Participant Loan Detail NEW - Empower Retirement

1 Participant loan Detail Standard Layout Plan Number: 123456-01 Plan Name: ABC Company Retirement Plan Begin Date: 01/01/20XX End Date: 12/31/20XX ALL (ACTIVE, PAID, and ISSUED) loan Status: Payment Status: ALL or Loans active as of 12/31/20XX Loans issued between 01/01/20XX and 12/31/20XX or Loans paid off between 01/01/20XX and 12/31/20XX Additional information available when exported to Excel (with the Data Only option) Principal Pai Interest Pai Total Pai Mailing NameMailing NameMailing NameFirst Line Mail Second Line Mail CitStateZip CodCountryTotal BalancInterest Balanc Principal BalancSSN Plan NumbePlan NamParticipant Name loan Nbr.

2 Int. Rate loan AmountPaymentAmountPay Freq. Pay Method Effective Date Maturity Date First Due Date Payoff Date Default Date Pmts. MadDivision BasisDivision ValueDivision NameSSN Ext Hire Dat Term DateUestt S Ngo1735 BOCAWUS34655-490 FLTRINITY$ $ $ $ $5, $5, , Participant 1 BOdisgu Os455855-01$36, $ SM PAYROLL 06/09/2008 06/09/2013 07/16/2008 1 XXX-XX-9999 01/01/2009 Oscg Oheg1456 27 THUS33704-264 FLST PETERS$ $ $ $7, $ $7, , Participant 3 BOdisgu Os455855-01$7, $ W PAYROLL 03/23/2010 03/22/2015 04/21/2010 1 XXX-XX-8888 05/22/2001 Oscg Oheg1456 27 THUS33704-264 FLST PETERS$ $ $ $8, $ $8.

3 Participant 4 BOdisgu Os455855-01$8, $ W PAYROLL 07/20/2010 07/19/2015 08/18/2010 1 XXX-XX-8888 05/22/2001 Fsocmf Ehm8220 CRESCUS34655-301 FLNEW PORT $ $ $ $1, $ $2, , Participant 2 BOdisgu Os455855-01$1, $ W PAYROLL 04/23/2007 02/23/2013 05/23/2007 1 XXX-XX-7777 02/17/2003 Fsocmf Ehm8220 CRESCUS34655-301 FLNEW PORT $ $ $ $2, $ $3, , Participant 3 BOdisgu Os455855-01$3, $ W PAYROLL 03/17/2009 03/17/2011 04/22/2009 1 XXX-XX-7777 02/17/2003 Ucofsc C G1211 BROOKUS33764-470 FLCLEARWATE$ $ $ $ $12, $12, , Participant 1 BOdisgu Os455855-01$49, $ SM PAYROLL 01/11/2007 01/11/2012 02/15/2007 1 XXX-XX-6666 12/17/1990 Cfco Utsmm17704 BATHUS34610-603 FLSPRING HI $ $ $ $ $ $ Beige, Participant 1 BOdisgu Os455855-01$3.

4 $ W PAYROLL 05/03/2010 11/03/2012 06/02/2010 1 XXX-XX-5555 11/20/2006 Ksugng Tg7125 LENAPUS34653-175 FLNEW PORT $ $ $ $ $ $ Teal, Participant 1 BOdisgu Os455855-01$5, $ W PAYROLL 10/27/2009 10/27/2014 11/18/2009 0 XXX-XX-4444 07/25/2005 Ugcog Tgs3929 STRATUS34652-565 FLNEW PORT $ $ $ $ $ $ Purple, Participant 1 BOdisgu Os455855-01$12, $ W PAYROLL 08/03/2009 07/31/2014 09/02/2009 1 XXX-XX-3333 08/21/2000 Egshutsng25456 GEDDUS34639-566 FLLAND O LA$ $ $ $ $ $ Violet, Participant 1 BOdisgu Os455855-01$2, $ W PAYROLL 05/19/2010 05/17/2015 06/16/2010 0 XXX-XX-2222 09/05/2006 Dshco S Ms10243 BELLUS34654-591 FLNEW PORT $ $ $ $ $1, $1, , Participant 1 BOdisgu Os455855-01$15.

