Check one below. ¨ The proceeds of such Advance should be delivered to the Swingline Lender. ¨ The proceeds of such Advance should be delivered to the Servicer
Check one below. Microwave is requested by the resident and supplied by facility. Microwave is declined by resident or responsible party. Microwave is the property of the resident. Resident lacks capacity to utilize cooking appliance. RESPONSIBILITY FOR RESIDENT’S PERSONAL FUNDS Check one below: Resident will manage own personal funds. Responsible party will manage resident personal funds. Facility will manage resident personal funds. Facility terms for financial management of Resident Personal Allowance and Resident Trust Account: All residents are allowed to manage their own financial affairs. The resident may authorize another person to manage his/her money in writing. The resident may choose the manner in which his/her money is managed, including a money management program, representative payee program, financial power of attorney, trust or similar method, as described by the resident. The facility does not require that residents deposit funds with the facility. The facility administrator, resident liaison or other designee will maintain the management of personal allowance accounts. The administrator is ultimately responsible for all resident personal allowance accounts. The facility will provide for the safekeeping and accountability of resident funds and hold harmless and indemnify the resident from any loss of or theft of funds in accordance with the following:
Check one below. ☐ Election to Receive upon Separation from Service ☐ Election to Receive at a Specified Date January of (must be [BONUS YEAR PLUS FOUR] or later) If the Executive fails to make a valid election regarding the date on which his or her Distributable Balance becomes payable, the Executive shall be deemed to have elected payment upon his or her separation from service.
Check one below. [ ] The proceeds of such Revolving Loan should be delivered to the Swingline Lender. [ ] The proceeds of such Revolving Loan should be delivered to the Administrative Agent for payment to the Borrower.
Check one below. ¨ The proceeds of such Advance should be delivered to the Swingline Lender. ¨ The proceeds of such Advance should be delivered to the Alternative Swingline Lender. ¨ The proceeds of such Advance should be delivered to the Servicer. ¨ of such Advance should be delivered to the Alternative Currency Swingline Lender and of such Advance should be delivered to the Servicer. ¨ of such Advance should be delivered to the Alternative Currency Swingline Lender and of such Advance should be delivered to the Servicer.
