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  • Deschutes Investment Consulting LLC 

    With focus on Retirement Plan Consulting and Wealth Management
  • RETIREMENT ASSISTANCE QUESTIONNAIRE

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  • Re: Important Notice regarding Investment Advice

    To assist you with 401(k) plan investing, we have enlisted the expertise of our consultant, Deschutes Investment Consulting LLC, to assist you in planning for retirement.

    Before you utilize these services, please read the following notice.

    You acknowledge and understand that this client profile questionnaire is a general guide for allocating 401(k) plan investments. In addition, you acknowledge that in making recommendations, Deschutes is a Registered Investment Advisor (RIA) and is acting independently of the plan. The plan or its representatives do not specifically approve/disapprove of the suggestions made by the RIA. The Plan is intended to operate under the guidelines and protections of ERISA Section 404(C). (For a full description of 404(c), please refer to your summary plan description (SPD)).

    This financial analysis compares your investments and savings strategy with your financial priorities and concerns. It provides a broad, general guideline that may help shape your financial thinking about investment objectives and risk tolerance. The reports and graphs depend on the quality and accuracy of the data you supply.

    Calculations illustrating investment performance are estimates only. Past performance is not a guarantee of future results. This analysis is for estimating purposes only and must be reviewed periodically. Your accountant and attorney should be consulted regarding legal and tax implications. A current prospectus should be read carefully when considering any investment securities.

    No liability is assumed resulting from the use of this information contained in this analysis. You ultimately assume responsibility for your financial decisions, and it is important to revise your plans periodically in light of your experiences and changing goals.

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  • Personal Information:

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  • Investment Information

  • Insurance/Estate Information

  • Liabilities

  • 401k Information

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  • Investments

    9. Tell us about your investments (IRAs, CDs, rental properties, etc.). Please provide copies of recent statements
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  • Additional Information

  • Privacy Notice

  • Like other professionals who advise on personal financial matters, we are required to inform our clients of our policies regarding the privacy of client information.

    In providing our clients with certain advice, we may receive nonpublic personal financial information from our clients, their accountants, and other representatives, such as financial statements, tax, income information, and other personal financial information. All nonpublic personal information we receive regarding our clients or former clients is held in strict confidence under our professional obligations and is not released to people outside the Firm except with your consent or as required by law or to explain our actions to professional organizations that we are members of.

    We may share certain information with non-affiliated third parties who assist us in providing our services to you (such as administrative and client service functions) or marketing services to advise you of our services, subject to the obligation of these third parties not to use or disclose such information for any other purpose.

    We retain records relating to our professional services to better assist you with your professional needs and, in some cases, to comply with professional guidelines. We maintain physical, electronic, and procedural safeguards to guard your nonpublic personal information against unauthorized disclosure.

    Our company’s business practices are described in our firm’s Form ADV Part 2. If you would like a current copy of this disclosure document, please call or write, and we will be happy to send you one.

    If your financial situation, goals, risk tolerance, or investment time horizon has changed since you last spoke with us, please contact us immediately. We need to know the details of your financial life to provide you with the individualized expert services you have come to expect from us.

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