Document:

EX-4.1

 Exhibit 4.1 

 

			
	REGISTERED	  	REGISTERED

 (FACE OF
SECURITY) 
 AMERICAN INTERNATIONAL GROUP, INC. 
 MEDIUM-TERM NOTES, SERIES H 
 (FORM OF FIXED RATE NOTE) 

[IF A GLOBAL SECURITY, INSERT — THIS SECURITY IS A GLOBAL SECURITY WITHIN THE MEANING OF THE INDENTURE HEREINAFTER REFERRED TO AND
IS REGISTERED IN THE NAME OF A DEPOSITARY OR A NOMINEE THEREOF. THIS SECURITY MAY NOT BE EXCHANGED IN WHOLE OR IN PART FOR A SECURITY REGISTERED, AND NO TRANSFER OF THIS SECURITY IN WHOLE OR IN PART MAY BE REGISTERED, IN THE NAME OF ANY PERSON OTHER
THAN SUCH DEPOSITARY OR A NOMINEE THEREOF, EXCEPT IN THE LIMITED CIRCUMSTANCES DESCRIBED IN THE INDENTURE.] 
 [IF DTC IS THE
DEPOSITARY, INSERT — UNLESS THIS CERTIFICATE IS PRESENTED BY AN AUTHORIZED REPRESENTATIVE OF THE DEPOSITORY TRUST COMPANY, A NEW YORK CORPORATION (“DTC”), TO AMERICAN INTERNATIONAL GROUP, INC. OR ITS AGENT FOR REGISTRATION OF
TRANSFER, EXCHANGE, OR PAYMENT, AND ANY CERTIFICATE ISSUED IS REGISTERED IN THE NAME OF CEDE & CO. OR IN SUCH OTHER NAME AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC (AND ANY PAYMENT IS MADE TO CEDE & CO. OR TO SUCH OTHER
ENTITY AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC), ANY TRANSFER, PLEDGE, OR OTHER USE HEREOF FOR VALUE OR OTHERWISE BY OR TO ANY PERSON IS WRONGFUL INASMUCH AS THE REGISTERED OWNER HEREOF, CEDE & CO., HAS AN INTEREST HEREIN.]

 [INSERT ANY LEGEND REQUIRED BY THE INTERNAL REVENUE CODE AND THE REGULATIONS THEREUNDER.] 

 

			
	No.:	  	PRINCIPAL AMOUNT:
		
	CUSIP No.:	  	 AUTHORIZED DENOMINATIONS:

($2,000 and any integral multiples of $1,000 in excess thereof unless otherwise specified)

		
	ORIGINAL ISSUE DATE*:	  	MATURITY DATE:

  

	*	This date shall be the issue date of the Security, unless there is a Predecessor Security, in which case this date shall be the issue date of the first Predecessor
Security. 

			
	INTEREST RATE:     % per annum	  	INTEREST PAYMENT DATE(S):
		
	REGULAR RECORD DATE(S):	  	REDEMPTION COMMENCEMENT DATE:
		
	REDEMPTION PERIOD(S):	  	REDEMPTION PRICE(S):
		
	 ORIGINAL ISSUE DISCOUNT SECURITY:
  

•   Total Amount of OID:

 
 •   Yield to
Maturity:
  

•   Initial Accrual Period of OID:
	  	 DEFEASANCE:
  

•   Full Defeasance:

 
 •   Covenant
Defeasance:

		
	REPAYMENT PRICE(S):	  	REPAYMENT DATE(S):
		
	 SPECIFIED CURRENCY: (U.S. dollars for all payments unless otherwise specified below)

 
 •   Payments of
Principal and of any Interest:
  

•   Payments of Interest:

 
 •   Exchange Rate
Agent:
	  	OTHER TERMS:

 Terms left blank or marked “N/A”, “No”, “None” or in a similar manner do
not apply to this Security except as may be otherwise specified. 
 Whenever used in this Security, the terms specified above
that apply to this Security have the meanings specified above, unless the context requires otherwise. 
 AMERICAN
INTERNATIONAL GROUP, INC., a corporation duly organized and existing under the laws of the State of Delaware (herein called the “Company’’, which term includes any successor corporation under the Indenture hereinafter referred
to), for value received, hereby promises to pay to [IF A GLOBAL SECURITY, INSERT — Cede & Co., as nominee for The Depository Trust Company] [    ], or registered assigns, the Principal Amount shown above on the
Maturity Date shown above [IF THE SECURITY IS TO BEAR INTEREST PRIOR TO MATURITY, INSERT — , and to pay interest thereon from the Original Issue Date shown above or from the most recent Interest Payment Date to which interest has been paid or
duly provided for, on the interest payment dates in each year, commencing on the first Interest Payment Date succeeding the Original Issue Date of this Security, at the Interest Rate per annum shown above, until the principal hereof is paid or made
available for payment [IF 

  
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APPLICABLE, INSERT — , provided that any principal and premium, and any such installment of interest, which is overdue shall bear interest at the rate of [    ]%
per annum (to the extent that the payment of such interest shall be legally enforceable), from the dates such amounts are due until they are paid or made available for payment, and such interest shall be payable on demand]. The interest so payable,
and punctually paid or duly provided for, on any Interest Payment Date will, as provided in such Indenture, be paid to the Person in whose name this Security (or one or more Predecessor Securities) is registered at the close of business on the
Regular Record Date for such interest, which shall be [    ] or [    ] (whether or not a Business Day), as the case may be, next preceding such Interest Payment Date; provided, that for the purpose of
determining the Holder registered at the close of the business on a Regular Record Date when business is not being conducted, the close of business will mean 5:00 P.M., New York City time, on that day; provided, further, that interest
payable on the Maturity Date, or, if applicable, the Redemption Date, will be payable to the registered Holder of this Security to whom principal is payable. Any such interest not so punctually paid or duly provided for will forthwith cease to be
payable to the registered Holder on such Regular Record Date and may either be paid to the Person in whose name this Security (or one or more Predecessor Securities) is registered at the close of business on a Special Record Date for the payment of
such Defaulted Interest to be fixed by the Trustee, notice whereof shall be given to the Holders of Securities not less than 10 days prior to such Special Record Date, or be paid at any time in any other lawful manner not inconsistent with the
requirements of any securities exchange on which the Securities may be listed, and upon such notice as may be required by such exchange, all as more fully provided in such Indenture. 

Interest shall be computed on the basis of a 360-day year comprised of twelve 30-day months.] 

[IF THE SECURITY IS NOT TO BEAR INTEREST PRIOR TO MATURITY, INSERT — The Principal Amount of this Security shall not bear interest
except in the case of a default in payment of principal upon acceleration, upon redemption or at the Maturity Date, and in such case the overdue principal and any overdue premium shall bear interest at the rate of [    ]% per
annum (to the extent that the payment of such interest shall be legally enforceable), from the dates such amounts are due until they are paid or made available for payment. Interest on any overdue principal or premium shall be payable on demand.]

 Currency of Payment. Payment of principal of (and premium, if any) and any interest on this Security will be made in
the Specified Currency for such payment, except hereinafter provided. The Specified Currency for any payment shall be the currency specified as such on this face of this Security unless, at the time of such payment, such currency is not legal tender
for the payment of public and private debts in the country issuing such currency on the Original Issue Date, in which case the Specified Currency for such payment shall be such coin or currency as at the time of such payment is legal tender for the
payment of public and private debts in such country, except as provided in the next sentence. If the euro is the Specified Currency for any payment, the Specified Currency for such payment shall be such coin or currency as at the time of payment is
legal tender for the payment of public and private debts in all European Monetary Union (“EMU”) Countries, provided that, if on any day there are not at least two EMU Countries, or if on any day there are at least two EMU Countries
but no coin or currency is legal tender for the payment of public and private debts in all EMU Countries, then the Specified Currency for such payment shall be deemed not to be available to the Company on such day. 

  
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 Except as provided in the next paragraph, any payment made on this Security in a Specified
Currency other than U.S. dollars will be made in U.S. dollars if the Person entitled to receive such payment transmits a written request for such payment to be made in U.S. dollars to the Trustee at its Corporate Trust Office, Attention: Corporate
Trust Administration, on or before the fifteenth day before the payment is to be made. Any such written request may be mailed, hand delivered, telecopied or delivered in any other manner approved by the Trustee. Any such request made with respect to
any payment on this Security payable to a particular Holder will remain in effect for all later payments on this Security payable to such Holder, unless such request is revoked on or before the fifteenth day before a payment is to be made, in which
case such revocation shall be effective for such and all later payments. In the case of any payment of interest payable on an Interest Payment Date, such written request must be made by the Person who is the registered Holder of this Security on the
relevant Regular Record Date and must be made no later than such Regular Record Date. 
 The U.S. dollar amount of any payment
made pursuant to the preceding paragraph will be determined by the Exchange Rate Agent based upon the highest bid quotation received by the Exchange Rate Agent as of 11:00 A.M., New York City time, on the second Business Day preceding the
applicable payment date, from three (or, if three are not available, then two) recognized foreign exchange dealers selected by the Exchange Rate Agent in The City of New York, in each case for the purchase by the quoting dealer, for U.S. dollars and
for settlement on such payment date of an amount of such Specified Currency for such payment equal to the aggregate amount of such Specified Currency payable on such payment date to all Holders of this Security who elect to receive U.S. dollar
payments on such payment date, and at which the applicable dealer commits to execute a contract. If the Exchange Rate Agent determines that two such bid quotations are not available on such second Business Day, such payment will be made in the
Specified Currency for such payment. All currency exchange costs associated with any payment in U.S. dollars on this Security will be borne by the Holder entitled to receive such payment, by deduction from such payment. 

Notwithstanding the foregoing, if any amount payable on this Security is payable on any day (including at Maturity) in a Specified
Currency other than U.S. dollars, and if such Specified Currency is not available to the Company on the two Business Days before such day, due to the imposition of exchange controls, disruption in a currency market or any other circumstances beyond
the control of the Company, the Company will be entitled to satisfy its obligation to pay such amount in such Specified Currency by making such payment in U.S. dollars. The amount of such payment in U.S. dollars shall be determined by the Exchange
Rate Agent on the basis of the noon buying rate, certified by The Federal Reserve Bank of New York for customs purposes, for cable transfers in The City of New York for such Specified Currency (the “Exchange Rate”) as of the latest day
before the day on which such payment is to be made. Any payment made under such circumstances in U.S. dollars where the required payment is in other than U.S. dollars will not constitute an Event of Default under the Indenture or this Security.

 Manner of Payment – U.S. Dollars. Except as provided in the next paragraph, payment of any amount payable on this
Security in U.S. dollars will be made at the office or agency of the Company maintained for that purpose in The City of New York (or at any other office or agency 

  
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maintained by the Company for that purpose), against surrender (in the manner provided below) of this Security in the case of any payment due at the Maturity Date of the principal hereof (other
than any payment of interest that first becomes due on an Interest Payment Date); provided, however, that, at the option of the Company and subject to the next paragraph, payment of any interest may be made (a) by check mailed to
the address of the Person entitled thereto as such address shall appear in the Security Register or (b) by wire transfer to an account as may have been appropriately designated by such Person. 

Payment of any amount payable on this Security in U.S. dollars will be made by wire transfer of immediately available funds to an account
maintained by the payee with a bank located in the Borough of Manhattan, The City of New York, if (i) the principal of this Security is at least $1,000,000 (or its equivalent in another currency) and (ii) the Holder entitled to receive
such payment transmits a written request for such payment to be made in such manner to the Trustee at its Corporate Trust Office, Attention: Corporate Trust Administration, on or before the fifth Business Day before the day on which such payment is
to be made; provided that, in the case of any such payment due at the Maturity Date of the principal hereof (other than any payment of interest that first becomes due on an Interest Payment Date), this Security must be surrendered (in the
manner provided below) at the office or agency of the Company maintained for that purpose in The City of New York (or at any other office or agency maintained by the Company for that purpose) in time for the Paying Agent to make such payment in such
funds in accordance with its normal procedures. Any such request made with respect to any payment on this Security payable to a particular Holder will remain in effect for all later payments on this Security payable to such Holder, unless such
request is revoked on or before the fifth Business Day before a payment is to be made, in which case such revocation shall be effective for such and all later payments. In the case of any payment of interest payable on this Security on an Interest
Payment Date, such written request must be made by the Person who is the registered Holder of this Security on the relevant Regular Record Date. The Company will pay any administrative costs imposed by banks in connection with making payments by
wire transfer with respect to this Security, but any tax, assessment or other governmental charge imposed upon any payment will be borne by the Holder of this Security and may be deducted from the payment by the Company or the Paying Agent.

 Manner of Payment – Other Specified Currencies. Payment of any amount payable on this Security in a Specified
Currency other than U.S. dollars will be made by wire transfer of immediately available funds to such account as is maintained in such Specified Currency at a bank or other financial institution acceptable to the Company and the Trustee and as shall
have been designated at least five Business Days prior to the applicable payment date by the Person entitled to receive such payment, provided that, in the case of any such payment due at the Maturity Date of the principal hereof (other than
any payment of interest that first becomes due on an Interest Payment Date), this Security must be surrendered (in the manner provided below) at the office or agency of the Company maintained for that purpose in The City of New York (or at any other
office or agency maintained by the Company for that purpose) in time for the Paying Agent to make such payment in such funds in accordance with its normal procedures. Such account designation shall be made by transmitting the appropriate information
to the Trustee at its Corporate Trust Office, Attention: Corporate Trust Administration, in the Borough of Manhattan, The City of New York, by mail, hand delivery, telecopier or in any other manner approved by the Trustee. Unless revoked, any such
account designation made with respect to 

  
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this Security by the Holder hereof will remain in effect with respect to any further payments with respect to this Security payable to such Holder. If a payment in a Specified Currency other than
U.S. dollars with respect to this Security cannot be made by wire transfer because the required account designation has not been received by the Trustee on or before the requisite date or for any other reason, the Company will cause a notice to be
given to the Holder of this Security at its registered address requesting an account designation pursuant to which such wire transfer can be made and such payment will be made within five Business Days after the Trustee’s receipt of such a
designation meeting the requirements specified above, with the same force and effect as if made on the due date. The Company will pay any administrative costs imposed by banks in connection with making payments by wire transfer with respect to this
Security, but any tax, assessment or other governmental charge imposed upon any payment will be borne by the Holder of this Security and may be deducted from the payment by the Company or the Paying Agent. 

