Administrator Annuity

Sungard Plan #: ******

Client Name: Kinston Community Health Cente

Douglas Morrison

**** *** ****** **** ******

Kinston, NC 28501

*** NOTICE OF ELIGIBLE PLAN DISTRIBUTION ***

Date of Notice: 03/29/2022

Employee Name: Douglas Morrison

Date of Birth: 08/21/1962

Date of Hire: 03/28/2019

Termination Date: 11/03/2021

To obtain your current vesting by contribution type, please visit http://www.paychexflex.com and select Retirement Services.

PAYCHEX RETIREMENT SERVICES

1175 John Street

West Henrietta, NY 14586 - 9199

Date of Notice: 03/29/2022

* * NOTICE OF ELIGIBLE PLAN DISTRIBUTION * *

Dear Plan Participant:

You are eligible to receive a distribution from your employer-sponsored Qualified Retirement Plan. A Distribution Election Form: Qualified Retirement Plan and "Special Tax Notice" are enclosed for your attention. This notice contains important information about your distribution and the options available to you, so please be certain to read it before completing the election form.

To prevent a possible involuntary distribution, please respond with your distribution election within 30 days. Paychex Retirement Services will process your distribution upon receipt of the completed and signed original Distribution Election Form. If you elect a cash distribution, a check made payable to you will be mailed to the address entered on the form. If you authorize a rollover distribution from the plan to a new employer's eligible retirement plan or an existing Individual Retirement Account (IRA), a check made payable to the requested payee will be mailed to you so that you may forward the check and any necessary paperwork to the appropriate party. If your vested account balance is not more than $5,000, the Plan Administrator has the right to directly roll over your eligible rollover distribution to an Individual Retirement Account (IRA) chosen by the Plan Administrator. If your vested account balance is $1,000 or less, the Plan Administrator has the right to pay your distribution to you in a lump sum payment. Please note that your account may be distributed without your consent if your account falls below $5,000. A distribution processing fee of $75 will be charged to your account for options 1, 2, 3, and 4. For options 4 and 5 you may have your funds electronically transferred to your bank account for an additional fee of $18. If you would like to use this transfer option, please attach a voided check from your bank account. Distributions that are reissued will be charged a $75 reissue fee. This fee is in addition to the $75 distribution fee. All fees are subject to change without advanced notice. Any distribution check that is outstanding greater than six months will be sent through our Stale Dated Check process. Please note, if your vested account balance does not exceed that of the distribution fee you will not receive any proceeds from your distribution request. Please contact the Plan Administrator if you have any questions. Sincerely,

Paychex Retirement Services

The following is information about the distribution options on the next page. Instructions for Pre-tax balances will apply to any employer contribution including your pre-tax salary deferrals. Please also read the enclosed "Special Tax Notice" prior to making your distribution election. Option 1: Assist Me in Establishing an Individual Retirement Account (IRA). Select this option if you currently do not have an IRA, but want to defer the taxation of a distribution. This option is generally available for most distribution types. Please note that Required Minimum Distributions (Option 6) and Installment Payments (Option 7) that are paid over your life expectancy are not eligible for rollover. Note: Paychex Securities Corporation may receive fees from Fidelity on any 401(k) assets that are converted into a Fidelity IRA through this option. Option 2: Direct Rollover to a New Employer's Eligible Retirement Plan. This type of direct rollover is one that is issued from one employer's plan and is made payable to another employer's plan. Please ask your new employer about applicable direct rollover rules for their plan prior to selecting this option. This option is available to you only if your new employer's plan accepts rollovers. You must ask your new employer if they will accept a rollover contribution and if there are any restrictions on the types of plan funds that are acceptable. For example, a plan may not accept Roth 401(k) balances or after-tax contributions, but all other balances may be rolled over. No income taxes will be withheld for this option. This option is not available if you are a non-spouse beneficiary. Option 3: Direct Rollover to an Individual Retirement Account (IRA). This type of direct rollover is one that is issued from an employer's plan and is made payable to an IRA or Roth IRA. This option is only available to you if you already established an IRA or Roth IRA that accepts the rollover contribution. No income taxes will be withheld for this option unless you request that the distribution be enrolled into a Roth IRA and request a specific federal tax amount to be withheld. Please contact your tax advisor for assistance. If you are a non-spouse beneficiary, the rollover must be made to an Inherited IRA. If you want to roll over your distribution directly to an Inherited IRA, please check Option 5 and Option 3 on the following page.

