Legacy Investment Rollover Election

Legacy Investment Rollover Election

Please complete the form with election selection, so that an investor contract with roll over election can be sent and finalized. Note, the last election option (election not to rollover will not result in a new investor contract).

Please return this election form no later than May 21st so that a new contract can issued and fully executed by March 31st. No response to this election form by May 21st will result in automatic election of last election option (election to not rollover-no change in investor contract).

Name
Name
First Name
Last Name
Election Options