*NAM’S FEES AND COSTS

NAM (National Arbitration and Mediation)

Employment Rules and Procedures

990 Stewart Avenue, First Floor

Garden City, NY 11530

Telephone: 1-800-358-2550

Fax: 516-794-8971

www.namadr.com

NAM EMPLOYMENT RULES AND PROCEDURES

DEMAND FOR ARBITRATION/ARBITRATION REQUEST FORM

FOR EMPLOYEES OF REIT MANAGEMENT & RESEARCH LLC

EMPLOYEE (CLAIMANT) INFORMATION

Name(s): ______________________________________________________________

Social Security #: _________________________________

*Contact Person or Counsel: ______________________________________________________________

Address: ______________________________________________________________

______________________________________________________________

Phone: _________________________________

Fax: _________________________________

Email Address: ______________________________________________________________

EMPLOYER (RESPONDENT) INFORMATION

Name(s): ______________________________________________________________

*Contact Person or Counsel: ______________________________________________________________

Address: ______________________________________________________________

______________________________________________________________

Phone: _________________________________

Email Address: ______________________________________________________________

Fax: _________________________________

*if applicable

RESPONDENT(S): Please take notice that pursuant to NAM’s Employment Rules and Procedures (which provide for Arbitrations of

disputes arising thereunder) and except as modified by the terms of the Employee's Agreement with Reit Management & Research LLC,

the Claimant identified above hereby demands Arbitration of a claim against you. These Rules and Procedures shall apply to all

matters referred to NAM as a result of a pre-dispute Arbitration contract provision entered into by mutual agreement between the parties.

You have twenty-one (21) days to serve the Claimant and NAM with a Reply to this Demand for Arbitration/Arbitration

Request Form by messenger service, overnight delivery service by a nationally recognized courier company or by certified mail. If you do

not serve the Claimant and NAM with a Reply within 21 days of service of this Notice, the Arbitrator may enter an award

against you.

This matter is to be resolved by arbitration. Such arbitration is to be conducted as an oral, in-person arbitration.

*The cost of the Arbitration is as follows: The Employer shall be responsible for all arbitration fees relating to the filing, administration and hearing of this

matter. NAM’s Fees and Costs for Employment Disputes Schedule is a part of this agreement. ALL FEES ARE SUBJECT TO ADJUSTMENT

ANNUALLY AS OF JULY 1

OF EACH YEAR.

Demand for Arbitration/Arbitration Request Form for Employees of Reit Management & Research LLC

(Employment Dispute Resolution) 12/1/15

NAM (National Arbitration and Mediation)

1-800-358-2550 / www.namadr.com

EMPLOYEE SECTION:

Please fill out the information requested below.

Position: ____________________________________________________________________________

Status: (full or part time)_____________________________________________________________________

Date of Hire: ______________________________ Date of Incident: _____________________________

Location of Employment: ________________________________________________________________

Please state the dispute you wish to have decided by an Arbitrator. Please explain why you believe the other Party’s

actions were unlawful and state the basis for your claim. Please attach additional sheets if necessary.

__________________________________________________________________________________________

Demand for Arbitration/Arbitration Request Form for Employees of Reit Management & Research LLC

(Employment Dispute Resolution) 12/1/15

NAM (National Arbitration and Mediation)

1-800-358-2550 / www.namadr.com

Please include the names of witnesses to the Party’s alleged unlawful action:

__________________________________________________________________________________________

Please state how you would like your dispute to be resolved. Please attach additional sheets if necessary.

__________________________________________________________________________________________

If you will be represented by an attorney, please identify that person and his/her firm in the Employee (Claimant)

Information space on the first page of this form.

I hereby submit the above-described dispute for Arbitration. I agree that the decision and award of the Arbitrator

will be final and binding as to all claims relating to my employment relationship with my Employer or its affiliates

that have been or could have been raised under my Arbitration Agreement with my Employer. I understand that I

am responsible for the fees of my own attorney, should I retain one, (unless the Arbitrator rules otherwise) subject

to the limitations in these Rules and my employment agreement with Reit Management & Research LLC. I also

understand the following: (a) neither NAM, nor its Officers, Directors, employees, representatives, Arbitrators or

Mediators shall be liable for any act or omission in connection with any arbitration or mediation conducted under

these Rules or any other rules of procedure mutually agreed upon by the parties; (b) neither NAM, nor its Officers,

Directors, employees, representatives, Arbitrators or Mediators is a necessary party in any further alternative dispute

resolution or judicial proceeding and may not be called to testify at any subsequent proceeding and (c) the parties

agree not to make any claims against NAM for damage, loss or injury and hereby waive any cause of action or other

Demand for Arbitration/Arbitration Request Form for Employees of Reit Management & Research LLC

(Employment Dispute Resolution) 12/1/15

NAM (National Arbitration and Mediation)

1-800-358-2550 / www.namadr.com

remedy against NAM, its employees, arbitrators/mediators, agents, etc. (d) NAM reserves the right to withhold

release of the Arbitrator’s award, or any decision of the Arbitrator, until all outstanding fees due to NAM from all

parties have been paid.

______________________________________

EMPLOYEE by: (signature)

Name: ________________________________ Date _____/_____/_____

EMPLOYER SECTION: REPLY TO DEMAND FOR ARBITRATION/ARBITRATION REQUEST FORM

The Employer hereby responds to the demand made by the Employee as follows (the Employer should

provide a response herein and attach any evidence to support such position):

__________________________________________________________________________________________

If you will be represented by an attorney, please identify that person and his/her firm in the Employer

(Respondent) Information space on the first page of this form.

I hereby submit my response to the above-described dispute for Arbitration. I agree that the decision and award of

the Arbitrator will be final and binding as to all claims relating to the employment relationship with the Employee

Demand for Arbitration/Arbitration Request Form for Employees of Reit Management & Research LLC

(Employment Dispute Resolution) 12/1/15

NAM (National Arbitration and Mediation)

1-800-358-2550 / www.namadr.com

that have been or could have been raised under our Arbitration Agreement with the Employee. I understand that I

am responsible for the fees billed to me by NAM. The Employer also understands the following: (a) neither NAM,

nor its Officers, Directors, employees, representatives, Arbitrators or Mediators shall be liable for any act or

omission in connection with any arbitration or mediation conducted under these Rules or any other rules of

procedure mutually agreed upon by the parties; (b) neither NAM, nor its Officers, Directors, employees,

representatives, Arbitrators or Mediators is a necessary party in any further alternative dispute resolution or judicial

proceeding and may not be called to testify at any subsequent proceeding and (c) the parties agree not to make any

claims against NAM for damage, loss or injury and hereby waive any cause of action or other remedy against NAM,

its employees, arbitrators/mediators, agents, etc. (d) NAM reserves the right to withhold release of the Arbitrator’s

award, or any decision of the Arbitrator, until all outstanding fees due to NAM from all parties have been paid.

______________________________________

EMPLOYER by: (signature)

Name: ________________________________

Title: ________________________________ Date _____/_____/_____

The parties are hereby notified that the Employee has filed copies of the Arbitration Agreement and this Demand

for Arbitration/Arbitration Request Form at NAM’s headquarters.

Either party may contact the NAM Employment Administrator indicated below in writing at NAM, 990 Stewart

Avenue, First Floor, Garden City, New York 11530 or by telephone with questions regarding the Arbitration

process or NAM’s Employment Rules and Procedures or to request a copy thereof.

Contact the NAM Administrator, _________________________________________________________ at

1-800-358-2550 ext. ____________________.