Change of Beneficiary
Designation
Forms and Instructions
For Changing the Designated Beneficiaries for Your OppenheimerFunds
Traditional IRA, Roth IRA, SEP IRA, SARSEP IRA, SIMPLE IRA or
403(b)(7) Accounts
Not FDIC Insured
May Lose Value
Not Bank Guaranteed
CONTENTS
1Your Beneficiary
Designation Options
3Change of Beneficiary Form
7Distribution Options Based
on Beneficiary Designation
9 Frequently Asked Questions
10Checklist
One of the most important things to be aware of when it comes
to estate planning is the need to name beneficiaries on your
retirement plan accounts. Designating beneficiaries gives you
control of who will receive your assets after your death. It also
helps transition your assets with fewer delays and less cost.
Enclosed is the OppenheimerFunds’ Change of Beneficiary
Form, as well as information regarding your beneficiary
designations and their distribution options. Once we receive
your completed form, your beneficiary designations will be
updated. You can then view and make additional changes to
your designations on our website at oppenheimerfunds.com.
Questions?
Call us at 800 835 7305
The Right Way to Invest
Your Beneficiary Designation Options
The beneficiary designations provided on this form
will supersede any other instructions—including
those you have in your will. You may want to consult
with an estate attorney. Also, please be sure to
complete the entire form, even if you are changing
only a part of your beneficiary designation.
You may update your beneficiaries or your special
beneficiary options at any time. However, your
designations are irrevocable upon your death. It’s a
good idea to review your designations periodically,
especially when a major event occurs, such as the
birth of a child/grandchild, a marriage or a divorce.
What are my beneficiary designation
options?
You can choose from among the designations below.
On the form, indicate the percentage of assets you
want to allocate for each beneficiary, ensuring the
total equals 100% in both the primary designation
section and the contingent designation section.
What is the difference between a primary
beneficiary and a contingent beneficiary?
A primary beneficiary is the first designation to inherit
the proceeds of your account in the event of your
death. You may name more than one primary beneficiary. If one primary beneficiary dies before you, that
beneficiary’s share will be divided equally among
the surviving primary beneficiaries. If none of your
primary beneficiaries survive you, then your assets
will go to any listed contingent beneficiary(ies). You
may name more than one contingent beneficiary.
What are the responsibilities of your
beneficiaries?
Upon your death, your beneficiaries will need to
supply specific information and documentation to
OppenheimerFunds prior to us distributing your
assets. You should discuss your designations
with your beneficiaries and inform them of
this responsibility.
Beneficiary designations include:
• Individually Named Beneficiary(ies)
•Spouse
•Non-spouse individual
•Organization/Charity
• Special Beneficiary Option: Per Capita/Per Stirpes
(DO NOT list children’s names when selecting
this option.)
•
Special Beneficiary Option: Trust or Estate
(If naming your trust as your beneficiary, DO NOT
write in the trustee(s) name(s) on the form, only the
name of your trust.)
1
OppenheimerFunds
®
Special Beneficiary Options: Per Capita/Per Stirpes
You may designate how your account is distributed to your children and grandchildren as beneficiaries using a
Per Capita (“by the head”) or Per Stirpes (“by the branch”) designation. The executor/executrix of your estate
is responsible for negotiation under these designations.
Should any of your children predecease you, your assets would be distributed based on the option you select.
Per Capita (by the head)
All surviving children get an
equal share of the account.
There is no representation,
which means grandchildren will
not receive a share so long as
any children are still living.
Per Capita
at Each Generation
All beneficiaries within the
same generation get an equal
share of the account.
Per Stirpes (by the branch)/
Per Capita with
Representation
All surviving children receive
an equal share of the account
and, if a child predeceases
you, his or her children would
take (or equally divide) their
parent’s share.
PARENT
If you are survived by all of
your children, your account
will be divided among them
equally.
