SunAmerica Individual K Application/Forms Booklet - (IKFOR-10/12) · 2019-04-24 · 3. Complete the...

Instructions:

FOR BUSINESS OWNER ONLY: 1. Complete the SunAmerica Individual 401(k) Adoption Agreement (pages 1-2) to establish your

SunAmerica Individual 401(k) retirement plan.2. Call SunAmerica Mutual Funds (800-858-8850, x6003) to order additional Forms Booklets to

distribute to all eligible non-statutory employees.*

FOR BUSINESS OWNER AND EMPLOYEES*

3. Complete the SunAmerica Individual 401(k) Account Application. Be sure to sign Section 4.4. Complete the SunAmerica Individual 401(k) Transfer Form if you wish to transfer assets to your

SunAmerica Individual 401(k) plan from another qualified plan held at SunAmerica or a different financial institution. Be sure to sign Section 7.

5. Complete the SunAmerica Individual 401(k) Designation of Beneficiary Form. Be sure to sign Section 4. Your spouse must sign this form as well, if he or she waives beneficiary rights.

6. Complete the SunAmerica Individual 401(k) Salary Deferral Agreement and return the form to your employer.

7. Complete the SunAmerica Individual 401(k) Remittance Form and attach your initial invest-ment. Please make funds payable to SunAmerica Trust Company.

8. Retain copies of all forms for your records.9. Detach and mail the Adoption Agreement (employer only), Account Application, Transfer

Form (if applicable), Beneficiary Form, Remittance Form and designated funds to:

SunAmerica Mutual Fundsc/o BFDSRegular Mail: Overnight Mail:PO Box 219186 330 W 9th St.Kansas City, MO 64121-9186 Kansas City, MO 64105-1514

* Eligible non-statutory employees are confined to immediate family employees who qualify for the plan based on family aggregation of ownership [IRC §401(a)(17), 414(q)(6), & 1563(a)]. Please consult a tax adviser for more information.

SunAmericA individuAl 401(k)Adoption Agreement And

FormS Booklet

Need Help? Call us between 8:30 am and 6:00 pm, ET. (800) 858-8850, x6073

Adoption AgreementAccount Application

Transfer FormBeneficiary Form

Supplemental Account ApplicationSalary Deferral Form

Remittance Form

Instructions for Completing The SunAmerica Individual 401(k) Standardized Adoption AgreementThese instructions are designed to help you, the Employer, along with your attorney and/or tax adviser, complete the Adoption Agreement for the qualified retirement plan. The instructions are to be used only as a general guide and are not intended as a substitute for qualified legal and tax advisers. We recommend that you obtain the advice of your legal and/or tax adviser before you sign the Adoption Agreement. The words and phrases that are capitalized are defined terms that may be found in the Basic Plan Document.

EMPLOYER INFORMATIONFill in the requested information. The “Adopting Employer’s Federal Tax Identification Number” is the tax identification number assigned to your busi-ness. If your business does not have a Federal Tax Identification Number, complete and file an Internal Revenue Service (IRS) Form SS-4 to obtain a number. The IRS Form SS-4 can be obtained from an IRS office or from your tax adviser. If you have already filed a Form SS-4, print “Applied for” on the “Adopting Employer’s Federal Tax Identification Number” line. After you receive a tax identification number, be sure to let your financial organization know what that number is.

The “Plan Sequence Number” is used for annual reporting to the IRS. The IRS uses this number to identify your Plan. For example, if this is the fourth Plan you maintain or have maintained, the Plan Sequence Number would be 004 and so on.

SECTION 1 EFFECTIvE DATE If this is a new 401(k) plan, fill in the Effective Date. The Effective Date is usually the first day of the Plan Year in which this Adoption

Agreement is signed. For example, if an Employer maintains a Plan on a calendar year basis and this Adoption Agreement is signed on September 23, 2012, the Effective Date would be January 1, 2012.

SECTION 2 ELIgIBILITY

Part A Age Requirement Fill in the age an Employee must attain (no more than 21) to be eligible to receive Employer Profit Sharing Contributions and be eligible

to make Elective Deferrals.

Part B Years of Eligibility Service Requirement Fill in the number of years of service (no more than one) that an Employee must complete to be eligible to receive Employer Profit

Sharing Contributions and be eligible to make Elective Deferrals.

