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Important Information about Procedures for Opening a New Account
To help the government ght the funding of terrorism and money laundering activities, Federal law requires all nancial institutions,
including us, to obtain, verify and record information that identies each person who opens an Account.
What this means for you: When you open an Account, we will ask for your name, address, date of birth, Social Security Number or
Taxpayer Identication Number and other information that will allow us to identify you, such as your home telephone number. Until you
provide the information we need, we may not be able to open an Account or effect any transactions for you.
If we are unable to verify your identity, we reserve the right to close your Account or take other steps we deem reasonable.
1.
Account Type
Individual Account. I am opening a new Goldman Sachs 529 Plan Account.
UGMA/UTMA Account. I am opening an UGMA/UTMA Account with new funds or assets liquidated from an UGMA/UTMA
Account from the state of (please abbreviate) in which the liquidated UGMA/UTMA custodial Account was opened.
For Investors with a Financial Professional
Type in your information and print out the completed form, or print clearly, preferably in
capital letters and black ink. Mail the form to the mailing address listed. Do not staple.
The minimum initial investment by Check or EBT is $250, unless you are also setting up
a Recurring Contribution, in which case the minimum is lowered to $150.
Before you invest, consider whether your or the beneciary’s home state offers
any state tax or other state benets such as nancial aid, scholarship funds, and
protection from creditors that are only available for investments in that state’s
qualied tuition program. Before completing this form, carefully read the Plan
Description and Account Owner Agreement.
To request assistance in completing this form call us at 1.888.462.6209, Monday
through Friday from 7:30 a.m. - 5:00 p.m. CT.
Goldman Sachs 529 Plan
Account Application
Goldman Sachs Asset Management
1.888.462.6209
Monday to Friday 7:30 a.m. - 5:00 p.m. CT
www.GSAM.com/529Plan
Regular mailing address:
Goldman Sachs 529 Plan
PO Box 219947
Kansas City, MO 64121-9947
Overnight mailing address:
Goldman Sachs 529 Plan
1001 E 101st Terrace, Suite 200
Kansas City, MO 64131
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2.
Account Owner or Custodian Information (The Account Owner is the person who owns the account and the Custodian of
an UGMA/UTMA is the person who manages the account. This person must be at least 18 years old at the time the Account is opened
and a contribution is made.)
Legal Name (First name) (Required) (M.I.)
Legal Name (Last name) (Required)
Social Security or Taxpayer Identication Number (Required) Birth Date (mm-dd-yyyy) (Required)
Primary Telephone Number Secondary Telephone Number
Mobile Landline Mobile Landline
Email Address
U.S. Permanent Street Address (P.O. boxes are not acceptable.) (Required)
City State Zip Code
Account Mailing Address if different from above (This address will be used as the Account’s address of record for all account mailings.)
City State Zip Code
3.
Beneciary Information (The Beneciary is the person for whom the funds are intended.)
Legal Name (First name) (Required) (M.I.)
Legal Name (Last name) (Required)
Social Security or Taxpayer Identication Number (Required) Birth Date (mm-dd-yyyy) (Required)
Check if Beneciary’s address is the same as Account Owner’s, otherwise complete the following:
U.S. Permanent Street Address (P.O. boxes are not acceptable.) (Required)
City State Zip Code
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4.
Successor Account Owner Information (Recommended)
Note: A Successor Account Owner cannot be added to an UTMA/UGMA account.
The Successor Account Owner is the person designated to assume Account ownership in the event of the Account Owner’s death.
You may revoke or change the Successor Account Owner at any time. See the Plan Description for more information.
Legal Name (First name)/or Trust Name (M.I.)
Legal Name (Last name)/or Remaining Trust Name
Birth Date or Trust Date (mm-dd-yyyy) (Required)
5.
Interested Party Information (Optional)
Complete this section if you want to have an additional person (interested party) receive quarterly account statements.
Interested Party (First name) (M.I.)
Interested Party (Last name)
Mailing Address
City State Zip Code
Telephone Number
Relationship to Account Owner
Compliance Investment Advisor Parent/Guardian Other
6.
Trusted Contact Person Information (Optional)
By completing this section, you designate the person identied below as your Trusted Contact Person for all of your beneciaries, and
authorize the Goldman Sachs 529 Plan and its present and future direct and indirect subsidiaries, afliates and successors to contact your
Trusted Contact Person and disclose information about your Plan Accounts:
- to address possible nancial exploitation;
- to conrm the specics of your current contact information, health status, or the identity of any legal guardian, executor, trustee, or
holder of a power of attorney; or
- as otherwise permitted by Financial Industry Regulatory Authority Rule (FINRA) 2165.
This section does not create or give your Trusted Contact Person power of attorney. Your Trusted Contact Person will not be able to access your
Account, make changes to your account, or transfer assets to or from your Account.
