EYE CARE OF DANBURY, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621320
Sponsor’s telephone number	2037908866
Plan sponsor’s address	164 MOUNT PLEASANT ROAD, SUITE 201, NEWTOWN, CT, 06470

Signature of

Role	Plan administrator
Date	2024-10-04
Name of individual signing	SARAH BAROODY
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621320
Sponsor’s telephone number	2037908866
Plan sponsor’s address	164 MOUNT PLEASANT ROAD, SUITE 201, NEWTOWN, CT, 06470

Signature of

Role	Plan administrator
Date	2023-09-28
Name of individual signing	SARAH BAROODY
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621320
Sponsor’s telephone number	2037908866
Plan sponsor’s address	164 MOUNT PLEASANT ROAD, SUITE 201, NEWTOWN, CT, 06470

Signature of

Role	Plan administrator
Date	2022-07-26
Name of individual signing	SARAH BAROODY
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621320
Sponsor’s telephone number	2037908866
Plan sponsor’s address	33 GERMANTOWN ROAD, SUITE 1A, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2021-10-07
Name of individual signing	SARAH BAROODY
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621320
Sponsor’s telephone number	2037908866
Plan sponsor’s address	33 GERMANTOWN ROAD, SUITE 1A, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2020-09-16
Name of individual signing	SARAH BAROODY
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621320
Sponsor’s telephone number	2037908866
Plan sponsor’s address	33 GERMANTOWN ROAD, SUITE 1A, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2019-09-05
Name of individual signing	SARAH BAROODY
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621320
Sponsor’s telephone number	2037908866
Plan sponsor’s address	33 GERMANTOWN ROAD, SUITE 1A, DANBURY, CT, 06810

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621320
Sponsor’s telephone number	2037908866
Plan sponsor’s address	33 GERMANTOWN ROAD, SUITE 1A, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2017-07-18
Name of individual signing	SARAH BAROODY, M.D.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621320
Sponsor’s telephone number	2037908866
Plan sponsor’s address	33 GERMANTOWN ROAD, SUITE 1A, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2016-10-14
Name of individual signing	SARAH BAROODY, M.D.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621320
Sponsor’s telephone number	2037908866
Plan sponsor’s address	33 GERMANTOWN ROAD, SUITE 1A, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2015-10-14
Name of individual signing	SARAH BAROODY, M.D.
Valid signature	Filed with authorized/valid electronic signature