| Will you be 50 or older during 2024? |
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| Date of Hire (mm/dd/yyyy): |
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| How often are you paid? |
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| Enter the
date of the paycheckPlease choose the date of the paycheck with which you would like to begin projecting your contribution amounts. Note that the changes you make to your deferral percentages at Fidelity may take up to two paychecks to be effective.
you would like to begin maximizing your deferrals.
Note that for full year estimates the first paycheck must be used:
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YTD Before-Tax/Roth ContributionsPlease enter the amount of money
(in whole dollars) you have contributed to the plan in the 2024 plan year.
Once the plan year begins, this is available on your last payroll statement.
up to last paycheck: |
$
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YTD Employer MatchPlease enter the amount of money (in whole dollars) the company has contributed to the plan in the 2024 plan year. Once the plan year begins, this is available on your last payroll statement.
up to last paycheck: |
$
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| Your annual base salary effective 01/01/2024: |
$
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| Your expected salary increase in 2024 (percent): |
%
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| First paycheck to include expected salary increase: |
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| Your expected bonus during 2024: |
$
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| Date of expected bonus: |
/
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