Clover Handbook 4.3.15

PROPERTY OF CLOVER FAST FOOD INC.

CLOVER EMPLOYEE HANDBOOK

v. 4.3.15

CLOVER HANDBOOK – PROPERTY OF CLOVER FAST FOOD INC.

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WELCOME

Welcome to Clover.

We’re building the future, and we need you to get it right.

What does that mean? It means we make a lot of mistakes. Tons and tons of mistakes. We

expect you’re going to screw some things up too. Maybe not as much as us, but you’re going to

make mistakes, and we’re going to love you for them. That’s what doing new things is all about.

But let’s make these failures work for us. To make that happen always follow these simple rules:

(a) Let’s work together to make sure your mistakes don’t cost anyone. That means don’t get

hurt, don’t create dangerous situations for others, and don’t bust my fryer, seriously.

(b) We’re going to ask you to learn (and help us learn) from EVERY SINGLE mistake you

make. We love NEW MISTAKES (as long as they don’t cost anyone, see above), but we

hate seeing the same mistakes again and again.

Over the coming weeks we want you to learn as much as you can as quickly as possible. You’re

going to learn what clean looks like, how to keep up with lines that grow larger everyday, and you

may even learn what a “Gordon” is. Above all you’re going to get to know our food. And we’re

going to be there with you along the way to provide the support you need.

You’re going to help us make Clover better than it is today. You’re going to do that by learning

from your failures and helping us learn from ours.

To start with, if you have any questions or concerns regarding any of the policies outlined in this

book, or if for any reason you are unable to follow any of these policies, it is your responsibility to

raise your questions or concerns with a manager. We’ll do our best to answer your questions or

make changes that improve Clover.

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HIRING

We hire people based on their ability to get the job done. Employment is at will (meaning you can

quit if it’s not working for you, and we can drop you if it’s not working for us). We work hard to help

you become better at what you do, and expect you to help us become better at what we do.

PAY

Provisional Employee ($10/ hr.)

When you start working for Clover you are hired provisionally. You will be considered for the position of

Team Member after a 4 week period. You must work a minimum of 80 hours before being considered for the

position of Team Member. If you are not invited to join the permanent team we will explain our reservations,

and may offer you an additional 4-week period to try for a permanent position. If after that 8-week period, we

still have reservations, we will shake hands and part ways as friends.

Team Member ($10 - $11.50/ hr.)

If you are invited to join the permanent team you will become a Team Member. As a team member, you

might be making sandwiches, taking orders, keeping everything sparkling, smiling, and laughing. You will

start at the base pay rate ($10) and be eligible for a $0.50 raise to $10.50 after 700 hours. Following that you

will be eligible for a $0.50 pay increase after 1400 hours to a maximum of $11.50/ hr. You will receive

monthly feedback from your manager about your performance.

Team Leader ($11.25 - $13.25/ hr.)

All Team Leaders start as Team Members and are expected to demonstrate the qualities of a

Team Leader before being awarded with that title/ pay. You will oversee a shift at Clover coordinating the

activities of 2-15 employees. Normally, that means you will run an open or close shift. You’re going to make

sure the food is perfect and get to know your customers by their names. Team Leaders are required to be

Serv-Safe-certified and Allergen-Awareness-certified before their promotion can take place. Team Leaders

will receive feedback from their manager once a month. Team Leaders will be eligible for annual pay

increases of $1/ hr. after 1 year or 26 pay periods.

Restaurant Assistant Manager ($32,000-36,000 annually; salary & bonus potential)

You will need to work into this role. Your base will start at $32K with bonus potential, paid quarterly. You’ll be

the right hand to a Clover manager, running the ship when they are not there and developing your skills to

run a restaurant on your own one day. This role is where Clover’s future leaders are forged. $1,000 potential

bonus issued quarterly based on 100% pass on Customer Service and Sanitation Inspections.

Truck and Restaurant General Manager ($40,000-110,000 annually; salary & bonus potential)

You’ll be running a not-so-small business or maybe several at one time. Restaurants are broken into tiers

based on sales volumes. Base pay will be set by tier. Managers will receive a quarterly bonus based on their

year-over-year sales increase for that quarter. On top of the quarterly bonus, there will be an end of year

bonus based on performance. The end of year bonus potential will grow the longer you’ve been at Clover.

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HIRING (CON’T)

SALARY STRUCTURE

(FOR RESTAURANT AND TRUCK MANAGERS):

OUTLINE OF BONUS STRUCTURE

(FOR RESTAURANT AND TRUCK MANAGERS):

* Ramped restaurant (older than 3 years): equal to 160% of year over year sales increase

e.g., 10% year over year growth will result in 16% bonus for quarter

** Bonus is calculated as a percentage of the pay for the quarter in question.

For new restaurants without previous year sales, budget numbers will be used.

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BENEFITS

HEALTH INSURANCE

All employees are eligible for health insurance after working full time for 90 working days. You are

considered a full-time employee when you work a minimum average of 37.5 hours/week over the

course of 3 months.

*Clover contributes 50% to all individual plans and 33% to all family plans

In compliance with all state, federal and local laws, we observe the rights granted to all persons,

stated under the Civil Rights Act of 1964 and under FMLA code, click here for more details or

refer to HR.

OTHER BENEFITS

All Employees:

-Discounted meals (we’ll sell you food at an at-cost rate)

-Discounted uniforms (we’ll sell you Clover shirts and hats at an at-cost rate)

-Health Insurance (50% employer contribution on single plans and a 33% contribution on family

plans (let HR know if you want to see the details of the plan))

-Free Knife Skills 101, 102, and 103 classes ($35 value)

-Free Cooking Classes (soup-making, hot sauce-making, pickling, soda-making, etc, $50 value)

-Quarterly food-sourcing trips (visit a roaster, brewer, or farmer with our Director of Food)

Benefits exclusive to salaried employees:

-Fitness Pay-Back Program (we’ll reimburse you by ½ for any fitness related classes or day-

passes, up to a max of $10/instance or $100/ month per employee).

-Hubway Bike Program membership

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GETTING PAID

PAYCHECKS

Paychecks are issued every 2 weeks. Payments are issued 1 week after the last week worked,

so your first paycheck will arrive by the 3rd Friday you’ve been working for Clover.

You can receive payroll two ways, through direct deposit or a payroll card. The payroll card will be

subject to a $2 fee upon issue and can be used as a debit card. We avoid cutting checks so that

we’re as paperless as possible.

If there are ever any discrepancies in pay, bring those to the attention of your manager ASAP we

will work to resolve as soon as possible.

PAY

To avoid printing pay stubs that get thrown away we use an online system called ADP iPay. Use

iPay to view and print your earnings statements and W2 information from any location at any

time. This requires computer access. If you don’t have access to a computer just let us know and

we can help give you access.

How to Register on ADP iPayStatements:

Go to https://paystatements.adp.com.

Click on “Register Now.”

Enter the Self Service Registration Pass Code. The code is: cloverff-ess

Select iPayStatements as the self-service product.

You will then be prompted to complete a registration process where you answer a few security

questions and select a password. Your password must contain between 8 to 20 characters and at

least one alpha and one numeric character. You will be assigned a system-generated User ID

that will be emailed to you. The security questions will be used to verify your identity if you ever

forget your user ID or password.

Upon completing the registration process, you may access your pay statements at

https://paystatements.adp.com.

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GENERAL

TIME OFF

Just ask! We want to know at least a week in advance. More notice is better. All requests for time

off should be communicated through When I Work, at least 1 week in advance for hourly

employees and 2 weeks in advance for team leaders. If you’re a manager or assistant manager

you’ll be expected to give 1 month’s advance notice, by filling out a PTO Request form and

submitting it to your direct report.

SICK DAYS

We’re determined to NEVER get a customer sick. So when you’re feeling sick it’s your

responsibility to let your manager know ASAP. Even if it’s just a sniffle we want to know. We will

work with you to make sure you get as many hours as you want, but that you’re not working with

food when you’re sick. If you are absent for an extended period of time due to illness your

manager may require a note from your doctor clearing you to work. All Clover employees must

adhere to our SICKNESS AGREEMENT and sign prior to starting with Clover.

