IMPORTANT ANNOUNCEMENT
|
|
- Basil Welch
- 7 years ago
- Views:
Transcription
1 IMPORTANT ANNOUNCEMENT Octber 12, 2015 Dear Frmer Sharehlder: As yu may knw, the acquisitin f, a cmpany rganized under the laws f the State f Israel ( Lumenis ) by Laguna Hldc Ltd., an Israeli private cmpany ( Parent ), by way f merger with Laguna Merger Sub Ltd., an Israeli cmpany and an whlly wned subsidiary f Parent ( Merger Sub ), whereby Merger Sub merged int and with Lumenis, with Lumenis as the surviving entity, all as set frth in the Agreement and Plan f Merger by and between the Parent, Merger Sub and Lumenis dated June 18, 2015 (the Merger Agreement ), which was cnsummated n Octber 12, As f Octber 12, 2015, the effective date f the merger, each f yur Ordinary B Shares f Lumenis (if any) have been cancelled and cnverted int the right t receive an amunt f merger cnsideratin equal t US$14 (withut interest and less any applicable withhlding taxes pursuant t the Merger Agreement), and such shares n lnger listed fr trading n the NASDAQ Glbal Select Market. A. Withhlding Tax Ruling Accrding t Israeli Law, the payment f the merger cnsideratin is subject t withhlding f Israeli taxes. The Parent wuld nrmally be required t withhld Israeli incme tax at a default rate f 25% (fr individual sharehlders) r 26.5% (fr all ther sharehlders) frm the payment f cash cnsideratin t which yu are entitled. Hwever, a Withhlding Tax Ruling applicatin was submitted (the Tax Ruling ) t the Israeli Tax Authrity ( ITA ) which, t the extent btained, allws, amng thers, fr nn-residents f Israel wh purchased their shares while such were listed fr trade, t be paid the cash cnsideratin exempt frm Israeli tax withhlding. In rder t qualify fr exemptin frm Israeli tax withhlding, yu will need t cmplete and sign a Declaratin f Status fr Israeli Incme Tax Purpses (an Israel Tax Declaratin ) which allws yu t certify yur status as a Nn-Resident f Israel wh purchased the shares n r after such were listed fr trade. Instructins fr cmpleting this Israel Tax Declaratin can be fund belw. Yu are reminded that the ITA has the right t audit the Israel Tax Declaratins. If yu are a nn-israeli Emplyee r service prvider which hlds nn-israeli ptins and/r Registered Sharehlder yu will need t cmplete and sign the Israel Tax Declaratin and attach a cpy f yur freign passprt. If yur cnsideratin exceeds $100,000 but less than $500,000, and/r yu are an Israeli citizen, yu have t attach a residency certificate frm the Tax authrities in yur resident cuntry. If yur cnsideratin exceeds $500,000, yu d nt qualify fr exemptin frm Israeli tax withhlding under the Tax Ruling. If yu d nt qualify fr exemptin frm Israeli tax withhlding under the Tax Ruling, yu can still cntact the ITA directly t btain a valid certificate regarding the withhlding rate (r
2 exemptin frm withhlding) f Israeli tax frm the merger cnsideratin t the Parent s reasnable satisfactin (a Valid Certificate ). Please nte that this ntice is nt applicable fr ptinhlders that received their ptins pursuant t the prvisin f Sectin 102 f the Israeli Incme Tax Ordinance ( 102 Optins ) and/r sharehlders that received their shares upn exercise f 102 Optins. NOTE THAT IF YOU DO NOT SUBMIT AN ACCURATELY COMPLETED ISRAEL TAX DECLARATION OR A VALID CERTIFICATE, THE MAXIMUM APPLICABLE TAX RATE UNDER ISRAELI LAW WILLBE WITHHELD FROM YOUR APPLICABLE MERGER CONSIDERATION. IN ADDITION, IF ANY OF YOUR SHARES ARE HELD IN STREET NAME BY A BROKER, DEALER, COMMERCIAL BANK, TRUST COMPANY OR OTHER NOMINEE THAT IS A PARTICIPANT AT THE DEPOSITARY TRUST COMPANY ( DTC ) (I.E., HELD FOR YOUR BENEFIT BY SUCH A PERSON), YOUR SHARES ARE SUBJECT TO THE PROCEDURES ESTABLISHED BY THE AMERICAN STOCK TRANSFER AND TRUST COMPANY, LLC ( AST ), WITH RESPECT TO THE MERGER CONSIDERATION, AND DTC, REGARDING THE CLASSIFICATION OF YOUR SHARES FOR ISRAELI WITHHOLDING TAX PURPOSES. IF THESE PROCEDURES ARE NOT COMPLETED BEFORE AUGUST 12, 2016, AST MAY TRANSFER THE APPLICABLE PROCEEDS TO YOU THROUGH SUCH BROKER, DEALER, COMMERCIAL BANK, TRUST COMPANY OR OTHER NOMINEE LESS THE MAXIMUM APPLICABLE WITHHOLDING ISRAELI INCOME TAX. B. Receiving yur Cash Cnsideratin The Parent has appinted AST as the Paying Agent and D.F. King & C., Inc. ( D.F. King ) as the Infrmatin Agent fr the transactin, t help rganize the cllectin f the Israel Tax Declaratins and Valid Certificates and t crdinate with brkers and banks t ensure that matching tax electins are crrectly prcessed. D.F. King will be assisted by ESOP Management and Trust Services Ltd. ( ESOP ) in Israel and by AST. Frmer sharehlders f Lumenis wh prvide the necessary Israel Tax Declaratins, prperly cmpleted, with matching electins frm their bank r brker, will receive their cash cnsideratin payments at the reduced r exempted rate f Israeli tax withhlding int the same accunt where they hld their shares. Please nte: There may be U.S. tax cnsideratins which are nt fully discussed in these materials. Yu are urged t read all f the enclsed materials carefully and in their entirety. IN ADDITION, YOU SHOULD CONTACT YOUR OWN TAX ADVISOR FOR ANY GUIDANCE REGARDING U.S. TAX. Please nte: If yu are subject t withhlding f Israeli taxes, yu can still prvide, tgether with the Israel Tax Declaratin, a Valid PLEASE CONSULT YOUR TAX ADVISOR.