Part C Employees Employed As of Effective Date The age and service requirements may be waived for those Employees who are employed as of the Effective Date of this Plan. If the

eligibility requirements are waived, then only those Employees hired after the original Effective Date will have to meet the eligibility requirements as defined earlier in this section of the Adoption Agreement.

NOTe: This provision only applies to an initial adoption of a Plan.

SECTION 3 CONTRIBUTIONS This section allows Employers to identify when Elective Deferrals may commence. Fill in the date Elective Deferrals may begin.

SECTION 5 DISTRIBUTIONS AND LOANS

Part A Hardship Withdrawals of Elective Deferrals Indicate if distribution of Elective Deferrals on account of hardship will be allowed.

Part B Attainment of Age 591/2

Specify whether or not a Participant may request a distribution of Elective Deferrals from the Plan upon attainment of age 591/2.

Part C Loans Check whether or not you will allow loans from the Plan to Participants.

SECTION 8 TRUSTEE The Employer, partners, or an appointed individual will be acting as Individual Trustee.

For a copy of the SunAmerica Privacy Policy, please visit our website at www.safunds.com or see any prospectus.

1

2

Effective Date

Employer Information

3Contributions

EligibilityComplete

Parts A, B and C

individuAl 401(k) StAndArdized Adoption Agreement

Name of Adopting Employer ____________________________________________________________________________________

Address _____________________________________________________________________________________________________

City _______________________________________________________________ State ______ Zip________________________

Telephone _________________________ Adopting Employer’s Federal Tax Identification Number

Name of Plan ________________________________________________________________________________________________

Plan Sequence Number_____________ Adopting Employer’s Fiscal Year End ___________________________________________ (month and day)

Note: If this is the first qualified retirement plan adopted by the employer, the plan sequence number is “001”.

Effective DateThis is the initial adoption of a profit sharing plan by the Employer. The Effective Date of this Plan is _________________________ .Note: The Effective Date is usually the first day of the Plan Year in which this Adoption Agreement is signed.

Part A. Age RequirementAn Employee will be eligible to become a Participant in the Plan for purposes of receiving an allocation of any Employer Profit Sharing Contribution made pursuant to Section Three of the Adoption Agreement, and will be eligible to become a Contributing Participant (and thus be eligible to make Elective Deferrals) after attaining age _______________ (no more than 21).

Part B. Years of Eligibility Service RequirementAn Employee will be eligible to become a Participant in the Plan for purposes of receiving an allocation of any Employer Profit Sharing Contribution made pursuant to Section Three of the Adoption Agreement, and will be eligible to become a Contributing Participant (and thus be eligible to make Elective Deferrals) after completing _______________ (enter 0,1 or any fraction less than 1) Years of Eligibility Service (1000 hours or more during a year).Note: If either Part A or Part B is left blank, it shall be deemed that there are no age and Years of Eligibility Service requirements.

Part C. Employees Employed As of Effective DateWill an Employee employed as of the Effective Date of this Plan who has not otherwise met the requirements of Parts A and B above be considered to have met those requirements as of the Effective Date?Option 1: Yes.

Option 2: No.

Note: If no option is selected, Option 2 (No) shall be deemed to be selected.

Employer Profit Sharing Contributions, if any, shall be allocated to all Qualifying Participants pursuant to the pro rata allocation formula described in Section 3.01(B)(1) of the Plan. A Contributing Participant may elect under a salary reduction agreement to have his or her Compensation reduced by an amount equal to a percent of the Contributing Participant’s Compensation not to exceed the limits imposed by Sections 401(k), 402(g), 404 and 415 of the Code.Elective Deferrals may commence on _______________________________ .

4 There are no elections required for Section 4. Refer to the Basic Plan Document for information regarding this section.

5Distributions

and LoansComplete

Parts A, B and C

Part A. Hardship Withdrawals of Elective Deferrals

May a Participant request a distribution of his or her Elective Deferrals on account of hardship pursuant to Section 5.01(A)(6) of the Plan?Option 1: Yes.

Option 2: No.

Note: If no option is selected, Option 1 (Yes) shall be deemed to be selected.

1

[ex. John Smith 401(k) or Smith Inc. 401(k)]

(continued on reverse side)

individuAl 401(k) StAndArdized Adoption Agreement (cont.)

