W-* Electronic Consent Form:

Integrity Trade Services is required by the Internal Revenue Service (IRS) to provide each qualifying employee with a W-2 Form for the calendar year on or before January 31st of the following year. Instead of paper copies, employees may choose to receive their W-2 form electronically. The benefits of receiving an electronic W-2 form are:

• Earlier access

• Once received electronically, significantly less possibility that the W-2 may be lost or stolen

• Access is possible electronically if the employee is away from his/her usual home or work location

• Compensation and tax withholding information may be downloaded into many tax preparation software programs Employers must comply with specific IRS regulations to use electronic W-2's and employees must provide their consent to receive an electronic W-2 instead of a paper copy. This notice contains the required IRS disclosure information and instructions for you to consent to receiving your W-2 electronically instead of a paper copy. If you have any questions regarding this notice or your W-2 form, contact.

Please read this entire notice and, if you wish to receive all future W-2 statements from this company electronically, provide your consent. If you do not provide this consent by, you will continue to receive a paper copy of your W-2 form. As required by the IRS, this consent must be made electronically in a manner that reasonably demonstrates that the employee can access the W-2 in the electronic format in which it will be provided. As an alternative, the consent may be made via e-mail or via a paper authorization if it is confirmed electronically in a manner that demonstrates the employee's ability to access the electronic statement.

To assure compliance with this requirement, employees who wish to receive their W-2 electronically, must access the Integrity Trade Services self service portal, log in, and read and electronically sign and date this W-2 Electronic Consent form. If you are unable to provide consent in this preferred manner, please contact no later than . An employee who chooses to receive his/her W-2 electronically may withdraw consent. The employee's withdrawal of consent will be effective on the date it is received and will confirm in writing or by e-mail the effective date of the consent withdrawal. If consent is withdrawn, it will only be effective for those W-2 forms not yet issued. Consent will cease only if consent withdrawal is requested per the process described above. To withdraw your consent, send an e-mail or written notice to: Name of Company: Integrity Trade Services

Attn To: Payroll

Address: 9680 Lincoln Way Lane, Frankfort, IL 60423 Phone Number: 815-***-****

In addition, an employee's written request to receive a paper copy will be considered a withdrawal of consent for electronic delivery. If an employee consents to electronic W-2 delivery and the delivery is unable to be made due to a technical problem, incorrect login or password, incorrect e-mail address, the employee will receive a paper copy. If there is any change in how to receive electronic delivery, employees will be notified immediately via e-mail or written notice. Employees are also required to inform the company promptly of any personal address, e-mail address or status changes through the Integrity Trade Services portal or by written notification. Electronic W-2 statements will be accessible for. (IRS requires that they are posted through October 15th of the year following the calendar year applicable for the Form.)

If you completed the electronic consent correctly, you will receive an e-mail notification no later than January 31st with the subject line "Important Tax Return Document Available".

I consent to receiving my W-2 form electronically as detailed above. I have read and understand the statements above. I do NOT consent to receiving my W-2 form electronically. Employee Signature:

Employee Name:

Date Signed: