income Fidelity VIP High Income Portfolio Fidelity VIP Overseas Fidelity VIP Overseas Portfolio INVESCO Dynamics INVESCO Dynamics Fund INVESCO Energy INVESCO Energy Fund INVESCO Financial Services INVESCO Financial Services Fund INVESCO Health Sciences INVESCO Health Sciences Fund INVESCO Technology INVESCO Technology Fund INVESCO Telecommunications INVESCO Telecommunications Fund Janus Aspen Series Flexible Income Janus Aspen Series Flexible Income Portfolio Janus Aspen Series Worldwide Growth Janus Aspen Series Worldwide Growth Portfolio MFS International New Discovery MFS International New Discovery Fund MFS Mid Cap Growth MFS Mid Cap Growth Fund MFS Strategic Value MFS Strategic Value Fund MFS Value MFS Value Fund OneAmerica Investment Grade Bond OneAmerica Investment Grade Bond Portfolio OneAmerica Value OneAmerica Value Portfolio OneAmerica Asset Director OneAmerica Asset Director Portfolio

Appears in 1 contract

Samples: Aul American Unit Trust

TABLE OF INVESTMENT ACCOUNTS. The following Investment Accounts are made available to [you] you under this contract. By completing a form we require, [you] you may restrict the Investment Accounts [you] you make available to [your] your Participants. Amounts allocated to any Investment Account identified below are invested in the shares of the corresponding Mutual Fund, Portfolio, Fund or other entity Portfolio listed below. (Use the following sentence and asterisks only if we allow the 90-day equity wash option for this contract) [The Competing Investment Accounts Account marked with an asterisk (*) are is not available if you use the FIA and if you do not want the FIA 20% annual transfer restriction provided in Section 5.5(b) 5.5 to apply. Investment Account Mutual Fund, Portfolio, Fund or Other Entity AIM Basic Value AIM Basic Value Fund AIM Mid Cap Core Portfolio ------------------------------------------ ------------------------------------------ AUL American Aggressive Investor Portfolio AUL American Aggressive Investor Portfolio AUL American Bond AUL American Bond AUL American Conservative Investor AUL American Conservative Investor Portfolio Portfolio AUL American Equity AIM Mid Cap Core AUL American Equity Fund AIM Small Cap Growth AIM Small Cap Growth Fund Xxxxx AUL American Balanced Xxxxx Managed AUL American Balanced Managed AUL American Moderate Investor Portfolio AUL American Moderate Investor Portfolio AUL American Money Market * AUL American Money Market AUL American Tactical Asset Allocation AUL American Tactical Asset Allocation Portfolio Portfolio Xxxxx American Growth Xxxxx American Growth Portfolio Xxxxx American Leveraged AllCap Xxxxx American Leveraged AllCap Portfolio American Century Equity Income American Century Equity Income Fund American Century Income & Growth American Century Income & Growth Fund American Century International Growth American Century International Growth Fund American Century Select American Century Select Fund American Century Small Cap Value American Century Small Cap Value Fund American Century Strategic Allocation: American Century Strategic Allocation: Aggressive Aggressive Fund American Century Strategic Allocation: American Century Strategic Allocation: Conservative Conservative Fund American Century Strategic Allocation: American Century Strategic Allocation: Moderate Moderate Fund American Century Ultra American Century Ultra Fund American Century VP Capital Appreciation American Century VP Capital Appreciation Fund Xxxxx Xxxxx Fund Ariel Appreciation Ariel Appreciation Fund Xxxxxxx Income Xxxxxxx Income Fund