JACKSON FINANCIAL CONSULTING, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2007-01-01
Business code	541211
Sponsor’s telephone number	2038794329
Plan sponsor’s mailing address	102 WOLCOTT RD, WOLCOTT, CT, 06716
Plan sponsor’s address	102 WOLCOTT RD, WOLCOTT, CT, 06716

Plan administrator’s name and address

Administrator’s EIN	061150328
Plan administrator’s name	JOSEPH C BISSONNETTE & CO LLC
Plan administrator’s address	102 WOLCOTT RD, WOLCOTT, CT, 06716
Administrator’s telephone number	2038794329

Number of participants as of the end of the plan year

Active participants	5
Number of participants with account balances as of the end of the plan year	5

Signature of

Role	Plan administrator
Date	2010-10-11
Name of individual signing	JOSEPH BISSONNETTE
Valid signature	Filed with authorized/valid electronic signature