22
INVESTMENT OPTION ADDITION REQUEST Nationwide Retirement Plans • 1-800-548-6436 • Fax: 1-877-NF401ks (1-877-634-0157) Section 1 GENERAL INFORMATION The Plan Sponsor of_____________________________________________________________________________________________ wishes to add the following fund(s) as investment option(s) to the Plan. Please indicate the funds selected with an "X" below: (Legal Plan Name as stated on the Program Agreement Face Page) (Obtain this information from your Pension Plan Administrator) RETIREMENT INNOVATOR Case Number: _______________________________________________ By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical portfolio holdings but different share classes and pricing tiers. Further, by choosing to offer more than one share class of the same fund, the Plan Trustee/Plan Representative understands that participants invested in different share classes of the same fund will incur different Asset Fees and may realize different performance results. (must be a Nationwide business date): _________________(MM/DD/YYYY) (Requests will not be accepted prior to one month in advance of the above process date. If no date provided, standard processing applies. Requested Process Date Select FUND NAME VRU Code Total Fund Prospectus Gross Expense Ratio Fund Payments to Nationwide Fund Code Abrden Divrs Altrnatv A 1703 2.2 0.5 GASA Abrden Emrg Mkt A 4370 1.45 0.5 BWTA Abrden Eq Lng Shrt A 1704 2.85 0.5 GMLA Abrden Glbl Eq A 253 1.73 0.5 GGLA Abrden Glbl Natrl Rsrc A 1525 1.56 0.4 GGNA Abrden Intl Eq A 251 1.42 0.5 GIGA Abrden US Eq A 254 1.33 0.5 GGTA Alger Cap App Focs I 1872 1.15 0.5 ALXA Alger Cap App Inst I 1871 1.19 0.5 ALRA Alger Grn A 4433 1.49 0.5 BZGA Alger MdCap Gr Inst I 1873 1.23 0.5 ALMA Alger Spectra Inst 4319 1.43 0.5 BURA AllBer Blnd Style Intl A 2218 2.09 0.5 AIZA AllBer Cor Oppr K 1849 1.48 0.5 ADKA AllBer Disc Gr K 1855 1.26 0.5 AKKA AllBer Disc Val K 1856 1.25 0.5 ASSA AllBer Eq Inc K 1857 1.12 0.5 AUXA AllBer Glbl RealEstInvmt K 2216 1.43 0.5 AKRA AllBer Glbl Rsk Alloc K 1848 1.07 0.5 ACKA AllBer Glbl Val K 1850 2.11 0.5 AGKA AllBer Gr Inc K 1851 1.05 0.5 ALKA AllBer Hi Inc A 1007 0.91 0.5 AGDA AllBer Intl Gr K 1852 1.29 0.5 AAWA AllBer Intl Val K 1853 1.28 0.5 AAKA AllBer Intmd Bd K 2217 0.99 0.5 AQKA PNF-0180AO.121 This is page _____ of _____. To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request. 10/2013

INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

  • Upload
    others

  • View
    3

  • Download
    0

Embed Size (px)

Citation preview

Page 1: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

INVESTMENT OPTION ADDITION REQUEST

Nationwide Retirement Plans • 1-800-548-6436 • Fax: 1-877-NF401ks (1-877-634-0157)

Section 1 GENERAL INFORMATION

The Plan Sponsor of_____________________________________________________________________________________________

wishes to add the following fund(s) as investment option(s) to the Plan. Please indicate the funds selected with an "X" below:

(Legal Plan Name as stated on the Program Agreement Face Page)

(Obtain this information from your Pension Plan Administrator)

RETIREMENT INNOVATOR

Case Number: _______________________________________________

By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

portfolio holdings but different share classes and pricing tiers. Further, by choosing to offer more than one share class of the same

fund, the Plan Trustee/Plan Representative understands that participants invested in different share classes of the same fund will

incur different Asset Fees and may realize different performance results.

(must be a Nationwide business date): _________________(MM/DD/YYYY)(Requests will not be accepted prior to one month in advance of the above process date. If no date provided, standard processing applies.

Requested Process Date

Select FUND NAME VRU Code

Total FundProspectus

Gross Expense Ratio

Fund Payments to NationwideFund Code

Abrden Divrs Altrnatv A 1703 2.20.5GASA

Abrden Emrg Mkt A 4370 1.450.5BWTA

Abrden Eq Lng Shrt A 1704 2.850.5GMLA

Abrden Glbl Eq A 253 1.730.5GGLA

Abrden Glbl Natrl Rsrc A 1525 1.560.4GGNA

Abrden Intl Eq A 251 1.420.5GIGA

Abrden US Eq A 254 1.330.5GGTA

Alger Cap App Focs I 1872 1.150.5ALXA

Alger Cap App Inst I 1871 1.190.5ALRA

Alger Grn A 4433 1.490.5BZGA

Alger MdCap Gr Inst I 1873 1.230.5ALMA

Alger Spectra Inst 4319 1.430.5BURA

AllBer Blnd Style Intl A 2218 2.090.5AIZA

AllBer Cor Oppr K 1849 1.480.5ADKA

AllBer Disc Gr K 1855 1.260.5AKKA

AllBer Disc Val K 1856 1.250.5ASSA

AllBer Eq Inc K 1857 1.120.5AUXA

AllBer Glbl RealEstInvmt K 2216 1.430.5AKRA

AllBer Glbl Rsk Alloc K 1848 1.070.5ACKA

AllBer Glbl Val K 1850 2.110.5AGKA

AllBer Gr Inc K 1851 1.050.5ALKA

AllBer Hi Inc A 1007 0.910.5AGDA

AllBer Intl Gr K 1852 1.290.5AAWA

AllBer Intl Val K 1853 1.280.5AAKA

AllBer Intmd Bd K 2217 0.990.5AQKA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 2: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

AllBer LgCap Gr K 1854 1.250.5AALA

AllBer Shrt Dur A 2219 0.940.5ADPA

AllBer Val K 1858 1.140.5AVKA

AllnzGI Focs Gr A 293 1.110.5PCFA

AllnzGI LgCap Gr A 2804 1.110.5RLAA

AllnzGI MdCap A 2805 1.130.6RDAA

AllnzGI NFJ Divd Val A 2011 1.060.5PNEA

AllnzGI NFJ Intl Val A 2802 1.30.5FJAA

AllnzGI NFJ LgCap Val A 2490 1.110.5PNBA

AllnzGI NFJ MdCap Val A 646 1.320.5PRNA

AllnzGI Oppr A 2803 1.320.5PPAA

AllnzGI Tech A 1520 1.570.5PRGA

Am Indep Stk A 3968 1.810.5BEHA

Am Indep US Infl Indx A 3970 1.10.5BEKA

AmBcn Bal Adv 2680 1.10.5BXXA

AmBcn Intl Eq Adv 2551 1.320.5ANLA

AmBcn LgCap Val Adv 2552 1.090.5LCGA

AmBcn SmCap Val Adv 2553 1.420.5SCVA

AmCent Cap Val A 1110 1.350.6ALVA

AmCent Cor Pls A 2751 0.90.5AQQA

AmCent Divrs Bd A 582 0.850.5ADBA

AmCent Eq Gr A 714 0.930.5AEGA

AmCent Fdmntl Eq A 2220 1.260.6ADAA

AmCent Glbl Gr A 259 1.350.6ACTA

AmCent GNMA A 1235 0.80.5AGNA

AmCent Hertg A 583 1.260.6ACHA

AmCent Inc Gr A 572 0.930.5ACIA

AmCent Infl Adj Bd A 707 0.720.5ABIA

AmCent Intl Bd A 1236 1.050.6AIBA

AmCent Intl Gr A 571 1.540.6TCGA

AmCent Lg Co Val A 469 1.120.6ALCA

AmCent MdCap Val A 4578 00.6CFRA

AmCent RealEst A 718 1.40.6ACRA

AmCent Sel A 705 1.250.6ACSA

AmCent Shrt Dur A 2752 0.850.5AQSA

AmCent ShtDrInflPrtBd A 2681 0.820.5APOA

AmCent Sm Co A 711 1.140.6ACQA

AmCent ST Govt A 710 0.80.5ABGA

AmCent Ultra A 703 1.240.6ACAA

AmCent Val A 720 1.250.6ACVA

AmCent Vis A 1237 1.260.6AWVA

AmFds Am Bal R3 816 0.950.6ARLA

AmFds Am Hi Inc Tr R3 368 1.030.6ARIA

AmFds Am Mut R3 387 0.970.6ARMA

AmFds AMCAP R3 292 1.040.6ARAA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 3: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

