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181 S. Franklin Avenue, Suite 202Valley Stream, NY 11581Phone: 212-947-4800Fax: ltants.comCORONAVIRUS-RELATED DISTRIBUTION (CRD) FORMSection A – Personal InformationPlan Name:Participant Name:Employment status:Date of above status:Address:Apt/Suite:City, State, Zip:Social Security No.:Date of Birth:Date of Hire:E-mail Address:Phone No.:Current Age:Account Balance*:Section B – Withdrawal AmountSection C – Source/ Money Type see ( ) below Maximum available amount Partial withdrawal in the amount of: Tax-Deferred Assets After-Tax Contributions Roth Assets After-Tax EarningsSection D – Self-Certification (box below must be checked) I certify that I meet one of the following conditions: You, your spouse, or a dependent (as defined in Code section 152) arediagnosed with the virus SARS-CoV-2 or with Coronavirus disease 2019 (COVID-19) by a test approved by the Centers for Disease Controland Prevention. You, your spouse, or a member of your household have/has experienced adverse financial consequences as a result of beingquarantined; being furloughed or laid off; or having work hours, pay, or self-employment income reduced; had a job offer rescinded or anew job’s start date delayed due to such virus or disease; being unable to work due to lack of child care due to such virus or disease; closingor reducing hours of a business owned or operated by you due to such virus or disease; or other factors as determined by the Secretary of theTreasury (or the Secretary's delegate). Note: a “member of the household” is someone who shares your principal residence.Section E – Payment ElectionsMake check payable to:Mail check to following address:Optional (additional fee applies):Account # ( ): Check this box to have your check sent via UPS/FedEx/Overnight (no PO box) If making your check payable to a financial account (like a checking account), please provide your account number and attachdocumentation demonstrating your ownership of the destination account. Acceptable forms of supporting documentation include recentstatements, void check, or deposit slip.Section F – Tax WithholdingsA flat 10% federal income tax withholding will be deducted unless you choose not to have federal income tax withheld by checking the boxbelow AND completing the attached Form W-4P. You may also choose to have a federal income tax withholding greater than 10% deductedfrom your distribution by checking the box below AND completing the attached Form W-4P. To have the default 10% federal income taxwithholding, do not check the box below or complete Form W-4P. If you elect alternate tax withholdings on Form W-4P, do not completeline 2 on the bottom of page 1 or the allowance worksheet on pages 4 and 5. If you check the box below but do not complete Form W-4P infull (name, social security number, address, line 1 or line 3, signature, and date) a flat 10% federal income tax withholding will be deducted. Check this box and complete Form W-4P if you wish to have an alternate federal income tax withholding other than the default 10% rate.* For security verification purposes, enter the exact account balance as of the date of your signature at the bottom of this form. Please call RPG Support if you require assistance. Please complete a separate distribution election form for each unique Money Type/ Source indicated in section C above.I acknowledge that a) a processing fee will apply, b) distribution requests are completed within thirty days of receipt, c) assets are liquidatedpro-rata from all investments and from the above-requested sources/ money types, d) the Plan will rely solely on the information provided byme on this form and is not responsible for errors in my instructions.DateName (Please Print)Signature[9/2020]

FormW-4PWithholding Certificate forPension or Annuity PaymentsDepartment of the TreasuryInternal Revenue ServiceFuture developments. For the latest information about anyfuture developments related to Form W‐4P, such as legislationenacted after it was published, go to www.irs.gov/FormW4P.Purpose of form. Form W‐4P is for U.S. citizens, residentaliens, or their estates who are recipients of pensions, annuities(including commercial annuities), and certain other deferredcompensation. Use Form W‐4P to tell payers the correctamount of federal income tax to withhold from your payment(s).You may also use Form W‐4P to choose (a) not to have anyfederal income tax withheld from the payment (except foreligible rollover distributions or for payments to U.S. citizens tobe delivered outside the United States or its possessions), or (b)to have an additional amount of tax withheld.Your options depend on whether the payment is periodic,nonperiodic, or an eligible rollover distribution, as explained onpages 2 and 3. Your previously filed Form W‐4P will remain ineffect if you don’t file a Form W‐4P for 2020.General