There are no elections required for Sections 6 and 7. Refer to the Basic Plan Document for information regarding these sections.6-7

Prototype Sponsor

Name of Prototype Sponsor _____________________________________________________________________________________

Address _____________________________________________________________________________________________________

City ____________________________________________________________ State _________ Zip _______________________

Telephone _______________________________________________________________________________________________________________________________________________________________________________________________________________I am an authorized representative of the Adopting Employer named above and I state the following:1. I acknowledge that I have relied upon my own advisers regarding the completion of this Adoption Agreement and the legal/tax implications of adopting this

Plan;2. I understand that my failure to properly complete this Adoption Agreement may result in disqualification of the Plan;3. I understand that the Prototype Sponsor does not provide IRS Form 5500 tax filing for any tax year(s) this Plan is eligible, and I will consult my tax adviser for

specific filing requirements of IRS Form 5500 relating to this Plan;4. I understand that the Prototype Sponsor will inform me of any amendments made to the Plan and will notify me should it discontinue or abandon the Plan; and5. I have received a copy of this Adoption Agreement, the corresponding Basic Plan Document and, if applicable, any separate trust agreement used in lieu of the

trust agreement contained in the Basic Plan Document.

Signature of Adopting Employer __________________________________ Date Signed____________________________________

Print or Type Name _________________________________________________ Title____________________________________

Note: The Adopting Employer may rely on an opinion letter issued by the Internal Revenue Service as evidence that the Plan is qualified under Section 401 of the Code except to the extent provided in Revenue Procedure 2000-20, 2000-6 I.R.B. 553 and Announcement 2001-77, 2001-30 I.R.B. An Employer who has ever maintained or who later adopts any Plan (including a welfare benefit fund, as defined in Section 419(e) of the Code, which provides post-retirement medical benefits allocated to separate accounts for key employees, as defined in Section 419A(d)(3) of the Code, or an individual medical account, as defined in Section 415(l)(2) of the Code) in addition to this Plan may not rely on the opinion letter issued by the Internal Revenue Service with respect to the requirements of Sections 415 and 416 of the Code. If the Employer who adopts or maintains multiple plans wishes to obtain reliance with respect to the requirements of Sections 415 and 416 of the Code, application for a determination letter must be made to Employee Plans Determinations of the Internal Revenue Service. The Employer may not rely on the opinion letter in certain other circumstances, which are specified in the opinion letter issued with respect to the Plan or in Revenue Procedure 2000-20 and Announcement 2001-77. This Adoption Agreement may be used only in conjunction with Basic Plan Document #01. The signature of the Adopting Employer in this Section Nine shall apply to Section 10 of this Adoption Agreement if the Employer is restating its Plan to comply with Revenue Procedure 2000-20.

9

Part B. Attainment of Age 591/2

May a Participant who has attained age 591/2 request a distribution from the Plan of that portion of the Participant’s Individual Account attributable to Elective Deferrals while still employed by the Employer?Option 1: Yes.

Option 2: No.


Part C. LoansMay a Participant request a loan pursuant to Section 5.19 of the Plan?Option 1: Yes.

Option 2: No.


8Trustee

Employer SignaturePlease read carefully

Name of Trustee ______________________________________________________________________________________________

Address _____________________________________________________________________________________________________

City ____________________________________________________________ State _________ Zip _______________________

Signature __________________________________________________________ Title ___________________________________

SunAmerica Trust Company c/o SunAmerica Fund Services

Harborside Financial Center, 3200 Plaza 5

Jersey City NJ 07311-4992

800-858-8850 x6073

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3

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ Name of Business Business Taxpayer ID #

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ First Name MI Last Name Social Security #

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Mailing Address State Zip Code

If the mailing address is a post office box, a street address is also required by the USA Patriot Act:

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Street Address (if different than Mailing Address above) State Zip Code

___________________________________________________________________ _____________________________________ ___________________________________________ Daytime Phone # Evening Phone # Date of Birth

Go Paperless!! electronic Delivery ConsentIf you consent to Electronic Delivery, you will be sent e-mail notifications alerting you that documents are available for viewing online. Please note that confidential account information will not be sent by e-mail. If an e-mail notification is returned as undeliverable, your account will be reset to receive traditional paper statements and reports by mail. You can change your delivery preference or unsubscribe from Electronic Delivery at any time.

