GREATER WATERBURY PRIMARY CARE ASSOCIATES, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1994-01-01
Business code	621111
Sponsor’s telephone number	2037580878
Plan sponsor’s address	POND PLACE MEDICAL BUILDING, 166 WATERBURY ROAD, SUITE 300, PROSPECT, CT, 06712

Plan administrator’s name and address

Administrator’s EIN	061329174
Plan administrator’s name	GREATER WATERBURY PRIMARY CARE ASSOCIATES, P.C.
Plan administrator’s address	POND PLACE MEDICAL BUILDING, 166 WATERBURY ROAD, SUITE 300, PROSPECT, CT, 06712
Administrator’s telephone number	2037580878

Signature of

Role	Plan administrator
Date	2010-07-22
Name of individual signing	ALEXANDER ALVAREZ
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2010-07-22
Name of individual signing	ALEXANDER ALVAREZ
Valid signature	Filed with authorized/valid electronic signature