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Introduction  \nThis form is necessary in order to give you the authority to place trade orders in your Schwab PCRA. Please complete all sections of this form. This form and your signature must be completed in ink. Please include the date the form was completed in the signature box . Please mail the original form to your Plan Administrator.  \nWe respect your privacy and will not sell your application or other personal information to anyone. We may later use the information to work in conjunction with your Plan Administrator to open your account and provide you service on the account, as well as to notify you about products and services you may find useful. Read about Schwab’s privacy and security policy at [www.schwab.com/privacy](www.schwab.com/privacy).  \n2. Your Personal Information  \nThis form is used to complete the account opening process for a PCRA. A separate LPOA form must be completed for each account being established. Note: Your Plan may or may not allow you to have multiple PCRAs, including a Roth PCRA. If your Plan does not allow you to have more than one PCRA ora Roth PCRA, this form will be declined by your Plan Administrator.  \nWhich type of account do you wish to establish with this form?  \n Traditional PCRA  Roth PCRA (if your Plan allows)  \nRetirement Plan Name/Employer*  \nState of California Savings Plus Program 457 Deferred Compensation Plan  \n\n| Name (First) (Middle) (Last) |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n| Physical Address (required; no P.O. boxes) City State Zip Code |  |  |  |  |  |  |\n| Mailing Address (if different from above; P.O. boxes may be used) City State Zip Code |  |  |  |  |  |  |\n| Home Telephone Number ( ) | Business Telephone Number ( ) | Cellular Telephone Number ( ) |  | Email Address† |  |  |\n| Mother’s Maiden Name |  |  | Date of Birth (mm/dd/yyyy) |  | Social Security Number |  |\n| ID Number\u003Cbr>   Driver’s License  State  Passport |  |  |  | Place of Issuance |  | Expiration Date (mm/dd/yyyy) |\n| Country(ies) of Citizenship (Must list all.)\u003Cbr> USA  Other:    Other:   |  |  |  | Country of Legal Residence‡\u003Cbr> USA  Other:   |  |  |\n\nSecurities industry regulations require that we collect the following information:  \n\n| Check only one:\u003Cbr> Employed  Self-employed  Retired  Student  Not employed |  |\n| --- | --- |\n| Employer | Occupation/Position |\n| Business Street Address City State Zip Code |  |\n| List any securities firm, bank, trust company or insurance company in which you are an employee, director or owner.§ |  |\n| List all publicly traded companies in which you are a director, 10% shareholder or policy-making officer.\u003Cbr>Specify using stock symbols: |  |\n| Marital Status\u003Cbr> Single  Married  Divorced | Number of Dependents |\n\n*If you are unsure about your retirement plan name, please confirm with your human resources or benefits department.  \n† By providing your email address, you consent to receiving email from Schwab. Information about opting out of certain email communications is provided [at www.schwab.com/privacy](at www.schwab.com/privacy).  \n‡ If you have indicated your legal residency is outside the U.S. , please attach a completed W-9 form (available [at ](at www.irs.gov)[www.irs.gov](at www.irs.gov)) .  \n§ You must attach a Rule 3210 letter from your company Compliance Officer if licensed by a securities firm.  \n3. Create Your Investment Profile Securities industry regulations require that we request this information.  \n*Investment Objective Definitions: Capital Preservation: The objective of capital preservation is to protect your initial investment by choosing investments that minimize the potential of any loss of principal. The long-term risk of capital preservation is that the returns may not be adequate to offset infl","cbCaiullkSCcNVdf","https://ap.wps.com/l/cbCaiullkSCcNVdf","pdf",299660,7,"English","# Introduction\n# Your Personal Information\n## Investment Profile\n# Agreement","[{\"question\":\"What is the purpose of this LPOA form for a PCRA participant?\",\"answer\":\"The form gives the participant authority to place trade orders in a Schwab PCRA. It must be fully completed so Schwab can process the participant’s account and service requests.\"},{\"question\":\"What are the completion and submission requirements?\",\"answer\":\"Complete all sections in ink and include the date the form was completed in the signature box. Mail the original form to the Plan Administrator.\"},{\"question\":\"Can the participant establish multiple PCRAs (including a Roth PCRA)?\",\"answer\":\"The plan may or may not allow multiple PCRAs, including a Roth PCRA. If the plan does not allow more than one PCRA or Roth PCRA, the form will be declined by the Plan Administrator.\"}]","Schwab Personal Choice Retirement Account - Limited Power of Attorney (LPOA) Form For a Participant | PDF",1789506524]