MICHAEL BAROODY MD LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	2037905700
Plan sponsor’s address	51-53 KENOSIA AVENUE, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2024-10-11
Name of individual signing	MICHAEL BAROODY, MD
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2024-10-11
Name of individual signing	MICHAEL BAROODY, MD
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	621111
Sponsor’s telephone number	2037905700
Plan sponsor’s address	51-53 KENOSIA AVENUE, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2023-07-06
Name of individual signing	MICHAEL BAROODY, MD
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2023-07-06
Name of individual signing	MICHAEL BAROODY, MD
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	621111
Sponsor’s telephone number	2037905700
Plan sponsor’s address	51-53 KENOSIA AVENUE, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2022-05-30
Name of individual signing	MICHAEL BAROODY
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2022-05-30
Name of individual signing	MICHAEL 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	621111
Sponsor’s telephone number	2037905700
Plan sponsor’s address	51-53 KENOSIA AVENUE, DANBURY, CT, 06810

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	2037905700
Plan sponsor’s address	51-53 KENOSIA AVENUE, DANBURY, CT, 06810

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	2037905700
Plan sponsor’s address	51-53 KENOSIA AVENUE, DANBURY, CT, 06810

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	2037905700
Plan sponsor’s address	51-53 KENOSIA AVENUE, DANBURY, CT, 06810

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	2037905700
Plan sponsor’s address	51-53 KENOSIA AVENUE, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2017-05-26
Name of individual signing	MICHAEL 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	621111
Sponsor’s telephone number	2037905700
Plan sponsor’s address	51-53 KENOSIA AVENUE, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2016-10-17
Name of individual signing	MICHAEL 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	621111
Sponsor’s telephone number	2037905700
Plan sponsor’s address	51-53 KENOSIA AVENUE, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2015-05-19
Name of individual signing	MICHAEL BAROODY, M.D.
Valid signature	Filed with authorized/valid electronic signature