WORMUTH DAIRY & REFRIGERATION, LLC

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Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	333100
Sponsor’s telephone number	3156849152
Plan sponsor’s address	3859 SWAMP RD, MORRISVILLE, NY, 13408

Signature of

Role	Plan administrator
Date	2024-05-30
Name of individual signing	DAVID WORMUTH

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	333100
Sponsor’s telephone number	3156849152
Plan sponsor’s address	3859 SWAMP RD, MORRISVILLE, NY, 13408

Signature of

Role	Plan administrator
Date	2023-04-12
Name of individual signing	EDWARD ROJAS

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	333100
Sponsor’s telephone number	3156849152
Plan sponsor’s address	3859 SWAMP RD, MORRISVILLE, NY, 13408

Signature of

Role	Plan administrator
Date	2022-05-10
Name of individual signing	EDWARD ROJAS

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	333100
Sponsor’s telephone number	3156849152
Plan sponsor’s address	3859 SWAMP RD, MORRISVILLE, NY, 13408

Signature of

Role	Plan administrator
Date	2021-07-01
Name of individual signing	EDWARD ROJAS

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	333100
Sponsor’s telephone number	3156849152
Plan sponsor’s address	3859 SWAMP RD, MORRISVILLE, NY, 13408

Signature of

Role	Plan administrator
Date	2020-06-30
Name of individual signing	EDWARD ROJAS

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1969-12-01
Business code	424910
Sponsor’s telephone number	3156849152
Plan sponsor’s mailing address	P. O. BOX 332, MORRISVILLE, NY, 13408
Plan sponsor’s address	P. O. BOX 332, MORRISVILLE, NY, 13408

Plan administrator’s name and address

Administrator’s EIN	161528005
Plan administrator’s name	WORMUTH DAIRY & REFRIGERATION, LLC
Plan administrator’s address	P. O. BOX 332, MORRISVILLE, NY, 13408
Administrator’s telephone number	3156849152

Number of participants as of the end of the plan year

Active participants	9
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	11
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	2011-07-07
Name of individual signing	CAROL ROGERS
Valid signature	Filed with authorized/valid electronic signature