Establishing a SIMPLE IRA for your business can be easy with guidance from your financial advisor and quality investment options from Calvert.

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Establishing a SIMPLE IRA for your business can be easy with guidance from your financial advisor and quality investment options from Calvert."

Transcription

1 Calvert IRAs SIMPLE Employer Establishment Form, Model Notification to Eligible Employees, Model Salary Reduction Agreement, Application, Custodial Agreement, and Disclosure Statement enclosed

2 CALVERT IRAs SIMPLE SIMPLE IRA A SIMPLE IRA (Savings Incentive Match Plan for Employees) is primarily a retirement plan for businesses with 100 or fewer employees who do not have another employer-sponsored plan. To be eligible to participate in the plan, employees must have earned at least $5,000 in the past two years and be expected to earn at least $5,000 in the current year. Employers may adopt other, less restrictive requirements in the plan. Please look on page four (5305-SIMPLE) for Employee Eligibility requirements (Article 1) for other options. Among many appealing features of the SIMPLE IRA for employers, there are no discrimination tests or need to file Form 5500 with the IRS. In addition, employers may choose from two different methods for making contributions to a Calvert SIMPLE IRA. The first option requires an employer to match each participant s contributions, dollar-for-dollar, up to 3% of the participant s compensation but no more than $12,000 for 2014* ($12,500 for 2015). For those ages 50 and older an additional catch-up contribution of $2,500 for 2014 ($3,000 for 2015) are permitted. Referred to as a non-elective contribution, the second option requires an employer to contribute 2% of each eligible participant s compensation up to $260,000 for 2014* ($ for 2015) regardless of whether the participant elects to contribute. *These amounts are adjusted for cost-of-living in future years, when applicable. How to Get Started Establishing a SIMPLE IRA for your business can be easy with guidance from your financial advisor and quality investment options from Calvert. 1. Read and complete the form 5305-SIMPLE. 2. Give a copy of the completed Model Notification to Eligible Employees to each eligible participant. 3. Provide each eligible employee with a copy of the Model Salary Reduction Agreement, Custodial Agreement, Disclosure Statement, and Investment Application. Each employee should read these documents carefully before investing. 4. Mail completed Investment Applications to: Calvert Retirement Plans PO Box Kansas City, MO If you have any questions, please contact your financial advisor or call Calvert at during normal business hours, 8:30am to 5:30pm Eastern Time, Monday through Friday.

3 Reset Save to Disk Form 5305-SIMPLE (Rev. March 2012) Department of the Treasury Internal Revenue Service Savings Incentive Match Plan for Employees of Small Employers (SIMPLE) for Use With a Designated Financial Institution OMB No Do not file with the Internal Revenue Service Name of Employer establishes the following SIMPLE IRA plan under section 408(p) of the Internal Revenue Code and pursuant to the instructions contained in this form. Article I Employee Eligibility Requirements (complete applicable box(es) and blanks see instructions) 1 General Eligibility Requirements. The Employer agrees to permit salary reduction contributions to be made in each calendar year to the SIMPLE individual retirement account or annuity established at the designated financial institution (SIMPLE IRA) for each employee who meets the following requirements (select either 1a or 1b): a b Full Eligibility. All employees are eligible. Limited Eligibility. Eligibility is limited to employees who are described in both (i) and (ii) below: (i) Current compensation. Employees who are reasonably expected to receive at least $ exceed $5,000) for calendar year. (ii) Prior compensation. Employees who have received at least $ calendar year(s) (insert 0, 1, or 2) preceding the calendar year. in compensation (not to in compensation (not to exceed $5,000) during any 2 Excludable Employees The Employer elects to exclude employees covered under a collective bargaining agreement for which retirement benefits were the subject of good faith bargaining. Note: This box is deemed checked if the Employer maintains a qualified plan covering only such employees. Article II Salary Reduction Agreements (complete the box and blank, if applicable see instructions) 1 Salary Reduction Election. An eligible employee may make an election to have his or her compensation for each pay period reduced. The total amount of the reduction in the employee s compensation for a calendar year cannot exceed the applicable amount for that year. See instructions. 2 Timing of Salary Reduction Elections a For a calendar year, an eligible employee may make or modify a salary reduction election during the 60-day period immediately preceding January 1 of that year. However, for the year in which the employee becomes eligible to make salary reduction contributions, the period during which the employee may make or modify the election is a 60-day period that includes either the date the employee becomes eligible or the day before. b In addition to the election periods in 2a, eligible employees may make salary reduction elections or modify prior elections. If the Employer chooses this option, insert a period or periods (e.g., semi-annually, quarterly, monthly, or daily) that will apply uniformly to all eligible employees. c No salary reduction election may apply to compensation that an employee received, or had a right to immediately receive, before execution of the salary reduction election. d An employee may terminate a salary reduction election at any time during the calendar year. If this box is checked, an employee who terminates a salary reduction election not in accordance with 2b may not resume salary reduction contributions during the calendar year. Article III Contributions (complete the blank, if applicable see instructions) 1 Salary Reduction Contributions. The amount by which the employee agrees to reduce his or her compensation will be contributed by the Employer to the employee s SIMPLE IRA. 2 a Matching Contributions (i) For each calendar year, the Employer will contribute a matching contribution to each eligible employee s SIMPLE IRA equal to the employee s salary reduction contributions up to a limit of 3% of the employee s compensation for the calendar year. (ii) The Employer may reduce the 3% limit for the calendar year in (i) only if: (1) The limit is not reduced below 1%; (2) The limit is not reduced for more than 2 calendar years during the 5-year period ending with the calendar year the reduction is effective; and (3) Each employee is notified of the reduced limit within a reasonable period of time before the employees 60-day election period for the calendar year (described in Article II, item 2a). b Nonelective Contributions (i) For any calendar year, instead of making matching contributions, the Employer may make nonelective contributions equal to 2% of compensation for the calendar year to the SIMPLE IRA of each eligible employee who has at least $ (not more than $5,000) in compensation for the calendar year. No more than $250,000* in compensation can be taken into account in determining the nonelective contribution for each eligible employee. (ii) For any calendar year, the Employer may make 2% nonelective contributions instead of matching contributions only if: (1) Each eligible employee is notified that a 2% nonelective contribution will be made instead of a matching contribution; and (2) This notification is provided within a reasonable period of time before the employees 60-day election period for the calendar year (described in Article II, item 2a). 3 Time and Manner of Contributions a The Employer will make the salary reduction contributions (described in 1 above) to the designated financial institution for the IRAs established under this SIMPLE IRA plan no later than 30 days after the end of the month in which the money is withheld from the employee s pay. See instructions. b The Employer will make the matching or nonelective contributions (described in 2a and 2b above) to the designated financial institution for the IRAs established under this SIMPLE IRA plan no later than the due date for filing the Employer s tax return, including extensions, for the taxable year that includes the last day of the calendar year for which the contributions are made. * This is the amount for For later years, the limit may be increased for cost-of-living adjustments. The IRS announces the increase, if any, in a news release, in the Internal Revenue Bulletin, and on the IRS s internet website at IRS.gov. For Paperwork Reduction Act Notice, see instructions. Cat. No F Form 5305-SIMPLE (Rev ) Save to Disk

4 Save to Disk Form 5305-SIMPLE (Rev ) Page 2 Article IV Other Requirements and Provisions 1 Contributions in General. The Employer will make no contributions to the SIMPLE IRAs other than salary reduction contributions (described in Article III, item 1) and matching or nonelective contributions (described in Article III, items 2a and 2b). 2 Vesting Requirements. All contributions made under this SIMPLE IRA plan are fully vested and nonforfeitable. 3 No Withdrawal Restrictions. The Employer may not require the employee to retain any portion of the contributions in his or her SIMPLE IRA or otherwise impose any withdrawal restrictions. 4 No Cost Or Penalty For Transfers. The Employer will not impose any cost or penalty on a participant for the transfer of the participant s SIMPLE IRA balance to another IRA. 5 Amendments To This SIMPLE IRA Plan. This SIMPLE IRA plan may not be amended except to modify the entries inserted in the blanks or boxes provided in Articles I, II, III, VI, and VII. 6 Effects Of Withdrawals and Rollovers a An amount withdrawn from the SIMPLE IRA is generally includible in gross income. However, a SIMPLE IRA balance may be rolled over or transferred on a tax-free basis to another IRA designed solely to hold funds under a SIMPLE IRA plan. In addition, an individual may roll over or transfer his or her SIMPLE IRA balance to any IRA or eligible retirement plan after a 2-year period has expired since the individual first participated in any SIMPLE IRA plan of the Employer. Any rollover or transfer must comply with the requirements of section 408. b If an individual withdraws an amount from a SIMPLE IRA during the 2-year period beginning when the individual first participated in any SIMPLE IRA plan of the Employer and the amount is subject to the additional tax on early distributions under section 72(t), this additional tax is increased from 10% to 25%. Article V Definitions 1 Compensation a General Definition of Compensation. Compensation means the sum of wages, tips, and other compensation from the Employer subject to federal income tax withholding (as described in section 6051(a)(3)), the amounts paid for domestic service in a private home, local college club, or local chapter of a college fraternity or sorority, and the employee s salary reduction contributions made under this plan, and, if applicable, elective deferrals under a section 401(k) plan, a SARSEP, or a section 403(b) annuity contract and compensation deferred under a section 457 plan required to be reported by the Employer on Form W-2 (as described in section 6051(a)(8)). b Compensation for Self-Employed Individuals. For self-employed individuals, compensation means the net earnings from self-employment determined under section 1402(a), without regard to section 1402(c)(6), prior to subtracting any contributions made pursuant to this plan on behalf of the individual. 2 Employee. Employee means a common-law employee of the Employer. The term employee also includes a self-employed individual and a leased employee described in section 414(n) but does not include a nonresident alien who received no earned income from the Employer that constitutes income from sources within the United States. 3 Eligible Employee. An eligible employee means an employee who satisfies the conditions in Article I, item 1 and is not excluded under Article I, item 2. 4 Designated Financial Institution. A designated financial institution is a trustee, custodian, or insurance company (that issues annuity contracts) for the SIMPLE IRA plan that receives all contributions made pursuant to the SIMPLE IRA plan and deposits those contributions to the SIMPLE IRA of each eligible employee. Article VI Procedures for Withdrawals and Transfers (The designated financial institution will provide the instructions (to be attached or inserted in the space below) on the procedures for withdrawals of contributions by employees.) Article VII Effective Date This SIMPLE IRA plan is effective. See instructions. * * * * * Name of Employer By: Signature Date Address of Employer Name and title The undersigned agrees to serve as designated financial institution, receiving all contributions made pursuant to this SIMPLE IRA plan and depositing those contributions to the SIMPLE IRA of each eligible employee as soon as practicable. Upon the request of any participant, the undersigned also agrees to transfer the participant s balance in a SIMPLE IRA established under this SIMPLE IRA plan to another IRA without cost or penalty to the participant. Name of designated financial institution By: Signature Date Address Name and title Form 5305-SIMPLE (Rev ) Save to Disk

5 Save to Disk Form 5305-SIMPLE (Rev ) Page 3 I. Opportunity to Participate in the SIMPLE IRA Plan Model Notification to Eligible Employees You are eligible to make salary reduction contributions to the SIMPLE IRA plan. This notice and the attached summary description provide you with information that you should consider before you decide whether to start, continue, or change your salary reduction agreement. II. Employer Contribution Election For the calendar year, the Employer elects to contribute to your SIMPLE IRA (employer must select either (1), (2), or (3)): (1) A matching contribution equal to your salary reduction contributions up to a limit of 3% of your compensation for the year; (2) A matching contribution equal to your salary reduction contributions up to a limit of % (employer must insert a number from 1 to 3 and is subject to certain restrictions) of your compensation for the year; or (3) A nonelective contribution equal to 2% of your compensation for the year (limited to compensation of $250,000*) if you are an employee who makes at least $ (employer must insert an amount that is $5,000 or less) in compensation for the year. III. Administrative Procedures To start or change your salary reduction contributions, you must complete the salary reduction agreement and return it to (employer should designate a place or individual) by (employer should insert a date that is not less than 60 days after notice is given). I. Salary Reduction Election Model Salary Reduction Agreement Subject to the requirements of the SIMPLE IRA plan of (name of employer) I authorize % or $ (which equals % of my current rate of pay) to be withheld from my pay for each pay period and contributed to my SIMPLE IRA as a salary reduction contribution. II. Maximum Salary Reduction I understand that the total amount of my salary reduction contributions in any calendar year cannot exceed the applicable amount for that year. See instructions. III. Date Salary Reduction Begins I understand that my salary reduction contributions will start as soon as permitted under the SIMPLE IRA plan and as soon as administratively feasible or, if later,. (Fill in the date you want the salary reduction contributions to begin. The date must be after you sign this agreement.) IV. Duration of Election This salary reduction agreement replaces any earlier agreement and will remain in effect as long as I remain an eligible employee under the SIMPLE IRA plan or until I provide my Employer with a request to end my salary reduction contributions or provide a new salary reduction agreement as permitted under this SIMPLE IRA plan. Signature of employee Date * This is the amount for For later years, the limit may be increased for cost-of-living adjustments. The IRS announces the increase, if any, in a news release, in the Internal Revenue Bulletin, and on the IRS website at IRS.gov. Form 5305-SIMPLE (Rev ) Save to Disk

