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Nationwide <br /> Retirement Solutions <br /> a Nationwide Financial®company <br /> Plan Sponsor Signature Page <br /> My signature below represents that I have the authority of my Employer to act <br /> on behalf of the plan. I acknowledge receipt of a copy of the Certificate of <br /> Participation and Disclosure Document (Certificate). I understand that the <br /> Certificate replaces prior versions. I have read and understand the Certificate <br /> and will contact my Nationwide representative if I have any questions or concerns. <br /> In addition, my Employer's plan makes the following selections: <br /> Plan Document — My Employer's plan has formally adopted the Plan Document, <br /> effective January 1, 2011, and directs Nationwide to administer in accordance with <br /> its terms. I understand that the Plan Document provides that Nationwide may <br /> propose future amendments to this plan and outlines a process by which my <br /> Employer may file objections. I acknowledge that any future amendments to this <br /> Plan Document, to which my Employer has not objected, will be deemed adopted <br /> with my consent and at my direction. I certify that the signature will apply to all <br /> plan(s) listed below. <br /> If your Employer does not wish to adopt the Plan Document, please <br /> check the box below. A Nationwide representative will contact you to <br /> obtain additional information regarding the plan document applicable <br /> to your Employer's plan. <br /> I do NOT wish to adopt t e Ian Document. <br /> May 18, 2011 <br /> Name f author e s i g*M e Date <br /> Michael T. McElroy <br /> Printed name of signer YJ <br /> City of Decatur <br /> Entity Name Entity# <br /> RETURN THIS PAGE VIA FAX WITH YOUR SIGNATURE TO <br /> NATIONWIDE AT 1-877-677-4329. <br /> Or, please send this self-addressed signature page via mail. <br /> NRM-8307AO (01/11) <br />