TrueEarnings® Card LESLEY GROFF Closing Date 01/22/16 Next Closing Date 02/21/16 New Balance $5,667.89 Minimum Payment Due $57.00 Payment Due Date 02/17/16* Late Payment Warning: If we do not receive your Minimum Payment Due by the Payment Due Date of 02/17/16, you may have to pay a late fee of up to $37.00 and your Purchase APR may be increased to the Penalty APR of 27.49%. Minimum Payment Warning: If you make only the minimum payment each period, you will pay more in interest and it will take you longer to pay off your balance. For example: Ifyou make no additional ] "| Andyouwillpayan charges andeach monthyou — shown on this statement in estimated total of... pay... about... Only the Minimum Payment Due 16 years $11,866 $7,128 $198 3 years (Savings = $4,738) If you would like information about credit counseling services, call 1-888-733-4139. Fy See page 2 for important information about your account. + Please fold on the perforation below, detach and return with your payment | Payment Coupon Do not staple or use paper clips americanexpress.com/pbe TMM VE ra 0 1 LESLEY GROFF Pay by Computer C pay by Phone 7 Costco pans SEEWHOLESALE Account Ending Cash Back Rebate As of Dec 2015 $1,238.64 oO For more details about Rewards, please visit americanexpress.com/rewardsinfo Account Summary { | Previous Balance $13,269.45 Payments/Credits $13,839.87 New Charges +$6,238.31 Fees +$0.00 Interest Charged +$0.00 | New Balance $5,667.89 Minimum Payment Due $57.00 | Credit Limit $35,000.00 Available Credit $29,332.11 | Cash Advance Limit $5,000.00 Available Cash $5,000.00 | Days in Billing Period: 30 Customer Care Pay by Computer americanexpress.com/pbc Customer Care Pay by Phone 1-888-246-1076 1-800-472-9297 =) See Page 2 for additional information. Account Ending Enter 15 digit account # on all payments. Make check payable to American Express. Payment Due Date 02/17/16 New Balance $5,667.89 Minimum Payment Due $57.00 AMERICAN EXPRESS P.O. BOX 1270 NEWARK NJ 07101-1270 Check here if your address or phone number has changed. Note changes on reverse side. 000034999134b0539Se O00S66789000005700 19 A $s il Amount Enclosed EFTA00314676

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LESLEY GROFF Account Ending p. 2/13 Payments: Your payment must be sent to the payment address shown on your statement and must be received by 5 p.m. local time at that address to be credited as of the day it is received. Payments we receive after 5 p.m. will not be credited to your Account until the next day. Payments must also: (1) include the remittance coupon from your statement; (2) be made with a single check drawn on a US bank and payable in US dollars, or with a negotiable instrument payable in US dollars and clearable through the US banking system; and (3) include your Account number. If your payment does not meet all of the above requirements, crediting may be delayed and you may incur late payment fees and additional interest charges. Electronic payments must be made through an electronic payment method payable in US dollars and clearable through the US banking system. If we accept payment in a foreign currency, we will convert it into US dollars at a conversion rate that is acceptable to us, unless a particular rate is required by law. Please do not send post-dated checks as they will be deposited upon receipt. Any restrictive language on a payment we accept will have no effect on us without our express prior written approval. We will re-present to your financial institution any payment that is returned unpaid. Permission for Electronic Withdrawal: (1) When you send a check for payment, you give us permission to electronically withdraw your payment from your deposit or other asset account. We will process checks electronically by transmitting the amount of the check, routing number, account number and check serial number to your financial institution, unless the check is not processable electronically or a less costly process is available. When we process your check electronically, your payment may be withdrawn from your deposit or other asset account as soon as the same day we receive your check, and you will not receive that cancelled check with your deposit or other asset account statement. If we cannot collect the funds electronically we may issue a draft against your deposit or other asset account for the amount of the check. (2) By using Pay By Computer, Pay By Phone or any other electronic payment service of ours, you give us permission to electronically withdraw funds from the deposit or other asset account you specify in the amount you request. Payments using such services of ours received after 8:00 p.m. MST may not be credited until the next day. How We Calculate Your Balance: We use the Average Daily Balance (ADB) method (including new transactions) to calculate the balance on which we charge interest on your Account. Call the Customer Care number listed below for more information about this balance computation method and how resulting interest charges are determined. The method we use to figure the ADB and interest results in daily compounding of interest. Paying Interest: Your due date is at least 25 days after the close of each billing period. We will not charge you interest on your purchases if you pay the New Balance by the due date each month. We will charge you interest on cash advances and (unless otherwise disclosed) balance transfers beginning on the transaction date. Foreign Currency Charges: If you make a Charge in a foreign currency, we will convert it into US dollars on the date we or our agents process it. We will charge a fee of 2.70% of the converted US dollar amount. We will choose a conversion rate that is acceptable to us for that date, unless a particular rate is required by law. The conversion rate we use is no more than the highest official rate published by a government agency or the ighest interbank rate we identify from customary banking sources on the conversion date or the prior business day. This rate may differ from rates in effect on the date of your charge. Charges converted by establishments (such as airlines) will be billed at the rates such establishments use. Credit Balance: A credit balance (designated CR) shown on this statement represents money owed to you. If within the six-month period following the date of the first statement indicating the credit balance you do not request a refund or charge enough to use up the credit balance, we will send you a check for the credit balance within 30 days if the amount is $1.00 or more. Credit Reporting: We may report information about your Account to credit bureaus. Late payments, missed payments, or other defaults on your Account may be reflected in your credit report. Large Print & Braille Statements FAX: Cash Advance at ATMs Inquiries In Customer Care & Billing Inquiries Payments P.O. BOX 981535 P.O. BOX 1270 Fa Customer Care & Billing Inquiries Hear, Website: americanexpress.com International Collect TTY: Mobile Site: amexmobile.com EL PASO, TX NEWARK NJ07101- 79998-1535 1270 Change of Address if ton fr do not use. | corecton Trent do nok use Pay Your Bill with AutoPay ® To change your address online, visit weww.americanexpress.com/updatecontactinfo © For Name, Company Name, and Foreign Address or Phone changes, please call Customer Care. - Avoid late fees © Please print clearly in blue or black ink only in the boxes provided. - Save time Deduct your payment from your bank Street Address account automatically each month Visit americanexpress.com/autopay City, State today to enroll. Zip Code Area Code and Home Phone WoxPhone For information on how we protect your privacy and to set your communication Email and privacy choices, please visit www.americanexpress.com/privacy. EFTA00314677

