MOTHER INDUSTRIES LLC

Three-digit plan number (PN)	001
Effective date of plan	2005-01-01
Business code	541800
Sponsor’s telephone number	2122542800
Plan sponsor’s mailing address	77 10TH ST FL 3, BROOKLYN, NY, 112153821
Plan sponsor’s address	77 10TH ST FL 3, BROOKLYN, NY, 112153821

Number of participants as of the end of the plan year

Active participants	177
Other retired or separated participants entitled to future benefits	73
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	231
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	62

Signature of

Role	Plan administrator
Date	2022-10-14
Name of individual signing	MICHAEL ROSE
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2022-10-14
Name of individual signing	MICHAEL ROSE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2005-01-01
Business code	541800
Sponsor’s telephone number	2122542800
Plan sponsor’s mailing address	77 10TH ST FL 3, BROOKLYN, NY, 112153821
Plan sponsor’s address	77 10TH ST FL 3, BROOKLYN, NY, 112153821

Number of participants as of the end of the plan year

Active participants	172
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	48
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	210
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	11

Signature of

Role	Plan administrator
Date	2022-01-14
Name of individual signing	MICHAEL ROSE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2005-01-01
Business code	541800
Sponsor’s telephone number	2122542800
Plan sponsor’s address	595 11TH AVENUE, NEW YORK, NY, 10036

Plan administrator’s name and address

Administrator’s EIN	200263558
Plan administrator’s name	MOTHER INDUSTRIES, LLC
Plan administrator’s address	595 11TH AVENUE, NEW YORK, NY, 10036
Administrator’s telephone number	2122542800

Signature of

Role	Plan administrator
Date	2011-06-13
Name of individual signing	SUSAN HOLDEN