Option 4: Direct Payment to Plan Participant.

A check will be made payable to you, the Plan Participant, as listed on the retirement plan account. The distribution will be reported as taxable income to the IRS and you will generally be required to claim it as income when you file your income taxes for the year in which distribution occurs.You may defer the taxable income if, within 60 days, you roll it over to another eligible employer plan or IRA. A mandatory 20 percent federal tax withholding will apply to the taxable portion of the distribution. Certain states also have mandatory income tax withholding, so additional withholding may be required. A 10 percent early withdrawal penalty from the IRS may also apply (refer to IRS Form 5329). This penalty, if applicable, must be paid by you at the time you file your income tax returns for the year in which distribution occurs. Option 5: Direct Payment to the Named Beneficiary. If you select this option, we will send you beneficiary distribution paperwork. Option 6: Required Minimum Distribution (RMD).

This distribution type applies to certain participants age 72 and older. An RMD is an IRS mandatory distribution type. Please note that outstanding checks will not be cancelled or reinvested in the plan.

Option 7: Installment Payments.

This type of distribution will result in multiple payments to you. The payment frequency options include monthly, quarterly, semi-annually, or annually. You must provide the frequency and the number of years over which payments should occur. The minimum installment payment must be at least $100.00 and may not extend beyond your life expectancy. A lump sum distribution of the remaining balance is available at any time. If you select this option, we will send you installment payment paperwork. Distribution Election Form: Qualified Retirement Plan Your election is time sensitive. To prevent a possible involuntary distribution, please respond within 30 days. Check here if the distribution is on account of [ ] Plan Termination, or [ ] Disability. Distribution Options: Consider your options carefully before you make your selection. Your distribution election is final and binding. Please allow 2-3 weeks from the date you return this form until your distribution is issued. Pre-tax

Balance(s)

Option 1 Assist me in establishing an Individual Retirement Account (IRA) through Paychex Securities Corporation ($500 Minimum balance). Call 877-***-**** for additional information. Note: Paychex Securities Corporation may receive fees from Fidelity on any 401(k) assets that are converted into a Fidelity IRA through this option. Option 2 Direct Rollover to New Employer's Eligible Retirement Plan. Make Check Payable to:

Does your new employer's plan use Paychex recordkeeping services? [ ] Yes [ ] No Does your new employer's plan allow Roth 401(k) and/or After-tax balances [ ] Yes [ ] No If No, this option is not available for your Roth 401(k) and/or After-tax balance. Option 3 Direct Rollover to an Individual Retirement Account (IRA). Make Check Payable to:

Is the Rollover to a Roth IRA? [ ] Yes [ ] No

If yes, would you like Federal and any applicable state tax withheld? [ ] Yes [ ] No If yes, percentage to withhold from Federal (up to 20%) % Option 4 Direct Payment to the Plan Participant.

Option 5 Direct Payment to the Named Beneficiary. Please send me beneficiary distribution paperwork. Option 6 Required Minimum Distribution. (Must be age 72). Pre-tax: $

Option 7 Installment Payments. Please send me installment payment paperwork. I understand that this option is only available if my vested account balance exceeds $5,000. A distribution processing fee of $75 will be charged to your account for options 1, 2, 3, and 4. I have read and understand the "Special Tax Notice" provided to me. I hereby request payment from the Qualified Retirement Plan in the manner indicated in the

