Beneficiaries— Nonretirement Transfer on Death

1 Questions? Go to or call Nonretirement Transfer on DeathUse this form to establish or update the beneficiaries on a Transfer on Death (TOD) registration on your Nonretirement Fidelity account or Fidelity Funds account registered as Individual, Joint Tenants with Rights of Survivorship, or Tenants by the Entirety. Do NOT use for retirement accounts or 529 College Savings Plans. Type on screen or print out and fill in using CAPITAL letters and black ink. If you need more room for information or signatures, make a copy of the relevant to Know This form preempts any terms in your will concerningthe accounts in question. You may want to review thisdocument with a tax, financial, or legal adviser. Transfer on Death registrations are not availablein Louisiana. Please consider consulting an attorney,tax professional, or estate planner familiar with yourparticular situation.

2 ALL account owners must sign this form. Please read and review the Designated BeneficiaryAgreement attached at the end of this form. Tenants-in-common cannot have TOD registrations. This form cancels any existing beneficiary sure this form includes ALL beneficiaries you want onthe account (s). You can change beneficiaries any time at To add or change beneficiaries on othertypes of accounts, go to account Owner NameAdditional Name(s)Daytime PhoneExtension2. Accounts IncludedFor new accounts, attach a copy of the account application instead of listing account numbers account NumberFidelity account NumberFidelity account NumberFidelity account NumberFidelity account NumberFidelity account NumberThis phone number will be used if we have questions, but will not be used to update your account all accounts you want this form to apply to.

3 To indicate different beneficiaries for different accounts, use copies of this continues on next page. Page 1 of Page 2 of 3. BeneficiariesPrimary Beneficiaries Spouse Non-SpouseName If naming spouse as a beneficiary, do so here. Trust Other EntitySocial Security or Taxpayer ID NumberDate of Birth/Trust MM DD YYYYS hare Percentage Per stirpes% Non-Spouse Trust Other EntityNameSocial Security or Taxpayer ID NumberDate of Birth/Trust MM DD YYYYS hare Percentage Per stirpes% Non-Spouse Trust Other EntityNameSocial Security or Taxpayer ID NumberDate of Birth/Trust MM DD YYYYS hare Percentage Per stirpes% Non-Spouse Trust Other EntityNameSocial Security or Taxpayer ID NumberDate of Birth/Trust MM DD YYYYS hare Percentage Per stirpes%Total must add up to 100%.%Contingent Beneficiaries Spouse Non-SpouseName If naming spouse as a beneficiary, do so here.

4 Trust Other EntitySocial Security or Taxpayer ID NumberDate of Birth/Trust MM DD YYYYS hare Percentage Per stirpes% Non-Spouse Trust Other EntityNameSocial Security or Taxpayer ID NumberDate of Birth/Trust MM DD YYYYS hare Percentage Per stirpes% Non-Spouse Trust Other EntityNameSocial Security or Taxpayer ID NumberDate of Birth/Trust MM DD YYYYS hare Percentage Per stirpes% Non-Spouse Trust Other EntityNameSocial Security or Taxpayer ID NumberDate of Birth/Trust MM DD YYYYS hare Percentage Per stirpes%Total must add up to 100%.%For each beneficiary you list, check a beneficiary type and provide all information, including the full first and last name as evidenced by a govern-ment-issued, unexpired document ( , driver s license, passport, per-manent resident card).If you outlive a beneficiary and you want that beneficiary s share to go to his or her descendants, check Per stirpes.

5 Contingent beneficiaries receive assets only if no primary beneficiary survives NOT list any primary beneficiaries you outlive a beneficiary and you want that beneficiary s share to go to his or her descendants, check Per stirpes. Form continues on next page. Page 3 of 4. Signature(s) and Date(s) ALL account owners must sign and this form, Fidelity, us, and we refer to Fidelity Brokerage Services LLC, Fidelity Distributors Company LLC, and National Financial Services LLC and their affiliates, and their employees, agents, representatives, shareholders, successors, and assigns as the context may require; and You, you, and your refer to all account holders, including individual, joint, trustees, and/or custodians. By signing below, you: Affirm that the beneficiary informationprovided on this form replaces any prior beneficiary information that may be on record for the indicated account (s).