GRANDCHILDREN CHILDREN You
$100,000
Hans
Pam
Walt
$33,333 $33,333 $33,333
(1/3) (1/3)
(1/3)
Jan
$0
Hans
$100,000
(100%)
Pete Tina
$0
$0
Note:
2
You
$100,000
You
$100,000
or
Pam
Walt
$0$0
Jan
Pete Tina
$0 $0$0
= deceased
Hans
$ 33,333
(1/3)
PamWalt
$0$0
Jan Pete Tina
$22,222$22,222 $22,222
(2/9) (2/9) (2/9)
You
$100,000
Hans
$33,333
(1/3)
PamWalt
$0$0
Jan Pete Tina
$33,333 $16,666 $16,666
(1/3) (1/6) (1/6)
Change of Beneficiary Form
Traditional IRA, Roth IRA, SEP IRA, SARSEP IRA, SIMPLE IRA and 403(b)(7)
Instructions
To be effective, the designation must be received by OppenheimerFunds Services, as agent of the IRA Trustee/403(b)(7) Custodian.
Once received, the designation replaces any prior beneficiary designation for your account(s).
You may also designate or change your beneficiary designations online at oppenheimerfunds.com. However, if you wish to select a
“Special Beneficiary Option,” see Section 3 (B or C) or 4 (B or C). You will need to submit your designation on this form.
If you are signing as a fiduciary (attorney-in-fact, guardian, conservator), on behalf of the shareholder, your signature must be
guaranteed. If you are signing as the attorney-in-fact, a copy of the Power of Attorney document (POA), and a Durable 30-Day
Affidavit (available from OppenheimerFunds), are also required stating the shareholder is alive and the POA is in full force and effect.
Complete and return pages 1–4 of this form to:
OppenheimerFunds Distributor, Inc.
P.O. Box 5390
Denver, CO 80217-5390
Fax: 303 768 1500
If you have any questions or need assistance, please call
800 CALL OPP (225 5677) (toll free). We’ll be glad to help you.
Please print clearly in all CAPITAL LETTERS using black ink. Color in circles completely. For example:
not
x not ✓
1| Account owner information
*Asterisked fields are required.
 Update address with  residential or  mailing address information listed below.
 Update phone number with information listed below.
*First name
*Middle initial
*Last name
Mr.
Mrs.
Ms.
(
)
Home phone number
Social Security number
(
)
*Residential street address (P.O. Boxes not accepted, APO/FPO address accepted)
Daytime phone number
City
Zip
State
*Mailing address (if different from above)
City
State
Contact (select one):  Me  My Advisor  Either (
Email address
Zip
)
Daytime phone number
RE0000.007.0816 Page 1 of 4
2| Type of account
Designate beneficiaries in these retirement plan types ONLY (check all that apply). If you want different beneficiary designations on
different retirement plan types, please complete a separate form for each retirement plan type.
 Traditional/Rollover IRA
 Roth IRA
 SEP IRA
 SIMPLE IRA
 Inherited IRA  Inherited Roth IRA  Inherited SEP IRA1
 Inherited SARSEP IRA1
 Inherited SIMPLE IRA1
 403(b)(7)
 Inherited 403(b)(7)1
1
 SARSEP IRA
1
1. Estates, trusts or charities that inherit IRAs or 403(b)(7)s cannot designate beneficiaries.
3| Beneficiary designations—Primary Beneficiary
Please Note
Primary Beneficiary
If you need any further information
or assistance, call 800 835 7305.
I hereby elect the following as my primary election for beneficiary(ies). The designation replaces any prior
beneficiary(ies) designation that I have made.
Per capita—all surviving children
get an equal share of the account.
According to this method, there is
no representation, so grandchildren
will not receive a share if any
children are still living.
Per stirpes/per capita with
representation—all surviving
children receive an equal share
of the account and if a child
predeceases the account owner,
any grandchildren by that child
would take their parent’s share.
For example, if an account owner
has three children, the child who
is still living receives one-third
of the account; a second child
predeceases the account owner
but has one son, so that grandchild
receives one-third of the account
(his parent’s entire share), and the
third child predeceases the account
owner but has two children, so those
grandchildren each receive onesixth of the account (since they had
to split their parent’s share).
Per capita at each generation—
all beneficiaries of the same
generation always get an equal
share of the account. Considering
the example above, according
to this method the first child
still receives one-third of the
account, however, unlike above,
the remaining two-thirds of the
account is split evenly by all the
grandchildren, because they are
the same generation. This means
they would each receive one-third
of the remaining two-thirds of the
account (that is, each of the three
grandchildren would receive twoninths of the account).
