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BIOMETRIC INFORMATION PRIVACY EMPLOYEE CONSENT FORM

I have received and reviewed Signature HealthCARE (“Signature”) Biometric Information Privacy Policy which follows below.
Signature uses facial recognition cameras and time clocks to automate the process of employees clocking in and out of work,
and may collect, retain, and use certain employee information (the “Data”). The Data that is collected from the cameras and
time clocks may constitute “biometric identifiers” or “biometric information” as defined in the Biometric Information Privacy Policy.
As related to employees, Signature uses the cameras and time clocks solely for the purposes of recording employee time entries,
and for payroll-related functions, and for no other purpose. A copy of Signature’s Biometric Information Privacy Policy is available
in the employee handbook or other applicable location and to the public upon request.

In using the cameras and/or time clocks, I understand that my Data will be collected from me, and will be used and/or stored for the
above-described purposes. I understand and agree that my Data may be disclosed to vendors and/or service providers to support such purposes,
and may be disclosed to third parties in the event of a transfer or sale of all or some of the Signature’s assets. The Data will not otherwise
be used or disclosed by Signature without my consent or unless required by law. I understand that my Data will be permanently destroyed when
the initial purpose for collecting or obtaining such Data has been satisfied or within three years of my last interaction with Signature,
whichever occurs first; when my employment with Signature ends; and in accordance with applicable law.

By responding I CONSENT during the text registration process, I consent to the collection, storage, use, and disclosure of my Data in connection
with the cameras and time clocks and the purposes described herein.

BIOMETRIC INFORMATION PRIVACY POLICY

Protecting employee and patient privacy is very important to Signature HealthCARE (“Signature”). Thus, Signature has instituted the following Biometric Information Privacy Policy applying to certain information of its employees, patients, and visitors that it may collect, store, and/or use. This policy is available to the public upon request.

Method and Purpose of Data Collection

Signature uses facial recognition cameras for employment and patient safety purposes. Signature also uses time clocks that scan employee handprints or fingerprints. For employment purposes, Signature uses the cameras and time clocks to automate the process of employees clocking in and out of work. For patient safety purposes, Signature uses the cameras to safely and accurately monitor patients and visitors that access and exit our facilities. The cameras and time clocks may collect, retain, and use certain employee information, patient information, or visitor information (collectively, the “Data”). The Data that is collected from the cameras and time clocks may constitute “biometric identifiers” or “biometric information” as defined below. As to the employment-related uses of the cameras and time clocks, Signature uses the technology solely for the purposes of recording employee time entries, and for payroll-related functions, and for no other purpose. As to the patient safety-related uses of the cameras, Signature uses the cameras solely for the purposes of monitoring access to our facilities and preventing elopement, and for no other purpose.

Definition of “Biometric Identifier” and “Biometric Information”

“Biometric identifier” includes a retina or iris scan, fingerprint, voiceprint, or scan of hand or face geometry. See e.g. Illinois Biometric Information Privacy Act, 740 ILCS § 14/1 et seq. Under certain state laws, Biometric identifiers do not include writing samples, written signatures, photographs, human biological samples used for valid scientific testing or screening, demographic data, tattoo descriptions, or physical descriptions such as height, weight, hair color, or eye color. Under certain state laws, Biometric identifiers also do not include information captured from a patient in a health care setting or information collected, used, or stored for health care treatment, payment, or operations under the federal Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). “Biometric information” includes any information, regardless of how it is captured, converted, stored, or shared, based on an individual’s biometric identifier used to identify an individual. Under certain state laws, Biometric information does not include information derived from items or procedures excluded under the definition of biometric identifiers.

Disclosure and Authorization

Signature may disclose Data to vendors and/or service providers to support the above-noted purposes, and Data may be disclosed to third parties in the event of a transfer or sale of all or some of the Signature’s assets. Signature will not otherwise disclose or disseminate Data to anyone without or unless:

First obtaining written consent to such disclosure or dissemination;
The disclosure of Data completes a financial transaction requested or authorized by the person from whom Data is collected;
Disclosure is required by state or federal law or municipal ordinance; or
Disclosure is required pursuant to a valid warrant or subpoena issued by a court of competent jurisdiction.

Data Storage

Signature shall use a reasonable standard of care to store, transmit and protect from disclosure any Data collected, stored, or used in connection with the cameras and time clocks. Such storage, transmission, and protection from disclosure shall be performed in a manner that is the same as or more protective than the manner in which Signature stores, transmits and protects from disclosure other confidential and sensitive information, including personal information that can be used to uniquely identify an individual or an individual’s account or property, such as account numbers, PINs, driver’s license numbers and social security numbers.

Retention Schedule and Destruction of Data

Data that is collected, stored, or used in connection with the cameras and time clocks is kept only as necessary to fulfill the purposes for which it was collected. Signature, its vendors and/or service providers permanently destroy said Data when the initial purpose for collecting or obtaining such Data has been satisfied or within three years of the individual’s last interaction with Signature, whichever occurs first. Signature deletes any such data when an individual’s employment with Signature ends. Absent a valid warrant or subpoena issued by a court of competent jurisdiction, Signature will comply with these retention and destruction guidelines.