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You will need your Contract number: and your Enrollment access number: Online Go to www.jhgoenroll.com It’s quick and easy! Enrolling: the choice is yours On the phone Call us at 1-855-JHENROLL Talk to an enrollment representative to enroll on the phone. They can also answer questions you may have around the process of joining your company’s plan, moving other retirement plans into you new plan and much more. We are available from 9am to 6pm (EST), Monday to Friday. Or scan the QRC image with your smartphone Use the enrollment form Carefully fill in all the required information including your personal details, contribution amount and investment options. Remember to sign and date the last page of the form and return all pages to your plan administrator. jheform.com Your PIN: The attached Personal Identification Number (PIN) and PIN card found on the first page of the form provides you with secure access to your account information. Your PIN is important. Please detach and put in a safe place. Never share this information with anyone. Congratulations! By deciding to participate in MORRISON, EKRE, & BART's qualified retirement plan, you are taking control of your financial future. From the day you join, your retirement plan starts working to help you build your retirement savings. 113439 219632

Enrolling: the choice is yours - Amazon Web Servicesuba-ebc.portals.s3.amazonaws.com/61434_enrol.pdf · the choice is yours On the phone Call us at 1-855-JHENROLL Talk to an enrollment

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Page 1: Enrolling: the choice is yours - Amazon Web Servicesuba-ebc.portals.s3.amazonaws.com/61434_enrol.pdf · the choice is yours On the phone Call us at 1-855-JHENROLL Talk to an enrollment

You will need your Contract number: and your Enrollment access number:

OnlineGo to www.jhgoenroll.com It’s quick and easy!

Enrolling: the choice is yours

On the phoneCall us at 1-855-JHENROLL Talk to an enrollment representative to enroll on the phone. They can also answer

questions you may have around the process of joining your company’s plan, moving

other retirement plans into you new plan and much more. We are available from

9am to 6pm (EST), Monday to Friday.

Or scan the QRC image with your smartphone

Use the enrollment form

Carefully fill in all the required information including your personal details, contribution amount and

investment options. Remember to sign and date the last page of the form and return all pages to your

plan administrator.

Made with QRHacker.com

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om

Your PIN: The attached Personal Identification Number (PIN) and PIN card found on the first page of the form provides you with secure

access to your account information. Your PIN is important. Please detach and put in a safe place. Never share this information

with anyone.

Congratulations! By deciding to participate in MORRISON, EKRE, & BART's qualified retirement plan, you are taking control of your financial future. From the day you join, your retirement plan starts working to help you build your retirement savings.

113439219632

Page 2: Enrolling: the choice is yours - Amazon Web Servicesuba-ebc.portals.s3.amazonaws.com/61434_enrol.pdf · the choice is yours On the phone Call us at 1-855-JHENROLL Talk to an enrollment

Things you need to know

If you have any questions

Your plan administrator can

help you with any questions you

may have about your company’s

qualified retirement plan, your

eligibility for the plan, naming a

beneficiary, this form or if you

require another form. More

information is also available at

www.jhpensions.com.

About choosing a contribution amountYou can contribute to your qualified retirement account using Pre-tax money.

Pre-tax: your contributions are not taxed until you retire and may be in a lower tax bracket.

About choosing your investment optionsThere are TWO ways to choose how your contributions will be allocated:1) EZChoice: With one decision, allocate all of your contributions to one professionally managed and diversified asset allocation portfolio. Choose one of the following:

a) Lifecycle Portfolio – based on a target date that is closest to the year that you attain age 67.b) Lifestyle Portfolio – based on your risk tolerance. On the form, they are listed in order of lower (blue) to higher (red) risk.

PS2) Your Choice: Research and select your investment options from all of the Funds available under your company's qualified retirement plan as listed on the following pages. For more information on these Funds, see the Investment Options (Fund Sheets) section of our website or from your plan administrator. Enter the percentage you want to invest beside the corresponding Fund. If you select Your Choice, remember that you must provide whole percentages only and the total sum of all percentages must equal 100%.

Note: 1. If your allocation instructions under Your Choice are not legible or do not equal 100%, John Hancock will prorate the allocation instructions you have provided to equal 100%. In the event that John Hancock cannot prorate your instructions, your contributions will be allocated to the default investment option designated by your plan trustee.