Completion of this section is optional and you may withdraw it at any time by notifying the Plan in writing. A Trusted Contact Person
must be at least eighteen (18) years of age.
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Trusted Contact Person (First name) (M.I.)
Trusted Contact Person (Last name)
Trusted Contact Person’s Primary Telephone Number
Trusted Contact Person’s Email Address
Trusted Contact Person’s Mailing Address
City State Zip Code
Relationship to Account Owner.
Advisor Attorney Spouse Family Member Friend Other
7.
Financial Professional (To be completed by the Financial Professional.)
Firm Name
Financial Professional Name (First name) (M.I.)
Financial Professional Name (Last name)
Branch Number (if applicable) Financial Professional ID Number BIN (if applicable) Matrix Level
Street Address
City State Zip Code
Telephone Number
Email Address
Authority to Financial Professional By signing below, I certify that I am the Financial Professional to the Account Owner named in
Section 2 above and that the information provided in this Section 7 is true and correct and that Ascensus College Savings Recordkeeping
Services, LLC. and its afliates may rely on it in administering this Account for so long as the Financial Professional’s rm maintains a
Selling Dealer Agreement with Goldman Sachs & Co. LLC with regard to the Goldman Sachs 529 Plan. I understand that my authority to
access the Account and perform transactions may be terminated at the discretion of the Plan or its representatives.
SIGNATURE
Financial Professional Signature Date (mm-dd-yyyy)
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8.
Sales Charge Waiver (Optional)
To qualify for a sales charge reduction, you must complete the following section.
Check one or check all that apply.
A. Letter of Intent. I intend to buy more Class A Units and understand that I can reduce my sales charges through accumulated
investments. I plan to invest over a 13-month period following the date of this application an aggregate amount of at least:
$250,000
B. Rights of Accumulation (“ROA”). Check this box if a family member owns units in the Goldman Sachs 529 Plan to be applied
for the reduced sales charge. ROA applies to Account Owners and immediate family members with combined holdings that
reach a breakpoint discount level in Class A Units. Please see the Plan Description for additional information.
Legal Name of Family Member (First name) (M.I.)
Legal Name of Family Member (Last name)
Account Number
Legal Name of Family Member (First name) (M.I.)
Legal Name of Family Member (Last name)
Account Number
C. I am eligible for a sales charge waiver under the terms of the Plan Description and Participation Agreement. I am eligible
because I am related to:
Legal Name (First name) (M.I.)
Legal Name (Last name)
Qualifying Employer’s Name
Relationship
Self Spouse Domestic Partner Child
Parent Grandparent Grandchild Dependent of the Person
Sibling Stepchild Father- or Mother-in-law Ofcer, Director, or Trustee
D. Employer Group. To qualify for a reduced Class A sales charge as an eligible member of an Employer Group, your Employer
Group must be eligible for this program pursuant to the eligibility requirements set out in the Plan Description. Please provide
your Employer Group name and number below.
Employer Group Name
Employer Group Number
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9.
Investment Portfolio Selection (Required)
Complete this section to allocate your initial and future contributions to your selected Investment Option(s).
Indicate an allocation percentage next to your selected Investment Option(s) below.
Use a whole percentage next to each Investment Option below. The TOTAL of all allocations must equal 100%.
You may invest in as many Investment Options as you wish from the list below.
You can view or change your allocation instructions for future contributions online, by telephone or by form at any time.
Please select only one Unit Class (Required).
Class A Class C Class I
Year of Enrollment Portfolio Options:
GS 529 Currently Enrolled Portfolio
%
GS 529 2023-2024 Portfolio
%
GS 529 2025-2026 Portfolio
%
GS 529 2027-2028 Portfolio
%
GS 529 2029-2030 Portfolio
%
GS 529 2031-2032 Portfolio
%
GS 529 2033-2034 Portfolio
%
GS 529 2035-2036 Portfolio
%
GS 529 2037-2038 Portfolio
%
GS 529 2039-2040 Portfolio
%
GS 529 2041-2042 Portfolio
%
Target Risk Portfolio Options:
GS 529 20 Eq/80 FI Portfolio
%
GS 529 40 Eq/60 FI Portfolio
%
GS 529 60 Eq/40 FI Portfolio
%
GS 529 80 Eq/20 FI Portfolio
%
GS 529 90 Eq/10 FI Portfolio
%
Individual Fund Portfolio Options:
GS 529 Capital Preservation Portfolio
%
GS 529 Core Fixed Income Portfolio
%
GS 529 Ination Protected Securities Portfolio
%
GS 529 High Yield Portfolio
%
GS 529 S&P 500 Index Portfolio
%
GS 529 ActiveBeta US Large Cap Equity Portfolio
%
GS 529 Large Cap Value Portfolio
%
GS 529 Large Cap Growth Portfolio
%
GS 529 ActiveBeta Small Cap Core Portfolio
%
GS 529 Global Equity Portfolio
%
GS 529 GS/GQG International Equity Portfolio
%
GS 529 ActiveBeta International Equity Portfolio
%
GS 529 Real Estate Securities Portfolio
%
GS 529 Technology Opportunities Portfolio
%
GS 529 Future Planet Equity Portfolio
%
Total
%
001
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10.
