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PLEASE READ THIS IMPORTANT RETIREMENT PLAN INFORMATION FROM TRILLIUM SERVICES, INC.
AS IT WILL IMPACT YOUR PAYCHECK
As an employee of Trillium Services, you are eligible to participate in the 401(k) retirement savings plan administered by Securian Retirement Plan Services. The plan offers a convenient way to invest in your future by allowing you to make pre-tax contributions via payroll deduction. 
 
To ensure that you take advantage of this great benefit, you can be automatically enrolled in the pre-tax 401(k) retirement plan. 
 
Please note the following important factors when participating in automatic enrollment
 
*  If you DO NOT electronically sign and submit this form, you will be automatically enrolled in the 401(k)  
            plan.
 
       *  1% pre-tax contribution to the plan is deducted each pay period beginning the first pay period after      
          30 days of employment. 

       *  For rehired employees who have no previous investment elections on file, contributions will be invested                   in the 1% investment option.  If you previously participated in the plan, contributions will be invested
           according to your most recent investment elections.
 
      If this form is not received by the Payroll Department by the 30th day after your hire date,
you will be automatically enrolled in the 401(k) plan, contributing 1% of your pay.
 
         I have read the information provided above and understand by signing this form, I hereby confirm my election to NOT participate in the 401(k) retirement plan.  I do understand that I may enroll in the 401(k) retirement at any time in the future by contacting Securian Retirement Plan Services.
Employee Signature *
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