Resolutions-2017-055

Certificate Of Completion Envelope Id: 001F76A8EF5E4AD9B8F26489C10458AA Subject: Please DocuSign: 2017-055 - Hold Hrg Auth Revite Amend (Tiffin #20 2017)-v1.docx Source Envelope: Document Pages: 6 Supplemental Document Pages: 0 Certificate Pages: 5 AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) Status: Completed Signatures: 3 Initials: 0 Payments: 0 Envelope Originator: ASHLEY PLATZ 300 Railroad St PO Box 259 Tiffin, IA 52340 [email protected] IP Address: 10.102.101.11 Record Tracking Status: Original 7/20/2017 7:08:54 AM Holder: ASHLEY PLATZ [email protected] Location: DocuSign Signer Events Steve Berner [email protected] Security Level: Email, Account Authentication (None) Signature Steve Berner Using IP Address: 199.120.90.9 Electronic Record and Signature Disclosure: Accepted: 7/20/2017 1:09:41 PM ID: ed6f11dc-75e6-46d2-b432-7c644b1f4399 Doug Boldt [email protected] Security Level: Email, Account Authentication (None) Signature Doug Boldt Using IP Address: 69.63.16.128 Sent: 7/20/2017 7:09:30 AM Viewed: 7/20/2017 1:09:41 PM Signed: 7/20/2017 1:09:57 PM Sent: 7/20/2017 1:09:58 PM Viewed: 7/21/2017 10:11:39 AM Signed: 7/21/2017 10:11:48 AM Electronic Record and Signature Disclosure: Accepted: 11/15/2016 7:19:16 AM ID: e71e6fed-796e-4f6c-b8a2-9a25882d8617 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 7/20/2017 1:09:58 PM Certified Delivered Security Checked 7/21/2017 10:11:39 AM Signing Complete Security Checked 7/21/2017 10:11:48 AM