MICHAEL D. KLIFF, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2007-01-01
Business code	541110
Sponsor’s telephone number	8475204272
Plan sponsor’s address	161 NW BENTLEY CIR, PORT SAINT LUCIE, FL, 34986

Plan administrator’s name and address

Administrator’s EIN	770617280
Plan administrator’s name	MICHAEL D. KLIFF, INC.
Plan administrator’s address	161 NW BENTLEY CIR, PORT SAINT LUCIE, FL, 34986
Administrator’s telephone number	8475204272

Signature of

Role	Plan administrator
Date	2017-05-06
Name of individual signing	MICHAEL KLIFF
Valid signature	Filed with authorized/valid electronic signature