Document:

Index Options Contract Schedule

          

    

    

    Owner:[John Doe]                    Contract
        Number:[??687456]

    Owner’s Age                                                                                               Issue Date:[04/15/10]

    and gender:[35 Male]            Annuitant:[John Doe]

    [Joint Owner: [Jane Doe]]          Annuitant’s Age

    [Joint Owner’s                and gender:[35 Male]

    Age and gender: [35 Female]]

    

    

    

    

    Allocation Guidelines:

    [1. Currently, you can select up to [5] of the Index Protection Strategy with Declared Protection Strategy Credit Index Options.

    2. Currently, you can select up to [5] of the Index Protection Strategy with Cap Index Options.

    3. Currently, you can select up to [5] of the Index Performance Strategy Index Options.

    4. Currently, you can select up to [5] of the Index Guard Strategy Index Options.

    5. Currently, you can select up to [5] of the Index Precision Strategy Index Options.

    6. Currently, you can select up to a maximum of [15] Index Options.

    7. Allocations must be made in whole percentages.]

    

    

    Index Options:

    [On the Income Benefit Date, for any Index Option that has not reached a Term End Date, we will lock the Index Option Value
      before we calculate Income Payments.]

    [Part [A] Index Option Rider(s):]

     [Index Performance Strategy Index Options

    	
            Index

          	
            Buffer for all Terms

          	
            Minimum Cap for all Terms

          	
            Term

          
	
            [S&P 500® Index

          	
            [10.00]%

          	
            [3.00]%

          	
            [1 Index Year]]

          
	
            [Nasdaq-100® Index

          	
            [10.00]%

          	
            [3.00]%

          	
            [1 Index Year]]

          
	
            [Russell 2000® Index

          	
            [10.00]%

          	
            [3.00]%

          	
            [1 Index Year]]

          
	
            [EURO STOXX 50®

          	
            [10.00]%

          	
            [3.00]%

          	
            [1 Index Year]]

          
	
            [iShares® MSCI Emerging Markets ETF

          	
            [10.00]%

          	
            [3.00]%

          	
            [1 Index Year]]

          
	
            [S&P 500® Index

          	
            [10.00]%

          	
            [3.00]%

          	
            [3 Index Years]]

          
	
            [Nasdaq-100® Index

          	
            [10.00]%

          	
            [3.00]%

          	
            [3 Index Years]]

          
	
            [Russell 2000® Index

          	
            [10.00]%

          	
            [3.00]%

          	
            [3 Index Years]]

          
	
            [EURO STOXX 50®

          	
            [10.00]%

          	
            [3.00]%

          	
            [3 Index Years]]

          
	
            [iShares® MSCI Emerging Markets ETF

          	
            [10.00]%

          	
            [3.00]%

          	
            [3 Index Years]]]

          

    

    

    

    

    
      
        S40877-IAI-03                                                                           [Admin. Tracking Identifier]

      

      
        

      

    

    

    

    	
            Index Options Contract Schedule continued from the previous page

          

     [Index Guard Strategy Index Options

    	
            Index

          	
            Floor for all Index Years

          	
            Minimum Cap for all Index Years

          	
            Term

          
	
            [S&P 500® Index

          	
            [-10.00]%

          	
            [3.00]%

          	
            [1 Index Year]]

          
	
            [Nasdaq-100® Index

          	
            [-10.00]%

          	
            [3.00]%

          	
            [1 Index Year]]

          
	
            [Russell 2000® Index

          	
            [-10.00]%

          	
            [3.00]%

          	
            [1 Index Year]]

          
	
            [EURO STOXX 50®

          	
            [-10.00]%

          	
            [3.00]%

          	
            [1 Index Year]]

          
	
            [iShares® MSCI Emerging Markets ETF

          	
            [-10.00]%

          	
            [3.00]%

          	
            [1 Index Year]]]

          

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    [Index Precision Strategy Index Options

    	
            Index

          	
            Buffer for all Index Years

          	
            Minimum Precision Rate for all Index Years

          	
            Term

          
	
            [S&P 500® Index

          	
            [10.00]%

          	
            [3.00]%

          	
            [1 Index Year]]

          
	
            [Nasdaq-100® Index

          	
            [10.00]%

          	
            [3.00]%

          	
            [1 Index Year]]

          
	
            [Russell 2000® Index

          	
            [10.00]%

          	
            [3.00]%

          	
            [1 Index Year]]

          
	
            [EURO STOXX 50®

          	
            [10.00]%

          	
            [3.00]%

          	
            [1 Index Year]]

          
	
            [iShares® MSCI Emerging Markets ETF

          	
            [10.00]%

          	
            [3.00]%

          	
            [1 Index Year]]]

          

    

    

    
      
        S40877-IAI-03                                                                           [Admin. Tracking Identifier]

      

      
        

      

    

    

    

    	
            Index Options Contract Schedule continued from the previous page

          

    

    

     [Part [B] Index Option Rider(s):]

    [Index Protection Strategy with Declared Protection Strategy

     Credit Index Options

    	
            Index

          	
            Minimum Declared Protection Strategy Credit for all Index Years

          	
            Term

          
	
            [S&P 500® Index

          	
            [0.50]%

          	
            [1 Index Year]]

          
	
            [Nasdaq-100® Index

          	
            [0.50]%

          	
            [1 Index Year]]

          
	
