Matt K Cook

Professional culinary expert with strong skills in high-pressure kitchen environments. Proven ability to prepare diverse dishes while maintaining high standards of quality and presentation. Solid track record of collaborating effectively with team members and adapting to changing needs. Known for reliability, culinary creativity, and strong focus on achieving outstanding results.

Experienced with preparing and cooking variety of dishes in fast-paced kitchen environment. Utilizes effective time management and multitasking skills to ensure efficient meal preparation. Knowledge of maintaining food safety standards and creating collaborative team atmosphere.

• Check one box as the reason for distribution and enter the termination date (this will be the date that your employment with your employer terminated or the date your employer terminated the Plan. Check with your Plan Administrator if you do not know this date). If you checked Disability as a Reason for Distribution, see your Summary Plan Description to determine if you meet the Plan’s definition of disability; and, if you have Roth 401(k) money in the Plan, also see Note on “Roth Disability” in Step 3.
• Check one box (A, B, or C) to identify how you want to be paid and make the applicable elections within each section.
• If you request a 100% cash distribution, you will receive one check payable to you.
• If you request a 100% Rollover, you will receive one check payable to the Institution or Trustee that you indicate on this Form in Step 4.
• If you request a portion of the distribution to be rolled over and a portion to be paid to you in cash, you will receive 2 checks: one payable to the Rollover Institution/Trustee and one payable to yourself.
• If you elect to Rollover your taxable amounts and receive a cash distribution of the remaining non-taxable amounts, but your Roth distribution doesn’t qualify as a qualified Roth distribution (see below), you will receive 3 checks: one check consisting of your pre-tax amounts for you to rollover to a pre-tax account, one consisting of your Roth earnings for you to rollover to a Roth account and a third separate check to you in cash for your Roth (and after-tax, if any) contributions.
• Note: The “Partial Distribution” and “Installments” options are not available if the reason for your distribution is the termination of the Plan or your account balance (excluding any rollover account under the Plan) is less than $5,000 or less. Any outstanding loan balance will be deducted from the value of a Partial Distribution or Installment.

• If you requested a Rollover in Step 3, complete section A and/or B in Step 4. Select the type of account to which the Rollover will be made and complete the Name of the Rollover Institution/Trustee to which the check should be made payable. Note: If you are rolling over a distribution to another employer plan, please check with the plan administrator of such plan on specific requirements needed to make the rollover and the specific types of money that the employer plan will accept.
• Note on Direct Rollovers of Pre-tax Amounts to a Roth IRA: Direct rollovers are not subject to mandatory federal tax withholding. Therefore, ADP will not withhold any federal tax amount on direct rollovers, including direct rollovers of pre-tax amounts to a Roth IRA which must be included in your taxable income. Therefore, you should make sure you are able to pay all required income taxes in connection with such a rollover. You are strongly encouraged to consult with your tax advisor before making your election.

• PLEASE READ THIS NOTICE IF YOU ARE RECEIVING A DISTRIBUTION FROM ANY OF YOUR PLAN ACCOUNTS OTHER THAN A DESIGNATED ROTH ACCOUNT (FOR EXAMPLE, YOUR PRE-TAX DEFERRAL ACCOUNT OR EMPLOYER CONTRIBUTION ACCOUNT).
• For Payments Not From a Designated Roth Account
• YOUR ROLLOVER OPTIONS
• You are receiving this notice because all or a portion of a payment you are receiving from a tax-qualified retirement plan maintained by your employer (the “Plan”) is eligible to be rolled over to an IRA or an employer plan. This notice is intended to help you decide whether to do such a rollover.
• This notice describes the rollover rules that apply to payments from the Plan that are not from a designated Roth account (a type of account with special tax rules in some employer plans that is subject to special tax rules). If you also receive a payment from a designated Roth account in the Plan, you will be provided a different notice for that payment, and the Plan administrator or the payor will tell you the amount that is being paid from each account.
• Rules that apply to most payments from a plan are described in the “General Information About Rollovers” section. Special rules that only apply in certain circumstances are described in the “Special Rules and Options” section.

• PLEASE READ THIS NOTICE ONLY IF YOU ARE RECEIVING A DISTRIBUTION FROM YOUR DESIGNATED ROTH ACCOUNT. THIS NOTICE DOES NOT APPLY TO YOUR PLAN ACCOUNTS OTHER THAN A DESIGNATED ROTH ACCOUNT (FOR EXAMPLE, YOUR PRE-TAX DEFERRAL ACCOUNT OR EMPLOYER CONTRIBUTION ACCOUNT).
• For Payments From a Designated Roth Account
• YOUR ROLLOVER OPTIONS
• You are receiving this notice because all or a portion of a payment you are receiving from a tax-qualified retirement plan maintained by your employer (the “Plan”) is eligible to be rolled over to a Roth IRA or designated Roth account in an employer plan. This notice is intended to help you decide whether to do a rollover.
• This notice describes the rollover rules that apply to payments from the Plan that are from a designated Roth account. If you also receive a payment from the Plan that is not from a designated Roth account, you will be provided a different notice for that payment, and the Plan administrator or the payor will tell you the amount that is being paid from each account.
• Rules that apply to most payments from a designated Roth account are described in the “General Information About Rollovers” section. Special rules that only apply in certain circumstances are described in the “Special Rules and Options” section.