PPD Retirement Savings Plan Rollover Contribution Form ...

1 PPD Retirement Savings plan Rollover Contribution form plan ID 990500107 Enclosed are the items needed to make a Rollover Contribution to the PPD Retirement Savings plan . Please carefully review and complete each of the items as described in the procedures below. Representatives are available to help you complete the forms, or answer general questions you may have about the plan . You can reach a Representative by calling the Retirement plan Information Line at 1-800-854-0647 between the hours of 8:00 and 8:00 Eastern time. Mail the required documents for processing to MassMutual at one of the following addresses. DO NOT SEND PAPERWORK TO PPD CORPORATE BENEFITS DEPARTMENT. Please note that rollovers from PPD affiliated companies (including: Evidera and Synexus) are NOT allowed to be transferred into the PPD Retirement Savings MailMassMutual Retirement Services, PO Box 1583, Hartford, CT 06144-1583 Overnight Mail OnlyMassMutual Retirement Services, 100 Bright Meadow Boulevard, Enfield, Connecticut 06082 ITEMPROCEDURESEND TO MASSMUTUALR olloverContribution FormComplete all relevant sections of the form .

2 Sign and date in thespace provided at the bottom of the sRollover Check1. For a direct Rollover from a qualified plan , the check must be made payable to MassMutual FBO PPD Retirement Savings plan FBO Your Name. Be sure to write your Social Security Number on the check if it is not printed For a non-direct Rollover from a qualified plan or a Rollover from an IRA, the check must be made payable to MassMutual FBO PPD Retirement Savings plan . Be sure to write your name and Social Security Number on the check. 3. Return form , Rollover check, and supporting documentation to the address above. Your check will be deposited and the Rollover Contribution posted to your sRepresentatives are available to help you complete the forms or answer general questions you may have about the plan . You may reach a Representative by calling the Participant Information Center at 1-800-854-0647 between the hours of 8 and 8 Eastern time on any business side intentionally left Retirement Savings plan Rollover Contribution form plan ID 9905001071 Employee InformationSocial Security NumberDate of BirthName (please print)Date of HireStreet AddressCity/StateZipDaytime Phone Number 2 Rollover and Investment InformationIf this request represents a non-direct Rollover Contribution (you have received this money from a prior Retirement plan or from an IRA as a check payable to you), you must have received this Rollover distribution no more than 60 days before the date your Rollover Contribution is received by the plan .

3 However, this requirement can be waived in some hardship circumstances, in accordance with IRS guidance, under a new IRS relief process, and under new federal law, discussed in Section 4 of this form . See your tax advisor for more amount of your roll over must represent an eligible Rollover distribution from a Retirement plan or an this request represents a direct Rollover from a Retirement plan , your check should be made payable to MassMutual fbo PPD Retirement Savings plan fbo [Participant Name]. If this request represents a non-direct Rollover Contribution (you have received this money from a prior plan or from an IRA), you must have received this Rollover distribution no more than 60 days before the date your Rollover Contribution is received by the plan . Your check should be made payable to MassMutual fbo PPD Retirement Savings plan and include your Social Security Number on the Documentation: Your Rollover will not be processed/invested into the plan without this information.

4 Please attach one of the following items: Letter of Determination from prior plan Statement of account from prior plan that reflects the type of plan the funds are being rolled out of ( , 401(k), 403(b), IRA as allowed by your plan (Direct Rollover ) Certification of the Prior plan Administrator or IRA Trustee/Custodian (See Certification of Prior plan Administrator or IRA Trustee/Custodian Section) Other proof of the prior plan s qualification status ( letter from prior plan or provider) If unable to provide any of the above items, please contact the MassMutual Concierge Service Team at 1-800-854-0647 between 8:00 AM and 8:00 PM EST, Monday through Friday for Indirect rollovers , you must also attach: Statement of account, transaction confirmation or other formal documentation from prior plan or prior plan provider that includes distribution transaction detail ( date, amount of distribution, tax withholding, etc.))

5 For the funds that you are submitting in connection with your Rollover tax consequences related to this Rollover are your responsibility and you agree that PPD Retirement Savings plan and MassMutual will not be held responsible for these tax of Rollover : $ (if any) that represents Roth Contribution $_____(Note: rollovers will be assumed to consist of pre-tax contributions and earnings unless a Roth amount is indicated. rollovers from IRA s will be assumed to consist entirely of pre-tax amounts because after-tax rollovers cannot be made).Please complete the following if you are requesting a Rollover of your Roth contributions :Roth first Contribution date: _____Roth basis amount: $ _____Roth earnings amount: $ _____Source of the Rollover . Indicate whether this Rollover is from an IRA or employer-sponsored Retirement plan , and indicate the type of Retirement plan if it is from a Retirement note that rollovers from PPD affiliated companies (including: Evidera and Synexus) are NOT allowed to be transferred into the PPD Retirement Savings plan .