            [Russell 2000® Index

          	
            [0.50]%

          	
            [1 Index Year]]

          
	
            [EURO STOXX 50®

          	
            [0.50]%

          	
            [1 Index Year]]

          
	
            [iShares® MSCI Emerging Markets ETF

          	
            [0.50]%

          	
            [1 Index Year]]]

          

    

    

    [Index Protection Strategy with Cap Index Options

    	
            Index

          	
            Minimum Cap for all Index Years

          	
            Term

          
	
            [S&P 500® Index

          	
            [0.50]%

          	
            [1 Index Year]]

          
	
            [Nasdaq-100® Index

          	
            [0.50]%

          	
            [1 Index Year]]

          
	
            [Russell 2000® Index

          	
            [0.50]%

          	
            [1 Index Year]]

          
	
            [EURO STOXX 50®

          	
            [0.50]%

          	
            [1 Index Year]]

          
	
            [iShares® MSCI Emerging Markets ETF

          	
            [0.50]%

          	
            [1 Index Year]]]

          

    

    

    The indexes do not reflect the dividends paid on the stocks underlying the market indexes.

    

    

    
      
        S40877-IAI-03                                                                           [Admin. Tracking Identifier]

      

      
        

      

    

    

    

    

    

    	
            Index Options Contract Schedule continued from the previous page

          

    

    

    [The S&P 500® Index is comprised of 500 stocks representing major U.S. industrial sectors.

    

    

    S&P® is a registered trademark of Standard & Poor’s Financial Services LLC (“S&P”). This trademark has been licensed for use by S&P Dow Jones
      Indices LLC. S&P marks are trademarks of S&P. These trademarks have been sublicensed for certain purposes by Allianz Life Insurance Company of North America (“Allianz”). The S&P 500® Index (“the Index”) is a product of S&P Dow Jones
      Indices LLC and/or its affiliates and have been licensed for use by Allianz.

    

    

    Allianz products are not sponsored, endorsed, sold, or promoted by S&P Dow Jones Indices LLC, Dow Jones, S&P, or any of their respective affiliates
      (collectively, “S&P Dow Jones Indices”). S&P Dow Jones Indices make no representation or warranty, express or implied, to the owners of the Allianz products or any member of the public regarding the advisability of investments generally or in
      Allianz products particularly or the ability of the Index and Average to track general market performance. S&P Dow Jones Indices’ only relationship to Allianz with respect to the Index and Average is the licensing of the Index and Average and
      certain trademarks, service marks, and/or trade names of S&P Dow Jones Indices and/or its third-party licensors. The Index and Average are determined, composed, and calculated by S&P Dow Jones Indices without regard to Allianz or the
      products. S&P Dow Jones Indices have no obligation to take the needs of Allianz or the owners of the products into consideration in determining, composing, or calculating the Index and Average. S&P Dow Jones Indices are not responsible for
      and have not participated in the design, development, pricing, and operation of the products, including the calculation of any interest payments or any other values credited to the products. S&P Dow Jones Indices have no obligation or liability
      in connection with the administration, marketing, or trading of products. There is no assurance that investment products based on the Index and Average will accurately track index performance or provide positive investment returns. S&P Dow Jones
      Indices LLC and its subsidiaries are not investment advisors. Inclusion of a security or futures contract within an index is not a recommendation by S&P Dow Jones Indices to buy, sell, or hold such security or futures contract, nor is it
      considered to be investment advice. Notwithstanding the foregoing, CME Group Inc. and its affiliates may independently issue and/or sponsor financial products unrelated to products currently being issued by Allianz, but which may be similar to and
      competitive with Allianz products. In addition, CME Group Inc., an indirect minority owner of S&P Dow Jones Indices LLC, and its affiliates may trade financial products which are linked to the performance of the Index and Average. It is possible
      that this trading activity will affect the value of the products.

    

    

    S&P DOW JONES INDICES DO NOT GUARANTEE THE ADEQUACY, ACCURACY, TIMELINESS, AND/OR THE COMPLETENESS OF THE INDEX AND AVERAGE OR ANY DATA RELATED THERETO OR
      ANY COMMUNICATION, INCLUDING BUT NOT LIMITED TO, ORAL OR WRITTEN COMMUNICATION (INCLUDING ELECTRONIC COMMUNICATIONS) WITH RESPECT THERETO. S&P DOW JONES INDICES SHALL NOT BE SUBJECT TO ANY DAMAGES OR LIABILITY FOR ANY ERRORS, OMISSIONS, OR DELAYS
      THEREIN. S&P DOW JONES INDICES

    

    

    MAKE NO EXPRESS OR IMPLIED WARRANTIES, AND EXPRESSLY DISCLAIM ALL WARRANTIES, OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OR USE OR AS TO RESULTS
      TO BE OBTAINED BY ALLIANZ, OWNERS OF THE PRODUCTS, OR ANY OTHER PERSON OR ENTITY FROM THE USE OF THE INDEX AND AVERAGE OR WITH RESPECT TO ANY DATA RELATED THERETO. WITHOUT LIMITING ANY OF THE FOREGOING, IN NO EVENT WHATSOEVER SHALL S&P DOW JONES
      INDICES BE LIABLE FOR ANY INDIRECT, SPECIAL, INCIDENTAL, PUNITIVE, OR CONSEQUENTIAL DAMAGES INCLUDING BUT NOT LIMITED TO, LOSS OF PROFITS, TRADING LOSSES, LOST TIME, OR GOODWILL, EVEN IF THEY HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES,
      WHETHER IN CONTRACT, TORT, STRICT LIABILITY, OR OTHERWISE. THERE ARE NO THIRD-PARTY BENEFICIARIES OF ANY AGREEMENTS OR ARRANGEMENTS BETWEEN S&P DOW JONES INDICES AND ALLIANZ OTHER THAN THE LICENSORS OF S&P DOW JONES INDICES.]

