RADIATION SHIELDING SYSTEMS, INC.

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Three-digit plan number (PN)	001
Effective date of plan	2006-01-01
Business code	621510
Sponsor’s telephone number	8454691263
Plan sponsor’s DBA name	RADIATION SHIELDING SYSTEMS
Plan sponsor’s address	415 SPOOK ROCK RD, SUFFERN, NY, 10901

Signature of

Role	Plan administrator
Date	2015-09-25
Name of individual signing	EDWARD DELIA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2006-01-01
Business code	621510
Sponsor’s telephone number	8886312278
Plan sponsor’s mailing address	203 BLACK MEADOW RD, CHESTER, NY, 12550
Plan sponsor’s address	203 BLACK MEADOW RD, CHESTER, NY, 12550

Plan administrator’s name and address

Plan administrator’s name	SIMS & SIMS TPA SERVICE LLC
Plan administrator’s address	76 UNION AVE SUITE C, RONKONKOMA, NY, 11779
Administrator’s telephone number	6315881146

Number of participants as of the end of the plan year

Active participants	14
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	3
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	2010-07-14
Name of individual signing	SETH WARNOCK
Valid signature	Filed with authorized/valid electronic signature

Unique Award Key	CONT_AWD_V561R77854_3600_-NONE-_-NONE-
Awarding Agency	Department of Veterans Affairs
Link	View Page

Description

Title	LINAC DOOR REPAIR SERVICE. THIS IS THE OLNY VENDOR
Product and Service Codes	9390: MISC FABRICATED NONMETAL MATERIALS

Recipient Details

Recipient	RADIATION SHIELDING SYSTEMS, INC.
UEI	EKZTL8JHNVS4
Legacy DUNS	001491989
Recipient Address	UNITED STATES, 203 BLACK MEADOW RD, CHESTER, 109182231