HEALTHCENTER IMAGING OF FAIRFIELD COUNTY LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2006-01-01
Business code	621510
Sponsor’s telephone number	2033784200
Plan sponsor’s DBA name	HEALTHCENTER IMAGING
Plan sponsor’s address	999 SILVER LANE, SUITE 1B, TRUMBULL, CT, 06611

Plan administrator’s name and address

Administrator’s EIN	550834521
Plan administrator’s name	HEALTHCENTER IMAGING OF FAIRFIELD COUNTY LLC
Plan administrator’s address	999 SILVER LANE, SUITE 1B, TRUMBULL, CT, 06611
Administrator’s telephone number	2033784200

Signature of

Role	Plan administrator
Date	2013-04-26
Name of individual signing	JOHAN BRAG
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2013-04-26
Name of individual signing	JOHAN BRAG
Valid signature	Filed with authorized/valid electronic signature