2. If multiple boxes have been checked in the EZChoice section, if both EZChoice and YOUR CHOICE sections have been filled out, if John Hancock receives your contributions before it receives your investment instructions and/or you do not provide a signature on your enrollment form, all your contributions will be invested into the default investment option designated by your plan trustee, provided John Hancock has your first and last name and Social Security Number.

3. If you have selected a Lifecycle Portfolio in the EZChoice section and have not provided a Date of Birth, then all of your contributions will be invested, and will remain invested, in the 2010 portfolio in the selected suite of Lifecycle Portfolios until new instructions are provided.

About the moving forward sectionConsolidate your retirement savingsConsolidate all your qualified retirement accounts (401(k), 457(b)*, 403(b), IRA, etc) into your new qualified retirement account. To do this, simply indicate that you would like help consolidating your accounts on the enrollment form or call us at 1-877-525-7655.*Only governmental 457(b) accounts can be consolidated into qualified retirement accounts.

Page 3: Enrolling: the choice is yours - Amazon Web Servicesuba-ebc.portals.s3.amazonaws.com/61434_enrol.pdf · the choice is yours On the phone Call us at 1-855-JHENROLL Talk to an enrollment

To complete this form, read the attached instructions. Return the completed form to your plan administrator.

Your Enrollment Form

PERSONAL INFORMATION – Provide us information about you

ACT

ION

t

Last Name First Name, Initial

P L E A S E P R I N T P L E A S E P R I N TSocial Security Number Date of birth (mmm/dd/yyyy)

X X X – X X – X X X X mmm / dd / yyyy

www.jhpensions.com 1-800-395-1113

PIN card

DO NOT lOse ThIs CArD! Use this card for initial access to our services. If you forget your customized access information, you can use the PIN on the back and the balance from a recent statement to reset your account. Please note, This is noT your conTracT number.

DETACH PIN CARD HERE BEFORE SUBMITTING ENROLLMENT FORM.

Please keep this card for future reference.

DPNQBOZ OBNFMORRISON, EKRE, & BARTDPOUSBDU OVNCFS113439

ACT

ION

t CONTRIBUTIONS – Select your contribution amount

PRE-TAX CONTRIBUTIONSJ fmfdu up dpousjcvuf uif gpmmpxjoh qfsdfoubhf ps bnpvou qfs qbz qfsjpe po b qsf.uby cbtjt,; )Tfmfdu pof cpy pomz*

15% 12% 9% 6% 3% OR Other: ________ %+ Subject to the plan's contribution limit and IRS limits.

ACT

ION

t INVESTMENT OPTIONS – Select your investment options. Choose either 1. EZCHOICE OR 2. YOUR CHOICE

1. EZCHOICE: Check one box only in this section. 100% of your contributions will be placed in this portfolio.

John Hancock Lifecycle Portfolios John Hancock Lifestyle Portfolios

Retirement Choices RC 100% Conservative Portfolio CLS 100%

Moderate Portfolio MLS 100%

Balanced Portfolio BLS 100%

Growth Portfolio GLS 100%

Aggressive Portfolio ALS 100%

Your company's plan offers investment options through its group annuity contract with John Hancock Life Insurance Company (U.S.A.)

Q28883 22024.34419 14017025 551334-E01 Page 1 of 4 GA0513119561

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If you choose EZChoice, go directly to page 4 to complete the Moving Forward information and sign the form.

Page 4: Enrolling: the choice is yours - Amazon Web Servicesuba-ebc.portals.s3.amazonaws.com/61434_enrol.pdf · the choice is yours On the phone Call us at 1-855-JHENROLL Talk to an enrollment
Page 5: Enrolling: the choice is yours - Amazon Web Servicesuba-ebc.portals.s3.amazonaws.com/61434_enrol.pdf · the choice is yours On the phone Call us at 1-855-JHENROLL Talk to an enrollment

Enrollment Form continued

ACT

ION

t Contract Number: Social Security Number X X X – X X – X X X X

2. YOUR CHOICE: Enter a percentage for each investment option into which your contributions will be placed.

A selection of detailed Fund sheets is available on our website,

along with Returns and Fees information for the most recent

month-end. These contain important information for each

investment option available under the group annuity contract,

including details on the underlying mutual funds, investment

objectives, level of risk, underlying allocations and charges, as well

as other important information about the investment options which

should be carefully considered. Please read this information carefully prior to choosing your investment options.

n You can choose professionally constructed and mixed

portfolios, create your own mix, or a combination of both.

n Each investment option you can choose from is color-coded

to show the level of risk and potential return. Each color

represents a different level of risk versus potential return,

ranging from conservative (blue) to aggressive (red).

n The total sum of all percentages must equal 100%.