Xxxxxxx New Vision Small Cap Xxxxxxx New Vision Small Cap Fund Xxxxxxx Social Investment Equity Xxxxxxx Social Investment Equity Portfolio Xxxxxxx Social Mid-Cap Growth Xxxxxxx Social Mid-Cap Growth Portfolio Fidelity VIP Asset Manager Fidelity VIP Asset Manager Portfolio Fidelity VIP Contrafund Fidelity VIP Contrafund Portfolio Fidelity VIP Equity-Income Fidelity VIP Equity-Income Portfolio Fidelity VIP Growth Fidelity VIP Growth Portfolio Fidelity VIP High Income Fidelity VIP High Income Portfolio Fidelity VIP Overseas Fidelity VIP Overseas Portfolio INVESCO Dynamics INVESCO Dynamics Fund INVESCO Energy INVESCO Energy Fund INVESCO Financial Services INVESCO Financial Services Fund INVESCO Health Sciences INVESCO Health Sciences Fund INVESCO Technology INVESCO Technology Fund INVESCO Telecommunications INVESCO Telecommunications Fund Fidelity VIP II Asset Manager Fidelity VIP II Asset Manager Fidelity VIP II Contrafund Fidelity VIP II Contrafund Fidelity VIP II Index 500 Fidelity VIP II Index 500 Janus Aspen Series Flexible Income Portfolio Janus Aspen Series Flexible Income Portfolio Janus Aspen Series Worldwide Growth Janus Aspen Series Worldwide Growth Portfolio MFS International New Discovery MFS International New Discovery Portfolio PBHG Insurance Series Growth II PBHG Insurance Series Growth II PBHG Insurance Series Technology PBHG Insurance Series Technology and Communication and Communication SAFECO Resource Series Trust Equity SAFECO Resource Series Trust Equity Portfolio Portfolio SAFECO Resource Series Trust Growth SAFECO Resource Series Trust Growth Portfolio Portfolio X. Xxxx Price Equity-Income Portfolio X. Xxxx Price Equity-Income Portfolio P-GB-K-IRAMFVA(NBR).20 CONTRACTHOLDER ABC SCHOOL PARTICIPANT'S NAME XXXX XXX SOCIAL SECURITY NUMBER 000-00-0000 American United Life Insurance Company hereby certifies that the Contractholder and AUL have entered into a Multiple-Fund MFS Mid Cap Growth MFS Mid Cap Growth Fund MFS Strategic Value MFS Strategic Value Fund MFS Value MFS Value Fund OneAmerica Investment Grade Bond OneAmerica Investment Grade Bond Portfolio OneAmerica Value OneAmerica Value Portfolio OneAmerica Asset Director OneAmerica Asset Director PortfolioGroup Variable Annuity Contract (the Contract) in connection with the Contractholder's SIMPLE IRA plan and that AUL has created an account in your name to receive Contributions from the Contractholder for your benefit pursuant to the Contract. When used in this certificate, "we," "us," or "our" refer to AUL. The only parties to the Contract are the Contractholder and AUL. All rights and benefits are determined in accordance with the provisions of the Contract. Benefits under the Contract will be paid at your direction. Any amendments to, or changes in, the Contract will be binding and conclusive on you and your beneficiary. This certificate is not itself the Contract, but is a certificate of participation in the Contract. AMERICAN UNITED LIFE INSURANCE COMPANY /s/ Xxxxxxx X. Xxxxx Secretary CERTIFICATE FOR GUARANTEED BENEFIT IRA MULTIPLE-FUND GROUP VARIABLE ANNUITY (NBR) ACCUMULATION UNITS IN ANY INVESTMENT ACCOUNT UNDER THE CONTRACT MAY INCREASE OR DECREASE IN VALUE ACCORDING TO THE INVESTMENT PERFORMANCE OF THE UNDERLYING INVESTMENTS HELD BY THE INVESTMENT ACCOUNT. THE VALUE OF SUCH ASSETS AND ACCUMULATION UNITS IS NOT GUARANTEED. SECTION 4 OF THIS CERTIFICATE EXPLAINS THE VALUATION OF SUCH ASSETS AND ACCUMULATION UNITS. If you have questions concerning the Contract, or wish to register a complaint, you may reach us by calling 0-000-000-0000.

