Tri-Wil, Inc.

Contacts

Phone	+1 205-938-7855
Fax	2059383647

Authorized person

Name	MR. JAMES BROWN
Role	EXECUTIVE DIRECTOR
Phone	2059387855

Taxonomy

Taxonomy Code	322D00000X - Emotionally Disturbed Childrens' Residential Treatment Facility
State	AL
Is Primary	Yes
Taxonomy Code	323P00000X - Psychiatric Residential Treatment Facility
State	AL
Is Primary	No

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-01-01
Business code	623000
Sponsor’s telephone number	2059387855
Plan sponsor’s address	PO BOX 77, GREEN POND, AL, 350740077

Plan administrator’s name and address

Administrator’s EIN	630856852
Plan administrator’s name	TRI-WIL, INC
Plan administrator’s address	PO BOX 77, GREEN POND, AL, 350740077
Administrator’s telephone number	2059387855

Signature of

Role	Plan administrator
Date	2011-01-05
Name of individual signing	JAMES BROWN
Role	Employer/plan sponsor
Date	2011-01-05
Name of individual signing	JAMES BROWN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-01-01
Business code	623000
Sponsor’s telephone number	2059387855
Plan sponsor’s mailing address	P.O. BOX 77, GREEN POND, AL, 35074
Plan sponsor’s address	RR1 BOX 329E, WOODSTOCK, AL, 351889722

Plan administrator’s name and address

Administrator’s EIN	630856852
Plan administrator’s name	TRI-WIL, INC
Plan administrator’s address	P.O. BOX 77, GREEN POND, AL, 35074
Administrator’s telephone number	2059387855

Number of participants as of the end of the plan year

Active participants	49
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	1
Number of participants with account balances as of the end of the plan year	12
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	2010-04-15
Name of individual signing	JAMES BROWN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-01-01
Business code	623000
Sponsor’s telephone number	2059387855
Plan sponsor’s address	PO BOX 77, GREEN POND, AL, 350740077

Plan administrator’s name and address

Administrator’s EIN	630856852
Plan administrator’s name	TRI-WIL, INC
Plan administrator’s address	PO BOX 77, GREEN POND, AL, 350740077
Administrator’s telephone number	2059387855

Signature of

Role	Plan administrator
Date	2010-04-23
Name of individual signing	MARCIE LEMLEY
Role	Employer/plan sponsor
Date	2010-04-26
Name of individual signing	MARCIE LEMLEY