    

    

    [The NASDAQ-100 Index® includes 100 of the largest domestic and international non-financial securities listed on The NASDAQ Stock Market® based on market
      capitalization.

    

    

    The Product(s) is not sponsored, endorsed, sold or promoted by Nasdaq, Inc. or its affiliates (Nasdaq, with its affiliates, are referred to as the
      “Corporations”).  The Corporations have not passed on the legality or suitability of, or the accuracy or adequacy of descriptions and disclosures relating to, the Product(s).  The Corporations make no representation or warranty, express or implied to
      the owners of the Product(s) or any member of the public regarding the advisability of investing in securities generally or in the Product(s) particularly, or the ability of the Nasdaq-100 Index® to track general stock market performance.  The
      Corporations' only relationship to Allianz Life Insurance Company of North America (“Licensee”) is in the licensing of the NASDAQ®, and Nasdaq-100 Index® registered trademarks, and certain trade names of the Corporations and the use of the Nasdaq-100
      Index® which is determined, composed and calculated by NASDAQ without regard to Licensee or the Product(s).  Nasdaq has no obligation to take the needs of the Licensee or the owners of the Product(s) into consideration in determining, composing or
      calculating the Nasdaq-100 Index®.  The Corporations are not responsible for and have not participated in the determination of the timing of, prices at, or quantities of the Product(s) to be issued or in the determination or calculation of the
      equation by which the Product(s) is to be converted into cash.  The Corporations have no liability in connection with the administration, marketing or trading of the Product(s).

    
      
        S40877-IAI-03                                                                           [Admin. Tracking Identifier]

      

      
        

      

    

    

    

    

    

    	
            Index Options Contract Schedule  continued from the previous page

          

    THE CORPORATIONS DO NOT GUARANTEE THE ACCURACY AND/OR UNINTERRUPTED CALCULATION OF THE NASDAQ-100 INDEX® OR ANY DATA INCLUDED THEREIN.  THE CORPORATIONS MAKE
      NO WARRANTY, EXPRESS OR IMPLIED, AS TO RESULTS TO BE OBTAINED BY LICENSEE, OWNERS OF THE PRODUCT(S), OR ANY OTHER PERSON OR ENTITY FROM THE USE OF THE NASDAQ-100 INDEX® OR ANY DATA INCLUDED THEREIN.  THE CORPORATIONS MAKE NO EXPRESS OR IMPLIED
      WARRANTIES, AND EXPRESSLY DISCLAIM ALL WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OR USE WITH RESPECT TO THE NASDAQ-100 INDEX® OR ANY DATA INCLUDED THEREIN.  WITHOUT LIMITING ANY OF THE FOREGOING, IN NO EVENT SHALL THE
      CORPORATIONS HAVE ANY LIABILITY FOR ANY LOST PROFITS OR SPECIAL, INCIDENTAL, PUNITIVE, INDIRECT, OR CONSEQUENTIAL DAMAGES, EVEN IF NOTIFIED OF THE POSSIBILITY OF SUCH DAMAGES.]

    

    

    [The Russell 2000® Index is an equity index that measures the performance of the 2,000 smallest companies in the Russell 3000® Index, which is made up of 3,
      000 of the biggest U.S. stocks.  The Russell 2000® Index is constructed to provide a comprehensive and unbiased small-cap barometer and is completely reconstituted annually to ensure larger stocks do not affect the performance and characteristics of
      the true small-cap index.

    

    

    The Russell 2000® Index (the “Index”) is a trademark of Frank Russell Company (“Russell”) and has been licensed for use by Allianz Life Insurance Company of
      North America (“Allianz”). Allianz products are not in any way sponsored, endorsed, sold or promoted by Russell or the London Stock Exchange Group companies (“LSEG”) (together the “Licensor Parties”) and none of the Licensor Parties make any claim,
      prediction, warranty or representation whatsoever, expressly or impliedly, either as to (i) the results to be obtained from the use of the Index (upon which the Allianz product is based), (ii) the figure at which the Index is said to stand at any
      particular time on any particular day or otherwise, or (iii) the suitability of the Index for the purpose to which it is being put in connection with the Allianz product. None of the Licensor Parties have provided or will provide any financial or
      investment advice or recommendation in relation to the Index to Allianz or to its clients. The Index is calculated by Russell or its agent. None of the Licensor Parties shall be (a) liable (whether in negligence or otherwise) to any person for any
      error in the Index or (b) under any obligation to advise any person of any error therein.]

    

    

    [The EURO STOXX 50®, Europe's leading Blue-chip index for the Eurozone, provides a blue-chip representation of supersector leaders in the Eurozone.  The index
      covers 50 stocks from 12 Eurozone countries: Austria, Belgium, Finland, France, Germany, Greece, Ireland, Italy, Luxembourg, the Netherlands, Portugal and Spain.

