WILTON INTERNAL MEDICINE, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	2032107575
Plan sponsor’s address	2 KENSETT AVENUE, WILTON, CT, 06897

Signature of

Role	Plan administrator
Date	2024-05-25
Name of individual signing	CHANDRA NARAYANASWAMI
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	2032107575
Plan sponsor’s address	2 KENSETT AVENUE, WILTON, CT, 06897

Signature of

Role	Plan administrator
Date	2023-05-22
Name of individual signing	CHANDRA NARAYANASWAMI
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	2032107575
Plan sponsor’s address	2 KENSETT AVENUE, WILTON, CT, 06897

Signature of

Role	Plan administrator
Date	2022-07-23
Name of individual signing	CHANDRA NARAYANASWAMI
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2022-07-23
Name of individual signing	VARSHAPRIYA IYER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	2032107575
Plan sponsor’s address	2 KENSETT AVENUE, WILTON, CT, 06897

Signature of

Role	Plan administrator
Date	2021-07-03
Name of individual signing	CHANDRASEKHAR NARAYANASWAMI
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	2032107575
Plan sponsor’s address	2 KENSETT AVENUE, WILTON, CT, 06897

Signature of

Role	Plan administrator
Date	2020-08-28
Name of individual signing	CHANDRA NARAYANASWAMI
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	2034239335
Plan sponsor’s address	436 DANBURY ROAD, WILTON, CT, 06897

Signature of

Role	Plan administrator
Date	2019-06-30
Name of individual signing	CHANDRA NARAYANASWAMI
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2019-06-30
Name of individual signing	CHANDRA NARAYANASWAMI
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	2034239335
Plan sponsor’s address	436 DANBURY ROAD, WILTON, CT, 06897

Signature of

Role	Plan administrator
Date	2018-07-04
Name of individual signing	CHANDRA NARAYANASWAMI
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	2034239335
Plan sponsor’s address	436 DANBURY ROAD, WILTON, CT, 06897

Signature of

Role	Plan administrator
Date	2017-07-26
Name of individual signing	CHANDRA NARAYANASWAMI
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	2034239335
Plan sponsor’s address	436 DANBURY ROAD, WILTON, CT, 06897

Signature of

Role	Plan administrator
Date	2016-09-28
Name of individual signing	VARSHAPRIYA IYER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2011-01-01
Business code	621111
Sponsor’s telephone number	2034239335
Plan sponsor’s address	436 DANBURY ROAD, WILTON, CT, 06897

Signature of

Role	Plan administrator
Date	2015-05-31
Name of individual signing	VARSHAPRIYA IYER
Valid signature	Filed with authorized/valid electronic signature