SIGNATURE CARD FIFTH THIRD BANK (HEREAFTER ReFERaED TO AS *BANC) Name (Primary Owner) Shocker Holdings LLC Account No. 7471853726 Street Address 27 High Tech Blvd Type Business Standard Checking City and State Thomasville NC Zip 27360 Homo Phone Date of Birth Mothers Malden Name Employer Work Phone 338.475.4042 Tax ID or S.S. Number 20-2030333 ❑NEW 0 ADD O. REPL Ownership' Partnership Opened By P Fintchre BC NO. 47349 Date 09/24/2013 • Joint accounts shall be owned as joint tenants with right of survivorship. no as tenancy by the entireties Check appropriate box for federal tax classification ID Individual/Sole Proprietor O Trust/Estate O Partnership a LLC - Enter tax dassilicatIon (C=C Corporation, SI'S Coffioration, required) P-Partnership) S OC Corporation IN 5 Corporation all Omer O Non Resident Alien THE UNDERSIGNED AGREES TO THE TERMS AND CONDITIONS AT THE RIGHT Tide: Sig.he.V Arleta Non-US Senior Foreign Person' Official.' IShocker Holdings LLC 1 I Elriar ,.......WAelueS ... y e A ..... Yes X e..• . ... ....4..- ❑0 No Yes K No KA filemona Fylcicers h 4___ Yes X ' .it ion - V% K No Yes El K No a I Yoe X K No K Yes K No K I Yes No Yes No F x Payable on Death Beneficiary Statement Address USA PATRIOT ACT REQUIREMENTS: '1. Are you a Nort.US person with more than 5500,000 on deposit or invested with Fifth Theo? "2. Are you a Senior Foreign Official of a government brunch, military branch. political party, foreign government-owned company, or a close personal or professional associate of one of these? 90-213 (Bra-REV 6114) Send original to Check Processing 1MOC1L TERMS AND CONDITIONS 1. The terms and conditions stated herein, together wan re.solutions or authorizations witch accompany this signature card. tf applicable and the Rulcs Regulations, Agteem-ants, an/ 0,sclaten.s of Bank constitute the Deposit Agreement (-Agreement") between the :nail/dual (s)