ATTENDANCE

We want to provide the best possible experience to all of our customers and to our team. When

you are absent or late, the customers and the whole team will suffer. We understand that there

are emergencies that may cause you to be absent or run late. If you have an emergency please

let your manager know as soon as possible. This will allow your manager to find somebody to fill

your shift. Unless you have an emergency or are sick, you are expected to work every shift for

which you are scheduled. “No-call, no-shows” will not be tolerated.

There may be times when you can leave your shift early. This is at the discretion of your

manager/ supervisor. Everyone is expected to be on time for his or her shift. If you are scheduled

to start work at 7am, you must be dressed in a clean Clover uniform, reporting to your team

leader or manager at 7am. You are late if you are walking in the door at 7am and reporting at

7:05am.

CLOCKING IN AND OUT

All Clover employees are issued an employee ID number and are expected to Clock-in and

Clock-out for shifts in order to be paid for that shift. Clock in should happen on-time when you are

ready to start work at the scheduled time your are expected to start work. The same goes for end

of shift. In order to be paid for your time at Clover you must be clocking in and out for both your

scheduled shift and any breaks you take.

DEPARTING FROM EMPLOYMENT

Though we’d like to keep everyone around for as long as possible, we understand there may

come a time for you to move on from your job at Clover. By following the correct procedure, you

can ensure a successful departure for yourself and for your manager. If you’re a Team Member or

a Team Leader, we ask that you give your manager 2 weeks’ notice. For all salaried positions, we

ask that you give your direct report at least 1 month’s notice. We want you to leave feeling good

about your experience at Clover and depart as friends. We hope that wherever you end up, you

take along some of your learning’s from your time at Clover.

BREAKS

Breaks are at the discretion of the manager or team leader in charge (we may send an employee

on a 15 min paid break when working a shorter shift when time permits). If you’re working a

longer shift (more than 6 hours) we require you to take a 30-minute meal break, unpaid.

Employees must clock out for breaks and back in after breaks, unless the manager specifies the

break is paid.

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GENERAL (CON’T)

MEALS

Clover offers food and beverages for employees at a discount. All orders should be placed with

an order taker. Our generosity depends upon your honesty and adherence to this policy. All food

should be enjoyed outside of any prep area. You will find that we TASTE food all day long. This is

absolutely critical to delivering Clover’s food quality. TASTING is very different than EATING. You

will learn the difference as part of your training.

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GENERAL (CON’T)

UNIFORM

The Clover uniform consists of:

- A Clean Clover T-shirt ($20)

- A Clean Clover Hat ($10)

- A Clean Clover blue apron ($8)

- Dark blue jeans (clean, no holes, we like Levis 501)

- Slip Resistant or Non-skid close toed shoes (we prefer Croc Bistro Clogs)

You must wear your Clover uniform anytime you are working. We expect you to look professional

(clean hair, shaved, face, etc). If you have long hair that is not pulled back and contained by the

hat you will have to wear a hair net. Anyone with facial hair longer than ¼ inches will be required

to wear a beard guard. Jewelry like earrings, necklaces, rings, bracelets etc. should not be worn

(with the exception of a simple wedding band). Facial piercings are not to be worn during your

shift.

On your first day of work you will be issued a Clover Hat, Clover T-shirt, and Clover blue apron.

You will be charged for these through a payroll deduction on your first paycheck. If you need

additional or replacement items, just let us know, and we’ll be happy to get you set up.

TELEPHONE POLICY

You may not use your phone for calls or text messages while working. Phones should never be

used when operating a company-owned, company-leased or company-rented vehicle.

TEXTING POLICY

We don’t use texting to communicate at Clover. Please do not text your manager or co-workers

about work-related issues. Use phone or Wheniwork instead.

ZERO TOLERANCE

Harassment, violence, or the threats of violence are not tolerated at Clover. If you experience any

of these you have the duty to report the incident to your manager immediately.

Intoxication of any type is not permitted at Clover. This means no drinking on the job and no use

or possession of any drugs. Employees are not permitted to buy or drink alcohol at Clover; doing

so will result in immediate dismissal.

SMOKING POLICY

Smoking is not allowed in any Clover facility, restaurant or vehicle. Any employee, especially one

in uniform, wanting to smoke, must do so 3 blocks away from any Clover location. The employee

must be on break and let their manager or team leader know that they are stepping away.

SAFETY

We don’t want any of our employees to get hurt making Clover’s food. If an accident happens,

even a minor accident, please notify your manager immediately.

USE OF COMPANY TECHNOLOGY

Be careful with the iPods. We’d rather pay you more or buy better food than spend money on

replacing broken electronics. Don’t take them away from work. They are all equipped with

tracking devices. Clover’s electronic devices are the property of Clover and are to be used for

work purposes. All information and messages composed, sent or received on any Clover system

is the property of Clover. Employees should not hold the expectation of privacy when using

Clover systems.

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FOOD DEV

Every single recipe, everything we do, has been developed with help from our customers and

employees. We invite you to join us in helping further the development of our food. We meet

every Tuesday at 3pm at the CloverHUB in Inman Square for Food Development Meetings.

These meetings are open to the public. We encourage everyone to attend.

If you’d like to submit a recipe for the Clover menu, follow these steps:

STEP 1: CHAMPION AN IDEA

Think of an item you had once that you still think about. Maybe it was a dish from childhood,

something your family made every year, something you had on a trip you never forgot. We like

recipes that come from real places and that have real stories tied to them. Our chickpea fritter

was inspired by a falafel Ayr ate in Paris. Our cinnamon lemonade came from a customer who

thought it might be a good idea. The Pushpir Sandwich was developed with help from our favorite

Indian chef. The Enzo Sandwich came from a salad Vincenzo’s family makes in Calabria, Italy.

The pimento came from Lucia’s grandmother’s recipe from Texas. Craig tasted fresh jalapenos

and thought they’d make a great soda.

Your item should come from a real place or memory. A cookbook or internet search might help

you develop the recipe, but it’s generally not the best place to start when coming up with an idea.

Talk to your manager or to one of Clover’s Development Chefs (Chris, Enzo, Ayr). They’ll be able

to give you advice, point you in the right direction, and offer up a space for you to prepare your

food.

STEP 2: BRING YOUR ITEM TO A FOOD DEVELOPMENT MEETING

We’ll all taste your item. Most of the time we do blind tastings. We ask ourselves questions when

we taste like “Is this something I want more of?” or “Do I want another bite…?” We all give

feedback, and Ayr usually makes final decision.

WE LOOK FOR:

-Bright, clear and clean flavors

-A celebration of one ingredient or just a few (take a nice ingredient and highlight it, not cover it

up. For example, apple soda (yes) vs apple cinnamon soda (no)

-No processed flavors, absence of oldness or muddled flavors

Things we consider:

-Cost Structure

-Does it fit with our food model?

-Nutritional value

-Is this something we can pull off at scale?

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FOOD DEV (CON’T)

STEP 3: TEST AT A LOCATION

We might love what you brought. Now we want to see how the customers feel. The kitchen will

scale this in small batches and send to a location where we will test it with customers. Based on

their feedback, we will rework idea and bring it back to a future Food Dev meeting. This can go on

and on until we love it and customers agree. All our items are up for re-working at any time (the

falafel batter is on version 32!)

STEP 4: SCALE FOR PRODUCTION

Now that we know we love it, we have to figure out how to scale the recipe into production. This

takes some testing in the kitchen. We perform costing analyses and figure out the nutritional

values of the item.

We consider:

-Is this item profitable?

-Does it fit with our food model?

-Is this item nutritionally aligned with our menu?

-Is this something we can pull off at scale?

The kitchen also has to prepare training materials, which include videos and cards for locations

and training in the kitchen on the production side.

STEP 5: LAUNCH

Training materials are sent to locations, packaging and production is in place in kitchen,

promotion is in place.

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CONFIDENTIALITY

Clover Fast Food Inc.

At-Will Employee Conflicts, Confidentiality and Assignment Agreement

As a condition of my employment with Clover Fast Food, Inc., its subsidiaries, affiliates,

successors or assigns (together the “Company”), and in consideration of my employment

with and compensation hereafter paid to me by Company, and in recognition that

Company has a legitimate interests in the foregoing provisions given its innovative

approach to technology and the food service business, and in recognition of the fact that

as an employee of the Company I will have access to confidential and proprietary

information, I agree as follows:

1. Proprietary Information. I agree that all information, whether or not in writing,

concerning the Company’s business, technology, business relationships or financial

affairs which the Company has not released to the general public (collectively,

“Proprietary Information”) is and will be the exclusive property of the Company.

