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Nationwide Retirement Solutions <br />0 Nationwide® Governmental 457(b) Plan Loan Procedures <br />Page 5 of 6 <br />Addendum A - Plan Election Worksheet <br />The following provisions identify Plan elections which are incorporated and made a part of the attached <br />"Plan Loan Procedures." In the event that an election is not made within any section, Nationwide <br />Retirement Solutions ("NRS") will administer the loan program according to current NRS policies as <br />listed under each provision below. The current NRS policies may be changed by NRS at any time. Unless <br />otherwise specified, only one election is allowed per provision. <br />The elections contained herein apply solely to the Plan. Any provisions, including limitations, do not <br />extend to any other plans offered by the Sponsor. <br />1. Loan Eligibility: <br />Plan elects to allow the following Participants the ability to initiate a loan under the Plan. <br />The Plan Sponsor is solely responsible for informing NRS of any future changes in the Participant's <br />employment status (check all that apply). <br />❑✓ Employed <br />❑✓ Approved Non-military Leave of Absence (only available for ACH) <br />❑✓ Military Leave of Absence (only available for ACH) <br />R1 Disabled (only available for ACH) <br />R1 Retired (only available for ACH) <br />❑✓ Terminated (only available for ACH) <br />Current NRS Policy: All listed Participant employment statuses are eligible to initiate a loan if ACH is the <br />elected repayment method (See Provision 4). If the repayment method elected is Payroll Deduction (See <br />Provision 4), the only eligible Participant employment status is Employed. <br />2. General Purpose Loan Terms: <br />2(a). Minimum Loan Term <br />Plan elects the following minimum loan term: <br />❑✓ One year <br />❑Other - Specify minimum loan term: (not to be less than six months) <br />Current NRS Policy: The minimum loan term is one year. <br />2(b). Maximum Loan Term <br />Plan elects the following maximum loan term: <br />❑✓ Five years <br />❑Other - Specify maximum loan term: (not to exceed a term of five years) <br />Current NRS Policy: The maximum loan term is five years. <br />3. Minimum Loan Amount: <br />Plan elects to have a minimum loan amount of: <br />❑✓ $1,000 <br />❑Other - Specify minimum loan amount: $ (not to be less than $500) <br />Current NRS Policy: The minimum loan amount is $1,000. <br />4. Repayment Method: <br />Plan elects to provide Participants with one of the following loan repayment methods: <br />❑✓ Monthly Automated Clearing House ("ACH') <br />F1 Payroll Deduction (Plan Sponsor will be required to provide a payroll calendar. <br />(This repayment method is limited to Employed status - see Provision 1) <br />Current NRS Policy: Monthly ACH is the repayment method. <br />P5 4 <br />NRN-0854AO.3 (07/20155) <br />