AmFds Bd Fd Am R3 814 0.920.6ARBA

AmFds Cap Inc Bldr R3 484 0.980.6ARRA

AmFds Cap Wld Bd R3 364 1.210.6ARCA

AmFds Cap Wld Gr Inc R3 388 1.10.6ARWA

AmFds EuroPacfc Gr R3 506 1.140.6AERA

AmFds Fdmntl Inv R3 815 0.960.6ARFA

AmFds Gr Fd Am R3 662 0.980.6ARGA

AmFds Inc Fd Am R3 692 0.960.6ARDA

AmFds Intmd Bd Fd Am R3 693 0.960.6AROA

AmFds Invmt Co Am R3 700 0.980.6AGVA

AmFds New Econ R3 702 1.180.6AGCA

AmFds New Prspct R3 706 1.120.6ARNA

AmFds New Wld R3 708 1.360.6ANWA

AmFds SmCap Wld R3 726 1.420.6ARSA

AmFds US Govt Sec R3 753 0.950.6ARVA

AmFds Wshngtn Mut Inv R3 767 0.970.6AWMA

Astn Mntg Cldwl Gr R 1145 1.310.5AMXA

BlkRk AllCapEnrgyRsrcInv A 2852 1.350.5BACA

BlkRk Basic Val Inv A 2013 0.860.5BMDA

BlkRk Cap App Inv A 1051 1.090.5MFGA

BlkRk Cor Bd Port Inv A 471 1.020.5BCBA

BlkRk Emrg Mkt Inv A 1299 1.680.5MCXA

BlkRk Enrgy Rsrc Inv A 1521 1.340.5BSSA

BlkRk Eq Divd Inv A 1048 0.990.5MDVA

BlkRk Eurofd Inv A 1049 1.330.5MDFA

BlkRk Flex Eq A 1798 1.40.5BBMA

BlkRk Glbl Alloc Inv A 1052 1.160.5MDLA

BlkRk Glbl SmCap Inv A 1053 1.430.5MDGA

BlkRk GNMA Inv A 694 1.060.5BGPA

BlkRk Hi Yld Bd Inv A 592 1.010.5BYBA

BlkRk Hlth Scnc Oppr Inv A 1795 1.30.5BSAA

BlkRk Infl Prtct Bd Inv A 2809 0.960.25BPRA

BlkRk Intl Bd Inv A 695 1.260.5BBPA

BlkRk Intl Inv A 4242 1.650.5BQTA

BlkRk Intl Oppr Inv A 594 1.580.5BISA

BlkRk Invmt Grd Bd Inv A 4278 1.080.5BSUA

BlkRk LgCap Cor Inv A 1057 1.280.5MLRA

BlkRk LgCap Gr Inv A 1058 1.260.5MLHA

BlkRk LgCap Val Inv A 1059 1.270.5MDXA

BlkRk Lng Hrizn Eq Inv A 1999 1.290.5MEGA

BlkRk Low Dur Bd Inv A 597 1.020.6BLDA

BlkRk MdCap Gr Eq Inv A 361 1.550.5BMCA

BlkRk MdCap Val Oppr Inv A 1061 1.250.5MDRA

BlkRk Mgd Vltlty Inv A 1793 1.280.65BPCA

BlkRk Natrl Rsrc Tr Inv A 1062 1.130.5MRFA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 4: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

BlkRk Pacfc Inv A 1063 1.180.5MDCA

BlkRk SmCap Gr Eq Inv A 362 1.170.5BSCA

BlkRk SmCap Gr II Inv A 1064 1.580.5MDSA

BlkRk Ttl Rtn Inv A 2014 1.120.6BMHA

BlkRk Val Oppr Inv A 1065 1.270.5MSXA

Calamos Glbl Eq A 2855 1.530.5CAGA

Calamos Glbl Gr Inc A 2857 1.330.5CLOA

Calamos Gr A 2861 1.290.4CVRA

Calamos Gr Inc A 2859 1.090.4CVTA

Calamos Intl Gr A 2863 1.60.5IGRA

Calamos Mkt Nutrl Inc A 2865 1.180.5CIVA

Clvrt Bd A 1298 1.160.5CSIA

Clvrt Eq A 264 1.220.5CAEA

Clvrt Glbl AltrnatvEnrgy A 2174 2.570.4CGAA

Clvrt Inc A 261 1.30.5CAIA

Clvrt Intl Eq A 266 1.860.5CAWA

Clvrt SmCap A 2846 1.780.4CCVA

Clvrt Soc Indx A 263 1.110.5CASA

CohenStrs Intl Real A 2361 1.560.4IRFA

Col Bal A 2890 1.190.5CBLA

Col Contra Cor A 2893 1.210.5LCCA

Col Divd Oppr A 2110 1.10.5AIUA

Col Divrs Eq Inc A 120 1.120.5ADEA

Col Emrg Mkt Bd A 3974 1.180.5BEPA

Col Eq Val A 125 1.260.5AEVA

Col Glbl Opp A 1976 1.260.5AIMA

Col Hi Yld Bd A 130 1.10.5AEXA

Col Infl Prtct Sec A 2693 1.050.5APRA

Col Lfgoal Gr A 2913 1.330.5HBJA

Col Lg Cor Quant A 1725 1.220.5AQEA

Col LgCap Gr A 1869 1.210.5CLEA

Col MdCap Val Oppr A 1975 1.310.5AMVA

Col Mult Adv SmCap Val A 566 1.770.5AXSA

Col Seligman Glbl Tech A 2712 1.530.5SHGA

Col Seligman SmCap Val A 2771 1.550.5SVXA

Col Strat Inc A 2916 1.030.5HBMA

DE Divrs Inc A 1242 0.950.5DPDA

DE Emrg Mkt A 1243 1.750.5DDEA

DE Intl Val Eq A 1247 1.50.5DGXA

DE REIT A 1402 1.350.5DPEA

DE Sel Gr A 1606 1.270.5DADA

DE SmCap Val A 1607 1.370.5DAEA

DE Smid Cap Gr A 1245 1.250.5DFCA

DE Val A 1609 1.170.5DAIA

Diamond Hill LgCap A 1481 1.060.5DHLA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 5: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

Diamond Hill SmCap A 1482 1.310.5DHSA

Drey Active MdCap A 734 1.20.55DNLA

Drey App 217 0.970.5DAFA

Drey Bal Oppr A 1522 1.370.5DBOA

Drey Glbl RealEst Sec A 2753 1.550.5DXLA

Drey Glbl Stk A 2755 1.280.5DXSA

Drey GNMA A 2018 1.030.5DGGA

Drey Grtr China A 1884 1.920.55DCXA

Drey Intl Bd A 2754 1.020.5DXIA

Drey Intl Eq A 2089 1.540.55DIAA

Drey Intl Val A 731 1.630.55DIVA

Drey Intmd Trm Inc A 2246 0.890.5DRIA

Drey MdCap Gr A 1881 1.530.5DFSA

Drey Natrl Rsrc A 1887 2.110.5DNAA

Drey Rsrch Gr A 4291 1.260.5BTKA

Drey Strat Val A 722 1.20.55DAVA

Drey Strcd MdCap A 1523 1.410.55DPAA

Drey Tech Gr A 316 1.450.55DPTA

Drey WW Gr A 1891 1.220.5DXPA

DWS Cap Gr A 1892 1.020.65DKBA

DWS Comm A 1068 1.720.5PTIA

DWS Cor Eq A 4318 0.930.5BUQA

DWS Enhcd Comdty Strat A 4478 1.510.5CBIA

DWS Eq Divd A 1067 1.20.5PKHA

DWS Glbl Bd A 1264 1.140.5SSZA

DWS Glbl Eq A 1070 1.70.5PDBA

DWS Glbl Gr A 1766 1.540.5SGQA

DWS Glbl Inc Bldr A 1072 0.920.5PKTA

DWS Glbl Infl A 2576 10.5TIPA

DWS Glbl Intl Ltn Am Eq A 1071 1.790.5PSLA

DWS Glbl SmCap Gr A 1069 1.580.65PKGA

DWS Hi Inc A 1265 0.920.5SKHA

DWS Intl A 2146 1.250.65SUIA

DWS LgCap Focs Gr A 1767 1.260.5SGGA

DWS LgCap Val A 1040 10.5PKDA

DWS MdCap Gr A 1266 1.310.5SSAA

DWS RREEF GlblRealEst SecA 2017 1.560.5SRGA

DWS RREEF RealEst Sec A 1267 0.990.5SRRA

DWS Shrt Dur A 2580 1.030.5SDUA

DWS SmCap Gr A 1268 1.460.5SDAA

DWS SmCap Val A 2774 1.190.5KDSA

DWS Wld Divd A 1136 1.290.5PDEA

DWSAltrnatv AsstAlloc A 2175 2.030.5SXAA

Eagle Cap App A 804 1.240.5HCAA

Eagle Gr Inc A 2582 1.120.5HRCA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 6: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