    

    

    STOXX Limited, Deutsche Börse Group and their licensors, research partners or data providers have no relationship to Allianz Life Insurance Company of North
      America (“Allianz”), other than the licensing of the EURO STOXX 50® and the related trademarks for use in connection with Allianz products.

    STOXX, Deutsche Börse Group and their licensors, research partners or data providers do not:

    • sponsor, endorse, sell or promote Allianz products.

    • recommend that any person invest in Allianz products or any other securities.

    • have any responsibility or liability for or make any decisions about the timing, amount or pricing of Allianz products.

    • have any responsibility or liability for the administration, management or marketing of Allianz products.

    • consider the needs of Allianz products or the owners of Allianz products in determining, composing or calculating the EURO STOXX 50 or have any obligation
      to do so.

    STOXX, Deutsche Börse Group and their licensors, research partners or data providers give no warranty, and exclude any liability (whether
      in negligence or otherwise), in connection with the Allianz products or their performance.

    STOXX does not assume any contractual relationship with the purchasers of Allianz products or any other third parties.

    Specifically,

    • STOXX, Deutsche Börse Group and their licensors, research partners or data providers do not give any warranty, express or implied, and exclude any liability
      about:

    • The results to be obtained by Allianz products, the owner of Allianz products or any other person in connection with the use of the EURO STOXX 50 and the
      data included in the EURO STOXX 50;

    • The accuracy, timeliness, and completeness of the EURO STOXX 50 and its data;

    • The merchantability and the fitness for a particular purpose or use of the EURO STOXX 50 and its data;

    • The performance of Allianz products generally.

    • STOXX, Deutsche Börse Group and their licensors, research partners or data providers give no warranty and exclude any liability, for any errors, omissions
      or interruptions in the EURO STOXX 50 or its data;

    • Under no circumstances will STOXX, Deutsche Börse Group or their licensors, research partners or data providers be liable (whether in negligence or
      otherwise) for any lost profits or indirect, punitive, special or consequential damages or losses, arising as a result of such errors, omissions or interruptions in the [relevant index] or its data or generally in relation to Allianz products, even
      in

    circumstances where STOXX, Deutsche Börse Group or their licensors, research partners or data providers are aware that such loss or damage may occur.

    

    

    
      
        S40877-IAI-03                                                                           [Admin. Tracking Identifier]

      

      
        

      

    

    

    

    

    

    	
            Index Options Contract Schedule  continued from the previous page

          

    The licensing Agreement between Allianz and STOXX is solely for their benefit and not for the benefit of the owners of Allianz products or any other third
      parties.]

    

    

    [The iShares® MSCI Emerging Markets ETF distributed by BlackRock Investments, LLC. iShares®, BLACKROCK®, and the corresponding logos are registered trademarks
      of BlackRock, Inc. and its affiliates (“BlackRock”) and are used under license. These trademarks have been licensed for certain purposes by Allianz Life Insurance Company of North America ("Allianz") and its wholly-owned subsidiaries. Products
      offered by Allianz or its wholly-owned subsidiaries are not sponsored, endorsed, sold or promoted by BlackRock, and purchasers of such products do not acquire any interest in the iShares® MSCI Emerging Markets ETF  nor enter into any relationship of
      any kind with BlackRock. BlackRock makes no representations or warranties, express or implied, to the owners of any products offered by Allianz or its wholly-owned subsidiaries, or any member of the public regarding the advisability of purchasing a
      product from Allianz or its wholly-owned subsidiaries. BlackRock has no obligation or liability for any errors, omissions, interruptions or use of the iShares MSCI Emerging Markets ETF or any data related thereto, or with the operation, marketing,
      trading or sale of any products or services offered by Allianz  and its wholly-owned subsidiaries.]

    

    

    

       

        

       

        

      
        
          S40877-IAI-03                                                                           [Admin. Tracking Identifier]

           

            

           

            

           

            

           

            

          

          

          

          

          

          

            

            

            

            

            

            

        

        
          

        

      

       

      

      

        

        

        	
                Index Options Contract Schedule Addendum

              

        

        

        Owner: [John Doe]                                             Contract Number:   
            [??687456]

        Owner’s Age                                                       Issue Date:         
                  [04/15/10]

        and gender:[35 Male]                                         Annuitant:                 
            [John Doe]

        [Joint Owner:[Jane Doe]]                                  Annuitant’s Age

        [Joint Owner’s                                                  and gender:                  
            [35 Male]

        Age and gender:[35 Female]]

        

        

        

        

        Allocation Guidelines:

        [1. Currently, you can select up to [5] of the Index Performance Strategy II Index Options.

        2. Currently, you can select up to a maximum of [15] Index Options.

        3. Allocations must be made in whole percentages.]

        

        

        The following is added to your Index Options shown on your Index Options Contract Schedule.

        

        

        Index Options:

        

        

        [Part [A] Index Option Rider(s):]

        [Index Performance Strategy II Index Options

        	
                Index

              	
                Buffer for all Terms

              	
                Minimum Cap for all Terms

              	
                Term

              
	
                [S&P 500® Index

              	
                [10.00]%

              	
                [3.00]%

              	
                [3 Index Years]]

              
	
                [Nasdaq-100® Index

              	
                [10.00]%

              	
                [3.00]%

              	
                [3 Index Years]]

              
	
                [Russell 2000® Index

              	
                [10.00]%

              	
                [3.00]%

              	
                [3 Index Years]]

              
	
                [EURO STOXX 50®

              	
                [10.00]%

              	
                [3.00]%

              	
                [3 Index Years]]

              
	
                [iShares® MSCI Emerging Markets ETF

              	
                [10.00]%

              	
                [3.00]%

              	
                [3 Index Years]]]

              

        

        

        The indexes do not reflect the dividends paid on the stocks underlying the market indexes.

