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Security <br />Standards Council <br />Section 1: Assessment Information <br />Instructions for Submission <br />This Attestation of Compliance must be completed as a declaration of the results of the service provider's <br />assessment with the Payment Card Industry Data Security Standard Requirements and Security <br />Assessment Procedures (PCI DSS). Complete all sections: The service provider is responsible for <br />ensuring that each section is completed by the relevant parties, as applicable. Contact the requesting <br />payment brand for reporting and submission procedures. <br />Part 1. Service Provider and Qualified Security Assessor Information <br />Part 1a. Service Provider Organization Information <br />Company Name: <br />Bluefin Payment Systems <br />LLC <br />DBA (doing <br />business as): <br />Bluefin Payment Systems <br />Contact Name: <br />Brent Johnson <br />Title: <br />CISO <br />Telephone: <br />770.299.8533 <br />E-mail: <br />bjohnson@bluefin.com <br />Business Address: <br />8200 Roberts Drive, Suite <br />150 <br />City: <br />Atlanta <br />State/Province: <br />GA <br />Country: <br />United States <br />Zip: <br />30350 <br />URL: <br />https:/Iwww.bluefin.r-om <br />Part 1 b. Qualified Security Assessor Company Information (if applicable) <br />Company Name: <br />Foregenix Ltd <br />Lead QSA Contact Name: <br />Shawn Shifflett <br />Title: <br />Managing Consultant <br />Telephone: <br />+1972.292.8039 <br />E-mail: <br />sshifflett@foregenix.com <br />Business Address: <br />1st Floor, 8-9 High Street <br />City: <br />Marlborough <br />State/Province: <br />Wiltshire <br />Country: <br />UK <br />Zb <br />TSN81AA <br />URL: I http://www.foregenix.com <br />PCI DSS v3.2.1 Attestation of Compliance for Onsite Assessments— Service Providers, Rev. 1.0 June 2018 <br />@ 2006-2018 PC] Security Standards Council, LLC. All Rights Reserved. Page 1 <br />