[IF A GLOBAL SECURITY, INSERT — Manner of Payment – Payments Pursuant to the Applicable Procedures of the Depositary;
Surrender of this Security. Notwithstanding any provision of this Security or the Indenture, the Company may make any and all payments of principal, premium and any interest on this Security pursuant to the applicable procedures of the
Depositary for this Security as permitted in the Indenture.] 
 Payments Due on a Business Day. As specified on the face
hereof, one of the following Business Day conventions shall apply: 
  

	 	(i)	if the Business Day convention is “Following Business Day”: any Interest Payment Date, the Maturity Date or, if applicable, Redemption Date, with respect to
this Security that would otherwise be due on a day that is not a Business Day may instead be paid on the next day that is a Business Day; 

  

	 	(ii)	if the Business Day convention is “Modified Following Business Day”: any Interest Payment date other than the Maturity Date or, if applicable, Redemption
Date, with respect to this Security that would otherwise be due on a day that is not a Business Day may instead be paid on the next day that is a Business Day, unless such Business Day falls in the next calendar month, in which case the payment or
delivery date will be the first preceding day that is a Business Day; 

  

	 	(iii)	if the Business Day convention is “Preceding Business Day”: any Interest Payment Date other than the Maturity Date or, if applicable, Redemption Date, with
respect to this Security that would otherwise be due on a day that is not a Business Day may instead be paid or delivered on the first preceding day that is a Business Day. 

In the case of (ii) and (iii) above, if an Interest Payment Date falls on a Maturity Date or, if applicable, Redemption Date,
that is not a Business Day or if the Maturity Date or, if applicable, Redemption Date, falls on a day that is not a Business Day, the required payment of principal, premium, if any, and interest will be made on the next succeeding Business Day, and
interest will not continue to accrue until the date of payment made on that next succeeding Business Day. Accordingly, the amount of interest accrued and payable on the Interest Payment Date will not be adjusted to reflect the longer or shorter
interest period. If an interest payment is made on the following or preceding Business Day in accordance with the procedures described above and 

  
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deemed made on that following or preceding Business Day (not on the original due date), the Business Day convention is “adjusted”. Accordingly, the amount of interest accrued and
payable on that Interest Payment Date will be adjusted to reflect the longer or shorter interest period. 
 In each case, if an
interest payment is made on the following or preceding Business Day in accordance with the procedures described above with the same effect as if paid or delivered on the original Interest Payment Date and without payment of any additional money, the
Business Day convention is “unadjusted”. 
 The provisions of preceding three paragraphs shall apply to this Security
in lieu of the provisions of Section 113 of the Indenture. 
 Reference is hereby made to the further provisions of this
Security set forth on the reverse hereof, which further provisions shall for all purposes have the same effect as if set forth at this place. 
 Unless the certificate of authentication hereon has been executed by the Trustee referred to on the reverse hereof, by manual signature, this Security shall not be entitled to any benefit under the
Indenture or be valid or obligatory for any purpose. 

  
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 IN WITNESS WHEREOF, the Company has caused this instrument to be duly executed under its
corporate seal. 
 Dated: 
  

			
	AMERICAN INTERNATIONAL GROUP, INC.
		
	By:	 	  

		 	Name:
		 	Title:
		
	Attest:	 	  

		 	Name:
		 	Title:

 TRUSTEE’S CERTIFICATE OF AUTHENTICATION 
 This is one of the Securities of the series designated therein referred to in the within-mentioned Indenture. 
 Dated: 
  

			
	 THE BANK OF NEW YORK MELLON,
 as Trustee

		
	By:	 	  

		 	Authorized Signatory

  
 - 8 -

 (REVERSE OF SECURITY) 

AMERICAN INTERNATIONAL GROUP, INC. 
 FIXED RATE MEDIUM-TERM NOTES, SERIES H 
 This Security is one of a duly
authorized series of securities of the Company, issued and to be issued in one or more series under an Indenture dated as of October 12, 2006, as amended by the Fourth Supplemental Indenture, dated as of April 18, 2007, and the Eighth
Supplemental Indenture, dated as of December 3, 2010 (as so amended, and as it may be amended or supplemented from time to time, the “Indenture’’), in each case between the Company and The Bank of New York Mellon (formerly known
as The Bank of New York), as trustee (herein called the “Trustee”, which term includes any successor trustee under the Indenture), to which Indenture and all indentures supplemental thereto reference is hereby made for a statement of the
respective rights, limitations of rights, duties and immunities thereunder of the Company, the Trustee and the Holders of the Securities and the terms upon which the Securities are, and are to be, authenticated and delivered. This Security is one of
the series designated on the face hereof (herein called the ‘‘Securities’’), which is initially limited to an aggregate principal amount of up to $1,000,000,000 (or the equivalent thereof in one or more foreign or composite
currencies or currency units); provided that the Company may, without the consent of any Holder, at any time and from time to time, increase such initial principal amount. References herein to “this series” mean the series of
Securities designated on the face hereof. 
 Unless an initial date on which this Security may be redeemed by the Company (a
“Redemption Commencement Date”) is specified on the face hereof, this Security will not be redeemable by the Company prior to the Maturity Date. If a Redemption Commencement Date with respect to this Security is specified on the face
hereof, the face of this Security will also specify one or more Redemption Prices, which will be expressed as a percentage of the Principal Amount of this Security, and the Redemption Period during which such Redemption Prices will apply. If this
Security is redeemable at the Company’s option, it will be redeemable in whole or in part at any time on or after the specified Redemption Commencement Date for a limited period, as specified on the face hereof, at the specified Redemption
Price applicable to the Redemption Period for this Security together with any interest accrued up to the Redemption Date. If the Company elects to redeem this Security, the Company will give to the Holder of this Security written notice of the
principal amount of this Security to be redeemed, not less than 5 Business Days nor more than 60 days before the applicable Redemption Date. In the event of redemption of this Security in part only, a new Security or Securities of this
series and of like tenor for the unredeemed portion hereof will be issued in the name of the Holder hereof upon the cancellation hereof. 
 If one or more Repayment Dates are specified on the face hereof, the Principal Amount of this Security will be repayable in whole or in part in an amount equal to any Authorized Denomination
(provided that the remaining principal amount of this Security surrendered for partial repayment shall at least equal the minimum Authorized Denomination), on any such Repayment Date, in each case at the option of the Holder and at the
Repayment Price specified on the face hereof, together with any accrued interest to the applicable Repayment Date (but any 

  
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interest installments due on or prior to such Repayment Date will be payable to the Holder of this Security, or one or more Predecessor Securities, of record at the close of business on the
relevant Regular Record Date as provided in the Indenture). If the face of this Security provides for more than one Repayment Date and the Holder exercises its option to elect repayment, the Holder shall be deemed to have elected repayment on the
earliest repayment date after all conditions to such exercise have been satisfied, and references herein to the applicable Repayment Date shall mean such earliest repayment date. 

In order for the exercise of such option to be effective and the Principal Amount of this Security to be repaid, the Company must receive
at the applicable address of the Trustee set forth below (or at such other place or places of which the Company shall from time to time notify the Holder of this Security), at least 15 days but not more than 30 days (or if either such day
is not a Business Day, the next Business Day) prior to the applicable Repayment Date, either (i) this Security, with the form below entitled “Option to Elect Repayment” duly completed and signed, or (ii) a telegram, telex,
facsimile transmission or a letter from a member of a national securities exchange or the Financial Industry Regulatory Authority (“FINRA”) or a commercial bank or trust company in the United States setting forth (a) the name, address
and telephone number of the Holder of this Security, (b) the principal amount of this Security and the principal amount of this Security to be repaid, (c) the certificate number or a description of the tenor and terms of this Security,
(d) a statement that the option to elect repayment is being exercised thereby and (e) a guarantee stating that the Company will receive this Security, with the form below entitled “Option to Elect Repayment” duly completed and
signed, not later than five Business Days after the date of such telegram, telex, facsimile transmission or letter (provided that this Security and form duly completed and signed are received by the Company by such fifth Business Day). Any
such election shall be irrevocable. The address to which such deliveries are to be made is The Bank of New York Mellon, Attention: Corporate Trust Administration, 101 Barclay Street, 4E, New York, New York 10286 (or at such other place or
places as the Company or the Trustee shall notify the Holder of this Security). All questions as to the validity, eligibility (including time of receipt) and acceptance of any Security for repayment will be determined by the Company, whose
determination will be final and binding. Notwithstanding the foregoing, (x) if this Security is a Global Security, the option of the Holder to elect repayment may be exercised in accordance with the applicable procedures of the Depositary for
this Security at least 15 days prior to the applicable Repayment Date and (y) whether or not this Security is a Global Security, the option of the Holder to elect repayment may be exercised in any such manner as the Company may approve.

 Unless otherwise specified on the face hereof, we will not provide any sinking fund for this Security. 

The Indenture contains provisions for defeasance at any time of the entire indebtedness of this Security or certain restrictive covenants
and Events of Default with respect to this Security, in each case upon compliance with certain conditions set forth in the Indenture. 
 [IF THE SECURITY IS NOT AN ORIGINAL ISSUE DISCOUNT SECURITY, INSERT — If an Event of Default with respect to Securities of this series shall occur and be continuing, the principal of the Securities
of this series may be declared due and payable in the manner and with the effect provided in the Indenture.] 

  
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 [IF THE SECURITY IS AN ORIGINAL ISSUE DISCOUNT SECURITY, INSERT — If an Event of
Default with respect to this Security shall occur and be continuing, an amount of principal of this Security may be declared due and payable in the manner and with the effect provided in the Indenture. Such amount shall be equal to [— INSERT
FORMULA FOR DETERMINING THE AMOUNT]. Upon payment (i) of the amount of principal so declared due and payable and (ii) of interest on any overdue principal, premium and interest (in each case to the extent that the payment of such interest
shall be legally enforceable), all of the Company’s obligations in respect of the payment of the principal and premium and interest, if any, on this Security shall terminate.] 

The Indenture permits, with certain exceptions as therein provided, the amendment thereof and the modification of the rights and
obligations of the Company and the rights of the Holders of the Securities of each series to be affected under the Indenture at any time by the Company and the Trustee with the consent of the Holders of not less than a majority in principal amount
of the Securities at the time Outstanding of each series to be affected. To the extent permitted by law, the Company may also amend or modify the rights of a particular Security of this series without the consent or approval of the other Holders of
Securities of this series. The Indenture also contains provisions permitting the Holders of specified percentages in principal amount of the Securities of each series at the time Outstanding, on behalf of the Holders of all Securities of such
series, to waive compliance by the Company with certain provisions of the Indenture and certain past defaults under the Indenture and their consequences. Any such consent or waiver by the Holder of this Security shall be conclusive and binding upon
such Holder and upon all future Holders of this Security and of any Security issued upon the registration of transfer hereof or in exchange herefor or in lieu hereof, whether or not notation of such consent or waiver is made upon this Security.

 As provided in and subject to the provisions of the Indenture, the Holder of this Security shall not have the right to
institute any proceeding with respect to the Indenture or for the appointment of a receiver or trustee or for any other remedy thereunder, unless such Holder shall have previously given the Trustee written notice of a continuing Event of Default
with respect to the Securities of this series, the Holders of not less than 25% in principal amount of the Securities of this series at the time Outstanding shall have made written request to the Trustee to institute proceedings in respect of such
Event of Default as Trustee and offered the Trustee reasonable indemnity, and the Trustee shall not have received from the Holders of a majority in principal amount of Securities of this series at the time Outstanding a direction inconsistent with
such request, and shall have failed to institute any such proceeding, for 60 days after receipt of such notice, request and offer of indemnity. The foregoing shall not apply to any suit instituted by the Holder of this Security for the enforcement
of any payment of principal hereof or any premium or interest hereon on or after the respective due dates expressed herein. 

No reference herein to the Indenture and no provision of this Security or of the Indenture shall alter or impair the obligation of the
Company, which is absolute and unconditional, to pay the principal of and any premium and interest on this Security at the times, place and rate, and in the coin or currency, herein prescribed. 

  
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 As provided in the Indenture and subject to certain limitations therein set forth, the
transfer of this Security is registrable in the Security Register, upon surrender of this Security for registration of transfer at the office or agency of the Company in any place where the principal of and any premium and interest on this Security
are payable, duly endorsed by, or accompanied by a written instrument of transfer in form satisfactory to the Company and the Security Registrar duly executed by, the Holder hereof or his attorney duly authorized in writing, and thereupon one or
more new Securities of this series and of like tenor, of authorized denominations and for the same aggregate principal amount, will be issued to the designated transferee or transferees. 

The Securities of this series are issuable only in registered form without coupons in denominations of $2,000 and integral multiples of
$1,000 in excess thereof. As provided in the Indenture and subject to certain limitations therein set forth, Securities of this series are exchangeable for a like aggregate principal amount of Securities of this series and of like tenor of a
different authorized denomination, as requested by the Holder surrendering the same. 
 No service charge shall be made for any
such registration of transfer or exchange, but the Company may require payment of a sum sufficient to cover any tax or other governmental charge payable in connection therewith. 