By way of illustration, Proprietary Information may include information or material which

has not been made generally available to the public, such as: (a) corporate information,

including plans, strategies, methods, policies, resolutions, negotiations or litigation; (b)

marketing information, including strategies, methods, customer identities or other

information about customers, prospect identities or other information about prospects, or

market analyses or projections; (c) financial information, including cost and performance

data, debt arrangements, equity structure, investors and holdings, purchasing and sales

data and price lists; and (d) operational and technological information, including plans,

specifications, manuals, forms, templates, software, designs, methods, procedures,

formulas, discoveries, inventions, improvements, concepts, recipes and ideas; and (e)

personnel information, including personnel lists, reporting or organizational structure,

resumes, personnel data, compensation structure, performance evaluations and

termination arrangements or documents. Proprietary Information also includes

information received in confidence by the Company from its customers or suppliers or

other third parties.

2. Recognition of Company’s Rights. I will not, at any time, without the Company’s prior

written permission, either during or after my employment, disclose any Proprietary

Information to anyone outside of the Company, or use or permit to be used any

Proprietary Information for any purpose other than the performance of my duties as an

employee of the Company. I will cooperate with the Company and use my best efforts to

prevent the unauthorized disclosure of all Proprietary Information. I will deliver to the

Company all copies of Proprietary Information in my possession or control upon the

earlier of a request by the Company or termination of my employment.

3. Rights of Others. I understand that the Company is now and may hereafter be subject to

non- disclosure or confidentiality agreements with third parties, which require the

Company to protect or refrain from use of proprietary information. I agree to be bound by

the terms of such agreements in the event I have access to such proprietary information.

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CONFIDENTIALITY

4. Commitment to Company; Avoidance of Conflict of Interest. While an employee of the

Company, I will devote my good faith efforts to the Company’s business and I will not

engage in any other business activity that conflicts with my duties to the Company. I will

advise the president of the Company or his or her nominee at such time as any activity of

either the Company or another business presents me with a conflict of interest or the

appearance of a conflict of interest as an employee of the Company. I will take whatever

reasonable action is requested of me by the Company to resolve any conflict or

appearance of conflict which it finds to exist.

By way of illustration, conflicts may include working at another restaurant directly

competitive with Company or any entity the Company believes is trying to duplicate its

unique approach to the fast order food service business as it relates to food product

sourcing, POS technology, food trucks or organizational systems….

5. Developments. I will make full and prompt disclosure to the Company of all inventions,

discoveries, designs, developments, methods, modifications, improvements, processes,

algorithms, databases, computer programs, formulae, techniques, trade secrets, graphics

or images, audio or visual works, recipes and other works of authorship (collectively

“Developments”), whether or not patentable or copyrightable, that are created, made,

conceived or reduced to practice by me (alone or jointly with others) or under my

direction during the period of my employment. I acknowledge that all work performed by

me is on a “work for hire” basis, and I hereby do assign and transfer to the Company and

its successors and assigns all my right, title and interest in all Developments that (a)

relate to the business of the Company or any of the products or services being

researched, developed, manufactured or sold by the Company or which may be used with

such products or services; or (b) directly result from tasks assigned to me by the

Company; or (c) result from the use of premises or personal property (whether tangible or

intangible) owned, leased or contracted for by the Company (“Company-Related

Developments”), and all related patents, patent applications, trademarks and trademark

applications, copyrights and copyright applications, and other intellectual property rights

(“Intellectual Property Rights”).

Company acknowledges and respects that I may be involved in personal projects that fall

completely outside of the scope of my employment hereunder and I understand that it is

no Company’s intent in connection with the above provision to hinder my artistic freedom

as it relates to my personal endeavors. Accordingly, this Agreement shall not apply to

any Developments that I create entirely on my own time and with at any point using any of

Company’s property or Proprietary Information.

6. Documents and Other Materials. I will use best efforts to keep and maintain adequate

and current records of all Proprietary Information and Company-Related Developments

developed by me during my employment, which records will be available to and remain

the sole property of the Company at all times.

All files, letters, notes, memoranda, reports, records, data, sketches, drawings,

notebooks, layouts, charts, quotations and proposals, specification sheets, program

listings, blueprints, models, prototypes, recipes or other written, photographic or other

tangible material containing Proprietary Information, whether created by me or others,

which come into my custody or possession, are the exclusive property of the Company to

be used by me only in the performance of my duties for the Company. Any property

situated on the Company’s premises and owned by the Company, including without

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CONFIDENTIALITY

limitation computers, disks and lockers or other work areas, is subject to inspection by

the Company at any time with or without notice. In the event of the termination of my

employment for any reason, I will deliver to the Company all files, letters, notes,

memoranda, reports, records, data, sketches, drawings, notebooks, layouts, charts,

quotations and proposals, specification sheets, program listings, blueprints, models,

prototypes, recipes or other written, photographic or other tangible material containing

Proprietary Information, and other materials of any nature pertaining to the Proprietary

Information of the Company and to my work, and will not take or keep in my possession

any of the foregoing or any copies.

7. Enforcement of Intellectual Property Rights. I will cooperate fully with the Company,

both during and after my employment with the Company, with respect to the procurement,

maintenance and enforcement of Intellectual Property Rights in Company-Related

Developments. I will sign all papers, including without limitation copyright applications,

patent applications, declarations, oaths, assignments of priority rights, and powers of

attorney, which the Company may deem necessary or desirable in order to protect its

rights and interests in any Company-Related Development. If the Company is unable, after

reasonable effort, to secure my signature on any such papers, I hereby irrevocably

designate and appoint each officer of the Company as my agent and attorney-in- fact to

execute any such papers on my behalf, and to take any and all actions as the Company

may deem necessary or desirable in order to protect its rights and interests in any

Company-Related Development.

9. Government Contracts. I acknowledge that the Company may have from time to time

agreements with other persons impose obligations or restrictions on the Company

regarding inventions made during the course of work under such agreements or

regarding the confidential nature of such work. I agree to comply with any such

obligations or restrictions upon the direction of the Company. In addition to the rights

assigned under paragraph 5, I also assign to the Company (or any of its nominees) all

rights which I have or acquired in any Developments, full title to which is required to be in

the United States under any contract between the Company and the United States or any

of its agencies.

10. Prior Agreements. I hereby represent that, except as I have fully disclosed previously

in writing to the Company, I am not bound by the terms of any agreement with any

previous employer or other party to refrain from using or disclosing any trade secret or

confidential or proprietary information in the course of my employment with the Company

or to refrain from competing, directly or indirectly, with the business of such previous

employer or any other party. I further represent that my performance of all the terms of

this Agreement as an employee of the Company does not and will not breach any

agreement to keep in confidence proprietary information, knowledge or data acquired by

me in confidence or in trust prior to my employment with the Company. I will not disclose

to the Company or induce the Company to use any confidential or proprietary information

or material belonging to any previous employer or others.

11. Remedies Upon Breach. I understand that the restrictions contained in this Agreement

are necessary for the protection of the business and goodwill of the Company and I

consider them to be reasonable for such purpose. Any breach of this Agreement is likely

to cause the Company substantial and irrevocable damage and therefore, in the event of

such breach, the Company, in addition to such other remedies which may be available,

will be entitled to specific performance and other injunctive relief.

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CONFIDENTIALITY

12. Use of Voice, Image and Likeness. I give the Company permission to use my voice, image or

likeness, with or without using my name, for the purposes of advertising and

promoting the Company, or for other purposes deemed appropriate by the Company in its

reasonable discretion, except to the extent expressly prohibited by law.

13. Publications and Public Statements. I will obtain the Company’s written approval before

publishing or submitting for publication any material that relates to my work at the Company and/or

incorporates any Proprietary Information. To ensure that the Company delivers a consistent

message about its products, services and operations to the public, and further in recognition that

even positive statements may have a detrimental effect on the Company in certain securities

transactions and other contexts, any statement about the Company which I create, publish or post

during my period of employment and for six (6) months thereafter, on any media accessible by the

public, including but not limited to electronic bulletin boards and Internet-based chat rooms, must

first be reviewed and approved by an officer of the Company before it is released in the public

domain.

