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3/5/2021 National Association of Government Defined Contribution Administrators
Empower Retirement
Fidelity Investments
ICMA-RC
Lincoln Financial Group
MassMutual Life Insurance Company
Nationwide Retirement Solutions (NRS)
Prudential Retirement
T. Rowe Price
TIAA
Voya Financial
Other (Please enter the name of the company in the text eld below.)
Other:
3. Please share the name and email address of your Primary Recordkeeper Contact.
Primary Recordkeeper Contact Name:*
Primary Recordkeeper Contact Email:*
By submitting this form, you as the plan sponsor of the plan(s) identi ed above are directing your
DC recordkeeper(s) identi ed above to transmit your plan’s encrypted participant-level data and
plan provisions to EBRI for inclusion in the PRRD on an annual basis, starting in 2021.
https://nagdca.memberclicks.net/prrl-authorization-form#/ 4/5