6 Save to Disk Form 5305-SIMPLE (Rev ) Page 4 General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Purpose of Form Form 5305-SIMPLE is a model Savings Incentive Match Plan for Employees of Small Employers (SIMPLE) plan document that an employer may use in combination with SIMPLE IRAs to establish a SIMPLE IRA plan described in section 408(p). These instructions are designed to assist in the establishment and administration of the SIMPLE IRA plan. They are not intended to supersede any provision in the SIMPLE IRA plan. Do not file Form 5305-SIMPLE with the IRS. Instead, keep it with your records. For more information, see Pub. 560, Retirement Plans for Small Business (SEP, SIMPLE, and Qualified Plans), and Pub. 590, Individual Retirement Arrangements (IRAs). Note. If you used the March 2002, August 2005, or September 2008 version of Form 5305-SIMPLE to establish a model Savings Incentive Match Plan, you are not required to use this version of the form. Instructions for the Employer Which Employers May Establish and Maintain a SIMPLE IRA Plan? To establish and maintain a SIMPLE IRA plan, you must meet both of the following requirements: 1. Last calendar year, you had no more than 100 employees (including self-employed individuals) who earned $5,000 or more in compensation from you during the year. If you have a SIMPLE IRA plan but later exceed this 100-employee limit, you will be treated as meeting the limit for the 2 years following the calendar year in which you last satisfied the limit. 2. You do not maintain during any part of the calendar year another qualified plan with respect to which contributions are made, or benefits are accrued, for service in the calendar year. For this purpose, a qualified plan (defined in section 219(g)(5)) includes a qualified pension plan, a profit-sharing plan, a stock bonus plan, a qualified annuity plan, a tax-sheltered annuity plan, and a simplified employee pension (SEP) plan. A qualified plan that only covers employees covered under a collective bargaining agreement for which retirement benefits were the subject of good faith bargaining is disregarded if these employees are excluded from participating in the SIMPLE IRA plan. If the failure to continue to satisfy the 100-employee limit or the one-plan rule described in 1 or 2 above is due to an acquisition or similar transaction involving your business, special rules apply. Consult your tax advisor to find out if you can still maintain the plan after the transaction. Certain related employers (trades or businesses under common control) must be treated as a single employer for purposes of the SIMPLE requirements. These are: (1) a controlled group of corporations under section 414(b); (2) a partnership or sole proprietorship under common control under section 414(c); or (3) an affiliated service group under section 414(m). In addition, if you have leased employees required to be treated as your own employees under the rules of section 414(n), then you must count all such leased employees for the requirements listed above. What Is a SIMPLE IRA Plan? A SIMPLE IRA plan is a written arrangement that provides you and your employees with an easy way to make contributions to provide retirement income for your employees. Under a SIMPLE IRA plan, employees may choose whether to make salary reduction contributions to the SIMPLE IRA plan rather than receiving these amounts as part of their regular compensation. In addition, you will contribute matching or nonelective contributions on behalf of eligible employees (see Employee Eligibility Requirements below and Contributions later). All contributions under this plan will be deposited into a SIMPLE individual retirement account or annuity established for each eligible employee with the designated financial institution named in Article VII. When To Use Form 5305-SIMPLE A SIMPLE IRA plan may be established by using this Model Form or any other document that satisfies the statutory requirements. Do not use Form 5305-SIMPLE if: 1. You want to permit each of your eligible employees to choose a financial institution that will initially receive contributions. Instead, use Form 5304-SIMPLE, Savings Incentive Match Plan for Employees of Small Employers (SIMPLE) Not for Use With a Designated Financial Institution; 2. You want employees who are nonresident aliens receiving no earned income from you that is income from sources within the United States to be eligible under this plan; or 3. You want to establish a SIMPLE 401(k) plan. Completing Form 5305-SIMPLE Pages 1 and 2 of Form 5305-SIMPLE contain the operative provisions of your SIMPLE IRA plan. This SIMPLE IRA plan is considered adopted when you have completed all appropriate boxes and blanks and it has been executed by you and the designated financial institution. The SIMPLE IRA plan is a legal document with important tax consequences for you and your employees. You may want to consult with your attorney or tax advisor before adopting this plan. Employee Eligibility Requirements (Article I) Each year for which this SIMPLE IRA plan is effective, you must permit salary reduction contributions to be made by all of your employees who are reasonably expected to receive at least $5,000 in compensation from you during the year, and who received at least $5,000 in compensation from you in any 2 preceding years. However, you can expand the group of employees who are eligible to participate in the SIMPLE IRA plan by completing the options provided in Article I, items 1a and 1b. To choose full eligibility, check the box in Article I, item 1a. Alternatively, to choose limited eligibility, check the box in Article I, item 1b, and then insert $5,000 or a lower compensation amount (including zero) and 2 or a lower number of years of service in the blanks in (i) and (ii) of Article I, item 1b. In addition, you can exclude from participation those employees covered under a collective bargaining agreement for which retirement benefits were the subject of good faith bargaining. You may do this by checking the box in Article I, item 2. Under certain circumstances, these employees must be excluded. See Which Employers May Establish and Maintain a SIMPLE IRA Plan? earlier. Salary Reduction Agreements (Article II) As indicated in Article II, item 1, a salary reduction agreement permits an eligible employee to make an election to have his or her compensation for each pay period reduced by a percentage (expressed as a percentage or dollar amount). The total amount of the reduction in the employee s compensation cannot exceed the Save to Disk

7 Save to Disk Form 5305-SIMPLE (Rev ) Page 5 applicable amount for any calendar year. The applicable amount is $11,500 for After 2012, the $11,500 amount may be increased for cost-of-living adjustments. In the case of an eligible employee who is 50 or older by the end of the calendar year, the above limitation is increased by $2,500 for After 2012, the $2,500 amount may be increased for cost-of-living adjustments. Timing of Salary Reduction Elections For a calendar year, an eligible employee may make or modify a salary reduction election during the 60-day period immediately preceding January 1 of that year. However, for the year in which the employee becomes eligible to make salary reduction contributions, the period during which the employee may make or modify the election is a 60-day period that includes either the date the employee becomes eligible or the day before. You can extend the 60-day election periods to provide additional opportunities for eligible employees to make or modify salary reduction elections using the blank in Article II, item 2b. For example, you can provide that eligible employees may make new salary reduction elections or modify prior elections for any calendar quarter during the 30 days before that quarter. You may use the Model Salary Reduction Agreement on page 3 to enable eligible employees to make or modify salary reduction elections. Employees must be permitted to terminate their salary reduction elections at any time. They may resume salary reduction contributions for the year if permitted under Article II, item 2b. However, by checking the box in Article II, item 2d, you may prohibit an employee who terminates a salary reduction election outside the normal election cycle from resuming salary reduction contributions during the remainder of the calendar year. Contributions (Article III) Only contributions described below may be made to this SIMPLE IRA plan. No additional contributions may be made. Salary Reduction Contributions As indicated in Article III, item 1, salary reduction contributions consist of the amount by which the employee agrees to reduce his or her compensation. You must contribute the salary reduction contributions to the designated financial institution for the employee s SIMPLE IRA. Matching Contributions In general, you must contribute a matching contribution to each eligible employee s SIMPLE IRA equal to the employee s salary reduction contributions. This matching contribution cannot exceed 3% of the employee s compensation. See Definition of Compensation later. You may reduce this 3% limit to a lower percentage, but not lower than 1%. You cannot lower the 3% limit for more than 2 calendar years out of the 5-year period ending with the calendar year the reduction is effective. Note. If any year in the 5-year period described above is a year before you first established any SIMPLE IRA plan, you will be treated as making a 3% matching contribution for that year for purposes of determining when you may reduce the employer matching contribution. To elect this option, you must notify the employees of the reduced limit within a reasonable period of time before the applicable 60-day election periods for the year. See Timing of Salary Reduction Elections earlier. Nonelective Contributions Instead of making a matching contribution, you may, for any year, make a nonelective contribution equal to 2% of compensation for each eligible employee who has at least $5,000 in compensation for the year. Nonelective contributions may not be based on more than $250,000* of compensation. To elect to make nonelective contributions, you must notify employees within a reasonable period of time before the applicable 60-day election periods for such year. See Timing of Salary Reduction Elections earlier. Note. Insert $5,000 in Article III, item 2b(i) to impose the $5,000 compensation requirement. You may expand the group of employees who are eligible for nonelective contributions by inserting a compensation amount lower than $5,000. Effective Date (Article VII) Insert in Article VII the date you want the provisions of the SIMPLE IRA plan to become effective. You must insert January 1 of the applicable year unless this is the first year for which you are adopting any SIMPLE IRA plan. If this is the first year for which you are adopting a SIMPLE IRA plan, you may insert any date between January 1 and October 1, inclusive of the applicable year. Additional Information Timing of Salary Reduction Contributions The employer must make the salary reduction contributions to the designated financial institution for the SIMPLE IRAs of all eligible employees no later than the 30th day of the month following the month in which the amounts would otherwise have been payable to the employee in cash. The Department of Labor has indicated that most SIMPLE IRA plans are also subject to Title I of the Employee Retirement Income Security Act of 1974 (ERISA). Under Department of Labor regulations, at 29 CFR , salary reduction contributions must be made to the SIMPLE IRA at the designated financial institution as of the earliest date on which those contributions can reasonably be segregated from the employer s general assets, but in no event later than the 30-day deadline described previously. Definition of Compensation Compensation means the amount described in section 6051(a)(3) (wages, tips, and other compensation from the employer subject to federal income tax withholding under section 3401(a)), and amounts paid for domestic service in a private home, local college club, or local chapter of a college fraternity or sorority. Usually, this is the amount shown in box 1 of Form W-2, Wage and Tax Statement. For further information, see Pub. 15, Circular E, Employer s Tax Guide. Compensation also includes the salary reduction contributions made under this plan, and, if applicable, compensation deferred under a section 457 plan. In determining an employee s compensation for prior years, the employee s elective deferrals under a section 401(k) plan, a SARSEP, or a section 403(b) annuity contract are also included in the employee s compensation. For self-employed individuals, compensation means the net earnings from self-employment determined under section 1402(a), without regard to section 1402(c)(6), prior to subtracting any contributions made pursuant to this SIMPLE IRA plan on behalf of the individual. * This is the amount for For later years, the limit may be increased for cost-of-living adjustments. The IRS announces the increase, if any, in a news release, in the Internal Revenue Bulletin, and on the IRS s website at IRS.gov. Save to Disk

8 Save to Disk Form 5305-SIMPLE (Rev ) Page 6 Employee Notification You must notify eligible employees prior to the employees 60-day election period described previously that they can make or change salary reduction elections. In this notification, you must indicate whether you will provide: 1. A matching contribution equal to your employees salary reduction contributions up to a limit of 3% of their compensation; 2. A matching contribution equal to your employees salary reduction contributions subject to a percentage limit that is between 1 and 3% of their compensation; or 3. A nonelective contribution equal to 2% of your employees compensation. You can use the Model Notification to Eligible Employees to satisfy these employee notification requirements for this SIMPLE IRA plan. A Summary Description must also be provided to eligible employees at this time. This summary description requirement may be satisfied by providing a completed copy of pages 1 and 2 of Form 5305-SIMPLE (including the Article VI Procedures for Withdrawals and Transfers from the SIMPLE IRAs established under this SIMPLE IRA plan). If you fail to provide the employee notification (including the summary description) described above, you will be liable for a penalty of $50 per day until the notification is provided. If you can show that the failure was due to reasonable cause, the penalty will not be imposed. Reporting Requirements You are not required to file any annual information returns for your SIMPLE IRA plan, such as Form 5500, Annual Return/Report of Employee Benefit Plan or Form 5500-EZ, Annual Return of One-Participant (Owners and Their Spouses) Retirement Plan. However, you must report to the IRS which eligible employees are active participants in the SIMPLE IRA plan and the amount of your employees salary reduction contributions to the SIMPLE IRA plan on Form W-2. These contributions are subject to social security, Medicare, railroad retirement, and federal unemployment tax. Deducting Contributions Contributions to this SIMPLE IRA plan are deductible in your tax year containing the end of the calendar year for which the contributions are made. Contributions will be treated as made for a particular tax year if they are made for that year and are made by the due date (including extensions) of your income tax return for that year. Choosing the Designated Financial Institution As indicated in Article V, item 4, a designated financial institution is a trustee, custodian, or insurance company (that issues annuity contracts) for the SIMPLE IRA plan that would receive all contributions made pursuant to the SIMPLE IRA plan and deposit the contributions to the SIMPLE IRA of each eligible employee. Only certain financial institutions, such as banks, savings and loan associations, insured credit unions, insurance companies (that issue annuity contracts), or IRS-approved nonbank trustees may serve as a designated financial institution under a SIMPLE IRA plan. You are not required to choose a designated financial institution for your SIMPLE IRA plan. However, if you do not want to choose a designated financial institution, you cannot use this form (see When To Use Form 5305-SIMPLE earlier). Instructions for the Designated Financial Institution Completing Form 5305-SIMPLE By completing Article VII, you have agreed to be the designated financial institution for this SIMPLE IRA plan. You agree to maintain IRAs on behalf of all individuals receiving contributions under the plan and to receive all contributions made pursuant to this plan and to deposit those contributions to the SIMPLE IRAs of each eligible employee as soon as practicable. You also agree that upon the request of a participant, you will transfer the participant s balance in a SIMPLE IRA to another IRA without cost or penalty to the participant. Summary Description Each year the SIMPLE IRA plan is in effect, you must provide the employer the information described in section 408(l)(2)(B). This requirement may be satisfied by providing the employer a current copy of Form 5305-SIMPLE (including instructions) together with your procedures for withdrawals and transfers from the SIMPLE IRAs established under this SIMPLE IRA plan. The summary description must be received by the employer in sufficient time to comply with the Employee Notification requirements on this page. If you fail to provide the summary description described above, you will be liable for a penalty of $50 per day until the notification is provided. If you can show that the failure was due to reasonable cause, the penalty will not be imposed. Paperwork Reduction Act Notice. You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by section The time needed to complete this form will vary depending on individual circumstances. The estimated average time is: Recordkeeping hr., 38 min. Learning about the law or the form hr., 26 min. Preparing the form min. If you have comments concerning the accuracy of these time estimates or suggestions for making this form simpler, we would be happy to hear from you. You can write to the Internal Revenue Service, Tax Products Coordinating Committee, SE:W:CAR:MP:T:M:S, 1111 Constitution Ave. NW, IR-6526, Washington, DC Do not send this form to this address. Instead, keep it for your records. Save to Disk

9 SIMPLE IRA Application Important Information USA Patriot Act. Federal law requires all financial institutions to obtain, verify and record information that identifies each person who opens an account. What this means for 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. This information will be verified to ensure the identity of all individuals opening a mutual fund account. PART I: SIMPLE IRA OWNER INFORMATION NAME TAXPAYER ID NUMBER DATE OF BIRTH RESIDENCE ADDRESS MAILING ADDRESS DAYTIME PHONE NUMBER ADDRESS U.S. Citizenship Status: Citizen Resident Alien You have the option of either a $15 Annual Fee or a $60 Lifetime Fee for the maintenance of your IRA. You may choose to pre-pay this Fee by enclosing a check with this application. If you choose not to pre-pay the Fee, the $15 Annual Fee will be deducted from your account in November. Please choose one option: $15 Annual Fee enclosed $60 Lifetime Fee enclosed PART II: CONTRIBUTION INFORMATION Source of Funds (Select One): Elective Deferral Amount: Tax Year: Employer Match Contribution Amount: Tax Year: Employer Nonelective Contribution Amount: Tax Year: Direct Transfer(Note: Select this option only if you are transferring assets from another SIMPLE IRA) Rollover (Note: Select this option only if you are rolling over assets from another SIMPLE IRA)) Recharacterization Amount: Tax Year: Other Explain: PART III: INVESTMENT SELECTION Minimum initial purchase requirement is $25 per fund per month. Fund minimums should be met before multiple portfolios are established. NAME OF FUND SHARE CLASS (A, C) ALLOCATION 1. $ OR % 2. $ OR % 3. $ OR % 4. $ OR % 5. $ OR % Addendum attached for additional investment selections. If you need additional space to make investment selections, attach a separate sheet that includes all of the information requested above. Sign and date the sheet. PART IV: PAYMENT METHOD You can open your account using any of these methods. Please check your choice: By Check (Payable to Calvert for the total amount.) From Employer (Contributions will be forthcoming from my employer) Other

10 PART V: BENEFICIARY DESIGNATION SIMPLE IRA Owner (or Inherited IRA Owner) designate beneficiaries below. If the primary or contingent status is not indicated, the individual or entity will be considered a primary beneficiary. After your death, your SIMPLE IRA assets will be distributed in equal shares (unless indicated otherwise) to the primary beneficiaries who survive you. If no primary beneficiaries are living when you die, the SIMPLE IRA assets will be distributed in equal shares (unless otherwise indicated) to the contingent beneficiaries who survive you. The interest of any beneficiary that predeceases the IRA owner terminates completely, and the percentage share of any remaining beneficiaries will be increased on a pro rata basis. You may revoke or change the beneficiary designation at any time by completing a new IRA Change of Beneficiary Form and providing it to the Custodian: Type: Primary Contingent Share Percentage: % Relationship to IRA Owner: Spouse Nonspouse NAME TAXPAYER ID NUMBER DATE OF BIRTH RESIDENCE ADDRESS Type: Primary Contingent Share Percentage: % Relationship to IRA Owner: Spouse Nonspouse NAME TAXPAYER ID NUMBER DATE OF BIRTH RESIDENCE ADDRESS Type: Primary Contingent Share Percentage: % Relationship to IRA Owner: Spouse Nonspouse NAME TAXPAYER ID NUMBER DATE OF BIRTH RESIDENCE ADDRESS Type: Primary Contingent Share Percentage: % Relationship to IRA Owner: Spouse Nonspouse NAME TAXPAYER ID NUMBER DATE OF BIRTH RESIDENCE ADDRESS Addendum attached for additional beneficiaries. If you need additional space to name beneficiaries, attach a separate sheet that includes all of the information requested above. Sign and date the sheet. To name a trust as your beneficiary, attach to this form either a copy of the trust agreement or a certification, in writing, acceptable to the IRA Custodian. PART VI: SPOUSAL CONSENT This section may have important tax consequences to you and your spouse so please consult with a competent advisor prior to completing. If this is an Inherited IRA, seek competent legal/tax advice to see if spousal consent is required. If you are not currently married and you marry in the future, you must complete a new beneficiary designation that includes the spousal consent provisions. CURRENT MARITAL STATUS I am not married I understand that if I become married in the future, I must complete a new beneficiary designation that includes the spousal consent provisions. I am married I understand that if I designate a primary beneficiary other than my spouse, my spouse must sign below. CONSENT OF SPOUSE By signing below, I acknowledge that I am the spouse of the SIMPLE IRA owner and agree with and consent to my spouse s designation of a primary beneficiary other than, or in addition to, me. I have been advised to consult a competent advisor and I assume all responsibility regarding this consent. The Custodian has not provided me any legal or tax advice. SIGNATURE OF SPOUSE DATE WITNESS DATE

11 PART VII: BROKER/DEALER INFORMATION Please designate your broker or financial advisor. Broker: If Calvert number is unknown and you have no internal branch number, call Calvert at for your number to ensure prompt payment of commission and/or quarterly compensation. By designating a broker/dealer or financial advisor, I hereby authorize the Fund, its Transfer Agent and its Principal Underwriter to accept instructions from and transmit information (such as statements) to such designee concerning my account. Registered Investment Advisor at NAV (Trades at Net Asset Value) FIRM NAME ADDRESS REGISTERED REP. NAME REPRESENTATIVE S ASSISTANT BRANCH ADDRESS MAIN OFFICE PHONE NUMBER BRANCH PHONE NUMBER FAX NUMBER CALVERT-ASSIGNED FIRM NUMBER FIRM-ASSIGNED BRANCH NUMBER FIRM-ASSIGNED REGISTERED REP. NUMBER PART VIII: RIGHTS OF ACCUMULATION I would like to use the combined assets in the following Calvert account(s) to qualify for reduced sales charges. (Certain eligibility guidelines may apply.) PART IX: LETTER OF INTENT I understand that through accumulated investments I can reduce my sales charges. I plan to invest over a 13 month period in one or more Calvert Funds (does not apply to money market funds) and aggregated amount of at least: $50,000 $100,000 $250,000 $500,000 $1,000,000 or more Part of my shares will be held in escrow. If I do not invest the amount indicated, within 13 months, Calvert can redeem the escrowed shares to satisfy the sales charge. My other Calvert accounts for Rights of Accumulation or Letter of Intent (List others on a separate sheet): FUND NUMBER ACCOUNT NUMBER FUND NUMBER ACCOUNT NUMBER PART X: SIMPLE IRA EMPLOYER INFORMATION NAME OF EMPLOYER CONTACT PERSON PHONE NUMBER EMPLOYER S ADDRESS PLAN EFFECTIVE DATE PART XI: ACKNOWLEDGEMENT (Note: This application will not be processed unless signed below by the SIMPLE IRA Owner.) By signing this SIMPLE IRA Application, I certify that the information I have provided is true, correct, and complete, and the Custodian (State Street Bank and Trust Company, having its address of record as Custodian, c/o Calvert Retirement Plans, 4550 Montgomery Avenue, Suite 1000N, Bethesda, MD 20814) may rely on what I have provided. In addition, I have read and received copies of the SIMPLE IRA Application, IRS Form 5305-SA, Disclosure Statement and Financial Disclosure, including the applicable fee schedule. I agree to be bound to their terms and conditions. I understand that if the deposit establishing the SIMPLE IRA contains rollover dollars, I elect to irrevocably designate this deposit as a rollover contribution. I understand that I am responsible for the SIMPLE IRA transactions I conduct, and I will indemnify and hold the Custodian harmless from any consequences related to executing my directions. I have been advised to seek competent legal and tax advice and have not been provided any such advice from the Custodian. Certification Under Interest and Dividend Compliance Act of As required by law and under penalties of perjury, I certify that I am a U.S. citizen, or resident, or (1) the Social Security or other taxpayer identification number (TIN) provided on this application is my correct TIN, and (2) currently I am not under IRS notification that I am subject to backup withholding. (Please strike out clause (2) if you are currently under notification.) (3) I am a U.S. person (including a U.S. resident alien). If a TIN is not supplied, the Fund or Insured Plus Account withholds 30% of reportable dividends or interest and/or redemptions, and your account may be closed, unless you are not a U.S. citizen or resident. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. SIGNATURE OF SIMPLE IRA OWNER DATE SIGNATURE OF SIMPLE IRA CUSTODIAN REPRESENTATIVE DATE PLEASE MAIL TO: CALVERT, PO BOX , KANSAS CITY, MO

12 12 CALVERT IRAs SIMPLE This page intentionally left blank.

13 SIMPLE Individual Retirement Custodial Account (Under section 408(p) of the Internal Revenue Code) Form 5305-SA (Rev. March 2002) Department of the Treasury, Internal Revenue Service. Do not file with the Internal Revenue Service. The Participant named on the Application is establishing a savings incentive match plan for employees of small employers individual retirement account (SIMPLE IRA) under sections 408(a) and 408(p) to provide for his or her retirement and for the support of his or her beneficiaries after death. The Custodian named on the Application has given the Participant the disclosure statement required by Regulations section The Participant and the Custodian make the following Agreement: ARTICLE I The Custodian will accept cash contributions made on behalf of the Participant by the Participant s employer under the terms of a SIMPLE IRA plan described in section 408(p). In addition, the Custodian will accept transfers or rollovers from other SIMPLE IRAs of the Participant. No other contributions will be accepted by the Custodian. ARTICLE II The Participant s interest in the balance in the Custodial Account is nonforfeitable. ARTICLE III 1. No part of the Custodial Account funds may be invested in life insurance contracts, nor may the assets of the Custodial Account be commingled with other property except in a common trust fund or common investment fund (within the meaning of section 408(a)(5)). 2. No part of the Custodial Account funds may be invested in collectibles (within the meaning of section 408(m)) except as otherwise permitted by section 408(m)(3), which provides an exception for certain gold, silver, and platinum coins, coins issued under the laws of any state, and certain bullion. ARTICLE IV 1. Notwithstanding any provision of this agreement to the contrary, the distribution of the Participant s interest in the Custodial Account shall be made in accordance with the following requirements and shall otherwise comply with section 408(a)(6) and the regulations thereunder, the provisions of which are herein incorporated by reference. 2. The Participant s entire interest in the Custodial Account must be, or begin to be, distributed not later than the Participant s required beginning date, April 1 following the calendar year in which the Participant reaches age 70½. By that date, the Participant may elect, in a manner acceptable to the Custodian, to have the balance in the Custodial Account distributed in: (a) A single sum or (b) Payments over a period not longer than the life of the Participant or the joint lives of the Participant and his or her designated beneficiary. 3. If the Participant dies before his or her entire interest is distributed to him or her, the remaining interest will be distributed as follows: (a) If the Participant dies on or after the required beginning date and: (i) the designated beneficiary is the Participant s surviving spouse, the remaining interest will be distributed over the surviving spouse s life expectancy as determined each year until such spouse s death, or over the period in paragraph (a)(iii) below if longer. Any interest remaining after the spouse s death will be distributed over such spouse s remaining life expectancy as determined in the year of the spouse s death and reduced by 1 for each subsequent year, or, if distributions are being made over the period in paragraph (a)(iii) below, over such period. (ii) the designated beneficiary is not the Participant s surviving spouse, the remaining interest will be distributed over the beneficiary s remaining life expectancy as determined in the year following the death of the Participant and reduced by 1 for each subsequent year, or over the period in paragraph (a)(iii) below if longer. (iii) there is no designated beneficiary, the remaining interest will be distributed over the remaining life expectancy of the Participant as determined in the year of the Participant s death and reduced by 1 for each subsequent year. (b) If the Participant dies before the required beginning date, the remaining interest will be distributed in accordance with (i) below or, if elected or there is no designated beneficiary, in accordance with (ii) below: (i) The remaining interest will be distributed in accordance with paragraphs (a)(i) and (a)(ii) above (but not over the period in paragraph (a)(iii), even if longer), starting by the end of the calendar year following the year of the Participant s death. If, however, the designated beneficiary is the Participant s surviving spouse, then this distribution is not required to begin before the end of the calendar year in which the Participant would have reached age 70½. But, in such case, if the Participant s surviving spouse dies before distributions are required to begin, then the remaining interest will be distributed in accordance with (a)(ii) above (but not over the period in paragraph (a)(iii), even if longer), over such spouse s designated beneficiary s life expectancy, or in accordance with (ii) below if there is no such designated beneficiary. (ii) The remaining interest will be distributed by the end of the calendar year containing the fifth anniversary of the Participant s death. 4. If the Participant dies before his or her entire interest has been distributed and if the designated beneficiary is not the Participant s surviving spouse, no additional contributions may be accepted in the account. 5. The minimum amount that must be distributed each year, beginning with the year containing the Participant s required beginning date, is known as the required minimum distribution and is determined as follows: (a) The required minimum distribution under paragraph 2(b) for any year, beginning with the year the Participant reaches age 70½, is the Participant s account value at the close of business on December 31 of the preceding year divided by the distribution period in the uniform lifetime table in Regulations section 1.401(a)(9)-9. However, if the Participant s designated beneficiary is his or her surviving spouse, the required minimum distribution for a year shall not be more than the Participant s account value at the close of business on December 31 of the preceding year divided by the number in the joint and last survivor table in Regulations section 1.401(a)(9)-9. The required minimum distribution for a year under this paragraph (a) is determined using the Participant s (or, if applicable, the Participant and spouse s) attained age (or ages) in the year. (b) The required minimum distribution under paragraphs 3(a) and 3(b)(i) for a year, beginning with the year following the year of the Participant s death (or the year the Participant would have reached age 70½, if applicable under paragraph 3(b)(i)) is the account value at the close of business on December 31 of the preceding year divided by the life expectancy (in the single life table in Regulations section 1.401(a)(9)-9) of the individual specified in such paragraphs 3(a) and 3(b)(i). (c) The required minimum distribution for the year the Participant reaches age 70½ can be made as late as April 1 of the following year. The required minimum distribution for any other year must be made by the end of such year. 6. The owner of two or more IRAs (other than Roth IRAs) may satisfy the minimum distribution requirements described above by taking from one IRA the amount required to satisfy the requirement for another in accordance with the regulations under section 408(a)(6). ARTICLE V 1. The Participant agrees to provide the Custodian with all information necessary to prepare any reports required by sections 408(i) and 408(l)(2) and Regulations sections and The Custodian agrees to submit to the Internal Revenue Service (IRS) and Participant the reports prescribed by the IRS. 3. The Custodian also agrees to provide the Participant s employer the summary description described in section 408(l)(2) unless this SIMPLE IRA is a transfer SIMPLE IRA. ARTICLE VI Notwithstanding any other articles which may be added or incorporated, the provisions of Articles I through III and this sentence will be controlling. Any additional articles inconsistent with sections 408(a) and 408(p) and the related regulations will be invalid. Copyright 2014, Convergent Retirement Plan Solutions, LLC, Brainerd, MN Copyright 2014, Compliance Systems, Grand Rapids, MI CALVERT IRAs SIMPLE 13