Eagle Series Tr MdCap Gr A 803 1.220.5HAGA

Eagle Series Tr MdCapStk A 806 1.20.5HMCA

Eagle Series Tr SmCap Gr A 807 1.110.5HSSA

EV Atlnta Cap SMID Cap A 2683 1.320.5EASA

EV Bal A 4442 1.160.5BZPA

EV Divd Bldr A 1572 1.070.5EVTA

EV Emrg Mkt Local Inc A 3976 1.410.5BERA

EV Flotng Rt A 1248 1.020.5EVBA

EV Glbl Macro Abs Rtn A 2756 1.320.5EGAA

EV Govt Oblgtns A 1018 1.10.5EVGA

EV Inc Fd of Boston A 1019 1.020.5EVIA

EV LgCap Gr A 2684 1.380.5EALA

EV LgCap Val A 1020 0.990.5EHSA

EV Mult Cap Gr A 1249 1.320.5EVXA

EV SmCap A 1022 1.40.5ETEA

EV Strat Inc A 2685 1.150.5ETSA

EV Tax Mgd Gr A 4443 1.030.5BZQA

EV WW Hlth Scnc A 1021 1.410.5ETHA

Fed Abs Rtn A 1611 1.690.5FADA

Fed Clover Sm Val A 2775 1.630.5VFAA

Fed Clover Val A 2713 1.390.5VCCA

Fed Eq Inc A 4511 1.230CCTA

Fed Eq Inc F 744 1.440.5FEQA

Fed Glbl Alloc A 752 1.50.5FSBA

Fed Hi Yld Tr Svc 237 1.260.5FHYA

Fed Intl Ldrs A 1357 1.470.5FGFA

Fed Intl SmMd Co A 748 2.020.5FISA

Fed IntrCntnentl A 2148 1.470.5FRIA

Fed Kaufman A 489 2.240.4FKFA

Fed Kaufman SmCap A 1364 2.310.5FKAA

Fed MDT All Cap Cor A 959 1.810.5QAAA

Fed MDT Bal A 2178 1.680FQGA

Fed MDT LgCap Gr A 2179 2.340FQLA

Fed MDT MdCapGr Strat A 746 1.410.5FGSA

Fed MDT SmCap Cor A 2181 6.010.5FQCA

Fed MDT SmCap Gr A 2182 2.850.5FQXA

Fed MDT Stk Tr Svc 751 1.320.5FSTA

Fed Prudnt Bear A 2686 2.530.5BEAA

Fed Strat Inc A 2149 1.330.5FSAA

Fed Ttl Rtn Bd A 2150 1.010.5FTLA

FidAdv Asst Mgr 70 A 2460 1.090.5FOLA

FidAdv Canada A 2388 1.080.5FCDA

FidAdv Divd Gr A 608 1.230.5FDGA

FidAdv Divrs Intl A 609 1.320.5FVDA

FidAdv Enrgy A 2724 1.170.5FNAA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 7: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

FidAdv Eq Inc A 282 1.020.5FEIA

FidAdv Euro Cap App A 1115 2.070.5FXAA

FidAdv Flotng Rt Hi Inc A 2776 0.990.5FFRA

FidAdv Glbl Cap App A 1117 1.430.5FGXA

FidAdv Gr Inc A 756 1.050.5FGIA

FidAdv Gr Oppr A 281 1.30.45FGOA

FidAdv Infl Prtct Bd A 1023 0.760.5FIPA

FidAdv Intl Cap App A 922 1.780.5FOXA

FidAdv Intl RealEst A 2022 1.440.5FIRA

FidAdv Invmt Grd Bd A 664 0.780.5FGBA

FidAdv Jpn A 2876 1.420.5FXJA

FidAdv Levr Co Stk A 1309 1.130.5FLSA

FidAdv LgCap A 757 1.250.5FLCA

FidAdv MdCap II A 1895 1.150.5FIAA

FidAdv New Insghts A 1308 1.010.5FNIA

FidAdv RealEst A 665 1.190.5FREA

FidAdv Shrt Fxd Inc A 551 0.70.5FAFA

FidAdv SmCap A 552 1.060.5FAPA

FidAdv Stk Sel All Cap A 4480 1.120.5CBKA

FidAdv StkSel MdCap A 758 0.950.45FMCA

FidAdv Strat Divd Inc A 4335 1.090.5BVJA

FidAdv Strat Inc A 666 0.980.5FSFA

FidAdv Tech A 4337 1.180.5BVLA

FidAdv Ttl Bd A 4339 0.820.5BVNA

FidAdv Val A 1311 1.350.5FAVA

FidAdv Val Ldrs A 1896 1.280.5FVLA

Fnkln Bal Sht Invmt A 975 0.990.5TBSA

Fnkln Bio Disc A 271 1.220.5TSBA

Fnkln DynaTech A 2486 0.960.5FKDA

Fnkln Flex Cap Gr A 272 0.990.4TSCA

Fnkln Glbl RealEst A 2151 1.680.4FARA

Fnkln Gr A 2537 0.960.4FKGA

Fnkln Gr Oppr A 269 1.250.4TSAA

Fnkln SmCap Gr A 492 1.360.5FSGA

Fnkln SmMdCap Gr A 958 0.980.5TSGA

Fnkln Strat Inc A 493 0.890.5FSIA

FnklnMSF Mut Becn A 977 1.140.5TMBA

FnklnMSF Mut Euro A 979 1.430.5TMEA

FnklnMSF Mut Glbl Disc A 978 1.320.5TMDA

FnklnMSF Mut Shrs A 308 1.120.5TMSA

FnklnTmp China Wld A 1769 1.870.5TCWA

FnklnTmp Devl Mkt Tr A 981 1.70.5TDMA

FnklnTmp Forgn A 550 1.210.5TFFA

FnklnTmp Glbl Bd A 4467 0.910.6CAVA

FnklnTmp Gr A 982 1.110.4TGFA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 8: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

FnklnTmp Ttl Rtn A 4538 1.060.6CDWA

Frost Divd Val A 2729 1.220.5FVAA

Frost Gr Eq A 2726 1.220.5FCEA

GabelliTTONWstwdSmCapEq A 2812 1.90.5WWSA

Gdmn HiQultyFlotngRt A 667 0.960.5GARA

GdmnScs Cap Gr A 763 1.480.5GCGA

GdmnScs Cnctrd Intl Eq A 774 1.720.5GIEA

GdmnScs Comdty Strat A 4477 1.130.5CBHA

GdmnScs Cor Fxd Inc A 764 0.810.5GCFA

GdmnScs Govt Inc A 771 10.5GGVA

GdmnScs Gr Inc A 772 1.220.5GGWA

GdmnScs Gr Oppr A 278 1.410.5GSGA

GdmnScs Hi Yld A 773 1.050.5GHYA

GdmnScs LgCap Gr Insghts A 766 1.160.5GCLA

GdmnScs LgCap Val A 1574 1.190.5GSLA

GdmnScs LgCapVal Insghts A 277 1.110.5GCVA

GdmnScs MdCap Val A 775 1.150.5GMCA

GdmnScs RealEst Sec A 1573 1.510.5GREA

GdmnScs Satellite Strat A 2882 1.470.5UABA

GdmnScs Shrt Dur Govt A 668 0.890.5GSDA

GdmnScs SmCap Eq Insghts A 153 1.460.5GCCA

GdmnScs SmCap Val A 777 1.440.5GSCA

GdmnScs US Eq Insghts A 768 1.20.5GUSA

Gughm Mgd Ftr Strat A 2636 1.680.5RMTA

Gughm Mult Hdg Strat H 1708 3.260.5RMXA

Gughm SmCap Val A 4273 2.20.5BSNA

Gughm USLngShrtMomntm H 1712 1.910.5RSRA

Heartland Sel Val Inv 1313 1.210.5HRSA

Heartland Val Inv 161 1.160.5HSCA

Heartland Val Pls Inv 1314 1.090.5HRVA

Heitman REIT A 2130 3.120.5PARA

Henssler Eq 2094 1.280.5HEQA

Hunt Divd Cptr A 2814 1.620.5HDCA

Hunt Fxd Inc Sec A 2589 1.310.5HFIA

Hunt Intl Eq A 2590 1.870.5HIEA

Hunt Md Corp Am A 2591 1.630.5HUMA

Hunt Mrtg Svc A 2592 1.360.5HMSA

Hunt Situs A 2593 1.610.5HSUA

Invsco Am Frnchs A 2912 1.180.5HBIA

Invsco Am Val A 1917 1.230.5VMSA

Invsco Bal Rsk Alloc A 4450 1.240.5BZXA

Invsco Charter A 1000 1.120.5AHTA

Invsco Comstk A 910 0.860.5VCAA

Invsco Divd Inc A 2911 1.340.5HBHA

Invsco Eq Inc A 304 0.810.5VKEA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 9: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

