Sample Beneficiary Designation

To designate Lollypop Farm as a beneficiary of a qualified retirement plan, life insurance policy, or other financial account, please use the following information:

Humane Society of Rochester and Monroe County for the Prevention of Cruelty to Animals, Inc., a Fairport, NY nonprofit charitable organization, presently located at 99 Victor Rd, Fairport, NY 14450.

Tax ID#: 16-0743047

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