Vanguard

Vanguard

?

Employer Sponsored Retirement Plan

Written Exchange Request

For institutional plan participant use only

I. Account Information

Please print clearly.

Plan Number*

Plan Name*

__

SSN #

__

Limit: One form per Plan.

Phone Number

Participant

Name*

Participant

Address*

City*

Zip Code*

State*

*Required Fields

II. Exchange Directions

Choose One Option - A, B or C

I hereby direct all current assets in the funds outlined below be exchanged in the following manner. All available

sources will be included in this exchange subject to the Plan rules. If you need additional space, please attach a

separate piece of paper and ensure that you include the from fund/amount and to fund/amount.

Option A

Exchange Funds - By choosing this option, you have elected to transfer existing money between funds either by whole percentage or

dollar amount. This will not affect how new contributions will be invested.

FROM

Fund Number

TO

Fund Number

Percent Or Dollar Amount Or Shares

Percent Or Dollar Amount Or Shares

Percentage

must total

100%

Change Current Asset Mix - By choosing this option, you have elected to change how your existing plan balance is allocated by

entering new percentages for your funds. This will only affect existing money ~ it will not affect how new contributions will be invested.

Option B

Please take 100% of my existing money and distribute to the following funds and percentages.

Fund Number

Percent

Option C

Check box only if you wish to change

future contributions to match these

selections as well.

100%

Rebalance Funds - By choosing this option, you have elected to reinvest your existing plan balances to match your current contribution

allocation percentages. To view your current contribution mix, logon to your account or call Vanguard.

*If market fluctuations cause your available balance to drop below the requested amount as of the trade date, your transaction request will not be in

good order and will not be processed. Consider changing your transaction amount to 100% of your total balance or modifying the transaction amount.

If you proceed with the dollar amount requested, you should confirm that your request was processed. Check or contact Vanguard at

800-523-1188 to determine if you need to re-initiate your request based on your available balance.

III. Authorization

By signing below, I acknowledge that I have read Vanguard's Frequent Trading Policy in the funds' prospectuses and

understand that my request may be denied. I also understand that once this request is submitted, this transaction cannot

be changed or canceled for any reason.

This form cannot be faxed or emailed back to Vanguard.

Mail completed form to:

Signature of Participant

Date

Please make a copy for your records.

Connect with Vanguard?

Overnight

Vanguard

ATTN: DC Plan

5951 Luckett Court Suite A2

El Paso, TX 79932

T38104_062020

Print Form

(06/15/2020)

?2020

The Vanguard Group, Inc.

All rights reserved.

U.S. Mail

Vanguard

ATTN: DC Plan

P.O. Box 982902

El Paso, TX 79998-2902

>



> 800-523-1188

WMS Scan: T381

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download