Funded to Your Bank $23,736.93

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1 THIS IS A SAMPLE STATEMENT YOUR CARD PROCESSING STATEMENT /000001/187698/0001/23882/0000/ Page 1 of 8 THIS IS NOT A BILL This is the overall summary of the account activity for the current statement period. This is your Merchant Number which will identify you to your provider. SUMMARY Page 3 An overview of account activity for the statement period. Fees charged for September activity will appear on October statement. Amount $33, Third Party $8, Chargebacks/Reversals 0.00 Adjustments 0.00 Fees Charged* -$ Amount Funded to Your Bank $23, See page 2 for Key Definition of Terms *Fees Charged Summary Includes Interchange Charges (IC), Service Charges (SC) and Fees All amounts shown are in U.S. funds (Amount - Third Party) + Chargebacks/Reversals + Adjustments + Fees Charged = Amount Funded This is the total amount of sales submitted for all cards This is the amount of sales submitted for American Express Cards. This is the amount of fees charged to your checking account for the previous month. IMPORTANT INFORMATION ABOUT YOUR ACCOUNT Please note that important messages may continue or appear on the third page of this merchant statement. Review the third page of this statement for any continued or additional messages /000001/187698/0001/23882/0000/

2 Page 2 of 8 Interchange Charges will remain the same regardless of your Merchant Service Provider. Key Card Processing Terms in Plain Language Amount You - The total dollar amount of card transactions submitted and processed during the Statement Period. Third-Party - These are transactions that are passed directly to third party service providers for processing and/or funding. Common third-parties r ies include American Express and Discover. Chargebacks/Reversals - Those transactions that are challenged or disputed by a cardholder or card-issuing bank. A Chargeback equals the transaction amount that is disputed by the cardholder or card-issuing bank. A Reversal is the amount that was initially resolved against the merchant, but has subsequently been resolved in favor of the merchant. Adjustments - The amounts credited to, or deducted from, your account to resolve processing and billing discrepancies. Service Charges are dependent on your Merchant Service Provider and this is where Orbis will save you Money. Interchange Charges - These are the variable fees es charged by Card Organizations for processing transactions. Factors that affect f Interchange Charges include card type, information contained in the transaction, and how/when when the transaction was processed. Service Charges - Also known as Discount Rate; the amounts charged to authorize, process and settle card transactions. Fees - The range of transaction-based and/or fixed amounts charged for specific card processing services. Amount Funded to Your Bank - The total dollar amount of credited/paid to your account transactions during the Statement Period. - The unique account number assigned to every merchant and merchant location. You ll find it at the top of your statement /000001/187698/0001/23882/0000/

3 This is your summary of sales submitted for each card type. Page 3 of 8 SUMMARY BY CARD TYPE ( Sales You - Refunds = Amount You ) Card Type Gross Sales You Refunds Amount You Average Ticket Items Amount Items Amount Items Amount MasterCard $ $7, $ $7, Visa $ $17, $17, Discover Diners JCB American Express $ $8, $8, $33, $ $33, (Amount - Third Party) + Chargebacks/Reversals + Adjustments + Fees Charged = Amount Funded AMOUNTS FUNDED BY BATCH Number Amount Third Party Chargebacks/ Reversals Adjustments Fees Charged* Funded Funded Amount 09/01/12 $1, $ $1, /02/12 $ $ $ $ /03/12 $2, $ $2, /04/12 $ $ Last months 09/05/12 $ $ /06/12 $ $ fees charged $ /07/12 $1, $ $ this month 09/08/12 $ $ /09/12 $ $ $ /10/12 $ $ $ /11/12 $1, $ $ /13/12 $4, $4, /14/12 $ $ $ /15/12 $ $ /16/12 $3, $ $2, /17/12 $ $ /18/12 $ $ /19/12 $2, $ $1, /20/12 $ $ /25/12 $7, $ $7, /27/12 $ $ $ /28/12 $ $ $ /29/12 $2, $ $2, /30/12 $ $ $ $33, $8, $ $23, AMOUNTS SUBMITTEDBY BATCH *Certain fees and charges may relate to a prior period MasterCard Visa Discover Diners American Express 09/01/ $ $ $ $1, /02/ $ $ $ /03/ $ $1, $ $2, /04/ $ $ /000001/187698/0001/23882/0000/

4 Page 4 of 8 AMOUNTS SUBMITTEDBY BATCH MasterCard Visa Discover Diners American Express 09/04/ $ $ /05/ $ $73.21 $ /06/ $ $ /06/ $ $ $1, /08/ $ $ $ /09/ $45.36 $ $84.67 $ /10/ $ $ $ $ /11/ $78.84 $ $ $1, /13/ $4, $4, /13/ $ $64.26 $ /14/ $ $ /15/ $ $ $ /15/ $ $ $ /16/ $ $1, $ $2, /16/ $ $ /18/ $ $ /18/ $ $ /19/ $ $1, $ $1, /19/ $ $ /24/ $1, $1, /25/ $4, $2, $45.00 $6, /26/ $ $ $60.59 $ /27/ $ $ $ /29/ $2, $ $2, /30/ $ $86.95 $ Sub s $7, $17, $8, $33, JCB 09/01/ /02/ /03/ /04/ /04/ /05/ /06/ /06/ /08/ /09/ /10/ /11/ /13/ /13/ /14/ /15/ /000001/187698/0001/23882/0000/

