LITCHFIELD HILLS ORTHOPEDIC ASSOCIATES, LLP

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621111
Sponsor’s telephone number	8604828539
Plan sponsor’s address	245 ALVORD PARK ROAD, TORRINGTON, CT, 06790

Signature of

Role	Plan administrator
Date	2024-08-02
Name of individual signing	DEBBIE ZARRELLA
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621111
Sponsor’s telephone number	8604828539
Plan sponsor’s address	245 ALVORD PARK ROAD, TORRINGTON, CT, 06790

Signature of

Role	Plan administrator
Date	2023-04-14
Name of individual signing	DEBBIE ZARRELLA
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621111
Sponsor’s telephone number	8604828539
Plan sponsor’s address	245 ALVORD PARK ROAD, TORRINGTON, CT, 06790

Signature of

Role	Plan administrator
Date	2022-06-10
Name of individual signing	DEBBIE ZARRELLA
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621111
Sponsor’s telephone number	8604828539
Plan sponsor’s address	245 ALVORD PARK ROAD, TORRINGTON, CT, 06790

Signature of

Role	Plan administrator
Date	2021-04-23
Name of individual signing	DEBBIE ZARRELLA
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621111
Sponsor’s telephone number	8604828539
Plan sponsor’s address	245 ALVORD PARK ROAD, TORRINGTON, CT, 06790

Signature of

Role	Plan administrator
Date	2020-05-14
Name of individual signing	DEBBIE ZARRELLA
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621399
Sponsor’s telephone number	8604828539
Plan sponsor’s address	245 ALVORD PARK ROAD, TORRINGTON, CT, 06790

Signature of

Role	Plan administrator
Date	2020-04-17
Name of individual signing	DEBBIE ZARRELLA
Valid signature	Filed with authorized/valid electronic signature

Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621399
Sponsor’s telephone number	8604828539
Plan sponsor’s address	245 ALVORD PARK ROAD, TORRINGTON, CT, 06790

Signature of

Role	Plan administrator
Date	2019-08-15
Name of individual signing	DEBORAH ZARRELLA
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621399
Sponsor’s telephone number	8604828539
Plan sponsor’s address	245 ALVORD PARK ROAD, TORRINGTON, CT, 06790

Signature of

Role	Plan administrator
Date	2018-07-05
Name of individual signing	NATHANAEL TRYTHALL
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2018-07-05
Name of individual signing	NATHANAEL TRYTHALL
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621399
Sponsor’s telephone number	8604828539
Plan sponsor’s address	245 ALVORD PARK ROAD, TORRINGTON, CT, 06790

Signature of

Role	Plan administrator
Date	2017-07-28
Name of individual signing	NATHANAEL TRYTHALL
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2000-01-01
Business code	621399
Sponsor’s telephone number	8604828539
Plan sponsor’s address	245 ALVORD PARK ROAD, TORRINGTON, CT, 06790

Signature of

Role	Plan administrator
Date	2016-07-26
Name of individual signing	NATHANAEL TRYTHALL
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2016-07-26
Name of individual signing	NATHANAEL TRYTHALL
Valid signature	Filed with authorized/valid electronic signature