        

        

        On the Income Benefit Date, for any Index Option that has not reached a Term End Date, we will lock the Index Option
          Value before we calculate Income Payments.

        
          
            S40877-IAI-ADD-01                                                                           [Admin. Tracking Identifier]

          

          
            

          

        

        

        

        	
                Index Options Contract Schedule Addendum continued from the previous page

              

        

        

        [The S&P 500® Index is comprised of 500 stocks representing major U.S. industrial sectors.

        

        

        S&P® is a registered trademark of Standard & Poor’s Financial Services LLC (“S&P”). This trademark has been licensed for use by S&P Dow Jones Indices LLC.
          S&P marks are trademarks of S&P. These trademarks have been sublicensed for certain purposes by Allianz Life Insurance Company of North America (“Allianz”). The S&P 500® Index (“the Index”) is a product of S&P Dow Jones Indices
          LLC and/or its affiliates and have been licensed for use by Allianz.

        

        

        Allianz products are not sponsored, endorsed, sold, or promoted by S&P Dow Jones Indices LLC, Dow Jones, S&P, or any of their respective affiliates (collectively,
          “S&P Dow Jones Indices”). S&P Dow Jones Indices make no representation or warranty, express or implied, to the owners of the Allianz products or any member of the public regarding the advisability of investments generally or in Allianz
          products particularly or the ability of the Index and Average to track general market performance. S&P Dow Jones Indices’ only relationship to Allianz with respect to the Index and Average is the licensing of the Index and Average and certain
          trademarks, service marks, and/or trade names of S&P Dow Jones Indices and/or its third-party licensors. The Index and Average are determined, composed, and calculated by S&P Dow Jones Indices without regard to Allianz or the products.
          S&P Dow Jones Indices have no obligation to take the needs of Allianz or the owners of the products into consideration in determining, composing, or calculating the Index and Average. S&P Dow Jones Indices are not responsible for and have
          not participated in the design, development, pricing, and operation of the products, including the calculation of any interest payments or any other values credited to the products. S&P Dow Jones Indices have no obligation or liability in
          connection with the administration, marketing, or trading of products. There is no assurance that investment products based on the Index and Average will accurately track index performance or provide positive investment returns. S&P Dow Jones
          Indices LLC and its subsidiaries are not investment advisors. Inclusion of a security or futures contract within an index is not a recommendation by S&P Dow Jones Indices to buy, sell, or hold such security or futures contract, nor is it
          considered to be investment advice. Notwithstanding the foregoing, CME Group Inc. and its affiliates may independently issue and/or sponsor financial products unrelated to products currently being issued by Allianz, but which may be similar to
          and competitive with Allianz products. In addition, CME Group Inc., an indirect minority owner of S&P Dow Jones Indices LLC, and its affiliates may trade financial products which are linked to the performance of the Index and Average. It is
          possible that this trading activity will affect the value of the products.

        

        

        S&P DOW JONES INDICES DO NOT GUARANTEE THE ADEQUACY, ACCURACY, TIMELINESS, AND/OR THE COMPLETENESS OF THE INDEX AND AVERAGE OR ANY DATA RELATED THERETO OR ANY
          COMMUNICATION, INCLUDING BUT NOT LIMITED TO, ORAL OR WRITTEN COMMUNICATION (INCLUDING ELECTRONIC COMMUNICATIONS) WITH RESPECT THERETO. S&P DOW JONES INDICES SHALL NOT BE SUBJECT TO ANY DAMAGES OR LIABILITY FOR ANY ERRORS, OMISSIONS, OR DELAYS
          THEREIN. S&P DOW JONES INDICES

        

        

        MAKE NO EXPRESS OR IMPLIED WARRANTIES, AND EXPRESSLY DISCLAIM ALL WARRANTIES, OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OR USE OR AS TO RESULTS TO BE OBTAINED BY
          ALLIANZ, OWNERS OF THE PRODUCTS, OR ANY OTHER PERSON OR ENTITY FROM THE USE OF THE INDEX AND AVERAGE OR WITH RESPECT TO ANY DATA RELATED THERETO. WITHOUT LIMITING ANY OF THE FOREGOING, IN NO EVENT WHATSOEVER SHALL S&P DOW JONES INDICES BE
          LIABLE FOR ANY INDIRECT, SPECIAL, INCIDENTAL, PUNITIVE, OR CONSEQUENTIAL DAMAGES INCLUDING BUT NOT LIMITED TO, LOSS OF PROFITS, TRADING LOSSES, LOST TIME, OR GOODWILL, EVEN IF THEY HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, WHETHER IN
          CONTRACT, TORT, STRICT LIABILITY, OR OTHERWISE. THERE ARE NO THIRD-PARTY BENEFICIARIES OF ANY AGREEMENTS OR ARRANGEMENTS BETWEEN S&P DOW JONES INDICES AND ALLIANZ OTHER THAN THE LICENSORS OF S&P DOW JONES INDICES.]