5 Page 5 of 8 AMOUNTS SUBMITTEDBY BATCH JCB 09/15/ /16/ /16/ /18/ /18/ /19/ /19/ /24/ /25/ /26/ /27/ /29/ /30/ Sub s $33, Financial charges and fees incurred but not funded during the statement period. PENDING FINANCIAL CHARGES AND FEES See future statements for processing information. Transaction Service Fees Net Amount Type Posted Description Posted SERVICE MASTERCARD CREDITS TRANS FEE TIMES SERVICE MASTERCARD SALES DISCOUNT TIMES $6, SERVICE VISA SALES DISCOUNT TIMES $12, SERVICE MASTERCARD DEBIT SALES DISC TIMES $ SERVICE VISA DEBIT SALES DISCOUNT TIMES $4, TOTAL SERVICE FEE VISA NETWORK FEE CP 1B FEE VISA NETWORK FEE CNP FEE MC NETWORK ACCESS AUTH FEE TIMES FEE MC ACQUIRER AVS BILLING 1 TRANSACTIONS AT FEE Acquiring Bank, Issuing M/C INTERNET AUTH FEE TIMES FEE MASTERCARD 950 AUTH FEE 1 TRANSACTIONS AT Bank, MasterCard, Visa, FEE MC CONNECTIVITY AUTH FEE TIMES FEE Discover, and AMEX ACQUIRER PROCESSOR FEE CREDIT TIMES FEE Fees ACQUIRER PROCESSOR FEE DB/PP TIMES FEE VISA INTERNET AUTH FEE TIMES FEE VISA 950 AUTH FEE TIMES FEE VISA CONNECTIVITY AUTH FEE TIMES FEE AMEX INTERNET AUTH FEE TIMES FEE VISA ZERO AMT FEE TIMES FEE CNP AVS FEE 1 TRANSACTIONS AT FEE VISA INTL SERVICE FEE 1 TRANS TOTALING $ FEE VISA INTL SERVICE FEE 1 TRANS TOTALING $ FEE VISA INTL SERVICE FEE 2 TRANS TOTALING $ FEE VISA INTL SERVICE FEE 5 TRANS TOTALING $ /000001/187698/0001/23882/0000/

6 Page 6 of 8 Financial charges and fees incurred but not funded during the statement period. PENDING FINANCIAL CHARGES AND FEES See future statements for processing information. Transaction Net Amount Type Posted Description Posted FEE VI TRANSACTION INTEGRITY FEE TIMES FEE AVS 950 CALL AUTHORIZATION FEE TIMES FEE INTERNET AVS AUTH FEE TIMES FEE NON-RECEIPT OF PCI VALIDATION 1 TRANSACTIONS AT FEE US CROSS BORDER FEE 5 TRANS TOTALING $ TOTAL FEES INTERCHANGE MASTERCARD ASSESSMENT FEE TIMES $7, INTERCHANGE VISA ASSESSMENT FEE TIMES $17, INTERCHANGE These are the VI-CPS/RETAIL ALL OTHER (DB) INTERCHANGE Interchange Fees VI-BUS ENH RETAIL INTERCHANGE VI-SIGNATURE PREFERRED CRP STD that are nonnegotiable for any VI-SIGNATURE PREFERRED CNP INTERCHANGE VI-SIGNATURE PREFERRED RETAIL INTERCHANGE INTERCHANGE Merchant Service VI-INTER PREM CAN ISS US ACQ INTERCHANGE VI-BUSINESS CARD STD INTERCHANGE Provider. VI-EIRF NON CPS ALL OTHER INTERCHANGE VI-INTREG STANDARD (US) INTERCHANGE VI-INTREG CHIP ISS (US) INTERCHANGE VI-INTREG COMML STD (US ACQ) INTERCHANGE VI-CPS/REWARDS INTERCHANGE VI-CPS/REWARDS INTERCHANGE VI-CPS/SMALL TICKET INTERCHANGE VI-CPS CARD NOT PRESENT INTERCHANGE VI-CPS/RETAIL ALL OTHER INTERCHANGE VI-CPS/RETAIL ALL OTHER (PP) INTERCHANGE VI-EIRF NON CPS ALL OTHER (PP) INTERCHANGE VI-REG CONSUMER MQ (DB) INTERCHANGE VI-US REGULATED COMM (DB) INTERCHANGE VI-US REGULATED NON-CPS (DB) INTERCHANGE VI-US CPS/SMALL TCKT REG (DB) INTERCHANGE VI-US REGULATED (DB) INTERCHANGE MC-DOMESTIC MERIT I (DB) INTERCHANGE MC-DOMESTIC MERIT III (DB) INTERCHANGE MC-HIGH VAL MERIT III BASE INTERCHANGE MC-ENHANCED MERIT I INTERCHANGE MC-ENHANCED MERIT III BASE INTERCHANGE MC-PREM CON STD ACQUSISSCAN INTERCHANGE MC-WORLD ELITE CORP DR I BUS INTERCHANGE MC-WORLD ELITE MERIT III INTERCHANGE MC-WORLD ELITE MERIT I INTERCHANGE MC-CORP BUSINESS INTL FLT INTERCHANGE MC-CORP DATA RATE I (US) CORP INTERCHANGE REFUND: MC-CONSUMER CREDIT REFUND INTERCHANGE MC-WORLDCARD MERIT III INTERCHANGE MC-WORLDCARD MERIT I INTERCHANGE MC-DOMESTIC MERIT I INTERCHANGE MC-DOMESTIC MERIT III INTERCHANGE MC-FOREIGN STANDARD PLUS /000001/187698/0001/23882/0000/

