WELCOME HOME CARE, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621498
Sponsor’s telephone number	2032136282
Plan sponsor’s address	65 COPPER BEECH DRIVE, CHESHIRE, CT, 06410

Signature of

Role	Plan administrator
Date	2015-10-12
Name of individual signing	PAMELA CLAUDIO
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621498
Sponsor’s telephone number	2032136282
Plan sponsor’s address	110 WASHINGTON AVE, NORTH HAVEN, CT, 064731723

Signature of

Role	Plan administrator
Date	2014-10-14
Name of individual signing	WELCOME HOME CARE LLC
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621498
Sponsor’s telephone number	2036246688
Plan sponsor’s address	110 WASHINGTON AVE, NORTH HAVEN, CT, 064731723

Signature of

Role	Plan administrator
Date	2013-09-13
Name of individual signing	WELCOME HOME CARE LLC
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621498
Sponsor’s telephone number	2032349355
Plan sponsor’s address	110 WASHINGTON AVE, NORTH HAVEN, CT, 064731723

Plan administrator’s name and address

Administrator’s EIN	203233539
Plan administrator’s name	WELCOME HOME CARE LLC
Plan administrator’s address	110 WASHINGTON AVE, NORTH HAVEN, CT, 064731723
Administrator’s telephone number	2032349355

Signature of

Role	Plan administrator
Date	2012-10-11
Name of individual signing	WELCOME HOME CARE LLC
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621498
Sponsor’s telephone number	2032349355
Plan sponsor’s address	110 WASHINGTON AVE, NORTH HAVEN, CT, 06473

Plan administrator’s name and address

Administrator’s EIN	203233539
Plan administrator’s name	WELCOME HOME CARE LLC
Plan administrator’s address	110 WASHINGTON AVE, NORTH HAVEN, CT, 06473
Administrator’s telephone number	2032349355

Signature of

Role	Plan administrator
Date	2011-10-13
Name of individual signing	WELCOME HOME CARE LLC
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	621498
Sponsor’s telephone number	2032349355
Plan sponsor’s address	110 WASHINGTON AVE, NORTH HAVEN, CT, 06473

Plan administrator’s name and address

Administrator’s EIN	203233539
Plan administrator’s name	WELCOME HOME CARE LLC
Plan administrator’s address	110 WASHINGTON AVE, NORTH HAVEN, CT, 06473
Administrator’s telephone number	2032349355

Signature of

Role	Plan administrator
Date	2010-07-27
Name of individual signing	WELCOME HOME CARE LLC
Valid signature	Filed with authorized/valid electronic signature