Coverdell Education Savings Account

Coverdell Education Savings Account Enrollment & Transfer Form P.O. Box 219757 Kansas City, MO 64121.9757 800.422.2766 Tamarack Funds Makes Educational Savings plans Easy For You! Establishing a Tamarack Funds Coverdell Education Savings Account for a loved one is as easy as 1 … 2 … 3! 1 2 3 Know Your Options Review the Coverdell Education Savings Account Information Kit. Check the prospectus on the fund or funds that interest you. Account Application Use blue or black ink and complete the account application. Make sure you fill every required field with the appropriate account information. Do not forget to sign it or your application will be returned as required by Federal law. Send It In Make your check payable to Tamarack Funds and mail it to: Tamarack Funds P.O. Box 219757 Kansas City, MO 64121.9757 Need Help? At Tamarack Funds, we do our best to make investing in a loved one’s educational future as easy as possible. If you have any questions, do not hesitate to call us at 800.422.2766. We are here to help. TA M A R A C K F U N D S E L E C T I O N Fund # 276 576 406 271 571 401 Fund Name Tamarack Mid Cap Growth Fund A Tamarack Mid Cap Growth Fund C Tamarack Mid Cap Growth Fund S Tamarack Enterprise Fund A Tamarack Enterprise Fund C Tamarack Enterprise Fund S Fund # 281 581 411 278 578 408 Fund Name Tamarack Small Cap Core Fund A Tamarack Small Cap Core Fund C Tamarack Small Cap Core Fund S Tamarack Microcap Value Fund A Tamarack Microcap Value Fund C Tamarack Microcap Value Fund S IMpORTANT NOTICE – THE USA pATRIOT ACT Federal law requires all financial institutions to obtain, verify and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth and other information that will allow us to identify you. This information will be verified to ensure identity of all individuals opening a mutual fund account. *DEFK000004* DEFK000004 coverdell Education Savings Account Enrollment Form To help us keep your account information correct, please do not remove this address label, even if the account is registered differently. How to Establish Your Tamarack Funds Coverdell Education Savings Account 1. Review the Coverdell Education Savings Account Information Kit. 2. Read the Prospectus for the Fund or Funds you are interested in. 3. Make your check payable to Tamarack Funds for the total amount of your initial investment or include a signed Coverdell Education Savings Account Transfer Form. 4. Mail all necessary forms to: Tamarack Funds P.O. Box 219757 Kansas City, MO 64121.9757 If you have any questions, please contact a Tamarack Representative at 800.422.2766. 1. Designated Beneficiary Information (Child under age 18 for whose benefit the account is being established) Designated Beneficiary Name Street Address City Relationship to Grantor (individual making contribution) Social Security Number Date of Birth State Zip Age as of Contribution Date 2. Responsible Individual Information (Generally the Parent or Legal Guardian of the Designated Beneficiary) n shall not remain the Responsible Individual after the Designated Beneficiary attains the age of majority. n not permit the Responsible Individual to change the Designated Beneficiary of this account. Any such change to the Designated Beneficiary, if permitted, must be a family member of the original Designated Beneficiary as defined in Code Section 529 (e)(2). Responsible Individual Name Street Address City Relationship to Designated Beneficiary Daytime Telephone E-mail Address State Social Security Number Evening Telephone Zip Date of Birth 1. Pursuant to Article V of the trust agreement, I hereby elect that the “Responsible Individual” named 2. Pursuant to Article VI of the trust agreement, I hereby direct the Trustee of this Coverdell Education Savings Account to TAMARACK FUNDS, P.O. Box 219757, Kansas City, MO 64121.9757 800.422.2766 • www.voyageur.net Page 1 of 4 3. Grantor Information (Individual making the contribution) Name Street Address City Relationship to Designated Beneficiary Daytime Telephone State Social Security Number Evening Telephone Zip 4. Investment Selection ($250.00 minimum initial deposit for all Funds.) Fund Number 276 576 406 271 571 401 281 581 411 278 578 408 $ $ $ $ $ $ $ $ $ $ $ $ $ Fund Name Tamarack Mid Cap Growth Fund A Tamarack Mid Cap Growth Fund C Tamarack Mid Cap Growth Fund S Tamarack Enterprise Fund A Tamarack Enterprise Fund C Tamarack Enterprise Fund S Tamarack Small Cap Core Fund A Tamarack Small Cap Core Fund C Tamarack Small Cap Core Fund S Tamarack Microcap Value Fund A Tamarack Microcap Value Fund C Tamarack Microcap Value Fund S Total Amount Invested n By Wire Call us at 800.422.2766 for wire Instructions Investment Method n By Check Make checks payable to Tamarack Funds The minimum