for your group registered retirement savings plan...

1
Your employee information Your payroll waiver: (Please sign if you are electing not to participate) For your Group Registered Retirement Savings Plan (RRSP): Employee contributions: Start contributions Change contributions Stop contributions - 0% Match I hereby authorize my employer, BlackBerry, to deduct: Employee Contributions ________ (up to 13%): (BlackBerry will match employee contribution up to 5%)** Office Use Only – Please do not complete this section F/T Hire Date: _____________ Contribution Start Date:_____________ Match Start Date: _____________ . Employee signature: (for electing payroll deductions) Date signed: (yyyy/mm/dd) Employee signature: (non-participation only) Date signed: (yyyy/mm/dd) First name Middle Initial Last name Employee number (See your pay stub for your employee number): Group Registered Retirement Savings Plan Contribution Election Form Human Resources PER PAY and submit these contributions to Manulife Financial for investment in the Group Registered Retirement Savings Plan (RRSP), with the following option: Start employee contributions on next available pay (If you are starting your contributions before your 6 month service date these contributions will not be matched. Your match will automatically start on your first full pay period after your 6 month anniversary) Start employee contributions when BlackBerry match occurs on next available pay Start employee contributions on the next available pay date in the month of ___________ YYYY/MM ** All amounts entered must be full %. *** Employee contributions plus BlackBerry contributions cannot exceed 18% of income. Please note that RRSP contributions are generally based on having received employment income in Canada during the previous year. If you have not received any Canadian employment income during the previous year and you elect to start your RRSP be aware that BlackBerry will be reducing your tax at source and you will be responsible for the tax owing when your first tax return is filed. It’s always recommended that you seek your own taxation advice as well. You are responsible for knowing your registered savings contribution limit and for ensuring you do not exceed that limit. Your latest tax assessment should state your registered savings contribution limit. If you are unsure, contact your local office of Canada Revenue Agency at 1-800-959-8281. I hereby acknowledge that I have been given the opportunity to participate in the Group Registered Retirement Savings Plan (RRSP) for employees of Research In Motion Limited. I wish to decline to participate in the plan at this time and further agree to waive any and all liability to the corporation and its successors and/or affiliated and associated companies in this regard. The Manufacturers Life Insurance Company Retain a copy for your files. Page 1 of 1 GP5025E BB10 (04/2013) Mailing instructions Manulife Financial Attn: GRS Client Services P.O. Box 396 Waterloo, ON N2J 4A9 Send your completed forms to the address below.

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Page 1: For your Group Registered Retirement Savings Plan …groupsavings.manulife.com/groupretirement/CPOv2.nsf/LookupFiles/... · For your Group Registered Retirement Savings Plan ... in

Your employee information

Your payroll waiver: (Please sign if you are electing not to participate)

For your Group Registered Retirement Savings Plan (RRSP):Employee contributions:

Start contributions Change contributions Stop contributions - 0% Match

I hereby authorize my employer, BlackBerry, to deduct:

Employee Contributions ________ (up to 13%): (BlackBerry will match employee contribution up to 5%)**

Office Use Only – Please do not complete this section

F/T Hire Date: _____________ Contribution Start Date:_____________ Match Start Date: _____________

.

Employee signature: (for electing payroll deductions) Date signed: (yyyy/mm/dd)

Employee signature: (non-participation only) Date signed: (yyyy/mm/dd)

First name Middle Initial Last name

Employee number (See your pay stub for your employee number):

Group Registered Retirement Savings PlanContribution Election Form Human Resources

PER PAY and submit these contributions to Manulife Financial for investment in the Group RegisteredRetirement Savings Plan (RRSP), with the following option:

Start employee contributions on next available pay (If you are starting your contributions before your 6 month service date these contributions will not be matched. Your match will automatically start on your first full pay period after your 6 month anniversary)

Start employee contributions when BlackBerry match occurs on next available pay

Start employee contributions on the next available pay date in the month of ___________ YYYY/MM

** All amounts entered must be full %. *** Employee contributions plus BlackBerry contributions cannot exceed 18% of income.

Please note that RRSP contributions are generally based on having received employment income inCanada during the previous year. If you have not received any Canadian employment income during theprevious year and you elect to start your RRSP be aware that BlackBerry will be reducing your tax atsource and you will be responsible for the tax owing when your first tax return is filed. It’s alwaysrecommended that you seek your own taxation advice as well.

You are responsible for knowing your registered savings contribution limit and for ensuring you do notexceed that limit. Your latest tax assessment should state your registered savings contribution limit. If youare unsure, contact your local office of Canada Revenue Agency at 1-800-959-8281.

I hereby acknowledge that I have been given the opportunity to participate in the Group RegisteredRetirement Savings Plan (RRSP) for employees of Research In Motion Limited. I wish to decline toparticipate in the plan at this time and further agree to waive any and all liability to the corporation and itssuccessors and/or affiliated and associated companies in this regard.

The Manufacturers Life Insurance Company Retain a copy for your files.Page 1 of 1

GP5025E BB10 (04/2013)

Mailing instructions

Manulife FinancialAttn: GRS Client ServicesP.O. Box 396 Waterloo, ON N2J 4A9

Send your completed forms to the address below.