3 C. Instructins fr Cmpleting the Israel Tax Declaratin 1. Lcate bth the enclsed Israel Tax Declaratin frm as well as the enclsed pre-addressed envelpe. 2. Please cmplete the sectins f the Israel Tax Declaratin frm, as fllws: Part I: Sharehlder Infrmatin T be cmpleted in all cases, regardless f Sharehlder Status. In all cases, cmplete the fllwing: name, type f sharehlder, permanent address, mailing address (if different) and cntact details. Individual r Legal Entity: Share Ownership Infrmatin If yu are an Individual: yu will be asked t supply yur date f birth, cuntry f residence, cuntry f citizenship and taxpayer identificatin r scial security number (if applicable). If yu are a Legal Entity: yu will be asked t supply the cuntry f incrpratin (r rganizatin), registratin number f crpratin (if applicable) and cuntry f residence. T be cmpleted fr all sharehlders ther than Israeli Financial Institutins. Fr declaratin 8: mark whether the shares are held in registered frm (stck certificate) r via a brker, and specify the brkerage firm where the shares are held. Please nte: In mst cases, yu will hld the shares thrugh a brker r bank. Please prvide as much detail as pssible t help us identify the brker r bank thrugh which yu hld yur shares. This will help ensure that yu receive the prper tax withhlding status fr which yu are eligible. Fr declaratin 9: mark whether yur shares represent less r mre than 5% f Lumenis issued shares. IMPORTANT: If any f the check bxes cnfirming the declaratins cannt be marked (fr declaratin 8 and 9, at least ne f the tw bxes) then yu are nt eligible fr exemptin frm Israeli withhlding tax fr Nn-Residents under the Tax Ruling. If yu wish t avid Israeli tax withhlding, yu must cntact the ITA directly t btain a Valid Part II: Residency Status Cnfirmatins Fr Individuals: Cmplete the declaratins in Sectins A.1 and A.2. IMPORTANT: If any f the check bxes cannt be marked, then yu are nt eligible fr the exemptin frm Israeli withhlding tax fr Nn-Residents under the Tax Ruling. Fr Legal Entities:
4 Fr Legal Entities that are Crpratins cmplete the declaratins in Sectins B.1 and B.2. IMPORTANT: If any f the check bxes cannt be marked, then yu are nt eligible fr the exemptin frm Israeli withhlding tax fr Nn- Residents under the Tax Ruling. If yu wish t avid Israeli tax withhlding, yu must cntact the ITA directly t btain a Valid Fr Legal Entities that are Partnerships cmplete the declaratins in Sectins C.1 and C.2. IMPORTANT: If any f the check bxes cannt be marked, then yu are nt eligible fr the exemptin frm Israeli withhlding tax fr Nn- Residents under the Tax Ruling. If yu wish t avid Israeli tax withhlding, yu must cntact the ITA directly t btain a Valid Fr Legal Entities that are Trusts, cmplete the declaratins in Sectins D.1 and D.2. IMPORTANT: If any f the check bxes cannt be marked, then yu are nt eligible fr the exemptin frm Israeli withhlding tax fr Nn- Residents under the Tax Ruling. If yu wish t avid Israeli tax withhlding, yu must cntact the ITA directly t btain a Valid Part III: Declaratin f Israeli Bank, Brker r Financial Institutin Please specify whether yu are a brker that is a resident f Israel within the meaning f that term in Sectin 1 f the Israeli Tax Ordinance and hld Lumenis rdinary B shares slely n behalf f beneficial sharehlder(s). Part IV: Data regarding the acquisitin f the shares Please specify the purchase price f yur shares. Part V: Certificatins T be cmpleted in all cases, regardless f Sharehlder Status. Carefully review all sectins f the cmpleted Israel Tax Declaratin frm, make any necessary crrectins r adjustments. Carefully read the declaratins and statements under Part V, all f which yu must be able t agree t in rder t sign and execute the Israel Tax Declaratin. Then print yur name r the name f the sharehlder (as the case may be), print the name f the authrized representative (if applicable), then sign and date the Declaratin Regarding Israeli Withhlding. 3. If yu hld Lumenis certificates, please return such certificates, as well as the cmpleted and signed Israel Tax Declaratin and Letter f Transmittal t AST.
