EX-4.XI
from S-1
1 page
Fixed Account Endorsement This Endorsement Is Attached to and Becomes Part of the Contract. This Endorsement Is Subject to All of the Provisions of the Contract, Except as Otherwise Stated Herein. if Any Provisions of the Contract Conflict With This Endorsement, the Provisions of This Endorsement Will Apply. the Effective Date of This Endorsement for New Contracts Is the Contract Date and for Existing Contracts Is the Endorsement Effective Date. This Endorsement Makes This Fixed Account Available for Your Contract. This Endorsement Terminates on the Date the Contract Terminates. Contract Number: [00000000000] Owner(s): [John Doe] Endorsement Effective Date: [01/01/2024] Interest Term: [1 Year] Initial Interest Rate: [1.00%] Initial Guaranteed Minimum Interest Rate: [1.00%] Fixed Account Interest Any Portion of the Contract Value Allocated to This Fixed Account Will Earn Interest at the Fixed Account Interest Rate. the Initial Interest Rate, Shown Above, Applies From the Contract Date Through the End of the Initial Interest Term. at the End of Each Interest Term We Will Declare, at Our Discretion, a New Fixed Account Interest Rate for Each Subsequent Interest Term. Any Adjusted Rate Will Apply for the Next Interest Term When the Rate Can Again Be Adjusted
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EX-4.III
from S-1/A
6 pages
Owner All Contract Owner Correspondence Will Be Sent to This Address. Maximum Issue Age [70-95] Name (First, Middle Initial, Last) Address City State Zip Sex M F Birth Date Ssn/Tin Phone Number (Include Area Code) Email Citizenship Marital Status Type of Owner (E.G. Individual, Joint, Trust, Corporation, Partnership, Guardianship, Custodian) Joint Owner Only Natural-Person Owners May Have a Joint Owner. Optional, Nonqualified Annuities Only. Maximum Issue Age [70-95] Name (First, Middle Initial, Last) Address City State Zip Sex M F Birth Date Ssn/Tin Phone Number (Include Area Code) Email Citizenship Relationship to Owner Annuitant Required if Owner Is Non-Natural Person. if Joint Owners Are Listed, Default Annuitant Is the First Owner Listed Above. Name (First, Middle Initial, Last) Address City State Zip Sex M F Birth Date Ssn/Tin Phone Number (Include Area Code) Email Citizenship Relationship to Owner Joint Annuitant Optional, Nonqualified Annuities Only. Name (First, Middle Initial, Last) Address City State Zip Sex M F Birth Date Ssn/Tin Phone Number (Include Area Code) Email Citizenship Relationship to Owner Annuity Payments and Termination Values Provided by This Contract, When Based on the Value of the Index Options, Are Variable, May Increase or Decrease, and Are Not Guaranteed as to Fixed Dollar Amount
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