CASE NUMBER: 380-80123
ENTERPRISING SOLUTIONS, INC. DBA SUNWEST EMPLOYER SERVICES INC. EMPLOYEE SAVINGS PLAN
EMPLOYEE DIRECTED SALARY DEFERRAL 401(k) PLAN ENROLLMENT FORM
Aspen Pension Administrators
Please complete the following information accurately. Print Clearly. The information you provide should be current. All employees who have fulfilled the eligibility requirements to participate in the plan must complete all sections of the form.
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Social Security Number Last Name First Name M.I.
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Address City State Zip Code
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Date of Birth Date of Hire Sex (M or F) Phone Number
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Email Address
Contribution Election
_____ I want to make pre-tax salary deferral contributions to the plan. I authorize my employer to deduct_____.0%
_____ I do not wish to contribute to the plan at this time. I understand that if I choose not to enroll at this time, however, I may still choose to enroll at the next open enrollment.
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Participant Signature Date
INVESTMENTS OPTIONS ELECTION
The following investment allocation will apply to all new money deposited into an existing group annuity or trust contract unless otherwise directed. Monies previously deposited to this contract will not be changed to reflect the selections below. NOTE: In the event of a contract conversion from an existing individual annuity contract or from another group annuity contract or trust agreement, all money previously deposited at Nationwide will be invested pursuant to the selections below. If you have any questions, please consult your plan administrator. All allocations must be made in whole percentages.
I hereby authorize all FUTURE CONTRIBUTIONS be invested as follows.
Asset Inquire Asset Inquire
Class Code Class Code
BA MFS Diversified Inc R4-Cons _____ .0% 3798 BA JPM SmartRet 2030 Inst _____ .0% 3784
BA AmFds Am Balance R6-Mod _____ .0% 2550 BA JPM SmartRet 2035 Inst _____ .0% 3785
BA WR Ivy Bal I-Aggressive _____ .0% 3734 BA JPM SmartRet 2040 Inst _____ .0% 3786
BA JPM SmartRet 2010 Inst _____ .0% 3780 BA JPM SmartRet 2045 Inst _____ .0% 3787
BA JPM SmartRet 2015 Inst _____ .0% 3781 BA JPM SmartRet 2050 Inst _____ .0% 3788
BA JPM SmartRet 2020 Inst _____ .0% 3782 BA JPM Smart Ret Inc Inst _____ .0% 3789
BA JPM SmartRet 2025 Inst _____ .0% 3783 BA NW Fixed Select Option _____ .0% 8003
TOTAL 100%
Additional Funds are available to you after this enrollment process via www.nationwide.com
Asset Class Legend: SP-Specialty, IS-International Stocks, SC-Small-cap Stocks, MC- Mid-cap Stocks, LC- Large-cap Stocks, BA- Balanced, BD- Bonds,
CA- Cash, AA-Asset Allocation, SB- Short-Term Bonds