Prior to due presentment of this Security for registration of transfer, the Company, the Trustee and any agent of the Company or the
Trustee may treat the Person in whose name this Security is registered as the owner hereof for all purposes, whether or not this Security be overdue, and neither the Company, the Trustee nor any such agent shall be affected by notice to the
contrary. 
 [IF A GLOBAL SECURITY, INSERT — This Security shall be subject to the provisions of the Indenture relating to
Global Securities, including the limitations in Section 305 thereof on transfers and exchanges of Global Securities.] 

All terms used in this Security which are defined in the Indenture shall have the meanings assigned to them in the Indenture. 

This Security and the Indenture shall be governed by and construed in accordance with the laws of the State of New York. 

 
  

  
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 AMERICAN INTERNATIONAL GROUP, INC. 

MEDIUM-TERM NOTES, SERIES H 
 OPTION TO ELECT REPAYMENT 
 TO BE COMPLETED ONLY IF THIS SECURITY

 IS REPAYABLE AT THE OPTION OF THE HOLDER AND 
 THE HOLDER ELECTS TO EXERCISE SUCH RIGHT 
 The undersigned hereby irrevocably
requests and instructs the Company to repay the Security referred to in this notice (or the portion thereof specified below) at the applicable Repayment Price, together with interest to the Repayment Date, all as provided for in such Security, to
the undersigned, whose name, address and telephone number are as follows: 
  

	
	  

	
	  

	(please print name of the undersigned)
	
	  

	
	  

	(please print address of the undersigned)
	
	  

	
	  

	(please print telephone number of the undersigned)

 If such Security provides for more than one Repayment Date, the undersigned requests repayment on the
earliest Repayment Date after the requirements for exercising this option have been satisfied, and references in this notice to the Repayment Date mean such earliest Repayment Date. Terms used in this notice that are defined in such Security are
used herein as defined therein. 
 For such Security to be repaid the Company must receive at the applicable address of the
Trustee set forth below or at such other place or places of which the Company or the Trustee shall from time to time notify the Holder of such Security, any Business Day not later than the 15th or earlier than the 30th calendar day prior to the
repayment date (or, if either such calendar day is not a Business Day, the next succeeding Business Day), (i) such Security, with this “Option to Elect Repayment” form duly completed and signed, or (ii) a telegram, telex,
facsimile transmission or a letter from a member of a national securities exchange or the Financial Industry Regulatory Authority (“FINRA”) or a commercial bank or trust company in the United States setting forth (a) the name, address
and telephone number of the Holder of this Security, (b) the principal amount of this Security and the principal amount of this Security to be repaid, (c) the certificate number or a description of the tenor and terms of this Security,
(d) a 

  
 (Reverse of
Security continued on next page) 

 
statement that the option to elect repayment is being exercised thereby and (e) a guarantee stating that the Company will receive this Security, with the form below entitled “Option to
Elect Repayment” duly completed and signed, not later than five Business Days after the date of such telegram, telex, facsimile transmission or letter (provided that this Security and form duly completed and signed are received by the
Company by such fifth Business Day). The address to which such deliveries are to be made is: 
 The Bank of New York Mellon

 Attention: Corporate Trust Administration 
 101 Barclay Street 
 New York, New York 10286 

or at such other place or places as the Company or the Trustee shall notify the Holder of such Security. 

If less than the entire principal amount of such Security is to be repaid, specify the portion thereof (which shall equal any Authorized
Denomination) that the Holder elects to have repaid: 
  

 
  

							
	Date:	 	  
	  		  	  

		 		  		  	Notice: The signature to this Option to Elect Repayment must correspond with the name of the Holder as written on the face of such Security in every particular without alteration or
enlargement or any other change whatsoever.

 ABBREVIATIONS 
 The following abbreviations, when used in the inscription on the face of this instrument, shall be construed as though they were written out in full according to applicable laws or regulations:

  

											
	TEN COM	 	—	 	as tenants in common	 	UNIF GIFT MIN ACT	 	—	 	             Custodian             
	TEN ENT	 	—	 	as tenants by the entireties	 		 		 	(Cust)                    (Minor)
	JT TEN	 	—	 	as joint tenants with right of survivorship and not as tenants in common	 		 		 	 Under Uniform Gifts to
 Minors
Act                     

(State)

 Additional abbreviations may also be used though not in the above list. 

 
  

  
 (Reverse of
Security continued on next page) 

 ASSIGNMENT 
 FOR VALUE RECEIVED, the undersigned hereby sell(s), assign(s) and transfer(s) unto 
  

							
	PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE	  		  	

  

	
	  

	PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING POSTAL ZIP CODE OF ASSIGNEE

  

	
	the within Security and all rights thereunder, hereby irrevocably constituting and appointing
	
	  

	attorney to transfer said Security on the books of the Company, with full power of substitution in the premises.

  

							
	Dated:	  	  
	  		  	
			
	Signature Guaranteed	  		  	
			
	  
	  		  	  

	 NOTICE: Signature must be guaranteed
	  		  	NOTICE: The signature to this assignment must correspond with the name as written upon the face of the within instrument in every particular, without alteration or enlargement or
any change whatever.EX-4.2

 Exhibit 4.2 

 

			
	REGISTERED	  	REGISTERED

 (FACE OF
SECURITY) 
 AMERICAN INTERNATIONAL GROUP, INC. 
 MEDIUM-TERM NOTES, SERIES H 
 (FORM OF FLOATING RATE NOTE)

 [IF A GLOBAL SECURITY, INSERT — THIS SECURITY IS A GLOBAL SECURITY WITHIN THE MEANING OF THE INDENTURE HEREINAFTER
REFERRED TO AND IS REGISTERED IN THE NAME OF A DEPOSITARY OR A NOMINEE THEREOF. THIS SECURITY MAY NOT BE EXCHANGED IN WHOLE OR IN PART FOR A SECURITY REGISTERED, AND NO TRANSFER OF THIS SECURITY IN WHOLE OR IN PART MAY BE REGISTERED, IN THE NAME OF
ANY PERSON OTHER THAN SUCH DEPOSITARY OR A NOMINEE THEREOF, EXCEPT IN THE LIMITED CIRCUMSTANCES DESCRIBED IN THE INDENTURE.] 

[IF DTC IS THE DEPOSITARY, INSERT — UNLESS THIS CERTIFICATE IS PRESENTED BY AN AUTHORIZED REPRESENTATIVE OF THE DEPOSITORY TRUST
COMPANY, A NEW YORK CORPORATION (“DTC”), TO AMERICAN INTERNATIONAL GROUP, INC. OR ITS AGENT FOR REGISTRATION OF TRANSFER, EXCHANGE, OR PAYMENT, AND ANY CERTIFICATE ISSUED IS REGISTERED IN THE NAME OF CEDE & CO. OR IN SUCH OTHER
NAME AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC (AND ANY PAYMENT IS MADE TO CEDE & CO. OR TO SUCH OTHER ENTITY AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC), ANY TRANSFER, PLEDGE, OR OTHER USE HEREOF FOR VALUE OR
OTHERWISE BY OR TO ANY PERSON IS WRONGFUL INASMUCH AS THE REGISTERED OWNER HEREOF, CEDE & CO., HAS AN INTEREST HEREIN.] 
 [INSERT ANY LEGEND REQUIRED BY THE INTERNAL REVENUE CODE AND THE REGULATIONS THEREUNDER.] 
  

			
	No:	  	PRINCIPAL AMOUNT:
		
	CUSIP NO.	  	AUTHORIZED DENOMINATIONS: ($2,000 and any integral multiples of $1,000 in excess thereof unless otherwise specified)
		
	ORIGINAL ISSUE DATE*:	  	INITIAL INTEREST RATE:    %

  

	*	date shall be the issue date of the Security, unless there is a Predecessor Security, in which case this date shall be the issue date of the first Predecessor Security.

			
	MATURITY DATE:	  	INDEX MATURITY:
		
	SPREAD:	  	SPREAD MULTIPLIER:    %
		
	CALCULATION AGENT:	  	 SPECIFIED CURRENCY: (U.S. dollars for all payments unless otherwise specified below)

 
 •   Payments of
Principal and of any Premium:
  

•   Payments of Interest:

 
 •   Exchange Rate
Agent:

		
	REGULAR RECORD DATE(S):	  	DAY COUNT CONVENTION:
		
	 INTEREST RATE BASIS:
  
	  	MAXIMUM INTEREST RATE:    %
	 •   LIBOR

 
 Designated LIBOR Page:

 
 Index Currency:

 

•   EURIBOR

 
 •   Treasury
Rate
  

•   CMS Rate

 
 •   CMT
Rate
  
 Designated CMT Reuters Screen
Page:
  
 Designated CMT Index Maturity:

 
 •   Commercial Paper
Rate
  

•   Prime Rate

 
 •   CD
Rate
  

•   Consumer Price Index

 
 •   Federal Funds
(Effective) Rate
  

•   any other rate
	  
	  	MINIMUM INTEREST RATE:    %
	  	INTEREST RESET DATE(S):
	  	INTEREST PAYMENT DATES:
	  	INTEREST DETERMINATION DATE(S):
	  	INTEREST PAYMENT PERIOD: (monthly, quarterly, semi-annually or annually)
	  	INTEREST RATE RESET PERIOD: (daily, weekly, monthly, quarterly, semi-annually, annually or otherwise)
	  	 ORIGINAL ISSUE DISCOUNT SECURITY:
  

•   Total Amount of OID:

 
 •   Yield to
Maturity:
  

•   Initial Accrual Period of OID:

		
	REDEMPTION COMMENCEMENT DATE:	  	REDEMPTION PERIOD(S):
		
	REDEMPTION PRICE(S):	  	REPAYMENT PRICE(S):
		
	REPAYMENT DATE(S) OR PERIOD(S):	  	OTHER TERMS:
		
	 DEFEASANCE:
  

•   Full Defeasance:

 
 •   Covenant
Defeasance:
	  	

  
 (Face of
Security continued on next page) 
 - 2 - 

 Terms left blank or marked “N/A”, “No”, “None” or in a similar
manner do not apply to this Security except as may be otherwise specified. 
 Whenever used in this Security, the terms
specified above that apply to this Security have the meanings specified above, unless the context requires otherwise. 

AMERICAN INTERNATIONAL GROUP, INC., a corporation duly organized and existing under the laws of the State of Delaware (herein
called the ‘‘Company’’, which term includes any successor corporation under the Indenture hereinafter referred to), for value received, hereby promises to pay to [IF A GLOBAL SECURITY, INSERT — Cede & Co., as
nominee for The Depository Trust Company] [    ], or registered assigns, the Principal Amount shown above on the Maturity Date shown above, and to pay interest thereon from the Original Issue Date shown above or from the most
recent Interest Payment Date to which interest has been paid or duly provided for, at a rate per annum equal to the Initial Interest Rate shown above until the first Interest Reset Date specified above and thereafter at a rate determined in
accordance with the provisions on the reverse hereof under the heading ‘‘Determination of LIBOR”, “Determination of EURIBOR”, ‘‘Determination of Treasury Rate”, “Determination of CMS Rate”,
‘‘Determination of CMT Rate”, “Determination of Commercial Paper Rate’’, “Determination of Prime Rate” ‘‘Determination of CD Rate’’, “Determination of Consumer Price Index” or
‘‘Determination of Federal Funds (Effective) Rate”, depending upon whether the Interest Rate Basis is LIBOR, EURIBOR, Treasury Rate, CMS Rate, CMT Rate, Commercial Paper Rate, Prime Rate, CD Rate, Consumer Price Index or Federal Funds
(Effective Rate), as indicated by the marked box above, until the principal hereof is paid or duly made available for payment. The Company will pay interest monthly, quarterly, semi-annually or annually as shown above under ‘‘Interest
Payment Period”, commencing with the first Interest Payment Date that is at least 15 calendar days after the Original Issue Date shown above, and ending on the Maturity Date. Except as provided above and in the Indenture referred to on the
reverse hereof, (i) monthly interest payments will be made on the third Wednesday of each month, (ii) quarterly interest payments will be made on the third Wednesday of March, June, September and December of each year,
(iii) semi-annual interest payments will be made on each of the third Wednesday of the two months set forth above, (iv) annual interest payments will be made on the third Wednesday of the month set forth above and (v) in each case,
interest payments will be made at the Maturity Date or, if applicable, the Redemption Date. The interest so payable, and punctually paid or duly provided for, on any Interest Payment Date will, as provided in the Indenture, be paid to the Person in
whose name this Security (or one or more Predecessor Securities) is registered at the close of business on the Regular Record Date for such interest, which shall be, unless otherwise specified on the face hereof, one Business Day prior to such
Interest Payment Date; provided, that for the purpose of determining the Holder registered at the close of the business on a Regular Record Date when business is not being conducted, the close of business will mean 5:00 P.M., New York City
time, on that day; provided, further, that interest payable on the Maturity Date, or, if applicable, Redemption Date, will be payable to the 

  
 (Face of
Security continued on next page) 
 - 3 - 

 
registered Holder of this Security to whom principal is payable. Any such interest which is payable, but is not punctually paid or duly provided for, on any Interest Payment Date, will cease to
be payable to the registered Holder on such Regular Record Date, and may either be paid to the Person in whose name this Security (or one or more Predecessor Securities) is registered at the close of business on a Special Record Date for the payment
of such Defaulted Interest to be fixed by the Trustee, notice whereof shall be given to the Holders of Securities not less than 10 days prior to such Special Record Date, or be paid at any time in any other lawful manner not inconsistent with the
requirements of any securities exchange on which the Securities may be listed, and upon such notice as may be required by such exchange, all as more fully provided in such Indenture. 

