ALgER family of funds IRA AppLICAtIoN

Transcription

1 ALgER family of funds IRA AppLICAtIoN Complete this application to establish an Alger Individual Retirement Account (IRA). If you plan to transfer or rollover funds from an existing IRA to an Alger-sponsored IRA, please complete the IRA Transfer / Direct Rollover Request Form. Items marked with an * must be completed. please print Mail completed application to: Alger Family of Funds, P. O. Box 8480, Boston, MA participant INfoRMAtIoN Name (First, M.I., Last)* Social Security Number* of Birth* Street Address (no P.O. boxes)* City* State* Zip* Mailing Address (if different from above) City State Zip Daytime Phone Evening Phone Address 2 CustoDIAN INfoRMAtIoN Complete this section only if you are opening this account for a minor. Name (First, M.I., Last)* Social Security Number* of Birth* Street Address (no P.O. boxes)* City* State* Zip* 3 type of IRA To establish a Traditional IRA, complete Part A. To establish an inherited IRA, complete Part B. To establish a Roth IRA, complete Part C. A. traditional IRA (check all that apply) Annual Contribution for tax year Contribution: $ Transfer of existing traditional IRA directly from your current Trustee/Custodian or a direct rollover from a qualified retirement plan. Enclose a completed IRA Transfer/Direct Rollover Request Form Cash Rollover Contribution: $ Please check the box below that corresponds to the source of money being rolled over: Traditional IRA Traditional Rollover IRA (funds received from a qualified retirement plan) Simplified Employee Pension IRA (SEP IRA) C. Roth IRA (check all that apply) Annual Contribution for tax year Contribution: $ Transfer from an existing Roth IRA directly from your current Trustee/Custodian or a direct rollover from a qualified retirement plan. Enclose a completed IRA Transfer/Direct Rollover Request Form B. INhERItED IRA 1 (check all that apply) Name of deceased IRA or qualified plan participant of death Surviving Spouse (check one box below) Inherited traditional IRA Inherited Roth IRA Non-Spousal Beneficiary account will be registered as a decedent (DCD) IRA (check one box below) Inherited traditional IRA Inherited Roth IRA Inherited traditional rollover IRA (by direct rollover from qualified plan) Inherited Roth rollover IRA (by direct rollover from qualified plan) 1 You must take Required Minimum Distributions (RMD) from an Inherited IRA. If you are a surviving spouse, you may alternatively elect to establish either a traditional IRA or Roth IRA instead of an inherited IRA. Please seek tax guidance before making your selection. Cash Rollover Contribution: $ Please check the box below that corresponds to the source of money being rolled over: Roth IRA Roth 401(k) or Roth 403(b) Conversion to an Alger Roth IRA, from an existing Alger traditional IRA. Enclose a completed Traditional IRA to Roth IRA Conversion Form