        

        

        [The NASDAQ-100 Index® includes 100 of the largest domestic and international non-financial securities listed on The NASDAQ Stock Market® based on market capitalization.

        

        

        The Product(s) is not sponsored, endorsed, sold or promoted by Nasdaq, Inc. or its affiliates (Nasdaq, with its affiliates, are referred to as the “Corporations”).  The
          Corporations have not passed on the legality or suitability of, or the accuracy or adequacy of descriptions and disclosures relating to, the Product(s).  The Corporations make no representation or warranty, express or implied to the owners of the
          Product(s) or any member of the public regarding the advisability of investing in securities generally or in the Product(s) particularly, or the ability of the Nasdaq-100 Index® to track general stock market performance.  The Corporations' only
          relationship to Allianz Life Insurance Company of North America (“Licensee”) is in the licensing of the NASDAQ®, and Nasdaq-100 Index® registered trademarks, and certain trade names of the Corporations and the use of the Nasdaq-100 Index® which
          is determined, composed and calculated by NASDAQ without regard to Licensee or the Product(s).  Nasdaq has no obligation to take the needs of the Licensee or the owners of the Product(s) into consideration in determining, composing or calculating
          the Nasdaq-100 Index®.  The Corporations are not responsible for and have not participated in the determination of the timing of, prices at, or quantities of the Product(s) to be issued or in the determination or calculation of the equation by
          which the Product(s) is to be converted into cash.  The Corporations have no liability in connection with the administration, marketing or trading of the Product(s).

        
          
            S40877-IAI-ADD-01                                                                           [Admin. Tracking Identifier]

          

          
            

          

        

        

        

        

        

        	
                Index Options Contract Schedule Addendum  continued from the previous page

              

        THE CORPORATIONS DO NOT GUARANTEE THE ACCURACY AND/OR UNINTERRUPTED CALCULATION OF THE NASDAQ-100 INDEX® OR ANY DATA INCLUDED THEREIN.  THE CORPORATIONS MAKE NO WARRANTY,
          EXPRESS OR IMPLIED, AS TO RESULTS TO BE OBTAINED BY LICENSEE, OWNERS OF THE PRODUCT(S), OR ANY OTHER PERSON OR ENTITY FROM THE USE OF THE NASDAQ-100 INDEX® OR ANY DATA INCLUDED THEREIN.  THE CORPORATIONS MAKE NO EXPRESS OR IMPLIED WARRANTIES, AND
          EXPRESSLY DISCLAIM ALL WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OR USE WITH RESPECT TO THE NASDAQ-100 INDEX® OR ANY DATA INCLUDED THEREIN.  WITHOUT LIMITING ANY OF THE FOREGOING, IN NO EVENT SHALL THE CORPORATIONS HAVE
          ANY LIABILITY FOR ANY LOST PROFITS OR SPECIAL, INCIDENTAL, PUNITIVE, INDIRECT, OR CONSEQUENTIAL DAMAGES, EVEN IF NOTIFIED OF THE POSSIBILITY OF SUCH DAMAGES.]

        

        

        [The Russell 2000® Index is an equity index that measures the performance of the 2,000 smallest companies in the Russell 3000® Index, which is made up of 3, 000 of the biggest
          U.S. stocks.  The Russell 2000® Index is constructed to provide a comprehensive and unbiased small-cap barometer and is completely reconstituted annually to ensure larger stocks do not affect the performance and characteristics of the true
          small-cap index.

        

        

        The Russell 2000® Index (the “Index”) is a trademark of Frank Russell Company (“Russell”) and has been licensed for use by Allianz Life Insurance Company of North America
          (“Allianz”). Allianz products are not in any way sponsored, endorsed, sold or promoted by Russell or the London Stock Exchange Group companies (“LSEG”) (together the “Licensor Parties”) and none of the Licensor Parties make any claim, prediction,
          warranty or representation whatsoever, expressly or impliedly, either as to (i) the results to be obtained from the use of the Index (upon which the Allianz product is based), (ii) the figure at which the Index is said to stand at any particular
          time on any particular day or otherwise, or (iii) the suitability of the Index for the purpose to which it is being put in connection with the Allianz product. None of the Licensor Parties have provided or will provide any financial or investment
          advice or recommendation in relation to the Index to Allianz or to its clients. The Index is calculated by Russell or its agent. None of the Licensor Parties shall be (a) liable (whether in negligence or otherwise) to any person for any error in
          the Index or (b) under any obligation to advise any person of any error therein.]

        

        

        [The EURO STOXX 50®, Europe's leading Blue-chip index for the Eurozone, provides a blue-chip representation of supersector leaders in the Eurozone.  The index covers 50 stocks
          from 12 Eurozone countries: Austria, Belgium, Finland, France, Germany, Greece, Ireland, Italy, Luxembourg, the Netherlands, Portugal and Spain.

        

        

        STOXX Limited, Deutsche Börse Group and their licensors, research partners or data providers have no relationship to Allianz Life Insurance Company of North America
          (“Allianz”), other than the licensing of the EURO STOXX 50® and the related trademarks for use in connection with Allianz products.

        STOXX, Deutsche Börse Group and their licensors, research partners or data providers do not:

        • sponsor, endorse, sell or promote Allianz products.

        • recommend that any person invest in Allianz products or any other securities.