Note: Allocating assets to only one or a small number of the investment options (other than professionally constructed and mixed Portfolios) should not be considereda balanced investment program. In particular, allocating assets to a small number of options concentrated in particular business or market sectors will subject your account to increased risk and volatility. Examples of business or market sectors where this risk may be particularly high include: a) technology-related businesses, including Internet related businesses, b) small cap securities and c) foreign securities. We do not provide advice regarding appropriate investment option allocations. Contact your financial representative for more details.

Other than the Guaranteed Interest Accounts, unit values depend on market performance and are NOT guaranteed.

Asset Allocation PortfoliosLifecycle Portfolios CODE %

Retirement Choices – sub-advised by John Hancock Asset Mgmt

Retirement Choices at 2010 CZB

Retirement Choices at 2015 CZC

Retirement Choices at 2020 CZD

Retirement Choices at 2025 CZE

Retirement Choices at 2030 CZF

Retirement Choices at 2035 CZG

Retirement Choices at 2040 CZH

Retirement Choices at 2045 CZI

Retirement Choices at 2050 CZJ

Lifestyle Portfolios CODE %

John Hancock – sub-advised by John Hancock Asset Mgmt

Lifestyle Fund - Conservative Portfolio CLS

Lifestyle Fund - Moderate Portfolio MLS

Lifestyle Fund - Balanced Portfolio BLS

Lifestyle Fund - Growth Portfolio GLS

Lifestyle Fund - Aggressive Portfolio ALS

Individual Investment OptionsConservative CODE %

John Hancock Stable Value Fund – sub-advised by John Hancock Life Insurance Company (U.S.A.)

MSV

Income CODE %

Total Bond Market Fund – sub-advised by Declaration Management & Research, LLC

BIF

Active Bond Fund – sub-advised by Declaration Management & Research LLC/John Hancock Asset Management

DVB

Strategic Income Opportunities Fund – sub-advised by John Hancock Asset Management

SIM

Templeton Global Bond Fund – sub-advised by Franklin Templeton

TGB

DFA Inflation-Protected Securities Fund – sub-advised by Dimensional Fund Advisors, Inc. (DFA)

INP

High Yield Fund – sub-advised by Western Asset Management Co. (WAMCO)

HYF

Growth & Income CODE %

John Hancock Alternative Asset Allocation Fund – sub-advised by John Hancock Asset Management

ALA

Mutual Global Discovery Fund – sub-advised by Franklin Templeton

DIS

Core Global Diversification Portfolio – sub-advised by John Hancock Asset Management

AGD

T. Rowe Price Capital Appreciation Fund – sub-advised by T. Rowe Price Associates, Inc.

TCP

Parnassus Equity Income Fund – sub-advised by Parnassus Investments

PEI

500 Index Fund – sub-advised by John Hancock Asset Management

IND

Fundamental Large Cap Value Fund – sub-advised by John Hancock Asset Management

EQI

Growth CODE %

Total Stock Market Index Fund – sub-advised by John Hancock Asset Management

TSM

Utilities Fund – sub-advised by MFS Investment Management

ULT

Turn the page for more investment options...