Invsco Euro Gr A 1001 1.480.5AEDA

Invsco Glbl Cor Eq A 2909 1.340.5HBFA

Invsco Glbl Hlth Care A 1003 1.180.5AGHA

Invsco Glbl RealEst A 2000 1.480.5AEEA

Invsco GlbLowVltltyEqYld A 573 1.630.5AGTA

Invsco Gr Inc A 306 0.840.5VKWA

Invsco Intl Gr A 101 1.380.5AIEA

Invsco Low Vltlty Eq Yld A 2906 1.230.5HBCA

Invsco MdCap Cor Eq A 411 1.20.5AMCA

Invsco MdCap Gr A 553 1.280.5VGRA

Invsco RealEst A 576 1.250.5AREA

Invsco SmCap Disc A 1921 1.430.5VASA

Invsco SmCap Eq A 1234 1.340.5AMEA

Invsco Tech A 2910 1.520.5HBGA

Invsco Val Opp A 2905 1.270.5HBBA

JnHnck Bal R2 4521 1.210.5CDFA

JnHnck Clsc Val R2 4522 1.340.5CDGA

JnHnck Dscpid Val R2 4523 3.270.5CDHA

JnHnck Dscpld Val MdCap R2 4524 2.360.5CDIA

JnHnck Inc R2 4525 0.960.5CDJA

JnHnck Intl Cor R2 4526 20.950.5CDKA

JnHnck LgCap Eq R2 4527 1.220.5CDLA

JnHnck Rnier Gr R2 4528 20.660.5CDMA

JnHnck Sm Co R2 4529 20.470.5CDNA

JnHnck US Glbl Ldrs Gr R2 4530 1.380.5CDOA

Jns Bal S 2663 1.080.5YJAA

Jns Entrp S 2664 1.210.5YJGA

Jns Fd S 2667 1.050.5YJOA

Jns Flex Bd S 2665 0.950.5YJDA

Jns Frty S 984 1.040.5JACA

Jns Glbl Rsrch S 2673 1.280.5YJYA

Jns Gr Inc S 2668 1.160.5YJXA

Jns Intech US Cor S 2659 1.160.5YJLA

Jns Intech US Gr S 819 1.070.5JLGA

Jns Ovrseas S 2670 1.010.5YJJA

Jns Prkns MdCap Val S 2675 1.090.5YJVA

JPM Cor Bd A 924 0.980.5BBNA

JPM Cor Pls Bd A 938 0.970.5BNBA

JPM Emrg Mkt Eq A 2222 1.820.5JFAA

JPM Eq Inc A 936 1.090.5BENA

JPM Gr Advtg A 2223 1.30.5JVHA

JPM Hi Yld A 2224 1.340.5JOHA

JPM Intl Val A 2225 1.370.5JFEA

JPM Intrepid Advtg A 1774 2.510.5JICA

JPM Intrepid Am A 1772 1.030.5JIAA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 10: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

JPM Intrepid Euro A 2226 1.740.5JVEA

JPM Intrepid Gr A 1773 1.180.5JIXA

JPM Intrepid Intl A 2189 1.580.5JFTA

JPM Intrepid MdCap A 937 1.380.5BDMA

JPM Intrepid Val A 1775 1.230.5JIVA

JPM LgCap Gr A 930 1.160.5BLGA

JPM Ltd Dur Bd A 641 0.980.4BUTA

JPM MdCap Gr A 932 1.390.5BMGA

JPM SmCap Eq A 615 1.420.5JSEA

JPM SmCap Val A 935 1.420.5BSVA

JPM Strat Inc Oppr A 2732 1.170.5JSOA

JPM US Eq A 617 1.080.5JUSA

JPM US LgCap Cor Pls A 2227 2.380.5JLXA

JPM US RealEst A 2228 1.350.5JSUA

JPM Val Advtg A 2229 1.430.5JVAA

JPM Val Oppr A 1486 1.140.5JVOA

Lazard Intl Eq Sel Open 503 4.770.5LESA

Lazard Intl SmCap Eq Open 826 1.480.4LISA

Lazard Intl Strat Eq Open 1954 1.130.4LIOA

Lazard US MdCap Eq Open 827 1.260.5LMCA

Lazard US Strat Eq Open 1944 1.370.5LZUA

LeggM Btrymrch Glbl Eq A 2157 2.010.5SFIA

LeggM BW Glbl Oppr Bd A 4452 0.960.5BZZA

LeggM ClrBrdg Aggr Gr A 397 1.270.5SBGA

LeggM ClrBrdg App A 399 1.060.5SMBA

LeggM ClrBrdg Eq Inc A 421 1.240.5SPTA

LeggM ClrBrdg LgCap Gr A 418 1.290.5SLCA

LeggM ClrBrdg MdCap Cor A 419 1.320.5SYCA

LeggM ClrBrdg SmCap Gr A 111 1.320.5SCGA

LeggM ClrBrdgInvLgCapVal A 297 0.980.5SLIA

LeggM WstrAs Cor Bd A 4472 0.840.5CBCA

LeggM WstrAs GlblHiYldBd A 118 1.030.5SYBA

LeggM WstrAs MrtgBckdSec A 2158 0.960.5SGVA

LeggM WstrAsGlblStrarInc A 1994 1.110.5SDSA

Loomis Bd Admn 1122 1.20.6LBFA

LrdAbt Afltd A 628 0.850.5LAAA

LrdAbt Bal Strat A 366 1.220.5LABA

LrdAbt Cal Divd Gr A 4592 00.5CGKA

LrdAbt Emrg Mkt Curren A 4594 00.5CGMA

LrdAbt Flotng Rt A 4596 00.5CGOA

LrdAbt Gr Oppr A 630 1.420.5LGOA

LrdAbt Hi Yld A 1043 0.960.4LHYA

LrdAbt Intl Cor Eq A 1900 1.470.4LICA

LrdAbt Intl Oppr A 1901 1.520.4LAEA

LrdAbt Shrt Dur Inc A 367 0.590.4LALA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 11: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