14. No Employment Obligation. I understand that this Agreement does not create an obligation on

the Company or any other person to continue my employment. I acknowledge that, unless otherwise

agreed in a formal written employment agreement signed on behalf of the Company by an

authorized officer, my employment with the Company is at will and therefore may be terminated by

the Company or me at any time and for any reason.

15. Survival and Assignment by the Company. I understand that my obligations under this

Agreement will continue in accordance with its express terms regardless of any changes in my title,

position, duties, salary, compensation or benefits or other terms and conditions of employment. I

further understand that my obligations under this Agreement will continue following the termination

of my employment regardless of the manner of such termination and will be binding upon my heirs,

executors and administrators. The Company will have the right to assign this Agreement to its

affiliates, successors and assigns. I expressly consent to be bound by the provisions of this

Agreement for the benefit of the Company or any parent, subsidiary or affiliate to whose employ I

may be transferred without the necessity that this Agreement be resigned at the time of such

transfer.

17. Severability. In case any provisions (or portions thereof) contained in this Agreement shall, for

any reason, be held invalid, illegal or unenforceable in any respect, such invalidity, illegality or

unenforceability shall not affect the other provisions of this Agreement, and this Agreement shall be

construed as if such invalid, illegal or unenforceable provision had never been contained herein. If,

moreover, any one or more of the provisions contained in this Agreement shall for any reason be

held to be excessively broad as to duration, geographical scope, activity or subject, it shall be

construed by limiting and reducing it, so as to be enforceable to the extent compatible with the

applicable law as it shall then appear.

18. Interpretation. This Agreement will be deemed to be made and entered into in the

Commonwealth of Massachusetts, and will in all respects be interpreted, enforced and governed

under the laws of the Commonwealth of Massachusetts. I hereby agree to consent to personal

jurisdiction of the state and federal courts situated within the Commonwealth of Massachusetts for

purposes of enforcing this Agreement, and waive any objection that I might have to personal

jurisdiction or venue in those courts.

CLOVER HANDBOOK – PROPERTY OF CLOVER FAST FOOD INC.

PAGE 16 – 4/3/15

SALARIED

In addition to the hourly handbook, the following policies, rules and regulations apply to all

Salaried Employees who work for Clover. All salaried employees, managers, assistant managers

and corporate persons, are expected to follow and enforce company policy.

SALARIED EMPLOYEES

Salaried employees are paid by salary and not hourly and are exempt from overtime pay and

minimum wage provisions of State and Federal wage laws. Salaried employees are expected to

work a minimum of 50 hours/week and may be required to work weekends or holidays.

If at any time policy or standards of Clover are broken, a salaried person may be suspended with

out pay for any given amount of time.

TIME OFF

Salaried employees earn Paid-Time Off (PTO): 10 days for Assistant Managers and 15 days for

Managers/Corporate. Days off are vested quarterly. These days should be used any time salaried

employees don’t want to or are unable to work, including vacation, holidays, sick days, etc. If you

need a day off from work and you don’t have PTO, you should request an unpaid (UP) day off

from your direct report. As a company, we will try to accommodate these requests as best we

can. Anyone on salary can request to take an UP unpaid day with proper advance notice. Partial

days off (working less than a normal day of work) will be granted by the same PTO policy. Any

salaried person that is looking to take a partial day of work off is required to notify HR in writing.

Vacations should be scheduled at least 1 month in advance. Sickness and other emergencies

should be communicated as early as possible. If your location is closed down due to weather or

national holidays, we’ll work with you to figure out whether you should take PTO, take an UP day,

or work at another location.

Unused PTO expires at the end of each calendar year or upon departure if a salaried employee

discontinues working at Clover. If a person taking PTO fails to return to work after the last day of

approved PTO, the PTO will not be issued to the employee and last day the employee worked will

be the last paid day of the pay period.

TRACKING PTO/UP TIME:

See HR Folder (shared with all Salaried Persons in Drive), Leadership Attendance Log. Will give

you a balance of PTO and show you what days we have tracked as being taken off, both paid

and unpaid. Any requests made will be marked on a calendar and shared with you so that you

can track status of request. Questions about PTO or concerns can be addressed with either your

direct report or HR.

GREEN LIGHT DATES FOR TIME OFF:

Certain times of year are ideal for taking planned time off. They include January 1-Febuary 28

th

,

December 1-31

BLACKOUT DATES FOR TIME OFF:

Certain times are not ideal for taking planned time off, and there is a high chance that time

requested around these dates will be denied. They include April 1-May 31 (Truck Launches) and

August 1- September 30 (High Volume Days)

PAY

If there are ever any discrepancies in pay, bring those to the attention of HR

(Megan@cloverfastfood.com) ASAP we will work to resolve as soon as possible.

CLOVER HANDBOOK – PROPERTY OF CLOVER FAST FOOD INC.

PAGE 17 – 4/3/15

CHECKLIST

! Review employee handbook

! Complete Safety & Sanitation Quiz

! Load Employee in When I Work

! Complete direct deposit/ Pay card

! Sign confidentiality agreement

! Complete W-4

! Complete M-4

! Complete I9

! Complete WOTC

! Upload employee picture to Flickr

! Order uniform for employee

! Sign Sickness Reporting Agreement

! Sign up employee for Knife Skills

(PLEASE INITIAL EACH OF THE ABOVE ITEMS TO INDICATE PAPERWORK IS COMPLETE)

I have read the Clover employee handbook, understand its contents, and will adhere to Clover’s policies provided in this

handbook which is only to be used a general guidance and not intended to constitute or create any enforceable rights.

This handbook does not create an employment contract between yourself and Clover. This document is updated regularly

and changes are posted online; Clover retains the right to unilaterally change the terms of this manual at any time. I

understand that it is my responsibility to understand the handbook content and to stay updated with changes to this

document. If I have any issue with Clover policies it is my responsibility to raise those issues with Clover management

immediately.

(Employee Signature) (Employee Name) (Date)

(Manager Signature) (Manager Name) (Date)

(LOCATION) (TITLE)

CLOVER HANDBOOK – PROPERTY OF CLOVER FAST FOOD INC.

PAGE 18 – 4/3/15

FLICK’R

1. SNAP a picture. This should be taken in portrait, NOT LANDSCAPE.

2. Start an email to Flickr (in contacts of a Clover iPod).

3. In the Subject line:

-Introduce new hire (first name only!)

-Where will this person work at Clover?

-Role at Clover?

-Write something interesting about them, should be non-Clover-related,

something you found out in learning more about them that others would

find interesting

EXAMPLE: Meet Harry, he is helping out with prep at KND. He used to

live in ME where he cooked for a kids camp focused on farming.

4. Send in Actual Format.

5. Double check that the picture posted to the website!

CLOVER HANDBOOK – PROPERTY OF CLOVER FAST FOOD INC.

PAGE 19 – 4/3/15

FOR PAYROLL

Hire Date: _______________________________

SS#: _______________________________

First Name: _______________________________

Last Name : _______________________________

Birth Date : _______________________________

Address 1: _______________________________

Address 2: _______________________________

City: _______________________________

State: _______________________________

Zip: _______________________________

Phone: _______________________________

Job Title (circle): PE TM TL AM GM GMIT OTHER_______

Type (circle): Full Time Part Time Seasonal Student Temporary

Reports to : _______________________________

Home Department: ____________________000H (hourly) or 000S (salary)

FLSA (circle): exempt non exempt

Rate Type(circle): Hourly Bi-Weekly

Base Rate/Yearly Salary : _______________________________

Standard Hours: _____________________

Federal Status (circle) : Single Married

Fedral Exemptions : _______________________________

State Status (circle) : Single Married

State Exemptions : ____________________________

CLOVER HANDBOOK – PROPERTY OF CLOVER FAST FOOD INC.

PAGE 20 – 4/3/15

DIRECT DEPOSIT

Authorization for Direct Deposit

Balance of pay to:

Important: Please attach a voided check for each bank account to which funds should be

deposited.

