WEST SIDE MEDICAL CENTER, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	621112
Sponsor’s telephone number	8608891400
Plan sponsor’s address	606 W MAIN ST STE 1, NORWICH, CT, 063606084

Signature of

Role	Plan administrator
Date	2017-05-16
Name of individual signing	WILLIAM HERNANDEZ
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	621112
Sponsor’s telephone number	8608891400
Plan sponsor’s address	606 W MAIN ST STE 1, NORWICH, CT, 063606084

Signature of

Role	Plan administrator
Date	2016-05-13
Name of individual signing	WILLIAM HERNANDEZ
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	621112
Sponsor’s telephone number	8608891400
Plan sponsor’s address	606 W MAIN ST STE 1, NORWICH, CT, 063606084

Signature of

Role	Plan administrator
Date	2015-06-26
Name of individual signing	WILLIAM HERNANDEZ
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	621112
Sponsor’s telephone number	8608891400
Plan sponsor’s address	606 W MAIN ST STE 1, NORWICH, CT, 063606084

Signature of

Role	Plan administrator
Date	2014-05-16
Name of individual signing	WILLIAM HERNANDEZ
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	621112
Sponsor’s telephone number	8608891400
Plan sponsor’s address	606 W MAIN ST STE 1, NORWICH, CT, 063606084

Signature of

Role	Plan administrator
Date	2013-05-31
Name of individual signing	WEST SIDE MEDICAL CENTER LLC
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	621112
Sponsor’s telephone number	8608891400
Plan sponsor’s address	606 W MAIN ST STE 1, NORWICH, CT, 063606084

Plan administrator’s name and address

Administrator’s EIN	061616024
Plan administrator’s name	WEST SIDE MEDICAL CENTER LLC
Plan administrator’s address	606 W MAIN ST STE 1, NORWICH, CT, 063606084
Administrator’s telephone number	8608891400

Signature of

Role	Plan administrator
Date	2012-05-14
Name of individual signing	WEST SIDE MEDICAL CENTER LLC
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	621112
Sponsor’s telephone number	8608891400
Plan sponsor’s address	606 WEST MAIN STREET, NORWICH, CT, 06360

Plan administrator’s name and address

Administrator’s EIN	061616024
Plan administrator’s name	WEST SIDE MEDICAL CENTER LLC
Plan administrator’s address	606 WEST MAIN STREET, NORWICH, CT, 06360
Administrator’s telephone number	8608891400

Signature of

Role	Plan administrator
Date	2011-05-10
Name of individual signing	WEST SIDE MEDICAL CENTER LLC
Valid signature	Filed with authorized/valid electronic signature