0001104659-08-028365 Sample Contracts

May 16, 2007 Ms. Kathryn Hendrickson First Symetra National Life Insurance Company of New York Legal Department, SC-11 777 108th Ave. NE, Suite 1200 Bellevue, WA 98004
Participation Agreement • April 30th, 2008 • First Symetra National Life Insurance Co of Ny Sep Acct S • Massachusetts

Re: Participation Agreement among Variable Insurance Products Fund, Variable Insurance Products Fund II, Variable Insurance Products Fund III and Variable Insurance Products Fund IV, Fidelity Distributors Corporation (the “Underwriter”) and Insurance Company (the “Company”), dated April 30, 2007 (the “Participation Agreement”)

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If you have questions, comments, or complaints, please contact First Symetra at [800-SYMETRA (800-796-3872)]. READ YOUR CONTRACT CAREFULLY
Annuity Contract • April 30th, 2008 • First Symetra National Life Insurance Co of Ny Sep Acct S

Annuitant The natural person(s) on whose life/lives annuity payments are based. You are the Annuitant unless you designate someone else before the Annuity Date.

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