Coleman Consulting Corp - Fax (516) 627-1502

STEP #2 - Print, Sign and Fax this Execution Page

 

IN WITNESS WHEROF, the parties have set their hands this:

_______ of _____________________, _______

 

____________________________________________________________________________,

EMPLOYER

 

By: __________________________________

Title

 

______________________________________

Trustee

______________________________________

Trustee

______________________________________

Trustee

The adopting employer may not rely on the notification letter regarding the Plan and must apply for a determination letter with Coleman Consulting Corporation in order to obtain reliance as to the Plan's qualified status. Fax (516) 627-1502

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