14 ARTICLE VII This Agreement will be amended as necessary to comply with the provisions of the Code and the related regulations. Other amendments may be made with the consent of the persons whose signatures appear on the Application. ARTICLE VIII 1. Definitions. Agreement. Agreement means the SIMPLE IRA Custodial Agreement (IRS Form 5305-SA), Application, Disclosure Statement, Financial Disclosure and accompanying documentation. The Agreement may be amended from time to time as provided in Article VII. Application. Application means the document that establishes this SIMPLE IRA after acceptance by the Custodian by signing the Application. The information and statements contained in the Application are incorporated into this SIMPLE IRA Agreement. Authorized Agent. Authorized Agent means the individual(s) appointed in writing by the Participant (or by the beneficiary following the Participant s death) authorized to perform the duties and responsibilities set forth in the Agreement on behalf of the Participant. Code. Code means the Internal Revenue Code. Custodial Account. Custodial Account means the type of legal arrangement whereby the Custodian is a qualified financial institution that agrees to maintain the Custodial Account for the exclusive benefit of the Participant and the Participant s beneficiaries. Custodian. The Custodian must be a bank or savings and loan association, as defined in section 408(n), or any person who has the approval of the IRS to act as Custodian. Participant. The participant is the person who establishes the Custodial Account. Regulations. Regulations mean the U.S. Treasury Regulations. 2. Participant s Responsibilities. All information that the Participant has provided or will provide to the Custodian under this Agreement is complete and accurate and the Custodian may rely upon it. The Participant will comply with all legal requirements governing this Agreement and assumes all responsibility for his or her actions including, but not limited to eligibility determination, contributions, distributions, penalty infractions, proper filing of tax returns and other issues related to activities regarding this Agreement. The Participant will provide to the Custodian the information the Custodian believes appropriate to comply with the requirements of section 326 of the Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism (U.S.A. PATRIOT) Act of The Participant will pay the Custodian reasonable compensation for its services, as disclosed in the applicable fee schedules. 3. Investment Responsibilities. All investment decisions are the sole responsibility of the Participant and the Participant is responsible to direct the Custodian in writing, or other acceptable form and manner authorized by the Custodian, regarding how all amounts are to be invested. Subject to the policies and practices of the Custodian, the Participant may delegate investment authority by appointing an Authorized Agent in writing in a form and manner acceptable to the Custodian. Upon receipt of instructions from the Participant and proof of acceptance by the Authorized Agent, the Custodian will accept investment direction and may fully rely on those instructions as if the Custodian had received the instructions from the Participant. The Custodian will determine the investments available within the Custodial Account. These investments will be permissible investments under the applicable laws and Regulations. The Custodian may change its investment options from time to time and the Participant may move his or her monies in the Custodial Account to different investments. Any investment changes within the Custodial Account are subject to the terms and conditions of the investments, including but not limited to minimum deposit requirements and early redemption penalties. The Custodian will not provide any investment direction, suitability recommendations, tax advice, or any other investment guidance. Further, the Custodian has no duty to question the investment directions provided by the Participant or any issues relating to the management of the Custodial Account. The Participant will indemnify and hold the Custodian harmless from and against all costs and expenses (including attorney s fees) incurred by the Custodian in connection with any litigation regarding the investments within the Custodial Account where the Custodian is named as a necessary party. The Custodian will promptly execute investment instructions received from the Participant if the instructions are in a form and manner acceptable to the Custodian. If the Custodian determines the instructions from the Participant are unclear or incomplete, the Custodian may request additional instructions. Until clear instructions are received, the Custodian reserves the right, in good faith, to leave the contribution uninvested, place the contribution in a holding account (e.g., a money market account), or return the contribution to the Participant. The Custodian will not be liable for any investment losses due to such delays in receiving clear investment instructions. Further, the Participant will indemnify and hold the Custodian harmless for any adverse consequences or losses incurred from the Custodian s actions or inactions relating to the investment directions received from the Participant or Authorized Agent. The Participant will not engage in transactions not permitted under the Agreement, including, but not limited to, the investment in collectibles or life insurance contracts, or engage in a prohibited transaction under Code section Beneficiary Designation. The Depositor has the right to designate any person(s) or entity(ies) as primary and contingent beneficiaries by completing a written designation in a form and manner acceptable to the Custodian filed with the Custodian during the Depositor s lifetime. If the Custodian and applicable laws and regulations so permit, this right also extends to the Depositor s designated beneficiaries following the Depositor s death. Any successor beneficiary so named will be entitled to the proceeds of the Custodial Account if the beneficiary dies before receiving his or her entire interest in the decedent s IRA. A designation of successor beneficiaries submitted by the Depositor s beneficiary must be in writing in a form and manner acceptable to the Custodian filed with the Custodian during the lifetime of the Depositor s beneficiary. If the Participant is married and subject to the marital or community property laws that require the consent of the Participant s spouse to name a beneficiary other than or in addition to such spouse, the Participant understands that he or she is responsible for any and all tax and legal ramifications and he or she should consult a competent tax and/or legal advisor before making such designation. Upon the Participant s death, the Custodial Account will be paid to the primary beneficiaries in equal shares unless indicated otherwise in a form and manner acceptable to the Custodian. If no primary beneficiaries survive the Participant, the Custodial Account will be paid to surviving contingent beneficiaries in equal shares unless indicated otherwise. If no primary or contingent beneficiaries survive the Participant or if the Participant fails to designate beneficiaries during his or her lifetime, the Custodial Account will be paid to the Participant s estate following the Participant s death. No payment will be made to any beneficiary until the Custodian receives appropriate evidence of the Participant s death as determined by the Custodian. If a beneficiary entitled to payment is a minor, the Custodian is relieved of all of its obligations as Custodian by paying the Custodial Account to the minor s parent or legal guardian upon receiving written instructions from such parent or legal guardian. The Participant represents and warrants that all beneficiary designations meet the applicable laws. The Custodian will exercise good faith in distributing the Participant s Custodial Account consistent with the beneficiary designation. The Participant, for the Participant and the heirs, beneficiaries and estate of the Participant agrees to indemnify and hold the Custodian harmless against any and all claims, liabilities and expenses resulting from the Custodian s payment of the custodial Account consistent with such beneficiary designation and the terms of the Agreement. 5. Distributions. The Participant may request distributions from the Custodial Account by delivering a request to the Custodian in a form and manner acceptable to the Custodian. The Custodian is not obligated to distribute the Custodial Account unless it is satisfied it has received the required information to perform its administrative and legal reporting obligations. Information the Custodian may require includes, but is not limited to, taxpayer identification number, distribution reason, and proof of identity. For required minimum distributions (RMD) pursuant to Article IV of the Agreement, the Participant will elect a valid distribution method in a form and manner acceptable to the Custodian. The Custodian will send the Participant a notice each year the Participant is subject to the requirements of Article IV. Such notice will include the distribution deadline and will inform the Participant of the RMD amount or provide guidance to the Participant on how to contact the Custodian for assistance in determining the RMD amount. The Custodian reserves the right to determine each year the method of providing the RMD notice. The Custodian will not be liable for and the Participant will indemnify and hold the Custodian harmless for any adverse consequences and/or penalties resulting from the Participant s actions or inactions (including errors in calculations resulting from reliance on information provided by the Participant) with respect to determining such required minimum distributions. 14 CALVERT IRAs SIMPLE Copyright 2014, Convergent Retirement Plan Solutions, LLC, Brainerd, MN Copyright 2014, Compliance Systems, Grand Rapids, MI 49506

15 6. Amendments and Termination. The Custodian may amend this Agreement at any time to comply with legal and regulatory changes and to modify the Agreement as the Custodian determines advisable. Any such amendment will be sent to the Participant at the last known address on file with the Custodian. The amendment will be effective on the date specified in the notice to the Participant. At the Participant s discretion, the Participant may direct that the Custodial Account be transferred to another trustee or custodian. The Custodian will not be liable for any losses for any actions or inactions of any successor trustee or custodian. The Participant may terminate this Agreement at any time by providing a written notice of such termination to the Custodian in a form and manner acceptable to the Custodian. As of the date of the termination notice, the Custodian will no longer accept additional deposits under this Agreement. Upon receiving a termination notice, the Custodian will continue to hold the assets and act upon the provisions within the Agreement until the Participant provides additional instructions. If no instructions are provided by the Participant to the Custodian within 30 days of the termination notice, and unless the Custodian and Participant agree in writing otherwise, the Custodian will distribute the Custodial Account, less any applicable fees or penalties, as a single payment to the Participant. The Custodian will not be liable for any losses for any actions or inactions of any successor trustee or custodian. The Custodian may resign at any time by providing 30 days written notice to the Participant. Upon receiving such written notice, the Participant will appoint a successor trustee or custodian in writing. Upon such appointment and upon receiving acknowledgement from the successor trustee or custodian of acceptance of the Custodial Account, the Custodian shall transfer the Custodial Account, less any applicable fees or penalties, to the successor trustee or custodian. If no successor trustee or custodian is appointed or no distribution instructions are provided by the Participant, the Custodian may, in its own discretion, select a successor trustee or custodian and transfer the Custodial Account, less any applicable fees or penalties, or may distribute the Custodial Account, less any applicable fees or penalties, as a single payment to the Participant. The Custodian shall not be liable for any losses from any actions or inactions of any successor trustee or custodian. By establishing an individual retirement account with the Custodian, you agree that you will substitute another custodian or trustee in place of the existing Custodian upon notification by the Commissioner of the Internal Revenue Service or his or her delegate, that such substitution is required because the Custodian has failed to comply with the requirements of the Internal Revenue Code by not keeping such records, or making such returns or rendering such statements as are required by the Internal Revenue Code, or otherwise. 7. Instructions, Changes of Addresses and Notices. The Participant is responsible to provide any instructions, notices or changes of address in writing to the Custodian. Such communications will be effective upon actual receipt by the Custodian unless otherwise indicated in writing by the Participant. Any notices required to be sent to the Participant by the Custodian will be sent to the last address on file with the Custodian and are effective when mailed unless otherwise indicated by the Custodian. If authorized by the Custodian and provided by the Participant in the Application, Custodial Account Agreement or other documentation acceptable to the Custodian, an electronic address is an acceptable address to provide and receive such communications. 8. Fees and Charges. The Custodian reserves the right to charge fees for performing its duties and meeting its obligations under this Agreement. All fees, which are subject to change from time to time, will be disclosed on the Custodian s fee schedule or other disclosure document provided by the Custodian. The Custodian will provide the Participant 30 days written notice of any fee changes. The Custodian will collect all fees from the cash proceeds in the Custodial Account. If there is insufficient cash in the Custodial Account, the Custodian may liquidate investments, at its discretion, to satisfy fee obligations associated with the Agreement. Alternatively, if the Custodian so authorizes and if separate payment of fees or other expenses is permissible under applicable federal and/or state laws, the fees may be paid separately outside of the Custodial Account. If the Custodian offers investments other than depository products, the Participant recognizes that the Custodian may receive compensation from other parties. The Participant agrees to pay the Custodian a reasonable hourly charge for distribution from, transfers from, and terminations of this IRA. The Participant agrees to pay any expenses incurred by the Custodian in the performance of its duties in connection with the Custodial Account. Such expenses include, but are not limited to, administrative expenses, such as legal and accounting fees, and any taxes of any kind whatsoever that may be levied or assessed with respect to such Custodial Account. All such fees, taxes and other administrative expenses charged to the Custodial Account shall be collected either from the assets in the Custodial Account or from any contributions to or distributions from such Custodial Account if not paid by the Participant, but the Participant shall be responsible for any deficiency. In the event that for any reason the Custodian is not certain as to who is entitled to receive all or part of the IRA, the Custodian reserves the right to withhold any payment from the IRA, to request a court ruling to determine the disposition of the IRA assets, and to charge the IRA for any expenses incurred in obtaining such legal determination. 9. Transfers and Rollovers. The Custodian will accept transfers and rollovers from other SIMPLE IRAs. The Participant represents and warrants that only eligible transfers and rollovers will be made to the Custodial Account. The Custodian reserves the right to refuse any transfer or rollover and is under no obligation to accept certain investments or property it cannot legally hold or determines is an ineligible investment in the Custodial Account. The Custodian will act on written instructions from the Participant received in a form and manner acceptable to the Custodian to transfer the SIMPLE IRA to a successor trustee or custodian. The Custodian is not liable for any actions or inactions by any predecessor or successor trustee or custodian or for any investment losses resulting from the timing of or sale of assets resulting from the transfer or rollover. 10. Miscellaneous. Beneficiary s Rights. Except as otherwise provided in this Agreement or by applicable law, all rights, duties and obligations of the Participant under the Agreement will extend to the beneficiary(ies) following the death of the Participant. Custodian as Agent. The Participant acknowledges that he or she has the sole responsibility for any taxes, penalties or other fees and expenses associated with his or her actions or inactions regarding the laws, regulations and rules associated with this Agreement. Further, the Participant acknowledges and understands that the Custodian will act solely as an agent for the Participant and bears no fiduciary responsibility. The Custodian will rely on the information provided by the Participant and has no duty to question or independently verify or investigate any such information. The Participant will indemnify and hold the Custodian harmless from any liabilities, including claims, judgments, investment losses, and expenses (including attorney s fees), which may arise under this Agreement, except liability arising from gross negligence or willful misconduct of the Custodian. Custodian Acquired/Merged. If the Custodian is purchased by or merged with another financial institution qualified to serve as a trustee or custodian that institution will automatically become the trustee or custodian of this IRA unless otherwise indicated. Maintenance of Records. The Custodian will maintain adequate records and perform its reporting obligations required under the Agreement. The Custodian s sole duty to the Participant regarding reporting is to furnish the IRS mandated reports as required in Article V of this Agreement. The Custodian may, at its discretion, furnish additional reports or information to the Participant. The Participant approves any report furnished by the Custodian unless within 30 days of receiving the report, the Participant notifies the Custodian in writing of any discrepancies. Upon receipt of such notice, the Custodian s responsibility is to investigate the request and make any corrections or adjustments accordingly. Exclusive Benefit. The Custodial Account is maintained for the exclusive benefit of the Participant and his or her beneficiary(ies). To the extent permitted by law, no creditors of the Participant may at any time execute any lien, levy, assignment, attachment or garnishment on any of the assets in the Custodial Account. Minimum Value. The Custodian reserves the right to establish IRA account minimums. The Custodian may resign or charge additional fees if the minimums are not met. Other Providers. At its discretion, the Custodian may appoint other service providers to fulfill certain obligations, including reporting responsibilities, and may compensate such service providers accordingly. Agreement. This Agreement and all amendments are subject to all state and federal laws. The laws of the Custodian s domicile will govern should any state law interpretations be necessary concerning this Agreement. Severability. If any part of this Agreement is invalid or in conflict with applicable law or regulations, the remaining portions of the Agreement will remain valid. Copyright 2014, Convergent Retirement Plan Solutions, LLC, Brainerd, MN Copyright 2014, Compliance Systems, Grand Rapids, MI CALVERT IRAs SIMPLE 15