5 4. If yu hld yur shares thrugh a bank r brker and yu d nt hld Lumenis certificates, please return the cmpleted and signed Israel Tax Declaratin t D.F. King in the enclsed envelpe. THE METHOD OF DELIVERY OF THE ISRAEL TAX DECLARATION IS AT YOUR OPTION AND RISK, AND THE DELIVERY WILL BE DEEMED MADE ONLY WHEN RECEIVED BY D.F. KING AND/OR YOUR BROKER (AS APPLICABLE). IF DELIVERY IS BY MAIL, REGISTERED MAIL WITH RETURN RECEIPT REQUESTED, IS RECOMMENDED. IN ALL CASES, SUFFICIENT TIME SHOULD BE ALLOWED TO ENSURE TIMELY DELIVERY. NO ALTERNATIVE, CONDITIONAL OR CONTINGENT FORMS WILL BE ACCEPTED. D. Questins If yu have any questins, please call yur brker, if yu have ne. Alternatively yu may cntact D.F. King at the belw numbers. Fr mre infrmatin r t receive an additinal Letter f Transmittal (fr frmer sharehlders wh hld Lumenis certificates) r Israel Tax Declaratin frm, yu can als write t D.F. King at: By Mail, Hand, Overnight Curier r ther Expedited Service: D.F. King & C. Inc. Dcument Prcessing 55 Challenger Rad, Suite 201 Ridgefield Park, NJ By lumenis@dfking.cm Fr assistance call D.F. King at (tll free) [ 2015] Sincerely,
Procedures for Payments Made to or on Behalf of International Students, Visitors and Vendors
Prcedures fr Payments Made t r n Behalf f Internatinal Students, Visitrs and Vendrs General Infrmatin All payments made t r n behalf f an internatinal visitr, student r vendr have ptential tax cnsideratins
More informationMorningstar Document Research
Mrningstar Dcument Research FORM SC 13G/A CAPITAL VENTURES INTERNATIONAL - JRCC Filed: February 13, 2014 (perid: ) Amendment t the SC 13G filing The infrmatin cntained herein may nt be cpied, adapted r
More informationWire Transfer Request
Wire Transfer Request Requirements and Instructins OFFICE OF DISBURSEMENTS Categry: Dcument Name: Payment Prcessing Wire Transfer Request - Requirements and Instructins Respnsible Department: Office f
More informationFORM ADV (Paper Version) UNIFORM APPLICATION FOR INVESTMENT ADVISER REGISTRATION AND REPORT FORM BY EXEMPT REPORTING ADVISERS
APPENDIX A FORM ADV (Paper Versin) UNIFORM APPLICATION FOR INVESTMENT ADVISER REGISTRATION AND REPORT FORM BY EXEMPT REPORTING ADVISERS Frm ADV: General Instructins Read these instructins carefully befre
More informationES PROCEDURES FOR OVERPAYMENT RECOVERY
ES PROCEDURES FOR OVERPAYMENT RECOVERY Effective: 7/1/2012 Respnsible Office: Emplyee Services (ES) Apprved: ES Directr Applicatin: All Emplyees f the University f Clrad Plicy The University f Clrad will
More informationTable of Contents. Welcome to Employee Self Service... 3 Who Do I Call For Help?... 3
ALABAMA STATE UNIVERSITY HUMAN RESOURCES EMPLOYEE SELF SERVICE USER GUIDE 2 Table f Cntents Welcme t Emplyee Self Service... 3 Wh D I Call Fr Help?... 3 Hw d I access Emplyee Self Service?... 4 Persnal
More informationBill Payment Agreement & Disclosures
Bill Payment Agreement & Disclsures Welcme t Online Banking Bill Payment Service. Use f the Bill Payment Service indicates acceptance f terms and cnditins set frth in the Online Banking Agreement & Disclsures
More informationAPPLICATION FORM FOR DIGITAL TACHOGRAPH DRIVER CARD
APPLICATION FORM FOR DIGITAL TACHOGRAPH DRIVER CARD Use the checklists belw t make sure that yur applicatin is cmplete befre yu return it. Have yu cnsidered applying fr yur driver card nline? It s quicker
More informationUNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM WB-DEC
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washingtn, D.C. 20549 FORM WB-DEC DECLARATION OF ORIGINAL INFORMATION SUBMITTED PURSUANT TO SECTION 21F OF THE SECURITIES EXCHANGE ACT OF 1934 A. SUBMITTER
More informationSMSF Annual Accounts and Statutory Returns
SMSF Annual Accunts and Statutry Returns Thank yu fr cnsidering SMSF Wrks t undertake the preparatin f yur fund s statutry accunts. We have attempted t utline the dcumentatin required t cmplete yur fund
More informationPayment Options Check Payable to Account Holder* Electronic Funds Transfer (ACH) $5.00 Maintain IRA with The Bancorp (contact us for options)
Dear Custmer: Thank yu fr cntacting Custmer Care regarding the clsure f yur Individual Retirement Accunt (IRA). In rder t prcess yur request, please cmplete the enclsed Request fr Distributin frm. Yu may
More informationWHAT YOU NEED TO KNOW ABOUT. Protecting your Privacy
WHAT YOU NEED TO KNOW ABOUT Prtecting yur Privacy YOUR PRIVACY IS OUR PRIORITY Credit unins have a histry f respecting the privacy f ur members and custmers. Yur Bard f Directrs has adpted the Credit Unin
More informationComprehensive Health Management, Inc. 401(k) Retirement Savings Plan Rollover Contribution Instructions
T. Rwe Price Retirement Plan Services, Inc. P.O. Bx 17215 Baltimre, Maryland 21297-1215 4515 Painters Mill Rad Owings Mills, Maryland 21117-4903 Cmprehensive Health Management, Inc. 401(k) Retirement Savings
More informationSETTING UP A SYNDICATE SERVICE COMPANY IN HONG KONG