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TrueEarnings® Card CosTrco p. 3/13 LESLEY GROFF Closing Date 01/22/16 Account Ending Qa (i) SERVICE ADVISORY: We expect that you will no longer be able to use your current ~~ American Express Card for any purchases beginning in mid-2016 because it will be discontinued. You can keep using your Card and earning rewards as you do today until then, Please call 1-883-246-1076 if you need more information. Payments and Credits Total Payments ~$13,269.45 Credits LESLEY GROFF J $570.42 Total Payments and Credits -$13,839.87 Payments Amount 01/11/16* LESLEY GROFF ELECTRONIC PAYMENT RECEIVED-THANK $13,269.45 Credits Amount 12/27/15 LESLEY GROFF BLOOMINGDALES.COM [ES «= OH ~$46.26 12/27/15 LESLEY GROFF BLOOMINGDALES.COM = OH $54.24 12/27/15 LESLEY GROFF BLOOMINGDALES.COM (= OH $46.26 01/12/16 LESLEY GROFF APPLE ONLINEUSA APPLE ONLINEUSA $148.84 CUPERTINO CA APPLE ONLINE STORES 01/19/16 LESLEY GROFF SPORTS AUTHORITY $51.85 NORWALK fa J | Description SPORTING GOODS/APPA 01/20/16 LESLEY GROFF APPLE ONLINEUSA APPLE ONLINEUSA $60.00 CUPERTINO CA APPLE ONLINE STORES 01/20/16 LESLEY GROFF APPLE ONLINEUSA APPLE ONLINEUSA $60.00 CUPERTINO CA APPLE ONLINE STORES 01/20/16 LESLEY GROFF BED BATH & BEYOND ~$51.02 STAMFORD cT a 01/20/16 LESLEY GROFF IMEMORIES 0323 $51.95 SCOTTSDALE AZ [| Description MISCELLANEOUS PERSO Continued on reverse EFTA00314678

