shareholder of Southern Trust; Founding Donor D 1 O 2 Ep Jeffrey stein O OK O O 2 O O CI O 3 O !A' Sort ern Financial LIC NI El ri El ri rl El [I] ri O 3 lil Southern Trust Company, Inc. n " O O • O O O 100 O • O Southern Trust is the sole member c4 Southern

R if required by law to do so. 7. Owner signature (Authorized representative if entity) 8. Date 9. Owner or entity TIN 10. TIN a type b c 0 El ri EIN SSN/ITIN Foreign MM DD 'MY 11. Spouse signature 12. Date 13. Spouse TIN 14. TIN a 0 EIN type b 0 SSN/ITIN c 0 Foreign MM DD YYYY