initial investment is reduced to $100 for each Fund you include in an Automatic Monthly Investment program (See Section 9). Stock brokers and Money Market Funds will not usually honor monthly drafts, but they will transfer money to your bank account to cover monthly investments. Page 2 of 4 TAMARACK FUNDS, P.O. Box 219757, Kansas City, MO 64121.9757 800.422.2766 • www.voyageur.net 5. Contribution Type (Check one) n n n Annual Contribution (Maximum $2,000 per year) Transfer of an existing Coverdell Education Savings Account from another financial institution (Enclose a Tamarack Fund Coverdell Education Savings Account Transfer form) Rollover of an existing Coverdell Education Savings Account (Rollover is required within 60 days of receipt of check) 6. Inheriting Designated Beneficiary Information Please designate the individual listed as the Inheriting Beneficiary of this Coverdell Education Savings Account. Inheriting Designated Beneficiary Name Street Address City Relationship to Designated Beneficiary Social Security Number Date of Birth State Zip 7. Telephone/Online Exchanges (All account owners are automatically granted this privilege unless the box below is selected.) n I do NOT want the telephone/online exchange privilege added to my mutual fund account. 8. Telephone Investments To choose this option, a check for $100 or more must be submitted for each fund. n Check here to authorize Tamarack Funds to accept telephone orders for $100 or more to buy shares for any of your existing Tamarack account(s) by drawing the money from your bank account. Wait two weeks before placing your first telephone order to allow time for bank processing. 9. Automatic Investment plan To choose this option, a check for $100 or more must be submitted for each Fund at the time of the initial investment. (Enter a date at least two weeks ahead to allow time for bank processing.) Beginning on _______________________________ and on the same day each month, I authorize Tamarack Funds to draw on my banking account for an investment from the following account: (Maximum contribution is $166.66 per month.) Tamarack Fund Monthly Investment (Minimum $50) (Minimum $50) 10. Bank Information (Please Print) Your bank account information must be on file in order to utilize the Automatic Investment Plan (See Step 9), or to settle by wire or electronic funds transfer any purchase transaction made by telephone or by online computer access. Any co-signer of your checking or savings account must authorize these services by signing below. (Please enclose a voided check or savings deposit slip.) n n Checking Account Savings Account Name of Bank ABA Number (first 9 digits on check) Bank Account Number TAMARACK FUNDS, P.O. Box 219757, Kansas City, MO 64121.9757 800.422.2766 • www.voyageur.net Page 3 of 4 Name(s) on Bank Account Co-Signer Signature (if applicable) Bank Street Address City State Zip Date 11. Duplicate Statements (Please Print) n Please check this box if you want same third party to also receive duplicate quarterly statements. If you need duplicate statement sent to multiple third parties, please attach a separate sheet. Name Company or Organization Street Address City State Zip Completion of this section authorizes that duplicate daily confirmations of any account activity will be sent to a third party. 12. Signatures The Grantor and Trustee agree to accept the accompanying Coverdell Education Savings Account Trust Agreement. The Grantor should read Section 4 of the Coverdell Education Savings Account Agreement concerning receipt of the Disclosure Statement before signing this Enrollment Form. Please sign where indicated. We must have a signature to open the account. By signing the application, you: • Certify that all contributions to the Coverdell Education Savings Account will meet the requirements of the Internal Revenue Code governing such contributions. • Appoint State Street Bank and Trust, n.a., or its successors, as Trustee on the account. • Agree to promptly give to the Trustee the instructions necessary to enable the Trustee to carry out its duties under the Trust Agreement. • Agree that you have received and read the Prospectus for the investment(s) selected and agree that this account will be subject to the Trust Agreement and Coverdell Education Savings Account Disclosure Statement as amended from time to time. • State that you have the authority and legal capacity to purchase mutual fund shares, are of legal age in your state and believe each investment is suitable for you. • Understand that a $10 liquidation fee will be automatically collected when a liquidation occurs. • Understand that the Funds may change the fee schedule from time to time, as provided in the Trust Agreement. • Understand that neither the Fund(s) nor State