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LESLEY GROFF Account Ending p. 4/13 New Charges LESLEY GROFF Jaa DANIEL GROFF Total New Charges [Detail LESLEY GROFF Card Ending 12/23/15 12/23/15 12/24/15 #02633 ACME 000000000306735 NEWCANAAN CT 9999999999 WALGREENS NEWCANAAN CT a Description REFER TO RECEIPT AMAZON MKTPLACE PMTS AMZN.COM/BILL WA BOOK STORES Total $4,411.25 $1,827.06 $6,238.31 Amount $6.79 $13.81 $16.49 12/26/15 FANDANGO.COM bn MOVIE TKTS FANDANGO.COM $31.20 12/26/15 12/27/15 12/27/15 12/27/15 12/28/15 12/28/15 12/28/15 #02633 ACME 000000000306735 NEW CANAAN cT 9999999999 AMAZON MKTPLACE PMTS AMZN.COM/BILL WA BOOK STORES #155 NORWALK GLOBAL 00013821155 NORWALK cT 203-846-0328 Description Price GAS/MSC96 79791155 $55.29 STOP&SHOP NORWALK cT GROCERY STORE SPORTS AUTHORITY 00140 bn ORDERS@GLOBALSPORTS.COM METRO-NORTH TVM & TOM NEW YORK NY 2BARCLAYS CNTR707305 30710707305 BROOKLYN NY FOOD/BEVERAGE $40.77 $89.45 $55.29 $64.45 $103.69 $10.00 $10.00 Continued on next page EFTA00314679

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TrueEarnings® Card CosTco p. 5/13 S=SSWHOLESALE LESLEY GROFF Closing Date 01/22/16 Account Ending | Detail Continued Amount 12/28/15 2BARCLAYS CNTR707305 30710707305 $28.50 BROOKLYN NY FOOD/BEVERAGE $25.50 TIP $3.00 12/28/15 2BARCLAYS CNTR707305 30710707305 $12.75 BROOKLYN NY FOOD/BEVERAGE $12.75 12/28/15 2BARCLAYS CNTR707305 30710707305 $10.00 BROOKLYN NY FOOD/BEVERAGE $10.00 12/28/15 2BARCLAYS CNTR707305 30710707305 $20.25 BROOKLYN NY FOOD/BEVERAGE $20.25 12/28/15 2BARCLAYS CNTR707305 30710707305 $11.50 BROOKLYN NY FOOD/BEVERAGE $11.50 12/29/15 ITUNES.COM/BILL ITUCUPERTINO CA $3.02 12/29/15 CALVINKLEIN.COM $292.06 NJ 12/29/15 #02633 ACME 000000000306735 $13.99 NEWCANAAN CT 9999999999 12/30/15 | WALTER STEWART'S MARKET 88430079246 $24.86 NEWCANAAN = CT GROCERY STORE 01/01/16 | COSTCO AX AUTO RENEWALS $110.00 A COSTCO MEMBER RENEWAL Description For Membership- 01/01/16 LAGUARDIA USA, LLC $16.33 JAMAICA NY Description FAST FOOD RESTAURAN 01/01/16 PALACE LEVY RESTAURANTS 000000001 $34.75 AUBURNHILLS = MI Description REFER TO RECEIPT Continued on reverse EFTA00314680

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LESLEY GROFF Account Ending p. 6/13 Detail Continued 01/01/16 01/02/16 01/03/16 01/05/16 01/05/16 01/07/16 01/07/16 01/07/16 01/07/16 01/07/16 01/08/16 01/08/16 01/08/16 01/08/16 PALACE LEVY RESTAURANTS 000000001 AUBURNHILLS = MI Description REFER TO RECEIPT EMAGINE ROYAL OAK 878852000796802 ROYAL OAK MI MOVIE THEATER LETIZIA'S PIZZA Norwalk ct USFC06851 IMEMORIES 0323 SCOTTSDALE AZ Description MISCELLANEOUS PERSO COFFEE COMPANY 0459 PENNSAUKEN NJ Description SPECIALTY RETAIL METRO NORTH WEBTICKET NY NYCT EASYPAY PROGRAM NEWARK NJ METRO NORTH WEBTICKET NY ETSY.COM ETSY.COM/HELP NY Description Price MISCELLANEOUS APPAR $18.49 NEW CANAAN WINE LLC 650000007847943 NEW CANAAN cT Description Price NEW CANAAN WINE LLC $280.56 UBER UBER 866-576-1039 CA #02633 ACME 000000000306735 NEW CANAAN cT 9999999999 COSTCO WHSE #0324 000000000990324 NORWALK cT COSTCO WHSE #0324 000000000990324 NORWALK cT Amount $6.26 $33.00 $34.83 $169.35 $59.96 $137.75 $45.00 $88.83 $18.49 $280.56 $128.64 $14.67 $197.32 $158.89 Continued on next page EFTA00314681