What do you want to receive electronically? (Mark all that apply):

Quarterly and Year-End Account Statements Prospectuses, Fund Reports, Proxy Mailings

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Email Address By enrolling in Electronic Delivery, you consent to receive online versions rather than paper copies of materials for your SunAmerica Mutual Fund account(s).

Please select one and complete the following regarding your initial investment:

Check enclosed for $ + $35.00 set up fee. Multi-party checks, traveler’s checks, starter checks, or money orders are not acceptable.

Transfer in the amount of $ from another financial institution. Please complete and attach the Individual 401(k) Transfer Form (pages 5-6).

Annual contribution for the tax year 20 .Your annual contribution will automatically be applied to the year in which it is received if you do not designate a year.

Please make checks payable to: SunAmerica Trust Company

1

2

Register My

Account

3InvestmentSelection

Investment

individuAl 401(k) Account ApplicAtion

Please complete sections 1-4. Your Financial Adviser will complete Section 5. USA Patriot Act Notice: To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means to you: When you open an account, we will ask for your name, address, date of birth and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.

Class A Class B Class C


If you have selected more than one fund/portfolio, please indicate the dollar amount or percentage to be invested in each fund/portfolio. If no investment choice is made, cash will be deposited into the SunAmerica Money Market Fund Class A.

AlternAtIveS Alternative Strategies Fund m 381 N/A m 481 $ _______________ or _________%Global trends Fund m 491 N/A m 493 $ _______________ or _________%

vAlue Focused Small-Cap value Portfolio m 705 m 715 m 775 $ _______________ or _________%SunAmerica Strategic value Portfolio m 37 m 537 m 737 $ _______________ or _________%SunAmerica value Fund m 704 m 714 m 774 $ _______________ or _________%

Growth & InComeFocused Dividend Strategy Portfolio m 720 m 730 m 740 $ _______________ or _________%

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/ /

individuAl 401(k) Account ApplicAtion (cont.)

I, the investor, hereby: (1) appoint SunAmerica Trust Company custodian of the account; (2) certify that I am of legal age; (3) certify that the number shown on this Application is my correct taxpayer identification number. I am not subject to backup withholding either because (a) I have not been notified that I am subject to backup withholding as a result of a failure to report all dividends or interest or (b) the IRS has notified me that I am no longer subject to backup withholding; (4) acknowledge I have received and read the current prospectus(es) of the applicable fund(s) offered through SunAmerica Capital Services Inc., and agreed to the terms thereof; (5) consent to the custodian’s fee; (6) acknowledge responsibility for the filing of all government reports and any penalties for non-filing; (7) agree to conditions governing the designation of beneficiary; (8) acknowledge that I have read and accepted the Plan Document; (9) acknowledge receipt of the SunAmerica Trust Company Privacy Policy Statement; (10) understand that SunAmerica Trust Company, to the maximum extent permitted by law, had delegated its duties as custodian to SunAmerica Asset Management Corp.; (11) agree that the Fund(s), all SunAmerica companies and their officers, directors, agents and employees will not be liable for any loss, liability, damage or expense for relying upon the information provided in this application or any instruction believed to be genuine; (12) consent to the recording of any telephone conversation(s) when I call the Funds regarding my account(s); and (13) agree I will review all statements upon receipt, and will notify the Funds immediately if there is a discrepancy.

___________________________________________________________________________________ __________________________________________Shareholder Signature Date

This application is submitted in accordance with our selling agreement with SunAmerica Capital Services, Inc. (SACS) and the fund’s/portfolio’s prospectus. We will notify SACS of any purchase made under a Letter of Intent, Rights of Accumulation or Sponsored Arrangement. We guarantee the signatures on this application and the legal capacity of signers.

_______________________________________________________________________________________________________________________________________________________________________________________________________________________ Dealer Name Dealer # Branch #

_______________________________________________________________________________________________________________________________________________________________________________________________________________________ Representative’s Name Representative’s # Representative’s Branch Phone #

_______________________________________________________________________________________________________________________________________________________________________________________________________________________ Representative’s Branch Office Location Authorized Signature

5Investment

Dealer: To be

completed by dealer

4Signature

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||

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There is a maximum purchase limitation of less than: (1) $100,000 in aggregate on the purchase of Class B shares; and (2) $1,000,000 in aggregate on the purchase of Class C shares. Note: All dividends will be reinvested.