NOTE: Do not list children’s names if
indicating a per stirpes or per capita
designation.
RE0000.007.0816 Page 2 of 4
Please complete A, B or C below (choose only one). If you are not naming your spouse as sole
beneficiary and you live in a Community Property State, also complete Section 5: Spousal Consent—
Community property states only.
A.Individually Named Beneficiary(ies)
Allocations must be in whole percentages and must equal 100%. Assets will be divided equally among
designated beneficiaries if allocation percentages are not provided. If you need additional space, please
photocopy this page, fill it out and include with the other pages of this form.
Name Provide the full legal name of person, or organization (include suffixes, if applicable) j Jr. j Sr. Social Security/Tax ID number
Relationship:
 Spouse  Non-Spouse  Organization/Charity j Other _______________
Date of birth (mm/dd/yyyy)
Allocated percent: ____________%
Name Provide the full legal name of person, or organization (include suffixes, if applicable) j Jr. j Sr. Social Security/Tax ID number
Relationship:
 Spouse  Non-Spouse  Organization/Charity j Other ________________
Date of birth (mm/dd/yyyy)
Allocated percent: ____________%
B.Special Beneficiary Option: Per Capita/Per Stirpes
Select only one of the options below.
• Do not complete Contingent Beneficiary section below.
• DO NOT list children’s names above when selecting one of these Special Beneficiary Options.
OppenheimerFunds will rely on the Special Beneficiary Option selected and will require the executor
of the estate to provide the name(s) of the beneficiary(ies) upon a requested transfer of assets. Any
names listed above will be disregarded.
100%: I designate that my account(s) be distributed to my children per capita.
100%: I designate that my account(s) be distributed to my children per stirpes/per capita with representation.
100%: I designate that my account(s) be distributed to my children per capita at each generation.
C. Special Beneficiary Option: Trust or Estate
 ____________%: I designate that my account(s) be distributed to my trust.
Trust Title: _________________________________________________________
Under Agreement (U/A) Date: ____ /____ /______ OR Under Will (U/W) Date: ____ /____ /______
 ____________%: I designate that my account(s) be distributed to my estate.
4| Beneficiary designations—Contingent Beneficiary
Contingent Beneficiary
I hereby elect the following as my contingent election for beneficiary(ies). The designation replaces any prior
beneficiary(ies) designation that I have made.
Please complete A, B or C below (choose only one). If you designated a Special Beneficiary Option:
Per Stirpes/Per Capita or Trust or Estate as your primary beneficiary, please do not fill out this section.
A.Individually Named Beneficiary(ies)
Allocations must be in whole percentages and must equal 100%. Assets will be divided equally among
designated beneficiaries if allocation percentages are not provided. If you need additional space, please
photocopy this page, fill it out and include with the other pages of this form.
Name Provide the full legal name of person, or organization (include suffixes, if applicable) j Jr. j Sr. Social Security/Tax ID number
Relationship:
j Other _____________
Date of birth (mm/dd/yyyy)
 Spouse  Non-Spouse  Organization/Charity Allocated percent: ____________%
Name Provide the full legal name of person, or organization (include suffixes, if applicable) j Jr. j Sr. j Other _____________
Social Security/Tax ID number
Relationship:
 Spouse  Non-Spouse  Organization/Charity Date of birth (mm/dd/yyyy)
Allocated percent: ____________%
B.Special Beneficiary Option: Per Capita/Per Stirpes
NOTE: Do not list children’s
names if indicating a per stirpes
or per capita designation.
Select only one of the options below.
• DO NOT list children’s names above when selecting one of these Special Beneficiary Options.
OppenheimerFunds will rely on the Special Beneficiary Option selected and will require the executor
of the estate to provide the name(s) of the beneficiary(ies) upon a requested transfer of assets.
Any names listed above will be disregarded.
100%: I designate that my account(s) be distributed to my children per capita.
100%: I designate that my account(s) be distributed to my children per stirpes/per capita with representation.
100%: I designate that my account(s) be distributed to my children per capita at each generation.
