SRA. You must list all new and existing 403(b) deductions on this SRA form or they will be cancelled. The salary reductions identified in the space below will be the only deductions performed starting on the Effective Date. Investment Provider Name* Monthly Dollar Type of Deferrals Requested Action Effective New Existing Date** $ Change Cancel 1, 2021 $ Change Cancel 1, 2021 $ Total Monthly Contributions *Please Note: Certain investment providers may not pay the administration fee. If you select an investment provider that does not pay the administration fee, the fee will be deducted and paid from your salary reduction amount. Please refer to the approved vendor list at ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/▇▇▇▇ for a current listing of providers that have agreed to pay the fee. ** Please submit the SRA to NBS 5 business days prior to the SRA due date to ensure your contributions begin as you intended.
Appears in 1 contract
Sources: Salary Reduction Agreement
SRA. You must list all new and existing 403(b) deductions on this SRA form or they will be cancelled. The salary reductions identified in the space below will be the only deductions performed starting on the Effective Date. Investment Provider Name* Monthly Dollar or Type of Deferrals Requested Action Effective Pre-Tax 403(b) ▇▇▇▇ 403(b) New Existing Date** $ or % Change Cancel 1, 2021 2022 $ or % Change Cancel 1, 2021 2022 $ or % Total Monthly Contributions *Please Note: Certain investment providers may not pay the administration fee. If you select an investment provider that does not pay the administration fee, the fee will be deducted and paid from your salary reduction amount. Please refer to the approved vendor list at ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/▇▇▇▇ for a current listing of providers that have agreed to pay the fee. ** Please submit the SRA to NBS 5 business days prior to the SRA due date to ensure your contributions begin as you intended.
Appears in 1 contract
Sources: Salary Reduction Agreement
SRA. You must list all new and existing 403(b) deductions on this SRA form or they will be cancelled. The salary reductions identified in the space below will be the only deductions performed starting on the Effective Date. Investment Provider Name* Monthly Dollar or Type of Deferrals Requested Action Effective Pre-Tax 403(b) New Existing Date** $ or % Change Cancel 1, 2021 2022 $ or % Change Cancel 1, 2021 2022 $ or % Total Monthly Contributions *Please Note: Certain investment providers may not pay the administration fee. If you select an investment provider that does not pay the administration fee, the fee will be deducted and paid from your salary reduction amount. Please refer to the approved vendor list at ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/▇▇▇▇ for a current listing of providers that have agreed to pay the fee. ** Please submit the SRA to NBS 5 business days prior to the SRA due date to ensure your contributions begin as you intended.
Appears in 1 contract
Sources: Salary Reduction Agreement
SRA. You must list all new and existing 403(b) deductions on this SRA form or they will be cancelled. The salary reductions identified in the space below will be the only deductions performed starting on the Effective Date. Investment Provider Name* Monthly Dollar or Type of Deferrals Requested Action Effective Pre-Tax 403(b) ▇▇▇▇ 403(b) New Existing Date** $ or % Change Cancel 1, 2021 2020 $ or % Change Cancel 1, 2021 2020 $ or % Total Monthly Contributions *Please Note: Certain investment providers may not pay the administration fee. If you select an investment provider that does not pay the administration fee, the fee will be deducted and paid from your salary reduction amount. Please refer to the approved vendor list at ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/▇▇▇▇ for a current listing of providers that have agreed to pay the fee. ** Please submit the SRA to NBS 5 business days prior to the SRA due date to ensure your contributions begin as you intended.
Appears in 1 contract
Sources: Salary Reduction Agreement
SRA. You must list all new and existing 403(b457(b) deductions on this SRA form or they will be cancelled. The salary reductions identified in the space below will be the only deductions performed starting on the Effective Date. Investment Provider Name* Monthly Dollar or Type of Deferrals Requested Action Effective 457(b) ▇▇▇▇ 457(b) Other New Existing Date** $ or % Change Cancel 1, 2021 $ or % Change Cancel 1, 2021 $ or % Change Cancel 1, 2021 Total Monthly Contributions *Please Note: Certain investment providers may not pay the administration fee. If you select an investment provider that does not pay the administration fee, the fee will be deducted and paid from your salary reduction amount. Please refer to the approved vendor list at ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/▇▇▇▇ for a current listing of providers that have agreed to pay cover the fee. ** *Please submit the SRA to NBS 5 business days prior to the SRA due date to ensure your contributions begin as you intended.
Appears in 1 contract
Sources: 457(b) Salary Reduction Agreement
SRA. You must list all new and existing 403(b) deductions on this SRA form or they will be cancelled. The salary reductions identified in the space below will be the only deductions performed starting on the Effective Date. Investment Provider Name* Monthly Dollar Type of Deferrals Requested Action Effective New Existing Date** $ Change Cancel 1, 2021 2022 $ Change Cancel 1, 2021 2022 $ Total Monthly Contributions *Please Note: Certain investment providers may not pay the administration fee. If you select an investment provider that does not pay the administration fee, the fee will be deducted and paid from your salary reduction amount. Please refer to the approved vendor list at ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/▇▇▇▇ for a current listing of providers that have agreed to pay the fee. ** Please submit the SRA to NBS 5 business days prior to the SRA due date to ensure your contributions begin as you intended.
Appears in 1 contract
Sources: Salary Reduction Agreement
SRA. You must list all new and existing 403(b457(b) deductions on this SRA form or they will be cancelled. The salary reductions identified in the space below will be the only deductions performed starting on the Effective Date. *Investment Provider Name** *I have established *Monthly Dollar or Percentage *Type of Deferrals *Requested Action *Effective Date Amount Other New Existing Date** $ Change Cancel 1, 2021 $ Change Cancel 1, 2021 $ Total Monthly Contributions **Please Note: Certain investment providers may not pay the administration fee. If you select an investment provider that does not pay the administration fee, the fee will be deducted and paid from your salary reduction amount. Please refer to the approved vendor list at ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/▇▇▇▇ for a current listing of providers that have agreed to pay cover the fee. ** Please submit the SRA to NBS 5 business days prior to the SRA due date to ensure your contributions begin as you intended.
Appears in 1 contract
Sources: 457(b) Salary Reduction Agreement
SRA. You must list all new and existing 403(b) deductions on this SRA form or they will be cancelled. The salary reductions identified in the space below will be the only deductions performed starting on the Effective Date. Investment Provider Name* Monthly Dollar Type of Deferrals Requested Action Effective ▇▇▇▇ 403(b) New Existing Date** $ Change Cancel 1, 2021 $ Change Cancel 1, 2021 $ Total Monthly Contributions *Please Note: Certain investment providers may not pay the administration fee. If you select an investment provider that does not pay the administration fee, the fee will be deducted and paid from your salary reduction amount. Please refer to the approved vendor list at ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/▇▇▇▇ for a current listing of providers that have agreed to pay the fee. ** *Please submit the SRA to NBS 5 business days prior to the SRA due date to ensure your contributions begin as you intended.
Appears in 1 contract
Sources: 403(b) Salary Reduction Agreement