UPSTATE BUILDERS GROUP LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	238300
Sponsor’s telephone number	3157591730
Plan sponsor’s address	404 LIBERTY STREET, PENN YANN, NY, 14527

Signature of

Role	Plan administrator
Date	2024-09-06
Name of individual signing	NICK RICE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	238300
Sponsor’s telephone number	3157591730
Plan sponsor’s address	404 LIBERTY STREET, PENN YANN, NY, 14527

Signature of

Role	Plan administrator
Date	2023-09-13
Name of individual signing	NICK RICE

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	238300
Sponsor’s telephone number	3157591730
Plan sponsor’s address	404 LIBERTY STREET, PENN YANN, NY, 14527

Signature of

Role	Plan administrator
Date	2022-09-21
Name of individual signing	NICK RICE

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	238300
Sponsor’s telephone number	3157591730
Plan sponsor’s address	404 LIBERTY STREET, PENN YANN, NY, 14527

Signature of

Role	Plan administrator
Date	2021-07-10
Name of individual signing	SHIRLEY HORNER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	238300
Sponsor’s telephone number	3157591730
Plan sponsor’s address	404 LIBERTY STREET, PENN YANN, NY, 14527

Signature of

Role	Plan administrator
Date	2020-07-09
Name of individual signing	SHIRLEY HORNER

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	238300
Sponsor’s telephone number	3157591730
Plan sponsor’s address	404 LIBERTY ST, PENN YAN, NY, 14527

Plan administrator’s name and address

Administrator’s EIN	264477125
Plan administrator’s name	401K GENERATION
Plan administrator’s address	195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746
Administrator’s telephone number	8669985879

Signature of

Role	Plan administrator
Date	2019-05-24
Name of individual signing	EDWARD ROJAS

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	238300
Sponsor’s telephone number	3157591730
Plan sponsor’s address	404 LIBERTY ST, PENN YAN, NY, 14527

Signature of

Role	Plan administrator
Date	2018-05-23
Name of individual signing	EDWARD ROJAS