Payers: Do not send this form with your Direct Deposit enrollment. Keep for your

records.

I authorize to deposit my pay automatically to the

account(s) indicated below and, if necessary, to adjust or reverse a deposit for any payroll entry

made to my account in error. This authorization will remain in effect until I cancel it in writing and

in such time as to afford

a reasonable opportunity to act on it.

Name on bank account:

Name of bank:

Bank account number: Checking or Savings

Bank routing number:

A

mount: $ or entire paycheck

Manual (paper) check

Account described below

Name on bank account:

Name of bank:

Bank account number: Checking or Savings

Bank routing number:

Employee/Contractor signature:

Date:

CLOVER HANDBOOK – PROPERTY OF CLOVER FAST FOOD INC.

PAGE 21 – 4/3/15

PAYCARD

ABA Routing # _________________________________

Account # _____________________________________

ADP Majors

TotalPay® Card Application

Branch/Company Code: TMZ

Instructions: Return this completed application via fax or mail to:

Fax: (866)-841-9317

Mail: Money Network Operations, ADP Majors (8269)

7000 Goodlett Farms Pkwy, Suite 200

Cordova, TN 38016

CARD NUMBER

4682 7102 1728 2566

(Found on the front of your card)

APPLICANT’S NAME

DATE OF BIRTH

SOCIAL SECURITY NUMBER

(First)

(MI)

(Last)

(MM/DD/YY)

(xxx-xx-xxxx)

HOME ADDRESS (P.O. Box will not be accepted)

(Street Address/Apt #)

(City)

(State)

(Zip)

PHONE NUMBER

EMAIL ADDRESS

(Home)

(Cell)-optional

(Optional)

EMPLOYER NAME

Clover Fast Food

(Company Name)

EMPLOYER CONTACT INFORMATION

Megan Pileggi 401.965.2544

megan@cloverfastfood.com

(Phone)

(Fax)

(Email Address)

Important Information About Applying for an Account Meta Bank complies with Section 326 of the USA PATRIOT Act, which requires

financial institutions to obtain, verify, and record information that identifies each person who opens an account. You are required to

complete the fields asking for your name, address, date of birth, social security number, and other information that will allow us to identify

you.

I am requesting to establish a DDA account at Money Network and the issuance of a TotalPay Card. Under penalties of perjury, I certify

that the information provided above is accurate and truthful. I authorize Money Network to obtain information necessary to verify my identity

and the information provided in this application, including verification of employment. If my application is accepted, I understand that the

account and use of the card are subject to all of the terms and conditions described. I understand, acknowledge and agree that the

account is designed for the direct deposit of payroll funds. No interest will be earned on funds in my account.

___________________________________________________________________

(Applicant’s Signature) (Date)

I authorize my employer (or its payroll service provider) to initiate credit entries and, if necessary, to initiate any action to reverse or correct

an erroneous credit entry to my pay card account, for the purpose of automatically depositing funds into my pay card account. I understand

that this authorization replaces any previous authorizations and will remain in full force and effect until my employer has received written

notification from me of its termination in such time and in such manner as to afford my employer and the bank a reasonable opportunity to

act on it.

___________________________________________________________________

(Applicant’s Signature) (Date)

CLOVER HANDBOOK – PROPERTY OF CLOVER FAST FOOD INC.

PAGE 22 – 4/3/15

CONFIDENTIALITY

I UNDERSTAND THAT THIS AGREEMENT AFFECTS IMPORTANT RIGHTS. BY SIGNING

BELOW, I CERTIFY THAT I HAVE READ IT CAREFULLY AND AM SATISFIED THAT I

UNDERSTAND IT COMPLETELY.

IN WITNESS WHEREOF, the undersigned has executed this agreement as a sealed

instrument as of the date set forth below.

Signed: __________________________________________________________

(Employee’s full name)

Type or print name: _____________________

Date: __________________

CLOVER HANDBOOK – PROPERTY OF CLOVER FAST FOOD INC.

PAGE 23 – 4/3/15

W4

Form W-4 (2015)

Purpose. Complete Form W-4 so that your employer

can withhold the correct federal income tax from your

pay. Consider completing a new Form W-4 each year

and when your personal or financial situation changes.

Exemption from withholding. If you are exempt,

complete only lines 1, 2, 3, 4, and 7 and sign the form

to validate it. Your exemption for 2015 expires

February 16, 2016. See Pub. 505, Tax Withholding

and Estimated Tax.

Note. If another person can claim you as a dependent

on his or her tax return, you cannot claim exemption

from withholding if your income exceeds $1,050 and

includes more than $350 of unearned income (for

example, interest and dividends).

Exceptions. An employee may be able to claim

exemption from withholding even if the employee is a

dependent, if the employee:

• Is age 65 or older,

• Is blind, or

• Will claim adjustments to income; tax credits; or

itemized deductions, on his or her tax return.

The exceptions do not apply to supplemental wages

greater than $1,000,000.

Basic instructions. If you are not exempt, complete

the Personal Allowances Worksheet below. The

worksheets on page 2 further adjust your

withholding allowances based on itemized

deductions, certain credits, adjustments to income,

or two-earners/multiple jobs situations.

Complete all worksheets that apply. However, you

may claim fewer (or zero) allowances. For regular

wages, withholding must be based on allowances

you claimed and may not be a flat amount or

percentage of wages.

Head of household. Generally, you can claim head

of household filing status on your tax return only if

you are unmarried and pay more than 50% of the

costs of keeping up a home for yourself and your

dependent(s) or other qualifying individuals. See

Pub. 501, Exemptions, Standard Deduction, and

Filing Information, for information.

Tax credits. You can take projected tax credits into account

in figuring your allowable number of withholding allowances.

Credits for child or dependent care expenses and the child

tax credit may be claimed using the Personal Allowances

Worksheet below. See Pub. 505 for information on

converting your other credits into withholding allowances.

Nonwage income. If you have a large amount of

nonwage income, such as interest or dividends,

consider making estimated tax payments using Form

1040-ES, Estimated Tax for Individuals. Otherwise, you

may owe additional tax. If you have pension or annuity

income, see Pub. 505 to find out if you should adjust

your withholding on Form W-4 or W-4P.

Two earners or multiple jobs. If you have a

working spouse or more than one job, figure the

total number of allowances you are entitled to claim

on all jobs using worksheets from only one Form

W-4. Your withholding usually will be most accurate

when all allowances are claimed on the Form W-4

for the highest paying job and zero allowances are

claimed on the others. See Pub. 505 for details.

Nonresident alien. If you are a nonresident alien,

see Notice 1392, Supplemental Form W-4

Instructions for Nonresident Aliens, before

completing this form.

Check your withholding. After your Form W-4 takes

effect, use Pub. 505 to see how the amount you are

having withheld compares to your projected total tax

for 2015. See Pub. 505, especially if your earnings

exceed $130,000 (Single) or $180,000 (Married).

Future developments. Information about any future

developments affecting Form W-4 (such as legislation

enacted after we release it) will be posted at www.irs.gov/w4.

Personal Allowances Worksheet (Keep for your records.)

A Enter “1” for yourself if no one else can claim you as a dependent . . . . . . . . . . . . . . . . . . A

B Enter “1” if:

{

• You are single and have only one job; or

• You are married, have only one job, and your spouse does not work; or . . .

•

Your wages from a second job or your spouse’s wages (or the total of both) are $1,500 or less.

}

B

C

Enter “1” for your spouse. But, you may choose to enter “-0-” if you are married and have either a working spouse or more

than one job. (Entering “-0-” may help you avoid having too little tax withheld.) . . . . . . . . . . . . . .

C

D Enter number of dependents (other than your spouse or yourself) you will claim on your tax return . . . . . . . . D

E Enter “1” if you will file as head of household on your tax return (see conditions under Head of household above) . . E

F Enter “1” if you have at least $2,000 of child or dependent care expenses for which you plan to claim a credit . . . F

(Note. Do not include child support payments. See Pub. 503, Child and Dependent Care Expenses, for details.)

G Child Tax Credit (including additional child tax credit). See Pub. 972, Child Tax Credit, for more information.

• If your total income will be less than $65,000 ($100,000 if married), enter “2” for each eligible child; then less “1” if you

have two to four eligible children or less “2” if you have five or more eligible children.

