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Form SC-04 PEQUOT LAKES / Page 2 <br /> Deferred Member Information (fully or partially vested) <br /> See separate instructions regarding completion of the fields below. <br /> Enter all information as it pertains to this member. <br /> Benefit Level Are Months of <br /> Member Name: Loven,Michael at Separation: 1,600 Service Paid? No <br /> Vesting: Minimum Years Required: 10 DOB: 4/30/1958 Interest Option in Bylaws at Separation <br /> Deferred Interest(if offered): Calendar Year OR Full Period (Choose one option) A <br /> Service Dates: Entry: 7/16/1981 Separation: 10/16/2001 A-No Interest <br /> LOAs(in months): Vesting B-Straight 5% <br /> Total Service: Years: 20 Months(if paid): Percent: 100 % C-Separate Account/Vehicle <br /> 2004 Estimated Liability: 32,000 (overwrite,if necessary) I D-Actual interest,up to 5% <br /> 2005 Estimated Liability: 32,000 <br /> 1980: % 1985: % 1990: % 1995: % 2000: % <br /> 1981: % 1986: % 1991: % 1996: % 2001: % <br /> 1982: % 1987: % 1992: % 1997: % 2002: % <br /> 1983: % 1988: % 1993: % 1998: % 2003: % <br /> 1984: % 1989: % 1994: % 1999: % 2004: %+ <br /> +This rate of return is calculated using the earnings projected on Page 3 of the Schedule. <br /> Enter all information as it pertains to this member. <br /> Benefit Level Are Months of <br /> Member Name: Saxvolld,Nolan at Separation: 1,200 Service Paid? <br /> Vesting: Minimum Years Required: 10 DOB: 11/1/3056 Interest Option in Bylaws at Separation <br /> Deferred Interest(if offered): Calendar Year OR Full Period (Choose one option) A <br /> Service Dates: Entry: 5/23/1981 Separation: 5/23/1998 A-No Interest <br /> LOAs(in months): Vesting B-Straight 5% <br /> Total Service: Years: 17 Months(if paid): Percent: 88 % C-Separate Account/Vehicle <br /> 2004 Estimated Liability: 17,952 (overwrite,if necessary) I D-Actual interest,up to 5% <br /> 2005 Estimated Liability: 17,952 <br /> 1980: % 1985: % 1990: % 1995: % 2000: % <br /> 1981: % 1986: % 1991: % 1996: % 2001: % <br /> 1982: % 1987: % 1992: % 1997: % 2002: % <br /> 1983: % 1988: % 1993: % 1998: % 2003: % <br /> 1984: % 1989: % 1994: % 1999: % 2004: %+ <br /> +This rate of return is calculated using the earnings projected on Page 3 of the Schedule. <br />