Ford & Abernathy, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1987-01-01
Business code	541110
Sponsor’s telephone number	2053492000
Plan sponsor’s address	PO BOX 20263, TUSCALOOSA, AL, 35402

Signature of

Role	Plan administrator
Date	2015-03-05
Name of individual signing	STEVEN FORD
Role	Employer/plan sponsor
Date	2015-03-05
Name of individual signing	STEVEN FORD

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1987-01-01
Business code	541110
Sponsor’s telephone number	2053492000
Plan sponsor’s address	PO BOX 20263, TUSCALOOSA, AL, 35402

Plan administrator’s name and address

Administrator’s EIN	631035993
Plan administrator’s name	FORD & ABERNATHY, P.C.
Plan administrator’s address	PO BOX 20263, TUSCALOOSA, AL, 35402
Administrator’s telephone number	2053492000

Signature of

Role	Plan administrator
Date	2012-02-09
Name of individual signing	ANNE BOYD

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1987-01-01
Business code	541110
Sponsor’s telephone number	2053492000
Plan sponsor’s address	PO BOX 20263, TUSCALOOSA, AL, 35402

Plan administrator’s name and address

Administrator’s EIN	631035993
Plan administrator’s name	FORD & ABERNATHY, P.C.
Plan administrator’s address	PO BOX 20263, TUSCALOOSA, AL, 35402
Administrator’s telephone number	2053492000

Signature of

Role	Plan administrator
Date	2011-03-08
Name of individual signing	ANNE BOYD

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1987-01-01
Business code	541110
Sponsor’s telephone number	2053492000
Plan sponsor’s mailing address	PO BOX 20263, TUSCALOOSA, AL, 35402
Plan sponsor’s address	621 GREENSBORO AVE, TUSCALOOSA, AL, 35402

Plan administrator’s name and address

Administrator’s EIN	631035993
Plan administrator’s name	FORD & ABERNATHY, P.C.
Plan administrator’s address	PO BOX 20263, TUSCALOOSA, AL, 35402
Administrator’s telephone number	2053492000

Number of participants as of the end of the plan year

Active participants	7
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	3
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	10
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	2010-05-03
Name of individual signing	ANNE BOYD
Valid signature	Filed with authorized/valid electronic signature