InstructionsSection references are to the Internal Revenue Code.Follow these instructions to determine the number ofwithholding allowances you should claim for pension or annuitypayment withholding for 2020 and any additional amount of taxto have withheld. Complete the worksheet(s) using the taxableamount of the payments.If you don’t want any federal income tax withheld (seePurpose of form, earlier), you can skip the worksheets and godirectly to the Form W‐4P below.Sign this form. Form W‐4P is not valid unless you sign it.You can also use the estimator at www.irs.gov/W4App todetermine your tax withholding more accurately. Consider usingthis estimator if you have a more complicated tax situation, suchas if you have more than one pension or annuity, a workingspouse, or a large amount of income outside of your pensions.After your Form W‐4P takes effect, you can also use this estimatorto see how the amount of tax you’re having withheld compares toyour projected total tax for 2020. If you use the estimator, youdon’t need to complete any of the worksheets for Form W‐4P.Note that if you have too little tax withheld, you will generallyowe tax when you file your tax return and may owe a penaltyOMB No. 1545-00742020unless you make timely payments of estimated tax. If too muchtax is withheld, you will generally be due a refund when you fileyour tax return.Filers with multiple pensions or more than one income. If youhave more than one source of income subject to withholding(such as more than one pension or a pension and a job, oryou’re married filing jointly and your spouse is working), read allof the instructions, including the instructions for the MultiplePensions/More‐Than‐One‐Income Worksheet, before beginning.Other income. If you have a large amount of income from othersources not subject to withholding (such as interest, dividends,or capital gains), consider making estimated tax payments usingForm 1040‐ES, Estimated Tax for Individuals. Otherwise, youmight owe additional tax. See Pub. 505, Tax Withholding andEstimated Tax, for more information. Get Form 1040‐ES andPub. 505 at www.irs.gov/FormsPubs. Or, you can use theDeductions, Adjustments, and Additional Income Worksheet onpage 5 or the estimator at www.irs.gov/W4App to make sureyou have enough tax withheld from your payments. If you haveincome from wages, see Pub. 505 or use the estimator atwww.irs.gov/W4App to find out if you should adjust yourwithholding on Form W‐4 or Form W‐4P.Note: Social security and railroad retirement payments may beincludible in income. See Form W‐4V, Voluntary WithholdingRequest, for information on voluntary withholding from thesepayments.Withholding From Pensions and AnnuitiesGenerally, federal income tax withholding applies to the taxablepart of payments made from pension, profit-sharing, stock bonus,annuity, and certain deferred compensation plans; from individualretirement arrangements (IRAs); and from commercial annuities.The method and rate of withholding depend on (a) the kind ofpayment you receive; (b) whether the payments are to be deliveredoutside the United States or its possessions; and (c) whether therecipient is a nonresident alien individual, a nonresident alienbeneficiary, or a foreign estate. Qualified distributions from adesignated Roth account or Roth IRA are nontaxable and,therefore, not subject to withholding. See page 3 for specialwithholding rules that apply to payments to be delivered outsidethe United States and payments to foreign persons.Separate here and give Form W-4P to the payer of your pension or annuity. Keep the worksheet(s) for your records.FormW-4PDepartment of the TreasuryInternal Revenue ServiceWithholding Certificate forPension or Annuity Payments For Privacy Act and Paperwork Reduction Act Notice, see page 6.Your first name and middle initialOMB No. 1545-00742020Your social security numberLast nameClaim or identification number(if any) of your pension orannuity contractHome address (number and street or rural route)City or town, state, and ZIP codeComplete the following applicable lines.1 Check here if you do not want any federal income tax withheld from your pension or annuity. (Don’t complete line 2 or 3.) 2 Total number of allowances and marital status you’re claiming for withholding from each periodic pension or annuitypayment. (You may also designate an additional dollar amount on line 3.) . . . . . . . . . . . . . . (Enter numberMarital status:SingleMarriedMarried, but withhold at higher Single rate.of allowances.)3 Additional amount, if any, you want withheld from each pension or annuity payment. (Note: For periodic payments,you can’t enter an amount here without entering the number (including zero) of allowances on line 2.) . . . . Your signature Date Cat. No. 10225TForm W-4P (2020)