Currency of Payment. Payment of principal of (and premium, if any) and interest on this Security will be made in the Specified
Currency for such payment, except as provided in this and the next three paragraphs. The Specified Currency for any payment shall be the currency specified as such on this face of this Security unless, at the time of such payment, such currency is
not legal tender for the payment of public and private debts in the country issuing such currency on the Original Issue Date, in which case the Specified Currency for such payment shall be such coin or currency as at the time of such payment is
legal tender for the payment of public and private debts in such country, except as provided in the next sentence. If the euro is the Specified Currency for any payment, the Specified Currency for such payment shall be such coin or currency as at
the time of payment is legal tender for the payment of public and private debts in all European Monetary Union (“EMU”) Countries, provided that, if on any day there are not at least two EMU Countries, or if on any day there are at
least two EMU Countries but no coin or currency is legal tender for the payment of public and private debts in all EMU Countries, then the Specified Currency for such payment shall be deemed not to be available to the Company on such day.

 Except as provided in the next paragraph, any payment made on this Security in a Specified Currency other than U.S. dollars
will be made in U.S. dollars if the Person entitled to receive such payment transmits a written request for such payment to be made in U.S. dollars to the Trustee at its Corporate Trust Office, Attention: Corporate Trust Administration, on or before
the fifteenth day before the payment is to be made. Any such written request may be mailed, hand delivered, telecopied or delivered in any other manner approved by the Trustee. Any such request made with respect to any payment on this Security
payable to a particular Holder will remain in effect for all later payments on this Security payable to such Holder, unless such request is revoked on or before the fifteenth day before a payment is to be made, in which case such revocation shall be
effective for such and all later payments. In the case of any payment of interest payable on an Interest Payment Date, such written request must be made by the Person who is the registered Holder of this Security on the relevant Regular Record Date
and must be made no later than such Regular Record Date. 
 The U.S. dollar amount of any payment made pursuant to the preceding
paragraph will be determined by the Exchange Rate Agent based upon the highest bid quotation received by the Exchange Rate Agent as of 11:00 A.M., New York City time, on the second Business Day preceding the applicable payment date, from three
(or, if three are not available, then two) recognized foreign exchange dealers selected by the Exchange Rate Agent in The City of New York, in each case for the purchase by the quoting dealer, for U.S. dollars and for settlement on

  
 (Face of
Security continued on next page) 
 - 4 - 

 
such payment date of an amount of such Specified Currency for such payment equal to the aggregate amount of such Specified Currency payable on such payment date to all Holders of this Security
who elect to receive U.S. dollar payments on such payment date, and at which the applicable dealer commits to execute a contract. If the Exchange Rate Agent determines that two such bid quotations are not available on such second Business Day, such
payment will be made in the Specified Currency for such payment. All currency exchange costs associated with any payment in U.S. dollars on this Security will be borne by the Holder entitled to receive such payment, by deduction from such payment.

 Notwithstanding the foregoing, if any amount payable on this Security is payable on any day (including at Maturity) in a
Specified Currency other than U.S. dollars, and if such Specified Currency is not available to the Company on the two Business Days before such day, due to the imposition of exchange controls, disruption in a currency market or any other
circumstances beyond the control of the Company, the Company will be entitled to satisfy its obligation to pay such amount in such Specified Currency by making such payment in U.S. dollars. The amount of such payment in U.S. dollars shall be
determined by the Exchange Rate Agent on the basis of the noon buying rate, certified by The Federal Reserve Bank of New York for customs purposes, for cable transfers in The City of New York for such Specified Currency (the “Exchange
Rate”) as of the latest day before the day on which such payment is to be made. Any payment made under such circumstances in U.S. dollars where the required payment is in other than U.S. dollars will not constitute an Event of Default under the
Indenture or this Security. 
 Manner of Payment – U.S. Dollars. Except as provided in the next paragraph, payment
of any amount payable on this Security in U.S. dollars will be made at the office or agency of the Company maintained for that purpose in The City of New York (or at any other office or agency maintained by the Company for that purpose), against
surrender (in the manner provided below) of this Security in the case of any payment due at the Maturity Date of the principal hereof (other than any payment of interest that first becomes due on an Interest Payment Date); provided,
however, that, at the option of the Company and subject to the next paragraph, payment of interest may be made (a) by check mailed to the address of the Person entitled thereto as such address shall appear in the Security Register or
(b) by wire transfer to an account as may have been appropriately designated by such Person. 
 Payment of any amount
payable on this Security in U.S. dollars will be made by wire transfer of immediately available funds to an account maintained by the payee with a bank located in the Borough of Manhattan, The City of New York, if (i) the principal of this
Security is at least $1,000,000 (or its equivalent in another currency) and (ii) the Holder entitled to receive such payment transmits a written request for such payment to be made in such manner to the Trustee at its Corporate Trust Office,
Attention: Corporate Trust Administration, on or before the fifth Business Day before the day on which such payment is to be made; provided that, in the case of any such payment due at the Maturity Date of the principal hereof (other than any
payment of interest that first becomes due on an Interest Payment Date), this Security must be surrendered (in the manner provided below) at the office or agency of the Company maintained for that purpose in The City of New York (or at any other
office or agency maintained by the Company for that purpose) in time for the Paying Agent to make such payment in such funds in accordance with its normal procedures. Any such request made with respect to any payment on this Security payable to a
particular Holder will remain in effect for all later payments on this Security payable to such Holder, unless such request is revoked on or before the fifth Business 

  
 (Face of
Security continued on next page) 
 - 5 - 

 
Day before a payment is to be made, in which case such revocation shall be effective for such and all later payments. In the case of any payment of interest payable on this Security on an
Interest Payment Date, such written request must be made by the Person who is the registered Holder of this Security on the relevant Regular Record Date. The Company will pay any administrative costs imposed by banks in connection with making
payments by wire transfer with respect to this Security, but any tax, assessment or other governmental charge imposed upon any payment will be borne by the Holder of this Security and may be deducted from the payment by the Company or the Paying
Agent. 
 Manner of Payment – Other Specified Currencies. Payment of any amount payable on this Security in a
Specified Currency other than U.S. dollars will be made by wire transfer of immediately available funds to such account as is maintained in such Specified Currency at a bank or other financial institution acceptable to the Company and the Trustee
and as shall have been designated at least five Business Days prior to the applicable payment date by the Person entitled to receive such payment, provided that, in the case of any such payment due at the Maturity Date of the principal hereof
(other than any payment of interest that first becomes due on an Interest Payment Date), this Security must be surrendered (in the manner provided below) at the office or agency of the Company maintained for that purpose in The City of New York (or
at any other office or agency maintained by the Company for that purpose) in time for the Paying Agent to make such payment in such funds in accordance with its normal procedures. Such account designation shall be made by transmitting the
appropriate information to the Trustee at its Corporate Trust Office, Attention: Corporate Trust Administration, in the Borough of Manhattan, The City of New York, by mail, hand delivery, telecopier or in any other manner approved by the Trustee.
Unless revoked, any such account designation made with respect to this Security by the Holder hereof will remain in effect with respect to any further payments with respect to this Security payable to such Holder. If a payment in a Specified
Currency other than U.S. dollars with respect to this Security cannot be made by wire transfer because the required account designation has not been received by the Trustee on or before the requisite date or for any other reason, the Company will
cause a notice to be given to the Holder of this Security at its registered address requesting an account designation pursuant to which such wire transfer can be made and such payment will be made within five Business Days after the Trustee’s
receipt of such a designation meeting the requirements specified above, with the same force and effect as if made on the due date. The Company will pay any administrative costs imposed by banks in connection with making payments by wire transfer
with respect to this Security, but any tax, assessment or other governmental charge imposed upon any payment will be borne by the Holder of this Security and may be deducted from the payment by the Company or the Paying Agent. 

[IF A GLOBAL SECURITY, INSERT — Manner of Payment – Payments Pursuant to the Applicable Procedures of the Depositary;
Surrender of this Security. Notwithstanding any provision of this Security or the Indenture, the Company may make any and all payments of principal, premium and interest on this Security pursuant to the applicable procedures of the Depositary
for this Security as permitted in the Indenture.] 

  
 (Face of
Security continued on next page) 
 - 6 - 

 Payments Due on a Business Day. As specified on the face hereof, one of the following
Business Day conventions shall apply: 
  

	 	(i)	if the Business Day convention is “Following Business Day”: any Interest Payment Date, the Maturity Date or, if applicable, Redemption Date, with respect to
this Security that would otherwise be due on a day that is not a Business Day may instead be paid on the next day that is a Business Day; 

  

	 	(ii)	if the Business Day convention is “Modified Following Business Day”: any Interest Payment date other than the Maturity Date or, if applicable, Redemption
Date, with respect to this Security that would otherwise be due on a day that is not a Business Day may instead be paid on the next day that is a Business Day, unless such Business Day falls in the next calendar month, in which case the payment or
delivery date will be the first preceding day that is a Business Day; 

  

	 	(iii)	if the Business Day convention is “Preceding Business Day”: any Interest Payment Date other than the Maturity Date or, if applicable, Redemption Date, with
respect to this Security that would otherwise be due on a day that is not a Business Day may instead be paid or delivered on the first preceding day that is a Business Day. 

In the case of (ii) and (iii) above, if an Interest Payment Date falls on a Maturity Date or, if applicable, Redemption Date,
that is not a Business Day or if the Maturity Date or, if applicable, Redemption Date, falls on a day that is not a Business Day, the required payment of principal, premium, if any, and interest will be made on the next succeeding Business Day, and
interest will not continue to accrue until the date of payment made on that next succeeding Business Day. Accordingly, the amount of interest accrued and payable on the Interest Payment Date will not be adjusted to reflect the longer or shorter
interest period. If an interest payment is made on the following or preceding Business Day in accordance with the procedures described above and deemed made on that following or preceding Business Day (not on the original due date), the
Business Day convention is “adjusted”. Accordingly, the amount of interest accrued and payable on that Interest Payment Date will be adjusted to reflect the longer or shorter interest period. 

In each case, if an interest payment is made on the following or preceding Business Day in accordance with the procedures described above
with the same effect as if paid or delivered on the original Interest Payment Date and without payment of any additional money, the Business Day convention is “unadjusted”. 

The provisions of preceding three paragraphs shall apply to this Security in lieu of the provisions of Section 113 of the Indenture.

 Reference is hereby made to the further provisions of this Security set forth on the reverse hereof, which further provisions
shall for all purposes have the same effect as if set forth at this place. 
 Unless the certificate of authentication hereon
has been executed by the Trustee referred to on the reverse hereof, by manual signature, this Security shall not be entitled to any benefit under the Indenture or be valid or obligatory for any purpose. 

  
 (Face of
Security continued on next page) 
 - 7 - 

 IN WITNESS WHEREOF, the Company has caused this instrument to be duly executed under its
corporate seal. 
 Dated: 
  

			
	AMERICAN INTERNATIONAL GROUP, INC.
		
	By:	 	  

		 	Name:
		 	Title:
		
	Attest:	 	  

		 	Name:
		 	Title:

 TRUSTEE’S CERTIFICATE OF AUTHENTICATION 

This is one of the Securities of the series designated therein referred to in the within-mentioned Indenture. 

Dated: 
  

			
	 THE BANK OF NEW YORK MELLON, 

as Trustee

		
	By:	 	  

		 	Authorized Signatory

  
 (Reverse of
Security continued on next page) 
 - 8 - 

 (REVERSE OF SECURITY) 

AMERICAN INTERNATIONAL GROUP, INC. 
 FLOATING RATE MEDIUM-TERM NOTES, SERIES H 
 This Security is one of a duly
authorized series of securities of the Company, issued and to be issued in one or more series under an Indenture, dated as of October 12, 2006, as amended by the Fourth Supplemental Indenture, dated as of April 18, 2007, and the Eighth
Supplemental Indenture, dated as of December 3, 2010 (as so amended, and as it may be amended or supplemented from time to time, the ‘‘Indenture”), in each case between the Company and The Bank of New York Mellon (formerly known
as The Bank of New York), as trustee (herein called the “Trustee”, which term includes any successor trustee under the Indenture), to which Indenture and all indentures supplemental thereto reference is hereby made for a statement of the
respective rights, limitations of rights, duties and immunities thereunder of the Company, the Trustee and the Holders of the Securities and the terms upon which the Securities are, and are to be, authenticated and delivered. This Security is one of
the series designated on the face hereof (herein called the ‘‘Securities”), which is initially limited to an aggregate principal amount of up to $1,000,000,000 (or the equivalent thereof in one or more foreign or composite currencies
or currency units); provided that the Company may, without the consent of any Holder, at any time and from time to time, increase such initial principal amount. References herein to “this series” mean the series of Securities
designated on the face hereof. 
 The rate of interest on this Security will be reset daily, weekly, monthly, quarterly,
semi-annually, annually or otherwise, as specified on the face hereof under Interest Rate Reset Period (each date upon which interest is so reset as provided below being hereinafter referred to as an “Interest Reset Date”). Unless
otherwise specified on the face hereof, the Interest Reset Date with respect to this Security will be as follows: (i) if the Interest Rate Reset Period specified on the face hereof is daily, each Business Day; (ii) if the Interest Rate
Reset Period specified on the face hereof is weekly (for Securities using an Interest Rate Basis, as specified on the face hereof, other than the Treasury Rate), Wednesday of each week; (iii) if the Interest Rate Reset Period specified on the
face hereof is weekly and the Interest Rate Basis specified on the face hereof is the Treasury Rate, except as otherwise provided in the definition of Treasury Interest Determination Date under ‘‘Determination of Treasury Rate” below,
the Tuesday of each week; (iv) if the Interest Rate Reset Period specified on the face hereof is monthly, the third Wednesday of each month; (v) if the Interest Rate Reset Period specified on the face hereof is quarterly, the third
Wednesday of March, June, September and December of each year; (vi) if the Interest Rate Reset Period specified on the face hereof is semi-annual, the third Wednesday of each of the two months specified on the face hereof; and (vii) if the
Interest Rate Reset Period specified on the face hereof is annual, the third Wednesday of the month specified on the face hereof; provided, however, that (i) the interest rate in effect from the date of issue to the first Interest Reset
Date will be the Initial Interest Rate specified on the face hereof and (ii) except as otherwise specified on the face hereof, if the Interest Rate Reset Period on the face hereof is daily or weekly, the interest rate in effect for each day
following the second Business Day prior to an Interest Payment Date to, but excluding, such Interest Payment Date, and for each day following the second Business Day prior to, but excluding, the Maturity Date, shall be the rate in effect on such
second Business Day. 

