Document VGxkEDw7Ew9ZoOVX1ekkL1K0g

UNIROYAL CHEMICAL COMPANY, INC. Painesville, Ohio April 6, 1993 TO: Alice Regan 1-1 FROM: Milly Honkala SUBJECT: John Kovaly - 288-20-9781 Normal Age 65 Retirement Application - Plan A Enclosed please find the following together with required copies of same: 1) Application for Normal Age 65 Retirement 2) Calculation sheet of retirement allowance 3) Post-Retirement Option Election 4) Withholding Election 5) Direct Deposit Authorization 6) Life Insurance Enrollment/Beneficiary Designation Forms 7) Hospitalization, Medical, etc. Enrollment Cards 8) Enrollment File Update Form - Hospitalization, etc. 9) Beneficiary Birth Certificate 10) Marriage Certificate 11) Acknowledgement Form - Receipt of Special Tax Notice Regarding Distributions from Retirement Plan A and Savings Plan A Please do not hesitate to contact me if you have any ques tions regarding the above or if additional information is required. Thank you. / IIIUll encs UNIR0000177