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Click here or scroll down to respond to this candidateCandidate's Name
As your employer&#Street Address ;s Plan Administrator, U.S. OMNI & TSACGCompliance Services, is conrming the submission of your online transaction. The information pertaining to your request has been forwarded to our team for processing and you will be notied by email as soon as possible of the outcome of this review. Please retain a copy of the attached Summary Conrmation as it outlines your request and includes a transaction reference number. If approved, an Approval Certicate will be generated and provided to you by email. As a reminder, you will need to forward any paperwork the investment provider may require with the approval certicate, after receiving the email notice of approval.ODS Transaction ID: PHONE NUMBER AVAILABLEP.O. Box 4037Fort Walton Beach, FL 32549www.tsacg.com403(b) PLAN DISBURSEMENT REQUEST FORM - Summary Conrmation As your employer's Plan Administrator, U.S. OMNI & TSACG Compliance Services, is conrming the submission of your online transaction.IMPORTANT NOTICE: Read all the information on this form. The information pertaining to your request has been forwarded to our team for processing and you will be notied by email as soon as possible of the outcome of this review. If approved, an Approval Certicate will be generated and provided to you by email. As a reminder, you will need to forward any paperwork the investment provider may require with the approval certicate, after receiving the email notice of approval.ODS TRANSACTION ID: PHONE NUMBER AVAILABLE DATE SUBMITTED: 04/25/2023 8:55:58 AM CST TRANSACTION TYPE: Distribution - Separated FromServiceTHIS IS NOT AN APPROVALEmployee Information:Full Name: Richard E KimesAddress: 1773 Wayne Rt.V City ST Zip: piedmont, Mo 63957 Phone: PHONE NUMBER AVAILABLE Alternate Phone: Email: EMAIL AVAILABLE SSN: XXX-XX-3055 Date of Birth: 04/08/1974Investment Provider Agent Information:There is a nancial advisor/representative associated with this transaction: No Distributing Account Information:Employer State: MO Employer Name: Clearwater R-1 School District Investment Provider Company: North American Company for LifeAccount Number: PHONE NUMBER AVAILABLE Amount/Percentage Requested: 100.00% |