LrdAbt Ttl Rtn A 371 0.860.4LTRA

LrdAbt Val Oppr A 4254 1.310.5BRIA

MFS Cor Eq A 637 1.150.5MRGA

MFS Emrg Mkt Db A 3978 1.130.4BEUA

MFS Eq Oppr A 2193 1.340.5MSRA

MFS Gr A 2470 1.120.5MFEA

MFS Hi Yld Oppr A 632 1.170.5MYOA

MFS Intl Divrs A 1904 1.350.5MXDA

MFS Intl Val A 2601 1.210.5MGAA

MFS Rsrch Intl A 1532 1.220.5MRAA

MFS Ttl Rtn A 638 0.770.5MTRA

MFS Val A 439 0.960.5MMVA

Mgrs Ycktmn Focs Svc 1942 1.250.5YAFA

MgrsAMG ChiEqPtnrsBal Inv 4554 1.520.5CEOA

MgrsAMG FQGlblEssntls Inv 4556 1.650.5CEQA

MgrsAMG GW&K SmCap Eq Inv 4558 1.60.5CESA

Mndr Intl Cor Eq A 4484 5.790.5CBPA

Mndr Intl SmCap A 4408 1.870.5BYHA

Mndr MdCap Cor Gr A 2106 1.330.5MGOA

Mndr Ver SmCap Val A 2107 1.630.5MNVA

MnSty ICAP Eq R2 2230 1.270.5MIAA

MnSty ICAP Intl R2 2231 1.410.5MIYA

MnSty ICAP Sel Eq R2 2232 1.350.5MCSA

MnSty LgCap Gr R2 2233 1.140.5MLTA

MnSty Mktfld A 4598 00.5CGQA

Natixis Gateway A 1119 1.030.55GATA

Natixis Loomis Val A 2177 0.980.55LSRA

NeuBer AbsRtn MultMgr A 4640 00.5CILA

NeuBer Cor Bd A 2743 1.010.5NCRA

NeuBer Emrg Mkt Eq A 2758 2.230.5NXMA

NeuBer Eq Inc A 2757 1.130.5NXEA

NeuBer Focs A 2816 1.220.5NFAA

NeuBer Guardian A 2733 1.120.5NGAA

NeuBer Hi Inc A 2744 1.090.5NHIA

NeuBer Intl LgCap A 2759 1.40.5NXLA

NeuBer Intrinsic Val A 2817 1.610.5NNAA

NeuBer LgCap Dscpld Gr A 2745 1.160.5NLDA

NeuBer LgCp Val A 2818 1.080.5NPAA

NeuBer Lng Shrt A 4642 00.5CIOA

NeuBer MdCap Gr A 2760 1.180.5NXGA

NeuBer MdCapIntrinVal A 2820 1.610.5NBRA

NeuBer RealEst A 2819 1.520.5NREA

NeuBer Sel Eq A 2761 1.540.5NXSA

NeuBer Shrt Dur Bd A 2821 1.410.5NSHA

NeuBer SmCap Gr A 2762 1.80.5NXCA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 12: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

NeuBer Soc Resp A 2763 1.110.5NXRA

NeuBer Strat Inc A 2746 1.250.5NSTA

Nuvn Divd Val A 2584 1.150.5FQIA

Nuvn Intmd Govt Bd A 2487 0.930.5FIGA

Nuvn LgCap Gr Oppr A 2488 1.250.5FRGA

Nuvn MdCap Gr Oppr A 2489 1.30.5FRSA

Nuvn MdCap Val A 2535 1.470.5FXEA

Nuvn SmCap Sel A 2492 1.360.5FEMA

Nuvn Strat Inc A 2493 0.910.5FDDA

Nuvn Symph Cr Oppr A 4564 1.120.5CEZA

NW Altrnatv Alloc A 4262 1.160.5BRRA

NW Bailard Cogn Val A 4600 00.5CGTA

NW Bailard Int Eq A 4603 00.5CGWA

NW Bailard Tech Scnc A 4606 00.5CGZA

NW Bd A 829 1.150.5NBDA

NW Bd Indx A 969 0.690.5NBIA

NW Cor Plus Bd A 4562 1.30.5CEWA

NW Dest 2010 R2 2077 1.190.75NDFA

NW Dest 2015 R2 2078 1.20.75NDHA

NW Dest 2020 R2 2079 1.190.75NDIA

NW Dest 2025 R2 2080 1.190.75NDJA

NW Dest 2030 R2 2081 1.180.75NDKA

NW Dest 2035 R2 2082 1.180.75NDLA

NW Dest 2040 R2 2083 1.180.75NDMA

NW Dest 2045 R2 2084 1.180.75NDNA

NW Dest 2050 R2 2085 1.180.75NDOA

NW Dest 2055 R2 2885 1.180.75VBCA

NW Enhcd Inc A 359 0.760.5MEIA

NW Fd A 830 1.040.5NWFA

NW Geneva MdCap Gr A 4609 00.5CHCA

NW Geneva SmCap Gr A 4611 00.5CHEA

NW Glbl Eq A 4487 1.410.5CBTA

NW Govt Bd A 835 1.110.5NIGA

NW Gr A 831 1.270.5NGFA

NW Hi Yld A 4485 1.290.5CBQA

NW HM Bal A 4613 00.5CHGA

NW HM Bd A 4616 00.5CHJA

NW HM LgCap Cor Eq A 4619 00.5CHMA

NW HM LgCap Gr A 4622 00.5CHPA

NW HM SmCap Cor A 4628 00.5CHWA

NW HM ST Bd A 4625 00.5CHTA

NW HM Val A 4631 00.5CIAA

NW Intl Indx A 966 0.750.5NIIA

NW Intl Val A 2195 1.260.65NVWA

NW Inv Dest Aggr R2 1843 1.110.65GAXA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 13: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

NW Inv Dest Cnsrv R2 1844 1.130.65GCRA

NW Inv Dest Mod Aggr R2 1846 1.110.65GMRA

NW Inv Dest Mod Cnsrv R2 1847 1.110.65GMXA

NW Inv Dest Mod R2 1845 1.110.65GMDA

NW MdCap Mkt Indx A 968 0.710.5NMCA

NW Mny Mkt Prm 360 0.620.25NMZA

NW Rtrmt Inc R2 2086 1.210.75NDPA

NW S P 500 Indx Svc 356 0.610.5NIFA

NW Shrt Dur Bd Svc 336 0.980.5MCAA

NW Sm Co Gr A 4349 7.680.5BVXA

NW SmCap Indx A 967 0.740.5NSCA

NW US SmCap Val A 2197 1.50.65NUAA

NW Zieg Eq Inc A 4634 00.5CIEA

NW Zieg NYSArcTch100Indx A 4637 00.5CIIA

Okmrk Eq Inc II 669 1.090.55KOEA

Okmrk Fd II 670 1.30.55KOFA

Okmrk Glbl II 671 1.50.55KOGA

Okmrk Intl II 672 1.390.55KOIA

Okmrk Intl SmCap II 2200 1.690.55KOXA

Okmrk Sel II 1575 1.360.55KORA

Opp Cap App A 431 1.050.5PCAA

Opp Cap Inc A 848 1.020.5PEIA

Opp Comdty Strat Ttl Rtn A 861 1.630.5PRAA

Opp Cor Bd A 840 0.990.5PBZA

Opp Eq A 863 0.990.5PTRA

Opp Eq Inc A 1320 1.060.5PQCA

Opp Flex Strat A 859 1.90.5PQOA

Opp Glbl A 435 1.220.5PGZA

Opp Glbl Alloc A 507 1.470.5PQBA

Opp Glbl Oppr A 849 1.220.5PGGA

Opp Glbl Strat Inc A 862 0.990.5PSIA

Opp Gold Spec Mnrls A 374 1.220.5PGMA

Opp Intl Bd A 852 1.020.5PIBA

Opp Intl Gr A 853 1.180.5PIGA

Opp Intl Sm Co A 854 1.260.5PISA

Opp Intl Val A 1321 1.330.5PQIA

Opp Ltd Trm Bd A 864 0.90.5PUSA

Opp Ltd Trm Govt A 855 0.890.5PLTA

Opp Mn St A 856 0.970.5PMAA

Opp Mn St Sel A 508 1.240.5PMOA

Opp Mn St SmMdCap A 377 1.240.5PSSA

Opp SmMdCap Val A 860 1.310.5PQSA

Opp Snr Flotng Rt A 4644 00.45CIQA

Opp Val A 846 0.950.5PDVA

Parnassus Eq Inc Inv 2868 0.90.5IRBA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 14: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