Form W-4P (2020)Because your tax situation may change from year to year, youmay want to refigure your withholding each year. You canchange the amount to be withheld by using lines 2 and 3 ofForm W-4P.Choosing not to have income tax withheld. You (or in theevent of death, your beneficiary or estate) can choose not tohave federal income tax withheld from your payments by usingline 1 of Form W-4P. For an estate, the election to have noincome tax withheld may be made by the executor or personalrepresentative of the decedent. Enter the estate’s employeridentification number (EIN) in the area reserved for “Your socialsecurity number” on Form W-4P.You may not make this choice for eligible rollover distributions.See Eligible rollover distribution—20% withholding below.Caution: There are penalties for not paying enough federalincome tax during the year, either through withholding orestimated tax payments. New retirees, especially, should seePub. 505. It explains your estimated tax requirements anddescribes penalties in detail. You may be able to avoid quarterlyestimated tax payments by having enough tax withheld fromyour pension or annuity using Form W-4P.Periodic payments. Withholding from periodic payments of apension or annuity is figured using certain withholding tablesthat are also used to figure withholding from wages. Periodicpayments are made in installments at regular intervals over aperiod of more than 1 year. They may be paid annually,quarterly, monthly, etc.If you want federal income tax to be withheld, you mustdesignate the number of withholding allowances on line 2 ofForm W-4P and indicate your marital status by checking theappropriate box. You can’t designate a specific dollar amount tobe withheld. However, you can designate an additional amountto be withheld on line 3.If you don’t want any federal income tax withheld from yourperiodic payments, check the box on line 1 of Form W-4P andsubmit the form to your payer. However, see Payments toForeign Persons and Payments To Be Delivered Outside theUnited States on page 3.Caution: If you don’t submit Form W-4P to your payer, thepayer must withhold from periodic payments as if you’remarried claiming three withholding allowances. Generally, thismeans that tax will be withheld if the taxable amount of yourpension or annuity is at least 2,095 a month.If you submit a Form W-4P that doesn’t contain your correctsocial security number (SSN), the payer must withhold as ifPage 2you’re single claiming zero withholding allowances even if youchecked the box on line 1 to have no federal income taxwithheld.There are some kinds of periodic payments for which youcan’t use Form W-4P because they’re already defined as wagessubject to federal income tax withholding. These paymentsinclude retirement pay for service in the U.S. Armed Forces andpayments from certain nonqualified deferred compensationplans and tax-exempt organizations’ deferred compensationplans described in section 457. Your payer should be able to tellyou whether Form W-4P applies.For periodic payments, your Form W-4P stays in effect untilyou change or revoke it. Your payer must notify you each yearof your right to choose not to have federal income tax withheld(if permitted) or to change your choice.Nonperiodic payments—10% withholding. Your payer mustwithhold at a flat 10% rate from the taxable amount ofnonperiodic payments (but see Eligible rollover distribution—20% withholding below) unless you choose not to have federalincome tax withheld. Distributions from an IRA that are payableon demand are treated as nonperiodic payments. You canchoose not to have federal income tax withheld from anonperiodic payment (if permitted) by submitting Form W-4P(containing your correct SSN) to your payer and checking thebox on line 1. However, see Payments to Foreign Persons andPayments To Be Delivered Outside the United States on page 3.Generally, your choice not to have federal income tax withheldwill apply to any later payment from the same plan. You can’tuse line 2 for nonperiodic payments. But you may use line 3 tospecify an additional amount that you want withheld.Caution: If you submit a Form W-4P that doesn’t contain yourcorrect SSN, the payer can’t honor your request not to haveincome tax withheld and must withhold 10% of the payment forfederal income tax.Eligible rollover distribution—20% withholding. Distributionsyou receive from qualified pension or annuity plans (forexample, 401(k) plans and section 457(b) plans maintained by agovernmental employer) or tax-sheltered annuities that areeligible to be rolled over to an IRA or qualified plan are subjectto a flat 20% federal withholding rate on the taxable amount ofthe distribution. The 20% withholding rate is required, and youcan’t choose not to have income tax withheld from eligiblerollover distributions. Don’t give Form W-4P to your payerunless you want an additional amount withheld. In that case,complete line 3 of Form W-4P and submit the form to yourpayer.