  
 (Reverse of
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 - 9 - 

 Subject to applicable provisions of law and except as specified herein, on each Interest
Reset Date, the rate of interest on this Security shall be the rate determined in accordance with the provisions of the applicable heading below. 
 ‘‘Euro Business Day’’ means any day on which the Trans-European Automated Real-Time Gross Settlement Express Transfer (TARGET) System, or any successor system, is open for business.

 ‘‘London Banking Day” means any day on which commercial banks are open for general business (including
dealings in foreign exchange and foreign currency deposits) in London. 
 ‘‘Business Day’’ means, for any
Security, a day that meets all the following applicable requirements: (i) for any Security, is a Monday, Tuesday, Wednesday, Thursday or Friday that is not a day on which banking institutions in New York City generally are authorized or
obligated by law, regulation or executive order to close, (ii) if the Security is a LIBOR note, is also a London Banking Day; (iii) if the Security has a Specified Currency other than U.S. dollars or euros, is also a day on which banking
institutions are not authorized or obligated by law, regulation or executive order to close in the principal financial center of the country issuing the Specified Currency; and (iv) if the Security is EURIBOR note or has a Specified Currency of
euros, or is a LIBOR note for which the Specified Currency is euros, is also a Euro Business Day. 
 Determination of LIBOR.
If the Interest Rate Basis is LIBOR, the Interest Rate Basis that takes effect on any Interest Reset Date shall be LIBOR on the corresponding LIBOR Interest Determination Date (as defined below) and, with respect to all Securities other than
range accrual notes, shall be determined in accordance with the following provisions: 
 As of the LIBOR Interest Determination
Date, LIBOR will be the arithmetic mean of the offered rates for deposits of the Index Currency having the Index Maturity designated on the face hereof, commencing on the second London Banking Day immediately following that interest determination
date, that appear on the Designated LIBOR page, as defined below, as of 11:00 a.m., London time, on the LIBOR Interest Determination Date (as defined below), if at least two offered rates appear on the Designated LIBOR page; except that if the
specified Designated LIBOR page, by its terms provides only for a single rate, that single rate will be used. 
 If
(i) fewer than two offered rates appear on the Designated LIBOR page and the Designated LIBOR page does not by its terms provide only for a single rate or (ii) no rate appears on the Designated LIBOR page and the Designated LIBOR page by
its terms provides only for a single rate, then the Calculation Agent will request the principal London offices of each of four major reference banks in the London interbank market, as selected by the Calculation Agent after consultation with the
Company, to provide the Calculation Agent with its offered quotation for deposits of the Index Currency having the Index Maturity specified on the face hereof commencing on the second London Banking Day immediately following the LIBOR Interest
Determination Date or, if pounds sterling is the Index Currency, commencing on that LIBOR Interest Determination Date, to prime banks in the London interbank market at approximately 11:00 a.m., London time, on that LIBOR Interest Determination Date
and in a principal amount that is representative of a single transaction in that Index Currency in that market at that time. 

  
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 If at least two quotations are provided, LIBOR determined on the LIBOR Interest
Determination Date will be the arithmetic mean of those quotations. If fewer than two quotations are provided, LIBOR will be determined for the applicable Interest Reset Date as the arithmetic mean of the rates quoted at approximately 11:00 a.m.,
London time, or some other time that may be specified on the face hereof, in the applicable principal financial center for the country of the Index Currency on such Interest Reset Date, by three major banks in that principal financial center
selected by the Calculation Agent, after consultation with the Company, for loans in the Index Currency to leading European banks, having the Index Maturity specified on the face hereof and in a principal amount that is representative of a single
transaction in that Index Currency in that market at that time. 
 If fewer than three major banks in that principal financial
center selected by the Calculation Agent are quoting as set forth above, LIBOR for that LIBOR Interest Determination Date will be the same as LIBOR for the immediately preceding interest period (or, in the case of the first reset date following the
Original Issue Date where an Initial Interest Rate is specified on the face hereof, that Initial Interest Rate). With respect to Securities that are range accrual Securities, the Calculation Agent will determine LIBOR for each Business Day during
each interest period as follows: 
 As of each Business Day during each interest period, LIBOR will be the arithmetic mean of
the offered rates for deposits in Index Currency having the Index Maturity designated on the face hereof as of 11:00 a.m., London time, on such Business Day, if at least two offered rates appear on the Designated LIBOR page; except that if the
specified Designated LIBOR page, by its terms provides only for a single rate, that single rate will be used. 
 If on any
Business Day during an interest period, (i) fewer than two offered rates appear on the Designated LIBOR page and the Designated LIBOR page does not by its terms provide only for a single rate or (ii) no rate appears on the Designated LIBOR
page and the Designated LIBOR page by its terms provides only for a single rate (any day on which such rate(s) does not appear shall be referred to herein as a “disrupted day”, then the Calculation Agent shall request the principal London
offices of each of four major reference banks in the London interbank market, as selected by the Calculation Agent after consultation with the Company, to provide the Calculation Agent with its offered quotation for the rate for deposits in the
Index Currency for the period of the Index Maturity specified on the face hereof, commencing on such disrupted day, to prime banks in the London interbank market at approximately 11:00 a.m., London time, on such disrupted day and in a principal
amount that is representative of a single transaction in that Index Currency in that market at that time. 
 If at least two
quotations are provided, LIBOR determined on that disrupted day will be the arithmetic mean of those quotations. If fewer than two quotations are provided, LIBOR will be determined for the applicable disrupted day as the arithmetic mean of the rates
quoted at approximately 11:00 a.m., London time, in the applicable principal financial center of the United States on that disrupted day, by three major banks in that principal financial center selected by

  
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the Calculation Agent, after consultation with the Company, for loans in the Index Currency to leading European banks, having the applicable Index Maturity and in a principal amount that is
representative of a single transaction in U.S. dollars in that market at that time. 
 If fewer than three major banks in that
principal financial center selected by the Calculation Agent are quoting as set forth above, the reference rate for that disrupted day will remain the reference rate (with the applicable Index Maturity) in effect for the immediately preceding
Business Day in the interest period with respect to which LIBOR (with the applicable Index Maturity) appeared on the Designated LIBOR page (or, in the case of the original issue date, LIBOR for that disrupted day will be LIBOR (with the applicable
Index Maturity) in effect for the previous Business Day with respect to which LIBOR (with the applicable Index Maturity) appeared on the Designated LIBOR page). 
 The Interest Rate Basis determined in accordance with the foregoing provisions will be adjusted by the addition or subtraction of the Spread, if any, or by multiplying such Interest Rate Basis by the
Spread Multiplier, if any, specified on the face hereof. 
 The “Index Currency” means the currency specified on the
face hereof as the currency for which LIBOR will be calculated, or, if the euro is substituted for that currency, the Index Currency will be the euro. If that currency is not specified on the face hereof, the Index Currency will be U.S. dollars.

 “Designated LIBOR page” means the page on the Reuters screen specified on the face hereof, or any other page as may
replace that page on that service or such other service as may be nominated by us or the Calculation Agent as the information vendor, for the purpose of displaying the London interbank rates of major banks for the applicable Index Currency.

 “LIBOR Interest Determination Date” means, in relation to a particular Interest Reset Date, the second London
Banking Day preceding such Interest Reset Date, unless the Index Currency is pounds sterling, Australian dollars, Canadian dollars, or New Zealand dollars, in which case the LIBOR Interest Determination Date will be the Interest Reset Date.

 “Reuters LIBOR01 rate” means that the rate for a LIBOR Interest Determination Date will be the rate for deposits in
U.S. dollars for the Index Maturity specified on the face hereof, which appears on the Reuters screen “LIBOR01” page, or any other page as may replace such page as a Designated LIBOR page, as of 11:00 a.m., London time, on the day
that is two London Banking Days preceding that LIBOR Interest Determination Date. If that rate does not appear on the Reuters screen “LIBOR01” page, the rate for that LIBOR Interest Determination Date will be determined as if the parties
had specified “USD-LIBOR-Reference Banks” as the applicable floating rate option. 
 “USD-LIBOR-Reference
Banks” means that the rate for a LIBOR Interest Determination Date will be determined on the basis of the rates at which deposits in U.S. dollars are offered by four major banks in the London interbank market (“reference banks”) at
approximately 11:00 a.m., London time, on the day that is two London Banking Days preceding that interest determination date to prime banks in the London interbank market for a designated period commencing on that interest determination date
and in a designated amount. The Calculation Agent will request the principal London office of each of the reference banks to provide a quotation of its rate. If at least two of those quotations are provided, the rate for that interest determination
date will be the arithmetic mean of the quotations. If fewer than two quotations are provided as requested, the rate for that interest determination date will be the arithmetic mean of the rates quoted by major banks in

  
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New York City, selected by the calculation agent, at approximately 11:00 a.m., New York City time, on that interest reset date for loans in U.S. dollars to leading European banks for a designated
period commencing on that interest determination date and in a designated amount. 
 “One-month LIBOR” means the
Reuters LIBOR01 rate with an Index Maturity of one month commencing on the Interest Reset Date. 
 “Three-month LIBOR”
means the Reuters LIBOR01rate with an Index Maturity of three months commencing on the Interest Reset Date. 
 “Six-month
LIBOR” means the Reuters LIBOR01 rate with an Index Maturity of six months commencing on the Interest Reset Date. 

“Twelve-month LIBOR” means the Reuters LIBOR01 rate with an Index Maturity of twelve months commencing on the Interest Reset
Date. 
 Determination of EURIBOR. If the Interest Rate Basis is EURIBOR, the Interest Rate Basis that takes effect on
any Interest Reset Date shall equal the interest rate for deposits in euros designated as “EURIBOR” and sponsored jointly by the European Banking Federation and ACI – the Financial Markets Association (or any company established by
the joint sponsors for purposes of compiling and publishing that rate) on the corresponding EURIBOR Interest Determination Date (as defined below), and shall be determined in accordance with the following procedures: 

EURIBOR will be the offered rate for deposits in euros having the Index Maturity beginning on the Interest Reset Date after such EURIBOR
Interest Determination Date, as that rate appears on Reuters Screen EURIBOR01 Page (as defined below) as of 11:00 A.M., Brussels time, on such EURIBOR Interest Determination Date. 

If the rate described above does not appear on Reuters Screen EURIBOR01 Page, EURIBOR will be determined on the basis of the rates, at
approximately 11:00 A.M., Brussels time, on such EURIBOR Interest Determination Date, at which euro deposits having the Index Maturity, beginning on the Interest Reset Date, and in a Representative Amount are offered to prime banks in the
Euro-zone (as defined below) interbank market by the principal Euro-zone office of each of four major banks in that market selected by the Calculation Agent. The Calculation Agent will request the principal Euro-zone office of each of these banks to
provide a quotation of its rate. If at least two quotations are provided, EURIBOR for the relevant EURIBOR interest determination date will be the arithmetic mean of the quotations. 

If fewer than two quotations are provided as described above, EURIBOR for such EURIBOR Interest Determination Date will be the arithmetic
mean of the rates for euro loans having the Index Maturity, beginning on the Interest Reset Date, and in a Representative Amount to leading Euro-zone banks quoted, at approximately 11:00 A.M., Brussels time on such EURIBOR Interest
Determination Date, by three major banks in the Euro-zone selected by the Calculation Agent. 
 If fewer than three banks
selected by the Calculation Agent are quoting as described above, EURIBOR for the new Interest Rate Reset Period will be EURIBOR in effect for the prior Interest Rate Reset Period. If the Initial Interest Rate has been in effect for the prior
Interest Rate Reset Period, however, it will remain in effect for the new Interest Rate Reset Period. 

  
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 The Interest Rate Basis determined in accordance with the foregoing provisions will be
adjusted by the addition or subtraction of the Spread, if any, or by multiplying such Interest Rate Basis by the Spread Multiplier, if any, specified on the face hereof. 
 “EURIBOR Interest Determination Date” means, in relation to a particular Interest Reset Date, the second Euro Business Day preceding such Interest Reset Date. 

“Euro-zone” means the region comprised of member states of the European Union that adopt the euro in accordance with the Treaty
establishing the European Community (signed in Rome on March 25, 1957), as amended by the Treaty on European Union (signed in Maastricht on February 7, 1992), the Treaty of Amsterdam (signed in Amsterdam on October 2, 1997) and the
Treaty of Nice (signed in Nice on February 26, 2001). 
 “Representative Amount” means an amount that, in the
Calculation Agent’s judgment, is representative for a single transaction in the relevant market at the relevant time. 

“Reuters Screen EURIBOR01 Page” means the display on the Reuters service, or any successor or replacement service, on the page
designated as “EURIBOR01” or any replacement page or pages on which EURIBOR rates are displayed. 
 Determination
of Treasury Rate. If the Interest Rate Basis is the Treasury Rate, the Interest Rate Basis that takes effect on any Interest Reset Date shall equal the rate for the auction on the corresponding Treasury Interest Determination Date (as defined
below) of direct obligations of the United States (‘‘Treasury Bills”) having the Index Maturity, as that rate appears on Reuters Screen USAUCTION10 or USAUCTION11 Page (as defined below) under the heading “Investment Rate”.
If the Treasury Rate cannot be determined in this manner, the following procedures will apply in determining the Treasury Rate: 

If the rate described above does not appear on either page by 3:00 P.M., New York City time, on the Calculation Date corresponding
to such Treasury Interest Determination Date (unless the calculation is made earlier and the rate is available from that source at that time), the Treasury Rate will be the Bond Equivalent Yield (as defined below) of the rate, for such Treasury
Interest Determination Date, for the type of Treasury Bills described above, as published in H.15 Daily Update (as defined below), or another recognized electronic source used for displaying that rate, under a heading “U.S. Government
Securities/Treasury Bills/Auction High.” 
 If the rate described in the prior paragraph does not appear in H.15 Daily
Update or another recognized electronic source by 3:00 P.M., New York City time, on such Calculation Date (unless the calculation is made earlier and the rate is available from one of those sources at that time), the Treasury Rate will be the
Bond Equivalent Yield of the auction rate, for such Treasury Interest Determination date and for Treasury Bills of the kind described above, as announced by the U.S. Department of the Treasury. 

