MASONE BROS. INC.

Contact Information

POC	SUSAN MASONE
Phone	+1 516-351-6826
Fax	+1 516-239-2253
Address	204 W BROADWAY, INWOOD, NY, 11096 1322, UNITED STATES

Ownership of Offeror Information

Highest Level Owner	Information not Available

Immediate Level Owner	Information not Available

List of Offerors (0)	Information not Available

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2001-01-01
Business code	237990
Sponsor’s telephone number	5163715863
Plan sponsor’s mailing address	15 TAFT AVENUE, INWOOD, NY, 11096
Plan sponsor’s address	15 TAFT AVENUE, INWOOD, NY, 11096

Plan administrator’s name and address

Administrator’s EIN	112294140
Plan administrator’s name	MASONE BROS., INC.
Plan administrator’s address	15 TAFT AVENUE, INWOOD, NY, 11096
Administrator’s telephone number	5163715863

Number of participants as of the end of the plan year

Active participants	0
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 that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2012-02-29
Name of individual signing	RONALD MASONE
Valid signature	Filed with authorized/valid electronic signature