SAMPLE - FICTIONAL EXAMPLE - NOT FOR FILING

ATLANTIC REWARDS MASTERCARD
PO BOX 6631
WILMINGTON DE 19850

BAYLINE AUTO FINANCE
PO BOX 4402
HAUPPAUGE NY 11788

CRESTLINE CARD SERVICES
PO BOX 88120
COLUMBUS OH 43218

GREAT SOUTH BAY CONSUMER LENDING CENTER
PO BOX 140
BAY SHORE NY 11706

HARBOR AND PINE DENTAL GROUP
1180 MONTAUK HWY STE 2
PATCHOGUE NY 11772

HOMETOWN FURNITURE CREDIT PLAN
PO BOX 9400
GARDEN CITY NY 11530

NORTHFORK SAVINGS BANK VISA
300 MAIN ST
RIVERHEAD NY 11901

SEACOAST FEDERAL CREDIT UNION
1 SEACOAST PLZ
ISLIP NY 11751

SHOREPOINT HOME LENDING
PO BOX 9031
MELVILLE NY 11747

SOUTH SHORE PEDIATRIC URGENT CARE
455 MEDFORD AVE
PATCHOGUE NY 11772