Professional Documents
Culture Documents
Method 1
Method 1
<page>1
<contract> 210088382
<annuitant>CURRIE, MICHAEL B DC
PO Box 981592
El Paso, TX 79998-1592
1-888-GUARDIAN (1-888-482-7342) ANNUITY CONTRACT CONFIRMATION AND STATEMENT
210088382 TRIGGER 04/29/2022 CURRIE, MICHAEL B DC A1340-003
(1) Insured (3) Purchase Payment (7) Contract Number (8) Case Number
CURRIE, MICHAEL B DC NONE 210088382
This is not a notice of payment due. * A positive amount refers to a net increase in your contract value resulting from the
transaction activity shown below. A negative (-) amount denotes a net decrease.
TRANSACTION DETAIL
(13) ACCOUNT (14) TRANSACTION (15) TRANSACTION (16) NET (17) UNIT VALUE (18) UNITS THIS
DATE DESCRIPTION AMOUNT ON TRANS. DATE TRANSACTION
VALUE LINE STRATEGIC ASSET MGMT 04/29/2022 Transfer $-2,546.50 $142.092910 -17.921
GUARDIAN BALANCED ALLOCATION VIP 04/29/2022 Transfer $2,546.50 $9.998732 254.682
FUND
IMPORTANT MESSAGES
CERT AIN T RANSFERS SHOWN ABOVE EFFECT IVE AS OF CLOSE OF BUSINESS ON APRIL 29, 2022,
WERE M ADE PURSUANT T O A SUBST IT UT ION IN ACCORDANCE WIT H APPLICABLE LAW.
PLEASE READ T HE ENCLOSED IM PORT ANT NOT ICE FOR M ORE INFORM AT ION ON T HE SUBST IT UT ION.
PLEASE CONSULT T HE APPLICABLE FUND AND PRODUCT PROSPECT USES FOR M ORE INFORM AT ION.
CERT AIN T RANSFERS SHOWN ABOVE M AY HAVE BEEN M ADE PURSUANT T O INST RUCT IONS PROVIDED BY Y OU.
Form GIAC 42 The portion of this statement reflecting transactions in a Separate Account is being sent on behalf of Park Avenue Securities or the Broker-Dealer shown in
Rev. 3/02 Box 10 above acting as agent forThe Guardian Insurance & Annuity Company, Inc. Please direct all inquiries concerning your account to your Broker-Dealer.
AGENT - SWEET, WILLIAM M CONTRACT OWNER
<page>2
<contract> 210088382
<annuitant>CURRIE, MICHAEL B DC
*%01*
(1) Insured (3) Purchase Payment (7) Contract Number (8) Case Number
CURRIE, MICHAEL B DC NONE 210088382
On the Substitution Date, all subaccount units corresponding to the shares of each Existing Fund
were replaced with subaccount units corresponding to the shares of the applicable Replacement
Fund.
Please note the following information regarding your transfer rights:
• For 30 days following the Substitution Date, you may transfer your Contract value allocated
to a subaccount that invests in a Replacement Fund to any other subaccount or fixed-rate
option available under your Contract free of charge.
<page>3
<contract> 210088382
<annuitant>CURRIE, MICHAEL B DC
• If your Contract has the GLWB, for 30 days after the Substitution Date, you may transfer the
entire amount of your Contract value to any other allocation model available to you under
your GLWB free of charge.
• If your Contract has the living benefit rider Decade, for 30 days after the Substitution Date,
you may transfer your Contract value allocated to a subaccount in an Asset Allocation Class
that invests in a Replacement Fund to any other subaccount within that Asset Allocation
Class free of charge.
• Such transfers will not count as a transfer for purposes of any limitation on the number of
transfers permitted under your Contract.
• For 30 days after the Substitution Date, except with respect to any market timing/short-
term trading limitations or limitations imposed by Decade or GLWB, as set forth in your
Prospectus, the Company will not exercise any rights reserved by it under the Contracts to
impose additional restrictions on transfers between subaccounts.
The Substitution was effected at the relative net asset values of the Existing Funds’ and the
Replacement Funds’ shares. Your Contract value following the Substitution is the same as your
Contract value prior to the Substitution. There will be no tax consequences to you as a result of the
Substitution. The Substitution was effected at no cost to you, and the fees and charges under your
Contract will not increase as a result of the Substitution. Your rights and the Company’s obligations
under your Contract have not been altered in any way.
You may make changes to your investment allocations by submitting your written, electronic or
telephone instructions in Good Order by mail to The Guardian Insurance & Annuity Company, Inc.,
Individual Markets, Annuities, at P. O. Box 981592, El Paso, TX 79998-1592 (regular mail) or 5951
Luckett Ct., Bldg. A, El Paso, TX 79932 (overnight mail), sending an email to [email protected] or
by calling 1-888 GUARDIAN (1-888-482-7432).