DREW UNIVERSITY
Supplemental Retirement Savings Plan
Salary Reduction Agreement
made between
and Drew University (the Employer), the parties hereto agree as follows:
(the Employee)
BY THIS AGREEMENT,
I, the Employee, agree to reduce my eligible compensation (i.e., my base wages or base salary)
by the following amount:
each pay check
$
Drew agrees to contribute this amount on my behalf to the investment options I have selected
under my 403(b) account.
I further understand that I may change the amount of my wage or salary reduction at any time, as
permitted under the terms of my Employer's 403(b) Plan, by submitting a written notice of
change with my Employer at least 30 days prior to the date that I wish the change to take effect.
I further understand that I may terminate this Agreement at any time by submitting a written
notice of termination with my Employer at least 30 days prior to the date I wish this Agreement
to be terminated.
This Agreement may not require an amount of contribution which will exceed my maximum
exclusion allowance under Internal Revenue Code (Code) Section 403(b), or the limitation on
annual additions under Code Section 415 or other applicable state or federal laws or regulations.
I understand that I am responsible for determining that the amount of the salary reduction listed
above does not exceed permitted contribution limits. I also understand that my Employer will
provide to me upon my request, any available information from the Employer's records that is
necessary to enable me to make these determinations.
Signed this
_ Day of
, 20
_
Employee Signature
Drew University Representative's
Title
Signature
Date
January 2008
G:\TIAA Pension\GRSA Salary Reduction Agreement 2008.doc