ANNUITANT: John Doe CONTRACT NUMBER: 123456789 CO-ANNUITANT: Jane Doe CONTRACT ISSUE DATE: October 1, 2000 PAYOUT DATE: October 1, 2050 LIFE INCOME RATES: Type A INCOME OPTION: 10 C & L LOAN AVAILABLE: No OWNER(S): John Doe Jane DoeFlexible Premium Deferred Variable Annuity • January 2nd, 2008 • Cuna Mutual Variable Annuity Account
Contract Type FiledJanuary 2nd, 2008 Company
Exhibit 4(a)(iv) [CUNA MUTUAL GROUP LOGO] CUNA Mutual Insurance Society A Mutual Insurance Company 2000 Heritage Way Waverly, IA 50677 Phone: 1-800-798-5500 FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT NUMBER: 123456789 READ YOUR CONTRACT...Flexible Premium Deferred Variable Annuity • January 2nd, 2008 • Cuna Mutual Variable Annuity Account
Contract Type FiledJanuary 2nd, 2008 Company
EXHIBIT 4(a) [CUNA MUTUAL LIFE INSURANCE COMPANY LOGO] A Mutual Insurance Company 2000 Heritage Way - Waverly, Iowa 50677 Phone: 800/798-5500 FLEXIBLE PREMIUM DEFERRED VARIABLE ANNUITY CONTRACT NUMBER: 123456789 READ YOUR CONTRACT CAREFULLY. This is a...Flexible Premium Deferred Variable Annuity • June 14th, 2004 • Cuna Mutual Life Variable Annuity Account
Contract Type FiledJune 14th, 2004 Company
1. THE ACCUMULATED VALUE OF THE CONTRACT ON THE DATE THE CONTRACT IS RECEIVED AT OUR VARIABLE PRODUCT SERVICE CENTER; 2. ANY ADMINISTRATIVE CHARGES WHICH WERE DEDUCTED; AND 3. AMOUNTS APPROXIMATING DAILY CHARGES AGAINST THE VARIABLE ACCOUNT.Flexible Premium Deferred Variable Annuity • September 3rd, 2003 • Country Investors Variable Annunity Account
Contract Type FiledSeptember 3rd, 2003 Company
1. THE ACCUMULATED VALUE OF THE CONTRACT ON THE DATE THE CONTRACT IS RECEIVED AT OUR VARIABLE PRODUCT SERVICE CENTER; 2. ANY ADMINISTRATIVE CHARGES WHICH WERE DEDUCTED; AND 3. AMOUNTS APPROXIMATING DAILY CHARGES AGAINST THE VARIABLE ACCOUNT.Flexible Premium Deferred Variable Annuity • April 10th, 2003 • Country Investors Variable Annunity Account
Contract Type FiledApril 10th, 2003 Company
THRIVENT FINANCIAL FOR LUTHERANS A Fraternal Benefit Society Appleton, Wisconsin 54919Flexible Premium Deferred Variable Annuity • October 1st, 2002 • Thrivent Variable Annuity Account I
Contract Type FiledOctober 1st, 2002 CompanyThis certificate of membership and variable annuity is a legal contract between you and Thrivent Financial for Lutherans. We issue this contract based on the Application signed by the applicant(s) and the payment of the first premium. We will pay you the Annuity Income beginning on the Annuity Date (see page 3) if an Annuitant is living on that date and this contract is in force. If an Annuitant dies after Annuity Income payments have begun, any amount payable will depend upon the terms of the settlement option elected. We will pay the Death Proceeds to the beneficiary if the death of the Annuitant, or the death of the first Annuitant to die if this contract has two Annuitants, occurs before the Annuity Date. The Annuity Income and Death Proceeds will be paid according to the provisions of this contract. Accumulated Value, Death Proceeds and Annuity Income payments, when based on the investment experience of the Variable Account, may increase or decrease daily and are not guarantee
THRIVENT FINANCIAL FOR LUTHERANS A Fraternal Benefit Society Appleton, Wisconsin 54919Flexible Premium Deferred Variable Annuity • May 31st, 2002 • Thrivent Variable Annuity Account I
Contract Type FiledMay 31st, 2002 CompanyThis certificate of membership and variable annuity is a legal contract between you and Thrivent Financial for Lutherans. We issue this contract based on the Application signed by the applicant(s) and the payment of the first premium. We will pay you the Annuity Income beginning on the Annuity Date (see page 3) if an Annuitant is living on that date and this contract is in force. If an Annuitant dies after Annuity Income payments have begun, any amount payable will depend upon the terms of the settlement option elected. We will pay the Death Proceeds to the beneficiary if the death of the Annuitant, or the death of the first Annuitant to die if this contract has two Annuitants, occurs before the Annuity Date. The Annuity Income and Death Proceeds will be paid according to the provisions of this contract. Accumulated Value, Death Proceeds and Annuity Income payments, when based on the investment experience of the Variable Account, may increase or decrease daily and are not guarantee
Phone ( )_____________________ DayFlexible Premium Deferred Variable Annuity • August 4th, 2000 • Northbrook Variable Annuity Account Ii
Contract Type FiledAugust 4th, 2000 Company