CLEANER'S SUPPLY, INC.

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Three-digit plan number (PN)	501
Effective date of plan	2021-01-01
Business code	423800
Sponsor’s telephone number	6077757905
Plan sponsor’s mailing address	1059 POWERS RD, CONKLIN, NY, 137481400
Plan sponsor’s address	1059 POWERS RD, CONKLIN, NY, 137481400

Number of participants as of the end of the plan year

Active participants

106

Signature of

Role	Plan administrator
Date	2022-07-28
Name of individual signing	TIMOTHY MAYERS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1996-01-01
Business code	423400
Sponsor’s telephone number	6077757905
Plan sponsor’s mailing address	1059 POWERS ROAD, CONKLIN, NY, 13748
Plan sponsor’s address	1059 POWERS ROAD, CONKLIN, NY, 13748

Plan administrator’s name and address

Administrator’s EIN	161345258
Plan administrator’s name	CLEANER'S SUPPLY INC.
Plan administrator’s address	1059 POWERS ROAD, CONKLIN, NY, 13748
Administrator’s telephone number	6077757905

Number of participants as of the end of the plan year

Active participants	96
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	13
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	106
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	14

Signature of

Role	Plan administrator
Date	2013-10-07
Name of individual signing	FRANK RUSSO
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2013-10-07
Name of individual signing	FRANK RUSSO
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1996-01-01
Business code	423400
Sponsor’s telephone number	6077757905
Plan sponsor’s mailing address	1059 POWERS ROAD, CONKLIN, NY, 13748
Plan sponsor’s address	1059 POWERS ROAD, CONKLIN, NY, 13748

Plan administrator’s name and address

Administrator’s EIN	161345258
Plan administrator’s name	CLEANER'S SUPPLY INC.
Plan administrator’s address	1059 POWERS ROAD, CONKLIN, NY, 13748
Administrator’s telephone number	6077757905

Number of participants as of the end of the plan year

Active participants	121
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	4
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	88
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	2012-10-10
Name of individual signing	JULIE SCHOONMAKER
Valid signature	Filed with authorized/valid electronic signature