"Distribution Options" section. I further understand that in the event it is determined I am not eligible to receive a distribution from the Plan at the time payment is being processed, I will not receive a distribution until such time that I become eligible. I certify that all information provided by me is true and accurate, and I agree to submit additional information if requested by the Plan Administrator or any Plan fiduciary. I authorize Paychex and/or its authorized third party vendor to verify the bank account to which I request a distribution, and I understand that there may be a delay in the distribution if the bank account cannot be verified. No tax advice has been given to me by either the Plan Administrator or Paychex Retirement Services. I expressly assume the responsibility for any consequences that may arise from this distribution and I agree that the Plan Administrator, Paychex Retirement Services, and Plan fiduciaries shall in no way be responsible for those consequences. Participant (or beneficiary) Signature: Social Security Number (last 4 digits): Phone Number: Date: Participant Email Address:

*******.********@**********.***

Current Address on File Change of Address: [ ] Permanent [ ] For This Distribution Only Douglas Morrison

2432 Oak Bridge Park Circle

Kinston, NC 28501

Make a copy of this form for your records and return this original form to: PAYCHEX RETIREMENT SERVICES, Attn: Loans and Distributions, 1175 John Street, West Henrietta, NY 14586 - 9199 or fax to 585-***-**** Client Name Kinston Community Health Cente Employee Name Douglas Morrison SunGard Number 267220 Date of Termination 11/03/2021 Date of Birth 08/21/1962 Employee Number 100440 Date of Hire 03/28/2019

1

11-2020

Participant Distribution Notice

The Special Tax Notice Regarding Plan Disbursements (hereafter referred to as 'Special Tax Notice') applies to disbursements (also referred to as payments) from your employer's eligible plan qualified under Section 401(a) of the Internal Revenue Code (a 'Qualified Retirement Plan'). Such plans include, and importantly are not limited to, 401(k), profit sharing, and money purchase plans. This Tax Notice contains important information you will need before you decide on how to receive benefit payments from the Plan. It explains when and how you can continue to defer federal income tax on your retirement savings when you receive a payment.

As a Participant in your employer's Qualified Retirement Plan, you may accumulate an account balance that will become vested to you when you have worked for a certain time period established by your employer. You may receive your vested account balance only when a triggering event occurs. A triggering event occurs if: you quit working for the employer, you attain the Normal Retirement Age indicated in the Plan, you become disabled, the Plan is terminated, your Plan permits in-service distributions, or you incur a hardship (only applicable to certain plans). If you are a participant in a 401(k) plan and you are automatically enrolled under the terms of the plan, the value of your automatic salary deferral account may be distributed to you if you request it within the first 90 days of the first check date in which the automatic contribution is made. In addition, employer matching contributions made in conjunction with the automatic salary deferral will be forfeited to the plan. This is referred to as an 'opt-out distribution'. The opt-out distribution is not available to you after the initial 90 days have elapsed. This Special Tax Notice is provided to you because all or part of the payment that you are eligible to receive from a plan you participate in may be eligible for rollover by you or your Plan Administrator to a Traditional and/or Roth IRA or an eligible employer plan. A rollover is a payment by you or the Plan Administrator of all or part of your benefit to another plan or IRA that allows you to continue to postpone taxation of that benefit until it is paid directly to you. Your payment(s) cannot be rolled over to a SIMPLE IRA, or a Coverdell Education Savings Account (formerly known as an education IRA). Please note that an eligible employer plan is not legally required to accept a rollover. Before you decide to roll over your payment to an IRA or eligible employer plan, you should find out whether the plan accepts rollovers and, if so, the types of payments it accepts as a rollover. You should also find out about any documents that are required to be completed before the receiving plan will accept a rollover. Even if a plan accepts rollovers it might not accept rollovers of certain types of distributions, such as after-tax amounts. If this is the case, and your distribution includes after-tax amounts, you may wish instead to roll your distribution over to a Traditional IRA or split your rollover amount between the eligible employer plan in which you will participate and a Traditional IRA. If an eligible employer plan accepts your rollover, the plan may restrict subsequent distributions of the rollover amount or may require your spouse's consent for any subsequent distribution. A subsequent distribution from the plan that accepts your rollover may also be subject to different tax treatment than distributions from this Plan. Check with the administrator of the plan that is to receive your rollover prior to making the rollover. NOTE: Generally, payments may not be made from your employer's Qualified Retirement Plan for a minimum of 30 days after you receive this Tax Notice in order to allow you time to consider your payment options and importantly, the tax implication of those payments. Although you are entitled to consider your distribution options for 30 days, you may waive this 30-day notice requirement. You will be considered to have waived the remaining unexpired period if you elect a form of payment before the end of the 30-day period. The value of your account balance will continue to increase or decrease until fully distributed or forfeited, as appropriate, based on the investment performance. If you have additional questions after reading this notice, you can contact your Plan Administrator. Plan Payment Options Available to Plan Participants IMPORTANT NOTICE TO PARTICIPANT: Read the following message before reviewing your options. Of the four payment options listed below, the last two may not be available to you. If the Plan is a 401(k) or Profit Sharing Plan, then you may select a lump sum, installment or annuity contract payments. If the Plan is a Money Purchase Plan, your distribution options are limited to qualified joint and survivor annuity and annuity contract payments. Regardless of any other issue, if the Participant's vested account balance is $1,000 or less, the Plan Administrator has the right to pay your distribution to you in a lump sum payment. If the Participant's account balance exceeds $5,000, you must consent to the form of payment and have the ability to defer payment until attainment of age 72. If your vested account balance is not more than $5,000, the Plan Administrator has the right to directly roll over your eligible rollover distribution to an individual retirement account (IRA) chosen by the Plan Administrator. Please note that your account may be distributed without your consent if your account falls below $5,000.