Appears in 1 contract

Samples: Aul American Unit Trust

TABLE OF INVESTMENT ACCOUNTS. The following Investment Accounts are made available to [you] you under this contract. By completing a form we require, [you] you may restrict the Investment Accounts [you] you make available to [your] your Participants. Amounts allocated to any Investment Account identified below are invested in the shares of the corresponding Mutual Fund, Portfolio, Fund or other entity Portfolio listed below. (Use the following sentence and asterisks only if we allow the 90-day equity wash option for this contract) [The Competing Investment Accounts marked with an asterisk (*) are not available if you do not want the FIA 20% annual transfer restriction provided in Section 5.5(b) to apply. Investment Account Mutual Fund, Portfolio, Fund or Other Entity AIM Basic Value AIM Basic Value Fund AIM Mid Cap Core Portfolio --------------------------------------------------------------------------- AUL American Aggressive Investor AUL American Aggressive Investor AUL American Bond AUL American Bond AUL American Conservative Investor AUL American Conservative Investor AUL American Equity AIM Mid Cap Core AUL American Equity Fund AIM Small Cap Growth AIM Small Cap Growth Fund Xxxxx AUL American Balanced Xxxxx Managed AUL American Balanced Portfolio Xxxxx Managed AUL American Moderate Investor AUL American Moderate Investor AUL American Money Market AUL American Money Market AUL American Tactical Asset Allocation AUL American Tactical Asset Allocation Axxxx American Growth Xxxxx Axxxx American Growth Portfolio Xxxxx American Leveraged AllCap Xxxxx American Leveraged AllCap Portfolio American Century Equity Income American Century Equity Income Fund American Century Income & Growth American Century Income & Growth Fund American Century International Growth American Century International Growth Fund American Century Select American Century Select Fund American Century Small Cap Value American Century Small Cap Value Fund American Century Strategic Allocation: American Century Strategic Allocation: Aggressive Aggressive Fund American Century Strategic Allocation: American Century Strategic Allocation: Conservative Conservative Fund American Century Strategic Allocation: American Century Strategic Allocation: Moderate Moderate Fund American Century Ultra American Century Ultra Fund American Century VP Capital Appreciation American Century VP Capital Appreciation Fund Xxxxx Xxxxx Fund Ariel Appreciation Ariel Appreciation Fund Xxxxxxx Income Xxxxxxx Income Fund Xxxxxxx New Vision Small Cap Xxxxxxx New Vision Small Cap Fund Xxxxxxx Social Investment Equity Xxxxxxx Social Investment Equity Portfolio Xxxxxxx Cxxxxxx Social Mid-Cap Growth Xxxxxxx Cxxxxxx Social Mid-Cap Growth Portfolio Fidelity VIP Asset Manager Fidelity VIP Asset Manager Portfolio Fidelity VIP Contrafund Fidelity VIP Contrafund Portfolio Fidelity VIP Equity-Income Fidelity VIP Equity-Income Portfolio Fidelity VIP Growth Fidelity VIP Growth Portfolio Fidelity VIP High Income Fidelity VIP High Income Portfolio Fidelity VIP Overseas Fidelity VIP Overseas Portfolio INVESCO Dynamics INVESCO Dynamics Fund INVESCO Energy INVESCO Energy Fund INVESCO Financial Services INVESCO Financial Services Fund INVESCO Health Sciences INVESCO Health Sciences Fund INVESCO Technology INVESCO Technology Fund INVESCO Telecommunications INVESCO Telecommunications Fund Fidelity VIP II Asset Manager Fidelity VIP II Asset Manager Fidelity VIP II Contrafund Fidelity VIP II Contrafund Fidelity VIP II Index 500 Fidelity VIP II Index 500 Janus Aspen Series Flexible Income Janus Aspen Series Flexible Income Portfolio Janus Aspen Series Worldwide Growth Janus Aspen Series Worldwide Growth Portfolio MFS International New Discovery MFS International