Petro Accident and Injury Attorneys, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	541110
Sponsor’s telephone number	2565335000
Plan sponsor’s address	6767 OLD MADISON PIKE, SUITE 490, HUNTSVILLE, AL, 35806

Signature of

Role	Plan administrator
Date	2019-08-14
Name of individual signing	CHARLES PITMAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	541110
Sponsor’s telephone number	2565335000
Plan sponsor’s address	6767 OLD MADISON PIKE, SUITE 490, HUNTSVILLE, AL, 35806

Signature of

Role	Plan administrator
Date	2018-07-31
Name of individual signing	CHARLES PITMAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	541110
Sponsor’s telephone number	2565335000
Plan sponsor’s address	6767 OLD MADISON PIKE, SUITE 490, HUNTSVILLE, AL, 35806

Signature of

Role	Plan administrator
Date	2017-10-03
Name of individual signing	CHARLES PITMAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	541110
Sponsor’s telephone number	2565335000
Plan sponsor’s address	6767 OLD MADISON PIKE, SUITE 490, HUNTSVILLE, AL, 35806

Signature of

Role	Plan administrator
Date	2018-09-12
Name of individual signing	CHARLES PITMAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	812990
Sponsor’s telephone number	2565335000
Plan sponsor’s address	8075 MADISON BLVD STE 112, MADISON, AL, 35758

Signature of

Role	Plan administrator
Date	2015-10-15
Name of individual signing	CHARLES PITMAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	812990
Sponsor’s telephone number	2565335000
Plan sponsor’s address	8075 MADISON BLVD STE 112, MADISON, AL, 35758

Signature of

Role	Plan administrator
Date	2014-10-06
Name of individual signing	CHARLES PITMAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	812990
Sponsor’s telephone number	2565335000
Plan sponsor’s address	8075 MADISON BLVD STE 112, MADISON, AL, 35758

Signature of

Role	Plan administrator
Date	2013-07-03
Name of individual signing	CHARLES PITMAN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	812990
Sponsor’s telephone number	2565335000
Plan sponsor’s address	8075 MADISON BLVD STE 112, MADISON, AL, 35758

Plan administrator’s name and address

Administrator’s EIN	262566326
Plan administrator’s name	CHARLES PITMAN INJURY LAWYERS, LLC
Plan administrator’s address	8075 MADISON BLVD STE 112, MADISON, AL, 35758
Administrator’s telephone number	2565335000

Signature of

Role	Plan administrator
Date	2012-07-06
Name of individual signing	CHARLES PITMAN