WATERBURY PULMONARY ASSOCIATES, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2005-01-01
Business code	621399
Sponsor’s telephone number	2037593666
Plan sponsor’s address	170 GRANDVIEW AVE., WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2024-04-02
Name of individual signing	ROBERT MCDONALD
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2005-01-01
Business code	621399
Sponsor’s telephone number	2037593666
Plan sponsor’s address	170 GRANDVIEW AVE., WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2023-05-16
Name of individual signing	ROBERT MCDONALD
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2005-01-01
Business code	621399
Sponsor’s telephone number	2037593666
Plan sponsor’s address	170 GRANDVIEW AVE., WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2022-07-29
Name of individual signing	DR. RICHARD SILVERMAN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2005-01-01
Business code	621399
Sponsor’s telephone number	2037593666
Plan sponsor’s address	170 GRANDVIEW AVE., WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2021-07-30
Name of individual signing	DR. RICHARD SILVERMAN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2005-01-01
Business code	621399
Sponsor’s telephone number	2037593666
Plan sponsor’s address	170 GRANDVIEW AVE., WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2020-06-10
Name of individual signing	DR. RICHARD SILVERMAN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2005-01-01
Business code	621399
Sponsor’s telephone number	2037593666
Plan sponsor’s address	170 GRANDVIEW AVE., WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2019-04-03
Name of individual signing	DR. RICHARD SILVERMAN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2005-01-01
Business code	621399
Sponsor’s telephone number	2037593666
Plan sponsor’s address	170 GRANDVIEW AVE., WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2018-06-20
Name of individual signing	DR. RICHARD SILVERMAN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2005-01-01
Business code	621399
Sponsor’s telephone number	2037593666
Plan sponsor’s address	170 GRANDVIEW AVE., WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2017-06-29
Name of individual signing	DR. CARL SHERTER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2005-01-01
Business code	621399
Sponsor’s telephone number	2037593666
Plan sponsor’s address	170 GRANDVIEW AVE., WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2016-06-23
Name of individual signing	DR. CARL SHERTER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2005-01-01
Business code	621399
Sponsor’s telephone number	2037593666
Plan sponsor’s address	170 GRANDVIEW AVE., WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2015-05-27
Name of individual signing	DR. CARL SHERTER
Valid signature	Filed with authorized/valid electronic signature