Note: The SunAmerica Individual K Plan is designed for self-employed individuals, owners, partners, and their spouses. To the extent that common law employees become eligible to participate in this plan, additional reporting, disclosure, and other compliance requirements apply. I understand that I should consult with legal tax counsel or a qualified tax adviser to ensure the tax qualification of the Plan. I understand that I must specify whether Federal income tax is to be withheld from any distribution I request from this account; otherwise my request will not be in good order.

4

BlenDFocused Alpha large-Cap Fund m 507 N/A m 508 $ _______________ or _________%

GrowthFocused Alpha Growth Fund m 513 N/A m 514 $ _______________ or _________%Focused large-Cap Growth Portfolio m 722 m 732 m 742 $ _______________ or _________%Focused Small-Cap Growth Portfolio m 230 m 430 m 930 $ _______________ or _________%

SPeCIAltyInternational Dividend Strategy Fund m 703 m 713 m 773 $ _______________ or _________%SunAmerica Japan Fund m 1501 m 1505 m 1509 $ _______________ or _________%

FIxeD InComeGnmA Fund m 534 m 34 m 734 $ _______________ or _________%high yield Bond Fund m 28 m 228 m 828 $ _______________ or _________%Senior Floating rate Fund m 743 N/A m 443 $ _______________ or _________%Strategic Bond Fund m 580 m 80 m 780 $ _______________ or _________%u.S. Government Securities Fund m 70 m 570 m 770 $ _______________ or _________%

ASSet AlloCAtIonFocused Balanced Strategy Portfolio m 1034 m 1044 m 1064 $ _______________ or _________%Focused multi-Asset Strategy Portfolio m 1030 m 1040 m 1060 $ _______________ or _________%

money mArketmoney market Fund m 35 N/A N/A $ _______________ or _________%


1

2Type ofTransfer

Method ofTransfer

Account HolderRegistration

3


_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ Address Daytime Phone #

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ City State Zip Code

________________________________________________________________________________________________________________________________________________________________________________________________________Current Trustee/Custodian (Please attach a copy of your most recent statement.) Phone #

________________________________________________________________________________________________________________________________________________________________________________________________________Address

________________________________________________________________________________________________________________________________________________________________________________________________________City State Zip Code

________________________________________________________________________________________________________________________________________________________________________________________________________Name of current mutual fund (if applicable) Account #(s) (if applicable)

4Transfer in Kind/

Reregistration


Please complete sections 1-7 when transferring qualified plan assets held at SunAmerica or a different institution to a SunAmerica Individual 401(k). If you are the employer, and you do not already have a SunAmerica Individual 401(k) account, please be sure to complete and return the Account Application and the Adoption Agreement along with this Transfer Form.

Current Trustee/Custodian: My qualified plan includes the SunAmerica mutual funds below. Please do not liquidate these shares.

Fund/Portfolio Name: ___________________________________________________ Account #: _________________________________________



individuAl 401(k) trAnSFer Form

Keogh plan SEP IRA SAR-SEP IRA 457(b) Traditional 401(k)

Simple IRA* Traditional IRA rollover Existing Individual 401(k) 403(b) Other employer- sponsored retirement plan

* Transfer to Individual 401(k) is not available until two (2) years after the initial funding of the SIMPLE IRA account.

Transfer should be made:

Immediately

Upon maturity of the current investment.

The maturity date of the current investment

is: _______/_______/_______.

Please liquidate OR Transfer in kind

Please be sure to contact the resigning Trustee/Custodian for its specific requirements, such as initiating manual liquidation prior to transfer or obtaining a Medallion Guarantee on this Transfer Form.

Complete Transfer. Please transfer my account.

Partial transfer. Please transfer $____________________

from my account or only those assets listed in Section 2

(do not transfer any other assets that may be held in the account).

Transfer Instructions

5Current Trustee/Custodian: SunAmerica Trust Company has accepted custodianship of a qualified plan account on my behalf. Please consider this request as your authorization to liquidate and/or transfer the above referenced account to:

New Account My existing Account ( ___________________________________ ) ( ___________________________________ ) Account Number Fund Number/Name (If you own multiple funds, please provide fund allocation information on reverse side of form.)