16 GENERAL INSTRUCTIONS Section references are to the Internal Revenue Code unless otherwise noted. Purpose of Form. Form 5305-SA is a model Custodial Account Agreement that meets the requirements of section 408(a) and 408(p) and has been pre-approved by the IRS. A SIMPLE individual retirement account (SIMPLE IRA) is established after the form is fully executed by both the individual (Participant) and the Custodian. This account must be created in the United States for the exclusive benefit of the Participant and his or her beneficiaries. Do not file Form 5305-SA with the IRS. Instead, keep it with your records. For more information on SIMPLE IRAs, including the required disclosures the Custodian must give the Participant, see Pub. 590, Individual Retirement Arrangements (IRAs). Transfer SIMPLE IRA. The SIMPLE IRA is a transfer SIMPLE IRA if it is not the original recipient of contributions under any SIMPLE IRA plan. SPECIFIC INSTRUCTIONS Article IV. Distributions made under this article may be made in a single sum, periodic payment, or combination of both. The distribution option should be reviewed in the year the Participant reaches age 70½ to ensure that the requirements of section 408(a)(6) have been met. Article VIII. Article VIII and any that follow it may incorporate additional provisions that are agreed to by the Participant and Custodian to complete the Agreement. They may include, for example, definitions, investment powers, voting rights, exculpatory provisions, amendment and termination, removal of the Custodian, Custodian s fees, state law requirements, beginning date of distributions, accepting only cash, treatment of excess contributions, prohibited transactions with the Participant, etc. SIMPLE IRA Disclosure Statement (Used with Form 5305-SA) This Disclosure Statement provides a general review of the terms, conditions and federal laws associated with your SIMPLE IRA. It is not intended to replace the advice of your own tax and legal advisors. You are encouraged to consult your advisors and/or your state taxing authority concerning any tax and/or compliance questions. You are responsible for complying with the laws that apply to your SIM- PLE IRA. The Custodian does not act as your advisor. In addition to the transactions outlined in this SIMPLE IRA Disclosure Statement, the federal government may authorize permissible transactions from time to time. Unless expressly prohibited by the Custodian s policies, such additional federally authorized transactions are hereby incorporated by this reference. RIGHT TO REVOKE YOUR IRA As prescribed by the Code and Regulations, you may revoke your SIMPLE IRA within seven (7) calendar days following the date you establish your SIMPLE IRA. Unless indicated otherwise, your SIMPLE IRA is established on the date the Custodian signs the Application. To revoke your SIMPLE IRA, you must provide a written notice to the Custodian at the address listed on the Application (or other address provided to you by the Custodian). The Custodian must receive your revocation notice no later than 7 days after your SIMPLE IRA is established. If your revocation notice is mailed, it will be received as of the postmark date. If you revoke your SIMPLE IRA within the 7-day revocation period, the Custodian is still required to report the contribution and the distribution to the IRS. If you revoke your IRA within the revocation period, the Custodian will return to you the entire amount you contributed without deducting any administrative fees, penalties or investment losses. GENERAL A SIMPLE IRA plan is a tax-favored retirement plan that certain small employers may establish for the benefit of their employees. Your employer has chosen to establish a SIMPLE IRA plan and will make plan contributions on your behalf to your SIMPLE IRA for each year you are eligible. Specific information regarding your eligibility to participate in your employer s SIMPLE IRA plan is included in the summary description provided to you by your employer. CONTRIBUTIONS Cash. Except for certain rollovers and transfers, all contributions must be made in the form of money (e.g., cash, check or money order). Type. Contributions under a SIMPLE IRA plan are in the form of employee salary deferrals, employer contributions (either matching or non-elective) and any other type permitted by the Code or Regulations. Employee Deferrals. Employee salary deferrals may not exceed the lesser of 100% of your compensation or $12,000 for 2014 and $12,500 for If you are age 50 or older by the close of the plan year, you may make an additional contribution to your SIMPLE IRA. The maximum additional contribution is $2,500 for 2014 and $3,000 for The maximum employee salary deferral amounts listed above will be increased annually to reflect cost-of-living adjustments, if any. Employer Contributions. There are two types of employer contributions: matching or non-elective employer contributions. Your employer will notify you each year of the contribution type and amount. If your employer elects matching contributions, your employer will match your deferrals up to 3% of your compensation. However, in some years, a lesser amount may be contributed. Your employer will notify you if a lesser amount is contributed. Instead of matching contributions, your employer may make non-elective contributions equal to 2% of your compensation. Rollovers. Generally, a rollover is a movement of cash or assets from one retirement plan to another. If you are required to take minimum distributions because you are age 70½ or older, you may not roll over any required minimum distributions. Both the distribution and the rollover contribution are reportable when you file your income taxes. You must irrevocably elect to treat such contributions as rollovers. IRA-to-IRA Rollover. You may withdraw, tax free, all or a portion of your SIMPLE IRA if you contribute the amount withdrawn within 60 days from the date you receive the distribution into the same or another SIMPLE IRA (or a Traditional IRA) as a rollover. To complete a rollover of a SIMPLE IRA distribution to a Traditional IRA, at least two years must have elapsed from the date on which you first participated in any SIMPLE IRA Plan maintained by the employer, and you must contribute the distribution within 60 days from the date you receive it. Only one IRA distribution within any 12-month period may be rolled over in an IRA-to-IRA rollover transaction. The 12-month waiting period begins on the date you receive an IRA distribution that you subsequently roll over, not the date you complete the rollover transaction. If you roll over the entire amount of a SIMPLE IRA distribution (including any amount withheld for federal, state, or other income taxes that you did not receive), you do not have to report the distribution as taxable income. Any amount not properly rolled over within the 60-day period will generally be taxable in the year distributed (except for any part that represents basis) and may be, if you are under age 59½, subject to the premature distribution penalty tax. SIMPLE IRA-to-Employer Retirement Plan Rollover. If your employer s retirement plan accepts rollovers from IRAs, you may complete a direct or indirect rollover of your SIMPLE IRA assets to your employer retirement plan if at least two years have elapsed from the date on which you first participated in any SIMPLE IRA Plan maintained by the employer. If you are required to take minimum distributions because you are age 70½ or older, you may not roll over any required minimum distributions. Employer Retirement Plan-to-SIMPLE IRA Rollover Not Permitted. Distributions from your employer s retirement plan are not eligible to roll over to your SIMPLE IRA. Conversion of SIMPLE IRA to Roth IRA. Generally, if after you have been a SIMPLE IRA plan participant for two years, you may convert all or a portion of your SIMPLE IRA to a Roth IRA provided you meet any applicable eligibility requirements as defined in the Code and Regulations. Except for amounts that represent basis, amounts converted are generally treated as taxable distributions. However, the premature distribution penalty that typically applies to taxable withdrawals taken prior to age 59½, does not apply to amounts converted from a SIMPLE IRA to a Roth IRA. Required minimum distributions may not be converted. SIMPLE IRAto-Roth IRA conversions are not subject to the 12-month rollover restriction that typically applies to rollovers between IRAs. Recharacterize a Conversion. You may recharacterize a conversion made from your SIMPLE IRA to a Roth IRA. Both the conversion amount along with the net income attributable to the conversion must be transferred. If there was a loss, the amount of any loss will reduce the amount you recharacterize. The deadline for completing a recharacterization is your tax return due date (including any extensions) for the year in which the distribution that was converted was withdrawn. Recharacterization requests must be made in a form and manner acceptable to the Custodian. Report recharacterizations to the IRS by attaching a statement to your Form You may also need to file Form Reconversion. A reconversion occurs when you convert SIMPLE IRA assets that have been previously converted and recharacterized. A reconversion must occur in a subsequent year to the conversion, or if later, after 30 days has elapsed since the prior recharacterization. 16 CALVERT IRAs SIMPLE Copyright 2014, Convergent Retirement Plan Solutions, LLC, Brainerd, MN Copyright 2014, Compliance Systems, Grand Rapids, MI 49506

17 Transfers. You may move your SIMPLE IRA from one trustee or custodian to a SIMPLE IRA maintained by another trustee or custodian by requesting a direct transfer. Because the transfer is done directly between IRA trustees or custodians and no distribution is made to you, the transfer is neither taxable nor reportable. Federal law does not limit the number of transfers you may make during any one year. Transfers Incident to Divorce. Under a valid divorce decree, separate maintenance decree, or other valid court order, your SIMPLE IRA may be transferred to your exspouse or you may receive all or part of your ex-spouse s SIMPLE IRA. TAX TREATMENT OF SIMPLE IRA CONTRIBUTIONS No Deduction. No tax deduction is allowed for either your salary deferrals or your employer contributions. Amounts you elect to defer reduce your taxable income for the year. When you participate in your employer s SIMPLE IRA plan, you are considered an active participant in a retirement plan that may affect your ability to deduct contributions you make to your Traditional IRA. Tax Credit. You may be eligible for a tax credit for your salary deferrals to your SIMPLE IRA. The maximum annual tax credit is $1,000, and if you are eligible, the credit will reduce the federal income tax you owe dollar for dollar. You may be eligible for the tax credit if you are age 18 or older, not a dependent of another taxpayer, and not a full-time student. DISTRIBUTIONS DURING YOUR LIFETIME You may withdraw any or all of your SIMPLE IRA balance at any time. However, certain taxes and penalties may apply. Tax Treatment. In general, distributions from your SIMPLE IRA are taxed as ordinary income in the year you receive them. Some amounts are not taxable. Examples include rollovers, direct transfers and corrections of certain excess contributions. In addition, certain distributions may be subject to additional penalties as explained below. If you have made nondeductible contributions to a Traditional IRAs, a portion of each distribution from your SIMPLE IRA is nontaxable. The nontaxable amount is the pro rata portion of the distribution that represents your remaining nondeductible contributions based upon the value of all your IRAs. For assistance in determining the nontaxable portion, consult your tax advisor, instructions to IRS Forms 1040 and 8606, and IRS Publication 590. Distributions Before Age 59½. Generally, if you are under age 59½ and take a distribution, it is referred to as an early or premature distribution. Premature distributions are includible in gross income and are also subject to a 10% IRS penalty tax. The premature distribution penalty is increased to 25% on any distributions taken before you have been a SIMPLE IRA participant for two years. The two-year waiting period begins on the first day you participated in your employer s SIMPLE IRA plan. However, certain exceptions apply to the premature distribution penalty. These are summarized below. 1. You have unreimbursed medical expenses that are more than the applicable percentage of your adjusted gross income and provided certain conditions apply. 2. The distribution is to pay your medical insurance premiums if you are unemployed and receive federal of state unemployment benefits for 12 consecutive weeks, or would have if not self-employed, and you receive the distribution during that or the succeeding tax year. 3. A physician certifies that you are disabled as defined by the Code. 4. You are receiving substantially equal periodic payments consistent with the Code and Regulations. 5. The distributions are not more than your or your spouse s expenses, or those of your and your spouse s child, or grandchild for attendance at a post-secondary education institution. 6. The distribution, of up to a $10,000 lifetime limit, is used within 120 days of withdrawal to buy or build a home that will be a principal residence for a qualified first-time homebuyer. 7. The distribution is due to an IRS levy on the SIMPLE IRA. 8. The distribution is a qualified reservist distribution as defined by the Code. 9. The distribution is properly rolled over or directly transferred to an eligible employer plan, Traditional IRA or another SIMPLE IRA. 10. The distribution is a result of a valid divorce decree and is transferred to your ex-spouse s IRA, provided certain conditions apply. 11. The distribution is a proper return of an excess contribution. Reporting Premature Distribution Penalty Tax. You may have to report the IRS early distribution penalty tax by filing a completed Form 5329 with the IRS along with your payment. Distributions After Age 59½ and Before the Year You Reach Age 70½. Once you reach age 59½ but before the year you reach age 70½, distributions from your SIM- PLE IRA are optional and amounts you keep will generally be subject to ordinary income tax. Required Distributions At Age 70½. You must begin taking distributions from your SIMPLE IRA no later than April 1 following the year you reach age 70½. Subsequent distributions must be taken by December 31 each year after you reach age 70½. Generally, each year determine your RMD by taking your SIMPLE IRA balance as of December 31 of the prior year and dividing it by a distribution period (determined by the applicable IRS life expectancy table). Each year you are subject to the RMD requirements, your Custodian will provide you with a notice. Along with the distribution deadline, the notice will either inform you of your RMD amount or provide you with guidance on how to contact the Custodian for assistance in determining your RMD. Your Custodian is also required to notify the IRS each year you are required to take an RMD. If you have more than one SIMPLE IRA, you must determine the RMD separately for each SIMPLE IRA. However, you may total the RMDs and take the total from any one or more of your IRAs. If you do not take the required minimum distribution (RMD) or the distribution is not large enough, you may be subject to a 50% excess accumulation excise tax on the amount not distributed as required. For additional information regarding your RMD, consult your tax advisor and/or IRS Publication 590. Special Tax Treatment. IRA distributions are not eligible for capital gains treatment or lump-sum income averaging. DISTRIBUTIONS TO YOUR BENEFICIARIES WHEN YOU DIE Any amounts remaining in your SIMPLE IRA at your death will be paid to your beneficiary(ies). When you die, the rules determining the distribution of your SIMPLE IRA balance depend on a number of factors, including whether you had a designated beneficiary, your relationship to the beneficiary (spouse or nonspouse) and whether you died before or after RMDs were required to begin. Designated Beneficiary. A designated beneficiary is determined based on the beneficiary(ies) designated as of the date of your death and who remain(s) your beneficiary(ies) on September 30th of the calendar year following the calendar year of your death. If You Die Before RMDs Are Required To Begin. Generally, if you die before April 1 following the year you reach age 70½ and your designated beneficiary(ies) is an individual, he or she may elect a distribution method. Your beneficiary(ies) may elect to deplete the SIMPLE IRA by the end of the fifth calendar year following your death or to receive payments based on the designated beneficiary(ies) s life expectancy(ies). If life expectancy payments are elected, the payments must begin by December 31 of the first calendar year following your death. However, if your spouse is your sole designated beneficiary, he or she may delay the first distribution until December 31 of the year you would have attained age 70½ if later. If your surviving spouse is the sole designated beneficiary of your SIMPLE IRA, he or she may elect to treat your SIMPLE IRA as his or her own. Regardless of whether your spouse is the sole designated beneficiary, he or she may roll distributions from your IRA into his or her own IRA within 60 days of receipt. If your designated beneficiary is not an individual (e.g., a charity, your estate, etc.), your SIMPLE IRA must be distributed by the end of the fifth calendar year following your death. Generally, each beneficiary may elect the timing and manner regarding the distribution of his or her portion of the SIMPLE IRA. Elections must generally be made by December 31 of the year following your death. If timely elections are not made, your beneficiary is required to take distributions according to the applicable default provision. The default distribution option for designated beneficiaries who are individuals is the life expectancy option and the default distribution option for designated beneficiaries that are not individuals is the 5-year method. If your beneficiary(ies) does not withdraw the required amount within the prescribed timeframe, he or she may be subject to the 50% excess accumulation penalty tax on the amount that should have been withdrawn but was not distributed. If You Die On or After RMDs Are Required To Begin. If you die after April 1 following the year you attain age 70½, the designated beneficiary(ies) must continue taking distributions from your SIMPLE IRA. The longest timeframe for receiving payouts is over the life expectancy of the designated beneficiary(ies) or based on your remaining life expectancy factor, had you not died, whichever period is longer. Distributions must commence by December 31 of the calendar year following your death. If your designated beneficiary is not an individual (e.g., a charity, your estate, etc.), your SIMPLE IRA must be distributed using your single life expectancy (had you not died) reduced by one each year. If your surviving spouse is the sole designated beneficiary of your SIMPLE IRA, he or she may elect to treat your SIMPLE IRA as his or her own. Regardless of whether your spouse is the sole designated beneficiary, he or she may roll distributions from your IRA into his or her own IRA within 60 days of receipt. Copyright 2014, Convergent Retirement Plan Solutions, LLC, Brainerd, MN Copyright 2014, Compliance Systems, Grand Rapids, MI CALVERT IRAs SIMPLE 17

