ContractDeferred Compensation Plan • August 9th, 2002
Contract Type FiledAugust 9th, 2002DEFERRED COMPENSATION PLAN/NYCE IRAAUTHORIZATION AGREEMENT FOR ELECTRONIC FUND TRANSFER (EFT)PLEASE READ THE REVERSE SIDE OF THIS FORM FOR ADDITIONAL INFORMATIONTHE TEXT OF THIS FORM CANNOT BE ALTERED PARTICIPATION INFORMATION social security number date of birth area code home telephone number area code day time phone number / / last name first name mi address - street and number apt city state zip code Email Address Plan Type/Description: Check all that apply 01: 457 Contribution Account 03: 401(k) Contribution Account 05: 401(k) Special Rollover Account 07: Traditional NYCE IRA 09: Inherited Traditional NYCE IRA 02: 457 Payout Account 04: 401(k) Payou