ORTHOPAEDIC SPECIALTY SURGERY CENTER, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621493
Sponsor’s telephone number	2032052840
Plan sponsor’s address	40 OLD RIDGEBURY ROAD, SUITE 201, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2024-07-07
Name of individual signing	RICHARD SEARLES
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621493
Sponsor’s telephone number	2032052840
Plan sponsor’s address	40 OLD RIDGEBURY ROAD, SUITE 201, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2023-07-24
Name of individual signing	RICHARD SEARLES
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621493
Sponsor’s telephone number	2032052840
Plan sponsor’s address	40 OLD RIDGEBURY ROAD, SUITE 201, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2022-06-23
Name of individual signing	RICHARD SEARLES
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621493
Sponsor’s telephone number	2032052840
Plan sponsor’s address	40 OLD RIDGEBURY ROAD, SUITE 201, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2021-05-25
Name of individual signing	RICHARD SEARLES
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621493
Sponsor’s telephone number	2032052840
Plan sponsor’s address	40 OLD RIDGEBURY ROAD, SUITE 201, DANBURY, CT, 06810

Signature of

Role	Plan administrator
Date	2020-09-16
Name of individual signing	RICHARD SEARLES
Valid signature	Filed with authorized/valid electronic signature