2 4 statement DELIvERy options Please send my quarterly Alger Shareholder Statement via (check one): U.S. Mail Address (if different from address in Section 1) 5 INvEstMENt INstRuCtIoNs A $500 minimum investment per Fund is required to set up an account. Please select the Alger Fund(s) you want for your IRA investment(s) and indicate the amount to be invested in each Alger Fund. If you plan to transfer funds from an existing IRA to your Alger Funds IRA, please provide your investment instructions for those assets on the IRA Transfer / Direct Rollover Request Form. We will allocate those assets as you have indicated on that form. Class A Class B Class C Alger Analyst Fund $ (2170) N/A $ (2174) Alger Capital Appreciation Focus Fund (2167) N/A (2177) Alger Capital Appreciation Fund (2066) (2016) (2076) Alger Dynamic Opportunities Fund (2162) N/A (2175) Alger Emerging Markets Fund (2166) N/A (2176) Alger Global Growth Fund (2135) N/A (2137) Alger Green Fund (2140) N/A (2172) Alger Growth & Income Fund (2064) N/A (2074) Alger Growth Opportunities Fund (2068) N/A (2078) Alger Health Sciences Fund (2067) N/A (2077) Alger International Growth Fund Alger Mid Cap Growth Fund (2062) (2065) (2012) (2015) (2072) (2075) Alger Small Cap Growth Fund (2061) (2011) (2071) Alger SMid Cap Growth Fund (2069) N/A (2079) Alger Spectra Fund (2130) N/A (2171) TOTAL $ $ $ 6 AutoMAtIC INvEstMENt plan Check here to authorize current tax year automatic monthly investments from your bank account into your Alger account. The minimum automatic investment is $50 per fund once you meet the fund minimum initial investment of $500. Any co-signer of the bank account who is not a joint owner of the Alger account must authorize this service by signing below. Co-Owner Authorization Signature Attach a voided check from your bank account on the next page. We do not accept third party checks. Please select an investment date below. If no selection is made, the investment will be made on or about the 15 th of each month. Day of Month: _ Fund Allocation ($50 minimum per Fund): Class A Class B Class C Alger Analyst Fund $ (2170) N/A $ (2174) Alger Capital Appreciation Focus Fund (2167) N/A (2177) Alger Capital Appreciation Fund (2066) (2016) (2076) Alger Dynamic Opportunities Fund (2162) N/A (2175) Alger Emerging Markets Fund (2166) N/A (2176) Alger Global Growth Fund (2135) N/A (2137) Alger Green Fund (2140) N/A (2172) Alger Growth & Income Fund (2064) N/A (2074) Alger Growth Opportunities Fund (2068) N/A (2078) Alger Health Sciences Fund (2067) N/A (2077) Alger International Growth Fund (2062) (2012) (2072) Alger Mid Cap Growth Fund (2065) (2015) (2075) Alger Small Cap Growth Fund (2061) (2011) (2071) Alger SMid Cap Growth Fund (2069) N/A (2079) Alger Spectra Fund (2130) N/A (2171) TOTAL $ $ $

3 AttACh voided ChECk here AttACh voided ChECk here 7 telephone privileges Shareholders automatically have the ability to make exchanges and redemptions by telephone. Exchanges can be made among funds of the same class of shares for identically registered accounts. Redemption proceeds are mailed to the address of record. Please note: if your address was changed within the last 30 days or if the proceeds are not being sent to the current address of record, your redemption request must be in writing and the signature(s) must be guaranteed by a financial institution. Check here if you do not want the ability to make exchanges and redemptions by telephone. 8 BENEfICIARy DEsIgNAtIoN I hereby designate the following persons as primary and contingent beneficiaries to receive my holdings in this IRA according to the terms of the Custodial Account Agreement in the proportions specified below (or in equal proportions if none specified), hereby revoking any such prior designations made by me (attach additional sheets if necessary): Primary Beneficiary: Name Relationship of Birth* Social Security Number* % Allocation Name Relationship of Birth* Social Security Number* % Allocation Contingent Beneficiary: Name Relationship of Birth* Social Security Number* % Allocation Name Relationship of Birth* Social Security Number* % Allocation Spousal Consent: If the participant resides or has ever resided in a community or marital property state and wishes to name someone other than or in addition to the participant s spouse as primary beneficiary, the participant is advised to seek competent professional advice. The designation of a nonspouse beneficiary may be ineffective unless the participant s spouse has consented to the designation. The participant is solely responsible for the effectiveness of the participant s beneficiary designation. I hereby certify that I am the spouse of the above named participant. I acknowledge that I have received a fair and reasonable disclosure of my spouse's pro - perty and financial obligations. Due to the important tax consequences of giving up my interest in this account, I have been advised to see a tax professional. I hereby give the account holder any interest I have in the funds or property deposited in this account and consent to the beneficiary designation(s) indicated above. I assume full responsibility for any adverse consequences that may result. No tax or legal advice was given to me by the Custodian or Plan Sponsor. Spouse s Signature The signature of the spouse must be witnessed by a notary public. Subscribed and sworn to before me on this day of, Signature 9 ANNuAL CustoDIAL fees This account is effective on the date State Street Bank and Trust Company, or its Agent, accepts this application by issuing a confirmation to the participant. The annual fee for each IRA Plan is $ The $10.00 fee will be deducted from your account in December if not paid by a separate check.