New Discovery PBHG Insurance Series Growth II PBHG Insurance Series Growth II PBHG Insurance Series Technology PBHG Insurance Series Technology and Communication and Communication SAFECO Resource Series Trust Equity SAFECO Resource Series Trust Equity SAFECO Resource Series Trust Growth SAFECO Resource Series Trust Growth T. Xxxx Price Equity-Income T. Xxxx Price Equity-Income P-K-TDAMFVA-GMDB(BR).20 CONTRACTHOLDER ABC SCHOOL PARTICIPANT'S NAME JXXX XXX SOCIAL SECURITY NUMBER 100-00-0000 American United Life Insurance Company hereby certifies that the Contractholder and AUL have entered into a Multiple-Fund MFS Mid Cap Growth MFS Mid Cap Growth Fund MFS Strategic Value MFS Strategic Value Fund MFS Value MFS Value Fund OneAmerica Investment Grade Bond OneAmerica Investment Grade Bond Portfolio OneAmerica Value OneAmerica Value Portfolio OneAmerica Asset Director OneAmerica Asset Director PortfolioGroup Variable Annuity Contract (the Contract) in connection with the Contractholder's tax-deferred annuity arrangement, and that AUL has created an account in your name to receive Contributions from the Contractholder for your benefit pursuant to the Contract. When used in this certificate, "we," "us," or "our" refer to AUL. The only parties to the Contract are the Contractholder and AUL. All rights and benefits are determined in accordance with the provisions of the Contract. Benefits under the Contract will be paid at your direction. Any amendments to, or changes in, the Contract will be binding and conclusive on you and your beneficiary. This certificate is not itself the Contract, but is a certificate of participation in the Contract. AMERICAN UNITED LIFE INSURANCE COMPANY /s/ Wxxxxxx X. Xxxxx Secretary CERTIFICATE FOR TDA MULTIPLE-FUND GROUP VARIABLE ANNUITY, WITH GUARANTEED MINIMUM DEATH BENEFIT (BR) ACCUMULATION UNITS IN ANY INVESTMENT ACCOUNT UNDER THE CONTRACT MAY INCREASE OR DECREASE IN VALUE ACCORDING TO THE INVESTMENT PERFORMANCE OF THE UNDERLYING INVESTMENTS HELD BY THE INVESTMENT ACCOUNT. THE VALUE OF SUCH ASSETS AND ACCUMULATION UNITS IS NOT GUARANTEED. SECTION 4 OF THIS CERTIFICATE EXPLAINS THE VALUATION OF SUCH ASSETS AND ACCUMULATION UNITS. If you have questions concerning the Contract, or wish to register a complaint, you may reach us by calling 1-000-000-0000. P-C-TDAMFVA-GMDB(BR) IMPORTANT NOTICE To obtain information or make a complaint: You may contact your Texas AUL office at: 1-000-000-0000 You may call AUL's toll-free telephone number for information or to make a complaint at: 1-000-000-0000 You may also write to AUL at: P X Xxx 000 Xxxxxxxxxxxx, XX 00000-0000 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights, or complaints at: 1-800-252-3439 You may write the Texas Department of Insurance at: P O Xxx 000000 Xxxxxx, XX 00000-0000 FAX# (000) 000-0000 ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not become a part or condition of the attached document. AVISO IMPORTANTE Para obtener informacion o para someter una qxxxx: Puede comunicarse con su Texas AUL al: 1-000-000-0000 Usted puede llamar al numero de telefono gratis dx XXX para informacion o para someter una qxxxx al: 1-000-000-0000 Usted tambien puede escribir a AUL: P X Xxx 000 Xxxxxxxxxxxx, XX 00000-0000 Puede comunicarse con el Departamento de Sx xxxxx de Texas para obtener informacion acercu de companias, coberturas, derechos o quejas al: 1-800-252-3439 Puede escribir al Departamento de Seguros de Texas: P O Xxx 000000 Xxxxxx, XX 00000-0000 FAX# (000) 000-0000 UNA ESTE AVISO A SU POLIZA: Este aviso es solo para proposito de informacion y no se conveerte en parte o condicion del documento adjunto. 1-000-000-0000. P-C-TDAMFVA-GMDB(BR)(TXNOTICE) TABLE OF CONTENTS Page SECTION 1 - DEFINITIONS 3 SECTION 2 - ADMINISTRATION OF PARTICIPANT ACCOUNTS 6

