GREATER HARTFORD NEPHROLOGY, LLC

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2012-01-01
Business code	621399
Sponsor’s telephone number	8607699866
Plan sponsor’s address	35 JOLLEY DRIVE, SUITE 203, BLOOMFIELD, CT, 06002

Signature of

Role	Plan administrator
Date	2024-05-09
Name of individual signing	ARI GELLER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2012-01-01
Business code	621399
Sponsor’s telephone number	8607699866
Plan sponsor’s address	35 JOLLEY DRIVE, SUITE 203, BLOOMFIELD, CT, 06002

Signature of

Role	Plan administrator
Date	2023-06-20
Name of individual signing	ARI GELLER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2012-01-01
Business code	621399
Sponsor’s telephone number	8607699866
Plan sponsor’s address	35 JOLLEY DRIVE, SUITE 203, BLOOMFIELD, CT, 06002

Signature of

Role	Plan administrator
Date	2022-07-06
Name of individual signing	ARI GELLER, D.O.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2012-01-01
Business code	621399
Sponsor’s telephone number	8607699866
Plan sponsor’s address	35 JOLLEY DRIVE, SUITE 203, BLOOMFIELD, CT, 06002

Signature of

Role	Plan administrator
Date	2021-06-15
Name of individual signing	ARI GELLER, D.O.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2012-01-01
Business code	621399
Sponsor’s telephone number	8607699866
Plan sponsor’s address	35 JOLLEY DRIVE, SUITE 203, BLOOMFIELD, CT, 06002

Signature of

Role	Plan administrator
Date	2020-06-18
Name of individual signing	ARI GELLER, D.O.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2012-01-01
Business code	621399
Sponsor’s telephone number	8607699866
Plan sponsor’s address	35 JOLLEY DRIVE, SUITE 203, BLOOMFIELD, CT, 06002

Signature of

Role	Plan administrator
Date	2019-06-18
Name of individual signing	ARI GELLER, D.O.
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2019-06-18
Name of individual signing	ARI GELLER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2012-01-01
Business code	621399
Sponsor’s telephone number	8607699866
Plan sponsor’s address	35 JOLLEY DRIVE, SUITE 203, BLOOMFIELD, CT, 06002

Signature of

Role	Plan administrator
Date	2018-05-30
Name of individual signing	ARI GELLER, D.O.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2012-01-01
Business code	621399
Sponsor’s telephone number	8607699866
Plan sponsor’s address	701 COTTAGE GROVE ROAD, SUITE B220, BLOOMFIELD, CT, 06002

Signature of

Role	Plan administrator
Date	2017-04-07
Name of individual signing	ARI GELLER, D.O.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2012-01-01
Business code	621399
Sponsor’s telephone number	8607699866
Plan sponsor’s address	701 COTTAGE GROVE ROAD, SUITE B220, BLOOMFIELD, CT, 06002

Signature of

Role	Plan administrator
Date	2016-04-13
Name of individual signing	ARI GELLER, D.O.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2012-01-01
Business code	621399
Sponsor’s telephone number	8607699866
Plan sponsor’s address	701 COTTAGE GROVE ROAD, SUITE B220, BLOOMFIELD, CT, 06002

Signature of

Role	Plan administrator
Date	2015-04-30
Name of individual signing	ARI GELLER, D.O.
Valid signature	Filed with authorized/valid electronic signature