403(b)(7) Custodial Account Kit - Human Resources

What's inside: ? Plan at a glance ? New Account Form ? Salary Reduction

Agreement

403(b)(7) Custodial Account Kit

To establish a 403(b)(7) account

How to establish an account

Choose your investments. You may select up to five Vanguard funds for your account. Refer to the enclosed fund prospectus(es) or go to for fund names, numbers, and minimum investment amounts. Be sure the funds you want are currently open to new investors. We charge participants a $15 annual recordkeeping fee (i.e., account service fee) for each mutual fund they hold in their Vanguard 403(b)(7) account. We'll withdraw the fee directly from the fund accounts each June. This fee doesn't apply to Flagship, Voyager Select, or Voyager Services clients. (If you have a 403(b)(7) account, you must have an additional Vanguard mutual fund account relationship to qualify for these services.) Complete the enclosed 403(b)(7) New Account Form. Mail the application (included in this kit) in the enclosed postage-paid envelope. Vanguard will notify you by mail when your account has been established. Determine how much you want to contribute. The minimum contribution is $50 per fund per pay period. If you're under age 50 in 2012, you may contribute up to $17,000. If you're age 50 or older in 2012, you can contribute up to $22,500.* Your contributions can't exceed 100% of your compensation for the year. You should also consult with your employer if you participated in more than one plan during the year. Begin contributing. Complete either your employer's salary reduction agreement or the 403(b)(7) Salary Reduction Agreement included in this kit (whichever form your employer prefers) and return it to your employer. Keep a copy of the signed form for your records; don't send it to Vanguard.

Questions?

If you need assistance, call us at 800-662-2739 on business days from 8 a.m. to 10 p.m. or on Saturdays from 9 a.m. to 4 p.m., Eastern time.

*If you've been with your employer for more than 15 years, you may be eligible to make an additional service-based catch-up contribution.

403(b)(7) plan at a glance

Here's how to handle common transactions once your account is established. Some transactions require you to complete and submit a form, but many can be performed securely online at . You can also use our website to download the forms, view account values, recent transactions, account statements, fund reports, and prospectuses.

Transaction

Account changes

? Change your e-mail address. ? Change your mailing address. ? Update your name. Use our Name Change Form. ? Change your beneficiaries. Use our 403(b)(7) Beneficiary

Designation Form.*

How to handle

Log on to

Complete a form

Contributions

? Update your contribution allocations for incoming

contributions. (You can also do this by phone.)

? Change you contribution amount. Use our 403(b)(7)

Salary Reduction Agreement. (Submit to your employer,

not to Vanguard.)

Money movement

? Exchange (move money from one Vanguard fund to

another). This won't change how your future contributions

are invested.

? Account exchange/transfer (move money from another

403(b)(7) plan or annuity to your Vanguard 403(b)(7)). Use

our 403(b)(7) Account Exchange/Transfer Authorization.*

? Rollover (move money from another type of retirement

plan into your Vanguard 403(b)(7)). Use our Retirement

Plan Rollover Form.*

Statements and confirmations

? Request duplicate statements. Submit the names and

addresses of up to three interested parties to Vanguard.

? Request that future confirmations be sent by e-mail.

Withdrawals

? Take a single distribution. Use our 403(b)(7) Single

Distribution (Excluding Hardship Withdrawals) Form.*

? Take a hardship withdrawal. Use our 403(b)(7)

Hardship Withdrawal Form.

? Take installment distributions. Use our 403(b)(7)

Installment Distribution Form.*

Send us a letter

*If your plan is subject to the Employee Retirement Income Security Act of 1974 (ERISA), your administrator must approve the transaction by signing this form.

Form CARF1

403(b)(7) New Account Form

Use this form to establish a 403(b)(7) account. Print in capital letters and use black ink.

Questions? Call 800-662-2739.

If you need other forms, visit our website at serviceforms.

1. Employee Information

Provide the full, legal name.

>

Name first, middle initial, last

Birth date mm/dd/yyyy

E-mail address

Daytime phone area code, number, extension Evening phone area code, number, extension

Social Security number (SSN) or individual taxpayer ID number (ITIN)

Citizenship

U.S. Resident alien Nonresident alien

You must complete this entire section.

>

Country of citizenship

if not U.S.

Tax Residency U.S. Other Country of tax residence if not U.S.

Mailing Address Street or P.O. box

City, state, zip

Country if not U.S.

Street Address A P.O. box or rural route is NOT acceptable; address can be military APO or FPO.

This is required

if it is different

from mailing address or if

>

mailing address

is a P.O. box.

Street City, state, zip

Country if not U.S.

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Form CARF1

2. Plan Information

If you are transferring assets from another financial institution, complete a 403(b)(7) Account Exchange/Transfer Authorization Form and mail it with this form.

Check and complete one of the plan options below.

Your employer must complete a 403(b)(7)

Plan Authorization >

Form and mail it with this form.

New plan.

This is a new Vanguard 403(b)(7) program for my employer.

Existing plan.

My employer has an existing Vanguard 403(b)(7) program, and I am a new participant.

Obtain this number from your employer.

>

Plan Identification Number

3. Employer Information

Name of Institution Street Address Phone area code, number, extension

City, State, Zip Contact Person or Department if known

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Form CARF1

4. Funds You Would Like to Invest In

Refer to the enclosed fund prospectus(es) or visit for fund names, fund numbers, and minimum initial investment amounts. If you do not specify any funds, or if your asset transfer does not meet the minimum investment for a fund, that money will be invested in Vanguard Prime Money Market Fund. If you do not provide percentages, your investment will be divided equally among the funds you indicate.

Fund Name

If you are investing

in a fund with a

minimum initial

investment of $10,000 or more,

>

you must meet the

minimum investment

for that fund.

Fund Name Fund Name Fund Name

Fund Number Fund Number Fund Number Fund Number

Note: We charge participants a $15 annual account service fee for each mutual fund

they hold in their Vanguard 403(b)(7) account. We'll withdraw the fee directly from the fund accounts each June. This fee doesn't apply to members of Flagship?, Voyager Select?, and Voyager Services?. (If you have a 403(b)(7) account, you must have an

additional Vanguard mutual fund account relationship to qualify for these services.)

Percentage

%

Percentage

%

Percentage

%

Percentage

%

Total

100%

5. Beneficiaries for This Account

ERISA participants: If you are married and your plan is subject to the Employee Retirement Income Security Act (ERISA), you may be required to allocate at least 50% of your account to your surviving spouse as a preretirement survivor annuity unless your spouse consents to a nonspouse beneficiary designation in the presence of a plan representative or a notary public. If you plan to name a beneficiary other than your spouse, contact your administrator--not Vanguard--to determine whether these annuity requirements apply to you and, if so, to obtain an explanation of the rules and a spousal consent form.

Primary Beneficiaries Check all that apply.

Those you designate as your primary beneficiaries will be first to inherit your 403(b)(7) plan assets upon your death. Indicate the percentages of your assets to be distributed to the designated primary beneficiaries upon your death. The total must equal 100%.

My Spouse

If you select "To the person I am married to at the time of my death," your assets will be distributed to whoever is your spouse at that time.

To the person named here

Check only

one option; do not >

check both boxes.

Name first, middle initial, last or

Birth Date mm/dd/yyyy

%

To the person I am married to at the time of my death

%

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