DISIENA FURNITURE & APPLIANCE CO., INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	442110
Sponsor’s telephone number	5186647385
Plan sponsor’s mailing address	115 ROUND LAKE AVENUE, MECHANICVILLE, NY, 12118
Plan sponsor’s address	115 ROUND LAKE AVENUE, MECHANICVILLE, NY, 12118

Plan administrator’s name and address

Administrator’s EIN	141556008
Plan administrator’s name	DISIENA FURNITURE & APPLIANCE
Plan administrator’s address	115 ROUND LAKE AVENUE, MECHANICVILLE, NY, 12118
Administrator’s telephone number	5186647385

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 with account balances as of the end of the plan year	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	2010-03-31
Name of individual signing	DEBORAH DISIENA
Valid signature	Filed with authorized/valid electronic signature