7 Page 7 of 8 Financial charges and fees incurred but not funded during the statement period. PENDING FINANCIAL CHARGES AND FEES See future statements for processing information. Transaction Net Amount Type Posted Description Posted INTERCHANGE MC-REG CONSM WFRAUD ADJ MC(DB) INTERCHANGE MC-REGULATED FRD ADJ COMM (DB) INTERCHANGE MC-REG INCENT FRF ADJ POS (DB) INTERCHANGE MC NTWRK ACCESS SETTLEMENT FEE TIMES TOTAL INTERCHANGE GRAND TOTAL PENDING INTERCHANGE CHARGES Sales % Of Product/Description Sales These are the different Mastercard Nondebit Credit Cards used and the related interchange charges. Number of % of Interchange Cost Cost Per Rate Transaction Sub Interchange Charges MASTERCARD NONDEBIT FOREIGN STANDARD PLUS DOMESTIC MERIT III DOMESTIC MERIT I WORLDCARD MERIT I 3, WORLDCARD MERIT III CONSUMER CREDIT REFUND CORP DATA RATE I (US) COR CORP BUSINESS INTL FLT WORLD ELITE MERIT I WORLD ELITE MERIT III WORLD ELITE CORP DR I BUS PREM CON STD ACQUSISSCAN ENHANCED MERIT III BASE ENHANCED MERIT I HIGH VAL MERIT III BASE 1, MASTERCARD NONDEBIT TOTAL 6, MASTERCARD DEBIT REG INCENT FRF ADJ POS (D REGULATED FRD ADJ COMM (D REG CONSM WFRAUD ADJ MC(D DOMESTIC MERIT III (DB) DOMESTIC MERIT I (DB) MASTERCARD DEBIT TOTAL These are the different Mastercard Debit Check Card's that were used and the related interchange charges /000001/187698/0001/23882/0000/

8 Page 8 of 8 These are the different Visa Nondebit Credit Cards used and the related interchange charges. PENDING INTERCHANGE CHARGES Product/Description Sales % Of Sales Number of % of Interchange Cost Cost Per Rate Transaction Sub Interchange Charges VISA NONDEBIT CPS/RETAIL ALL OTHER CPS CARD NOT PRESENT CPS/SMALL TICKET CPS/REWARDS 1 2, CPS/REWARDS 2 1, INTREG COMML STD (US ACQ) INTREG CHIP ISS (US) INTREG STANDARD (US) EIRF NON CPS ALL OTHER 4, BUSINESS CARD STD INTER PREM CAN ISS US ACQ SIGNATURE PREFERRED CNP SIGNATURE PREFERRED RETAI 1, SIGNATURE PREFERRED CRP S BUS ENH RETAIL VISA NONDEBIT TOTAL 12, VISA DEBIT US REGULATED (DB) 1, US CPS/SMALL TCKT REG (DB US REGULATED NON-CPS (DB) US REGULATED COMM (DB) 1, REG CONSUMER MQ (DB) EIRF NON CPS ALL OTHER (P CPS/RETAIL ALL OTHER (PP) CPS/RETAIL ALL OTHER (DB) VISA DEBIT TOTAL 4, , These are the different Visa Debit Check Card's that were used and the related interchange charges. TAX GROSS REPORTABLE SALES BY TIN dollar amount of aggregate reportable payment card transactions funded and third party network transactions, for each participating payee, without regard to any adjustments for credits, cash equivalents, discount amount, fees, refunded amounts, or any other amounts per respective tax identification number. Month Description August GROSS REPORTABLE SALES YTD Gross Reportable Sales See to review details of your statement /000001/187698/0001/23882/0000/

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