        • have any responsibility or liability for or make any decisions about the timing, amount or pricing of Allianz products.

        • have any responsibility or liability for the administration, management or marketing of Allianz products.

        • consider the needs of Allianz products or the owners of Allianz products in determining, composing or calculating the EURO STOXX 50 or have any obligation to do so.

        STOXX, Deutsche Börse Group and their licensors, research partners or data providers give no warranty, and exclude any liability (whether in negligence or
          otherwise), in connection with the Allianz products or their performance.

        STOXX does not assume any contractual relationship with the purchasers of Allianz products or any other third parties.

        Specifically,

        • STOXX, Deutsche Börse Group and their licensors, research partners or data providers do not give any warranty, express or implied, and exclude any liability about:

        • The results to be obtained by Allianz products, the owner of Allianz products or any other person in connection with the use of the EURO STOXX 50 and the data included in
          the EURO STOXX 50;

        • The accuracy, timeliness, and completeness of the EURO STOXX 50 and its data;

        • The merchantability and the fitness for a particular purpose or use of the EURO STOXX 50 and its data;

        • The performance of Allianz products generally.

        • STOXX, Deutsche Börse Group and their licensors, research partners or data providers give no warranty and exclude any liability, for any errors, omissions or interruptions
          in the EURO STOXX 50 or its data;

        • Under no circumstances will STOXX, Deutsche Börse Group or their licensors, research partners or data providers be liable (whether in negligence or otherwise) for any lost
          profits or indirect, punitive, special or consequential damages or losses, arising as a result of such errors, omissions or interruptions in the [relevant index] or its data or generally in relation to Allianz products, even in

        circumstances where STOXX, Deutsche Börse Group or their licensors, research partners or data providers are aware that such loss or damage may occur.

        

        

        
          
            S40877-IAI-ADD-01                                                                           [Admin. Tracking Identifier]

          

          
            

          

        

        

        

        

        

        	
                Index Options Contract Schedule Addendum  continued from the previous page

              

        The licensing Agreement between Allianz and STOXX is solely for their benefit and not for the benefit of the owners of Allianz products or any other third parties.]

        

        

        [The iShares® MSCI Emerging Markets ETF distributed by BlackRock Investments, LLC. iShares®, BLACKROCK®, and the corresponding logos are registered trademarks of BlackRock,
          Inc. and its affiliates (“BlackRock”) and are used under license. These trademarks have been licensed for certain purposes by Allianz Life Insurance Company of North America ("Allianz") and its wholly-owned subsidiaries. Products offered by
          Allianz or its wholly-owned subsidiaries are not sponsored, endorsed, sold or promoted by BlackRock, and purchasers of such products do not acquire any interest in the iShares® MSCI Emerging Markets ETF  nor enter into any relationship of any
          kind with BlackRock. BlackRock makes no representations or warranties, express or implied, to the owners of any products offered by Allianz or its wholly-owned subsidiaries, or any member of the public regarding the advisability of purchasing a
          product from Allianz or its wholly-owned subsidiaries. BlackRock has no obligation or liability for any errors, omissions, interruptions or use of the iShares MSCI Emerging Markets ETF or any data related thereto, or with the operation,
          marketing, trading or sale of any products or services offered by Allianz  and its wholly-owned subsidiaries.]

        

        

        

        

        
          S40877-IAI-ADD-01                                                                           [Admin. Tracking Identifier]Index Performance Strategy Rider II

          

    

    

    This rider forms a part of the Base Contract to which it is attached and is effective on the Index Effective Date shown on your Index Options
      statement, or if we issue this rider after the Index Effective Date, it is effective on the next Index Anniversary that occurs after the rider becomes available in your state.  In the case of a conflict with any provision in the Base Contract, the
      provisions of this rider control. Defined terms and contractual provisions are set forth in the Base Contract or are added in this rider.  This rider terminates as indicated under the Termination of this Rider provision.

    

    

    	
            Definitions

          

    

    

    Base Contract

    The contract to which this rider is attached.

    

    

    Buffer

    A Buffer is the maximum negative Index Return that we will absorb.  We declare a Buffer for each Index Option, and the Buffers will not change.  The Buffers are shown on the Index Options Contract Schedule.

    

    

    Cap

    A Cap is the maximum positive Performance Credit for the Index Option.  On the Term Start Date, we declare a Cap or that an
      Index Option is uncapped and we guarantee it for the Term.   If we declare that an Index Option is uncapped, there is no maximum positive Performance Credit for the Index Option on the Term End Date.  Caps are shown on your Index Options statement each year and will never be less than the Minimum Cap shown on the Index Options Contract Schedule.

    

    

    Index Option Base

    The value used to determine the dollar amount of the Performance Credit.  We establish an Index Option Base for each Index Option.

    

    

    Index Option Value

    The value in a selected Index Option.  We establish an Index Option Value for each Index Option.

    

    

    Index Value

    The value of an Index at the end of the Business Day.  Index Values are shown on your Index Options statement.

    

    

    Lock Date

    The Business Day that we receive an Authorized Request for a Performance Lock.

    

    

    Performance Credit

    The return you may receive per Term when you allocate to an Index Performance Strategy Index Option.

    

    

    Term

    The period of time from the Term Start Date to the Term End Date.  The Term is shown on the Index Options Contract Schedule.

    

    

    Term End Date

    The day on which a Term ends. A Term End Date may only occur on an Index Anniversary.