6 Affirm that you have received, read,understood, and agree to be bound bythe terms and conditions in the attachedDesignated Beneficiary Agreement andthis form, as is currently in effect andas may be amended in the future. TheDesignated Beneficiary Agreement andthis form shall inure to the benefit ofFidelity s successors and assigns, whetherby merger, consolidation, or otherwise. Acknowledge that, if you check perstirpes, that any share otherwise payableto a beneficiary shall instead be paid to that beneficiary s surviving descendants by right of representation if the original benefi-ciary does not survive the account owner(s). Acknowledge that per stirpes creates acategory of beneficiaries (for example, thechildren of a beneficiary), and thereforemay end up including individuals not yetborn or adopted.

7 Acknowledge that listing beneficiariesby name does NOT create a category ofbeneficiaries, and that if you later want toinclude other beneficiaries, you will needto submit a new beneficiary form. Acknowledge that if you do not provide per-centages, the account will be divided equallyamong primary beneficiaries or among con-tingent beneficiaries, as applicable. Agree that Fidelity has no obligationto locate or notify any beneficiary or toindependently verify any informationsubmitted by any person claiming aninterest in your account . Agree that when your assets are distrib-uted to your beneficiaries, fractional sharesthat cannot be distributed in accordancewith your instructions will instead be givento the beneficiary receiving the largest per-centage of the account s assets or, if eachbeneficiary is receiving an equal percent-age, to the last paid OWNER NAMEOWNER SIGNATURE TODAY S DATE MM/DD/YYYYSIGNX XPRINT ADDITIONAL OWNER NAMEADDITIONAL OWNER SIGNATURE TODAY S DATE MM/DD/YYYYSIGNX XOn this form, Fidelity means Fidelity Brokerage Services LLC and its affiliates.

8 Brokerage services are provided by Fidelity Brokerage Services LLC, Member NYSE, SIPC. (10/20)Complete and sign Be sure to complete the form and collect all signatures. Submit 1. Scan or take a digital photo of the ENTIRE Visit to submit your files or will receive a confirmation of your 4 of 5 Beneficiaries Nonretirement Transfer on DeathDesignated Beneficiary Agreement Keep this for your Agreement creates a Transfer on Death ( TOD ) registration for an account upon the Death of an individual account holder or of the last surviving account holder in eligible joint accounts ( Date of Death ) of a Nonretirement Fidelity account or Fidelity Funds account (the account ). The disposition of assets held in the account is controlled by the terms of this agreement and the Beneficiaries Nonretirement Transfer on Death Form (the Form ), which is incorporated into this agreement by reference (collectively, the Agreement ).

9 Fidelity as used herein refers collectively to Fidelity Brokerage Services LLC, Fidelity Distributors Company LLC, and National Financial Services LLC. The assets in the account subject to the Agreement ( eligible assets ) will be transferred to beneficiaries designated in the Form. The term account holder means an individual account owner and, in the case of an eligible joint account , means each account holder or the last surviving joint owner as indicated by the context. References to the estate of the account holder shall mean the estate of the last surviving account holder. The beneficiary designation and disposition of assets made under the Agreement will take precedence over any disposition contained in other documents such as a will, trust, premarital or other legal document, even if specific reference is made therein to the Agreement or to one or more specific Accounts, or any oral or written agreement as to the disposition of eligible assets, except by court order received by Fidelity in time for it to act before it makes transfers under the Agreement.

10 Not all states recognize TOD regis-trations. Fidelity does not give legal or tax advice in connection with the Agreement, and account holders are advised to consult with their legal, tax, financial and estate planning professionals before making any beneficiary designation. Fidelity has not advised, nor is it obliged to advise, account owners as to the suitability of the Agreement for the account holder. This Agreement does not con-stitute a trust, and Fidelity has no fiduciary duty as a trustee under the Agreement to the account holder, any beneficiary under the Agreement or any other third party. The Agreement supplements and does not replace any of the terms and conditions of the applicable Customer Agreement for the account , a fund prospectus or any other terms and conditions between the account holder and Fidelity that apply to the account .