JASON TANNER DESIGN, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	541800
Sponsor’s telephone number	2703023336
Plan sponsor’s address	2624-A NEW HARTFORD RD, OWENSBORO, KY, 42303

Signature of

Role	Plan administrator
Date	2024-05-01
Name of individual signing	JASON TANNER
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2024-05-01
Name of individual signing	JASON TANNER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	541800
Sponsor’s telephone number	2703023336
Plan sponsor’s address	2624-A NEW HARTFORD RD, OWENSBORO, KY, 42303

Signature of

Role	Plan administrator
Date	2023-05-02
Name of individual signing	JASON TANNER
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2023-05-02
Name of individual signing	JASON TANNER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	541800
Sponsor’s telephone number	2703023336
Plan sponsor’s address	2624-A NEW HARTFORD RD, OWENSBORO, KY, 42303

Signature of

Role	Plan administrator
Date	2022-11-22
Name of individual signing	JASON TANNER
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2022-11-22
Name of individual signing	JASON TANNER
Valid signature	Filed with authorized/valid electronic signature