IN THE CIRCUIT COURT IN AND FOR PALM COUNTY, FLORIDA PROBATE DIVISION IN RE: ESTATE OF File No. ANNE1TE SIEGAL 502011CP001706XXXXSB Deceased/ RECEIPT OF BENEFICIARY The undersigned, PEGGY SIEGAL, hereby acknowledges having received from the personal representative of this estate the following: The sum of Eight Hundred Thousand ($800,000) Dollars pursuant to Article THIRD(A) of the Last Will and Testament of Annette Siegal dated December 16, 2010. Signed on , 2012. PEGGY SIEGAL Beneficiary EFTA_R1_02066912 EFTA02700488