Appears in 1 contract

Samples: Aul American Unit Trust

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TABLE OF INVESTMENT ACCOUNTS. The following Investment Accounts are made available to [you] you under this contract. By completing a form we require, [you] you may restrict the Investment Accounts [you] you make available to [your] your Participants. Amounts allocated to any Investment Account identified below are invested in the shares of the corresponding Mutual Fund, Portfolio, Fund or other entity Portfolio listed below. (Use the following sentence and asterisks only if we allow the 90-day equity wash option for this contract) [The Competing Investment Accounts Account marked with an asterisk (*) are is not available if your Plan uses the FIA and if you do not want the FIA 20% annual transfer restriction provided in Section 5.5(b) 5.6 to apply. Investment Account Mutual Fund, Portfolio, Fund or Other Entity AIM Basic Value AIM Basic Value Fund AIM Mid Cap Core Portfolio ------------------------------------------ ------------------------------------------ AUL American Aggressive Investor Portfolio AUL American Aggressive Investor Portfolio AUL American Bond AUL American Bond AUL American Conservative Investor AUL American Conservative Investor Portfolio Portfolio AUL American Equity AIM Mid Cap Core AUL American Equity Fund AIM Small Cap Growth AIM Small Cap Growth Fund Xxxxx AUL American Balanced Xxxxx Managed AUL American Balanced Managed AUL American Moderate Investor Portfolio AUL American Moderate Investor Portfolio AUL American Money Market * AUL American Money Market AUL American Tactical Asset Allocation AUL American Tactical Asset Allocation Portfolio Portfolio Xxxxx American Growth Xxxxx American Growth Portfolio Xxxxx American Leveraged AllCap Xxxxx American Leveraged AllCap Portfolio American Century Equity Income American Century Equity Income Fund American Century Income & Growth American Century Income & Growth Fund American Century International Growth American Century International Growth Fund American Century Select American Century Select Fund American Century Small Cap Value American Century Small Cap Value Fund American Century Strategic Allocation: American Century Strategic Allocation: Aggressive Aggressive Fund American Century Strategic Allocation: American Century Strategic Allocation: Conservative Conservative Fund American Century Strategic Allocation: American Century Strategic Allocation: Moderate Moderate Fund American Century Ultra American Century Ultra Fund American Century VP Capital Appreciation American Century VP Capital Appreciation Fund Xxxxx Xxxxx Fund Ariel Appreciation Ariel Appreciation Fund Xxxxxxx Income Xxxxxxx Income Fund Xxxxxxx New Vision Small Cap Xxxxxxx New Vision Small Cap Fund Xxxxxxx Social Investment Equity Xxxxxxx Social Investment Equity Portfolio Xxxxxxx Social Mid-Cap Growth Xxxxxxx Social Mid-Cap Growth Portfolio Fidelity VIP Asset Manager Fidelity VIP Asset Manager Portfolio Fidelity VIP Contrafund Fidelity VIP Contrafund Portfolio Fidelity VIP Equity-Income Fidelity VIP Equity-Income Portfolio Fidelity VIP Growth Fidelity VIP Growth Portfolio Fidelity VIP High Income Fidelity VIP High Income Portfolio Fidelity VIP Overseas Fidelity VIP Overseas Portfolio INVESCO Dynamics INVESCO Dynamics Fund INVESCO Energy INVESCO Energy Fund INVESCO Financial Services INVESCO Financial Services Fund INVESCO Health Sciences INVESCO Health Sciences Fund INVESCO Technology INVESCO Technology Fund INVESCO Telecommunications INVESCO Telecommunications Fund Fidelity VIP II Asset Manager Fidelity VIP II Asset Manager Fidelity VIP II Contrafund Fidelity VIP II Contrafund Fidelity VIP II Index 500 Fidelity VIP II Index 500 Janus Aspen Series Flexible Income Portfolio Janus Aspen Series Flexible Income Portfolio Janus Aspen Series Worldwide Growth Portfolio Janus Aspen Series Worldwide Growth Portfolio MFS International New Discovery MFS International New Discovery PBHG Insurance Series Growth II PBHG Insurance Series Growth II PBHG Insurance Series Technology PBHG Insurance Series Technology and Communication and Communication SAFECO Resource Series Trust Equity Portfolio SAFECO Resource Series Trust Equity Portfolio SAFECO Resource Series Trust Growth SAFECO Resource Series Trust Growth Portfolio Portfolio X. Xxxx Price Equity-Income Portfolio X. Xxxx Price Equity-Income Portfolio P-GB-K-AUL1MFVA.23 CONTRACT NUMBER VXX,XXX CONTRACTHOLDER ABC SCHOOL PARTICIPANT'S NAME XXXX XXX SOCIAL SECURITY NUMBER 000-00-0000 American United Life Insurance Company hereby certifies that the Contractholder and AUL have entered into a Multiple-Fund MFS Mid Cap Growth MFS Mid Cap Growth Fund MFS Strategic Value MFS Strategic Value Fund MFS Value MFS Value Fund OneAmerica Investment Grade Bond OneAmerica Investment Grade Bond Portfolio OneAmerica Value OneAmerica Value Portfolio OneAmerica Asset Director OneAmerica Asset Director PortfolioGroup Variable Annuity Contract (the Contract) in connection with the Contractholder's tax-deferred annuity Plan and/or qualified retirement Plan, and that AUL has created an account in your name to receive Contributions from the Contractholder for your benefit pursuant to the Contract. When used in this certificate, "we," "us," or "our" refer to AUL. The only parties to the Contract are the Contractholder and AUL. All rights and benefits are determined in accordance with the provisions of the Contract. Benefits under the Contract will be paid at the Contractholder's direction. Any amendments to, or changes in, the Contract will be binding and conclusive on you and your beneficiary. This certificate is not itself the Contract, but is a certificate of participation in the Contract. AMERICAN UNITED LIFE INSURANCE COMPANY /s/ Xxxxxxx X. Xxxxx Secretary GUARANTEED BENEFIT EMPLOYER-SPONSORED TDA AND QUALIFIED PLAN MULTIPLE-FUND GROUP VARIABLE ANNUITY CERTIFICATE (SBR,MBR,NBR) ACCUMULATION UNITS IN ANY INVESTMENT ACCOUNT UNDER THE CONTRACT MAY INCREASE OR DECREASE IN VALUE ACCORDING TO THE INVESTMENT PERFORMANCE OF THE UNDERLYING INVESTMENTS HELD BY THE INVESTMENT ACCOUNT. THE VALUE OF SUCH ASSETS AND ACCUMULATION UNITS IS NOT GUARANTEED. SECTION 4 OF THIS CERTIFICATE EXPLAINS THE VALUATION OF SUCH ASSETS AND ACCUMULATION UNITS. If you have questions concerning the Contract, or wish to register a complaint, you may reach us by calling 0-000-000-0000.

Appears in 1 contract

Samples: Aul American Unit Trust

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