I—lBenefioiaty) BR —(8enefkiary Roth IRA) 4K--(401k) El—(Eduction Savings AcociuM) SI —(SIMPLE IRA) OP—IC:melted Plan) 4B —(403b) TB—(457 Men) HS— (Heatth SwF°, Account) SP—(529 Plan) OT —(Omer) Other. II . DELIVERING ACCOUNT INFORMATION CLEARING NUMBER. ACCOUNT NUMBER: .1.11. DELIVERING FIRM CONTA