SCHAEFER BELMONT GROUP, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-10-01
Business code	531390
Sponsor’s telephone number	8605222229
Plan sponsor’s address	23 JILLIAN CIRCLE, WEST HARTFORD, CT, 06107

Signature of

Role	Plan administrator
Date	2019-05-22
Name of individual signing	VIRGIL GUZULESCU
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-10-01
Business code	531390
Sponsor’s telephone number	8605222229
Plan sponsor’s address	23 JILLIAN CIRCLE, WEST HARTFORD, CT, 06107

Signature of

Role	Plan administrator
Date	2018-06-17
Name of individual signing	VIRGIL GUZULESCU
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-10-01
Business code	531390
Sponsor’s telephone number	8605222229
Plan sponsor’s address	23 JILLIAN CIRCLE, WEST HARTFORD, CT, 06107

Signature of

Role	Plan administrator
Date	2017-05-25
Name of individual signing	VIRGIL GUZULESCU
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-10-01
Business code	531390
Sponsor’s telephone number	8605222229
Plan sponsor’s address	23 JILLIAN CIRCLE, WEST HARTFORD, CT, 06107

Signature of

Role	Plan administrator
Date	2016-06-22
Name of individual signing	VIRGIL GUZULESCU
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-10-01
Business code	531390
Sponsor’s telephone number	8605222229
Plan sponsor’s address	23 JILLIAN CIRCLE, WEST HARTFORD, CT, 06107

Signature of

Role	Plan administrator
Date	2015-06-15
Name of individual signing	VIRGIL GUZULESCU
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-10-01
Business code	531390
Sponsor’s telephone number	8605222229
Plan sponsor’s address	23 JILLIAN CIRCLE, WEST HARTFORD, CT, 06107

Signature of

Role	Plan administrator
Date	2014-06-24
Name of individual signing	VIRGIL GUZULESCU
Valid signature	Filed with authorized/valid electronic signature