Savings-related plans—401(k) savings plan.
B. The parties are desirous of providing to the Alternate Payee h— marital pro-rata share of the portion of the
Participant's interest in 401(k) Plan which is subject to this Order in accordance with the terms of the Stipulation of
Settlement of the parties. The Alternate Payee's marital pro-rata share of the Participant's interest in the 401(k) Plan is
equal to units of Fund A of 401(k) Plan and units of Fund B of the 401(k) Plan, as of [date].
The Plan shall distribute the Alternate Payee's above-described marital pro-rata share to the Alternate Payee in a
lump-sum cash payment, as soon as administratively feasible after the earlier of the Participant's [i.e., 50th] birthday or
the Participant's termination of employment, to wit:
(a) units of Fund A at their value at the time of distribution, and
(b) units of Fund B at their value at the time of distribution.
In the event that the Alternate Payee dies before the receipt of h—benefit, the Alternate Payee's interest shall be paid
to [name], [address], [social security number] as an Alternate Alternate Payee.
electronic form 2005