ͫFUTT-nU@@LLL * * * *footnote continues next pagecontinued footnotePostscript Level II LRx`x1 `x8L-T-:5 -_LRrJj+TNX^ZzC.:;^|\/()<>[]{}IA1ai023456789  4 ,   // ::%V*L-T-T-T-T-T-T-T-+T$-R-'&$ X` hH$(P R E - T A XE L E C T I O NF O R MDear Employee:BYour proposed monthly net take home pay was calculated based uponEyour payroll information and the assumption that you would desire tomaximize your take home pay.3Employee Election for Plan Year Beginning: 2022/23@  XYES, I do elect to participate in the R.C. Molding, Inc.ASection 125 Pre-Tax Plan. My employer is authorized to adjust my>compensation as necessary to pay my share of the cost for theDemployee benefit plans with pre-tax dollars, in accordance with theEterms of the Plan. I have read both the Salary Reduction Disclosure?and Plan Information Summary given to me by R.C. Molding, Inc.@that is operating pursuant to the state laws of South Carolina.CThis election takes effect on the plan anniversary which coincidesEwith or next follows the date of this election. I understand that IAmay not change this election during a plan year unless my familystatus changes.SIGNATURE X(_ Date _@ NO, I do not want to participate in the R.C. Molding, Inc.DInc. Section 125 Pre-Tax Plan. Deduct my premium contributions forFthe employer's benefit plans after state and federal taxes have been Dwithheld. I understand that I will be able to elect coverage under;the Pre-Tax Plan in the future only during the annual openenrollment periods.SIGNATURE X(_ Date _