RICHARD A. LEVIN, M.D., D.M.D. & LAWRENCE FLIEGELMAN, M.D., LLC

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	2032594700
Plan sponsor’s address	1305 POST ROAD, FAIRFIELD, CT, 06430

Plan administrator’s name and address

Administrator’s EIN	550789127
Plan administrator’s name	RICHARD A. LEVIN, M.D., D.M.D., LLC
Plan administrator’s address	1305 POST ROAD, FAIRFIELD, CT, 06430
Administrator’s telephone number	2032594700

Signature of

Role	Plan administrator
Date	2010-10-04
Name of individual signing	RICHARD A. LEVIN, MD, DMD, TRUSTEE
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2010-10-04
Name of individual signing	RICHARD A. LEVIN, MD, DMD
Valid signature	Filed with authorized/valid electronic signature