18 WITHHOLDING Nonperiodic, distributions from your SIMPLE IRA are subject to 10% federal income tax withholding unless you elect to waive withholding. Any amounts withheld are remitted to federal depositories in prepayment of your federal income tax liability. You may elect in writing to waive withholding, in which case, no taxes will be withheld from your distribution. You are liable for all state and federal taxes payable due to the distribution. EXCESS CONTRIBUTIONS An excess may be created from your salary deferrals or from your employer s contributions (either matching or nonelective). PROHIBITED TRANSACTIONS If you (or your beneficiary(ies) when you die) engage in a prohibited transaction with your SIMPLE IRA, the SIMPLE IRA will be disqualified and the entire SIMPLE IRA will be treated as a distribution. If you are under age 59½, the 10% premature distribution penalty tax may apply. Prohibited transactions are defined in Code section Examples include borrowing money from the SIMPLE IRA, selling property to the SIMPLE IRA, receiving unreasonable compensation for managing the SIMPLE IRA, or buying property with SIMPLE IRA funds for your personal use. USING YOUR SIMPLE IRA AS SECURITY FOR A LOAN If you (or your beneficiary(ies) when you die) pledge all or part of your SIMPLE IRA as security for a loan, the amount pledged is treated as a distribution. If you are under age 59½, the amount pledged may also be subject to the premature distribution penalty tax. MISCELLANEOUS Nonforfeitability. Your interest in your SIMPLE IRA is nonforfeitable at all times. Custodian. The Custodian of your SIMPLE IRA must be a bank, a federally insured credit union, a savings and loan association, or an entity approved by the IRS to act as custodian. Investment Restrictions. Money in your SIMPLE IRA may not be used to buy a life insurance policy or invested in collectibles as defined in Code section 408(m). However, certain gold, silver and platinum coins, bullion and coins issued under state laws are allowable investments. No Commingling. Assets in your SIMPLE IRA may not be combined with other property, except in a common trust fund or common investment fund. Beneficiary Designation. You may designate a beneficiary for your SIMPLE IRA by completing a written designation in a form and manner acceptable to the Custodian. When you die, the proceeds of your SIMPLE IRA will be paid to your designated beneficiary(ies). If you do not designate a beneficiary, your SIMPLE IRA will be paid to your estate when you die. Tax-Deferred Earnings. The earnings on your SIMPLE IRA balance accumulate taxdeferred, meaning they are not taxable until distributed from your SIMPLE IRA. Estate Tax. Generally, for federal estate tax purposes, your SIMPLE IRA assets are includable in your gross estate when you die. However, if your spouse is your beneficiary, your SIMPLE IRA may qualify for the marital deduction. Consult your tax and/or legal advisors for specific guidance. Tax Filing. You are responsible for filing the applicable IRS forms to report any taxable income or penalties associated with your SIMPLE IRA. IRS Form. This SIMPLE IRA uses the precise language of IRS Form 5305-SA and is therefore treated as approved by the IRS. Additional language has been included as permitted by such form. The IRS approval represents a determination as to form and not to the merits of the account. Additional Information. Additional information about the rules and options regarding your SIMPLE IRA may be found in IRS Publications 560 and 590, the summary description provided by your employer and on the IRS website at 18 CALVERT IRAs SIMPLE Copyright 2014, Convergent Retirement Plan Solutions, LLC, Brainerd, MN Copyright 2014, Compliance Systems, Grand Rapids, MI 49506

19 This page intentionally left blank. CALVERT IRAs SIMPLE 19

20 Protecting Your Privacy Your relationship with us is important. Please take time to review this statement about our privacy policies with existing and former customers. We do not disclose any non-public personal information about our customers to anyone, except as permitted by law. Your privacy is a top priority. You have shared personal and financial information with us: Information we receive from you on applications or other forms, such as your name, address, social security number, assets and income; and Information about your transactions with us, our affiliates or others, such as your account balance, payment history and parties to transactions; We use this information to provide our products and services to you, and to assist you in achieving your financial goals. We promise to protect the security, privacy and use of your personal and financial information, including account and transaction details. Your information is shared only in limited ways and for specific purposes. We do not currently share your information with affiliates in the Calvert and the UNIFI Companies; however, we reserve the right to do so. Also, we may disclose information we collect to companies that perform administrative or marketing services on our behalf, such as transfer agents, or printers and mailers that assist us in the distribution of materials, or others as permitted by law, in order to: provide you with faster, more comprehensive service, and implement security measures and fight fraud for your continued protection. Calvert does not give or sell information about you or your accounts to any other company, individual or group. However, governmental agencies, regulatory authorities and other entities may have access to such information if permitted by law. The products and services you use are delivered in a secure environment. Whether you use automated telephone capabilities or the Internet, you can feel confident that we employ security measures that are appropriate to each technology. For more information on Internet-specific privacy and security measures, please visit our Web site at Keeping your personal information accurate and current is a vital concern. We strive to keep your personal and financial information accurate. If you believe that our records are incorrect or out of date, please notify us by contacting Investor Relations at and we will make any necessary corrections. Employee access to your information is limited. Our employees have limited access to shareholder information based on their job function. This enables them to assist you in completing transactions, obtaining additional information about our products and resolving any problems that might arise. All employees are instructed to use the strict standards of care outlined in Calvert s confidentiality rules. Employees who do not conform to Calvert s confidentiality rules are subject to disciplinary actions that may include dismissal. Your privacy preferences will be respected. Since your financial needs change and our financial products are continually developing, we may contact you to determine if we can be of additional service to you. Most of our shareholders appreciate hearing about our new offerings and choose to continue to do so. If you have additional questions about these policies, please call Investor Relations at This notice is subject to change. For more information on any Calvert fund, please contact your financial advisor, call Calvert at , or visit for a free prospectus. An investor should consider the investment objectives, risks, charges, and expenses of an investment carefully before investing. The prospectus contains this and other information. Please read it carefully before you invest or send money. For additional copies of this form, go to Calvert mutual funds are underwritten and distributed by Calvert Investment Distributors, Inc., member FINRA, a subsidiary of Calvert Investments, Inc Montgomery Avenue, Bethesda, MD AF

Savings Incentive Match Plan for Employees of Small Employers (SIMPLE) Not for Use With a Designated Financial Institution

Savings Incentive Match Plan for Employees of Small Employers (SIMPLE) Not for Use With a Designated Financial Institution Form 5304-SIMPLE (Rev. March 2012) Department of the Treasury Internal Revenue Service Name of Employer Savings Incentive Match Plan for Employees of Small Employers (SIMPLE) Not for Use With a Designated

More information

Savings Incentive Match Plan for Employees (SIMPLE) For Use with a Non-DFI IRS Model Form 5304-SIMPLE

Savings Incentive Match Plan for Employees (SIMPLE) For Use with a Non-DFI IRS Model Form 5304-SIMPLE Savings Incentive Match Plan for Employees (SIMPLE) For Use with a Non-DFI IRS Model Form 5304-SIMPLE Form 5304-SIMPLE (Rev. August 2005) Department of the Treasury Internal Revenue Service Savings Incentive

More information

Sincerely, S. Sutherlin Manager Certificate, IRA & Trust Branch. Federally insured by NCUA. 2015 Navy Federal NFCU 602C (10-15)

Sincerely, S. Sutherlin Manager Certificate, IRA & Trust Branch. Federally insured by NCUA. 2015 Navy Federal NFCU 602C (10-15) Dear Member: Enclosed are the documents to establish your Simplified Employee Pension (SEP) at Navy Federal. An SEP allows a member employed by an employer or a self-employed member to initiate their own

More information

SIMPLE IRA APPLICATION

SIMPLE IRA APPLICATION SIMPLE IRA APPLICATION MANAGING WEALTH, PROTECTING VALUES FAITH-BASED SCREENED FUNDS Steward Mutual Funds P.O. BOX 183004 Columbus, OH 43218-3004 www.stewardmutualfunds.com SIMPLE IRA Application Instructions:

More information

S I M P L E. Savings incentive match plan for employees. Participant application kit

S I M P L E. Savings incentive match plan for employees. Participant application kit S I M P L E Savings incentive match plan for employees Participant application kit SIMPLE IRA PARTICIPANT INSTRUCTIONS Follow these instructions if you are an employee whose employer has an existing SIMPLE

More information

Calvert IRAs. Traditional and SEP-IRA. Application, Custodial Agreement, Disclosure Statement, and Rollover and Transfer forms enclosed

Calvert IRAs. Traditional and SEP-IRA. Application, Custodial Agreement, Disclosure Statement, and Rollover and Transfer forms enclosed Calvert IRAs Traditional and SEP-IRA Application, Custodial Agreement, Disclosure Statement, and Rollover and Transfer forms enclosed CALVERT IRAs Traditional and SEP-IRA Traditional IRAs A Traditional

More information

Columbia Management SIMPLE IRA

Columbia Management SIMPLE IRA Columbia Management SIMPLE IRA An Employer s Guide to Plan Set-Up Establishing a Plan is Easy 1. Read through this booklet before signing any forms. You may want to consult your tax and/or legal advisor

More information

USAA SIMPLE/SEP-IRA. Disclosure Statements and Custodial Agreements 49629-1215

USAA SIMPLE/SEP-IRA. Disclosure Statements and Custodial Agreements 49629-1215 USAA SIMPLE/SEP-IRA Disclosure Statements and Custodial Agreements 49629-1215 Table of Contents A. SIMPLE IRA Custodial Agreement 2 B. SIMPLE IRA Disclosure Statement 3 C. SEP-IRA Custodial Agreement 7

More information

Savings Incentive Match Plan For Employees (Simple) IRA Plan Employer Adoption Agreement

Savings Incentive Match Plan For Employees (Simple) IRA Plan Employer Adoption Agreement simple ira plan december 2011 Savings Incentive Match Plan For Employees (Simple) IRA Plan Employer Adoption Agreement For Use with the Simple IRA Application About the Savings Incentive Match Plan for

More information

SEP IRA APPLICATION. Name: SPECIALIZED IRA SERVICES Physical Address. Initial. Billing Address For Card Expiration Date

SEP IRA APPLICATION. Name: SPECIALIZED IRA SERVICES Physical Address. Initial. Billing Address For Card Expiration Date SEP IRA APPLICATION P.O. Box 3587, Albuquerque, NM 87190 Toll Free: 1-800-529-3951 Local: 505-514-0539 Fax: 505-792-6096 help@specializediraservices.com PART 1. IRA OWNER PART 2. IRA ADMINISTRATOR AND

More information

Baird Funds, Inc. Individual Retirement Account Disclosure Statement & Custodial Account Agreement

Baird Funds, Inc. Individual Retirement Account Disclosure Statement & Custodial Account Agreement Baird Funds, Inc. Individual Retirement Account Disclosure Statement & Custodial Account Agreement Baird Funds, Inc. Individual Retirement Account Disclosure Statement GENERAL INFORMATION Please read the

More information

Calvert IRAs. Roth IRA. Application, Custodial Agreement, Disclosure Statement, and Rollover and Transfer forms enclosed

Calvert IRAs. Roth IRA. Application, Custodial Agreement, Disclosure Statement, and Rollover and Transfer forms enclosed Calvert IRAs Roth IRA Application, Custodial Agreement, Disclosure Statement, and Rollover and Transfer forms enclosed CALVERT IRAs Roth IRA A Roth Individual Retirement Account (IRA) is one of the most

More information

Individual Retirement Account & Coverdell Education Savings Account Disclosure Statement & Custodial Account Agreement

Individual Retirement Account & Coverdell Education Savings Account Disclosure Statement & Custodial Account Agreement Individual Retirement Account & Coverdell Education Savings Account Disclosure Statement & Custodial Account Agreement Mail to: Convergence Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee,

More information

Horizon Trust Company. Name: Horizon Trust Company. City/State/ZIP: Albuquerque, NM 87190. Physical Address: 10600 Menaul Blvd. N.E.

Horizon Trust Company. Name: Horizon Trust Company. City/State/ZIP: Albuquerque, NM 87190. Physical Address: 10600 Menaul Blvd. N.E. SEP APPLICATION Tracking Code. Referral Code. MAILING ADDRESS FOR OVERNIGHT NIGHT MAIL ONLY: Horizon Trust Company Horizon Trust Company P.O. Box 30007 10600 Menaul Blvd. N.E. Albuquerque, New Mexico 87190

More information

SEP IRA. For the self-employed and businesses with few employees

SEP IRA. For the self-employed and businesses with few employees SEP IRA P L A N E S T A B L I S H M E N T G U I D E For the self-employed and businesses with few employees Features many of the same tax advantages as other plans Funded solely by Employer contributions

More information

IRA Transfer Form [If this is for a new IRA Account, an IRA Application must accompany this form.]

IRA Transfer Form [If this is for a new IRA Account, an IRA Application must accompany this form.] IRA Transfer Form [If this is for a new IRA Account, an IRA Application must accompany this form.]! Mail to: Nuance Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Milwaukee,

More information

Individual Retirement Account & Coverdell Education Savings Account. Disclosure Statement and Custodial Account Agreement

Individual Retirement Account & Coverdell Education Savings Account. Disclosure Statement and Custodial Account Agreement Individual Retirement Account & Coverdell Education Savings Account Disclosure Statement and Custodial Account Agreement Mail to: Monetta Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee,

More information

Custodial Account Agreement

Custodial Account Agreement Custodial Account Agreement For Individual Retirement Accounts & Coverdell Education Savings Accounts Mail to: EntrepreneurShares c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701

More information

Important Information Morgan Stanley SIMPLE IRA Summary

Important Information Morgan Stanley SIMPLE IRA Summary SIMPLE IRA Summary September 2013 Important Information Morgan Stanley SIMPLE IRA Summary The following is intended to provide you with basic information on the roles and services that Morgan Stanley Smith

More information

Custodial Account Agreement for Individual Retirement Accounts & Coverdell Education Savings Accounts

Custodial Account Agreement for Individual Retirement Accounts & Coverdell Education Savings Accounts Custodial Account Agreement for Individual Retirement Accounts & Coverdell Education Savings Accounts For additional information, please contact us at (800) 341-8900 or visit www.permanentportfoliofunds.com.