If the auction rate described in the prior paragraph is not so announced by 3:00 P.M., New York City time, on such Calculation Date,
or if no such auction is held for the relevant week, then the Treasury Rate will be the Bond Equivalent Yield of the rate, for such Treasury Interest 

  
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Determination Date and for Treasury Bills having a remaining maturity closest to the Index Maturity, as published in H.15(519) (as defined below) under the heading “U.S. government
securities/Treasury bills (secondary market)”. 
 If the rate described in the prior paragraph does not appear in H.15(519)
by 3:00 P.M., New York City time, on such Calculation Date (unless the calculation is made earlier and the rate is available from one of those sources at that time), then the Treasury Rate will be the rate, for such Treasury Interest
Determination Date and for Treasury Bills having a remaining maturity closest to the Index Maturity, as published in H.15 Daily Update, or another recognized electronic source used for displaying that rate, under the heading “U.S. government
securities/Treasury bills (secondary market)”. 
 If the rate described in the prior paragraph does not appear in H.15
Daily Update or another recognized electronic source by 3:00 P.M., New York City time, on such Calculation Date (unless the calculation is made earlier and the rate is available from one of those sources at that time), the Treasury Rate will be
the Bond Equivalent Yield of the arithmetic mean of the secondary market bid rates as of approximately 3:30 P.M., New York City time, on such Treasury Interest Determination Date, by three primary U.S. government securities dealers in New York
City selected by the Calculation Agent for the issue of Treasury Bills with a remaining maturity closest to the Index Maturity. 

If fewer than three dealers selected by the Calculation Agent are quoting as described in the prior paragraph, the Treasury Rate in
effect for the new Interest Rate Reset Period will be the Treasury Rate in effect for the prior Interest Rate Reset Period. If the Initial Interest Rate has been in effect for the prior Interest Rate Reset Period, however, it will remain in effect
for the new Interest Rate Reset Period. 
 The Interest Rate Basis determined in accordance with the foregoing provisions will
be adjusted by the addition or subtraction of the Spread, if any, or by multiplying such Interest Rate Basis by the Spread Multiplier, if any, specified on the face hereof. 
 ‘‘Bond Equivalent Yield” means a yield expressed as a percentage and calculated in accordance with the following formula: 

 

									
		 		  	 D x N

360 - (D x M)
	 		 	
		 	bond equivalent yield =	  	 	x 100	 	
		 		  	 		 	

 where “D” means the annual rate for Treasury Bills quoted on a bank discount basis and
expressed as a decimal; “N” means 365 or 366, as the case may be; and “M” means the actual number of days in the applicable Interest Rate Reset Period. 
 “H.15(519)” means the weekly statistical release designated as such, published by the Board of Governors of the Federal Reserve System, or its successor, available through the web site of the
Board of Governors of the Federal Reserve System, at http://www.federalreserve.gov/releases/h15/update, or any successor site or publication. 

  
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 “H.15 Daily Update” means the daily update of H.15(519) available through the
worldwide-web site of the Board of Governors of the Federal Reserve System, at http://www.federalreserve.gov/releases/h15/Update, or any successor site or publication. 
 “Reuters Screen USAUCTION10 or USAUCTION11 Page” means the display on the Reuters service, or any successor or replacement service, on the page designated as “USAUCTION10” or
“USAUCTION11” or any replacement page or pages on which U.S. Treasury auction rates are displayed. 
 “Treasury
Interest Determination Date” means the day of the week in which the Interest Reset Date falls on which Treasury Bills (i.e., direct obligations of the U.S. government) would normally be auctioned. Treasury Bills are usually sold at auction on
the Monday of each week, unless that day is a legal holiday, in which case the auction is usually held on the following Tuesday, except that the auction may be held on the preceding Friday. If as the result of a legal holiday an auction is held on
the preceding Friday, that Friday will be the Treasury Interest Determination Date relating to the Interest Reset Date occurring in the next succeeding week. If the auction is held on a day that would otherwise be an Interest Reset Date, then the
Interest Reset Date will instead be the first Business Day following the auction date. 
 Determination of CMS
Rate. If the Interest Rate Basis is the CMS Rate (as defined below), the Interest Rate Basis that takes effect on any Interest Reset Date shall equal the rate for U.S dollar swaps with a maturity specified on the face hereof,
expressed as a percentage (the “CMS Rate”), on the second Business Day immediately preceding such Interest Reset Date (the “CMS Interest Determination Date”), appearing on the Reuters Screen ISDAFIX1 Page, as of 11:00 A.M., New
York City time, on the CMS Interest Determination Date. If the CMS Rate cannot be determined as described above, the following procedures will apply in determining the CMS Rate: 

If the above rate is no longer displayed on the Reuters Screen ISDAFIX1 page, or if not displayed by 11:00 a.m., New York City time,
on the CMS Interest Determination Date, then the CMS Rate will be a percentage determined on the basis of the mid-market, semi-annual swap rate quotations provided by five leading swap dealers in the New York City interbank market at approximately
11:00 a.m., New York City time, on the CMS Interest Determination Date. For this purpose, the semi-annual swap rate means the mean of the bid and offered rates for the semi-annual fixed leg, calculated on a 30/360 day count basis, of a
fixed-for-floating U.S. dollar interest rate swap transaction with a term equal to the Index Maturity specified on the face hereof commencing on that CMS Interest Determination Date with an acknowledged dealer of good credit in the swap market,
where the floating leg, calculated on an Actual/360 day count basis, is equivalent to Three-month LIBOR (as defined above). The Calculation Agent will select the five swap dealers after consultation with the Company and will request the principal
New York City office of each of those dealers to provide a quotation of its rate. If at least three quotations are provided, the CMS Rate for that CMS Interest Determination Date will be the arithmetic mean of the quotations, eliminating the highest
and lowest quotations or, in the event of equality, one of the highest and one of the lowest quotations. 
 If fewer than three
quotations are provided, the Calculation Agent will determine the CMS Rate in its sole discretion. 

  
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 “Reuters screen ISDAFIX1 Page” means the display on the Reuters service, or any
successor service, on the page designated as “ISDAFIX1” or any replacement page or pages on which CMS rates are displayed. 
 Determination of CMT Rate. If the Interest Rate Basis is the CMT Rate, the Interest Rate Basis that takes effect on any Interest Reset Date shall equal the CMT Rate on the CMT Interest
Determination Date (as defined below). “CMT Rate” means the following rate displayed on the Designated CMT Reuters Page (as defined below) under the heading “...Treasury Constant Maturities...Federal Reserve Board Release
H.15...Mondays Approximately 3:45 P.M.”, under the column for the Designated CMT Index Maturity (as defined below): 
  

	 	(i)	if the Designated CMT Reuters Page is Reuters Screen FRBCMT Page (as defined below) , the rate for such CMT Interest Determination Date; or

  

	 	(ii)	if the Designated CMT Reuters Page is Reuters Screen FEDCMT Page (as defined below), the weekly or monthly average, as specified on the face hereof, for the week
that ends immediately before the week in which such CMT Interest Determination Date falls, or for the month that ends immediately before the month in which such CMT Interest Determination Date falls, as applicable. 

If the CMT Rate cannot be determined in this manner, the following procedures will apply in determining the CMT Rate: 

If the applicable rate described above is not displayed on the relevant Designated CMT Reuters Page by 3:00 P.M., New York City
time, on the Calculation Date corresponding to such CMT Interest Determination Date (unless the calculation is made earlier and the rate is available from one of those sources at that time), then the CMT Rate will be the applicable Treasury constant
maturity rate described above as published in H.15(519). 
 If the applicable rate described above does not appear in H.15(519)
by 3:00 P.M., New York City time, on such Calculation Date (unless the calculation is made earlier and the rate is available from one of those sources at that time), then the CMT Rate will be the Treasury constant maturity rate, or other U.S.
Treasury rate, for the Designated CMT Index Maturity and with reference to such CMT Interest Determination Date, that: 
  

	 	(i)	is published by the Board of Governors of the Federal Reserve System, or the U.S. Department of the Treasury; and 

 

	 	(ii)	is determined by the Calculation Agent to be comparable to the applicable rate formerly displayed on the Designated CMT Reuters Page and published in H.15(519).

 If the rate described above does not appear by 3:00 P.M., New York City time, on such Calculation Date
(unless the calculation is made earlier and the rate is available from one of those sources at that time), then the CMT Rate will be the yield to maturity of the arithmetic mean of secondary market offered rates as of approximately 3:30 P.M.,
New York City time, on such CMT Interest Determination Date, of three primary U.S. government securities dealers in New York City selected by the Calculation Agent for the most recently issued direct, non-callable, fixed rate obligations of the U.S.
government (“Treasury Notes”) having an original maturity of approximately the Designated CMT Index Maturity and a remaining term to maturity 

  
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of not less than the Designated CMT Index Maturity minus one year and in a Representative Amount. In selecting such offered rates, the Calculation Agent will request quotations from five
such primary dealers and will disregard the highest quotation – or, if there is equality, one of the highest – and the lowest quotation – or, if there is equality, one of the lowest. 

If the Calculation Agent is unable to obtain three quotations of the kind described in the prior paragraph the CMT Rate will be the yield
to maturity of the arithmetic mean of secondary market offered rates as of approximately 3:30 P.M., New York City time, on such CMT Interest Determination Date, of three primary U.S. government securities dealers in New York City selected by
the Calculation Agent for Treasury Notes with an original maturity longer than the Designated CMT Index Maturity, with a remaining term to maturity closest to the Designated CMT Index Maturity and in a Representative Amount. In selecting such
offered rates, the Calculation Agent will request quotations from five such primary dealers and will disregard the highest quotation – or, if there is equality, one of the highest – and the lowest quotation – or, if
there is equality, one of the lowest. If two Treasury Notes with an original maturity longer than the Designated CMT Index Maturity have remaining terms to maturity that are equally close to the Designated CMT Index Maturity, the Calculation Agent
will obtain quotations for the Treasury Note with the shorter remaining term to maturity. 
 If fewer than five but more than
two such primary dealers are quoting as described in the prior paragraph, the CMT Rate for such CMT Interest Determination Date will be based on the arithmetic mean of the offered rates so obtained, and neither the highest nor the lowest of those
quotations will be disregarded. 
 If two or fewer primary dealers selected by the Calculation Agent are quoting as described
above, the CMT Rate in effect for the new Interest Rate Reset Period will be the CMT Rate in effect for the prior Interest Rate Reset Period. If the Initial Interest Rate has been in effect for the prior Interest Rate Reset Period, however, it will
remain in effect for the new Interest Rate Reset Period. 
 The Interest Rate Basis determined in accordance with the foregoing
provisions will be adjusted by the addition or subtraction of the Spread, if any, or by multiplying such Interest Rate Basis by the Spread Multiplier, if any, specified on the face hereof. 

“CMT Interest Determination Date’’ means, in relation to a particular Interest Reset Date, the second Business Day
immediately preceding such Interest Reset Date. 
 “Designated CMT Index Maturity” means the Index Maturity specified
on the face hereof and will be the original period to maturity of a U.S. Treasury security specified on the face hereof, provided that, if no such original maturity period is so specified, the Designated CMT Index Maturity will be
2 years. 
 “Designated CMT Reuters Page’’ means the Reuters page specified on the face hereof that displays
Treasury constant maturities as reported in H.15(519); provided, however, that, if no Reuters page is so specified, then the applicable page will be Reuters Screen FEDCMT Page, and provided further, that if Reuters Screen FEDCMT Page applies
but it is not specified on the face hereof whether the weekly or monthly average applies, the weekly average will apply. 

  
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 “Reuters Screen FEDCMT Page” means the display on the Reuters service, or any
successor or replacement service, on the page designated as “FEDCMT” or any replacement page or pages on which CMT rates are displayed. 
 “Reuters Screen FRBCMT Page” means the display on the Reuters service, or any successor or replacement service, on the page designated as “FRBCMT” or any replacement page or pages on
which CMT rates are displayed. 
 Determination of Commercial Paper Rate. If the Interest Rate Basis is the Commercial
Paper Rate, the Interest Rate Basis that takes effect on any Interest Reset Date shall equal the Money Market Yield (as defined below) of the discount rate, for the Commercial Paper Interest Determination Date (as defined below), for U.S. dollar
denominated commercial paper having the Index Maturity specified on the face hereof, as published in H.15(519) under the heading “Commercial Paper – Nonfinancial”. If the Commercial Paper Rate cannot be determined in this manner,
the following procedures will apply in determining the Commercial Paper Rate: 
 If the rate described above does not appear in
H.15(519) by 3:00 P.M., New York City time, on the Calculation Date corresponding to such Commercial Paper Interest Determination Date (unless the calculation is made earlier and the rate is available from that source at that time), then the
Commercial Paper Rate will be the Money Market Yield of the discount rate, for such Commercial Paper Interest Determination Date, for commercial paper having the Index Maturity specified on the face hereof, as published in H.15 Daily Update or any
other recognized electronic source used for displaying that rate, under the heading “Commercial Paper – Nonfinancial”. 
 If the rate described above does not appear in H.15(519), H.15 Daily Update or another recognized electronic source by 3:00 P.M., New York City time, on such Calculation Date (unless the calculation
is made earlier and the rate is available from one of those sources at that time), the Commercial Paper Rate will be the Money Market Yield of the arithmetic mean of the offered rates as of 11:00 A.M., New York City time, on such Commercial
Paper Interest Determination Date, by three leading U.S. dollar commercial paper dealers in New York City selected by the Calculation Agent for U.S. dollar commercial paper that has the Index Maturity and is placed for an industrial issuer whose
bond rating is “AA”, or the equivalent, from a nationally recognized rating agency. 
 If fewer than three dealers
selected by the Calculation Agent are quoting as described above, the Commercial Paper Rate for the new Interest Rate Reset Period will be the Commercial Paper Rate in effect for the prior Interest Rate Reset Period. If the Initial Interest Rate has
been in effect for the prior Interest Rate Reset Period, however, it will remain in effect for the new Interest Rate Reset Period. 
 The Interest Rate Basis determined in accordance with the foregoing provisions will be adjusted by the addition or subtraction of the Spread, if any, or by multiplying such Interest Rate Basis by the
Spread Multiplier, if any, specified on the face hereof. 
 ‘‘Commercial Paper Interest Determination Date”
means, in relation to a particular Interest Reset Date, the second Business Day immediately preceding such Interest Reset Date. 

