NCG050340_Name Ownership Change_20180620

Aew'�WADivision of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
NCDENRNational Pollutant Discharge Elimination System
�:w°� ��1� a PERMIT NAME/OWNERSHIP CHANGE FORM
a1 � ��«_
I. Please enter the permit number for which the change is requested.
NPDES Permit
N C S 0
Permit status gLigE to requested change.
a. Permit issued to (company name):
b. Person legally responsible for permit:
RECEIVED
APR a 0 2018
Facility name 11"O)NG
Facility address:
e. Facility contact person
FOR AGENCY USE ONLY
Date Received
Year Month Da
(or) Certificate of Coverage
N I C I G Ito 15101
NATIDlv.AL F7014rv�
First MI Last
VP
Title
EC)/,l�
Pennit Holder Mallin Address
(yC ciz ro 2 7C, C 1
City State Zip
(9►�t >�39-t,,1,�7f (9/9)��`l-tel• l
Phone Fax
KIDS G�fZEI ,fi'rl/L.L'i� /NCS.
/ 'J U IL)lyLl-I 2 v.A D
Address
ky-1 275'
City State Zip
Ju �I C L, FF -6"I 2�4 (9tq) 3.31-(
First 1 MI / Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of (g/Change in ownership of the facility
❑ Name change of the facility or owner
If olher please explain:
b. Permit issued to (company name): 13UL t- b / 05 ( N LLL'
c. Person legally responsible for permit: 3 Ej` rM Q^ f�L
GFirst , (� MI Last
ck)6 /n / l L- MWA G EIC/�
_
Title
Pennit I [older Mailing Address
MA 14
City State 'lip
Phone ?-mail Address t!��
d. Facility natne (discharge): L L DCS, f/)F ( ML4' NY
e. Facility address: 0 ti k)E P, 0A t> /
Address /
City State Zip
f. Facility contact person: �) i_ J L ft1_7C1 '_CP
First MI Last
Phone E-mail Ldress C✓%�(
IV. Permit contact information (if different from the person legally responsible for the permit)
Revised Jan. 27. 2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact:
J V t/
Z,C
—,� >
First
MI Last
COOL>
- �11�4T1� 167
INEe��
(4 I J Q
Title
)Y RQXt,
_AUC I EP
Mail' Address
, mr 27sCn I
City
(ql4) 3jI-6acm
State Zip
�UI,e- [ -Ie/
er@
Phone
E-mail Address
bulwaphase'
V Will the permitted facility continue to conduct the same industrial activities conducted prior
,
to t 1s ownership or name change?
v L
Eff Yes
❑ No (please explain)
VI
Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARI;, INCOMPLETE OR MISSING:
This completed application is required for both name change and/or ownership change
requests.
[� Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
....................................................................................................................
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge, I understand that if all required parts of this application are not
complet9ond that if all requir d supporting information is not included, this application package will be
returne s incomplet (,//
/ L
Signature Date
APPLICANT CERTIFICATION
1, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
re rned as incomplete.
01?61g
Signature Date
....................................
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014

Bill of Sale
This Bill of Sale (the "Bill of Sale"), dated as of February 28, 2018, is made, executed
and delivered by National Foam, Inc., a Delaware corporation (the "Seller"), for the benefit of
Puck Custom Enterprises, Inc., an Iowa corporation (the "Buyer").
I. KNOW ALL MEN BY THESE PRESENTS, that, pursuant to the terms and subject to the
conditions of that certain Asset Purchase Agreement, dated as of February 19, 2018, by and
between the Seller and the Buyer (the "Agreement"), and for the consideration set forth
therein, the receipt and sufficiency of which are hereby acknowledged, the Seller does hereby
SELL, ASSIGN, TRANSFER, CONVEY and DELIVER to the Buyer, and the Buyer does
hereby purchase, acquire and assume, all of the Seller's right, title and interest to, in and
under the Purchased Assets, free and clear of all Encumbrances (other than Permitted
Encumbrances), effective as of 12:01 a.m., Eastern time, on the Closing Date (the "Effective
Time").
2. Capitalized terms used herein and not defined have the meanings ascribed to them in the
Agreement.
3. The Seller hereby agrees from time to time, at the reasonable request of the Buyer, to use
commercially reasonable efforts to execute, acknowledge, deliver and file all such further
acts, deeds, bills of sale, transfers, assignments and conveyances, conveying and confirming
unto the Buyer all of the Purchased Assets.
4. Notwithstanding anything to the contrary contained herein, at the Effective Time, the Seller
shall not sell, convey, transfer, deliver or assign to the Buyer, and the Buyer shall not
purchase, acquire or accept from the Seller or any third parties, any of the Excluded Assets
which shall remain the exclusive property of the Seller or such third parties, as the case may
be.
5. This Bill of Sale is executed and delivered pursuant to the Agreement and is subject to and
with the benefit of the respective representations, warranties, covenants, agreements,
indemnities and other provisions of the Agreement, which terms are incorporated herein by
reference. The Seller and the Buyer acknowledge and agree that the representations,
warranties, covenants, agreements, indemnities and other provisions contained in the
Agreement shall not be superseded hereby but shall remain in full force and effect to the full
extent provided therein. In the event of any conflict or inconsistency between the terms of
the Agreement and the terms of this Bill of Sale, the terms of the Agreement shall govern.
6. This Bill of Sale shall be binding upon, and shall inure to the benefit of, the parties hereto
and their successors and permitted assigns.
7. This Bill of Sale shall be governed in all respects by the Laws of the State of Delaware,
without regard to the principles of conflicts of Laws that might otherwise be applicable.
EAST\ 150942326 2

8. This Bill of Sale may be executed in any number of counterparts, each of which will be
deemed an original, but all of which together shall constitute one and the same instrument
and shall become effective when one or more counterparts have been signed by each Party
and delivered (by electronic communication, facsimile or otherwise) to the other Party.
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