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EXHIBIT IC <br />DATA REQUIREMENTS <br />PARS will provide the Services under this Agreement contingent upon recelvmg the <br />following information: <br />1. Participant Data (provided by Agency): <br />(A)Patticipant's Legal Name <br />(B) Participant's Position <br />(C) Participant's Address <br />(D) Participant's Birth Date <br />(E) Participant's Hire Date <br />(F) Participant's Contract Salary <br />(G) Years of Agency Service <br />(H)Retirement Date <br />1 Executed Legal Documents (provided by Agency): <br />(A) Certified Resolution <br />(B) Adoption Agreement <br />(C) Plan Document <br />(D) Trustee Investment Forms <br />3. Completed Funding Documents (provided by Agency): <br />(A) Authorization to Pay Benefits Form <br />(B) Funding of PARS Supplementary Retirement Plan Form. <br />4. Completed Enrollment Forms (timely submitted by Participant): <br />(A) Correction Form <br />(B) Enrollment Form <br />(C) Beneficiary Designation Form <br />(D) Tax Withholding Request Form <br />(E) Letter of Resignation <br />S. Other information pertinent to the Services as reasonably requested by PARS. <br />Page 8 <br />