Parnassus Fd 2870 0.90.5PNXA

Parnassus Fxd Inc 2869 0.790.5IRIA

Parnassus MdCap 2871 1.230.5IRMA

Parnassus SmCap 2872 1.230.5ISAA

Parnassus Wrkplc 2873 1.140.5PWXA

Payden GNMA Adv 2765 0.750.5PYNA

Payden US Govt Adv 2766 0.850.5PYWA

PIMCO All Asst A 1533 1.490.5PASA

PIMCO AllAsst AllAthrity A 2767 2.340.5PMUA

PIMCO ComdtyRealRtnStrat A 2109 1.360.5PCXA

PIMCO Emrg Curren A 1818 1.250.5PLMA

PIMCO Glbl Mult Asst A 2768 2.130.5PMLA

PIMCO Hi Yld A 674 0.90.5PYFA

PIMCO Inc A 4458 0.880.5CAJA

PIMCO Invmt Grd Corp Bd A 4267 0.90.5BSBA

PIMCO Low Dur A 675 0.80.6PLDA

PIMCO Real Rtn A 676 0.880.6PRRA

PIMCO Ttl Rtn A 138 0.850.5PCTA

PIMCO Unconstrnd Bd A 2769 1.310.5PMBA

Pionr Bd A 1902 1.030.55PIXA

Pionr Clsc Bal A 1838 1.30.65PAOA

Pionr Cor Eq A 653 10.65PVAA

Pionr Dscpld Val A 1707 1.140.55PCCA

Pionr Emrg Mkt A 648 2.030.65PEMA

Pionr Eq Inc A 649 1.170.65PIEA

Pionr Fd A 1009 1.010.65PIOA

Pionr Fdmntl Gr A 2658 1.20.55PGFA

Pionr Glbl Eq A 2538 1.720.55GLSA

Pionr Glbl Hi Yld A 2239 1.10.55PGHA

Pionr Hi Yld A 650 1.160.65PHFA

Pionr MdCap Val A 651 1.090.65PICA

Pionr Ok Rdg LgCap Gr A 1324 1.630.55POLA

Pionr Ok Rdg SmCap Gr A 1325 1.510.55PORA

Pionr Sel MdCap Gr A 1456 1.160.65PGOA

Pionr Strat Inc A 382 1.060.65PNSA

PNC Bal Alloc A 176 1.450.4ABAA

PNC LgCap Cor Eq A 174 1.540.5ACEA

PNC LgCap Gr A 1556 1.390.5AEQA

PNC LgCap Val A 164 1.290.5ALPA

PNC MdCap A 558 1.530.5ASMA

PNC Mult Fctr SmCap Val A 363 2.10.5ASVA

PNC SmCap A 2143 1.560.5ALLA

Prncpl Cap App A 4248 0.970.5BQZA

Prncpl Divrs Intl A 1970 1.490.4WPRA

Prncpl Eq Inc A 1372 0.960.5WCMA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 15: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

Prncpl Hi Yld A 1373 0.910.5WCPA

Prncpl LgCap Gr A 1945 1.270.4PRWA

Prncpl Prfrd Sec A 1971 1.060.4WPAA

Prncpl RealEst Sec A 1972 1.360.4WRAA

Prudntl Fin Svc A 1192 1.410.5PFSA

Prudntl Glbl RealEst A 1301 1.270.5PURA

Prudntl Jnisn 20 20 Focs A 654 1.180.5PTFA

Prudntl Jnisn Eq Oppr A 655 1.130.5PJEA

Prudntl Jnisn Gr A 656 1.060.5PJGA

Prudntl Jnisn Natrl Rsrc A 383 1.190.5PNRA

Prudntl Jnisn Sm Co A 1535 1.170.5PGXA

Prudntl Jnisn Util A 1196 0.870.5PRUA

Prudntl Jnisn Val A 1197 1.070.5PBEA

Prudntl LgCap Cor Eq A 1300 1.40.5PTMA

Prudntl SmCap Val A 2904 1.460.5PZVA

Prudntl St Cor Bd A 1191 0.830.5PSMA

Prudntl Ttl Rtn Bd A 1997 0.930.5PBDA

Ptnm Cap Oppr A 657 1.250.5KCOA

Ptnm Conv Sec A 2824 1.110.5PCOA

Ptnm Divrs Inc Tr A 1717 0.990.5PDIA

Ptnm Eq Inc A 990 1.090.5KEIA

Ptnm Fd Gr Inc A 384 1.10.5PFGA

Ptnm Geo Ptnm Bal A 509 1.040.5KPBA

Ptnm Glbl Eq A 991 1.350.5KEQA

Ptnm Gr Oppr A 992 1.160.5KGOA

Ptnm Hi Yld Tr A 2825 1.020.5PIHA

Ptnm Inc A 2826 0.860.5PNCA

Ptnm Intl Cap Oppr A 994 1.410.5KIVA

Ptnm Intl Eq A 993 1.360.5KIGA

Ptnm Inv A 995 1.190.5KIFA

Ptnm Mult Cap Gr A 996 1.140.5KNOA

Ptnm Mult Cap Val A 658 1.150.5KMCA

Ptnm SmCap Gr A 660 1.310.5KSGA

Ptnm Voyager A 510 1.070.5KPVA

RdgWrth Hi Inc A 2405 10.5SAHA

RdgWrth LgCap Gr Stk I 1076 0.920.4STAA

RdgWrth LgCap Val Eq I 1080 1.050.5SVTA

RdgWrth MdCap Val Eq I 1107 1.090.5SMTA

Royce 100 K 2442 1.660.5ROHA

Royce Hertg K 2440 1.690.5RHFA

Royce Low Priced Stk K 2441 1.70.5RLPA

Royce Oppr K 2447 1.470.5ROFA

Royce Penn Mut K 2443 1.560.5RPKA

Royce Prmr K 2827 1.490.5RPRA

Royce Ttl Rtn K 2444 1.470.5RTRA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 16: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

Royce Val K 2445 1.540.5RVKA

Royce Val Pls K 2446 1.870.5RVPA

Rsvlt Mult Cap Inv 1783 1.230.5BULA

RydexSGI Bio Adv 516 1.860.4RBTA

RydexSGI Hlth Care Adv 528 1.860.4RHCA

RydexSGI Intrnt Adv 529 1.850.4RINA

RydexSGI Tech Adv 533 1.850.4RTCA

RydexSGI Trnsprt Adv 536 1.860.4RTNA

SEI Intl Eq I 2032 1.510.5SEEA

SEI LgCap Gr I 2033 1.290.5SPGA

SEI LgCap Val I 2034 1.240.5SEUA

SEI SmCap Gr I 2039 1.540.5SPWA

SEI SmCap Val I 2040 1.540.5SMXA

Sierra Cor Rtrmt I1 4476 2.580.5CBGA

Sntnl Bal A 1743 1.080.5SEBA

Sntnl Cap Gr A 1750 1.250.5SBRA

Sntnl Cmn Stk A 1741 1.060.5SENA

Sntnl Cnsrv Strat A 1747 1.090.5SEMA

Sntnl Govt Sec A 1745 0.810.5SEGA

Sntnl Gr Ldrs A 1751 1.560.5SBOA

Sntnl Intl Eq A 1744 1.460.5SWRA

Sntnl MdCap A 1742 1.380.5SNTA

Sntnl Shrt Mat Govt A 1748 0.860.5SSIA

Sntnl Sm Co A 1740 1.210.5SAWA

Sntnl Sustnbl Cor Oppr A 2473 1.290.5MYPA

Sntnl Sustnbl MdCap Oppr A 2214 1.380.5SWAA

Thrnbrg Cor Gr R4 1977 1.780.5TCRA

Thrnbrg Intl Val R4 1978 1.450.5THRA

Thrnbrg Ltd Trm Inc R3 1979 1.190.7THXA

Thrnbrg Val R4 1980 1.50.5TVIA

TRowePr Blue Chip Gr R 1081 1.30.65TRRA

TRowePr Cap Oppr R 1487 1.540.65TRCA

TRowePr Eq Inc R 1082 1.220.65TRFA

TRowePr Gr Stk R 1083 1.20.65TRGA

TRowePr Intl Gr Inc R 1983 1.410.65TXRA

TRowePr Intl Stk R 1984 1.540.65TRTA

TRowePr New Inc R 1088 1.240.65TRNA

VanEck Emrg Mkt A 2185 1.670.5VGFA

VanEck Glbl Hrd Asst A 1094 1.450.5VGHA

VanEck Intl Inv Gold A 1095 1.290.5VINA

VanEck Mult Mgr Altrnatv A 784 3.60.5VMAA

Vic Bal A 158 1.480.5KVBA

Vic Divrs Stk A 287 1.090.5KVDA

Vic Estblshd Val A 2243 1.060.5VXEA

Vic Fd For Inc A 159 0.940.5KVIA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 17: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

