Rollover Form

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Rollover Form
1. Type of Rollover Request
Please check the type of rollover you are requesting. Into Bright Start from another 529 Program.
‘ For a new Beneficiary who is a “member of the family” of the current Beneficiary as set forth in the Federal Code

Section 152(a).
✔ ‘ For the same Beneficiary from another non-Illinois 529 Program (permitted only once per 12 months).

‘ Rollover into Bright Start from the redemption of a Qualified U.S. Savings Bond Series EE issued January 1990 or later, or

Series I, or from a Coverdell Education Savings Account. The Beneficiary can be the same or can be a “member of the family” of the current Beneficiary.
‘ Rollover from a Bright Start Account to another 529 Program.

NOTE: If rolling over your full Account balance and your contributions are made via direct deposit or payroll deduction, you must contact your employer to discontinue the contributions.
‘ Rollover into Bright Start from another Illinois 529 Plan

Check this box if you want to transfer all or a portion of assets from another Illinois Section 529 Plan account into a Bright Start Account for the same Beneficiary. This type of transfer is considered a change of investment option. Your request will not be processed if a change in investment has already been made during the calendar year for any account you maintain for this Beneficiary in Bright Start or any other Illinois Section 529 Plan. Once this request is processed, you will not be permitted to change the investment option within the current calendar year for any account you maintain for this Beneficiary in Bright Start or any other Illinois Section 529 Plan. You must have an account with Bright Start.

2. Instructions to Current/Resigning Trustee
1. Description of Your Rollover/Transfer Request (check one and complete additional information as applicable): ✔ ‘ I would like to move funds to a Bright Start Savings Plan from another Section 529 College Savings Program. a. Indicate whether this is an Indirect Rollover or a Direct Rollover request (check one). Your contributions will be allocated as per your Elected Investment Allocation on the Account Application. ‘ Indirect Rollover: I am enclosing a check representing Rollover proceeds from the following: ‘ Section 529 College Savings Program ‘ Coverdell Education Savings Account ‘ Qualified Savings Bonds ✔ ‘ Direct Rollover: I am requesting and instructing Bright Start Savings Plan to act on my behalf to obtain funds directly from the trustee of my current Section 529 College Saving Program Account listed in Section 2. ‘ Full Account Transfer ‘ Partial Account Transfer (enter dollar amount below, or enter percentage of Account here: %) b. Indicate if the Designated Beneficiary is being changed in conjunction with this Rollover or Transfer (check one): ‘ I am changing the Designated Beneficiary (permitted only once per 12 months). ✔ ‘ I am not changing the Designated Beneficiary.


IL0000.306-1-1

2. Instructions to Current/Resigning Trustee (continued)
2. Rollover/Transfer Amount You must indicate the portion of the Rollover or Transfer attributable to contributions (basis) and earnings. Otherwise, your entire Rollover or Transfer is required to be treated as earnings which may be taxable upon withdrawal. $ 10,179.76 Total Amount of Rollover/Transfer $ 10,069.52 Base Contribution or Cost Basis of Rollover/Transfer $ 110.24 Earnings Portion of Rollover/Transfer

3. Transferring Account: Rollover from Information
Owner/Custodian’s Name
John A. Stanley

Beneficiary’s Name
Keira Faye Stanley

Owner/Custodian’s Social Security Number or Tax ID
2
2 5

Account Number
2

-

2

5

-

9

9

8

4

0

0

6

1

1

6

8 4

4. Receiving Account: Rollover to Information
If a Bright Start Account needs to be opened, an Account Application must accompany this request. Leave Account number blank. Owner/Custodian’s Name
John A. Stanley

Beneficiary’s Name
Keira Faye Stanley

Owner/Custodian’s Social Security Number or Tax ID
2
2

Account Number
5

5

-

2

5

-

9

9

8

4

0

0

0

1

6

9

3 0

8

5. Information about Other 529 Programs
Complete only if you are rolling funds from or to another Section 529 Program. Bright Start will contact that Program. Name of Program Utah Educational Savings Plan Program’s Address Program’s Telephone Number

801.321.7188

PO BOX 145100, Salt Lake City, Utah 84114-5100

6. Signature
Many plan administrators require a Signature Guarantee. To prevent delay, contact your current plan administrator to determine if a Signature Guarantee is required I authorize OppenheimerFunds to act on my behalf in contacting the current 529 Plan administrator to facilitate the transfer of assets. I hereby certify that (1) the information provided herein is accurate, (2) the Designated Beneficiary on the Bright Start Savings Plan account is a “member of the family” of the Designated Beneficiary in the current program (as defined in the Program Disclosure Statement), or (3) this Rollover does not change the Beneficiary, and is the only Rollover for the Beneficiary within the past 12 months, and if applicable (4) my contributions listed in Section 3 will have been made within 60 days of the withdrawal from another 529 Plan. I understand that if I fail to provide the required information mentioned in Section 3, the entire amount of the rollover contribution will be treated as earnings that may be taxable upon withdrawal. Signature of Account Owner, Custodian, Trustee, Partner, or Officer Signature of Co-Trustee, Partner, or Officer Date Date

Signature Guarantee—A Signature Guarantee may be obtained from any eligible guarantor institution, as defined by the Securities and Exchange Commission. These institutions include banks, savings associations, credit unions and brokerage firms. The words “SIGNATURE GUARANTEED” must be stamped or typed near the signature(s) being guaranteed. The guarantee must appear with the printed name, title, and signature of an officer and the name of the guarantor institution. A NOTARY PUBLIC STAMP OR SEAL IS NOT ACCEPTABLE. Affix medallion stamp here

Guarantee’s name (if required)

Middle initial

Last name

Title

Signature Guarantee

Date Before you mail, have you: ‘ Completed Bright Start Account Application if you are opening a new account? ‘ Included documents from your current plan administrator, if required? Please make all checks payable to “Bright Start College Savings Plan.”

Note Regarding Federal Income Tax and Gift Tax: A permissible rollover will not be subject to federal income tax, except that such rollover will potentially be subject to gift tax and generation-skipping transfer tax if the new Beneficiary is of a younger generation than the current Beneficiary being replaced. Neither OFI Private Investments Inc. or Oppenheimerfunds Distributor Inc. give tax and/or legal advice. You should consult with your tax and/or legal advisor before requesting a rollover to a new Beneficiary who is of a younger generation than the current Beneficiary. Return this form and new Account Application, if applicable, to Bright Start at the address below: BRIGHT START COLLEGE SAVINGS PROGRAM P.O. BOX 6498 CHICAGO, IL 60680-6498

Bright Start is a registered service mark of the State of Illinois Treasurer’s Office Illinois State Treasurer, Issuer, Trustee and Administrator OFI Private Investments Inc., Program Manager OppenheimerFunds Distributor, Inc., Distributor
IL0000.306.0707 July 23, 2007

BFDS

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