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Are there assets held by participants outside of the plan's main provider? No Yes, with 1 outside provider Yes, with between 2 - 5 outside providers Yes, with 6 outside providers or more

Audit Scope Yes No Will this audit be conducted under ERISA Section 103(a)(3)(C): investment information prepared and certified as complete and accurate by a bank, insurance company or similar institution that is regulated, supervised, and subject to periodic examination by a state or federal agency, and that the certification was signed by an authorized individual of the certifying entity?

First Year Audit? No, we have had a Plan audit before Yes, this is a first time audit Is this the first year that your audit is required by the Department of Labor?

Plan Size: # of Eligible Participants 100-499 500-1499 1500 and above Please choose the number of "eligible participants" on your plan

Is an 11-K filing required? No Yes Does the company issue publicly traded securities?

Number of Payrolls: # of Companies Included in the Plan 1 2-5 6+ Please choose the number of separate payrolls that are run for each company per payroll period.

Change in trustee / custodian in the last year? No, we did not change custodians Yes, we changed custodians Did you change the custodian or trustee during the current audit year?

Terminating the plan? No, we are not terminating the plan Yes, we are terminating the plan Is this a final plan audit?

Who is the Plan's recordkeeper/provider (i.e.-Fidelity, Principal, ADP, etc.)?

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