SETTING UP A SYNDICATE SERVICE COMPANY IN HONG KONG 2012 2 Disclaimer This is fr reference nly and is nt cnsidered t be legal advice. Whilst all care has been taken t ensure the accuracy f the infrmatin
More informationLOUISIANA TECH UNIVERSITY Division of Student Financial Aid Post Office Box 7925 Ruston, LA 71272
LOUISIANA TECH UNIVERSITY Divisin f Student Financial Aid Pst Office Bx 7925 Rustn, LA 71272 Dear Financial Aid Applicant, Accrding t yur 2011-2012 Student Aid Reprt (SAR), yu did nt include any parental
More informationSpecial Tax Notice Regarding 403(b) (TSA) Distributions
Special Tax Ntice Regarding 403(b) (TSA) Distributins P.O. Bx 7893 Madisn, WI 53707-7893 1-800-279-4030 Fax: (608) 237-2529 The IRS requires us t prvide yu with a cpy f the Explanatin f Direct Rllver,
More informationSECTION I Overview of Delaware Corporate/LLC Formation
SECTION I Overview f Delaware Crprate/LLC Frmatin This memrandum sets frth the steps required t establish a U.S. subsidiary f a freign parent cmpany. Althugh the Limited Liability Cmpany is briefly described
More informationCSAT Account Management
CSAT Accunt Management User Guide March 2011 Versin 2.1 U.S. Department f Hmeland Security 1 CSAT Accunt Management User Guide Table f Cntents 1. Overview... 1 1.1 CSAT User Rles... 1 1.2 When t Update
More informationCLEARANCE REVIEWS FOR STUDENT RESTRICTION ISSUES OTHER THAN ACADEMIC PROGRESS
CLEARANCE REVIEWS FOR STUDENT RESTRICTION ISSUES OTHER THAN ACADEMIC PROGRESS Only the Ministry f Training, Clleges & Universities can cnsider clearance reviews fr mst ther student restrictin issues. These
More informationINSTRUCTIONS ON HOW TO IMPORT (Attach) DOCUMENTS TO TRANSACTIONS IN THE EMPLOYEE REIMBURSEMENT SYSTEM
INSTRUCTIONS ON HOW TO IMPORT (Attach) DOCUMENTS TO TRANSACTIONS IN THE EMPLOYEE REIMBURSEMENT SYSTEM In the Emplyee Reimbursement System, users with verifier and apprver/prxy access rights have the ability
More informationHow To Get A License To Practice Medicine
INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR CERTIFICATE OF EXEMPTION FROM LICENSURE AS A HEALTH CARE CLINIC REFERENCES: CHAPTER 400, PART X, F.S. (2006) AND FAC 59A-33.006. As prvided in s. 400.9935
More informationAccount Switch Kit. Locations. HACKLEBURG PO DRAWER A 34888 US HWY 43 HACKLEBURG, AL 35564 Phone: (205)395-1944 Fax: (205)935-3349
Member FDIC "Hmetwn Banking... Accunt Switch Kit... Mving Made Easy" Lcatins HAMILTON PO BO 189 1281 MILITARY ST S HAMILTON, AL 35570 Phne: (205)921-9400 Fax: (205)921-9708 HACKLEBURG PO DRAWER A 34888
More informationIDENTIFICATION FORM 3: TRUSTS, TRUSTEES & SMSFs
IDENTIFICATION FORM 3: TRUSTS, TRUSTEES & SMSFs GUIDE TO COMPLETING THIS FORM Cmplete the fllwing in BLOCK LETTERS: Sectin 1 (all parts) all trusts. AND select and cmplete ne f the fllwing sectins fr ONLY
More informationDear Georgia Tech Retiree,
Dear Gergia Tech Retiree, Open Enrllment is the ne pprtunity yu have each year t make changes t yur existing benefit cverage. The 2015 benefits Open Enrllment perid will be held Nvember 3, 2014 thrugh
More informationFAQs about Registration & Licensing in Dubai
FAQs abut Registratin & Licensing in Dubai Trade Names 1. Is it required t register a trade name in rder t apply fr an initial apprval? N, a trade name may be bked fr ne year renewable perid, against payment
More informationWelcome to CNIPS Training: CACFP Claim Entry
Welcme t CNIPS Training: CACFP Claim Entry General Cmments frm SCN CACFP claiming begins with submissin f the Octber claim due by Nvember 15, 2012. Timelines/Due Dates With CNIPS, SCN will cntinue t enfrce
More informationHOPE LoanPort On-Boarding Requirements & Process Table of Contents
HOPE LanPrt On-Barding Requirements & Prcess Table f Cntents Table f Cntents...1 Step 1: VISIT www.hpelanprtal.rg....2 Step 2: COMPLETE COUNSELOR ON-BOARDING FORM...3 Step 3: AGREE TO PARTICIPATION AGREEMENT...4
More informationTAX CREDIT PROGRAMS FOR INTERNATIONAL FINANCIAL CENTRES SUMMARY OF THE PROGRAMS
TAX CREDIT PROGRAMS FOR INTERNATIONAL FINANCIAL CENTRES SUMMARY OF THE PROGRAMS OCTOBER 2015 TAX CREDIT PROGRAMS FOR INTERNATIONAL FINANCIAL CENTRES (IFCs) ELIGIBILITY CRITERIA Eligible activities A crpratin
More informationPoint2 Property Manager Quick Setup Guide
Click the Setup Tab Mst f what yu need t get started using Pint 2 Prperty Manager has already been taken care f fr yu. T begin setting up yur data in Pint2 Prperty Manager, make sure yu have cmpleted the
More informationScotiabank Group Privacy Agreement
Sctiabank Grup Privacy Agreement Last revised Octber 2010 Yur privacy is imprtant t Sctiabank. This Agreement sets ut the infrmatin practices fr Sctiabank Grup Members in Canada, including what type f
More informationCOMMERCIAL LOAN APPLICATION PACKAGE
COMMERCIAL LOAN APPLICATION PACKAGE COMMERCIAL LOAN REQUEST FORM Infrmatin Checklist The fllwing checklist will help yu gather the necessary infrmatin fr the initial evaluatin f yur cmmercial lan request.
