AMENDMENT NO. 3
TO
AMENDED AND RESTATED FUND PARTICIPATION AGREEMENT
THIS AMENDMENT No. 3 TO THE AMENDED AND RESTATED FUND PARTICIPATION AGREEMENT
("Amendment"), is dated as of November 30, 2010, by and between ULTRA SERIES
FUND ("TRUST") a Massachusetts business trust, Mosaic Funds Distributor, LLC
("DISTRIBUTOR"), a Wisconsin limited liability company, and CUNA MUTUAL
INSURANCE SOCIETY ("LIFE COMPANY"), a life insurance company organized under the
laws of the State of Iowa.
WHEREAS, Trust, Distributor and Life Company are parties to that certain
Amended and Restated Fund Participation Agreement dated as of June 30, 2009, as
amended ("Agreement");
WHEREAS, the parties wish to amend and restate Appendix A to the Agreement to
reflect the available Portfolios and classes.
NOW, THEREFORE, in consideration of the foregoing and of the promises and the
mutual agreements herein set forth, and for other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties hereby agree that Appendix A to the Agreement is deleted and replaced
with the attached Appendix A.
IN WITNESS WHEREOF, the parties have caused their duly authorized officers to
execute this Amendment to the Amended and Restated Fund Participation Agreement
as of the date and year first above written.
MOSAIC FUNDS DISTRIBUTOR, LLC ULTRA SERIES FUND
By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇ By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇
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Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇ Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇
Title: General Counsel and Chief Title: General Counsel and Chief
Legal Officer Legal Officer
CUNA MUTUAL INSURANCE SOCIETY
By: /s/ ▇▇▇▇▇ ▇▇▇▇
--------------------------
Name: ▇▇▇▇▇ ▇▇▇▇
Title: Senior Vice President
APPENDIX A
PORTFOLIOS
Conservative Allocation Fund (Class I and Class II)
Moderate Allocation Fund (Class I and Class II)
Aggressive Allocation Fund (Class I and Class II)
Money Market Fund (Class I and Class II)
Bond Fund (Class I and Class II)
High Income Fund (Class I and Class II)
Diversified Income Fund (Class I and Class II)
Equity Income Fund (Class I and Class II)
Large Cap Value Fund (Class I and Class II)
Large Cap Growth Fund (Class I and Class II)
Mid Cap Fund (Class I and Class II)
Small Cap Fund (Class I and Class II)
International Stock Fund (Class I and Class II)
Target Retirement 2020 (Class I)
Target Retirement 2030 (Class I)
Target Retirement 2040 (Class I)
Target Retirement 2050 (Class I)