Vic LgCap Gr A 2244 1.290.5VGAA

Vic Sm Co Oppr A 1715 1.380.5KSXA

Vic Spec Val A 1488 1.30.5KSSA

Virtus RealEst Sec A 2025 1.410.6PHRA

WFA Adj Rt Govt A 2377 0.820.5ESAA

WFA Asia Pacfc Inv 1924 1.80.5WSAA

WFA Cap Gr Inv 1925 1.270.5WSLA

WFA Cmn Stk A 319 1.320.5SCCA

WFA Cor Bd A 1100 0.850.5WMBA

WFA Disc Inv 874 1.360.5SDIA

WFA Divrs Cap Bldr A 1463 1.210.5EKBA

WFA Divrs Intl A 1932 1.660.5WISA

WFA Dscpld US Cor A 954 0.920.5ESSA

WFA Emrg Gr A 4246 1.420.25BQXA

WFA Emrg Mkt Eq A 2379 1.690.5EMGA

WFA Endvr Sel A 1928 1.230.5WSEA

WFA Entrp A 1929 1.290.5WSNA

WFA Govt Sec A 2789 0.90.5GVAA

WFA Hi Inc A 2788 1.010.5HBAA

WFA Intl Bd A 2381 1.040.5ESIA

WFA Intl Eq A 1931 1.540.5WFAA

WFA Intl Val A 1933 1.520.5WFFA

WFA Intrinsic SmCapVal Inv 1936 1.540.5WOSA

WFA Intrinsic Val A 4509 1.270.5CCRA

WFA Intrinsic Wld Eq A 2382 1.520.5EWEA

WFA Lg Co Val A 4247 1.270.5BQYA

WFA LgCap Cor A 2790 1.370.5EOAA

WFA LgCap Cor Inv 2791 1.430.5WLNA

WFA Omega Gr A 953 1.350.5EOFA

WFA Oppr A 1935 1.260.5WSOA

WFA Prec Mtls A 2383 1.180.5EKWA

WFA Prmr Lg Co Gr A 2792 1.240.5EKJA

WFA Prmr Lg Co Gr Inv 2793 1.30.5WPNA

WFA Sm Co Gr A 1938 1.450.5WXFA

WFA SmMdCap Val Inv 1939 1.480.5WSMA

WFA Spec MdCap Val Inv 543 1.370.5SMDA

WFA Trdtnal SmCap Gr A 487 1.480.5EGFA

WFA Util Telcom A 2386 1.240.5EVUA

WFAF Cap Gr A 3552 1.210.5WFXA

WFAF LgCap Gr A 4371 1.260.5BWUA

WlmBlr Glbl Gr N 2787 1.840.5WGGA

WlmBlr Gr N 2782 1.20.5WBGA

WlmBlr Intl Gr N 1272 1.440.5WBIA

WlmBlr MdCap Gr N 2784 1.420.5WNGA

WlmBlr Sm Md Gr N 2783 1.470.5WNXA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 18: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

WlmBlr SmCap Gr N 1334 1.590.5WBSA

WlmBlr SmCap Val N 2785 1.60.5WVXA

Wlmntn Brd Mkt Bd A 2402 1.170.5MKIA

Wlmntn Intmd Trm Bd A 2403 1.140.5MVIA

Wlmntn MdCap Gr A 1169 1.560.5MAMA

Wlmntn Mult Mgr Intl A 1167 1.810.5MGVA

Wlmntn Mult Mgr RealAsst A 1836 1.670.5WMRA

Wlmntn Shrt Dur Govt Bd A 2404 1.190.5MSTA

Wlmntn SmCap Gr A 1172 1.810.5MAPA

Wlmntn ST Corp Bd A 1171 1.210.5MVSA

Wlmntn Strat Alloc Mod A 2401 2.180.4MBAA

WR Ivy Asst Strat Y 679 0.990.5WSFA

WR Ivy Bal Y 1315 1.160.5IBNA

WR Ivy Bd Y 2098 10.5WIBA

WR Ivy Cor Eq Y 680 1.180.5WCEA

WR Ivy Cundill Glbl Val Y 1137 1.630.5WICA

WR Ivy Divd Oppr Y 1138 1.180.5WIVA

WR Ivy Enrgy Y 1770 1.450.5IEYA

WR Ivy Euro Oppr Y 1140 1.420.5WIEA

WR Ivy Glbl Bd Y 2390 1.140.5WVYA

WR Ivy Glbl Inc Alloc Y 1316 1.290.5IVBA

WR Ivy Glbl Natrl Rsrc Y 1139 1.290.5WINA

WR Ivy Hi Inc Y 681 0.950.5WHIA

WR Ivy Intl Cor Eq Y 1142 1.310.5WVVA

WR Ivy Intl Gr Y 1141 1.390.5WIIA

WR Ivy LgCap Gr Y 683 1.130.5WLCA

WR Ivy Ltd Trm Bd Y 684 0.890.5WLTA

WR Ivy MdCap Gr Y 685 1.270.5WMCA

WR Ivy Mgd Euro Pacfc Y 2100 1.670.5WVMA

WR Ivy Mgd Intl Oppr Y 2101 1.50.5WVTA

WR Ivy Pacfc Oppr Y 1143 1.470.5WIPA

WR Ivy RealEst Sec Y 1188 1.370.5IRSA

WR Ivy Scnc Tech Y 661 1.290.5WSTA

WR Ivy SmCap Gr Y 686 1.310.5WSCA

WR Ivy SmCap Val Y 1189 1.530.5IYSA

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 19: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

Section 2 REDEMPTION FEE DISCLOSURE

A redemption fee is a fee charged by the fund house to a participant who trades in and out of a fund within a specified time frame. This fee is reinvested back into the fund to offset the increase in trade costs. The information contained in this Schedule does not replace the information you can find in the prospectus. Certain transactions may be exempt from redemption fees. Refer to the prospectus for specific details and for the most current information regarding the applicability of redemption fees. Also refer to your Program Agreement or www.nationwide.com/planlogin for additional disclosure information.

Fund Code Fund NameRedemption Fee

Percentage Duration (in days)

BZGA Alger Grn A 2 30

DCXA Drey Grtr China A 2 60

FHYA Fed Hi Yld Tr Svc 2 90

FISA Fed Intl SmMd Co A 2 30

FVDA FidAdv Divrs Intl A 1 30

FNAA FidAdv Enrgy A 0.75 30

FXAA FidAdv Euro Cap App A 1 30

FGXA FidAdv Glbl Cap App A 1 30

FOXA FidAdv Intl Cap App A 1 30

FIRA FidAdv Intl RealEst A 1.5 90

FXJA FidAdv Jpn A 1.5 90

BVLA FidAdv Tech A 0.75 30

WWSA GabelliTTONWstwdSmCapEq A 2 7

GHYA GdmnScs Hi Yld A 2 60

KOXA Okmrk Intl SmCap II 2 90

SWRA Sntnl Intl Eq A 2 30

SAWA Sntnl Sm Co A 2 30

TXRA TRowePr Intl Gr Inc R 2 90

TRTA TRowePr Intl Stk R 2 90

WGGA WlmBlr Glbl Gr N 2 60

WBGA WlmBlr Gr N 1 60

WBIA WlmBlr Intl Gr N 2 60

WNGA WlmBlr MdCap Gr N 1 60

WNXA WlmBlr Sm Md Gr N 1 60

WBSA WlmBlr SmCap Gr N 1 60

WVXA WlmBlr SmCap Val N 1 60

Section 3 DISCLOSURES

Nationwide Financial Services, Inc.’s life insurance and trust company subsidiaries (collectively referred to as the “Nationwide companies”) offer a variety of retirement products exclusively to retirement plans through the Nationwide Group Retirement Series, which include: i) mutual fund platforms offered by Nationwide Trust Company, FSB, and ii) unregistered group variable annuity contracts issued by Nationwide Life Insurance Company. (The group annuity contracts and the mutual fund platforms are referred to collectively as “retirement products” and include Nationwide Retirement Resource, Nationwide Retirement Innovator, Nationwide Innovator Advantage, Nationwide Clear Advantage, Nationwide Retirement Flexible Advantage, Nationwide Retirement Advisor, and Nationwide Retirement Manager).

Mutual Fund Payments

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 20: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

Nationwide Financial Services, Inc.’s life insurance and trust company subsidiaries (collectively referred to as the “Nationwide companies”) offer a variety of retirement products exclusively to retirement plans through the Nationwide Group Retirement Series, which include: i) mutual fund platforms offered by Nationwide Trust Company, FSB, and ii) unregistered group variable annuity contracts issued by Nationwide Life Insurance Company. (The group annuity contracts and the mutual fund platforms are referred to collectively as “retirement products” and include Nationwide Retirement Resource, Nationwide Retirement Innovator, Nationwide Innovator Advantage, Nationwide Clear Advantage, Nationwide Retirement Flexible Advantage, Nationwide Retirement Advisor, and Nationwide Retirement Manager).