Q28883 22024.34419 14017025 551334-E01 Page 2 of 4 GA0513119561

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INVESTMENT OPTIONS continued – Sfnjoefs; tljq up qbhf 5 jg zpv tfmfdufe F[Dipjdf/

Page 6: Enrolling: the choice is yours - Amazon Web Servicesuba-ebc.portals.s3.amazonaws.com/61434_enrol.pdf · the choice is yours On the phone Call us at 1-855-JHENROLL Talk to an enrollment
Page 7: Enrolling: the choice is yours - Amazon Web Servicesuba-ebc.portals.s3.amazonaws.com/61434_enrol.pdf · the choice is yours On the phone Call us at 1-855-JHENROLL Talk to an enrollment

Enrollment Form continued

ACT

ION

t Contract Number: Social Security Number X X X – X X – X X X X

Growth CODE %

New Perspective Fund – sub-advised by American Funds Group

ANP

All Cap Core Fund – sub-advised by QS Investors, LLC

GRF

Templeton World Fund – sub-advised by Franklin Templeton

DIV

Fundamental All Cap Core Fund – sub-advised by John Hancock Asset Management

QAC

John Hancock Disciplined Value Mid Cap Fund – sub-advised by Robeco Investment Management, Inc.

DVM

Mid Cap Index Fund – sub-advised by John Hancock Asset Management

MCI

Blue Chip Growth Fund – sub-advised by T. Rowe Price Associates, Inc.

BCF

Aggressive Growth CODE %

T. Rowe Price Health Sciences Fund – sub-advised by T. Rowe Price Associates, Inc.

HLS

Small Cap Index Fund – sub-advised by John Hancock Asset Management

SCI

Science & Technology Fund – sub-advised by T. Rowe Price Associates, Inc. & Allianz Global Investors U.S., LLC

STF

Aggressive Growth CODE %

International Equity Index Fund – sub-advised by SSgA Funds Management, Inc.

IIF

Small Cap Growth Index Fund – sub-advised by Vanguard Group, Inc.

VSG

DFA US Small Cap Fund – sub-advised by Dimensional Fund Advisors, Inc. (DFA)

SCP

DFA U.S. Targeted Value Fund – sub-advised by Dimensional Fund Advisors, Inc. (DFA)

DUT

SSgA Mid Cap Growth Index Fund – sub-advised bySSgA Funds Management, Inc.

SSG

Energy Fund – sub-advised by Vanguard Group, Inc. VEN

Fidelity Advisor Leveraged Company Stock Fund – sub-advised by Fidelity Management & Research Company (Fidelity)

FLC

Natural Resources Fund – sub-advised by Wellington Management Company, LLP/RS Investments

RES

Real Estate Securities Fund – sub-advised by Deutsche Asset Management, Inc.

REF

‘Your Choice’ TOTAL IMPORTANT – The total of all your fund selections in the ‘Your Choice’ section MUST EQUAL 100%100%

Q28883 22024.34419 14017025 551334-E01 Page 3 of 4 GA0513119561

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Page 8: Enrolling: the choice is yours - Amazon Web Servicesuba-ebc.portals.s3.amazonaws.com/61434_enrol.pdf · the choice is yours On the phone Call us at 1-855-JHENROLL Talk to an enrollment
Page 9: Enrolling: the choice is yours - Amazon Web Servicesuba-ebc.portals.s3.amazonaws.com/61434_enrol.pdf · the choice is yours On the phone Call us at 1-855-JHENROLL Talk to an enrollment

Enrollment Form continued

ACT

ION

t Contract Number: Social Security Number X X X – X X – X X X X

MOVING FORWARD – Taking advantage of other benefits

CONSOLIDATE MY ACCOUNTS

YES! I would like help in consolidating my retirement accounts.*

Contact me at (_______) _______ - ____________ and _____________________________________________ (email address**)

to discuss my options. The best time to call is around _____ A.M/P.M. EST (or, call us directly at 1-877-525-7655). *available for plans utilizing John hancock’s consolidation services; rollovers are subject to the provisions of your company’s plan. **email addresses will only be used for consolidation services.

SIGNATURE

I elect not to contribute at this time. Note: Contact your plan administrator to determine the next plan entry date.

I acknowledge that if I have selected the I elect not to contribute box on this form, I will not be making any contributions to the plan.

I acknowledge that this plan offers investment options through my company's group annuity contract with John Hancock and that I have read and understand the instructions that accompany this form including information on EZChoice, Your Choice and the terms, conditions, restrictions, fees and risk that relate to them and other parts of the instructions. If I have selected a Lifecycle Portfolio in the EZChoice section, I understand that my portfolio will be based on my provided age and with a target retirement date that is closest to the year that I attain age 67.