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TrueEarnings® Card CosTco p. 7/13 LESLEY GROFF SemenOnnsae Closing Date 01/22/16 Account Ending | Detail Continued Amount 01/09/16 TONYS DEL! & CATERING 650000007817367 $21.25 NEW CANAAN cT Pe Description Price TONYS DEL! & CATERI $21.25 01/10/16 STOP&SHOP $124.72 NORWALK cT GROCERY STORE 01/11/16 MAC USA #5020 $46.79 STAMFORD cT ; 01/11/16 STAMFORD TOWN CENTER GARAGE $1.00 STAMFORD cT PARKING LOT & GARAGE 01/11/16 #02633 ACME 000000000306735 $9.15 NEW CANAAN cT 9999999999 01/11/16 WALGREENS $15.05 NEW CANAAN cT Pe Description REFER TO RECEIPT 01/12/16 NEW CANAAN CLEANERS 0019 $47.85 NEW CANAAN cT | Description NEW CANAAN CLEANERS 01/12/16 #02633 ACME 000000000306735 $13.18 NEW CANAAN cT 9999999999 01/12/16 COSTCO WHSE #0324 000000000990324 $108.79 NORWALK cT | 01/12/16 COSTCO WHSE #0324 000000000990324 $263.44 NORWALK cT , 01/16/16 | NEWCANAANPIZZA INC 0494 $56.00 NEW CANAAN cT a Description FOOD/BEVERAGE 01/17/16 SEPHORA.COM $82.95 st COSMETICS 01/18/16 SANDA'S CLEANERS - NEW $37.00 NEW CANAAN cT | Continued on reverse EFTA00314682

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LESLEY GROFF Account Ending p. 8/13 Detail Continued 01/18/16 01/18/16 01/18/16 01/19/16 01/19/16 01/19/16 01/20/16 01/20/16 01/21/16 01/21/16 WALGREENS NEWCANAAN CT a Description REFER TO RECEIPT STAPLES 00022 WILTON cT 00022000848281 06897 1/8IN CVRBIND CLASSIC STOP&SHOP NORWALK cT GROCERY STORE ORBITZ CHICAGO IL VIRGIN AMERICA From: To: NEW YORK LA GUARDI DALLAS/FORT WORTH NEW YORK LA GUARDI N/A N/A Ticket Number: 98477989530734 Passenger Name: GROFF/LESLEY Document Type: PASSENGER TICKET ORBITZ CHICAGO IL VIRGIN AMERICA From: To: NEW YORK LA GUARDI DALLAS/FORT WORTH NEW YORK LA GUARDI N/A N/A Ticket Number: Passenger Name: GROFF/TYLER Document Type: PASSENGER TICKET #02633 ACME 000000000306735 NEW CANAAN cT 9999999999 BED BATH & BEYOND STAMFORD cT pe TRADER JOE'S #529 QPS 529 STAMFORD cT P| Description GROCERY STORES,SUPE JEAN GEORGES OF POUND RID 000000090082 POUND RIDGE NY a FOOD/BEVERAGE $227.64 TIP $42.00 AMAZON MKTPLACE PMTS AMZN.COM/BILL WA BOOK STORES Carrier: Class: VX L VX E YY 00 YY 00 Date of Departure: 02/16 Carrier: Class: VX L VX E YY 00 YY 00 Date of Departure: 02/16 Amount $6.37 $3.18 $106.74 $339.20 $339.20 $15.20 $63.78 $15.96 $269.64 $13.99 Continued on next page EFTA00314683

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TrueEarnings® Card CosTco p. 9/13 ‘=== WHOLESALE LESLEY GROFF Closing Date 01/22/16 Account Ending | Detail Continued Amount 01/21/16 WALGREENS $6.16 NEW CANAAN cT Pe Description REFER TO RECEIPT 01/22/16 AMAZON MKTPLACE PMTS $17.16 AMZN.COM/BILL WA BOOK STORES DANIEL GROFF Card Ending Amount 12/26/15 ITUNES.COM/BILL ITUNES.COM/BILL $7.24 CUPERTINO CA ITUNES STORE & APP STORE 12/28/15 2BARCLAYS CNTR707305 30710707305 $20.25 BROOKLYN NY Po FOOD/BEVERAGE $20.25 12/30/15 STAMFORD GAS LLC 00013821137 $34.41 STAMFORD —CT Description Price GAS/MSC96 01541137 $3441 12/31/15 AT&T*BILL PAYMENT 956 $144.03 DALLAS ™ P| Description TELEPHONE SERVICE/E 01/01/16 LAGUARDIA USA, LLC $6.53 JAMAICA NY Description FAST FOOD RESTAURAN 01/02/16 220 RESTAURANT $56.70 BIRMINGHAM MI RESTAURANT 01/02/16 HYDE PARK BIRMINGHAM $175.82 BIRMINGHAM MI RESTAURANT FOOD/BEVERAGE $147.82 TIP $28.00 01/02/16 LEOS CONEY ISLAND #5 650000004396373 $41.81 BIRMINGHAM MI TIP $7.00 01/03/16 GROBBEL'S GOURMET DELI 0796 $37.08 DETROIT = MI P| Description FOOD/BEVERAGE Continued on reverse EFTA00314684

