Corporate Pharmacy Services, Inc.

Contacts

Phone	+1 256-543-9000
Fax	2565439005

Authorized person

Name	JENNIFER MORRISON
Role	CHIEF PHARMACIST
Phone	2565439000

Taxonomy

Taxonomy Code	3336C0003X - Community/Retail Pharmacy
License Number	102795
State	AL
Is Primary	No
Taxonomy Code	3336M0002X - Mail Order Pharmacy
License Number	200057
State	AL
Is Primary	No

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-09-01
Business code	446110
Sponsor’s telephone number	2565439000
Plan sponsor’s mailing address	319 BROAD STREET, GADSDEN, AL, 35901
Plan sponsor’s address	319 BROAD STREET, GADSDEN, AL, 35901

Plan administrator’s name and address

Administrator’s EIN	631040950
Plan administrator’s name	CORPORATE PHARMACY SERVICES, INC.
Plan administrator’s address	319 BROAD STREET, GADSDEN, AL, 35901
Administrator’s telephone number	2565439000

Number of participants as of the end of the plan year

Active participants	2
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	2
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	2012-01-20
Name of individual signing	GREG ROBERTS
Valid signature	Filed with authorized/valid electronic signature

Three-digit plan number (PN)	001
Effective date of plan	1995-09-01
Business code	446110
Sponsor’s telephone number	2565439000
Plan sponsor’s mailing address	319 BROAD STREET, GADSDEN, AL, 35901
Plan sponsor’s address	319 BROAD STREET, GADSDEN, AL, 35901

Plan administrator’s name and address

Administrator’s EIN	631040950
Plan administrator’s name	CORPORATE PHARMACY SERVICES, INC.
Plan administrator’s address	319 BROAD STREET, GADSDEN, AL, 35901
Administrator’s telephone number	2565439000

Number of participants as of the end of the plan year

Active participants	2
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	2
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Employer/plan sponsor
Date	2012-01-20
Name of individual signing	GREG ROBERTS
Valid signature	Filed with authorized/valid electronic signature