More informationVET FEE-HELP Frequently Asked Questions for Students May 2010
Hw d I apply? VET FEE-HELP Frequently Asked Questins fr Students May 2010 If yu are eligible fr VET FEE-HELP assistance and wuld like t btain a VET FEE-HELP lan, yu shuld btain a Request fr VET FEE-HELP
More informationU. S. Department of Housing and Urban Development Washington, D.C. 20410-8000. December 20, 2000
U. S. Department f Husing and Urban Develpment Washingtn, D.C. 20410-8000 December 20, 2000 OFFICE OF THE ASSISTANT SECRETARY FOR HOUSING-FEDERAL HOUSING COMMISSIONER MORTGAGEE LETTER 00-46 TO: ALL APPROVED
More informationFAQs. Therefore, the company submitting the application will be required to confirm that
Versin January 2014 FAQs WHAT KIND OF COMPANY IS NFFX BUSINESS SUPPORT CENTER? NFFX was established as an inter-cmmunity partnership between the cities f Nürnberg and Fürth in the year 2010. It is funded
More informationUNITED KINGDOM VISA STEP-BY-STEP GUIDE
United Kingdm Visa TRAVEL VISA PRO Call us fr assistance Tll-free: (866) 378-1722 Fax: (866) 511-7599 www.travelvisapr.cm UNITED KINGDOM VISA STEP-BY-STEP GUIDE Citizens f United States f America d nt
More informationWe will record and prepare documents based off the information presented
Dear Client: We appreciate the pprtunity f wrking with yu regarding yur Payrll needs. T ensure a cmplete understanding between us, we are setting frth the pertinent infrmatin abut the services that we
More informationOffice Use Only Account # Approved By:
Office Use Only Accunt # Apprved By: Dealer Applicatin Please cmplete and submit this applicatin alng with a cpy f yur (EIN) Federal Tax Id Number certificate befre placing yur 1 st rder. We will review
More informationFrequently Asked Questions About I-9 Compliance
Frequently Asked Questins Abut I-9 Cmpliance What is required t verify wrk authrizatin? The basic requirement t verify wrk authrizatin is the Frm I-9. This frm is available n the HR website: http://www.fit.edu/hr/dcuments/frms/i-9.pdf
More informationFor a quick review on any of the above options, scroll down to review the desired update in this latest updates document.
Latest Update Dcument Accunts Payable Versin 2014.3.9.1 The fllwing updates are included in this dcument: Backup Withhlding Optin t Print r Nt Print Direct Depsit Reciepts Optin t Print r Nt Print ACH
More informationHow To Contact Skrill
Skrill Merchant Services Applicatin Frm Skrill Merchant Services Applicatin Frm (the Applicatin ) shuld be signed by r n behalf f the Merchant. It is very imprtant that the Merchant has read the Applicatin
More information401(k) Savings Plan Annual Incentive Compensation Election Special Considerations for Deferred Compensation Plan Participants
Nvember 2014 401(k) Savings Plan Annual Incentive Cmpensatin Electin Special Cnsideratins fr Deferred Cmpensatin Plan Participants This dcument is a supplement t the U.S. Retirement Savings Prgram materials
More informationDear Brightleaf at the Park Owners,
Dear Brightleaf at the Park Owners, Membership t the Brightleaf Club is nw included with all new cnstructin hmes being sld in Brightleaf at the Park. Many f the riginal wners have requested the ptin fr
More informationMerchant Processes and Procedures
Merchant Prcesses and Prcedures Table f Cntents EXHIBIT C 1. MERCHANT INTRODUCTION TO T-CHEK 3 1.1 Wh is T-Chek Systems? 3 1.2 Hw t Cntact T-Chek Systems 3 1.3 Hw t Recgnize T-Chek Frms f Payment 3 1.3.1
More informationTo make sure you receive our alerts / updates, add noreply.usa@ckgs.com to your white list / Approved / Safe Sender list.