Please note that the investment options available under the Plan may not be available to you on similar terms outside the plan. For more information about the investment options that are available under the plan, please review the Participant Fee Disclosure or contact the Plan Administrator. Before taking a distribution, you should compare the expenses associated with leaving your funds in the Plan with the expenses associated with investing the funds in alternative retirement plans, such as your new employer's plan or an IRA. In some cases, the Plan may offer an investment vehicle that provides lower fees than is available to you in an IRA or other retirement plan. Alternatively, your new employer's plan may provide lower fees for comparable investments, particularly if your new employer's plan is significantly larger than the Plan. In addition, you should compare the investment options available to you in the Plan with the options available to you in alternative retirement plans. Keep in mind that the Plan Administrator may change at any time the manner in which expenses are allocated to your account as well as the investments offered in the Plan. Fees associated with investments offered in the Plan are also subject to change at any time. LUMP SUM PAYMENT. If this is a 401(k) or Profit Sharing Plan or if this is a Money Purchase Plan and you properly waive the qualified joint and survivor annuity, you may request a single lump sum payment. Lump Sum Payment Defined - lump sum payment is the payment of your entire vested account balance. Financial Effect and Tax Consequences of a Lump Sum Payment - generally a lump sum payment is included in your income and taxed in the year of the distribution. Most lump sum payments are eligible rollover distributions and would therefore be subject to the 20% withholding rules unless directly rolled over to another plan. Refer to the "Special Tax Notice Regarding Plan Payments" below for more information on eligible rollover distributions. INSTALLMENT PAYMENTS. If this is a 401(k) or Profit Sharing Plan or if this is a Money Purchase Plan and you properly waive the qualified joint and survivor annuity, you may elect to receive your vested account balance in installment payments. Installment payments for a period of less than 10 years are generally eligible rollover distributions and would therefore be subject to the 20% withholding rules unless directly rolled over to another plan. Refer to the "Special Tax Notice Regarding Plan Payments" below for more information. Installment Payments Defined - installment payments are payments distributed to you in any amount you choose at intervals that you determine within limits set by the trustee or custodian. For example, the payments could be paid to you annually, semi-annually, quarterly, or monthly. The payment schedule you choose cannot be longer than your single life expectancy or, if you have a Beneficiary named, the joint life expectancy of you and your Beneficiary.

