COASTAL CHIROPRACTIC & WELLNESS, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621310
Sponsor’s telephone number	8606046639
Plan sponsor’s address	15 MEIGS AVENUE, MADISON, CT, 064433057

Signature of

Role	Plan administrator
Date	2024-01-29
Name of individual signing	KEITH MIRANTE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621310
Sponsor’s telephone number	8606046639
Plan sponsor’s address	15 MEIGS AVENUE, MADISON, CT, 064433057

Signature of

Role	Plan administrator
Date	2023-05-04
Name of individual signing	KEITH MIRANTE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621310
Sponsor’s telephone number	8606046639
Plan sponsor’s address	15 MEIGS AVENUE, MADISON, CT, 064433057

Signature of

Role	Plan administrator
Date	2022-04-07
Name of individual signing	KEITH MIRANTE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621310
Sponsor’s telephone number	8606046639
Plan sponsor’s address	15 MEIGS AVENUE, MADISON, CT, 064433057

Signature of

Role	Plan administrator
Date	2021-03-17
Name of individual signing	KEITH MIRANTE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621310
Sponsor’s telephone number	8606046639
Plan sponsor’s address	15 MEIGS AVENUE, MADISON, CT, 064433057

Signature of

Role	Plan administrator
Date	2020-01-24
Name of individual signing	KEITH MIRANTE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621310
Sponsor’s telephone number	8606046639
Plan sponsor’s address	15 MEIGS AVENUE, MADISON, CT, 064433057

Signature of

Role	Plan administrator
Date	2019-02-11
Name of individual signing	KEITH MIRANTE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621310
Sponsor’s telephone number	8606046639
Plan sponsor’s address	15 MEIGS AVENUE, MADISON, CT, 064433057

Signature of

Role	Plan administrator
Date	2018-04-03
Name of individual signing	KEITH MIRANTE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621310
Sponsor’s telephone number	8606046639
Plan sponsor’s address	15 MEIGS AVENUE, MADISON, CT, 064433057

Signature of

Role	Plan administrator
Date	2017-07-10
Name of individual signing	KEITH MIRANTE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621310
Sponsor’s telephone number	8606046639
Plan sponsor’s address	15 MEIGS AVENUE, MADISON, CT, 06443

Signature of

Role	Plan administrator
Date	2016-10-13
Name of individual signing	KEITH MIRANTE
Valid signature	Filed with authorized/valid electronic signature