• If your total income will be between $65,000 and $84,000 ($100,000 and $119,000 if married), enter “1” for each eligible child . . .

G

H

Add lines A through G and enter total here. (Note. This may be different from the number of exemptions you claim on your tax return.)

a

H

For accuracy,

complete all

worksheets

that apply.

{

• If you plan to itemize or claim adjustments to income and want to reduce your withholding, see the Deductions

and Adjustments Worksheet on page 2.

• If you are single and have more than one job or are married and you and your spouse both work and the combined

earnings from all jobs exceed

$50,000 ($20,000 if married), see the Two-Earners/Multiple Jobs Worksheet on page 2 to

avoid having too little tax withheld.

• If neither of the above situations applies, stop here and enter the number from line H on line 5 of Form W-4 below.

Separate here and give Form W-4 to your employer. Keep the top part for your records.

Form W-4

Department of the Treasury

Internal Revenue Service

Employee's Withholding Allowance Certificate

a

Whether you are entitled to claim a certain number of allowances or exemption from withholding is

subject to review by the IRS. Your employer may be required to send a copy of this form to the IRS.

OMB No. 1545-0074

2015

1 Your first name and middle initial Last name

Home address (number and street or rural route)

City or town, state, and ZIP code

2 Your social security number

3

Single Married Married, but withhold at higher Single rate.

Note. If married, but legally separated, or spouse is a nonresident alien, check the “Single” box.

4

If your last name differs from that shown on your social security card,

check here. You must call 1-800-772-1213 for a replacement card.

a

5 Total number of allowances you are claiming (from line H above or from the applicable worksheet on page 2) 5

6 Additional amount, if any, you want withheld from each paycheck . . . . . . . . . . . . . . 6

$

7 I claim exemption from withholding for 2015, and I certify that I meet both of the following conditions for exemption.

• Last year I had a right to a refund of all federal income tax withheld because I had no tax liability, and

• This year I expect a refund of all federal income tax withheld because I expect to have no tax liability.

If you meet both conditions, write “Exempt” here . . . . . . . . . . . . . . .

a

7

Under penalties of perjury, I declare that I have examined this certificate and, to the best of my knowledge and belief, it is true, correct, and complete.

Employee’s signature

(This form is not valid unless you sign it.)

a

Date

a

8 Employer’s name and address (Employer: Complete lines 8 and 10 only if sending to the IRS.)

9 Office code (optional)

10 Employer identification number (EIN)

For Privacy Act and Paperwork Reduction Act Notice, see page 2.

Cat. No. 10220Q

Form W-4 (2015)

7 Holyoke St Cambridge MA 02138

Clover Food Lab, Inc

271580221

CLOVER HANDBOOK – PROPERTY OF CLOVER FAST FOOD INC.

PAGE 24 – 4/3/15

Form W-4 (2012)

Page 2

Deductions and Adjustments Worksheet

Note. Use this worksheet only if you plan to itemize deductions or claim certain credits or adjustments to income.

1

Enter an estimate of your 2012 itemized deductions. These include qualifying home mortgage interest,

charitable contributions, state and local taxes, medical expenses in excess of 7.5% of your income, and

miscellaneous deductions . . . . . . . . . . . . . . . . . . . . . . . . .

1

$

2 Enter:

{

$11,900 if married filing jointly or qualifying widow(er)

$8,700 if head of household . . . . . . . . . . .

$5,950 if single or married filing separately

}

2

$

3 Subtract line 2 from line 1. If zero or less, enter “-0-” . . . . . . . . . . . . . . . . 3

$

4

Enter an estimate of your 2012 adjustments to income and any additional standard deduction (see Pub. 505)

4

$

5

Add lines 3 and 4 and enter the total. (Include any amount for credits from the Converting Credits to

Withholding Allowances for 2012 Form W-4 worksheet in Pub. 505.) . . . . . . . . . . . .

5

$

6 Enter an estimate of your 2012 nonwage income (such as dividends or interest) . . . . . . . . 6

$

7 Subtract line 6 from line 5. If zero or less, enter “-0-” . . . . . . . . . . . . . . . . 7

$

8 Divide the amount on line 7 by $3,800 and enter the result here. Drop any fraction . . . . . . . 8

9 Enter the number from the Personal Allowances Worksheet, line H, page 1 . . . . . . . . . 9

10

Add lines 8 and 9 and enter the total here. If you plan to use the Two-Earners/Multiple Jobs Worksheet,

also enter this total on line 1 below. Otherwise, stop here and enter this total on Form W-4, line 5, page 1

10

Two-Earners/Multiple Jobs Worksheet (See Two earners or multiple jobs on page 1.)

Note. Use this worksheet only if the instructions under line H on page 1 direct you here.

1

Enter the number from line H, page 1 (or from line 10 above if you used the Deductions and Adjustments Worksheet)

1

2

Find the number in Table 1 below that applies to the LOWEST paying job and enter it here. However, if

you are married filing jointly and wages from the highest paying job are $65,000 or less, do not enter more

than “3” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

3

If line 1 is more than or equal to line 2, subtract line 2 from line 1. Enter the result here (if zero, enter

“-0-”) and on Form W-4, line 5, page 1. Do not use the rest of this worksheet . . . . . . . . .

3

Note. If line 1 is less than line 2, enter “-0-” on Form W-4, line 5, page 1. Complete lines 4 through 9 below to figure the additional

withholding amount necessary to avoid a year-end tax bill.

4 Enter the number from line 2 of this worksheet . . . . . . . . . . 4

5 Enter the number from line 1 of this worksheet . . . . . . . . . . 5

6 Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . 6

7 Find the amount in Table 2 below that applies to the HIGHEST paying job and enter it here . . . . 7

$

8 Multiply line 7 by line 6 and enter the result here. This is the additional annual withholding needed . . 8

$

9

Divide line 8 by the number of pay periods remaining in 2012. For example, divide by 26 if you are paid

every two weeks and you complete this form in December 2011. Enter the result here and on Form W-4,

line 6, page 1. This is the additional amount to be withheld from each paycheck . . . . . . . .

9

$

Table 1

Married Filing Jointly

If wages from LOWEST

paying job are—

Enter on

line 2 above

$0 - $5,000 0

5,001 - 12,000

1

12,001 - 22,000

2

22,001 - 25,000

3

25,001 - 30,000

4

30,001 - 40,000

5

40,001 - 48,000

6

48,001 - 55,000

7

55,001 - 65,000

8

65,001 - 72,000

9

72,001 - 85,000

10

85,001 - 97,000

11

97,001 - 110,000

12

110,001 - 120,000

13

120,001 - 135,000

14

135,001 and over

15

All Others

If wages from LOWEST

paying job are—

Enter on

line 2 above

$0 - $8,000 0

8,001 - 15,000 1

15,001 - 25,000 2

25,001 - 30,000 3

30,001 - 40,000 4

40,001 - 50,000 5

50,001 - 65,000 6

65,001 - 80,000 7

80,001 - 95,000 8

95,001 - 120,000 9

120,001 and over 10

Table 2

Married Filing Jointly

If wages from HIGHEST

paying job are—

Enter on

line 7 above

$0 - $70,000 $570

70,001 - 125,000 950

125,001 - 190,000 1,060

190,001 - 340,000 1,250

340,001 and over 1,330

All Others

If wages from HIGHEST

paying job are—

Enter on

line 7 above

$0 - $35,000 $570

35,001 - 90,000 950

90,001 - 170,000 1,060

170,001 - 375,000 1,250

375,001 and over 1,330

Privacy Act and Paperwork Reduction Act Notice.

We ask for the information on this

form to carry out the Internal Revenue laws of the United States. Internal Revenue Code

sections 3402(f)(2) and 6109 and their regulations require you to provide this information; your

employer uses it to determine your federal income tax withholding. Failure to provide a

properly completed form will result in your being treated as a single person who claims no

withholding allowances; providing fraudulent information may subject you to penalties. Routine

uses of this information include giving it to the Department of Justice for civil and criminal

litigation; to cities, states, the District of Columbia, and U.S. commonwealths and possessions

for use in administering their tax laws; and to the Department of Health and Human Services

for use in the National Directory of New Hires. We may also disclose this information to other

countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal

laws, or to federal law enforcement and intelligence agencies to combat terrorism.

