JAXSON LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	541990
Sponsor’s telephone number	6318427775
Plan sponsor’s address	145 DIXON AVE, AMITYVILLE, NY, 11701

Signature of

Role	Plan administrator
Date	2022-05-02
Name of individual signing	JONATHAN BRILL

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	541990
Sponsor’s telephone number	6318427775
Plan sponsor’s address	145 DIXON AVE, AMITYVILLE, NY, 11701

Signature of

Role	Plan administrator
Date	2021-05-05
Name of individual signing	MAUREEN CHOLOWA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	541990
Sponsor’s telephone number	6318427775
Plan sponsor’s address	145 DIXON AVE, AMITYVILLE, NY, 11701

Signature of

Role	Plan administrator
Date	2020-04-09
Name of individual signing	MAUREEN CHOLOWA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	541990
Sponsor’s telephone number	6318427775
Plan sponsor’s address	145 DIXON AVE, AMITYVILLE, NY, 11701

Signature of

Role	Plan administrator
Date	2019-07-29
Name of individual signing	ALAN TRINK

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	541990
Sponsor’s telephone number	6318427775
Plan sponsor’s address	145 DIXON AVE, AMITYVILLE, NY, 11701

Signature of

Role	Plan administrator
Date	2017-06-23
Name of individual signing	XINNA GERIEN