Contribution Method (Your minimum initial contribution must be at least $250 per account, unless you are also setting up a
Recurring Contribution, in which case the minimum is lowered to $150.)
Your initial contribution can come from several sources combined but you must check at least one source. If you combine sources,
check the appropriate box for each source and write in the contribution amount for each.
Contributions by any source will not be available for withdrawal for 5 Business Days upon deposit to your account.
Third-party personal checks up to $10,000 endorsed over to the Plan are accepted.
Source of funds (Complete all that apply.)
A. Check: Make check payable to Goldman Sachs 529 Plan.
Include your check with this Account Application. Personal checks (excluding starter checks), bank drafts, teller’s checks, cashier’s
checks, checks issued by a nancial institution or brokerage rm payable to you and endorsed over to the Plan by you, and third-
party personal checks up to $10,000 endorsed over to the Plan are accepted.
$
, .
Amount
B. Rollover from another 529 plan or Coverdell Education Savings Account to an Goldman Sachs 529 Plan Account:
To roll over proceeds directly from another 529 plan, submit the Plan’s Incoming Rollover Form along with this application.
C. Transfer from an existing Goldman Sachs 529 Plan Account: Complete this section if you are transferring assets from an
existing account. You will also need to complete a Transfer Form.
Account Number
D. Indirect Rollover: A check is included from another 529 plan, Coverdell Education Savings Account, or Qualied U.S. Savings Bond
that was redeemed within the last 60 days. You must provide an account statement from your former account or IRS form 1099-INT
or 1099-Q showing the contribution and earnings portion of the redemption.
$
, .
$
, .
$
, .
Amount of Rollover Principal (Basis) Earnings
E. Payroll Direct Deposit. You can establish or change Payroll Direct Deposit by logging into your account at
www.GSAM.com/529Plan. If you want to make contributions to your Goldman Sachs 529 Plan Account directly as a
Payroll Direct Deposit, you must contact your employer’s payroll office to verify that you can participate. Payroll Direct
Deposit contributions will not be made to your Goldman Sachs 529 Plan Account until you have received a Payroll Direct
Deposit Confirmation Form from the Goldman Sachs 529 Plan. Once this is received please enter this information on your
employer self-service portal (if available) or provide your signature and Social Security or tax payer identification number on
this form and submit to your employer’s payroll office. The amount you indicate below will be in addition to Payroll Direct
Deposits that you may have previously established for other Goldman Sachs 529 Plan Accounts.
Amount of Payroll Direct Deposit each pay period:
00
$
, .
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F. Recurring Contribution: You can have a set amount automatically transferred from your bank, savings and loan, or credit
union account monthly or quarterly. Money will be transferred electronically based on the frequency you select into your
Goldman Sachs 529 Plan Account. You may change the investment amount and frequency at any time by logging onto your
Account at www.GSAM.com/529Plan or by calling 1.888.462.6209. To add Recurring Contribution instructions or multiple
bank accounts, attach a separate sheet with the information requested in Sections 10F and 11 for each additional Recurring
Contribution instruction or bank account
Important: To set up this option, you must provide bank information in Section 11.
Amount of Debit: $25 $50 $100 $150 $250 Other
00
$
, .
Amount ($25 minimum)
Frequency (Select one.): Monthly Quarterly (Every three months.)
Start Date:*
Date (mm-dd-yyyy)
* Goldman Sachs 529 Plan must receive instructions at least 3 Business Days prior to the next scheduled Recurring Contribution;
otherwise, debits from your bank account will begin the following month on the day specied. Please review your quarterly
statements for details of these transactions. If the date is not specied, this option will begin the month following the receipt of
this request, on the 15th day of the month.
Annual Increase. You may increase your Recurring Contribution automatically on an annual basis. Your contribution will be
adjusted each year in the month that you specify by the amount indicated.
Amount of increase:
00
$
, .
Month**: January February March April May June
July August September October November December
** The month in which your Recurring Contributions will be increased. The rst increase will happen at the rst occurrence of the
month selected.
G. Electronic Fund Transfer (EFT): Through EFT, you can make contributions online or by phone whenever you want by transferring
money from your bank account. We will keep your bank instructions on le for future EFT contributions. To set up an EFT, you must
provide bank information in Section 11. The Plan may place a limit on the total dollar amount per day you may contribute to an
Account by EFT. (The amount below will be a one-time EFT contribution to open your Account.)