More information

Traditional IRA Custodial Agreement (Under section 408(a) of the Internal Revenue Code)

Traditional IRA Custodial Agreement (Under section 408(a) of the Internal Revenue Code) Traditional IRA Custodial Agreement (Under section 408(a) of the Internal Revenue Code) Form 5303-A (Rev. March 2002) Department of the Treasury, Internal Revenue Service. Do not file with the Internal

More information

SAVINGS INCENTIVE MATCH PLAN FOR EMPLOYEES BASIC PLAN DOCUMENT

SAVINGS INCENTIVE MATCH PLAN FOR EMPLOYEES BASIC PLAN DOCUMENT Customer copy please retain for your records. SAVINGS INCENTIVE MATCH PLAN FOR EMPLOYEES BASIC PLAN DOCUMENT DEFINITIONS ADOPTING EMPLOYER Means any corporation, sole proprietor or other entity named in

More information

Custodial Account Agreement

Custodial Account Agreement Custodial Account Agreement For Individual Retirement Accounts Mail to: Ziegler Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Ziegler Funds c/o

More information

PRIMECAP Odyssey Funds

PRIMECAP Odyssey Funds PRIMECAP Odyssey Funds Individual Retirement Account & Coverdell Education Savings Account Disclosure Statement & Custodial Account Agreement Table of Contents General Information...1 Disclosure Statement

More information

A Retirement Plan for Individuals January 1, 2015

A Retirement Plan for Individuals January 1, 2015 A Retirement Plan for Individuals January 1, 2015 This page intentionally left blank. SIMPLE IRA N E W A C C O U N T A P P L I C AT I O N A 1 Account Registration Participant Information FOR ASSISTANCE

More information

Custodial Account Agreement

Custodial Account Agreement Custodial Account Agreement For Individual Retirement Accounts & Coverdell Education Savings Accounts Mail to: Direxion Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight

More information

TRADITIONAL OR SEP IRA APPLICATION AND AGREEMENT

TRADITIONAL OR SEP IRA APPLICATION AND AGREEMENT TRADITIONAL OR SEP IRA APPLICATION AND AGREEMENT P. O. BOX 701 Milwaukee WI 53201 (800) 421-4184 Fax (855) 394-8958 www.eagleasset.com Important Information About Opening a New Account: Federal law requires

More information

Effective January 1, 2015. All About Union Bank Simple Individual Retirement Custodial Account Agreement

Effective January 1, 2015. All About Union Bank Simple Individual Retirement Custodial Account Agreement Effective January 1, 2015 All About Union Bank Simple Individual Retirement Custodial Account Agreement Table of Contents Form 5305-SA under section 408P of the Internal Revenue Code. INTRODUCTION...1

More information

SIMPLE IRA APPLICATION

SIMPLE IRA APPLICATION SIMPLE IRA APPLICATION Virginia Equity Fund c/o Commonwealth Fund Services, Inc. 8730 Stony Point Parkway, Suite 205 Richmond, VA 23235 Use this SIMPLE IRA Application to open a SIMPLE IRA. IMPORTANT:

More information

ROTH IRA DISCLOSURE STATEMENT

ROTH IRA DISCLOSURE STATEMENT ROTH IRA DISCLOSURE STATEMENT The Pension Fund of the Christian Church established and maintains the Defined Contribution Retirement Accounts of the Pension Fund of the Christian Church (Disciples of Christ)

More information

Supplement to IRA Custodial Agreements

Supplement to IRA Custodial Agreements Supplement to IRA Custodial Agreements Effective December 31, 2014, the update below will be made to the American Century Custodial agreements for the following retirement accounts: Traditional IRAs, Roth

More information

SIMPLE IRA APPLICATION

SIMPLE IRA APPLICATION SIMPLE IRA APPLICATION COMPLETE YOUR E*TRADE APPLICATION IN THREE EASY STEPS The SIMPLE IRA Application you requested begins on the following page. To complete your application, simply: 1. SCROLL DOWN

More information

Custodial Account Agreement For Individual Retirement Accounts & Coverdell Education Savings Accounts

Custodial Account Agreement For Individual Retirement Accounts & Coverdell Education Savings Accounts Custodial Account Agreement For Individual Retirement Accounts & Coverdell Education Savings Accounts For additional information please call toll-free (866) 236-0050 or visit us on the web at www.osterweis.com.

More information

SIMPLE IRA APPLICATION

SIMPLE IRA APPLICATION SIMPLE IRA APPLICATION The Toreador Funds c/o Commonwealth Fund Services, Inc. 8730 Stony Point Parkway, Suite 205 Richmond, VA 23235 TOREADOR INTERNATIONAL FUND TOREADOR CORE FUND TOREADOR EXPLORER FUND

More information

Schwab SIMPLE IRA Basic Plan Document

Schwab SIMPLE IRA Basic Plan Document Schwab SIMPLE IRA Basic Plan Document Table of Contents This document contains the legal provisions of your Schwab SIMPLE IRA plan. Please keep it in a place where you can easily find and refer to it.

More information

DO NOT File with Internal Revenue Service Department of the Treasury Internal Revenue Service Form Rev. December 2004 OMB 1545-0499

DO NOT File with Internal Revenue Service Department of the Treasury Internal Revenue Service Form Rev. December 2004 OMB 1545-0499 Simplified Employee Pension (SEP) Individual Retirement Accounts Contribution Agreement Form 5305-SEP Under Section 408(k) of the Internal Revenue Code DO NOT File with Internal Revenue Service Department

More information

SEP IRA and IRA Adoption Agreement Disclosure and SEP Application

SEP IRA and IRA Adoption Agreement Disclosure and SEP Application SEP IRA and IRA Adoption Agreement Disclosure and SEP Application TO ESTABLISH A HILLTOP SECURITIES INC. SEP IRA AND IRA ADOPTION AGREEMENT DISCLOSURE AND SEP APPLICATION Complete and sign all portions

More information

UBS Financial Services Inc. SIMPLE IRA Summary Description

UBS Financial Services Inc. SIMPLE IRA Summary Description UBS Financial Services Inc. SIMPLE IRA Summary Description Your employer has adopted a SIMPLE IRA Plan (SIMPLE IRA Plan) to provide you with a tax-deferred means to accumulate savings for retirement through

More information

ARTICLE I ARTICLE II ARTICLE III ARTICLE IV

ARTICLE I ARTICLE II ARTICLE III ARTICLE IV SIMPLE Individual Retirement Custodial Account (Under section 408(p) of the Internal Revenue Code) Form 5305-SA (Rev. March 2002) Department of the Treasury, Internal Revenue Service. Do not file with

More information

CREDIT UNION TRADITIONAL IRA CUSTODIAL AGREEMENT (rev. 1/2010)

CREDIT UNION TRADITIONAL IRA CUSTODIAL AGREEMENT (rev. 1/2010) CREDIT UNION TRADITIONAL IRA CUSTODIAL AGREEMENT (rev. 1/2010) Form 5305-A under Section 408(a) of the Internal Revenue Code FORM (rev. March 2002). The depositor named on the application is establishing

More information

Effective January 1, 2016. All About Union Bank Simple Individual Retirement Custodial Account Agreement

Effective January 1, 2016. All About Union Bank Simple Individual Retirement Custodial Account Agreement Effective January 1, 2016 All About Union Bank Simple Individual Retirement Custodial Account Agreement Table of ContentS Form 5305-SA under section 408(p) of the Internal Revenue Code Table of ContentS

More information

IRA APPLICATION KIT SEP - IRA. Forester Funds Mutual Shareholder Services, LLC 8000 Town Centre Drive, Suite 400 Broadview Heights, OH 44147

IRA APPLICATION KIT SEP - IRA. Forester Funds Mutual Shareholder Services, LLC 8000 Town Centre Drive, Suite 400 Broadview Heights, OH 44147 IRA APPLICATION KIT SEP - IRA Forester Funds Mutual Shareholder Services, LLC 8000 Town Centre Drive, Suite 400 Broadview Heights, OH 44147 INSTRUCTIONS FOR OPENING YOUR FORESTER FUNDS IRA Name of Specific

More information

Supplement to American Century Brokerage IRA Custodial Agreements

Supplement to American Century Brokerage IRA Custodial Agreements Supplement to American Century Brokerage IRA Custodial Agreements Effective December 31, 2014, the update below will be made to the American Century Brokerage Custodial agreements for the following retirement

More information

MUTUAL FUND IRAs TRADITIONAL AND SEP IRA

MUTUAL FUND IRAs TRADITIONAL AND SEP IRA MUTUAL FUND IRAs TRADITIONAL AND SEP IRA CUSTODIAL ACCOUNT AGREEMENT AND DISCLOSURE STATEMENT Table of Contents Traditional and SEP IRA General Information Fee Schedule... 3 Contact Information... 3 Contribution

More information

STATE STREET BANK AND TRUST COMPANY UNIVERSAL INDIVIDUAL RETIREMENT ACCOUNT INFORMATION KIT (EFFECTIVE JANUARY 1, 2015)

STATE STREET BANK AND TRUST COMPANY UNIVERSAL INDIVIDUAL RETIREMENT ACCOUNT INFORMATION KIT (EFFECTIVE JANUARY 1, 2015) STATE STREET BANK AND TRUST COMPANY UNIVERSAL INDIVIDUAL RETIREMENT ACCOUNT INFORMATION KIT FOR INVESTMENT IN SEQUOIA FUND, INC. (EFFECTIVE JANUARY 1, 2015) 1 SEQUOIA FUND, INC. State Street Bank and Trust

More information

Effective January 1, 2015. All About Union Bank Inherited Individual Retirement Custodial Account Agreement

Effective January 1, 2015. All About Union Bank Inherited Individual Retirement Custodial Account Agreement Effective January 1, 2015 All About Union Bank Inherited Individual Retirement Custodial Account Agreement Table of Contents Form 5305-A under section 408(a) of the Internal Revenue Code. INTRODUCTION...1

More information

GE Mutual Funds. July 2014

GE Mutual Funds. July 2014 GE Mutual Funds Elfun Funds/GE Stock Traditional IRA Disclosure Statement and Custodial Agreement Roth IRA Disclosure Statement and Custodial Agreement July 2014 Elfun Funds/GE Stock Traditional Individual

More information

Salary Reduction Simplified Employee Pension (SAR-SEP) Plan Employer Adoption Agreement For Use with the Traditional IRA Application

Salary Reduction Simplified Employee Pension (SAR-SEP) Plan Employer Adoption Agreement For Use with the Traditional IRA Application december 2011 Salary Reduction Simplified Employee Pension (SAR-SEP) Plan Employer Adoption Agreement For Use with the Traditional IRA Application Employer s Guide to the SAR-SEP Plan Salary Reduction

More information

INDIVIDUAL RETIREMENT ACCOUNT APPLICATION

INDIVIDUAL RETIREMENT ACCOUNT APPLICATION TRADITIONAL IRA Simplifier INDIVIDUAL RETIREMENT ACCOUNT APPLICATION PART 1. IRA OWNER Name (First/MI/Last) Address Line 1 Address Line 2 Social Security Number Date of Birth Phone Email Address Account

More information

Eagle Family of Funds Traditional IRA and SEP IRA Disclosure Statement

Eagle Family of Funds Traditional IRA and SEP IRA Disclosure Statement Eagle Family of Funds Traditional IRA and SEP IRA Disclosure Statement General Information Please read the following information together with the Individual Retirement Account Custodial Agreement and

More information

Traditional Retirement and SEP IRA Adoption Agreement Disclosure and Application

Traditional Retirement and SEP IRA Adoption Agreement Disclosure and Application Traditional Retirement and SEP IRA Adoption Agreement Disclosure and Application TO ESTABLISH A SOUTHWEST SECURITIES TRADITIONAL INDIVIDUAL RETIREMENT CUSTODIAL AND SEP IRA ACCOUNT ADOPTION AGREEMENT DISCLOSURE

More information

Supplement to IRA Custodial Agreements

Supplement to IRA Custodial Agreements Supplement to IRA Custodial Agreements Effective December 31, 2014, the update below will be made to the American Century Custodial agreements for the following retirement accounts: Traditional IRAs, Roth

More information

A Retirement Plan for Individuals January 1, 2015

A Retirement Plan for Individuals January 1, 2015 A Retirement Plan for Individuals January 1, 2015 This page intentionally left blank. Traditional or SEP IRA N E W C O U N T A P P L I C AT I O N A 1 Account Registration IRA Owner Information FOR ASSISTANCE

More information

TRADITIONAL/SEP IRA ROTH IRA CUSTODIAL AGREEMENT DISCLOSURE STATEMENT EMC-IR-001-0300

TRADITIONAL/SEP IRA ROTH IRA CUSTODIAL AGREEMENT DISCLOSURE STATEMENT EMC-IR-001-0300 TRADITIONAL/SEP IRA ROTH IRA CUSTODIAL AGREEMENT DISCLOSURE STATEMENT EMC-IR-001-0300 Traditional Individual Retirement Custodial Account (Under section 408(a) of the Internal Revenue Code) Form 5305-A

More information

T. Rowe Price SIMPLE IRA SUMMARY & AGREEMENT

T. Rowe Price SIMPLE IRA SUMMARY & AGREEMENT T. Rowe Price SIMPLE IRA SUMMARY & AGREEMENT June 2006 Important Change to the T. Rowe Price Traditional and Roth IRA Summary & Agreement and the T. Rowe Price SIMPLE IRA Summary & Agreement Please review

More information

IRA Plan Agreement Form 5305-A Under Section 408(a) of the Internal Revenue Code (REV. MARCH 2002)

IRA Plan Agreement Form 5305-A Under Section 408(a) of the Internal Revenue Code (REV. MARCH 2002) IRA Plan Agreement Form 5305-A Under Section 408(a) of the Internal Revenue Code (REV. MARCH 2002) The Depositor named on the Application is establishing a Traditional individual retirement account under

More information

Individual Retirement Custodial Account Agreement and Disclosure Statement

Individual Retirement Custodial Account Agreement and Disclosure Statement Individual Retirement Custodial Account Agreement and Disclosure Statement TO ESTABLISH A SOUTHWEST SECURITIES INDIVIDUAL RETIREMENT ACCOUNT (IRA) Complete and sign all portions of the IRA Adoption Agreement.