C. Special Beneficiary Option: Trust or Estate
 ____________%: I designate that my account(s) be distributed to my trust.
Trust Title: _________________________________________________________
Under Agreement (U/A) Date: ____ /____ /______ OR Under Will (U/W) Date: ____ /____ /______
 ____________%: I designate that my account(s) be distributed to my estate.
RE0000.007.0816 Page 3 of 4
5| Spousal consent—Community property states only
If this section is left blank,
OppenheimerFunds will default
to “Not Presently Married.”
 Not Presently Married
I hereby consent to the designation of the beneficiary(ies) previously stated. Married residents of AZ, CA,
ID, LA, NV, NM, TX, WA and WI must sign below if the shareholder’s spouse is not designated as the sole
primary beneficiary.
X
Spouse’s signatureDate
6| Spousal consent—ERISA 403(b)(7) plans only
If you work for a non-profit,
hospital or other 501(c)(3)
organization, your plan may be
subject to ERISA. If your plan is
subject to ERISA, and you are
married but have not designated
your spouse as your sole primary
beneficiary, your spouse must
complete this section and have
their signature notarized. Check
with your employer about the
plan’s ERISA status.
 Not Presently Married. Proceed to Section 7.
I certify I have read this designation of beneficiary form and voluntarily and irrevocably consent to the
designation of beneficiary. I understand I am not designated as the participant’s sole primary beneficiary.
I understand that if I were to decline to sign this consent, as the participant’s surviving spouse, I would be
entitled to 100% of any beneficial account at the time of the participant’s death.
Spouses’ first name
Middle initial
Spouse’s last name
X
Spouse’s signature
This section must be completed
by a Notary Public.
Date
Acknowledgement
State of ________________________________________
County of _______________________________________
On this ________ day of ______________, ________________, appeared before me in person, the person whose
signature appears above, the spouse of the participant, to me personally known to be the person who
executed the above foregoing consent and acknowledged to me that (s)he executed the same as his or her
own free act and deed and for the purpose therein stated.
Notary Public’s signature (seal)
Commission expires (month/day/year)
7| Signature
If you are the attorney-in-fact,
guardian or conservator signing
for the shareholder, your signature
must be Signature Guaranteed. If
you are signing as attorney-in-fact
you must also provide a photocopy
of the POA document and a 30-day
affidavit stating the shareholder
is alive and the POA is in full force
and effect.
I hereby designate my beneficiary(ies) under my OppenheimerFunds IRA and/or 403(b)(7), in accordance
with the OppenheimerFunds IRA Trust Agreement, OppenheimerFunds SIMPLE IRA Trust Agreement, and/
or OppenheimerFunds 403(b)(7) Custodial Agreement. This designation supersedes any prior beneficiary
designations that I have made. I understand that if my designation indicates a class of individuals, it shall be the
sole responsibility of my estate to determine the individual beneficiaries entitled to benefit from the balance of
my account.
X
Signature
RE0000.007.0816 September 19, 2016
Page 4 of 4
Date
The Right Way to Invest
Distribution Options Based on
Beneficiary Designation
Different beneficiary designations bring with them
different options for distributing the assets from your
account. The descriptions below outline these options.
Please consult your advisor for further details.
Spousal Beneficiary
If your spouse is your sole beneficiary, he or she has
the following distribution options:
• Distribute the assets by placing the assets into his/
her own retirement plan account (often referred to
as “roll-to-control”).
• 403(b)(7) Custodial Accounts If you are married
and own a 403(b)(7) custodial account and your
employer’s plan is governed by the Employee
Retirement Income Security Act of 1974 (ERISA),
your spouse may have special rights as your
beneficiary. For more information, check with
your employer.
NOTE: Spousal beneficiaries of 403(b) accounts may
not move the assets to a Beneficial IRA. They must
remain in a Beneficial 403(b) or roll the assets to their
own retirement account.
• Distribute the assets in a lump sum.
Non-Spousal Beneficiary
• Distribute the assets from a beneficial account
(Includes special beneficiary designation options:
per capita/per stirpes.)
using the 5-Year Rule (option available only if your
death occurs before your required beginning date
(RBD) has been reached).
•
Your RBD is the date by which you must begin
receiving required minimum distributions.
•
For all IRAs (Traditional IRAs, SEP IRAs,
SARSEP IRAs and SIMPLE IRAs), this date is
April 1 of the year following the calendar year
you reach age 70½.