    

    

    Term Start Date

    The day on which a Term begins.  A Term Start Date may only occur on the Index Effective Date or an Index Anniversary.

    

    

    	
            Contract Value

          

    

    

    The following is added to the “Contract Value” section.

    

    

    How we calculate Index Option Values

    On the first Term Start Date, the Index Option Value and Index Option Base for an Index Option are equal to the amount of any Purchase
      Payments and Transfers into the Index Option.

    
      
        S40903 2                 [Admin. Tracking Identifier]

      

      
        

      

    

    

    

    

    

    	
            Contract Value continued from the previous page

          

    

    

    At the end of each Business Day other than the Term Start Date or Term End Date, the Index Option Value is equal to the Index Option Base plus
      its Daily Adjustment.  We establish a Proxy Value to calculate the Daily Adjustment.  The Proxy Value is determined on each Business Day based on the value of a hypothetical set of put and call options as determined by an option pricing formula.  The
      Daily Adjustment is calculated before we process any Partial Withdrawal or deduct any Contract Charges using the Index Option Base, the current Proxy Value, and the Proxy Value as of the Term Start Date.

    

    

    At the end of each Business Day, we reduce the Index Option Value by the dollar amount withdrawn from the Index Option, including any Withdrawal
      Charge, and Contract Charges.  We deduct withdrawals from an Index Option proportionately based on the percentage of Contract Value in the Index Option, unless you specify otherwise.  We then reduce the Index Option Base by the same percentage by
      which the amount withdrawn reduced its associated Index Option Value.

    

    

    On the Term End Date, we calculate the Index Option Value for the Index Performance Strategy Index Option by applying its associated Performance
      Credit to its Index Option Base.  If the Term End Date is not a Business Day, we calculate the Performance Credit on the next Business Day.

    

    

    On the Term End Date, we determine the Index Return for the Index Option.  The Index Return is the Index Value for the Term End Date, minus the
      Index Value from the Term Start Date, divided by the Index Value from the Term Start Date.

    

    

    If the Index Return is positive and greater than or equal to the Cap for an Index Option, then the Performance Credit for the Index Option is
      equal to the Cap.  If the Index Return is positive, but less than the Cap, or if the Index Option is uncapped, then the Performance Credit for that Index Option is equal to the Index Return.  If the Index Return is zero or negative, but within the
      Buffer, then the Performance Credit for the Index Option is zero.  If the Index Return is negative and extends beyond the Buffer, then the Performance Credit for the Index Option is equal to the Index Return plus the Buffer.

    

    

    For an Index Option that receives a Performance Credit, we multiply its Performance Credit by its Index Option Base.  This result is then added
      to its Index Option Base.  We then set the Index Option Value equal to its Index Option Base.

    

    

    Finally, on the Term End Date, for the Index Option we:

    
      	
              •

            	
              Increase its Index Option Value and Index Option Base by the amount of any Additional Purchase Payments and Transfers into the
                Index Option;

            

    

    
      	
              •

            	
              Reduce its Index Option Value and Index Option Base by the amount transferred out of the Index Option; and

            

    

    
      	
              •

            	
              Reduce its Index Option Value and Index Option Base for Withdrawals (including any Withdrawal Charge) and Contract Charges.

            

    

    

    

    	
            Performance Lock

          

    

    

    You can request a Performance Lock of the current Index Option Value for an unlocked Index Option by providing an Authorized Request.  We
      process the request on the Lock Date based on the values at the end of the Business Day.  Compared with what you would have received as a Performance Credit on the Term End Date, if you exercise a Performance Lock, you may receive less than the full
      protection of the Buffer, less than the full Cap, or if uncapped, less than the full Index Return over the Term.

    

    

    Once an Index Option Value has been locked:

    
      	
              •

            	
              The Index Option Value will not change until the Index Anniversary that occurs on or immediately after the Lock Date, unless it is
                reduced for Withdrawals and any other Contract Charges;

            

    

    
      	
              •

            	
              You cannot unlock the Index Option; and

            

    

    
      	
              •

            	
              The locked Index Option will not receive a Performance Credit on the Term End Date.

            

    

    

    

    On the Index Anniversary that occurs on or immediately after the Lock Date, we set the Index Option Base equal to the Index Option Value and we
      will reallocate the Index Option Value according to your new allocation instructions. If you have not provided new allocation instructions, we will reallocate the Index Option Value into the same Index Option with a new Term.

    
      
        S40903 2                 [Admin. Tracking Identifier]

      

      
        

      

    

    

    

    

    

    	
            Rider Fee

          

    

    

    There is no fee for this rider.

    

    

    	
            Termination of this Rider

          

    

    

    This rider terminates on the earlier of the Business Day before the Annuity Date or the date the Base Contract terminates.

    

    

    In all other respects the provisions, conditions, exceptions and limitations contained in the Base Contract remain unchanged and apply to this
      rider.

    

    

    Signed for the Company at its home office.

    

    

    Allianz Life Insurance Company

    of North America

    

    

               [                       ]

                                                                                 [Gretchen
        Cepek] [Walter R. White]

                                                                                  
        Secretary President and CEO

    

    

    To obtain information, make an inquiry, or for assistance with a complaint,

    please call our toll-free number at [800.624.0197].

    

    

    
      S40903 3                                   [Admin. Tracking Identifier]

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