SAMPLE - FICTIONAL EXAMPLE - NOT FOR FILING

BLUEWATER REWARDS VISA
PO BOX 30917
SALT LAKE CITY UT 84130

COASTAL PLAINS ANESTHESIA GROUP
PO BOX 2289
GREENVILLE NC 27836

LARKSPUR COURT APARTMENTS LLC
400 LARKSPUR CT
WILMINGTON NC 28403

MERIDIAN BANK AND TRUST MASTERCARD
PO BOX 6492
SIOUX FALLS SD 57117

PINNACLE CARD SERVICES
PO BOX 71083
CHARLOTTE NC 28272

SANDHILL INSTALLMENT LENDING
88 MARKET SQUARE BLVD
FAYETTEVILLE NC 28301

SEABREEZE SURGICAL PARTNERS PLLC
1730 TIDEWATER PKWY STE 300
WILMINGTON NC 28401

TIDEWATER EMERGENCY PHYSICIANS BILLING
PO BOX 15228
RALEIGH NC 27610