5

I wish to transfer/rollover (select one):

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6

Signature

Investment Selection

individuAl 401(k) trAnSFer Form (cont.)

7 __________________________________________________ ________________

Signature Date

__________________________________________________ ________________

Signature of participant (if required) Date

Medallion GuaranteeNote: The employer should contact the current trustee/ custodian regarding its Medallion Guarantee requirements.

Please select the investment(s) into which you wish to transfer. You must indicate the share class to which you wish to allocate your transfer. You may indicate either the dollar value you wish to transfer to each fund, or the percentage of the total transfer you wish allocated to each fund (for pending transfers only).


For Internal/ Current Custodian

Use Only

8 SunAmerica Trust Company hereby accepts custodianship for the Qualified Plan account of the above-named individual. Accepted by:

Thomas Bennett, Authorized Officer of SunAmerica Trust Company Vice President, SunAmerica Trust Company

SunAmerica Trust Company requests that the financial institution noted in Section 3 send the transfer of funds to:SunAmerica Trust Companyc/o BFDSRegular Address Overnight AddressPO Box 219186 330 W 9th St.Kansas City, MO 64121-9186 Kansas City, MO 64105-1514

Please make assets payable to: SunAmerica Trust Company FBO [client name][client account #]

6

Alternative Strategies Fund 381 N/A 481 $ _____________ or _____________________ %

Global trends Fund 491 N/A 493 $ _____________ or _____________________ %

Focused Small-Cap value Portfolio 705 715 775 $ ___________________ or _____________________ %

SunAmerica Strategic value Portfolio 37 537 737 $ ___________________ or _____________________ %

SunAmerica value Fund 704 714 774 $ ___________________ or _____________________ %

Focused Dividend Strategy Portfolio 720 730 740 $ ___________________ or _____________________ %

Focused Alpha large-Cap Fund 507 N/A 508 $ ___________________ or _____________________ %

Focused Alpha Growth Fund 513 N/A 514 $ ___________________ or _____________________ %

Focused large-Cap Growth Portfolio 722 732 742 $ ___________________ or _____________________ %

Focused Small-Cap Growth Portfolio 230 430 930 $ ___________________ or _____________________ %

International Dividend Strategy Fund 703 713 773 $ ___________________ or _____________________ %

SunAmerica Japan Fund 1501 1505 1509 $ ___________________ or _____________________ %

GnmA Fund 534 34 734 $ ___________________ or _____________________ %

high yield Bond Fund 28 228 828 $ ___________________ or _____________________ %

Senior Floating rate Fund 743 N/A 443 $ ___________________ or _____________________ %

Strategic Bond Fund 580 80 780 $ ___________________ or _____________________ %

u.S. Government Securities Fund 70 570 770 $ ___________________ or _____________________ %

Focused Balanced Strategy Portfolio 1034 1044 1064 $ ___________________ or _____________________ %

Focused multi-Asset Strategy Portfolio 1030 1040 1060 $ ___________________ or _____________________ %

money market Fund 35 N/A N/A $ ___________________ or _____________________ %

1

2Designation of Beneficiaries

AccountInformation

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ Company Name Account # (if applicable)


_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ Address Daytime Phone #

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ City State Zip Code Evening Phone #

If you would like to select or change the beneficiary on your SunAmerica Individual 401(k) account, please complete the information below and return this form to SunAmerica Fund Services at the address on the back of this form. The beneficiary(ies) designated on this form will replace any beneficiary(ies) you have previously designated.

You may change the beneficiary(ies) named below at any time by sending a new Designation of Beneficiary form to the SunAmerica Retirement Plans Department. The changes or revocation will be effective upon receipt by the SunAmerica Retirement Plans Department.

Your beneficiary(ies) selection may have certain tax implications. You should consult your tax adviser before making your selection.

individuAl 401(k) deSignAtion oF BeneFiciAry Form

I designate the individual(s) or entity(ies) named below as my primary and/or contingent beneficiary(ies) of this Individual 401(k). I hereby revoke all prior beneficiary(ies) designations, if any, made by me.

PRIMARY BENEFICIARY(IES)

PLEASE NOTE: The total percentage assigned to Primary Beneficiaries should equal 100%.