New OCI Card-Minr US PASSPT HOLDER (INDIVIDUAL) The dcuments in the Checklist are mandatry fr yur applicatin t be prcessed. This list f dcuments is nt exhaustive and is subject t change based n the requirements
More informationGuidance for Law Enforcement Regarding The Medical Use of Marijuana Online System ( MMJ Online System ) Updated April 15, 2015
CHARLES D. BAKER Gvernr KARYN E. POLITO Lieutenant Gvernr The Cmmnwealth f Massachusetts Executive Office f Health and Human Services Department f Public Health Bureau f Health Care Safety and Quality
More informationVENDOR REGISTRATION AND DISCLOSURE STATEMENT AND SMALL, WOMEN-, AND MINORITY-OWNED BUSINESS CERTIFICATION APPLICATION
WV-1A New Update REV. 09/18/15 STATE OF WEST VIRGINIA - PURCHASING DIVISION VENDOR REGISTRATION AND DISCLOSURE STATEMENT AND SMALL, WOMEN-, AND MINORITY-OWNED BUSINESS CERTIFICATION APPLICATION Befre a
More informationElectronic Data Interchange (EDI) Requirements
Electrnic Data Interchange (EDI) Requirements 1.0 Overview 1.1 EDI Definitin 1.2 General Infrmatin 1.3 Third Party Prviders 1.4 EDI Purchase Order (850) 1.5 EDI PO Change Request (860) 1.6 Advance Shipment
More informationHow To Get A Credit By Examination
LAW ENFORCEMENT TECHNOLOGY CREDIT BY EXAMINATION FACT SHEET Texas Ri Salad Cllege, a Maricpa Cunty Cmmunity Cllege in Tempe, Arizna, is prud t annunce its Credit by Examinatin prgram in Law Enfrcement
More informationYOU MUST INCLUDE ALL THE FOLLOWING ITEMS IN ORDER TO PROCESS PAYMENT FOR YOUR SERVICES
Please fill ut cmpletely and send back t 216.475.1579 r vendrpackets@garick.cm YOU MUST INCLUDE ALL THE FOLLOWING ITEMS IN ORDER TO PROCESS PAYMENT FOR YOUR SERVICES We must receive: 4 pages f Vendr packet
More informationTRAINING PLAN FOR STEM OPT STUDENTS
Adapted by UW Madisn (and inspired by the University f Michigan) frm the fllwing surce: https://www.ice.gv/sites/default/files/dcuments/dcument/2016/i983instructins.pdf Cmpleting the Frm I 983 TRAINING
More informationKuck Immigration Partners. Source of Funds. -Worksheet and Document Checklist-
Kuck Immigratin Partners Surce f Funds -Wrksheet and Dcument Checklist- 1 Table f Cntents General Rules... 3 Investrs Net Wrth Wrksheet:... 4 Dcumentatin:... 5 Identificatin and Bigraphic Dcuments... 5
More informationMarch 1, 2012. VIA E-mail to fcs-scf@fin.gc.ca
March 1, 2012 VIA E-mail t fcs-scf@fin.gc.ca Ms. Leah Andersn Directr, Financial Sectr Divisin Department f Finance L Esplanade Laurier 20 th Flr, East Twer 140 O Cnnr Street Ottawa, ON K1A 0G5 Dear Ms.
More informationFINRA Regulation Filing Application Batch Submissions
FINRA Regulatin Filing Applicatin Batch Submissins Cntents Descriptin... 2 Steps fr firms new t batch submissin... 2 Acquiring necessary FINRA accunts... 2 FTP Access t FINRA... 2 FTP Accunt n FINRA s
More informationImproved ADP and ACP Safe Harbor Plan Designs
Imprtant Infrmatin Plan Administratin and Operatin April 2000* Imprved ADP and ACP Safe Harbr Plan Designs WHO'S AFFECTED This infrmatin applies t defined cntributin plans with a 401(k) feature r emplyer
More information2015-16 Independent Verification Worksheet for HSC Students
15IVHP 2015-16 Independent Verificatin Wrksheet fr HSC Students Yur applicatin was selected fr review in a prcess called verificatin. In this prcess, Temple University will be cmparing infrmatin frm yur
More informationSergeant Rob Choquette Economic Crimes Unit
Sergeant Rb Chquette Ecnmic Crimes Unit Wrngful r criminal deceptin intended t result in financial r persnal gain. Cmmn Fraud Schemes Credit Card (CC) Fraud CC numbers are btained by varius means such
More informationThird Party Originator Application
Third Party Originatr Applicatin Applicant Infrmatin Third Party Name: Primary Address: City: State: Zip Cde: Primary Cntact: Telephne Number: Email Address: Fax Number: Website Address: Branch Lcatins
More informationInvestment Adviser Switch Workshop
Investment Adviser Switch Wrkshp Investment Adviser Registratin, Renewal, Amendment And Pst-Registratin Requirements Presented by Office f the Attrney General Maryland Divisin f Securities 1 Registratin
More informationMontana Acquisition & Contracting System (emacs) emacs Handbook. Vendor Registration and Data Management
Mntana Acquisitin & Cntracting System (emacs) emacs Handbk Vendr Registratin and Data Management Welcme The purpse f this emacs Handbk fr Vendr Registratin and Data Management is t prvide vendrs with the
More informationUsing McAllister Payment Solutions and Updating to AVImark version 2009.0.0.7263
Using McAllister Payment Slutins and Updating t AVImark versin 2009.0.0.7263 Befre the cnfiguratin f McAllister Payment Slutins (MPS) and AVImark, the McAllister Payment Slutins PA-DSS Implementatin Guide
More informationUsing PayPal Website Payments Pro UK with ProductCart
Using PayPal Website Payments Pr UK with PrductCart Overview... 2 Abut PayPal Website Payments Pr & Express Checkut... 2 What is Website Payments Pr?... 2 Website Payments Pr and Website Payments Standard...