6 IRA (the amount rolled over is deemed to consist entirely of pre-tax contributions and earnings) 401(a) plan , including 401(k) plans, money purchase plans, profit sharing plans 403(b) plan Government Section 457 plan (special requirements may apply see your tax advisor) Other State Type: _____Check if applicable: This Rollover represents proceeds from my deceased spouse s Retirement plan This Rollover represents a distribution payable to me as a spouse (or former spouse) alternate payee as a result of a QDROPPD Retirement Savings plan Rollover Contribution form plan ID 990500107 Investment Elections (Your entries must be in whole percentages for each fund and total 100%.)I elect to invest my Rollover as follows:3 Participant Certification for Rollover and Authorization(Please complete, sign, date, and return this form to: MassMutual Retirement Services, PO Box 1583 Hartford, CT 06144-1583).I confirm that (1) the prior plan is a qualified plan or an individual conduit Retirement account; (2) this money represents an eligible Rollover distribution to an eligible plan ; and (3) I understand that these Rollover funds, once deposited in the PPD Retirement Savings plan , will be subject to all provisions of the plan , including all distribution restrictions.

7 In addition, if this is a 60-day (indirect) Rollover , I certify that this Rollover is being completed within 60 days from receipt, or, if it is over 60 days since my receipt of the distribution from the paying plan or financial institution, I have provided certification to the plan sponsor that the funds being Rollover over qualify for a waiver from the 60-day requirement and that any self-certification letter required has been provided to the plan sponsor and a copy kept with my own tax records (Participant should review the information in Section 4 if depositing an indirect Rollover , which also refers to an IRS website for additional information). Employee SignatureDatePPD Retirement Savings plan Rollover Contribution form plan ID 990500107 Wells Fargo Stable Return Fund _____%JPMorgan Core Bond Fund_____%MFS Total Return Fund _____%PIMCO Real Return Fund_____%Investment Company of America_____%JPMorgan Small Cap Equity Fund_____%Vanguard Institutional Index Fund _____%Victory Small Company Opportunity Fund _____%MFS Growth Fund _____%Fidelity Freedom Fund 2010_____%Hartford International Opportunities Fund _____%Fidelity Freedom Fund 2015_____%MassMutual Select Mid Cap Growth Equity Fund II _____%Fidelity Freedom Fund 2020 _____%MFS Mid Cap Value Fund _____%Fidelity Freedom Fund 2025_____%American Funds EuroPacific Fund _____%Fidelity Freedom Fund 2030_____%Vanguard Total Bond Market Index Fund_____%Fidelity Freedom Fund 2035_____%Vanguard Extended Market Index Fund_____%Fidelity Freedom Fund 2040 _____%Vanguard Total International Stock Index Fund_____%Fidelity

8 Freedom Fund 2045_____%Fidelity Freedom Fund 2050_____%Fidelity Freedom Fund 2055 _____%PPD Retirement Savings plan Rollover Contribution form plan ID 990500107 Certification of Prior plan Administrator or IRA Trustee/Custodian(Complete only if this Certification is needed for Supporting Documentation section above). Certification by IRA Institution or for direct and indirect rollovers ; Certification by Prior Employer s plan Administrator for indirect section must be completed by the trustee (or custodian) of the traditional IRA or by the administrator of the eligible employer plan from which the distribution was distributed. 1. The plan Administrator or Custodian of your Prior plan must complete the certification below if this Rollover is an indirect Rollover or a direct Rollover from a traditional Evidence of the date of Distribution from your Prior plan or IRA must be provided if the funds are not coming directly from your Prior plan or IRA, copy of the original distribution confirmation statement or check stub.

9 I, as the plan Administrator or Trustee/Custodian of the above plan or IRA, certify that the funds have been distributed from an eligible Retirement plan intended to satisfy the requirements of Internal Revenue Code Section 401(a) 403(a) 403(b) 457(b) or IRA qualified under 408(a) and 408(b). I am unaware of any plan provision or operation that would disqualify the plan . Type or print name of Financial Institution Representative or Prior plan AdministratorSignature of Prior plan Administrator or Trustee/CustodianDateName of InstitutionContact Phone NumberAddressBefore investing, consider the fund's investment objectives, risks, charges, and expenses. For a prospectus containing this and other information, log on to your Retirement Access account at and click on "Pricing and Performance," visit the fund company's Web site or call the fund company. Read the prospectus complete, sign, and return this form with the Rollover check and supporting documentation by mail to:MassMutual Retirement Services PO Box 1583 Hartford, CT 06144-1583( )PPD Retirement Savings plan Rollover Contribution form plan ID 9905001074 Important InformationROLLOVERGood Order "Good Order" means that all sections of the form are complete, the participant has provided their signature authorizing the transaction (if required) and the plan Sponsor has provided their signature authorizing MassMutual to process the transaction requested on the form .

10 Rules for rollovers The amount you roll over must represent an eligible Rollover distribution from certain types of eligible Retirement plans and Traditional IRA s that are allowed as a Rollover Contribution into this plan by your plan Sponsor. Note that for a Traditional IRA Rollover only the amount that otherwise would have been taxable (had it been paid directly to the individual account owner and not rolled over) can be rolled over from a Traditional IRA into an eligible Retirement plan . In determining the amount that can be rolled over from a Traditional IRA, all of the individual s Traditional IRA s are aggregated and the total taxable amount at the time of the Rollover is the maximum that can be rolled over into a Retirement plan . See your tax advisor for more information. Your plan Administrator may ask you for documentation to prove the amount rolled into the plan from a Traditional IRA is eligible. As a result of recent tax law changes, it has become possible to transfer assets between different types of Retirement plans in the form of a direct or indirect Rollover .