•
For 403(b)s, this date is the later of:
•
April 1 of the year following the calendar
A non-spouse beneficiary has the following
distribution options:
• Distribute the assets in a lump sum.
• Distribute the assets from a beneficial account
using the 5-Year Rule (option available only if your
death occurs before your required beginning date
(RBD) has been reached).
•
Your RBD is the date by which you must begin
receiving required minimum distributions.
year you reach age 70½,
OR
•
April 1 of the year following the calendar
year you retire.
•
For all IRAs (Traditional IRAs, SEP IRAs,
• Distribute the assets from a beneficial account
•
For 403(b)s, this date is the later of:
•
April 1 of the year following the calendar year
using the Life Expectancy distribution method
based on the spousal beneficiary’s age.
Distributions must begin by December 31 of the
year following the year of your death. The life
expectancy divisor will be determined in each
subsequent year.
• Defer distributing the assets from a beneficial
account using the Life Expectancy distribution
method based on the spousal beneficiary’s age
no later than December 31 of the year you would
have reached age 70½ (option available only if your
death occurs before your RBD has been reached).
• Community Property Assets accumulated during
marriage in community property states might not
be inherited by non-spouse beneficiaries. Please
consult with your estate attorney for guidance on
community property rights.
SARSEP IRAs and SIMPLE IRAs), this date is
April 1 of the year following the calendar year
you reach age 70½.
you reach age 70½,
OR
•
April 1 of the year following the calendar year
you retire.
• Distribute the assets from a beneficial account
using the Life Expectancy distribution method
based on the non-spousal beneficiary’s age.
Distributions must begin by December 31 of the
year following the year of your death. The life
expectancy divisor will be reduced by one in each
subsequent year.
• 403(b) Non-Spousal Option Only: Distribute
the assets by placing the assets into a Beneficial
IRA or by doing a direct conversion to a Beneficial
Roth IRA.
7
OppenheimerFunds
Trust Beneficiary
Organization/Charity/Estate Beneficiary
If a trust is designated as your beneficiary it must be
valid under your state’s law and either be irrevocable
from the beginning or become irrevocable, by its
terms, no later than at your death. Please consult with
your estate attorney for guidance on trusts.
An organization, charity or estate as beneficiary has
the following distribution options:
When designating a trust as your beneficiary, it
is important to name only the trust and not the
trustee(s). Your trust beneficiary has the following
distribution options:
• Distribute the assets in a lump sum.
• Distribute the assets from a beneficial account
using the 5-Year Rule (option available only if your
death occurs before your required beginning date
(RBD) has been reached).
•
Your RBD is the date by which you must begin
receiving required minimum distributions.
•
For all IRAs (Traditional IRAs, SEP IRAs,
SARSEP IRAs and SIMPLE IRAs), this date is
April 1 of the year following the calendar year
you reach age 70½.
•
For 403(b)s, this date is the later of:
•
April 1 of the year following the calendar year
you reach age 70½,
OR
•
April 1 of the year following the calendar year
you retire.
• Distribute the assets from a beneficial account
using the Life Expectancy distribution method
based on the spousal beneficiary’s age.
Distributions must begin by December 31 of the
year following the year of your death. The life
expectancy divisor will be determined in each
subsequent year.
• 403(b) Trust Option Only: The Trustee(s) of your
trust may elect to move your 403(b)(7) assets into
a Beneficial IRA and then begin distribution of
the assets.
8
®
• Distribute the assets in a lump sum.
• Distribute the assets from a beneficial account
using the 5-Year Rule (option available only if your
death occurs before your required beginning date
(RBD) has been reached).
•
Your RBD is the date by which you must begin
receiving required minimum distributions.
•
For all IRAs (Traditional IRAs, SEP IRAs,
SARSEP IRAs and SIMPLE IRAs), this date is
April 1 of the year following the calendar year
you reach age 70½.
•
For 403(b)s, this date is the later of:
•
April 1 of the year following the calendar year
you reach age 70½,
OR
•
April 1 of the year following the calendar year
you retire.
•Distribute the assets from a beneficial account
using the Life Expectancy distribution method
based on your age in the year of death.
Distributions must begin by December 31 of
the year following the year of your death. The
life expectancy divisor will be reduced by one in
each subsequent year. (This option is available
only if your death occurs after your RBD has
been reached.)
