CENTER FOR DENTAL EXCELLENCE LLC

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	2022-01-01
Business code	321210
Sponsor’s telephone number	8606581991
Plan sponsor’s address	625 HOPMEADOW STREET, SIMSBURY, CT, 06070

Signature of

Role	Plan administrator
Date	2024-07-17
Name of individual signing	MICHAEL CHRISTIAN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1983-07-01
Business code	621210
Sponsor’s telephone number	8606581991
Plan sponsor’s address	625 HOPMEADOW STREET, SIMSBURY, CT, 06070

Signature of

Role	Plan administrator
Date	2024-05-20
Name of individual signing	LAWRENCE CHRISTIAN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1983-07-01
Business code	621210
Sponsor’s telephone number	8606581991
Plan sponsor’s address	625 HOPMEADOW STREET, SIMSBURY, CT, 06070

Signature of

Role	Plan administrator
Date	2023-06-28
Name of individual signing	LAWRENCE CHRISTIAN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	2022-01-01
Business code	321210
Sponsor’s telephone number	8606581991
Plan sponsor’s address	625 HOPMEADOW STREET, SIMSBURY, CT, 06070

Signature of

Role	Plan administrator
Date	2023-07-14
Name of individual signing	MICHAEL CHRISTIAN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1983-07-01
Business code	621210
Sponsor’s telephone number	8606581991
Plan sponsor’s address	625 HOPMEADOW STREET, SIMSBURY, CT, 06070

Signature of

Role	Plan administrator
Date	2022-05-18
Name of individual signing	LAWRENCE CHRISTIAN, D.M.D.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1983-07-01
Business code	621210
Sponsor’s telephone number	8606581991
Plan sponsor’s address	625 HOPMEADOW STREET, SIMSBURY, CT, 06070

Signature of

Role	Plan administrator
Date	2021-06-30
Name of individual signing	LAWRENCE CHRISTIAN, D.M.D.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1983-07-01
Business code	621210
Sponsor’s telephone number	8606581991
Plan sponsor’s address	625 HOPMEADOW STREET, SIMSBURY, CT, 06070

Signature of

Role	Plan administrator
Date	2020-07-16
Name of individual signing	LAWRENCE CHRISTIAN, D.M.D.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1983-07-01
Business code	621210
Sponsor’s telephone number	8606581991
Plan sponsor’s address	625 HOPMEADOW STREET, SIMSBURY, CT, 06070

Signature of

Role	Plan administrator
Date	2019-06-03
Name of individual signing	LAWRENCE CHRISTIAN, D.M.D.
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2019-06-03
Name of individual signing	LAWRENCE CHRISTIAN, D.M.D.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1983-07-01
Business code	621210
Sponsor’s telephone number	8606581991
Plan sponsor’s address	625 HOPMEADOW STREET, SIMSBURY, CT, 06070

Signature of

Role	Plan administrator
Date	2018-04-11
Name of individual signing	LAWRENCE CHRISTIAN, D.M.D.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1983-07-01
Business code	621210
Sponsor’s telephone number	8606581991
Plan sponsor’s address	625 HOPMEADOW STREET, SIMSBURY, CT, 06070

Signature of

Role	Plan administrator
Date	2017-04-10
Name of individual signing	LAWRENCE CHRISTIAN, D.M.D.
Valid signature	Filed with authorized/valid electronic signature