4 10 for BRokER use only Broker/Dealer Name Branch Office Address Rep Name Phone Broker/Dealer Number Branch Office Number Rep Number 11 signature AND CERtIfICAtIoN* Your signature is required to open an account. By signing this application, I certify that: 1. I hereby apply to establish an Alger Funds IRA. I have received, read and understood the State Street Bank and Trust Company Custodial Agreement and Disclosure Statement, which is incorporated by reference in this application, and agree to be bound by its terms. I have received and read the current Alger prospectus and agree to be bound by its terms. 2. I have the authority and legal capacity, and am of legal age in my state of residence to purchase shares of the fund in which I am investing (the Fund ). 3. I have provided true and correct information in my account application and understand that any information I have provided is subject to verification. I certify under penalty of perjury that the social security number provided in this application is correct. 4. I understand that I am responsible for the monitoring of my account. I understand that all transactions made through the transfer agent (the Transfer Agent ) will be confirmed on separate written transaction confirmations and on periodic account statements. I understand that I should promptly and carefully review the transaction confirmations and periodic statements provided to me and notify the Transfer Agent in writing of any discrepancy or unauthorized account activity, within ten (10) business days after the information is transmitted to me. I understand that any information contained on transaction confirmations and account statements is conclusive unless I notify the Transfer Agent within the time period specified above. I understand that due to the volatile nature of the financial markets, I am fully responsible for any loss that results from my failure to notify the Transfer Agent of any discrepancy or unauthorized account activity, within the time period specified above. 5. I understand that the Fund and the Transfer Agent are required by the USA Patriot Act of 2001 to undertake a due diligence review of each customer and comply with their Anti-Money Laundering Policies and Procedures. I certify that the monies or assets I intend to use to execute my transaction, to the best of my knowledge and belief, are not derived from any criminal enterprise or activity. Important information about procedures for opening a new account: To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial organizations to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, you are required to provide your name, residential address, date of birth, and taxpayer identification number. We may require other information that will allow us to identify you. Participant s Signature (If the IRA owner is a minor, the custodian identified in Section 2 must sign.) Learn more about Alger. Call or visit

5 1 participant INfoRMAtIoN ALgER family of funds IRA transfer DIRECt RoLLovER REquEst form Complete this form if you wish to transfer or directly rollover all or a portion of an existing Individual Retirement Account (IRA) or Qualified Retirement Plan (QRP) to an Alger-sponsored IRA. Alger will handle all the details of the transfer/direct rollover. When completed, mail this form (along with your Alger Family of Funds IRA Application if establishing a new IRA account) to: Alger Family of Funds, P. O. Box 8480, Boston, MA please print Name (First, M.I., Last) Social Security Number of Birth Mailing Address City State Zip Daytime Phone Evening Phone Address 2 CuRRENt CustoDIAN trustee EMpLoyER INfoRMAtIoN Plan Name/Employer Name (for direct rollover only) Name of Custodian / Trustee Employer Contact Person Custodian/Trustee Mailing Address City State Zip Phone Account Number (attach a copy of statement) 3 transfer INstRuCtIoNs to REsIgNINg CustoDIAN trustee I have established an Alger IRA account with State Street Bank and Trust Company as custodian. Please transfer/directly rollover: All of the assets in my account A partial transfer/direct rollover of $ Transfer of shares-in-kind. (Check here to authorize a transfer of Alger Fund shares from your existing Trustee / Custodian to State Street Bank and Trust Company.) If you are requesting a partial transfer, please list assets to be liquidated. Asset description: Quantity: Please Transfer a Certificate of Deposit (CD): Transfer prior to maturity date (I am aware that I may incur a penalty for early withdrawal). Transfer at maturity. Send this form at least two weeks, but not more than four weeks, prior to CD maturity date. CD Maturity : Please draw a check or send authorization to transfer in kind as follows: State Street Bank and Trust Company FBO: Participant s Name P. O. Box 8480, Boston, MA

