AMENDMENT NO. 4 TO PARTICIPATION AGREEMENT
AMENDMENT NO. 4 TO PARTICIPATION AGREEMENT
Transamerica Financial Life Insurance Company (formerly AUSA Life Insurance Company, Inc.),
Variable Insurance Products Fund III and Fidelity Distributors Corporation hereby amend the
Participation Agreement ("Agreement") dated August 31, 2000, as amended, by doing the following:
The Schedule A of the Agreement is hereby deleted in its entirety and replaced with the
Amended Schedule A attached hereto.
IN WITNESS WHEREOF, the parties have hereto affixed their respective authorized signatures,
intending that this Amendment be effective as of the 1st day of May, 2005.
TRANSAMERICA FINANACIAL LIFE INSURANCE COMPANY
By: /s/Xxxxxxxxx X. Xxxxxxx
Name: Xxxxxxxxx X. Xxxxxxx
Title: Assistant Vice President and Assistant Secretary
VARIABLE INSURANCE PRODUCTS FUND III
By: / s/Xxxxxxxxx Xxxxxxxx
Name: Xxxxxxxxx Xxxxxxxx
Title: Treasurer- E.V.P.
FIDELITY DISTRIBUTORS CORPORATION
By: /s/Xxxx Xxxxxxxx
Name: Xxxx Xxxxxxxx
Title: E.V.P.
Schedule A
Separate Accounts and Associated Contracts
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Name of Separate Account and
Date Established by Board of Directors
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Policy Form Numbers of Contracts
Funded by Separate Account
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(est. October 24, 1994)
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Form Number: VL03NY
Product: TFLIC Financial
Freedom Builder
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Form Number: VL95NY
Product: TFLIC Freedom Elite Builder
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Form Number: JLS02NY
Product: TFLIC Freedom Wealth Protector
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Separate Account VA BNY
(est. September 27, 1994)
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Form Number: AV343 101 90 396
Product: TFLIC Landmark Variable
Annuity
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TFLIC Series Annuity Account
(est. March 20, 2001)
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Form Number: WL18NY
Product: TFLIC Freedom Premier
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Separate Account VA QNY
(est. August 13, 1996)
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Form Number AV1024 101 179 1003
Product: Flexible Premium Variable Annuity - E
(No marketing name at this time)
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TFLIC Separate Account VNY
(est. December 14, 2004)
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Form Number A V 1197 101 200 505
Product: Advisor's Edge® NY Variable Annuity
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