Financial Effect and Tax Consequences of Installment Payments - generally each installment payment will be included in your income in the year in which you receive it. For example, a Participant who receives $500 per month will include $6,000 ($500 x 12 months) in income each tax year. 2

11-2020

ANNUITY CONTRACT. If this is a 401(k) or Profit Sharing Plan or if this is a Money Purchase Plan and you properly waive the Qualified Joint and Survivor Annuity, you may purchase an annuity contract with your vested account balance. This distribution option allows you to choose the type of annuity contract you wish to purchase.

Annuity Contract Defined - you may use your vested account balance to purchase a term certain annuity, a single life annuity, or any other form of annuity. A term certain annuity would distribute dollars to you and your Beneficiary for a specified number of years. A single life annuity would distribute dollars to you for your lifetime and would cease distributions after your death. Financial Effect and Tax Consequences of the Annuity - if you elect to use your vested account balance to purchase a single life annuity, you will receive payments as long as you are alive.

QUALIFIED JOINT AND SURVIVOR ANNUITY. This option is available to Money Purchase Plan participants only. NOTE: The payment amounts indicated in this notice are only examples. The calculations for the Qualified Joint and Survivor Annuity are based on standard mortality tables using a 5% interest rate and a payment age of 65. Actual payment amounts will vary depending upon the entity from which you purchase your annuity. You may obtain financial projections based upon your account balance by submitting a request, in writing, to the Plan Administrator.

The law requires that your vested account balance be paid to you in the form of a Qualified Joint and Survivor Annuity if you are married, or a Single Life Annuity if you are not married. If you wish to receive your vested account balance using a different distribution option (described in this part), you must waive the Qualified Joint and Survivor Annuity (the Single Life Annuity if you are not married) and your spouse must consent to the annuity waiver. Unless properly waived, you will receive your vested account balance in the form of a Qualified Joint and Survivor Annuity. Qualified Joint and Survivor Annuity Defined -

1. If you are married, a Qualified Joint and Survivor Annuity is a series of periodic payments to you during your lifetime and to your spouse upon your death. The periodic payment amount your spouse receives will be a set percentage of the periodic payment amount you received during your lifetime. To determine the percentage your spouse would receive (that is, Survivor Annuity), contact the Plan Administrator. 2. A Qualified Joint and Survivor Annuity for a Participant who is not married is a series of annuity payments for the life of the Participant. 3. If your vested account balance is $1,000 or less at the time of the distribution, the Plan Administrator has the right to pay your distribution to you in a single cash payment. If your vested account balance exceeds $5,000, you must consent to the form of payment. If your vested account balance is between $1,000 and not more than $5,000, the Plan Administrator has the right to directly roll over your eligible rollover distribution to an individual retirement account (IRA) chosen by the Plan Administrator.

Waiving the Qualified Joint and Survivor Annuity - if you wish to receive your vested account balance in a lump sum or installment payment listed above, you (and your spouse if you are married) must waive the Qualified Joint and Survivor Annuity. You can waive the Qualified Joint and Survivor Annuity by completing a distribution form. You can obtain this form from the Plan Administrator. After waiving the Qualified Joint and Survivor Annuity by signing the distribution form, you may receive your vested account balance using one of the other distribution methods explained below. Financial Effect of a Qualified Joint and Survivor Annuity - as stated above, a Qualified Joint and Survivor Annuity will provide periodic payments to you during your lifetime and, if you are married, to your spouse after your death. Your spouse will generally receive smaller periodic payments than you received while you were alive. For example, assume a Participant retires with a $10,000 vested account balance. A Qualified Joint and Survivor Annuity would provide the participant with the following payments: Lifetime Monthly Participant Benefit % of Survivor Annuity* Monthly Survivor Benefit

$63.40 100% $63.40

$66.30 75% $49.72

$69.40 50% $34.70

* These estimates are derived from standard mortality tables using a Participant with a 65 year old spouse Beneficiary beginning payments at age 65. To determine the survivor annuity percentage, contact the Plan Administrator. Payment Options for Beneficiaries of Deceased Plan Participants IMPORTANT NOTICE TO BENEFICIARY - If you are the designated Beneficiary of a deceased Participant's vested account balance, you are eligible to receive a distribution. The form of the benefit depends on several factors, including the type of plan and the amount in the Participant's account. Regardless of any other issue, if the Participant's vested account balance is $2,000 or less, the Plan Administrator has the right to pay your distribution to you in a lump sum payment. If the Participant's account balance exceeds $5,000, you must consent to the form of payment. If the vested account balance is not more than $5,000, the Plan Administrator has the right to directly roll over your eligible rollover distribution to an individual retirement account (IRA) chosen by the Plan Administrator.