You are not required to provide the information requested on a form that is subject to the

Paperwork Reduction Act unless the form displays a valid OMB control number. Books or

records relating to a form or its instructions must be retained as long as their contents may

become material in the administration of any Internal Revenue law. Generally, tax returns and

return information are confidential, as required by Code section 6103.

The average time and expenses required to complete and file this form will vary depending

on individual circumstances. For estimated averages, see the instructions for your income tax

return.

If you have suggestions for making this form simpler, we would be happy to hear from you.

See the instructions for your income tax return.

W4

CLOVER HANDBOOK – PROPERTY OF CLOVER FAST FOOD INC.

PAGE 25 – 4/3/15

M4

THE COMMONWEALTH OF MASSACHUSETTS, DEPARTMENT OF REVENUE

IF YOU CLAIM THE SAME NUMBER OF EXEMPTIONS FOR MASSACHUSETTS AND U.S. INCOME TAXES,

COMPLETE U.S. FORM W-4 ONLY.

A. Number. If you claim more than the correct number of exemptions, civil

and criminal penalties may be imposed. You may claim a smaller number of

exemptions. If you do not file a certificate, your employer must withhold on the

basis of no exemptions.

If you expect to owe more income tax than will be withheld, you may either

claim a smaller number of exemptions or enter into an agreement with your

employer to have additional amounts withheld.

You should claim the total number of exemptions to which you are entitled to

prevent excessive overwithholding, unless you have a significant amount of

other income.

If you work for more than one employer at the same time, you must

not claim any exemptions with employers other than your principal

employer.

If you are married and if your spouse is subject to withholding, each may

claim a personal exemption.

B. Changes. You may file a new certificate at any time if the number of ex-

emptions increases.Youmust file a new certificate within 10 days if the num-

ber of exemptions previously claimed by you decreases. For example, if

during the year your dependent son’s income indicates that you will not pro-

vide over half of his support for the year, you must file a new certificate.

C. Spouse. If your spouse is not working or if she or he is working but not

claiming the personal exemption or the age 65 or over exemption, generally

you may claim those exemptions in line 2. However, if you are planning to file

separate annual tax returns, you should not claim withholding exemptions for

your spouse or for any dependents that will not be claimed on your annual tax

return.

If claiming a wife or husband, write “4” in line 2. Using “4” is the withholding

system adjustment for the $4,400 exemption for a spouse.

D. Dependent(s). Y

ou may claim an exemption in line 3 for each individual

who qualifies as a dependent under the Federal Income Tax Law. In addition,

if one or more of your dependents will be under age 12 at year end, add “1” to

your dependents total for line 3.

You are not allowed to claim “federal withholding deductions and ad-

justments” under the Massachusetts withholding system.

If you have income not subject to withholding, you are urged to have

additional amounts withheld to cover your tax liability on such income.

See line 5.

MASSACHUSETTS EMPLOYEE’S WITHHOLDING EXEMPTION CERTIFICATE

Rev. 1/08

Print full name ....................................................... Social Security no. .......................................

Print home address................................................... City....................... State ............... Zip ................

FORM

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Employee:

File this form or Form W-4 with

your employer. Otherwise,

Massachusetts Income Taxes

will be withheld from your

wages without exemptions.

Employer:

Keep this certificate with your

records. If the employee is

believed to have claimed

excessive exemptions, the

Massachusetts Department

of Revenue should be so

advised.

HOW TO CLAIM YOUR WITHHOLDING EXEMPTIONS

1. Your personal exemption. Write the figure “1.” If you are age 65 or over or will be before next year, write “2” ......... ........

2. If married and if exemption for spouse is allowed, write the figure “4.” If your spouse is age 65 or over or will

be before next year and if otherwise qualified, write “5.” See Instruction C.......................................... ........

3. Write the number of your qualified dependents. See Instruction D.................................................. ........

4. Add the number of exemptions which you have claimed above and write the total .......................................

5. Additional withholding per pay period under agreement with employer $ ______________________

A. Check if you will file as head of household on your tax return.

B. Check if you are blind. C. Check if spouse is blind and not subject to withholding.

D. Check if you are a full-time student engaged in seasonal, part-time or temporary employment whose estimated annual income

will not exceed $8,000.

EMPLOYER: DO NOT withhold if Box D is checked.

I certify that the number of withholding exemptions claimed on this certificate does not exceed the number to which I am entitled.

Date. . . . . . . . . . . . . . . . . . . . . . . . . . . Signed ...............................................................................

THIS FORM MAY BE REPRODUCED

CLOVER HANDBOOK – PROPERTY OF CLOVER FAST FOOD INC.

PAGE 26 – 4/3/15

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CLOVER HANDBOOK – PROPERTY OF CLOVER FAST FOOD INC.

PAGE 27 – 4/3/15

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ace

7 Holyoke Street

Cambridge

MA

02138

Clover Food Lab Inc

CLOVER HANDBOOK – PROPERTY OF CLOVER FAST FOOD INC.

PAGE 28 – 4/3/15

For persons under age 18 who

are unable to present a

document listed above:

LISTS OF ACCEPTABLE DOCUMENTS

LIST A LIST B LIST C

2. Permanent Resident Card or Alien

Registration Receipt Card (Form

I-551)

8. Employment authorization

document issued by the

Department of Homeland Security

1. Driver's license or ID card issued by

a State or outlying possession of the

United States provided it contains a

photograph or information such as

name, date of birth, gender, height,

eye color, and address

1. Social Security Account Number

card other than one that specifies

on the face that the issuance of the

card does not authorize

employment in the United States

9. Driver's license issued by a Canadian

government authority

1. U.S. Passport or U.S. Passport Card

2. Certification of Birth Abroad

issued by the Department of State

(Form FS-545)

3. Foreign passport that contains a

temporary I-551 stamp or temporary

I-551 printed notation on a machine-

readable immigrant visa

4. Employment Authorization Document

that contains a photograph (Form

I-766)

3. Certification of Report of Birth

issued by the Department of State

(Form DS-1350)

3. School ID card with a photograph

5. In the case of a nonimmigrant alien

authorized to work for a specific

employer incident to status, a foreign

passport with Form I-94 or Form

I-94A bearing the same name as the

passport and containing an

endorsement of the alien's

nonimmigrant status, as long as the

period of endorsement has not yet

expired and the proposed

employment is not in conflict with

any restrictions or limitations

identified on the form

6. Military dependent's ID card

4. Original or certified copy of birth

certificate issued by a State,

county, municipal authority, or

territory of the United States

bearing an official seal

7. U.S. Coast Guard Merchant Mariner

Card

5. Native American tribal document

8. Native American tribal document

7. Identification Card for Use of

Resident Citizen in the United

States (Form I-179)

10. School record or report card

11. Clinic, doctor, or hospital record

12. Day-care or nursery school record

Illustrations of many of these documents appear in Part 8 of the Handbook for Employers (M-274)

2. ID card issued by federal, state or

local government agencies or

entities, provided it contains a

photograph or information such as

name, date of birth, gender, height,

eye color, and address

4. Voter's registration card

5. U.S. Military card or draft record

Documents that Establish Both

Identity and Employment

Authorization

Documents that Establish

Identity

Documents that Establish

Employment Authorization

OR

AND

All documents must be unexpired

6. Passport from the Federated States of

Micronesia (FSM) or the Republic of

the Marshall Islands (RMI) with

Form I-94 or Form I-94A indicating

nonimmigrant admission under the

Compact of Free Association

Between the United States and the

FSM or RMI

6. U.S. Citizen ID Card (Form I-197)

Form I-9 (Rev. 08/07/09) Y Page 5

I9

CLOVER HANDBOOK – PROPERTY OF CLOVER FAST FOOD INC.

PAGE 29 – 4/3/15

8850

Form 8850

(Rev. January 2012)

Department of the Treasury

Internal Revenue Service

Pre-Screening Notice and Certification Request for

the Work Opportunity Credit

a

See separate instructions.

OMB No. 1545-1500

Job applicant: Fill in the lines below and check any boxes that apply. Complete only this side.

