KOLB & ASSOCIATES, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1992-01-01
Business code	541110
Sponsor’s telephone number	2034694475
Plan sponsor’s DBA name	SAME
Plan sponsor’s mailing address	49 HIGH ST., EAST HAVEN, CT, 06512
Plan sponsor’s address	49 HIGH ST., EAST HAVEN, CT, 06512

Plan administrator’s name and address

Administrator’s EIN	061065928
Plan administrator’s name	KOLB & ASSOCIATES, P.C.
Plan administrator’s address	49 HIGH ST., EAST HAVEN, CT, 06512
Administrator’s telephone number	2034694475

Number of participants as of the end of the plan year

Active participants	0
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2010-08-10
Name of individual signing	FRANK KOLB
Valid signature	Filed with authorized/valid electronic signature