More informationIn preparation for transition, please note the following dates and related actions:
March 13 th, 2014 ACTION REQUIRED: Effective date f change April 27 th, 2015 Dear Valued Supplier, Beginning April 27 th, 2015 Zetis is mving t new ERP system (SAP) fr the US rganizatin that will enable
More informationUniversity of Texas at Dallas Policy for Accepting Credit Card and Electronic Payments
University f Texas at Dallas Plicy fr Accepting Credit Card and Electrnic Payments Cntents: Purpse Applicability Plicy Statement Respnsibilities f a Merchant Department Prcess t Becme a Merchant Department
More informationKnow-your-customer obligations in terms of the Financial Intelligence Centre Act 38 of 2001
Knw-yur-custmer bligatins in terms f the Financial Intelligence Centre Act 38 f 2001 Knw-yur-custmer bligatins in terms f the Financial Intelligence Centre Act 38 f 2001...1 Overview f the Financial Intelligence
More informationInternet Banking Agreement and Disclosure Statement
Internet Banking Agreement and Disclsure Statement This agreement cntains the terms and cnditins that gvern accessing r using Internet Banking (NetTeller), Bill Payment Services, Mbile Banking and On Demand
More informationHow To Get A Job At A Farmhouse Farmhouse
Lan Applicatin fr Pre- Apprval Get pre-apprved fr yur hme lan financing tday by cmpleting this applicatin. Please cmplete the entire applicatin and return with the dcumentatin requested n the attached
More informationAgency Fund (Non-Student Org X-Fund) Guidelines Last Revision: 12/7/2009
Agency Fund (Nn-Student Org X-Fund) Guidelines Last Revisin: 12/7/2009 Definitin f Agency Fund: An Agency Fund cnsists f funds held by Eastern Michigan University as custdian r fiscal agent fr thers, such
More informationThis document provides instructions on how to complete the Cheque Requisition Form.
Office f the Cmptrller Accunts Payable Divisin f Finance and Administratin Standard Operating Prcedure Cheque Requisitin Effective Date: July 19, 2010 Descriptin: This dcument prvides instructins n hw
More informationefusion Table of Contents
efusin Cst Centers, Partner Funding, VAT/GST and ERP Link Table f Cntents Cst Centers... 2 Admin Setup... 2 Cst Center Step in Create Prgram... 2 Allcatin Types... 3 Assciate Payments with Cst Centers...
More informationApplication Submission Checklist To Mutual of Omaha For Medicare Supplement Coverage NEW YORK
Mutual f Omaha Insurance Cmpany P.O. Bx 3608 Omaha, Nebraska 68103-3608 Applicatin Submissin Checklist T Mutual f Omaha Fr Medicare Supplement Cverage NEW YORK THIS APPLICATION MUST BE USED TO WRITE MUTUAL
More informationAuthorize.net Account Setup Instructions
Authrize.net Accunt Setup Instructins Open www.authrize.net and click n Sign Up Nw, fllw the instructins fr creating an accunt and then prceed t selecting services and the instructins t cmplete the sign-up
More informationHow to put together a Workforce Development Fund (WDF) claim 2015/16
Index Page 2 Hw t put tgether a Wrkfrce Develpment Fund (WDF) claim 2015/16 Intrductin What eligibility criteria d my establishment/s need t meet? Natinal Minimum Data Set fr Scial Care (NMDS-SC) and WDF
More informationMunicipal Advisor Registration
FACT SHEET Municipal Advisr Registratin SEC Open Meeting Sept. 18, 2013 The Securities and Exchange Cmmissin tday will cnsider whether t adpt a rule that wuld establish a permanent registratin regime fr
More informatione-qip Online Checklist
U.S. Custms and Versin 3.03 Brder Prtectin e-qip Online Checklist Please cmplete each step in the rder listed belw befre submitting yur e-qip frms. If yu fail t cmplete these steps in rder, yu will delay
More informationUW Tacoma Cashier s Office Orientation. Tuition and Fee Payments Authorization Release Other Important Information
UW Tacma Cashier s Office Orientatin Tuitin and Fee Payments Authrizatin Release Other Imprtant Infrmatin Presented by Finance and Administratin CAR 400 Carltn Center 1551 Bradway This is where yu will
More informationAnnuities and Senior Citizens
Illinis Insurance Facts Illinis Department f Insurance January 2010 Annuities and Senir Citizens Nte: This infrmatin was develped t prvide cnsumers with general infrmatin and guidance abut insurance cverages
More informationDivisinne Fonds - A Glossary of Working Concepts
Respnse f the Office f Structured Finance Divisin f Crpratin Finance Re: Crescent Capital Grup LP Incming letter dated Based n the facts and representatins presented, the Divisin s views are as fllws.
More informationThe Complete Guide to Bench-2-Bedside Funding. Competition and Milestone Award Funding
The Cmplete Guide t Bench-2-Bedside Funding Welcme t the Bench-2-Bedside funding prcess! We are excited t have yu. The mst imprtant thing we can impart n yu, REMEMBER YOUR TEAM NUMBER! A name des nt equal
More informationP CARD College of Health and Rehabilitation Sciences: Sargent Internal Policy
P CARD Cllege f Health and Rehabilitatin Sciences: Sargent Internal Plicy All purchasing card hlders must read the Purchasing Card Prgram Manual (P Card Manual) and cnfirm upn ding s via email t the SAM
More informationSEC FLASH REPORT. June 28, 2011
SEC FLASH REPORT The Securities and Exchange Cmmissin Issues Prpsal t Strengthen Audits and Reprting f Brker-Dealers t Prtect Custmer Assets and Requests Cmments June 28, 2011 On June 15, 2011, the U.S.
More informationGrants Online. Quick Reference Guide Grant Recipients
Abut Grants Online: Grants Online perates in a web envirnment. Internet Explrer is the preferred brwser fr PC users, but Ggle Chrme als wrks well; FireFx is the preferred brwser fr MAC users. N sftware
More informationNextGenJustice Florida attorneys have prepared the following Frequently Asked Questions to help you with your uncontested divorce.