401(k) OR PROFIT SHARING PLANS ONLY - You may select rollover, lump sum, or installment payments option in the section titled Plan Payment Options Available to Plan Participants. However, if you select installment payments, the payment schedule you choose cannot be longer than your life expectancy. MONEY PURCHASE PLANS –

SPOUSAL BENEFICIARY - If the Plan Participant died before distributions commenced, and you are a spouse Beneficiary, distributions from the Qualified Retirement Plan must be paid to you (if applicable) in the form of a qualified preretirement survivor annuity, unless the annuity requirement was properly waived. A Participant waives the annuity requirement by completing a "Designation of Beneficiary" form and obtaining his or her spouse's written consent to the waiver.

If the Participant did not execute the required waivers, then his or her account balance will be paid to you (the deceased Participant's spouse) in the form of a preretirement survivor annuity, unless the Plan your employer has adopted specifically permits you to elect to receive payments in a form other than a preretirement survivor annuity.

NON-SPOUSE BENEFICIARY - If you are a non-spouse Beneficiary of a deceased Participant who was married, you will not receive any payment from the Plan unless the Participant properly waived the requirement that his or her spouse be the Beneficiary. If the preretirement survivor annuity was properly waived by the Participant and/or his or her spouse (if applicable), then you may receive the entire vested account balance in a lump sum payment. The rollover option described below is available only if you are the spouse of the deceased Participant. The other distribution option available to you as a Beneficiary is explained above in "Installment Payments." However, the payment schedule you choose cannot be longer than your single life expectancy. 3

11-2020

Special Tax Notice Regarding Plan Disbursements

YOUR ROLLOVER OPTIONS

You are receiving this notice because all or a portion of a payment you are receiving from your employer’s qualified retirement plan (the “Plan”) is eligible to be rolled over to an IRA or an employer plan; or if your payment is from a designated Roth account (a type of account in some employer plans that is subject to special tax rules), to a Roth IRA or a designated Roth account in an employer plan. This notice is intended to help you decide whether to do such a rollover.

This notice describes the rollover rules that apply to payments from the Plan. Where the rules differ based on whether the payment is from a designated Roth account or from an account that is not a designated Roth account, those difference will be identified in each section of this notice. Rules that apply to most payments from a plan are described in the “General Information About Rollovers” section. Special rules that only apply in certain circumstances are described in the “Special Rules and Options” section. GENERAL INFORMATION ABOUT ROLLOVERS

How can a rollover affect my taxes?

Not a Designated Roth Account:

You will be taxed on a payment from the Plan if you do not roll it over. If you are under age 591/2 and do not do a rollover, you will also have to pay a 10% additional income tax on early distributions (generally, distributions made before age 591/2), unless an exception applies. However, if you do a rollover, you will not have to pay tax until you receive payments later and the 10% additional income tax will not apply if those payments are made after you are age 591/2 (or if an exception to the 10% additional income tax applies). Designated Roth Account:

After-tax contributions included in a payment from a designated Roth account are not taxed, but earnings might be taxed. The tax treatment of earnings included in the payment depends on whether the payment is a qualified distribution. If a payment is only part of your designated Roth account, the payment will include an allocable portion of the earnings in your designated Roth account. If the payment from the Plan is not a qualified distribution and you do not do a rollover to a Roth IRA or a designated Roth account in an employer plan, you will be taxed on the portion of the payment that is earnings. If you are under age 591/2, a 10% additional income tax on early distributions

(generally, distributions made before age 591/2) will also apply to the earnings (unless an exception applies). However, if you do a rollover, you

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