Separate account for alternate payee.
1. Separate Account for Alternate Payee.
(a) Upon a determination made pursuant to paragraph that this Order is a QDRO, the Retirement Committee
responsible for administering the Plan shall segregate in a separate account to be maintained on behalf of the Alternate
Payee under the Plan a percentage of the Participant's total account balance under the Plan as of [date] (including any
contributions made after such date for the [year] Plan Year). Such percentage shall be equal to the same percentage that
the amount of $ bears to the Participant's combined total account balance under the Plan and the Co.
Retirement Plan as of [date], (including any contributions made after such date for the [year] Plan Year). Such amount
shall be adjusted by a proportional share of the combined earnings, gains, losses and expenses of the Plan trust under
which the amounts held on behalf of the Participant were invested during each Valuation Period beginning after such
date and ending prior to the date of the Retirement Committee's determination (as if such amount, as adjusted as of the
end of each Valuation Period, had already been segregated).
(b) After the establishment of the initial account for the Alternate Payee pursuant to subparagraph (a) above, any
such amounts shall be adjusted for earnings, gains, losses and expenses in accordance with the terms of the Plan in
effect at such time.
2. Time and Manner of Payment.
(a) As soon as practicable after the end of the Plan Year in which a determination is made that this Order is a QDRO
the Alternate Payee shall receive a distribution of all amounts held on h— behalf under the Plan in a single sum.
(b) Notwithstanding subparagraph (a) above, after the Retirement Committee determines that this Order is a QDRO
the amounts held under the Plan on behalf of the Alternate Payee shall be distributed at such time and in such manner as
may be required under the minimum distribution requirements of Section 401(a)(9) of the Code.
(c) No distribution shall be made to or for the benefit of the Participant from the Plan prior to the date on which the
amount described in subparagraph (a) of Paragraph (1) above has been segregated pursuant to such paragraph if such
distribution would reduce the maximum amount to be segregated; provided, however, that this subparagraph shall
cease to be applicable at such time as the provisions of Section 414(p)(7)(C) of the Code and Section 206(d)(3)(H)(iii)
of ERISA become applicable.
3. Addresses. The name, current mailing address and social security number of the Participant are: .
The name, current mailing address and social security number of the Alternate Payee are: .
The Alternate Payee shall keep the Retirement Committee informed of h— current address by giving notice of
change of address in writing to the Retirement Committee, addressed as follows (or to such other address as the
Retirement Committee may specify by a written notice to the Alternate Payee): .
electronic form 2005