More information

INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT

INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT Please complete this application to establish a new Traditional IRA or Roth IRA. This application must be preceded or accompanied by a current

More information

THIRD AVENUE FUNDS INDIVIDUAL RETIREMENT ACCOUNT (IRA) TRADITIONAL IRA SEP IRA ROTH IRA

THIRD AVENUE FUNDS INDIVIDUAL RETIREMENT ACCOUNT (IRA) TRADITIONAL IRA SEP IRA ROTH IRA THIRD AVENUE FUNDS INDIVIDUAL RETIREMENT ACCOUNT (IRA) TRADITIONAL IRA SEP IRA ROTH IRA TABLE OF CONTENTS COMBINED DISCLOSURE STATEMENT 3 TRADITIONAL INDIVIDUAL RETIREMENT ACCOUNT DISCLOSURE 4 ROTH INDIVIDUAL

More information

SIMPLE INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT CUSTODIAL AGREEMENT & DISCLOSURE STATEMENT

SIMPLE INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT CUSTODIAL AGREEMENT & DISCLOSURE STATEMENT SIMPLE INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT CUSTODIAL AGREEMENT & DISCLOSURE STATEMENT Form 5305-SA SIMPLE Individual Retirement Custodial Account (March 2002) Department of the Treasury (under Sections

More information

Street Address. City, State, ZIP

Street Address. City, State, ZIP ROTH IRA TRUST APPLICATION PACKET (FORM ) Please Print or Type CUID (Credit union will complete.) - - IRA Owner s Social Security Number IRA Owner s Name (First, Initial, Last) Street Address IRA Owner

More information

INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT AGREEMENT

INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT AGREEMENT INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT AGREEMENT Form 5305-A under section 408(a) of the Internal Revenue Code. FORM (Rev. March 2002) The depositor named on the application is establishing a Traditional

More information

INDIVIDUAL RETIREMENT ACCOUNT FOR NEW ACCOUNTS ONLY

INDIVIDUAL RETIREMENT ACCOUNT FOR NEW ACCOUNTS ONLY INDIVIDUAL RETIREMENT ACCOUNT FOR NEW ACCOUNTS ONLY CURRENT AS OF MARCH 2016 WHAT S NEW IN 2016 2016 Combined Traditional and Roth IRA Contribution Limits: If you are under 50 years of age at the end of

More information

IRA Custodian Disclosure Statement and Plan Agreement

IRA Custodian Disclosure Statement and Plan Agreement Deutsche Asset & Wealth Management IRA Custodian Disclosure Statement and Plan Agreement Retain these pages for your records. Custodian disclosure statement The following information is provided to you

More information

A Retirement Plan for Individuals

A Retirement Plan for Individuals A Retirement Plan for Individuals Schwartz Value Fund P.O. Box 46707 Cincinnati, Ohio 45246-0707 (888) 726-0753 INSTRUCTIONS FOR OPENING YOUR SCHWARTZ VALUE FUND TRADITIONAL IRA I. Included in this Booklet

More information

IRA APPLICATION KIT. Traditional-IRA

IRA APPLICATION KIT. Traditional-IRA IRA APPLICATION KIT Traditional-IRA Valley Forge Fund, Inc. %Mutual Shareholder Services, LLC 8000 Town Centre Drive, Suite 400 Broadview Heights, OH 44147 P-440-922-0066 F-440-526-4446 INSTRUCTIONS FOR

More information

TRADITIONAL/SEP AND ROTH IRA APPLICATION

TRADITIONAL/SEP AND ROTH IRA APPLICATION Use this IRA Application to open a Traditional, SEP, OR ROTH IRA. IMPORTANT: To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions

More information

TRADITIONAL/SEP IRA ROTH IRA CUSTODIAL AGREEMENT DISCLOSURE STATEMENT 3-2009 HIM-IR-001-0200

TRADITIONAL/SEP IRA ROTH IRA CUSTODIAL AGREEMENT DISCLOSURE STATEMENT 3-2009 HIM-IR-001-0200 TRADITIONAL/SEP IRA ROTH IRA CUSTODIAL AGREEMENT DISCLOSURE STATEMENT 3-2009 HIM-IR-001-0200 Traditional Individual Retirement Custodial Account (Under section 408(a) of the Internal Revenue Code) Form

More information

Thank you for your interest in opening a new SIMPLE IRA TradeKing Securities account.

Thank you for your interest in opening a new SIMPLE IRA TradeKing Securities account. Thank you for your interest in opening a new SIMPLE IRA TradeKing Securities account. Opening a SIMPLE IRA account is easy. Simply complete and fax (866-699-0563) or mail to us these forms. Then, if you

More information

TRADITIONAL INDIVIDUAL RETIREMENT ACCOUNT

TRADITIONAL INDIVIDUAL RETIREMENT ACCOUNT TRADITIONAL INDIVIDUAL RETIREMENT ACCOUNT TRUST AGREEMENT & DISCLOSURE STATEMENT Davenport & Company LLC, a broker-dealer registered with the Securities and Exchange Commission (SEC) and a member of the

More information

IRA APPLICATION KIT. Simple - IRA. Forester Funds Mutual Shareholder Services, LLC 8000 Town Centre Drive, Suite 400 Broadview Heights, OH 44147

IRA APPLICATION KIT. Simple - IRA. Forester Funds Mutual Shareholder Services, LLC 8000 Town Centre Drive, Suite 400 Broadview Heights, OH 44147 IRA APPLICATION KIT Simple - IRA Forester Funds Mutual Shareholder Services, LLC 8000 Town Centre Drive, Suite 400 Broadview Heights, OH 44147 INSTRUCTIONS FOR OPENING YOUR FORESTER FUNDS IRA Name of Specific

More information

Goldman Sachs IRA IRA

Goldman Sachs IRA IRA Goldman Sachs IRA A P P L I C A T I O N B O O K L E T IRA Instructions for Opening Your Account New Accounts If you are opening a Traditional IRA, Roth IRA or SEP IRA, review this booklet and complete

More information

IRA APPLICATION. SECTION 1: Account Information. SECTION 2: Contribution Type. SECTION 3: Investment Section

IRA APPLICATION. SECTION 1: Account Information. SECTION 2: Contribution Type. SECTION 3: Investment Section Mail: P.O. Box 8656, Denver, CO 80201 Overnight: 1290 Broadway, Ste. 1100, Denver, CO 80203 Phone: 1-888-484-5766 Fax: 1-866-205-1499 IRA APPLICATION IMPORTANT: To help the government fight the funding

More information

IRA APPLICATION. SECTION 1: Account Information. SECTION 2: Contribution Type. SECTION 3: Investment Section. SECTION 4: Automatic Investment Plan

IRA APPLICATION. SECTION 1: Account Information. SECTION 2: Contribution Type. SECTION 3: Investment Section. SECTION 4: Automatic Investment Plan IRA APPLICATION IMPORTANT: 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

More information

Traditional Individual Retirement Custodial Account Agreement

Traditional Individual Retirement Custodial Account Agreement Form 5305-A (Rev. March 2002) Department of the Treasury Internal Revenue Service Traditional Individual Retirement Custodial Account Agreement (Under Section 408(a) of the Internal Revenue Code) IRA Resources,

More information

SIMPLE IRA ACCOUNT INFORMATION KIT CUSTODIAN: STATE STREET BANK AND TRUST COMPANY (EFFECTIVE DECEMBER 1, 2015)

SIMPLE IRA ACCOUNT INFORMATION KIT CUSTODIAN: STATE STREET BANK AND TRUST COMPANY (EFFECTIVE DECEMBER 1, 2015) SIMPLE IRA ACCOUNT INFORMATION KIT (EFFECTIVE DECEMBER 1, 2015) CUSTODIAN: STATE STREET BANK AND TRUST COMPANY Pax World Mutual Funds SIMPLE IRA DISCLOSURE STATEMENT IMPORTANT This disclosure statement

More information

SIMPLE IRA Plan Agreement Form 5305-SA under Section 408(p) of the Internal Revenue Code (REV. MARCH 2002)

SIMPLE IRA Plan Agreement Form 5305-SA under Section 408(p) of the Internal Revenue Code (REV. MARCH 2002) SIMPLE IRA Plan Agreement Form 5305-SA under Section 408(p) of the Internal Revenue Code (REV. MARCH 2002) The Participant named on the Application is establishing a savings incentive match plan for employees

More information

BNY MELLON INVESTMENT SERVICING TRUST COMPANY. Supplement to the SIMPLE Individual Retirement Account (SIMPLE IRA) Disclosure Statement

BNY MELLON INVESTMENT SERVICING TRUST COMPANY. Supplement to the SIMPLE Individual Retirement Account (SIMPLE IRA) Disclosure Statement BNY MELLON INVESTMENT SERVICING TRUST COMPANY Supplement to the SIMPLE Individual Retirement Account (SIMPLE IRA) Disclosure Statement IMPORTANT CHANGES TO THE RULES GOVERNING INDIRECT (60-DAY) ROLLOVERS

More information

SIMPLE IRA APPLICATION

SIMPLE IRA APPLICATION SIMPLE IRA APPLICATION Use this SIMPLE IRA Application to open a SIMPLE IRA. IMPORTANT: In compliance with the USA PATRIOT Act, Federal law requires all financial institutions (including mutual funds)

More information

Table of Contents. 1. GENERAL... 1 1.1 Disclosure Statement and Master Terms of Individual Retirement Accounts... 1 1.2 Definitions...

Table of Contents. 1. GENERAL... 1 1.1 Disclosure Statement and Master Terms of Individual Retirement Accounts... 1 1.2 Definitions... i Table of Contents 1. GENERAL... 1 1.1 Disclosure Statement and Master Terms of Individual Retirement Accounts... 1 1.2 Definitions... 1 2. IRA ESTABLISHMENT AND ELIGIBILITY... 3 2.1 Establishing an IRA...

More information

INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT

INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT Please complete this application to establish a new Traditional IRA or Roth IRA. This application must be preceded or accompanied by a current

More information

IRA APPLICATION KIT. Traditional-IRA

IRA APPLICATION KIT. Traditional-IRA IRA APPLICATION KIT Traditional-IRA Berkshire Focus Fund Mutual Shareholder Services, LLC 8000 Town Centre Drive, Suite 400 Broadview Heights, OH 44147 P-440-922-0066 F-440-526-4446 INSTRUCTIONS FOR OPENING

More information

Manning & Napier Fund, Inc. Individual Retirement Account (IRA) SIMPLE IRA

Manning & Napier Fund, Inc. Individual Retirement Account (IRA) SIMPLE IRA Manning & Napier Fund, Inc. Individual Retirement Account (IRA) SIMPLE IRA TABLE OF CONTENTS SIMPLE INDIVIDUAL RETIREMENT ACCOUNT (IRA) DISCLOSURE STATEMENT 4 SIMPLE INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT

More information

SIMPLE-IRA Custodial Agreement

SIMPLE-IRA Custodial Agreement THE FIDELITY SIMPLE-IRA PLAN SIMPLE-IRA Custodial Agreement The participant whose name appears on the accompanying Application is establishing a savings incentive match plan for employees of small employers

More information

The Vanguard Traditional IRA, SEP IRA, and Roth IRA. Disclosure Statement and Custodial Account Agreement

The Vanguard Traditional IRA, SEP IRA, and Roth IRA. Disclosure Statement and Custodial Account Agreement The Vanguard Traditional IRA, SEP IRA, and Roth IRA Disclosure Statement and Custodial Account Agreement Contents Vanguard Traditional and Roth IRA Disclosure Statement Section I Revocation.......................................................................................................

More information

Individual Retirement Account

Individual Retirement Account Traditional IRA Individual Retirement Account and Disclosure Statement IRS Form 5305-A (Custodial) Congratulations By establishing a Traditional IRA, you have taken an important step toward saving taxes

More information

TRADITIONAL IRA DISCLOSURE STATEMENT

TRADITIONAL IRA DISCLOSURE STATEMENT TRADITIONAL IRA DISCLOSURE STATEMENT TABLE OF CONTENTS REVOCATION OF ACCOUNT... 1 STATUTORY REQUIREMENTS... 1 (1) Qualification Requirements... 1 (2) Required Distribution Rules... 1 (3) Approved Form....

More information

Combined Traditional/Roth IRA Kit. First Trust Retirement, Custodian. For Investments in

Combined Traditional/Roth IRA Kit. First Trust Retirement, Custodian. For Investments in Combined Traditional/Roth IRA Kit First Trust Retirement, Custodian For Investments in Table of Contents IRA PROTOTYPE PLAN AGREEMENT AND DISCLOSURE STATEMENT These are the rules you agree to abide by

More information

Social Security Number. Primary Phone Number

Social Security Number. Primary Phone Number IRA: Traditional SEP APPLICATION TO PARTICIPATE IRA Holder Information Social Security Number Check if Amendment 4g Primary Phone Number Secondary Phone Number Sex (Male or Female) E-mail Deposit Information

More information

BUFFALO FUNDS. Traditional IRA. Disclosure Statement and Trust Agreement for Traditional, Rollover and SEP IRAs

BUFFALO FUNDS. Traditional IRA. Disclosure Statement and Trust Agreement for Traditional, Rollover and SEP IRAs BUFFALO FUNDS Traditional IRA Disclosure Statement and Trust Agreement for Traditional, Rollover and SEP IRAs Table of Contents TRADITIONAL IRA DISCLOSURE STATEMENT The Seven-Day Revocation Period................................................................................

More information

INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT AGREEMENT

INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT AGREEMENT INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT AGREEMENT Form 5305- A under section 408(a) of the Internal Revenue Code. The depositor named on the application is establishing a Traditional individual retirement

More information

Janus Qualified Retirement Accounts Distribution Form

Janus Qualified Retirement Accounts Distribution Form Janus Qualified Retirement Accounts Distribution Janus Qualified PO Box 55932 Form Retirement Accounts Distribution Form Boston, MA 02205-5932 800-525-1093 PO Box 55932 Boston, MA 02205-5932 800-525-1093

More information

Traditional IRA Mail Application Customer Instructions

Traditional IRA Mail Application Customer Instructions Traditional IRA Mail Application Customer Instructions All information is required unless otherwise indicated. Failure to complete required information could delay or prevent us from opening your account(s).

More information

Effective January 1, 2015. All About Union Bank Inherited Roth Individual Retirement Custodial Account Agreement

Effective January 1, 2015. All About Union Bank Inherited Roth Individual Retirement Custodial Account Agreement Effective January 1, 2015 All About Union Bank Inherited Roth Individual Retirement Custodial Account Agreement Table of Contents Form 5305-RA under section 408A of the Internal Revenue Code. INTRODUCTION...1

More information

Traditional IRA. Plan Agreement & Disclosure Statement

Traditional IRA. Plan Agreement & Disclosure Statement Traditional IRA Plan Agreement & Disclosure Statement Traditional Individual Retirement Custodial Account - Plan Agreement Form 5305-A under section 408(a) of the Internal Revenue Code. The depositor named

More information

NEW CENTURY PORTFOLIOS

NEW CENTURY PORTFOLIOS NEW CENTURY PORTFOLIOS SIMPLE IRA Including: Disclosure Statement Custodial Agreement Financial Disclosure Application Transfer Form Table of Contents HOW TO ESTABLISH YOUR IRA PLAN 1 SIMPLE IRA CUSTODIAL

More information