DAVID R. STEBBINS, D.M.D. LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621210
Sponsor’s telephone number	2038660415
Plan sponsor’s address	148 EAST AVENUE, SUITE 3J, NORWALK, CT, 06851

Signature of

Role	Plan administrator
Date	2024-10-15
Name of individual signing	GAYLE STEBBINS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621210
Sponsor’s telephone number	2038660415
Plan sponsor’s address	148 EAST AVENUE, SUITE 3J, NORWALK, CT, 06851

Signature of

Role	Plan administrator
Date	2023-10-12
Name of individual signing	GAYLE STEBBINS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621210
Sponsor’s telephone number	2038660415
Plan sponsor’s address	148 EAST AVENUE, SUITE 3J, NORWALK, CT, 06851

Signature of

Role	Plan administrator
Date	2022-09-09
Name of individual signing	GAYLE STEBBINS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621210
Sponsor’s telephone number	2038660415
Plan sponsor’s address	148 EAST AVENUE, SUITE 3J, NORWALK, CT, 06851

Signature of

Role	Plan administrator
Date	2021-04-26
Name of individual signing	GAYLE STEBBINS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621210
Sponsor’s telephone number	2038660415
Plan sponsor’s address	148 EAST AVENUE, SUITE 3J, NORWALK, CT, 06851

Signature of

Role	Plan administrator
Date	2020-10-05
Name of individual signing	GAYLE STEBBINS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621210
Sponsor’s telephone number	2038660415
Plan sponsor’s address	148 EAST AVENUE, SUITE 3J, NORWALK, CT, 06851

Signature of

Role	Plan administrator
Date	2019-10-05
Name of individual signing	GAYLE STEBBINS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	321210
Sponsor’s telephone number	2038660415
Plan sponsor’s address	148 EAST AVENUE, SUITE 3J, NORWALK, CT, 06851

Signature of

Role	Plan administrator
Date	2018-10-11
Name of individual signing	GAYLE STEBBINS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	321210
Sponsor’s telephone number	2038660415
Plan sponsor’s address	148 EAST AVENUE, SUITE 3J, NORWALK, CT, 06851

Signature of

Role	Plan administrator
Date	2017-10-16
Name of individual signing	GAYLE STEBBINS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	321210
Sponsor’s telephone number	2038660415
Plan sponsor’s address	148 EAST AVENUE, SUITE 3J, NORWALK, CT, 06851

Signature of

Role	Plan administrator
Date	2016-07-05
Name of individual signing	DAVID R. STEBBINS
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2016-07-05
Name of individual signing	DAVID R. STEBBINS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	321210
Sponsor’s telephone number	2038660415
Plan sponsor’s address	148 EAST AVENUE, SUITE 3J, NORWALK, CT, 06851

Signature of

Role	Plan administrator
Date	2015-06-09
Name of individual signing	DAVID R. STEBBINS
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2015-06-09
Name of individual signing	DAVID R. STEBBINS
Valid signature	Filed with authorized/valid electronic signature