The North American Coal Corporation

THE NORTH AMERICAN COAL CORPORATION And Subsidiary Companies 204 County Road 15 Beulah, ND 58523 701-873-2281 (Main Number) 701-873-7226 (Fax) APPLICATION FOR EMPLOYMENT The North American Coal Corporation and each of our subsidiaries are committed to a policy of Equal Employment Opportunity. We do not discriminate on the basis of any legally required protected basis under federal, state, or local laws, regulations or ordinances. Applicants with disabilities may be entitled to reasonable accommodations under the terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done that will ensure an equal employment opportunity without imposing undue hardship on us. AN EQUAL OPPORTUNITY EMPLOYER SMOKING IS PROHIBITED IN THE WORKPLACE AT THE COTEAU PROPERTIES COMPANY, INCLUDING IN ALL COMPANY VEHICLES AND HEAVY EQUIPMENT, AND WITHIN 20 FEET OF ALL BUILDING ENTRANCES, EXITS, OPERABLE WINDOWS, AND AIR INTAKES. PLEASE PRINT: PERSONAL INFORMATION DATE: Last Name First Name M.I. Nickname (If Any)

Street Address City State Zip County

Area Code & Phone Number Cell Phone Number Permanent Street Address (If Different From Above) City State Zip County

Are you 18 Years of Age or Older? Yes No Earnings Expected What Position are you applying for? $

EDUCATION AND VOCATIONAL TRAINING Name of Secondary School: Highest Grade Completed?

City State Did You Graduate? Yes No VOCATIONAL SCHOOL OR COLLEGES/UNIVERSITIES ATTENDED (List Most Recent First) Name Dates attended: Trade or Major If Yes, What year & From: degree received? State To: Did you graduate? Grade Point Average: Yes No Name Dates attended: Trade or Major If Yes, What year & From: degree received? City State To: Did you graduate? Grade Point Average: Yes No Name Dates attended: Trade or Major If Yes, What year & From: degree received? City State To: Did you graduate? Grade Point Average: Yes No EMPLOYMENT HISTORY List ALL Employment in the last 10 years and any other relevant employment, including all U. S. Military Service (if any employment was under a different name, indicate name) MAY WE CONTACT YOUR PRESENT EMPLOYER? Yes No (1) Name of present or most recent employer Type of business What were your job duties? Address Area Code & Phone Number City State Zip Last Salary $ Your job title Supervisor Dates of employment From: To: Reason for leaving (2) Name of next most recent employer Type of business What were your job duties? Address Area Code & Phone Number City State Zip Last Salary $ Your job title Supervisor Dates of employment From: To: Reason for leaving

(3) Name of next most Type of business What were your job duties? recent employer Address Area Code & Phone Number City State Zip Last Salary $ Your job title Supervisor Dates of employment Reason for leaving From: To: (4) Name of next most Type of business What were your job duties? recent employer Address Area Code & Phone Number City State Zip Last Salary $ Your job title Supervisor Dates of employment Reason for leaving From: To: Other employment: If you have worked for more employers in the last 10 years please attach a separate sheet of paper. REFERENCES Name Title Relationship Telephone Number Address City State Zip Name Title Relationship Telephone Number Address City State Zip MILITARY SERVICE Branch of service Dates of service: From To: Highest Rank Held

What specialized training What were your duties? did you complete? OTHER INFORMATION Have you previously been employed by The North American Coal Corporation or a subsidiary company (See Attachment A), Hamilton Beach, Proctor- Silex, Kitchen Collection, NACCO Industries Inc., or Hyster Yale Group (prior to 9/28/12) Yes No If Yes, Where and when? List the name and relationship of relatives working for The North American Coal Corporation or any subsidiary company:

Are you prevented from lawfully becoming employed in this country because of visa or immigration status: Yes No Proof of citizenship or immigration status will be required upon employment. Include any other information you think would be helpful to us in considering you for employment, such as additional work experience, articles/books published, activities, accomplishments, etc. You may exclude all information indicative of race, color, religion, gender, sex, sexual orientation, ancestry, age, national origin, disability, marital status and military/veteran status.

AUTHORIZATION FOR DRUG AND ALCOHOL TESTING AND TO VERIFY INFORMATION; NO EMPLOYMENT CONTRACT I certify that the answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment. I authorize investigation of my work history and references and the giving and receiving of any information requested by NAC or the subsidiary that would employ me (“the Company”) to verify all data given in my application for employment, related papers or oral interviews. I release from liability any person giving or receiving any such information. I understand falsification of data so given or other derogatory information discovered as a result of this investigation may prevent my being hired, or if hired, may subject me to immediate dismissal. I hereby understand and acknowledge that, unless otherwise defined by applicable law or specific contract, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Company may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of the Company. All job applicants at the Company must pass a pre-employment drug and alcohol test as a condition of employment. Any applicant who refuse to submit to drug and alcohol testing or has a confirmed positive test result will not be considered for employment. Applicants will be required to submit to a urinalysis drug test by a laboratory chosen by the Company, and must sign a consent agreement to release the Company from liability. If the Company, or its agent(s), determines that the job applicant has tapered with the drug test urine specimen, the applicant will not be considered for employment. I understand that it is the Company’s intent to comply with the requirements of the Immigration Reform and Control Act of 1986, and hire only individuals who are legally eligible to work in the U.S. I understand that if I am hired, I will be required to show proof of work eligibility, and documentation establishing my true identity. Further, I understand that if I am hired, I must provide these documents to the Company within three (3) business days, starting with my first day of employment. If hired, I agree to conform to the instructions, rules and policies of the Company and agree to conduct myself in accordance with the guidelines and standards for ethical and legal conduct as published from time to time. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in termination of my employment.

Signature of Applicant Date Completed