State Agency Stip Participation Agreement Sample Contracts

STIP Program Documents - Revised 3/5/19
State Agency Stip Participation Agreement • March 5th, 2019

STATE AGENCY STIP PARTICIPATION AGREEMENT STIP Program Manager Montana Board of Investments boi_stip@mt.govP.O. Box 200126 Helena, MT 59620-0126Phone (406)444-0003 For Official Use Only TA Account Number The State agency listed below hereby agrees to participate in the STIP Program as established under Section 17-6-202, MCA, and the terms and conditions of the STIP operations as determined by the Montana Board of Investments (MBOI): Section 1. State Agency Information Summary State Agency  Tax Identification Number (TIN)  81-0302402 Mailing Adddress  City  State  MT Zip  Contact Name  Phone  E-mail  Section 2. SABHRS Investment and Earnings Information Please complete the following investment accounting information. If the agency chooses to have the STIP earnings reinvested, the earnings must be reinvested to the SABHRS Business Unit and Fund holding the STIP investment. InvestmentBusiness Unit  Investment FundNumber  Investment FundName  Reinvest Earn

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STIP Program Documents - Revised 01/19/2023
State Agency Stip Participation Agreement • March 5th, 2019

STATE AGENCY STIP PARTICIPATION AGREEMENT STIP Program Manager Montana Board of Investments boi_stip@mt.govP.O. Box 200126 Helena, MT 59620-0126Phone (406)444-0003 For Official Use Only TA Account Number The State agency listed below hereby agrees to participate in the STIP Program as established under Section 17-6-202, MCA, and the terms and conditions of the STIP operations as determined by the Montana Board of Investments (Board): Section 1. State Agency Information Summary State Agency 🡺 Tax Identification Number (TIN) 🡺 81-0302402 Mailing Adddress 🡺 City 🡺 State 🡺 MT Zip 🡺 Contact Name 🡺 Phone 🡺 E-mail 🡺 Section 2. SABHRS Investment and Earnings Information Please complete the following investment accounting information. If the agency chooses to have the STIP earnings reinvested, the earnings must be reinvested to the SABHRS Business Unit and Fund holding the STIP investment. Investment Business Unit 🡺 Investment Fund Number 🡺 Investment Fund Name 🡺 Reinvest

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