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3/5/2021  National Association of Government Defined Contribution Administrators

 Name*

 Mr.  Jay    Middle Name    Castellano



 Organization*

 County of San Mateo



 Email



 Preferred*

 jcastellano@smcgov.org





 1. Please list the name(s) of the plan(s) that you are authorizing your recordkeeper to transmit data for

 below.



 Plan Name(s):*






















 2. Please select your recordkeeper(s) below. Check all that apply.


 If your recordkeeper is not listed, please enter the name in the text  eld below.



 Recordkeeper(s):*


 AIG Retirement Services


 AXA Equitable


 Charles Schwab




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