HILLSIDE CEMETERY ASSOCIATION OF TORRINGTON, INCORPORATED THE

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Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	812220
Sponsor’s telephone number	8604855074
Plan sponsor’s address	76 WALNUT STREET, P.O. BOX 1047, TORRINGTON, CT, 06790

Signature of

Role	Plan administrator
Date	2024-03-10
Name of individual signing	EDWIN G. BOOTH JR.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	812220
Sponsor’s telephone number	8604855074
Plan sponsor’s address	76 WALNUT STREET, P.O. BOX 1047, TORRINGTON, CT, 06790

Signature of

Role	Plan administrator
Date	2023-04-26
Name of individual signing	EDWIN G. BOOTH JR.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	812220
Sponsor’s telephone number	8604855074
Plan sponsor’s address	76 WALNUT STREET, P.O. BOX 1047, TORRINGTON, CT, 06790

Signature of

Role	Plan administrator
Date	2022-02-23
Name of individual signing	EDWIN G. BOOTH JR.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	812220
Sponsor’s telephone number	8604855074
Plan sponsor’s address	76 WALNUT STREET, P.O. BOX 1047, TORRINGTON, CT, 06790

Signature of

Role	Plan administrator
Date	2021-08-06
Name of individual signing	EDWIN G. BOOTH JR.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	812220
Sponsor’s telephone number	8604855074
Plan sponsor’s address	76 WALNUT STREET, P.O. BOX 1047, TORRINGTON, CT, 06790

Signature of

Role	Plan administrator
Date	2020-09-17
Name of individual signing	EDWIN G. BOOTH JR.
Valid signature	Filed with authorized/valid electronic signature