BRIDGEPORT FAMILY HEALTH, LLC

Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621111
Sponsor’s telephone number	2033715197
Plan sponsor’s address	1381 RESERVOIR AVE, BRIDGEPORT, CT, 066062502

Signature of

Role	Plan administrator
Date	2023-05-11
Name of individual signing	DENNIS WILLIAMS
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2023-05-11
Name of individual signing	DENNIS WILLIAMS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621111
Sponsor’s telephone number	2033715197
Plan sponsor’s address	1381 RESERVOIR AVE, BRIDGEPORT, CT, 066062502

Signature of

Role	Plan administrator
Date	2023-06-23
Name of individual signing	DENNIS WILLIAMS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621111
Sponsor’s telephone number	2033715197
Plan sponsor’s address	1381 RESERVOIR AVE, BRIDGEPORT, CT, 066062502

Signature of

Role	Plan administrator
Date	2021-07-19
Name of individual signing	DENNIS WILLIAMS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621111
Sponsor’s telephone number	2033715197
Plan sponsor’s address	1381 RESERVOIR AVE, BRIDGEPORT, CT, 066062502

Signature of

Role	Plan administrator
Date	2020-06-18
Name of individual signing	DENNIS WILLIAMS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621111
Sponsor’s telephone number	2033715197
Plan sponsor’s address	1381 RESERVOIR AVE, BRIDGEPORT, CT, 066062502

Signature of

Role	Plan administrator
Date	2019-07-17
Name of individual signing	DENNIS WILLIAMS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621111
Sponsor’s telephone number	2033715197
Plan sponsor’s address	1381 RESERVOIR AVE, BRIDGEPORT, CT, 066062502

Signature of

Role	Plan administrator
Date	2018-07-23
Name of individual signing	DENNIS WILLIAMS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621111
Sponsor’s telephone number	2033715197
Plan sponsor’s address	1381 RESERVOIR AVE, BRIDGEPORT, CT, 066062502

Signature of

Role	Plan administrator
Date	2017-06-23
Name of individual signing	DENNIS WILLIAMS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621111
Sponsor’s telephone number	2033715197
Plan sponsor’s address	1381 RESERVOIR AVE, BRIDGEPORT, CT, 066062502

Signature of

Role	Plan administrator
Date	2016-07-15
Name of individual signing	DENNIS WILLIAMS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621111
Sponsor’s telephone number	2033715197
Plan sponsor’s address	1381 RESERVOIR AVE, BRIDGEPORT, CT, 066062502

Signature of

Role	Plan administrator
Date	2015-07-10
Name of individual signing	DENNIS WILLIAMS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	621111
Sponsor’s telephone number	2033715197
Plan sponsor’s address	1381 RESERVOIR AVE, BRIDGEPORT, CT, 066062502

Signature of

Role	Plan administrator
Date	2014-07-17
Name of individual signing	DENNIS WILLIAMS
Valid signature	Filed with authorized/valid electronic signature