BOSTON COLLEGE RETIREMENT PROGRAM EE Class ______ - TIAA [PDF]

II. 401(k) RETIREMENT PLAN I and II. Check if: __ NewEnrollment (complete sect. A & B). __ Allocation Change only (c

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Idea Transcript


EE Class ______

BOSTON COLLEGE RETIREMENT PROGRAM SALARY REDUCTION AGREEMENT/ALLOCATION AUTHORIZATION I. IDENTIFICATION INFORMATION (Please print & use pen.)

Your Eagle# __ __ __ __ - __ __ __ __ [required] (1st 8 digits on ID Card)

Your Name: _____________________________________________ Tel. Ext.: __________ Department: __________________________________________________

Single____ Married ____

Date of Birth (mm/dd/yy) ____ / ____ / ____ Date of Hire/Service Date ____ / ____ / ____

II. 401(k) RETIREMENT PLAN I and II Check if: __ NewEnrollment (complete sect. A & B)

__ Allocation Change only (complete sect. B)

A. New Enrollment Effective with respect to amounts earned on or after the first day of _____________________, ______ my basic salary will be reduced by the 2% specified as required employee contributions under the 401(k) Retirement Plans sponsored by Boston College. This will qualify me for a Boston College matching contribution equal to 8% or 10% of my basic salary, depending upon my length of service. B. Allocation

TIAA (GRA) [401(k) Retirement Plan I]

______%

FIDELITY INVESTMENTS [401(k) Retirement Plan II] Total

______% 100%

Effective Date (if allocation change only): First day of __________________, _______

__ Check if No Change in allocation

III. THE VOLUNTARY 403(b) PROGRAM Check if: __ New Enrollment (sect. A & B) or Change in __ Contribution (sect. A) Check if requesting: __ Age 50 Catch-up [ Must complete Addendum A ]

__ Allocation (sect. B)

A. Contribution Effective with amounts earned on or after the first day of ____________________, ______ my basic salary will be reduced by the 2% in Section II above (if applicable), plus _______% as a PRE-TAX 403(b) contribution and/or _______% as an AFTER-TAX Roth 403(b) contribution. I understand that my elected percentage may be reduced by Boston College to satisfy my statutory limits under Section 403(b), Section 415, or Section 402(g) of the Internal Revenue Code. B. Allocation [ Where do you want your Pre-tax and/or After-tax Roth contributions to be applied? ]

Pre-tax 403(b) Contributions ______%

TIAA (Group) Supplemental Retirement Annuity (GSRA)

______% ______% 100%

After-tax_Roth 403(b) Contributions FIDELITY INVESTMENTS

______% ______%

TIAA Retirement Annuity (RA) [not open to new investors]

Effective Date (if allocation change only): First day of ____________________, _______

______% 100%

__ Check if No Change in allocation

By signing this form, I understand that the amount defined in Sections II and III above will be paid to my retirement plan accounts. I also understand that this Agreement shall be legally binding and irrevocable as to both me and Boston College, provided, however, that I may change or terminate my salary reduction election as of the end of any month by giving adequate prior written notice and completing a new Salary Reduction Agreement, if applicable. I hereby elect to have future contributions made on my behalf under the Boston College 401(k) Plan and/or Voluntary 403(b) Program invested as I have indicated above. I certify that I have received a prospectus for each mutual fund/investment account I have chosen. I understand that by allocating contributions to TIAA-CREF in Section II I am participating in the 401(k) Retirement Plan I, and by allocating contributions to Fidelity in Section II I am participating in the 401(k) Retirement Plan II.

Signature: _________________________________ Date: __________

Benefits Approval: _____________________

IMPORTANT: If enrolling in an option for the first time, you must also complete the appropriate application form. Return all forms to the Benefits Office – 129 Lake St. prior to the effective start date. Forms: Salary Reduction/SalRedAgrmt_Roth_03-16

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