Howard R Tallman

KeyBank -- Accounts — Interest

ENTCU — Interest

IRA No. I{a) — SEI Group — Int/Div

Large Cap Value

Large Cap Growth

Small Cap Value

Small Cap Growth

Core Fixed Income

eeclnternational Fixed Income

Emerging Markets Debt

High Yield Bonds

International Equity

Emerging Markets Equity

Domestic Fixed Income

Prime Obligation

IRA No. I(b) «= SEI Group «Bond Account — Interest

Prime Obligation

IRA No. 1{¢) = SEI Group — Int/Div

Fixed Income: Corporate Laddered Bonds

Prime Obligation

IRA No. 1(d) -- WP Carey ~-CPA Global Income Property — Int/Div

Mutual Fund 1 - SEI Group

Tax Managed Large Cap — Int/Div

Small Cap Value — Int/Div

Small Cap Growth — Int/Div

Intermediate-Term Municipal — Int/Div

eeIntermational Fixed Income — Int/Div

Emerging Markets Debt — Int/Div

High Yield Bonds — Int/Div

Intemational Equity — Int/Div

Emerging Markets Equity — Int/Div

Tax-Free Fund — Interest

Mutual Fund 2 - SEI Group

Tax Free Fund — Interest

Tax Managed Vol. Fund — Int/Div

Tax Managed Large Cap — Int/Div

Short Duration Muni — Int/Div

Tax Advantage Income — Int/Div

eeclntermediate Term Mum — Int/Div

Jackson National Life — Interest

Genworth Life Ins. Co — Interest

Icon Income Fund Eleven — Distribution

Pacific Life Vanable Annuity — None — Part VIII, No.

Reimbursement — LEVCLE in Colorado — January 7-11, 2015 — Vail, Colorado — Speaker at national CLE — Seminar registration, lodging, and meals

Reimbursement — American Bankruptcy Institute — January 22-23, 2015 — Denver, Colorado — Speaker at national CLE — Seminar registration and meals

Reimbursement — TumAround Management Association (TMA) — July 15-17, 2015 — Carlsbad, Calitorma — Speaker at national conference — Transportation, seminar registration, lodging, meals,

1. Part VII, Line 43. The income and value are reported in an aggregate amount for the investment as reflected in the annuity’s price per unit/share. The only

input that 1 or my financial adviser had in this annuity investment was to provide an initial risk profile. Neither of us has any control over the choice of investment

sub-accounts or the allocation of funds among those various sub-accounts, Funds are re-invested or re-balinced by the issuer using either existing, replacement or

additional sub-accounts, without prior notice to or input from us.