FIRST STATE FINANCIAL, INC.

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Three-digit plan number (PN)	501
Effective date of plan	2015-01-01
Business code	522110
Sponsor’s telephone number	8592485950
Plan sponsor’s mailing address	1810 CUMBERLAND AVE., MIDDLESBORO, KY, 40965
Plan sponsor’s address	1810 CUMBERLAND AVE., MIDDLESBORO, KY, 40965

Plan administrator’s name and address

Administrator’s EIN	610192880
Plan administrator’s name	PATRICIA HOSKINS
Plan administrator’s address	1810 CUMBERLAND AVE., MIDDLESBORO, KY, 40965
Administrator’s telephone number	8592485950

Number of participants as of the end of the plan year

Active participants

104

Signature of

Role	Plan administrator
Date	2016-10-13
Name of individual signing	PATRICIA HOSKINS
Valid signature	Filed with authorized/valid electronic signature