CONNECTICUT VISION CENTER, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621320
Sponsor’s telephone number	2034691012
Plan sponsor’s address	64 THOMPSON ST SUITE B-104, EAST HAVEN, CT, 06512

Signature of

Role	Plan administrator
Date	2024-10-15
Name of individual signing	MARIA DIAZ
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621320
Sponsor’s telephone number	2034691012
Plan sponsor’s address	64 THOMPSON ST SUITE B-104, EAST HAVEN, CT, 06512

Signature of

Role	Plan administrator
Date	2023-08-09
Name of individual signing	MARIA MONTONE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621320
Sponsor’s telephone number	2034691012
Plan sponsor’s address	64 THOMPSON ST SUITE B-104, EAST HAVEN, CT, 06512

Signature of

Role	Plan administrator
Date	2022-06-08
Name of individual signing	MARIA MONTONE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621320
Sponsor’s telephone number	2034691012
Plan sponsor’s address	64 THOMPSON ST SUITE B-104, EAST HAVEN, CT, 06512

Signature of

Role	Plan administrator
Date	2021-09-02
Name of individual signing	MARIA MONTONE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621320
Sponsor’s telephone number	2034691012
Plan sponsor’s address	64 THOMPSON ST SUITE B-104, EAST HAVEN, CT, 06512

Signature of

Role	Plan administrator
Date	2020-10-19
Name of individual signing	MARIA MONTONE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621320
Sponsor’s telephone number	2034691012
Plan sponsor’s address	64 THOMPSON ST SUITE B-104, EAST HAVEN, CT, 06512

Signature of

Role	Plan administrator
Date	2019-06-13
Name of individual signing	MARIA MONTONE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621320
Sponsor’s telephone number	2034691012
Plan sponsor’s address	64 THOMPSON ST SUITE B-104, EAST HAVEN, CT, 06512

Signature of

Role	Plan administrator
Date	2018-06-13
Name of individual signing	KATHY FETZNER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621320
Sponsor’s telephone number	2034691012
Plan sponsor’s address	64 THOMPSON ST SUITE B-104, EAST HAVEN, CT, 06512

Signature of

Role	Plan administrator
Date	2017-10-16
Name of individual signing	KATHY FETZNER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	2034691012
Plan sponsor’s address	64 THOMPSON STREET, SUITE B-104, EAST HAVEN, CT, 06513

Signature of

Role	Plan administrator
Date	2016-10-15
Name of individual signing	MARIA DIAZ
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	2034691012
Plan sponsor’s address	64 THOMPSON STREET, SUITE B-104, EAST HAVEN, CT, 06513

Signature of

Role	Plan administrator
Date	2015-10-13
Name of individual signing	MARIA DIAZ
Valid signature	Filed with authorized/valid electronic signature