SANDRA E. WELWOOD, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	541213
Sponsor’s telephone number	2037300509
Plan sponsor’s address	PO BOX 4609, DANBURY, CT, 06813

Signature of

Role	Plan administrator
Date	2023-02-08
Name of individual signing	SANDRA WELWOOD
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	541213
Sponsor’s telephone number	2037300509
Plan sponsor’s address	PO BOX 4609, DANBURY, CT, 06813

Signature of

Role	Plan administrator
Date	2021-04-18
Name of individual signing	SANDRA WELWOOD
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	541213
Sponsor’s telephone number	2037300509
Plan sponsor’s address	PO BOX 4609, DANBURY, CT, 06813

Signature of

Role	Plan administrator
Date	2020-05-21
Name of individual signing	SANDRA WELWOOD
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	541213
Sponsor’s telephone number	2037300509
Plan sponsor’s address	46 MAIN STREET, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2019-05-04
Name of individual signing	SANDRA WELWOOD
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	541213
Sponsor’s telephone number	2037300509
Plan sponsor’s address	46 MAIN STREET, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2018-07-03
Name of individual signing	SANDRA WELWOOD
Valid signature	Filed with authorized/valid electronic signature