5 $ SM PAYROLL 10/09/2008 12/06/2012 11/16/2008 0 XXX-XX-1111 04/06/1998 Utgygo E I1417 S HIBUS33755-341 FLCLEARWATE$ $ $ $10, $ $10, , Participant 5 BOdisgu Os455855-01$10, $ W PAYROLL 05/03/2010 05/03/2014 06/02/2010 0 XXX-XX-0000 08/05/1996 Icsh K Hgs2743 MERLIUS33761-121 FLCLEARWATE$ $ $ $19, $3, $23, , Participant 7 BOdisgu Os455855-01$19, $ W PAYROLL 04/11/2008 03/28/2013 04/30/2008 0 XXX-XX-9998 04/29/1997 Icsh K Hgs2743 MERLIUS33761-121 FLCLEARWATE$ $ $ $15, $ $16, , Participant 8 BOdisgu Os455855-01$15, $ W PAYROLL 08/27/2010 08/27/2015 09/29/2010 0 XXX-XX-9998 04/29/1997 Imgoo A O14156 HETRUS33774-521 FLLARGO$ $ $ $ $3, $3, , Participant 1 BOdisgu Os455855-01$20.

6 $ SM PAYROLL 03/30/2006 04/16/2011 12/16/2006 0 XXX-XX-9997 07/05/1990 Cmco K Nct1539 ORANGUS33756-360 FLCLEARWATE$ $ $ $11, $ $12, , Participant 4 BOdisgu Os455855-01$12, $ W PAYROLL 02/17/2010 02/17/2015 03/24/2010 1 XXX-XX-999608/25/1997 $220, $ $ $ $77, $30, $108, 455855-01 BOdisgu Os Loans: 16 Participants: 13 PLAN TOTAL LNBOPage 1 of 11/20/20XX 3:06:29PM Participant loan Detail - Late/Defaulted Layout Plan Number: 123456-01 Plan Name: ABC Company Retirement Plan Begin Date: 01/01/20XX End Date: 12/31/20XX ACTIVE (LATE OR DEFAULTED LOANS) loan Status: Payment Status: LATE OR DEFAULTED Report includes active loans with unpaid assessments on or before 12/31/20XX Additional information available when exported to Excel (with the Data Only option) AmountDueAmountPast DueAmount ReceivedLoan Nbr.

7 Participant Name SSN loan BalanceDef. IND DefaultAmountDefault Date Last Pmt MaLast Pmt Due DLast Pmt Rec LOA Term Pay Due Date Pay Status Mailing NameMailing NameMailing NameFirst Line Mail Second Line Mail Cit StateZip CodCountryPlan NumbePlan NamDivision BasisDivision ValueDivision NameSSN Ext Hire Dat Term DateUS53533-910WI ORANGECORAL LILARED WHITE$ $38, 1 Blue, Participant $ 10/15/201109/19/2011N 10/15/2011 PARTIAL $ $ $ CHOCOLATE338522-0107/01/1980US53533-910W I ORANGECORAL LILARED WHITE 1 BEIGE, GREE $ 10/15/201109/19/2011N 10/31/2011 UNPAID $ $ $ ORANGECORAL LILARED WHITE 1 BEIGE, GREE $ 10/15/201109/19/2011N 11/15/2011 UNPAID $ $ $ ORANGECORAL LILARED WHITE 1 BEIGE, GREE $ 10/15/201109/19/2011N 11/30/2011 UNPAID $ $ $ ORANGECORAL LILARED WHITE 1 BEIGE, GREE $ 10/15/201109/19/2011N 12/15/2011 UNPAID $ $ $ ORANGECORAL LILARED WHITE 1 BEIGE, GREE $ 10/15/201109/19/2011N 12/31/2011 UNPAID $ $ $.

8 GREE US53533-910WI ORANGECORAL LILARED WHITE$ 1 SUBTOTAL $ $1, $1, N $38, $ TOTAL $38, $ 338522-01 CHOCOLATE Loans: 1 Participants: 1 $ $1, $1, LNBOPage 1 of 11/20/20XX 2:42:05PM