Street Bank and Trust, n.a. will be liable for any loss or expense for acting on instructions taken in writing or by telephone believed to be genuine and in accordance with the procedures in the prospectus. • Certify that the Social Security numbers shown on this form are correct under penalties of perjury. • Certify that I am a U.S. Citizen or Resident Alien. X Grantor’s Signature Date X Responsible Individual’s Signature Date Trustee Acceptance. State Street Bank and Trust, n.a. will accept appointment as Trustee of the Coverdell Education Savings Account. However, this agreement is not binding upon the Trustee until the Responsible Individual has received a statement of the transaction. Receipt by the Responsible Individual of a confirmation of the purchase of the Fund shares indicated above will serve as notification of State Street Bank and Trust, n.a. acceptance of appointment as Trustee of the Coverdell Education Savings Account. State Street Bank and Trust, n.a. Trustee Page 4 of 4 TAMARACK FUNDS, P.O. Box 219757, Kansas City, MO 64121.9757 800.422.2766 • www.voyageur.net coverdell Education Savings Account Tr a n s f e r F o r m To Transfer Your Coverdell Education Savings Account to Tamarack 1. Review the Coverdell Education Savings Account Disclosure Statement and Trust Agreement in this packet. 2. Read the Prospectus for the Fund or Funds you are interested in. 3. Complete the Tamarack Funds Coverdell Education Savings Account Enrollment Form. 4. Complete this Transfer Form. 5. Mail all necessary forms to: Tamarack Funds P.O. Box 219757 Kansas City, MO 64121.9757 If you have any questions, please contact a Tamarack Representative at 800.422.2766. 1. Transfer Information Please liquidate and transfer as cash: n n All assets from referenced account $__________________ or __________________% of the assets Transfer my assets to Tamarack: n Or Immediately n At maturity date:________________________. Please make checks payable to and mail as follows: State Street Bank and Trust, n.a., Trustee FBO: (Individual) Account # or Social Security # c/o Tamarack Funds P.O. Box 219757 Kansas City, MO 64121.9757 Existing Account Information: Trustee or Custodian Street Address City Account or Policy Numbers (A statement copy must be attached before we can request a transfer.) State Zip 2. Designated Beneficiary Information Designated Beneficiary Street Address Social Security Number City Date of Birth State Daytime Telephone Zip TAMARACK FUNDS, P.O. Box 219757, Kansas City, MO 64121.9757 800.422.2766 • www.voyageur.net Page 1 of 2 3. Responsible Individual Information Responsible Individual Street Address Social Security Number City State Daytime Telephone Zip 4. Fund Selection please invest my assets as shown below: 276 576 406 271 571 401 281 581 411 278 578 408 % % % % % % % % % % % % Tamarack Mid Cap Growth Fund A Tamarack Mid Cap Growth Fund C Tamarack Mid Cap Growth Fund S Tamarack Enterprise Fund A Tamarack Enterprise Fund C Tamarack Enterprise Fund S Tamarack Small Cap Core Fund A Tamarack Small Cap Core Fund C Tamarack Small Cap Core Fund S Tamarack Microcap Value Fund A Tamarack Microcap Value Fund C Tamarack Microcap Value Fund S 5. Signatures If this is a new Coverdell Education Savings Account, a completed Coverdell Education Savings Account Enrollment Form must accompany this Transfer Form. I have established a Coverdell Education Savings Account with Tamarack Funds for which State Street Bank and Trust, n.a., is the Trustee. I direct the Trustee or Custodian of my existing Coverdell Education Savings Account to transfer the assets as instructed above. X Signature Date Guaranteed Signature Here Your Current Custodian or Trustee may require a guaranteed signature. Please check with them for requirements. A Notary will not be acceptable. X Signature Date State Street Bank and Trust, n.a. accepts appointment as Successor Trustee. We have established a Coverdell Education Savings Account as described on this form and will accept the transfer of plan assets on a fiduciary-to-fiduciary basis. State Street Bank and Trust, n.a., or its Ministerial Agent Date Page 2 of 2 TAMARACK FUNDS, P.O. Box 219757, Kansas City, MO 64121.9757 800.422.2766 • www.voyageur.net Before investing, you should carefully consider a fund's investment objectives, risks, charges and expenses. This and other information is included in the prospectus, which you can request by visiting http://www.voyageur.net/Mutual_Funds/Literature/ Literature.fs or calling 800.422.2766. Please read the prospectus carefully before investing. Voyageur Asset Management Inc. serves as investment adviser for Tamarack Funds. The Tamarack Funds are distributed by Tamarack Distributors Inc. NOT FDIC INSURED NO BANK GUARANTEE MAY LOSE VALUE TAM105.V1 09.09