MICHAEL J. KEATING AGENCY, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	524210
Sponsor’s telephone number	8605211420
Plan sponsor’s address	10 ARAPAHOE ROAD, PO BOX 270048, WEST HARTFORD, CT, 06127

Plan administrator’s name and address

Administrator’s EIN	060878290
Plan administrator’s name	MICHAEL J. KEATING AGENCY, INC.
Plan administrator’s address	10 ARAPAHOE ROAD, WEST HARTFORD, CT, 06127
Administrator’s telephone number	8605211420

Signature of

Role	Plan administrator
Date	2012-06-22
Name of individual signing	MICHAEL KEATING
Valid signature	Filed with authorized/valid electronic signature