6 4 type of IRA you WANt to transfer or RoLLovER Please invest my assets in the IRA and investment type listed below (check one): Transfer Options: Direct Rollover Options: Traditional IRA to traditional IRA Traditional 403(b), 401(k) or other qualified plan to rollover IRA Rollover IRA to rollover IRA Roth 403(b) or Roth 401(k) to Roth IRA Inherited traditional IRA to inherited traditional IRA Traditional 403(b), 401(k) or other qualified plan to Roth IRA* Roth IRA to Roth IRA SEP IRA to SEP IRA or traditional IRA SIMPLE IRA (established for at least 2 years) to traditional IRA Inherited Roth IRA to inherited Roth IRA 5 INvEstMENt INstRuCtIoNs *In general, a rollover from a non-roth employer-sponsored plan to a Roth IRA is taxable in the year of the rollover. Please speak to your tax advisor for further guidance. Alger Funds IRA Account Number (if existing account): If this is a new account, please complete Alger Family of Funds IRA Application. A $500 minimum investment per Fund is required to set up an account. Please deposit the funds transferred from prior custodian in the Alger Fund(s) listed below: Class A Class B Class C Alger Analyst Fund $ (2170) N/A $ (2174) Alger Capital Appreciation Focus Fund (2167) N/A (2177) Alger Capital Appreciation Fund (2066) (2016) (2076) Alger Dynamic Opportunities Fund (2162) N/A (2175) Alger Emerging Markets Fund (2166) N/A (2176) Alger Global Growth Fund (2135) N/A (2137) Alger Green Fund (2140) N/A (2172) Alger Growth & Income Fund (2064) N/A (2074) Alger Growth Opportunities Fund (2068) N/A (2078) Alger Health Sciences Fund (2067) N/A (2077) Alger International Growth Fund Alger Mid Cap Growth Fund (2062) (2065) (2012) (2015) (2072) (2075) Alger Small Cap Growth Fund (2061) (2011) (2071) Alger SMid Cap Growth Fund (2069) N/A (2079) Alger Spectra Fund (2130) N/A (2171) TOTAL $ $ $ 6 participant AuthoRIzAtIoN The current custodian/trustee named above is hereby removed as custodian/trustee for that portion of my IRA specified above. I have adopted the Alger Funds IRA and have designated State Street Bank and Trust Company as my successor custodian. If I am over age 70 1 /2, I attest that none of the amount to be transferred will include the required minimum distribution for the current year pursuant to Section 401(a)(9) of the Internal Revenue Code (Roth IRA has no minimum lifetime requirement) or I hereby authorize and instruct that you directly rollover the otherwise taxable portion of my IRA or QRP account to my Alger Funds IRA. I understand this rollover election is irrevocable and that these funds are eligible for rollover. Since this distribution is being directed as a rollover to my Alger Funds IRA, please do not withhold taxes. Participant s Signature place signature guarantee stamp here We only accept STAMP 2000 Medallion Guarantee stamps. Please ask your current custodian if a Medallion Signature Guarantee is required to transfer. If so, it is available at commercial banks or brokerage offices. Lack of a required Medallion Signature Guarantee could delay the processing of your transfer. Name of Bank or Firm Providing Signature Guarantee Signature / Title of Officer 7 for INtERNAL use only - ACCEptANCE of AppoINtMENt State Street Bank and Trust Company (the Custodian ) hereby accepts this transfer/direct rollover from the above IRA/QRP and accepts its appointment as successor custodian. Authorized Signature Learn more about Alger. Call or visit

7 Learn more about Alger. Call or visit ALGIRA 0115