  
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 “Money Market Yield” means a yield expressed as a percentage and calculated in
accordance with the following formula: 
  

									
		 	money market yield =	  	 D x 360
	 	x 100	 	
		 	  	360 - (D x M)	 	 

 where “D” means the per annum rate for commercial paper quoted on a bank discount basis and
expressed as a decimal; and “M” means the actual number of days in the applicable Interest Rate Reset Period. 

Determination of Prime Rate. If the Interest Rate Basis is the Prime Rate, the Interest Rate Basis that takes effect on any
Interest Reset Date shall equal the rate, for the Prime Interest Determination Date (as defined below), published in H.15(519) under the heading “Bank prime loan’’. If the Prime Rate cannot be determined in this manner, the following
procedures will apply in determining the Prime Rate: 
 If the rate described above does not appear in H.15(519) by
3:00 P.M., New York City time, on the Calculation Date corresponding to such Prime Interest Determination Date (unless the calculation is made earlier and the rate is available from that source at that time), then the Prime Rate will be the
rate, for such Interest Determination Date, as published in H.15 Daily Update or another recognized electronic source used for the purpose of displaying that rate, under the heading “Bank prime loan”. 

If the rate described above is not published in H.15(519), H.15 Daily Update or another recognized electronic source by 3:00 P.M.,
New York City time, on such Calculation Date (unless the calculation is made earlier and the rate is available from one of those sources at that time), then the Prime Rate will be the arithmetic mean of the rates of interest publicly announced by
each bank appearing on the Reuters Screen US PRIME 1 Page (as defined below) as that bank’s prime rate or base lending rate, as of 11:00 A.M., New York City time, on such Prime Interest Determination Date as they appear on that page.

 If fewer than four of the rates referred to above appear on the Reuters Screen US PRIME 1 Page, the Prime Rate will be the
arithmetic mean of the prime rates or base lending rates, as of the close of business on such Prime Interest Determination Date, of three major banks in New York City selected by the Calculation Agent. For this purpose, the Calculation Agent will
use rates quoted on the basis of the actual number of days in the year divided by a 360-day year. 
 If fewer than three banks
selected by the Calculation Agent are quoting as described above, the Prime Rate for the new Interest Rate Reset Period will be the Prime Rate in effect for the prior Interest Rate Reset Period. If the Initial Interest Rate has been in effect for
the prior Interest Rate Reset Period, however, it will remain in effect for the new Interest Rate Reset Period. 
 The Interest
Rate Basis determined in accordance with the foregoing provisions will be adjusted by the addition or subtraction of the Spread, if any, or by multiplying such Interest Rate Basis by the Spread Multiplier, if any, specified on the face hereof.

 ‘‘Prime Interest Determination Date” means, in relation to a particular Interest Reset Date, the first
Business Day immediately preceding such Interest Reset Date. 

  
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 ‘‘Reuters Screen US PRIME 1 Page” means the display on the “US PRIME
1” page on the Reuters service, or any successor or replacement service, or any replacement page or pages on that service, on which prime rates or base lending rates of major U.S. banks are displayed. 

Determination of CD Rate. If the Interest Rate Basis is the CD Rate, the Interest Rate Basis that takes effect on any Interest
Reset Date shall equal the rate, on the CD Interest Determination Date (as defined below), for negotiable U.S. dollar certificates of deposit having the Index Maturity as published in H.15(519) under the heading “CDs (secondary market)”.
If the CD Rate cannot be determined in this manner, the following procedures will apply in determining the CD Rate: 
 If the
rate described above does not appear published in H.15(519) by 3:00 P.M., New York City time, on the Calculation Date corresponding to such CD Interest Determination Date (unless the calculation is made earlier and the rate is available from
that source at that time), then the CD Rate will be the rate, for such CD Interest Determination Date, as published in H.15 Daily Update, or another recognized electronic source used for displaying that rate, under the heading ‘‘CDs
(secondary market)”. 
 If the rate described above does not appear in H.15(519), H.15 Daily Update or another recognized
electronic source by 3:00 P.M., New York City time, on such Calculation Date (unless the calculation is made earlier and the rate is available from one of those sources at that time), the CD Rate will be the arithmetic mean of the secondary
market offered rates as of 10:00 A.M., New York City time, on such CD Interest Determination Date, by three leading nonbank dealers in negotiable U.S. dollar certificates of deposit in New York City, as selected by the Calculation Agent for
negotiable U.S. dollar certificates of deposit of major U.S. money center banks with a remaining maturity closest to the Index Maturity, and in a Representative Amount. 
 If fewer than three dealers selected by the Calculation Agent are quoting as described above, the CD Rate in effect for the new Interest Rate Reset Period will be the CD Rate in effect for the prior
Interest Rate Reset Period. If the Initial Interest Rate has been in effect for the prior Interest Rate Reset Period, however, it will remain in effect for the new Interest Rate Reset Period. 

The Interest Rate Basis determined in accordance with the foregoing provisions will be adjusted by the addition or subtraction of the
Spread, if any, or by multiplying such Interest Rate Basis by the Spread Multiplier, if any, specified on the face hereof. 

“CD Interest Determination Date’’ means, in relation to a particular Interest Reset Date, the second Business Day
immediately preceding such Interest Reset Date. 
 Determination of Consumer Price Index. If the Interest Rate Basis is
the Consumer Price Index (“CPI”), then for each Interest Payment Date, “CPI Performance” is the rate equal to the annual percentage change in the CPI (as calculated by the Bureau of Labor Statistics) for the period up to and
including the stated calendar month prior to the month of the relevant Interest Payment Date (the “reference month”). 

  
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 The performance of the Consumer Price Index will be calculated as follows: 

 

											
		 	Interest Rate =	 	(	 	 CPIF – CPII
	 	)	  	
		 	 		 	CPII	 		  	

 where, 
 CPIF = CPI for
the applicable reference month, as published on Bloomberg CPURNSA; 
 CPII = CPI for the twelfth month, or otherwise as specified on the face
hereof, prior to the applicable reference month, as published on Bloomberg CPURNSA. 
 Unless specified on the face hereof, the
interest rate payment on any Interest Payment Date will not be less than 0.00% per annum. 
 If the Consumer Price Index cannot
be determined as described above, the following procedures will be applied in determining the CPI: 
 If the Consumer Price
Index is not reported on Bloomberg CPURNSA for a particular month by 3:00 p.m. on the Consumer Price Index Interest Determination Date, but has otherwise been published by the Bureau of Labor Statistics, the Calculation Agent will determine the
Consumer Price Index as published by the Bureau of Labor Statistics for that month using any other source as the Calculation Agent deems appropriate. 
 If the Consumer Price Index is rebased to a different year or period, the base reference period will continue to be the 1982-1984 reference period as long as the 1982-1984 Consumer Price Index continues
to be published. 
 If the Consumer Price Index for the reference month is subsequently revised by the Bureau of Labor
Statistics, the Calculation Agent will continue to use the Consumer Price Index initially published by the Bureau of Labor Statistics on the Interest Reset Date. 
 If, while such Securities are outstanding, the Consumer Price Index is discontinued or substantially altered, as determined by the Calculation Agent, the applicable substitute index for such Securities
will be that chosen by the Secretary of the Treasury for the Department of Treasury’s Inflation-Linked Treasuries as described at 62 Federal Register 846-874 (January 6, 1997). If none of those securities are outstanding, the
Calculation Agent will determine a substitute index for such Securities in accordance with general market practice at the time. 

  
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 Determination of Federal Funds (Effective) Rate. If the Interest Rate Basis is the
Federal Funds (Effective) Rate, the Interest Rate Basis that takes effect on any Interest Reset Date shall equal the rate, on the Federal Funds Interest Determination Date (as defined below), for U.S. dollar federal funds, as published in H.15(519)
under the heading “Federal funds (effective)”, as that rate is displayed on Reuters Screen FEDFUNDS1 Page (as defined below). If the Federal Funds (Effective) Rate cannot be determined in this manner, the following procedures will apply in
determining the Federal Funds (Effective) Rate: 
 If the rate described above is not displayed on Reuters Screen FEDFUNDS1 Page
by 3:00 P.M., New York City time, on the Calculation Date corresponding to such Federal Funds Interest Determination Date, then the Federal Funds (Effective) Rate will be the rate, for such Federal Funds Interest Determination Date, described
above as published in H.15 Daily Update, or another recognized electronic source used for displaying that rate, under the heading “Federal Funds/Effective Rate”. 
 If the rate described above in the prior paragraph is not yet published in either H.15(519) or the H.15 Daily Update by 3:00 p.m., New York City time, on the Federal Funds Interest Determination
Date, the Calculation Agent will determine the Federal Funds (Effective) Rate to be the arithmetic mean of the rates for the last transaction in overnight U.S. dollar federal funds by each of three leading brokers of U.S. dollar federal funds
transactions in The City of New York, which may include the agent and its affiliates, selected by the Calculation Agent, after consultation with the Company, prior to 9:00 a.m., New York City time, on that Federal Funds Interest Determination
Date. 
 If fewer than three leading brokers selected by the Calculation Agent are quoting as described in the prior paragraph,
the Federal Funds (Effective) Rate in effect for the new Interest Rate Reset Period will be the Federal Funds (Effective) Rate in effect for the prior Interest Rate Reset Period. If the Initial Interest Rate has been in effect for the prior Interest
Rate Reset Period, however, it will remain in effect for the new Interest Rate Reset Period. 
 The Interest Rate Basis
determined in accordance with the foregoing provisions will be adjusted by the addition or subtraction of the Spread, if any, or by multiplying such Interest Rate Basis by the Spread Multiplier, if any, as specified on the face hereof. 

“Federal Funds Interest Determination Date” means, in relation to a particular Interest Reset Date, the first Business Day
immediately preceding such Interest Reset Date. 
 “Reuters Screen FEDFUNDS1 Page” means the display on the Reuters
service, or any successor or replacement service, on the page designated as “FEDFUNDS1” or any replacement page or pages on which U.S. dollar federal funds rates are displayed. 

Any reference to a particular heading or headings on Designated CMT Reuters Page, H.15(519), H.15 daily update, Reuters screen EURIBOR01
Page, Reuters screen FEDCMT Page, Reuters screen FEDFUNDS1 Page, Reuters screen FRBCMT Page, Reuters screen LIBO Page, Designated LIBOR Page, Reuters screen USAUCTION10 Page, Reuters screen USAUCTION11 Page, Reuters Screen ISDAFIX1 Page, Reuters
screen US PRIME 1 Page or any Reuters Page, shall include any successor or replacement heading or headings as determined by the Calculation Agent. 
 The ‘‘Calculation Date” pertaining to any Treasury Interest Determination Date, CMT Interest Determination Date, Commercial Paper Interest Determination Date, Prime Rate Interest
Determination Date, CD Interest Determination Date, CMS Interest Determination Date or Federal Funds Interest Determination Date, as the case may be, shall be the earlier of (i) the tenth calendar day after such Interest Determination Date or,
if any such day is not a Business Day, the 

  
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next succeeding Business Day; and (ii) the Business Day immediately preceding the Interest Payment Date or the Maturity or, for any amount to be redeemed or repaid, any Redemption Date or
Repayment Date, whichever is the day on which the payment of interest will be due. If LIBOR or EURIBOR is the specified Interest Rate Basis on the face hereof, LIBOR and EURIBOR will be calculated on the relevant LIBOR Interest Determination Date or
EURIBOR Interest Determination Date. 
 The Calculation Agent’s determination of the interest rate on this Security will be
final and binding in the absence of manifest error. In calculating an Interest Rate Basis, the Calculation Agent may obtain quotations from banks and dealers that are affiliates of the Calculation Agent and/or the Company. 