In light of the above, certain mutual funds or their affiliates make payments to the Nationwide companies (the “payments”). The amount of these payments is typically based on an agreed-upon percentage of assets times the amount of the assets that the Accounts invest in the mutual funds, but in some cases may involve a per participant fee or a combination of asset-based fee and per participant fee. These payments may be used for any corporate purpose, which includes reducing the price of the retirement products, paying expenses that the Nationwide companies incur in promoting, marketing, and administering the retirement products, and achieving a profit. The Nationwide companies receive the following types of payments:

Types of Payments the Nationwide Companies Receive

Mutual fund 12b-1 fees, which are deducted from mutual fund assets;

Sub-transfer agent fees or fees pursuant to administrative service plans adopted by the mutual fund, which may be deducted from mutual fund assets; and

Payments by a mutual fund’s adviser or subadviser (or its affiliates). Such payments may be derived, in whole or in part, from the advisory fee that is deducted from mutual fund assets and reflected in the mutual fund charges.

Furthermore, the Nationwide companies benefit from assets invested in Nationwide’s affiliated mutual funds (i.e., Nationwide Mutual Funds) because their affiliates also receive compensation from the mutual funds for investment advisory, administrative, transfer agency, distribution, and/or other services. Thus, the Nationwide companies may receive more revenue with respect to affiliated mutual funds than unaffiliated mutual funds.

The Nationwide companies took these anticipated payments into consideration in determining the charges they impose under the retirement products (apart from fees and expenses imposed by the mutual funds). Without these payments, the Nationwide companies would have imposed higher charges on their retirement products.

Most mutual funds or their affiliates have agreed to make payments to the Nationwide companies, although the applicable percentages may vary from mutual fund to mutual fund and some may not make any payments at all. Because the amount of the actual payments the Nationwide companies receive generally depends on the amount of assets invested by the Accounts in the mutual funds, the Nationwide companies may receive higher payments from mutual funds with lower percentages (but greater assets) than from mutual funds that have higher percentages (but fewer assets).

The following paragraphs describe the range of payments that the Nationwide companies received from the mutual funds and their affiliates (as a percentage of the average daily net assets of the mutual fund attributable to the retirement products) for the year ended December 31, 2009.

Amount of Payments the Nationwide Companies Receive

The Nationwide companies identify a menu of potential mutual funds that correspond to the investment options for their retirement products. They may consider several criteria when identifying those mutual funds, including some or all of the following: investment objectives, investment process, investment performance, risk characteristics, investment capabilities, experience and resources, investment consistency, and fund expenses. Another factor the Nationwide companies consider during this process is whether the mutual fund’s adviser or subadviser is one of their affiliates or whether the mutual fund, its adviser, its subadviser(s), or an affiliate will make payments such as those described above. The identification criteria vary by line of business and retirement product. In some cases, the Nationwide companies identify mutual funds based on requests and recommendations made by retirement plan sponsors and/or their advisors.

There may be mutual funds with lower fees, as well as other retirement products that offer mutual funds with lower fees. You should consider all of the fees and charges of a retirement product in relation to the features and benefits of that product when making your decision to invest. Please note that product and mutual fund fees and charges have a direct effect on the investment performance of your retirement product. A fund prospectus contains the investment objectives, risks, charges and expenses. Please read the fund prospectus carefully before investing.

Identification of Mutual Funds for Our Retirement Product

The variable accounts, trust accounts, or custodial accounts (the “Accounts”) that accompany the retirement products offer a variety of investment options, and purchase and sell shares of certain mutual funds in the aggregate each day so that the performance of the investment options corresponds to the performance of those mutual funds. When the Accounts aggregate these transactions, the mutual fund does not incur the expense of processing individual transactions that it would incur if it sold its shares to the public directly. This expense is instead incurred by the Nationwide companies.

The Nationwide companies also incur the distribution costs of selling the retirement products, which benefits the mutual funds by providing contract owners and participants with investment options that correspond to the underlying mutual funds.

An investment adviser or subadviser of a mutual fund or its affiliates may provide the Nationwide companies with wholesaling services that assist in the distribution of the retirement products and may pay to participate in educational and/or marketing activities. These activities may provide the adviser or subadviser (or their affiliates) with increased exposure to persons involved in the distribution of the retirement products.

RETIREMENT INNOVATOR

The payments to the Nationwide companies ranged from 0.50 % to 0.85% of assets.

The above ranges do not include any amounts the Nationwide companies may receive from investment advisers or subadvisers of the mutual funds or their affiliates to participate in educational and/or marketing activities.

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 21: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

The Nationwide companies identify a menu of potential mutual funds that correspond to the investment options for their retirement products. They may consider several criteria when identifying those mutual funds, including some or all of the following: investment objectives, investment process, investment performance, risk characteristics, investment capabilities, experience and resources, investment consistency, and fund expenses. Another factor the Nationwide companies consider during this process is whether the mutual fund’s adviser or subadviser is one of their affiliates or whether the mutual fund, its adviser, its subadviser(s), or an affiliate will make payments such as those described above. The identification criteria vary by line of business and retirement product. In some cases, the Nationwide companies identify mutual funds based on requests and recommendations made by retirement plan sponsors and/or their advisors.

There may be mutual funds with lower fees, as well as other retirement products that offer mutual funds with lower fees. You should consider all of the fees and charges of a retirement product in relation to the features and benefits of that product when making your decision to invest. Please note that product and mutual fund fees and charges have a direct effect on the investment performance of your retirement product. A fund prospectus contains the investment objectives, risks, charges and expenses. Please read the fund prospectus carefully before investing.

Nationwide has arrangements with various distributors and other entities in connection with the marketing and sale of the Funding Vehicle(s) offered through this Agreement. Nationwide may pay these distributors and other entities compensation in the form of an asset-based sales commission and a separate marketing allowance or related payment.

The amount of any sales commission payable by Nationwide to the Plan’s sales representative is subject to negotiation between the Sponsor and the sales representative. In addition to the sales commissions and other compensation described above, Nationwide may pay additional compensation based on various agreed-upon production goals and persistency payments to administrative firms. The cost of sales commissions, or any other compensation paid by Nationwide, is directly or indirectly reflected in the fees charged by Nationwide for your plan.

Compensation to Distributors and Other Entities

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013

Page 22: INVESTMENT OPTION ADDITION REQUEST RETIREMENT … · By signing this document the Plan Trustee/Plan Representative recognizes that some funds within the list below have identical

Section 4 SPECIAL INSTRUCTIONS

Special Instructions Fund Code

Block as an investment option on INQUIRE/Internet:

Move from a Designated Fund to a Fund Window Fund*:

Use as the retainer/forfeiture account**.

**If you plan to use an investment option other than the money market to invest the forfeiture/retainer account, call your Nationwide Representative for guidelines.

*Fund Window funds will be available on INQUIRE/Internet, unless the fund has been closed to new investors by the fund house in which case the fund will be blocked and therefore unavailable on INQUIRE/Internet. If Fund Window is not currently established for your plan, the fund(s) will be blocked as an investment option on INQUIRE/Internet.

Section 5 SIGNATURES

By signing below, signatories on behalf of the Sponsor and the Plan acknowledge that they have received all required disclosures

as required by Employee Retirement Income Security Act of 1974, as amended, including regulations thereunder, 408(b)(2), if

applicable. Further, the signatories acknowledge that additional disclosures regarding Mutual Fund Payments, etc are included in

the Program Agreement and available at www.nationwide.com/planlogin and/or www.nationwide.com/myretirement and assume

all responsibility for reading such disclosures.

All terms shall have the same meaning as the Program Agreement, unless otherwise defined in this document.

Further, they represent that they have the authority to make changes to the Funding Vehicles behalf of the Sponsor and the Plan

and direct Nationwide to make changes as indicated above.

The signatories understand that if there is any problem with the fund(s) requested or the current fund classification on this form,

the fund(s) will not be added at this time and Nationwide will provide appropriate notification.

Sponsor Signature

Authorized Representative Signature

Date

Date

Printed Sponsor Name

Printed Authorized Representative Name

By Signing below, I am confirming that the individual that signed the above is authorized as required to make this request.

PNF-0180AO.121

This is page _____ of _____.To facilitate processing of your fund addition, please indicate how many pages are included in this request. The page 1 and the signature page must always be submitted to complete the request.

10/2013