THE ROCK OF CENTRAL FLORIDA, INC.401(K) PROFIT SHARING PLAN AND TRUSTInvestment Election/Change FormThe Rock of Central Florida, Inc.Certified Benefits Corp6641 W. State Road 461111 Douglas AvenueSanford, FL 32771Altamonte Springs, FL 32714SECTION 1: Investment Option Election – this investment election will be applied to all contribution types.You may select from the following list of Model Investment Portfolios, Target Date Funds or Mutual Funds.□Future Contributions□Existing account balancePercentage to beAllocated_____.0%Model Investment PortfoliosConservative□Both Future and CurrentAdditional Investment Options:American Century Small Cap Gr R6 – ANODXPercentage tobe Allocated_____.0%Moderately Conservative_____.0%Cohen & Steers Instl Realty Shares – CSRIX_____.0%Moderate_____.0%DFA International Small Company I – DFISX_____.0%Moderately Aggressive_____.0%Dodge & Cox Global Bond – DODLX_____.0%Aggressive_____.0%Target Date FundsVanguard Target Retirement Inc Inv - VTINXVanguard Target Retirement 2020 - VTWNXVanguard Target Retirement 2025 - VTTVX_____.0%_____.0%_____.0%Fidelity Advisor Intl Cap App Z – FIDZXFidelity 500 Idx Institutional Prem – FXAIXJPMorgan Mid Cap Gr Fund – JMGMXInvesco Intl Sm-Mid Company Fund – OSCIXPrudential High-Yield Q – PHYQXInvesco Stable Value Trust I – QJQKQAmerican Funds The Bond Fund of Am - RBFGX_____.0%_____.0%_____.0%_____.0%_____.0%_____.0%_____.0%Vanguard Target Retirement 2030 - VTHRX_____.0%T. Rowe Price Emer Mrkt Cor Bnd Fnd – TECIX_____.0%Vanguard Target Retirement 2035 - VTTHX_____.0%Thornburg Strategic Inc Fnd – TSRSX_____.0%Vanguard Target Retirement 2040 - VFORX_____.0%Vanguard Equity Income Admiral – VEIRX_____.0%Vanguard Target Retirement 2045 - VTIVX_____.0%Vanguard Emer Mkt Stk Ind Fnd Adm - VEMAX_____.0%Vanguard Target Retirement 2050 - VFIFX_____.0%Vanguard Growth Idx Fund Adm – VIGAX_____.0%Vanguard Target Retirement 2055 - VFFVX_____.0%Vanguard Federal MM Investor - VMFXX_____.0%Vanguard Target Retirement 2060 - VTTSX_____.0%Vanguard Mid-Cap Val Idx Adm – VMVAX_____.0%Vanguard Target Retirement 2065 - VLXVX_____.0%Vanguard Small Cap Val Idx Adm – VSIAX_____.0%Vanguard Devel Mrkt Indx Fnd Adm - VTMGX_____.0%TOTAL MUST EQUAL 100%Automated Investment Strategies – (To be used only if more than one investment option is chosen.) Please chooseone of the following options (if no selection is made and more than one investment option is chosen above, theaccount will be rebalanced annually). Please note that rebalancing will occur only if the initial allocation changesby two percentage points or more.❑ Do Not Rebalance❑ Monthly❑ Quarterly❑ Semi-Annually❑ AnnuallySECTION 2: Signature – Review to make sure that you have completed each section fully. Please return this formto your employer.Employee Name (printed):______________________________________ SSN: ___________________________Employee Signature: __________________________________________ Date: ___________________________Employer Signature: __________________________________________ Date: ___________________________Special 404 (c) Regulations Section and Notice of Limited Liability. This plan intends to comply with ERISA 404 (c) and Title 29 of CFR 2550.404 c-1. Plan Fiduciaries may be relieved of liability for anylosses that may result from participant’s investment instruction.
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