Things to Remember r Complete all of the sections on the Participation Agreement that apply to your request. r Remember to have your funding options total 100%, in whole percentages, when completing the Funding Options section. r Complete the Authorization section, and remember to sign and date this Participation Agreement. r Enclose the completed Participation Agreement, and any other documentation in the business reply envelope included with this booklet. r Pre-tax and Xxxx contributions will use the same investment election and allocation. If you wish to have different selections, call us at 1-877-677- 3678. r Earnings from designated Xxxx contributions may be subject to income taxes and penalties upon distribution if the distribution is deemed to be Non-Qualified. A Qualified distribution is one that the contributions are held in the Designated Xxxx Account for 5 consecutive tax years and the participant is at least age 59 ½, has become disabled or has died. In addition, Designated Xxxx Accounts which are rolled over into this account may be subject to income taxes and penalties if they are deemed Non-Qualified. Designated Xxxx Contributions are generally not subject to income taxes or penalties. = Denotes an important note or critical information. Please read any disclosures noted by the this flag. Nationwide Retirement Solutions Participation Agreement Payroll Deduction Authorization and Service Request for 457 and 401(a) Plans Please note that the information provided on this Participation Agreement will supercede any prior information provided, such as allocations, contribution amounts, contribution types (e.g. Pre-Tax, Xxxx) and/or beneficiary information. The information provided on this participation agreement shall become effective on the date accepted by the Administrative Services Provider. Name Social Security Number Address Date of Birth City, State, & Zip Code Contact Phone Number Email Address Gender (circle one) Male Female Plan Name Plan ID Personal Information r Check here if this is a name change (proof of name change must be attached) r Check here if this is a new address Type of Request Contribution Summary & Payroll Frequency Beneficiary Designation DC-4642-1012 r New r Change r Reinstatement NOTE: All increases, decreases and suspensions will be implemented no sooner than the first payroll of the month following the change. Please remember to check your paystub to confirm your selected contributions are accurately reflected and being processed. Perc...
Things to Remember. ⮚ Do not send money to receive the prize; the prize will often be overpriced or worthless. ⮚ Do not give out your personal information (i.e., social security number or credit card number) since it may be sold or misused. ⮚ If you are asked to call a 900 number, know that it costs money to make this call. ⮚ Ignore all solicitations for foreign lottery promotions since many promotions for foreign lotteries are phony. DOOR-TO-DOOR SALES ⮚ Ask to see the person’s identification before making a purchase ⮚ If it sounds too good to be true, it probably is. ⮚ By law, you have 3 business days to cancel a door-to-door contract for an amount of $25 or more. The sales person must give you a notice of cancellation form. If you timely cancel in writing, the sales person must return your money and pick up the product within 20 days. If not, you can keep it. REPORT FRAUD TO THE STATE ATTORNEY GENERAL’S CONSUMER HOTLINE (0-000-000-0000) AND THE FEDERAL TRADE COMMISSION (0-000-000-0000). SeniorLAW Center assists many low- income Philadelphia seniors with consumer legal problems. Call SeniorLAW Center’s intake line, 215-988-1242, Monday through Friday between 9 a.m. and 1 p.m. for help or information. CONSUMER PROTECTION INFORMATION FOR THE CONSUMER SeniorLAW Center (formerly known as Judicare) Land Title Building 000 X. Xxxxx Xxxxxx, Xxxxx 0000 Xxxxxxxxxxxx, XX 00000 000-000-0000
Things to Remember. Keep air-intake clean of debris and do not touch the muffler or cylinder. These parts get extremely hot from operation, and remain hot for a short time after the equipment is turned off. WARNING: Periodically inspect the muffler for loose fasteners, any damage, or corrosion. If any sign of exhaust leakage is found, stop using the machine and have it repaired immediately. Note that failing to do so may result in the engine catching on fire.
Things to Remember. 1) This application is not intended for:
Things to Remember. Watch for financial results that seem inconsistent with underlying performance or transactions with no clear business purpose. • Answer all inquiries from Wal-Mart’s management, internal and external auditors and internal investigators accurately and completely. Do not suppress or withhold relevant information. • Retain documents in accordance with applicable laws, regulations or court orders and in compliance with all internal retention policies and directives. • Wal-Mart is required by law to retain all complaints received regarding accounting, internal audit controls, or auditing matters. Complaints regarding these subjects must be forwarded immediately to the Internal Audit Department. • Never sign a document that you believe to be inaccurate or untruthful. • Be alert for any attempts to circumvent internal controls. • Follow Wal-Mart directions and guidelines for product pricing, markups and markdowns.
Things to Remember. It is your responsibility to disclose to your immediate supervisor any situation that you believe creates or could create a conflict of interest. • Supervisors are encouraged to then bring the matter to the attention of the Ethics Office who will determine how to proceed. • When in doubt, disclose the facts and get advice before acting. Certain Wal-Mart senior officers are subject to an additional conflicts of interest policy known as the “Transaction Review Policy.”
Things to Remember. Any gift or gratuity received from a supplier must be returned with an explanation of this policy. • Where return is impractical, any gift that is not returned becomes the property of Wal-Mart. • Any offer of a gift or gratuity must be reported to your supervisor.
Things to Remember. Do not disclose confidential information to anyone outside the Company without the express written approval of the People Department (in the case of information about an Associate) or the Legal Department (in all other cases). • Disclose confidential information to other Associates only for legitimate business purposes. • Handle all confidential information with care to avoid inadvertent or careless disclosure. • Secure or password protect all files or records containing confidential information as necessary to protect the confidentiality of that information. • For information regarding protected health information refer to Wal-Mart’s HIPAA Privacy Policy, PD-59, or the corresponding national or local policy. Trade Secrets Wal-Mart has invested in the development of systems, processes, products, know-how and technology that have made us a leader in the retail industry and give us a competitive edge. We call this information, know-how and technology our “trade secrets.” All trade secrets must be kept confidential and secure. In addition to protecting our own trade secrets, it is our policy to respect the trade secrets of others. No Associate may reveal the trade secrets of the companies with which we conduct business. Associates should also keep the trade secrets of their former employers confidential. Wal-Mart will not tolerate the violation of confidentiality or secrecy agreements or the improper acquisition of protected information.
Things to Remember. Always protect and maintain the confidentiality of our trade secrets. • If you have a question as to whether information is a trade secret, ask your supervisor. • If your supervisor has questions, he or she should contact the Legal Department. • Any creations or inventions that you make as a Wal-Mart Associate are the property of Wal-Mart, where permitted by law. In furtherance of this policy, you may be required to sign an invention disclosure that gives ownership of any such creations or inventions to Wal-Mart.
Things to Remember. Never buy or sell the stock or other securities of any company while you have inside information about that company. • Never recommend that anyone buy or sell the stock or other securities of any company while you have inside information about that company. • Do not disclose inside information about Wal-Mart to anyone outside of Wal-Mart (including your family members), unless such disclosure has been approved by the Legal Department, and only after the Legal Department has informed you that adequate steps have been taken to prevent misuse of the information. • Disclose inside information within Wal-Mart only on a “need-to-know” basis. • For more information, refer to the Company’s Xxxxxxx Xxxxxxx Policy, CR-01.
