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GREAT-WEST FINANCIAL-RETIREMENT
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Last modified
4/1/2015 8:53:27 AM
Creation date
3/30/2015 3:19:34 PM
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Contracts
Company Name
GREAT-WEST FINANCIAL-RETIREMENT
Contract #
A-2014-208
Agency
FINANCE & MANAGEMENT SERVICES
Council Approval Date
9/2/2014
Expiration Date
9/2/2016
Insurance Exp Date
3/31/2015
Destruction Year
2021
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ATTACHMENT A <br />SHAREHOLDER COMMUNICATIONS ACT DISCLOSURE <br />Plan Name: <br />The Securities and Exchange Conmilssion adopted the Beneficial Owner Information Disclosure Rule <br />#14b -2 (Rule) in 1986 as part of its effort to improve conwmnications between publicly held companies <br />and beneficial owners of the securities registered in the name of certain nominees. <br />Under these rules, Wells Fargo is required to contact each customer for whom we hold securities and <br />determine whether you authorize us to provide your name, address and share position to the issuer of the <br />securities you own. For your protection, the rules prohibit the requesting company from using your name <br />and address for any purpose other than corporate communications. <br />Please complete the authorization below by checking one of the alternatives. Note: Under the Rule, Wells <br />Fargo is required to treat a non- response as a "YES" disclosure response. <br />❑ You are authorized to release my name, address and share position <br />( "YES" response). <br />❑ You are NOT authorized to release my name, address and share <br />position ( "NO" response). <br />Employer <br />Authorized Signature: <br />Title: 9AM�")\e-e.ulzt -L�A,— 1fr <br />Date: Z 2A <br />457(b) City of Santa Ana GVT Wells Fargo custodial agrmt 02-24-15 Page 8 <br />
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