As part of Midan’s diversity and inclusion strategy, we continue to grow our Supplier Diversity Program. The Supplier Diversity Program is primarily driven by corporate responsibility, alignment with corporate culture and workforce inclusiveness, customer requirements, and government compliance. We believe that working with diverse businesses is a key ingredient to bringing value and innovation to our customers and communities.

Midan is asking your organization to complete two sections below:

1. Diverse Business Classifications

By signing below, I authorize Midan Marketing, Inc. (the "Company") to send credit entries- to pay my vendor invoices (and appropriate debit and adjustment entries), electronically or by any other commercially accepted method, to my account indicated below and to other accounts I identify in the future (the "Account"). This authorizes the financial institution holding the Account to post all such entries.

You may also mail your W-9 to Midan Marketing, 108 Gateway Blvd #207, Mooresville, NC 28117

Please provide the name of the Midan Marketing employee who was your contact.

To be signed by the person completing this form.