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LESLEY GROFF Account Ending p. 10/13 Detail Continued Amount 01/03/16 LAGUARDIA LOT4 001 $156.00 NEW YORK NY pe 01/07/16 HILL COUNTRY BARBECUE 0066 $121.70 NEW YORK NY Description FOOD/BEVERAGE 01/07/16 HILL COUNTRY BARBECUE 0066 $56.82 NEW YORK NY Description FOOD/BEVERAGE 01/08/16 METRO-NORTH TVM & TOM $2.75 NEWYORK NY Pe 01/09/16 CHEF LUIS 0020 $309.50 NEWCANAAN CT Description FOOD/BEVERAGE 01/09/16 TOTALWINE & MORE $155.91 NORWALK CT pe 01/13/16 DIRECTV SERVICE $201.23 ms WWW.DIRECTV.COM 01/13/16 STAMFORD GAS LLC 00013821137 $40.39 STAMFORD —CT Description Price GAS/MSC96 75111137 $40.39 01/14/16 CHEF LUIS 0020 $148.37 NEW CANAAN ct Description FOOD/BEVERAGE 01/17/16 CHEF LUIS 0020 $107.50 NEW CANAAN cT Description FOOD/BEVERAGE 01/18/16 ITUNES.COM/BILL ITUNES.COM/BILL $3.02 CUPERTINO CA ITUNES STORE & APP STORE Amount Total Fees for this Period $0.00 Continued on next page EFTA00314685

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TrueEarnings® Card LESLEY GROFF Closing Date 01/22/16 Account Ending Qa Interest Charged Total Interest Charged for this Period Amount $0.00 About Trailing Interest You may see interest on your next statement even if you pay the new balance in full and on time and make no new charges. This is called "trailing interest." Trailing interest is the interest charged when, for example, you didn't pay your previous balance in full. When that happens we charge interest from the first day of the billing period until we receive your payment in full. You can avoid paying interest on purchases by paying your balance in full and on time each month. Please see the "When we charge interest" sub-section in your Cardmember Agreement for details. 2016 Fees and Interest Totals Year-to-Date Total Fees in 2016 Total Interest in 2016 Interest Charge Calculation Your Annual Percentage Rate (APR) is the annual interest rate on your account. Transactions Dated Annual Balance Interest Percentage Subject to Charge From To Rate Interest Rate Purchases 05/03/2006 15.49% (v) $0.00 $0.00 Cash Advances 05/03/2006 25.49% (v) $0.00 $0.00 Total $0.00 (v} Variable Rate EFTA00314686

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LESLEY GROFF Account Ending p. 12/13 EFTA00314687

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TrueEarnings® Card LESLEY GROFF Closing Date 01/22/16 Cash Back Reward Summary Beginning Reward Balance Reward Amount Earned* Total Reward Year To Date Account Ending Qa Total Cash Back as of Dec 2015 Billing Period Charges $1,238.64 +$1,053.58 +$185.06 +$1,238.64 *Charges on this billing statement are not reflected in the Rewards Summary information. Reward Amount Earned is pending until the minimum payment has been made. Reward Details Rewards for Dec 2015 Billing Period Charges Qualified Spend Cash Back Reward U.S. Gas Stations $214.41 @3% $6.44 U.S. Restaurants $733.09 @2% $14.67 Eligible Travel Purchases $4,101.24 @2% $82.02 Other Eligible Purchases $8,190.26 @1% $81.93 Total Reward This Period $13,239.00 $185.06 Total Reward Year To Date $93,646.30 $1,238.64 Important Messages You must maintain your Costco membership to redeem the Reward. See Cardmember Agreement for full terms and conditions. Remember to pay at least the Minimum Payment Due by the Payment Due Date for eligible purchases on this statement to count towards your annual reward and to avoid late fees. Cash back rewards are calculated on each eligible transaction. The rewards shown above have been summarized for informational purposes. For specific details, please visit your online statement. EFTA00314688