ACT

ION

t m m m / d d / y y y yXSignature of Participant Print Name Date

John Hancock Life Insurance Company (U.S.A.) (John Hancock USA) and John Hancock Life Insurance Company of New York (John Hancock New York) herein collectively referred to as "John Hancock".

Group annuity contracts are issued by John Hancock Life Insurance Company (U.S.A.) (John Hancock USA). In New York, products are issued by JohnHancock Life Insurance Company of New York (John Hancock New York). John Hancock Investment Management Services, LLC, a registered investment adviser, provides investment information relating to the contract. NOT FDIC INSURED | MAY LOSE VALUE | NOT BANK GUARANTEED | NOT INSURED BY ANY GOVERNMENT AGENCY

© 2014 John Hancock Life Insurance Company (U.S.A.), a Manulife Financial company. All rights reserved.Make sure you sign above, then return form and any other items to your plan administrator.

Q28883 22024.34419 14017025 551334-E01 Page 4 of 4 GA0513119561

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Page 10: Enrolling: the choice is yours - Amazon Web Servicesuba-ebc.portals.s3.amazonaws.com/61434_enrol.pdf · the choice is yours On the phone Call us at 1-855-JHENROLL Talk to an enrollment
Page 11: Enrolling: the choice is yours - Amazon Web Servicesuba-ebc.portals.s3.amazonaws.com/61434_enrol.pdf · the choice is yours On the phone Call us at 1-855-JHENROLL Talk to an enrollment

return to your plan administrator. Do NOT return to John hancock.

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Signature of Participant Date

ACT

ION

t

mmm / dd / yyyyX

SIGNATURE

i hereby designate the individual(s) listed as my beneficiary(ies) to receive the remaining vested balance of my plan account (if any) if i die before i receive my benefit under the plan. i hereby revoke any prior beneficiary designation(s) that i have made for such benefit. i understand that if i outlive my primary beneficiary(ies) and, if applicable, my contingent beneficiary(ies), my benefit will be paid in accordance with the terms of the plan.

Name (Last Name, First Name, Initial) – PLEASE PRINT

ACT

ION

tA

CTIO

N

t

Extra Page for Additional Beneficiaries Attached. If you require additional space to include more primary and/or contingent beneficiaries, please attach a separate page providing all the above designation information and the percentage of each beneficiary. Note: Percentage shares must equal 100% for both primary and contingent beneficiaries.

MARRIED participant – I understand that I must elect my spouse as sole Primary Beneficiary under this plan unless he/she consents in writing to my naming another Primary Beneficiary. (See your plan administrator for a Spousal Consent Form if naming a Primary Beneficiary other than your spouse.)

UNMARRIED participant – I understand that the following designation becomes null and void in the event of my marriage. I will promptly inform my plan administrator of any change in my marital status.

CONTRACT NUMBER

SOCIAL SECURITY NUMBER

X X X – X X – X X X X

PRIMARY BENEFICIARY

Name (Last Name, First Name, Initial) – PLEASE PRINT Telephone number

Social security number Date of birth Relationship to participant % Share

X X X – X X – X X X mmm / dd / yyyyAddress City State Zip code

CONTINGENT BENEFICIARY

Name (Last Name, First Name, Initial) – PLEASE PRINT Telephone number

Social security number Date of birth Relationship to participant % Share

X X X – X X – X X X mmm / dd / yyyyAddress City State Zip code

BENEFICIARY DESIGNATION

Note: Please review your summary Plan Document to ensure your beneficiary designations are made in accordance with the requirements of the plan. your plan may be subject to the joint and survivor annuity requirement. For other plans, you must elect your spouse as sole primary beneficiary, unless he/she consents in writing to you naming another primary beneficiary. your plan administrator can tell you if these requirements apply to your plan and whether a different beneficiary form may be required.

Beneficiary Designation FormBeneficiary designation information below is solely for the benefit of the plan administrator of MORRISON, EKRE, & BART. This information shall not be maintained or acted upon by John Hancock USA. Report any change to this information directly to the plan administrator at your company.

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Q28883 22024.34419 GA0513119561

Page 12: Enrolling: the choice is yours - Amazon Web Servicesuba-ebc.portals.s3.amazonaws.com/61434_enrol.pdf · the choice is yours On the phone Call us at 1-855-JHENROLL Talk to an enrollment