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2022-206
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Last modified
10/31/2022 2:46:54 PM
Creation date
10/31/2022 2:39:31 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
First Amendment
Approved Date
10/11/2022
Control Number
2022-206
Agenda Item Number
8.D.
Entity Name
Nationwide Retirement Solutions, Inc. Corporation
Subject
First Amendment for recordkeeping services for Assets, termination of the ProAccount
Application for Group Flexible Purchase Payment Deferred Fixed Annuity Contract.
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t) <br />Nationwide <br />NATIONWIDE LIFE INSURANCE COMPANY <br />ONE NATIONWIDE PLAZA <br />COLUMBUS, OHIO 43215 <br />If you have any questions or complaints pertaining to your rights and benefits under this Contract please contact <br />Nationwide at 1-800-848-6331 or you may provide written comments at 10 W Nationwide Blvd, Columbus Ohio <br />43215. <br />NATIONWIDE LIFE INSURANCE COMPANY ("Nationwide") will provide the benefits described in the <br />Contract. The Contract is provided in consideration of the application and Purchase Payment(s) made by: <br />INDIAN RIVER COUNTY BOCC, for the exclusive benefit of its Participants and their beneficiaries, (the <br />"Contract Owner"). <br />Effective Date of Contract: September 27, 2022 <br />Issue Date of Contract: September 27, 2022 <br />Jurisdiction: Florida <br />This Contract is issued by Nationwide in consideration of the application and Purchase Payments by the Contract <br />Owner. The Contract Owner accepts the Contract, subject to all its terms and conditions as set forth in this <br />document as well as any endorsements or amendments. <br />Executed for Nationwide on the "Effective Date of Contract" by: <br />Secretary President <br />GROUP FLEXIBLE PURCHASE PAYMENT <br />DEFERRED FIXED ANNUITY CONTRACT <br />Non -Participating <br />NRC -01 I OFL (Florida) (04/2011) <br />
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