Michael A. Fagone

Bemstein, Shur, Sawyer & Nelson 401(K): (Hy — Exempt

Mid Cap Growth Fund — Int/Div

Mid Cap Value Fund — Int/Div

Science & Technology Fund — Int/Div

Vanguard 500 Index Admiral — Int/Div

U.S. Treasury Money Fund — Int/Div

Director, American Bankruptcy Institute

Trustee, Fagone Family Irrevocable Trust

Income — 2014 — Bemstem, Shur, Sawyer & Nelson — $3IIS37%.00

Spouse's income — 2015 — Easter Seals Mame - wages

Spouse's income — 2013 — Easter Seals Mame - wages

1am the sole trustee of a trust for the benefit of JNM - | do not receive any mcome from that trust. | do not currently have, and did not at any time during

the reporting period have, any beneficial interest in the trust, its res, or any mcome derived therefrom. My sole function, with respect to the trust, is to serve as a

trustee fo IN who do have a beneficial interest in the trust, and | serve in that capacity on an uncompensated basis. Copies of the trust agreement and the

relevant account records are available upon request,