NextGenJustice Flrida attrneys have prepared the fllwing Frequently Asked Questins t help yu with yur uncntested divrce. Frequently asked questins abut yur uncntested Flrida divrce: Q. Hw lng will my divrce
More informationCREDIT REPORTING USER GUIDE
Suthwest Business Credit Services, User Guide CREDIT REPORTING USER GUIDE Last Mdified: 5/6/14 Last Mdified: 5/6/14 1 Suthwest Business Credit Services, User Guide Table f Cntents Intrductin... 3 Hw T
More informationMerchant Management System. New User Guide CARDSAVE
Merchant Management System New User Guide CARDSAVE Table f Cntents Lgging-In... 2 Saving the MMS website link... 2 Lgging-in and changing yur passwrd... 3 Prcessing Transactins... 4 Security Settings...
More informationOCEAN REEF PUBLIC SAFETY WELCOME CENTER BUSINESS REQUIREMENTS AND REGULATIONS PACKAGE
OCEAN REEF PUBLIC SAFETY WELCOME CENTER BUSINESS REQUIREMENTS AND REGULATIONS PACKAGE The Package includes: Business Requirements t Register Cntractrs Rules Prices O.R.C.A. I.D. Cards Requirements Day
More informationAccess EEC s Web Applications... 2 View Messages from EEC... 3 Sign In as a Returning User... 3
EEC Single Sign In (SSI) Applicatin The EEC Single Sign In (SSI) Single Sign In (SSI) is the secure, nline applicatin that cntrls access t all f the Department f Early Educatin and Care (EEC) web applicatins.
More information(y IN1"ERNAL REVENUE "P.O.BOX2508 CINCINNATI, OH
-,! (y IN1"ERNAL REVENUE "P.O.BOX2508 CINCINNATI, OH Date: SERVICE 45201 MAR 2 4 'l.oo~ C/O SCOTT W HANSEN NINE EXCHANGE PL STE 801 SALT LAKE CITY, UT 84111 DEPARTMENT OF THE TREASURY Emplyer Identificatin
More informationAffiliate Service Agreement
Affiliate Service Agreement A. Harringtn Limusine Service (HLS) is searching fr an Affiliate Partner in yur area t better serve HLS s clients. Please cmplete this fillable PDF frm in its entirety. In rder
More informationFIREFIGHTER HEART AND CIRCULATORY MALFUNCTION BENEFITS PROGRAM STANDARD OPERATING GUIDELINES Approved by the DOLA Executive Director July 1, 2014
FIREFIGHTER HEART AND CIRCULATORY MALFUNCTION BENEFITS PROGRAM STANDARD OPERATING GUIDELINES Apprved by the DOLA Executive Directr July 1, 2014 Prgram Overview: As f July 1, 2014, the Department f Lcal
More informationGrants Online. Quick Reference Guide - Grantees
Abut Grants Online: Grants Online perates in a web envirnment. Internet Explrer is the preferred brwser fr PC users; FireFx is the preferred brwser fr MAC users. N sftware is required fr installatin. Lgins
More informationMobile Number Portability Frequently Asked Questions
Mbile Number Prtability Frequently Asked Questins General 1) What is number prtability? Number Prtability (NP) allws yu t change service prviders withut having t change yur telephne number. 2) What are
More informationPAYMENT GATEWAY ACCOUNT SETUP FORMS
PAYMENT GATEWAY ACCOUNT SETUP FORMS Welcme t Authrize.Net, and thank yu fr chsing us fr yur e-cmmerce transactin needs. If yu need an Authrize.Net Payment Gateway Accunt* and yu already have a Merchant
More informationNotice of Protection Provided by Utah Life and Health Insurance Guaranty Association
Ntice f Prtectin Prvided by Utah Life and Health Insurance Guaranty Assciatin This ntice prvides a brief summary f the Utah Life and Health Insurance Guaranty Assciatin ("the Assciatin") and the prtectin
More informationIntroduction to Mindjet MindManager Server
Intrductin t Mindjet MindManager Server Mindjet Crpratin Tll Free: 877-Mindjet 1160 Battery Street East San Francisc CA 94111 USA Phne: 415-229-4200 Fax: 415-229-4201 mindjet.cm 2013 Mindjet. All Rights
More informationo I hereby request a total SURRENDER of my contract/certificate (please enclose).
Distributin Request Frm Prtective Life Insurance Cmpany (PLICO/"the Cmpany") Prtective Life and Annuity Insurance Cmpany (PLAIC/"the Cmpany") Cntract Owner Custmer Service Office: Cntract Annuitant P.O.
More informationAeroplan 2013 Star Challenge Promotion
Aerplan 2013 Star Challenge Prmtin Q1. What is the Star Challenge Prmtin? The Star Challenge prmtin is a bnus miles event that is designed t reward members fr earning miles acrss Aerplan s participating
More informationFundingEdge. Guide to Business Cash Advance & Bank Statement Loan Programs
Guide t Business Cash Advance & Bank Statement Lan Prgrams Cash Advances: $2,500 - $1,000,000 Business Bank Statement Lans: $5,000 - $500,000 Canada Cash Advances: $5,000 - $500,000 (must have 9 mnths
More informationDear Flexible Spending Account (FSA) Enrollee:
Dear Flexible Spending Accunt (FSA) Enrllee: Welcme t yur FSA Plan! Yu nw have 24x7 access t all yur FSA needs n the web. T access yur accunt simply lgn t www.fsa4me.cm. Yur user name is yur first initial,
More informationCoordinating Dual Eligibles Medicare and Medicaid Managed Medical Assistance Benefits
Crdinating Dual Eligibles Medicare and Medicaid Managed Medical Assistance Benefits Medicare beneficiaries wh have limited incme and resurces may get help paying fr their Medicare premiums and ut-f-pcket
More information