ROBERT M. PONSKY DDS, LLC

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Three-digit plan number (PN)	002
Effective date of plan	1984-01-01
Business code	621210
Sponsor’s telephone number	8603504768
Plan sponsor’s mailing address	36 KEELER ROAD, BRIDGEWATER, CT, 06752
Plan sponsor’s address	36 KEELER ROAD, BRIDGEWATER, CT, 06752

Plan administrator’s name and address

Administrator’s EIN	132861268
Plan administrator’s name	ROBERT M PONSKY
Plan administrator’s address	36 KEELER ROAD, BRIDGEWATER, CT, 06752
Administrator’s telephone number	8603504768

Number of participants as of the end of the plan year

Active participants

1

Signature of

Role	Plan administrator
Date	2010-05-08
Name of individual signing	WILLIAM NOSSAL
Valid signature	Filed with authorized/valid electronic signature