COUSINS CONSTRUCTION LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	238100
Sponsor’s telephone number	5187013255
Plan sponsor’s address	20 HIBBARD ST, AMSTERDAM, NY, 12010

Signature of

Role	Plan administrator
Date	2016-07-29
Name of individual signing	JASON HALL

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	238100
Sponsor’s telephone number	5187013255
Plan sponsor’s address	917 SACANDAGA RD, GLENVILLE, NY, 12302

Signature of

Role	Plan administrator
Date	2015-07-29
Name of individual signing	JASON HALL