Page 3Form W-4P (2020)Note: The payer won’t withhold federal income tax if the entiredistribution is transferred by the plan administrator in a directrollover to a traditional IRA or another eligible retirement plan (ifallowed by the plan), such as a 401(k) plan, qualified pensionplan, governmental section 457(b) plan, section 403(b) contract,or tax-sheltered annuity.Distributions that are (a) required by federal law, (b) one of aspecified series of equal payments, or (c) qualifying “hardship”distributions are not “eligible rollover distributions” and aren’tsubject to the mandatory 20% federal income tax withholding.See Pub. 505 for details. See also Nonperiodic payments—10%withholding on page 2.Tax relief for victims of terrorist attacks. For tax years endingafter September 10, 2001, disability payments for injuriesincurred as a direct result of a terrorist attack directed against theUnited States (or its allies), whether outside or within the UnitedStates, aren’t included in income. You may check the box on line1 of Form W-4P and submit the form to your payer to have nofederal income tax withheld from these disability payments.However, you must include in your income any amounts that youreceived or would’ve received in retirement had you not becomedisabled as a result of a terrorist attack. See Pub. 3920, TaxRelief for Victims of Terrorist Attacks, for more details.Changing Your “No Withholding” ChoicePeriodic payments. If you previously chose not to have federalincome tax withheld and you now want withholding, completeanother Form W-4P and submit it to your payer. If you wantfederal income tax withheld at the 2020 default rate (marriedwith three allowances), write “Revoked” next to the checkboxon line 1 of the form. If you want tax withheld at a different rate,complete line 2 on the form.Nonperiodic payments. If you previously chose not to havefederal income tax withheld and you now want withholding,write “Revoked” next to the checkbox on line 1 and submit theForm W-4P to your payer.Payments to Foreign Persons and PaymentsTo Be Delivered Outside the United StatesUnless you’re a nonresident alien, withholding (in the mannerdescribed above) is required on any periodic or nonperiodicpayments that are to be delivered to you outside the UnitedStates or its possessions. Don’t check the box on line 1 of FormW-4P. See Pub. 505 for details.In the absence of a tax treaty exemption, nonresident aliens,nonresident alien beneficiaries, and foreign estates are generallysubject to a 30% federal withholding tax under section 1441 onthe taxable portion of a periodic or nonperiodic pension orannuity payment that is from U.S. sources. However, most taxtreaties provide that private pensions and annuities are exemptfrom withholding and tax. Also, payments from certain pensionplans are exempt from withholding even if no tax treaty applies.See Pub. 515, Withholding of Tax on Nonresident Aliens andForeign Entities, and Pub. 519, U.S. Tax Guide for Aliens, fordetails. A foreign person should submit Form W-8BEN,Certificate of Foreign Status of Beneficial Owner for UnitedStates Tax Withholding and Reporting, to the payer beforereceiving any payments. The Form W-8BEN must contain theforeign person’s taxpayer identification number (TIN).Specific InstructionsPersonal Allowances WorksheetComplete this worksheet on page 4 first to determine thenumber of withholding allowances to claim.Line C. Head of household please note: Generally, you canclaim head of household filing status on your tax return only ifyou’re unmarried and pay more than 50% of the costs ofkeeping up a home for yourself and a qualifying individual. SeePub. 501 for more information about filing status.Line D. Child tax credit. When you file your tax return, you maybe eligible to claim a child tax credit for each of your eligiblechildren. To qualify, the child must be under age 17 as ofDecember 31, must be your dependent who generally lives withyou for more than half the year, and must have the required SSN.To learn more about this credit, see Pub. 972, Child Tax Creditand Credit for Other Dependents. To reduce the tax withheldfrom your payments by taking this credit into account, follow theinstructions on line D of the worksheet. On the worksheet, youwill be asked about your total income. For this purpose, totalincome includes all of your pensions, wages, and other income,including income earned by a spouse if you’re filing a joint return.Line E. Credit for other dependents. When you file your taxreturn, you may be eligible to claim a credit for other dependentsfor whom a child tax credit can’t be claimed, such as a qualifyingchild who does not meet the age or SSN requirement for thechild tax credit, or a qualifying relative. To learn more about thiscredit, see Pub. 972. To reduce the tax withheld from yourpayments by taking this credit into account, follow theinstructions on line E of the worksheet. On the worksheet, youwill be asked about your total income. For this purpose, totalincome includes all of your pensions, wages, and other income,including income earned by a spouse if you’re filing a joint return.Line F. Other credits. You may be able to reduce the taxwithheld from your payments if you expect to

job's start date delayed due to such virus or disease; being unable to work due to lack of child care due to such virus or disease; closing or reducing hours of a business owned or operated by you due to such virus or disease; or other factors as determined by the Secretary of the Treasury (or the Secretary's delegate).