_______________________________________________________________________________________________________________ ___________________________________ ________________ Name Relationship Percentage

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ Address Social Security #

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ City State Zip Code Date of Birth





7

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/ /

/ /

individuAl 401(k) deSignAtion oF BeneFiciAry Form (cont.)

3Spousal Consent

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Name of Spouse

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ Signature of Spouse Date

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ Signature Date

4My

Authorization

I reserve the right to revoke or change any beneficiary designation. I hereby revoke all prior designations (if any) of beneficiaries and secondary beneficiaries. The custodian shall pay all sums payable under the plan by reason of death to the primary beneficiary if he or she survives me; if no primary beneficiary shall survive me, then to the secondary beneficiary, and if no named beneficiary survives me, then the custodian shall pay all amounts in accordance with the plan. Note: Unless the participant provides otherwise in completing this designation, the custodian shall pay all sums payable to more than one beneficiary equally to the living beneficiaries, subject however, to the requirements, if any, of the qualified joint and survivor annuity provisions or of the qualified pre-retirement survivor annuity provisions of ERISA. The Plan Administrator will not accept the Designation of Beneficiary of a married participant designating a primary beneficiary other than the participant’s spouse unless the spouse has consented to the designation. Spousal consent is not required if the participant’s spouse is the sole primary beneficiary.

This section should be reviewed if either the trust or the residence of the Individual 401(k) plan holder is located in a community or marital property state and the Individual 401(k) account or plan holder is married. Due to the important tax consequences of giving up one’s community property interest, individuals signing this section should consult with a professional tax or legal adviser.

CURRENT MARITAL STATUS

I Am Not Married – I understand that if I become married in the future, I must complete a new Designation of Beneficiary form.

I Am Married – I understand that if I choose to designate a primary beneficiary other than my spouse, my spouse must sign below.

I am the spouse of the above-mentioned Individual 401(k) account holder. I acknowledge that I have received a fair and reasonable disclosure of my spouse’s property and financial obligations. Due to the important tax consequences of giving up my interest in this retirement account, I have been advised to see a tax professional.

I hereby give the Individual 401(k) account holder any interest I have in the funds or property deposited in this Individual 401(k) account and consent to the beneficiary designation(s) indicated above. I assure full responsibility for any adverse consequences that may result. No tax or legal advice was given to me by the Trustee or Custodian. I also acknowledge that I shall not have a claim whatsoever against the trustee for any payment to my spouse’s named beneficiary(ies).

8

CONTINGENT BENEFICIARY(IES)

PLEASE NOTE: The total percentage assigned to Contingent Beneficiaries should equal 100%.







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9

1

2Banking

Information

AccountInformation

individuAl 401(k) SupplementAl Account ApplicAtion

Bank Account Type: m Checking Account - You must attach a “VOIDeD” check (no deposit slips). m Savings Account

______________________________________________________ Name(s) on Bank Account

______________________________________________________ Name of Bank

______________________________________________________ 9-digit ABA Routing Number (Please verify with your bank)

______________________________________________________ Bank Account Number


3Dollar Cost Averaging

Please complete the banking information in Section 2 above if you elect this option. Note: Purchases may take up to two business days to reflect in the account.

I wish to Establish Dollar Cost Averaging privileges for the EMPLOYER contributions. (Please note Sec 404 – Deductibility Limit is 25% of W2 or 1099 adjusted net income.)

Fund Portfolio Number/Name: ___________________________ Monthly Investment amount: ($25 minimum) $ _____________



I wish to Establish Dollar Cost Averaging privileges for the SALARY DEFERRAL contributions. (Sec 402(g) – Salary Deferral Limit is $17,000 for the 2012 tax year – participants who have attained age

50 before the close of plan year may make $5,500 in additional deferrals)




Please indicate the purchase date(s): 1st and/or 15th*

Contributions will be: Current Year* Prior Year

Note (1) Prior Year selection only applicable to purchases made from January through April;

(2) If selected, please specify months for prior year contributions: Jan. Feb. Mar. Apr.

Start Date: Indicate start month:_______________________ OR Activate immediately*

Frequency: Monthly* OR specify months:

Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec.

*Indicates default selection if no choice is made.