Your name

Social security number

a

Street address where you live

City or town, state, and ZIP code

County Telephone number

If you are under age 40, enter your date of birth (month, day, year)

1

Check here if you received a conditional certification from the state workforce agency (SWA) or a participating local agency

for the work opportunity credit.

2

Check here if any of the following statements apply to you.

• I am a member of a family that has received assistance from Temporary Assistance for Needy Families (TANF) for any 9

months during the past 18 months.

• I am a veteran and a member of a family that received Supplemental Nutrition Assistance Program (SNAP) benefits (food

stamps) for at least a 3-month period during the past 15 months.

• I was referred here by a rehabilitation agency approved by the state, an employment network under the Ticket to Work

program, or the Department of Veterans Affairs.

• I am at least age 18 but not age 40 or older and I am a member of a family that:

a Received SNAP benefits (food stamps) for the past 6 months, or

b

Received SNAP benefits (food stamps) for at least 3 of the past 5 months, but is no longer eligible to receive them.

• During the past year, I was convicted of a felony or released from prison for a felony.

• I received supplemental security income (SSI) benefits for any month ending during the past 60 days.

• I am a veteran and I was unemployed for a period or periods totaling at least 4 weeks but less than 6 months during the

past year.

3

Check here if you are a veteran and you were unemployed for a period or periods totaling at least 6 months during the past

year.

4

Check here if you are a veteran entitled to compensation for a service-connected disability and you were discharged or

released from active duty in the U.S. Armed Forces during the past year.

5

Check here if you are a veteran entitled to compensation for a service-connected disability and you were unemployed for a

period or periods totaling at least 6 months during the past year.

6

Check here if you are a member of a family that:

• Received TANF payments for at least the past 18 months, or

• Received TANF payments for any 18 months beginning after August 5, 1997, and the earliest 18-month period beginning

after August 5, 1997, ended during the past 2 years, or

• Stopped being eligible for TANF payments during the past 2 years because federal or state law limited the maximum time

those payments could be made.

Signature—All Applicants Must Sign

Under penalties of perjury, I declare that I gave the above information to the employer on or before the day I was offered a job, and it is, to the best of my knowledge, true,

correct, and complete.

Job applicant’s signature

a

Date

For Privacy Act and Paperwork Reduction Act Notice, see page 2.

Cat. No. 22851L

Form 8850 (Rev. 1-2012)

CLOVER HANDBOOK – PROPERTY OF CLOVER FAST FOOD INC.

PAGE 30 – 4/3/15

8850

Form 8850 (Rev. 1-2013)

Page 2

For Employer’s Use Only

Employer’s name Telephone no. EIN

a

Street address

City or town, state, and ZIP code

Person to contact, if different from above Telephone no.

Street address

City or town, state, and ZIP code

If, based on the individual’s age and home address, he or she is a member of group 4 or 6 (as described under Members of

Targeted Groups in the separate instructions), enter that group number (4 or 6) . . . . . . . . . . . . . .

a

Date applicant:

Gave

information

Was

offered job

Was

hired

Started

job

Under penalties of perjury, I declare that the applicant provided the information on this form on or before the day a job was offered to the applicant and that the

information I have furnished is, to the best of my knowledge, true, correct, and complete. Based on the information the job applicant furnished on page 1, I

believe the individual is a member of a targeted group. I hereby request a certification that the individual is a member of a targeted group.

Employer’s signature

a

Title Date

Privacy Act and

Paperwork Reduction

Act Notice

Section references are to the Internal

Revenue Code.

Section 51(d)(13) permits a prospective

employer to request the applicant to

complete this form and give it to the

prospective employer. The information

will be used by the employer to

complete the employer’s federal tax

return. Completion of this form is

voluntary and may assist members of

targeted groups in securing employment.

Routine uses of this form include giving

it to the state workforce agency (SWA),

which will contact appropriate sources

to confirm that the applicant is a

member of a targeted group. This form

may also be given to the Internal

Revenue Service for administration of

the Internal Revenue laws, to the

Department of Justice for civil and

criminal litigation, to the Department of

Labor for oversight of the certifications

performed by the SWA, and to cities,

states, and the District of Columbia for

use in administering their tax laws. We

may also disclose this information to

other countries under a tax treaty, to

federal and state agencies to enforce

federal nontax criminal laws, or to

federal law enforcement and intelligence

agencies to combat terrorism.

You are not required to provide the

information requested on a form that is

subject to the Paperwork Reduction Act

unless the form displays a valid OMB

control number. Books or records

relating to a form or its instructions must

be retained as long as their contents

may become material in the

administration of any Internal Revenue

law. Generally, tax returns and return

information are confidential, as required

by section 6103.

The time needed to complete and file

this form will vary depending on

individual circumstances. The estimated

average time is:

Recordkeeping . . 6 hr., 27 min.

Learning about the law

or the form . . . . . . . 30 min.

Preparing and sending this form

to the SWA . . . . . . . 37 min.

If you have comments concerning the

accuracy of these time estimates or

suggestions for making this form

simpler, we would be happy to hear from

you. You can write to the Internal

Revenue Service, Tax Products

Coordinating Committee,

SE:W:CAR:MP:T:M:S, 1111 Constitution

Ave. NW, IR-6526, Washington, DC

20224.

Do not send this form to this address.

Instead, see When and Where To File in

the separate instructions.

Form 8850 (Rev. 1-2013)

Clover Food Lab Inc

4019652544

271580221

7 Holyoke Street

Cambridge MA 02143

HR Director

4.3.15

CLOVER HANDBOOK – PROPERTY OF CLOVER FAST FOOD INC.

PAGE 31 – 4/3/15

SICKNESS AGREEMENT

Preventing Transmission of Diseases through Food by Infected Food Employees with Emphasis on illness due

to Salmonella Typhi, Shigella spp., Escherichia coli 0157:H7, and Hepatitis A Virus

The purpose of this agreement is to ensure that Food Employees notify the Person in Charge when they

experience any of the conditions listed so that the Person in Charge can take appropriate steps to preclude the

transmission of foodbome illness.

I AGREE TO REPORT TO THE PERSON IN CHARGE:

FUTURE SYMPTOMS and PUSTULAR LESIONS:

1. Diarrhea

2. Fever

3. Vomiting

4. Jaundice

5. Sore throat with fever

6. Lesions containing pus on the hand, wrist, or an exposed body part

(Such as boils and infected wounds, however small)

FUTURE MEDICAL DIAGNOSIS

Whenever diagnosed as being ill with typhoid fever (Salmonella Typhi), shigellosis (Shigella spp.),

Escherichia coli 0157:H7 infection (E. coli 0157:H7), or hepatitis A (hepatitis A virus. Entamoeba

histolytica, Campylobactor spp., Vibroa Cholera spp., Cryptosporidium parvum, Giardia lamblia,

Hemolytic Uremic Syndrom, Salmonellia spp (non-typhil), Yersinia enterocolitica, or cyclospora

cayentanensis.

FUTURE HIGH-RISK CONDITIONS:

1. Exposure to or suspicion of causing any confirmed outbreak of typhoid fever, shigellosis, E.

coli 0157:H7 infection, or hepatitis A

2. A household member diagnosed with typhoid fever, shigellosis, illness due to E. coli 0157:H7,

or hepatitis A

3. A household member attending or working in a setting experiencing a confirmed outbreak of

typhoid fever, shigellosis, E. coli 0157:H7 infection, or hepatitis A

I have read (or had explained to me) and understand the requirements concerning my

responsibilities under the Food Code and this agreement to comply with the reporting requirements

specified above involving symptoms, diagnoses, and high-risk conditions specified. I also

understand that should I experience one of the above symptoms or high risk conditions, or should I

be diagnosed with one of the above illnesses, I may be asked to change my job or to stop working

all together until such symptoms or illnesses have resolved. I will abide by all Clover requirements

concerning food safety and hygienic practices outlined in the latest version of the Clover handbook

and training materials.

I understand that failure to comply with the terms of this agreement could lead to action by the food

establishment or the food regulatory authority that may jeopardize my employment and may involve

legal action against me.

Applicant or Food Employee Name (please print) : __________________________________________

Signature of Applicant or Food Employee ___________________________ DATE _________

Signature of Manager ____________________________________________DATE __________