All percentages resulting from any calculation with respect to this Security will be rounded upwards, or downwards, as appropriate, to
the next higher or lower one hundred-thousandth of a percentage point (for example, 9.876541% (or 0.09876541) would be rounded down to 9.87654% (or 0.0987654) and 9.876545% (or 0.09876545) would be rounded up to 9.87655% (or 0.0987655)),
and all amounts used in or resulting from such calculations will be rounded to the nearest cent in the case of U.S. dollars, or to the nearest corresponding hundredth of a unit, in the case of a currency other than U.S. dollars (with one-half cent
or one-half of a corresponding unit or more being rounded upwards). 
 Notwithstanding the foregoing, the interest rate hereon
shall not be greater than the Maximum Interest Rate, if any, or less than the Minimum Interest Rate, if any, shown on the face hereof, and, in any event, the interest rate hereon shall not be higher than the maximum rate permitted by New York law,
as the same may be modified by United States law of general application. 
 For each interest period, the Calculation Agent will
calculate the amount of accrued interest by multiplying the face amount of this Security by an accrued interest factor for the interest period. This factor will equal the sum of the interest factors calculated for each day during the interest
period. The interest factor (expressed as a decimal) for each such day shall be computed by dividing the interest rate (expressed as a decimal) applicable to such day by (i) 360, in the case of Securities with a LIBOR (other than such
Securities with a LIBOR Interest Rate Basis denominated in pounds sterling), EURIBOR, Commercial Paper, Prime Rate, CD Rate or Federal Funds (Effective) Rate Interest Rate Basis, (ii) by 365, in the case of Securities with a LIBOR Interest Rate
Basis denominated in pounds sterling, or (iii) by the actual number of days in the year, in the case of Securities with a Treasury Rate, CMS Rate or CMT Rate Interest Rate Basis. 

Unless an initial date on which this Security may be redeemed by the Company (a “Redemption Commencement Date”) is specified on
the face hereof, this Security will not be redeemable by the Company prior to the Maturity Date. If a Redemption Commencement Date with respect to this Security is specified on the face hereof, the face of this Security will also specify one or more
Redemption Prices, which will be expressed as a percentage of the Principal Amount of this Security, and the Redemption Period during which such Redemption Prices will apply. If this Security is redeemable at the Company’s option, it will be
redeemable in whole or 

  
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in part at any time on or after the specified Redemption Commencement Date for a limited period, as specified on the face hereof, at the specified Redemption Price applicable to the Redemption
Period for this Security together with interest accrued up to the Redemption Date. If the Company elects to redeem this Security, the Company will give to the Holder of this Security written notice of the principal amount of this Security to be
redeemed, not less than 5 Business Days nor more than 60 days before the applicable Redemption Date. In the event of redemption of this Security in part only, a new Security or Securities of this series and of like tenor for the unredeemed
portion hereof will be issued in the name of the Holder hereof upon the cancellation hereof. 
 If one or more Repayment Dates
are specified on the face hereof, the Principal Amount of this Security will be repayable in whole or in part in an amount equal to any Authorized Denomination (provided that the remaining principal amount of this Security surrendered for
partial repayment shall at least equal the minimum Authorized Denomination), on any such Repayment Date, in each case at the option of the Holder and at the Repayment Price specified on the face hereof, together with accrued interest to the
applicable Repayment Date (but interest installments due on or prior to such Repayment Date will be payable to the Holder of this Security, or one or more Predecessor Securities, of record at the close of business on the relevant Regular Record Date
as provided in the Indenture). If the face of this Security provides for more than one Repayment Date and the Holder exercises its option to elect repayment, the Holder shall be deemed to have elected repayment on the earliest repayment date after
all conditions to such exercise have been satisfied, and references herein to the applicable Repayment Date shall mean such earliest repayment date. 
 In order for the exercise of such option to be effective and the Principal Amount of this Security to be repaid, the Company must receive at the applicable address of the Trustee set forth below (or at
such other place or places of which the Company shall from time to time notify the Holder of this Security), at least 15 days but not more than 30 days (or if either such day is not a Business Day, the next Business Day) prior to the
applicable Repayment Date, either (i) this Security, with the form below entitled “Option to Elect Repayment” duly completed and signed, or (ii) a telegram, telex, facsimile transmission or a letter from a member of a national
securities exchange or the Financial Industry Regulatory Authority (“FINRA”) or a commercial bank or trust company in the United States setting forth (a) the name, address and telephone number of the Holder of this Security,
(b) the principal amount of this Security and the principal amount of this Security to be repaid, (c) the certificate number or a description of the tenor and terms of this Security, (d) a statement that the option to elect repayment
is being exercised thereby and (e) a guarantee stating that the Company will receive this Security, with the form below entitled “Option to Elect Repayment” duly completed and signed, not later than five Business Days after the date
of such telegram, telex, facsimile transmission or letter (provided that this Security and form duly completed and signed are received by the Company by such fifth Business Day). Any such election shall be irrevocable. The address to which
such deliveries are to be made is The Bank of New York Mellon, Attention: Corporate Trust Administration, 101 Barclay Street, 4E, New York, New York 10286 (or at such other place or places as the Company or the Trustee shall notify the Holder
of this Security). All questions as to the validity, eligibility (including time of receipt) and acceptance of any Security for repayment will be determined by the 

  
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Company, whose determination will be final and binding. Notwithstanding the foregoing, (x) if this Security is a Global Security, the option of the Holder to elect repayment may be exercised
in accordance with the applicable procedures of the Depositary for this Security at least 15 days prior to the applicable Repayment Date and (y) whether or not this Security is a Global Security, the option of the Holder to elect repayment
may be exercised in any such manner as the Company may approve. 
 Unless otherwise specified on the face hereof, we will not
provide any sinking fund for this Security. 
 [IF THE SECURITY IS NOT AN ORIGINAL DISCOUNT SECURITY, INSERT — If an Event
of Default with respect to Securities of this series shall occur and be continuing, the principal of the Securities of this series may be declared due and payable in the manner and with the effect provided in the Indenture.] 

[IF THE SECURITY IS AN ORIGINAL ISSUE DISCOUNT SECURITY, INSERT — If an Event of Default with respect to this Security shall occur
and be continuing, an amount of principal of this Security may be declared due and payable in the manner and with the effect provided in the Indenture. Such amount shall be equal to [— INSERT FORMULA FOR DETERMINING THE AMOUNT]. Upon payment
(i) of the amount of principal so declared due and payable and (ii) of interest on any overdue principal, premium and interest (in each case to the extent that the payment of such interest shall be legally enforceable), all of the
Company’s obligations in respect of the payment of the principal and premium and interest, if any, on this Security shall terminate.] 
 The Indenture permits, with certain exceptions as therein provided, the amendment thereof and the modification of the rights and obligations of the Company and the rights of the Holders of the Securities
of each series to be affected under the Indenture at any time by the Company and the Trustee with the consent of the Holders of not less than a majority in principal amount of the Securities at the time Outstanding of each series to be affected. To
the extent permitted by law, the Company may also amend or modify the rights of a particular Security of this series without the consent or approval of the other Holders of Securities of this series. The Indenture also contains provisions permitting
the Holders of specified percentages in principal amount of the Securities of each series at the time Outstanding, on behalf of the Holders of all Securities of such series, to waive compliance by the Company with certain provisions of the Indenture
and certain past defaults under the Indenture and their consequences. Any such consent or waiver by the Holder of this Security shall be conclusive and binding upon such Holder and upon all future Holders of this Security and of any Security issued
upon the registration of transfer hereof or in exchange herefor or in lieu hereof, whether or not notation of such consent or waiver is made upon this Security. 
 As provided in and subject to the provisions of the Indenture, the Holder of this Security shall not have the right to institute any proceeding with respect to the Indenture or for the appointment of a
receiver or trustee or for any other remedy thereunder, unless such Holder shall have previously given the Trustee written notice of a continuing Event of Default with respect to the Securities of this series, the Holders of not less than 25% in
principal amount of the Securities of this series at the time Outstanding shall have made written request to the Trustee to institute proceedings in respect of such Event of Default as Trustee and offered the Trustee

  
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reasonable indemnity, and the Trustee shall not have received from the Holders of a majority in principal amount of Securities of this series at the time Outstanding a direction inconsistent with
such request, and shall have failed to institute any such proceeding, for 60 days after receipt of such notice, request and offer of indemnity. The foregoing shall not apply to any suit instituted by the Holder of this Security for the enforcement
of any payment of principal hereof or any premium or interest hereon on or after the respective due dates expressed herein. 

No reference herein to the Indenture and no provision of this Security or of the Indenture shall alter or impair the obligation of the
Company, which is absolute and unconditional, to pay the principal of and any premium and interest on this Security at the times, place and rate, and in the coin or currency, herein prescribed. 

As provided in the Indenture and subject to certain limitations therein set forth, the transfer of this Security is registrable in the
Security Register, upon surrender of this Security for registration of transfer at the office or agency of the Company in any place where the principal of and any premium and interest on this Security are payable, duly endorsed by, or accompanied by
a written instrument of transfer in form satisfactory to the Company and the Security Registrar duly executed by, the Holder hereof or his attorney duly authorized in writing, and thereupon one or more new Securities of this series and of like
tenor, of authorized denominations and for the same aggregate principal amount, will be issued to the designated transferee or transferees. 
 The Securities of this series are issuable only in registered form without coupons in denominations of $2,000 and integral multiples of $1,000 in excess thereof. As provided in the Indenture and subject
to certain limitations therein set forth, Securities of this series are exchangeable for a like aggregate principal amount of Securities of this series and of like tenor of a different authorized denomination, as requested by the Holder surrendering
the same. 
 No service charge shall be made for any such registration of transfer or exchange, but the Company may require
payment of a sum sufficient to cover any tax or other governmental charge payable in connection therewith. 
 Prior to due
presentment of this Security for registration of transfer, the Company, the Trustee and any agent of the Company or the Trustee may treat the Person in whose name this Security is registered as the owner hereof for all purposes, whether or not this
Security be overdue, and neither the Company, the Trustee nor any such agent shall be affected by notice to the contrary. 
 [IF
A GLOBAL SECURITY, INSERT — This Security shall be subject to the provisions of the Indenture relating to Global Securities, including the limitations in Section 305 thereof on transfers and exchanges of Global Securities.] 

All terms used in this Security which are defined in the Indenture shall have the meanings assigned to them in the Indenture. 

This Security and the Indenture shall be governed by and construed in accordance with the laws of the State of New York. 

 
  

  
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 AMERICAN INTERNATIONAL GROUP, INC. 

MEDIUM-TERM NOTES, SERIES H 
 OPTION TO ELECT REPAYMENT 
 TO BE COMPLETED ONLY IF THIS SECURITY

 IS REPAYABLE AT THE OPTION OF THE HOLDER AND 
 THE HOLDER ELECTS TO EXERCISE SUCH RIGHT 
 The undersigned hereby irrevocably
requests and instructs the Company to repay the Security referred to in this notice (or the portion thereof specified below) at the applicable Repayment Price, together with interest to the Repayment Date, all as provided for in such Security, to
the undersigned, whose name, address and telephone number are as follows: 
  

	
	  

	
	  

	(please print name of the undersigned)
	
	  

	
	  

	(please print address of the undersigned)
	
	  

	
	  

	(please print telephone number of the undersigned)

 If such Security provides for more than one Repayment Date, the undersigned requests repayment on the
earliest Repayment Date after the requirements for exercising this option have been satisfied, and references in this notice to the Repayment Date mean such earliest Repayment Date. Terms used in this notice that are defined in such Security are
used herein as defined therein. 
 For such Security to be repaid the Company must receive at the applicable address of the
Trustee set forth below or at such other place or places of which the Company or the Trustee shall from time to time notify the Holder of such Security, any Business Day not later than the 15th or earlier than the 30th calendar day prior to the
repayment date (or, if either such calendar day is not a Business Day, the next succeeding Business Day), (i) such Security, with this “Option to Elect Repayment” form duly completed and signed, or (ii) a telegram, telex,
facsimile transmission or a letter from a member of a national securities exchange or the Financial Industry Regulatory Authority (“FINRA”) or a commercial bank or trust company in the United States setting forth (a) the name, address
and telephone number of the Holder of this Security, (b) the principal amount of this Security and the principal amount of this Security to be 

  
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repaid, (c) the certificate number or a description of the tenor and terms of this Security, (d) a statement that the option to elect repayment is being exercised thereby and (e) a
guarantee stating that the Company will receive this Security, with the form below entitled “Option to Elect Repayment” duly completed and signed, not later than five Business Days after the date of such telegram, telex, facsimile
transmission or letter (provided that this Security and form duly completed and signed are received by the Company by such fifth Business Day). The address to which such deliveries are to be made is: 

The Bank of New York Mellon 
 Attention: Corporate Trust Administration 
 101 Barclay Street 

New York, New York 10286 
 or
at such other place or places as the Company or the Trustee shall notify the Holder of such Security. 
 If less than the
entire principal amount of such Security is to be repaid, specify the portion thereof (which shall equal any Authorized Denomination) that the Holder elects to have repaid: 

 
  

 

							
	Date:	 	  
	 	 	  	  

		 		 		  	Notice: The signature to this Option to Elect Repayment must correspond with the name of the Holder as written on the face of such Security in every particular without alteration or
enlargement or any other change whatsoever.

  
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 ABBREVIATIONS 
 The following abbreviations, when used in the inscription on the face of this instrument, shall be construed as though they were written out in full according to applicable laws or regulations:

  

											
	TEN COM	 	—	 	as tenants in common	 	UNIF GIFT MIN ACT	 	—	 	             Custodian             
	TEN ENT	 	—	 	as tenants by the entireties	 		 		 	(Cust)                    (Minor)
	JT TEN	 	—	 	as joint tenants with right of survivorship and not as tenants in common	 		 		 	 Under Uniform Gifts to
 Minors
Act                     

(State)

 Additional abbreviations may also be used though not in the above list. 

 
  

  
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 ASSIGNMENT 
 FOR VALUE RECEIVED, the undersigned hereby sell(s), assign(s) and transfer(s) unto 
  

							
	PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE	  		  	

 PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING POSTAL ZIP CODE OF ASSIGNEE 

the within Security and all rights thereunder, hereby irrevocably constituting and appointing 
 attorney to transfer said Security on the books of the Company, with full power of substitution in the premises. 
  

							
	Dated:	  	  
	  		  	
			
	Signature Guaranteed	  		  	
			
	  
	  		  	  

	 NOTICE: Signature must be guaranteed
	  		  	NOTICE: The signature to this assignment must correspond with the name as written upon the face of the within instrument in every particular, without alteration or enlargement or
any change whatever.

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