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ Shareholder Name Account # (if applicable)


_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ City State Zip Code Daytime Phone #

Please complete the following information if you wish to utilize the Automated Clearing House (ACH) System [electronic movement of money to/from your bank account] for use with Cash Distributions, Dollar Cost Averaging or a Systematic Withdrawal Plan.

– –

John Doe 123123 Main StreetAnytown, USA 01234

__________________________________ $_____

_______________________ _______________

123456789 6544321 123

9 Digit Routing # Account # Check #

I have received and read each appropriate fund prospectus and understand that its terms are incorporated by reference into this application. I understand that this application is subject to acceptance. I understand that certain redemptions may be subject to a contingent deferred sales charge. It is agreed that the fund(s), all SunAmerica companies and their officers, directors, agents and employees will not be liable for any loss, liability, damage or expense for relying upon this application or any instruction believed to be genuine.

10

individuAl 401(k) SupplementAl Account ApplicAtion (cont.)

Signature

4

___________________________________________________________________________________ __________________________________________Shareholder Signature Date

_________________________________________________________________________________________________________________________________Title or Capacity, if applicable

Subject to the requirements of the Individual 401(k) Plan, I authorize the following to be withheld from my pay each pay period and contributed to my SunAmerica Individual 401(k) account(s) as a salary deferral contribution:

A. _________________ % of my pay, OR

B. $ ________________ per pay period, OR

C. A one-time deferral contribution of $ __________________ as of _______________________ DateNote: Your total salary deferral contributions for the 2012 tax year cannot exceed $17,000 (or $22,500 if age 50 or older). Your salary deferral contributions may not start before the plan effective date.

Please stop my salary deferral contributions as of _______________________________ . Date

1Salary

Deferral Election

individuAl 401(k) SAlAry deFerrAl Agreement

Please note that this form is a technical agreement of salary reduction and completing this form will not initiate automatic contributions into your SunAmerica Individual 401(k) account. If you would like to initiate a systematic contribution agreement, please complete the Individual 401(k) Supplemental Account Application.

This form must be retained by the employer/business owner. SunAmerica does not require this agreement to be submitted with the application.

employer/Business Name: ___________________________________________________________________________________

2Termination

of Salary Deferral

3Signature

This Salary Deferral Agreement replaces any previous agreement and will remain in effect as long as I am eligible to participate in the Individual 401(k) Plan, or until I complete a new Salary Deferral Agreement.

___________________________________________________________________________________ __________________________________________ Print Name Social Security #

___________________________________________________________________________________ __________________________________________ Signature Date

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Participant Name Social Security Fund Contribution Tax Contribution Number Type Year* Amount**_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

Total Contribution Amount: $_________________________If total does not match amount shown on check, please attach explanation.

Send to: SunAmerica Mutual Funds c/o BFDS Regular Mail: Overnight Mail: PO Box 219186 330 W 9th St. Kansas City, MO 64121-9186 Kansas City, MO 64105-1514

Please note that completing this form will not initiate automatic contributions into your SunAmerica Individual 401(k) account. If you would like to initiate a systematic contribution agreement, please complete the Individual 401(k) Supplemental Account Application.

From: Employer/Business Name __________________________________________________________________________

Telephone Number _______________________________________________________________________________

Contact Name ____________________________________________________________________________________

individuAl 401(k) remittAnce Form

Please enclose this form with your check made payable to: SunAmerica Trust Company

*If no contribution year is specified, the contribution will be coded for the year in which it is received.**Note: Minimum Initial Investment per Fund: $250

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Salary Employer Reduction Contribution




Distributed by:SunAmerica Capital Services, Inc.Harborside Financial Center3200 Plaza 5Jersey City, NJ 07311-4992800-858-8850, ext. 6003

Investors should carefully consider a Fund’s investment objectives, risks, charges and expenses before investing. The prospectus, containing this and other important information, can be obtained from your financial adviser, the SunAmerica Sales Desk at 800-858-8850, ext. 6003, or at www.safunds.com. Read the prospectus carefully before investing.

IKFOR- 10/ 12 www.safunds .com

SunAmerica Individual K Application/Forms Booklet - (IKFOR-10/12) · 2019-04-24 · 3. Complete the...

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Transcript of SunAmerica Individual K Application/Forms Booklet - (IKFOR-10/12) · 2019-04-24 · 3. Complete the...