ASSOCIATED WOMEN'S HEALTH SPECIALISTS, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1979-11-01
Business code	621111
Sponsor’s telephone number	2037552344
Plan sponsor’s mailing address	140 GRANDVIEW AVENUE, SUITE 202, WATERBURY, CT, 06708
Plan sponsor’s address	140 GRANDVIEW AVENUE, SUITE 202, WATERBURY, CT, 06708

Plan administrator’s name and address

Administrator’s EIN	061010810
Plan administrator’s name	ASSOCIATED WOMEN'S HEALTH SPECIALISTS, P.C.
Plan administrator’s address	140 GRANDVIEW AVENUE, SUITE 202, WATERBURY, CT, 06708
Administrator’s telephone number	2037552344

Number of participants as of the end of the plan year

Active participants	41
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	16
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	51
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2011-05-17
Name of individual signing	IAN COHEN
Valid signature	Filed with authorized/valid electronic signature