Beloved King, Inc.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-10-26
Business code	524210
Sponsor’s telephone number	7192325733
Plan sponsor’s address	6038 CUMBRE VISTA WAY, COLORADO SPRINGS, CO, 80924

Signature of

Role	Plan administrator
Date	2015-07-06
Name of individual signing	DAVID SIMMONS
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2015-07-06
Name of individual signing	DAVID SIMMONS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-10-26
Business code	524210
Sponsor’s telephone number	7192325733
Plan sponsor’s mailing address	6038 CUMBRE VISTA WAY, COLORADO SPRINGS, CO, 80924
Plan sponsor’s address	6038 CUMBRE VISTA WAY, COLORADO SPRINGS, CO, 80924

Plan administrator’s name and address

Administrator’s EIN	461275665
Plan administrator’s name	BELOVED KING INC.
Plan administrator’s address	6038 CUMBRE VISTA WAY, COLORADO SPRINGS, CO, 80924
Administrator’s telephone number	7192325733

Number of participants as of the end of the plan year

Active participants	2
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	2
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2014-06-07
Name of individual signing	DAVID SIMMONS
Valid signature	Filed with authorized/valid electronic signature