$
, .
Amount
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11.
Bank Information (Required to establish the Recurring Contribution or EFT service.)
Note: The routing number is usually located in the bottom left corner of your checks. You can also ask your bank for the routing number.
Important: I acknowledge that my bank or nancial institution is located in the U.S. and/or adheres to U.S. banking regulations.
Bank Name
Account Type
Bank Routing Number Bank Account Number (Check One.) Checking Savings
If applicable, authorization from a joint bank account owner is required to add bank instructions on the account.
Bank Account Owner (First name) (M.I.)
Bank Account Owner (Last name)
SIGNATURE
Signature of Bank Account Owner Date (mm-dd-yyyy)
Joint Bank Account Owner (First name) (M.I.)
Joint Bank Account Owner (Last name)
SIGNATURE
Signature of Joint Bank Account Owner Date (mm-dd-yyyy)
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12.
Signature—YOU MUST SIGN BELOW
By signing below, I hereby apply for an Account in the Goldman Sachs 529 Plan. I certify that:
I have received, read, and understand the terms and conditions of the Plan Description. I understand that by signing this Account
Application, I am agreeing to be bound by the terms and conditions of the Plan Description and the Account Owner Agreement. I
understand that the Account Application shall be construed, governed by, and interpreted in accordance with the laws of the State
of Arizona.
Except as set forth below, I understand that the Plan Description, Account Owner Agreement and Account Application constitute
the entire agreement between myself and the Trustee (as dened in the Plan Description). No person is authorized to make an oral
modication to this agreement.
I understand that my Account in the Goldman Sachs 529 Plan is not insured by the State of Arizona the Federal Deposit Insurance
Corporation (FDIC) or any other governmental entity and neither the principal I contribute nor the investment return is guaranteed
by the State of Arizona,the Ofce of the Arizona State Treasurer, the Arizona State Board of Investment, or any other governmental
entity, the Trust, the Program Manager, the Investment Managers, or any of their afliates (each, as dened in the Plan Description).
I understand that there is no assurance that my Account in the Goldman Sachs 529 Plan will generate any specic rate of return; in
fact, there is no assurance that the Account will not decrease in value.
If I have chosen the recurring contribution or EFT option, I authorize the Program Manager, upon telephone or online request, to pay
amounts representing redemptions made by me or to secure payment of amounts invested by me, by initiating credit or debit entries
to my account at the bank named in Section 11. I authorize the bank to accept any such credits or debits to my account without
responsibility for their accuracy. I further agree that the Plan Ofcials (as dened in the Plan Description will not incur any loss,
liability, cost, or expense for acting upon my telephone or online request. I understand that this authorization may be terminated by
me at any time by notifying the Goldman Sachs 529 Plan and the bank by telephone or in writing, and that the termination request
will be effective as soon as the Goldman Sachs 529 Plan and the bank have had a reasonable amount of time to act upon it. I certify
that I have authority to transact on the bank account identied by me in Section 11.
I understand that contributions that cause the total balance of this Account and any other Accounts established in the Goldman
Sachs 529 Plan and in any other Qualied Tuition Program offered by the State of Arizona on behalf of the Beneciary designated
in Section 3 of this Account Application to exceed the Maximum Contribution Limit established by the Arizona State Board of
Investment are not permitted. I understand that if a contribution is made to my Account that exceeds the Maximum Contribution
Limit, all or a portion of the contribution amount will be rejected or returned to me or the contributor, as applicable.
I understand that by signing the Account Application, I authorize Ascensus College Savings Recordkeeping Services, LLC to provide
my Financial Professional with access to my Account and perform transactions on my behalf. I agree to hold harmless the Plan
Ofcials (as dened in the Plan Description), from any losses I incur as a result of the acts or omissions of my Financial Professional.
I understand that my Financial Professional’s authority to access my Account and perform transactions may be terminated at the
discretion of the Plan or its representatives.
I certify that all of the information that I provide on this Account Application is accurate and complete and that I am bound by the
terms, rights, and responsibilities stated in this agreement and by any and all statutory, administrative, and operating procedures that
govern the Goldman Sachs 529 Plan.
If the Account is funded with UGMA/UTMA assets, I certify that I am of legal age in my state of residence, I am the parent/guardian/
custodian of the Account, and that I am authorized to open the Account, and I am not aware of any adverse claim of ownership or
court order relating to this Account, and I agree to hold harmless the Plan Ofcials from any third party claims relating to my actions.
SIGNATURE
Signature of Account Owner Date (mm-dd-yyyy)
I will retain a copy of this Account Application, the Plan Description and the Account Owner Agreement (contained in the
Plan Description) with my records.
FAP-529ACA-1022D