The Right Way to Invest
Frequently Asked Questions
What happens to my account if I do not
designate a beneficiary?
If you do not designate a beneficiary or if all of your
primary and contingent beneficiaries predecease
you, your surviving spouse becomes your beneficiary
if you are married at the time of your death. If you do
not have a surviving spouse, payment of your account
will be made to your estate.
Can a minor be designated a beneficiary?
Yes, but at the time of your death, if any of the named
beneficiaries is a minor, a guardian must manage
the account until the beneficiary reaches the age of
majority (typically age 18 or 21, depending on state
law). For specific legal implications regarding beneficiary designations, contact your legal advisor. Your
right to designate a beneficiary is subject to applicable state law.
Do I have to designate a contingent
beneficiary?
How does marital status affect my account?
No. Note that your contingent beneficiary only
receives the proceeds of your account if you have
no surviving primary beneficiaries at the time of
your death.
A change in marital status may impact your estate
planning if you do not update your beneficiary designations. You may want to consult your legal advisor
for clarification.
What happens if my primary beneficiary(ies)
predecease me and I don’t have any
contingent beneficiary(ies) designated?
What if I live in a community property state?
If you do not designate any contingent beneficiary
and all of your primary beneficiaries predecease you,
your surviving spouse becomes your beneficiary if
you are married at the time of your death. If you do not
have a surviving spouse, payment of your account is
made to your estate.
How many beneficiaries can I designate?
You can designate up to 99 primary and 99 contingent
beneficiaries for each plan type.
If you live in a community property state (AZ, CA, ID,
LA, NM, NV, TX, WA or WI) and you do not designate
your spouse as your sole primary beneficiary, your
spouse must sign the appropriate section of the
Account Application or Change of Beneficiary form.
Assets accumulated during marriage in community
property states might not be inherited by nonspouse beneficiaries. Please consult with your
estate attorney for guidance on community
property rights.
What happens after I pass away?
Upon your death, your financial advisor,
beneficiary(ies) or the person handling your estate
should call OppenheimerFunds and speak with a
Customer Service Representative for instructions and
assistance. We will not contact your beneficiary(ies).
9
OppenheimerFunds
Checklist
1
2
3
4
5
6
7
8
9
10
Did you provide your Social Security number in Section 1?
Yes
No
Did you tell us to which retirement plan type(s) the beneficiary(ies)
designations apply in Section 2?
Yes
No
Do your primary beneficiary allocations in Section 3 equal 100%?
Yes
No
Do your contingent beneficiary allocations in Section 4
equal 100%?
Yes
No
I f you live in a community property state, did your spouse sign in
Section 5 if you did not elect him/her as primary beneficiary?
Yes
No
I f you have a 403(b)(7) account and your plan is subject to ERISA,
did your spouse sign in Section 6 if you did not elect him/her as
primary beneficiary? Check with your employer concerning your
plan’s ERISA status.
Yes
No
I f applicable, was your spouse’s signature in Section 6 notarized
by a Notary Public?
Yes
No
Did you sign the form in Section 7?
Yes
No
Did you make a copy for your files?
Yes
No
®
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Shares of Oppenheimer funds are not deposits or obligations of any bank, are not guaranteed by any bank, are not insured by the
FDIC or any other agency, and involve investment risks, including the possible loss of the principal amount invested.
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Call Us
800 835 7305
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This material is provided for general and educational purposes only, and is not intended to provide legal, tax or investment advice, or for use to
avoid penalties that may be imposed under U.S. federal tax laws. Contact your attorney or other advisor regarding your specific legal, investment
or tax situation.
Before investing in any of the Oppenheimer funds, investors should carefully consider a
fund’s investment objectives, risks, charges and expenses. Fund prospectuses and summary
prospectuses contain this and other information about the funds, and may be obtained by
asking your financial advisor, visiting oppenheimerfunds.com or calling 1 800 CALL OPP
(225 5677). Read prospectuses and summary prospectuses carefully before investing.
Oppenheimer funds are distributed by OppenheimerFunds Distributor, Inc.
225 Liberty Street, New York, NY 10281-1008
© 2016 OppenheimerFunds Distributor, Inc. All rights reserved.
RE0000.007.0816 September 19, 2016