I SMILE DENTAL STUDIO P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621210
Sponsor’s telephone number	8607490791
Plan sponsor’s address	150 HAZARD AVENUE, ENFIELD, CT, 06082

Signature of

Role	Plan administrator
Date	2024-03-23
Name of individual signing	CONNIE GAO
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	621210
Sponsor’s telephone number	8607490791
Plan sponsor’s address	150 HAZARD AVENUE, ENFIELD, CT, 06082

Signature of

Role	Plan administrator
Date	2023-03-31
Name of individual signing	CONNIE GAO
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	621210
Sponsor’s telephone number	8607490791
Plan sponsor’s address	150 HAZARD AVENUE, ENFIELD, CT, 06082

Signature of

Role	Plan administrator
Date	2022-07-13
Name of individual signing	CONNIE GAO
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	621210
Sponsor’s telephone number	8607490791
Plan sponsor’s address	150 HAZARD AVENUE, ENFIELD, CT, 06082

Signature of

Role	Plan administrator
Date	2021-04-20
Name of individual signing	PAT GLASER FOR DR. GAO
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	621210
Sponsor’s telephone number	8607490791
Plan sponsor’s address	150 HAZARD AVENUE, BUILDING A, ENFIELD, CT, 06082

Signature of

Role	Plan administrator
Date	2020-06-11
Name of individual signing	PAT GLASER FOR DR. GAO
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	621210
Sponsor’s telephone number	8607490791
Plan sponsor’s address	150 HAZARD AVENUE, BUILDING A, ENFIELD, CT, 06082

Signature of

Role	Plan administrator
Date	2019-07-18
Name of individual signing	PAT GLASER FOR DR. GAO
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	621210
Sponsor’s telephone number	8607490791
Plan sponsor’s address	150 HAZARD AVENUE, BUILDING A, ENFIELD, CT, 06082

Signature of

Role	Plan administrator
Date	2018-09-28
Name of individual signing	CONNIE GAO
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	621210
Sponsor’s telephone number	8607490791
Plan sponsor’s address	150 HAZARD AVENUE, BUILDING A, ENFIELD, CT, 06082

Signature of

Role	Plan administrator
Date	2017-10-02
Name of individual signing	CONNIE GAO
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	621210
Sponsor’s telephone number	8607490791
Plan sponsor’s address	150 HAZARD AVENUE, BUILDING A, ENFIELD, CT, 06082

Signature of

Role	Plan administrator
Date	2016-10-10
Name of individual signing	CONNIE GAO
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2016-10-10
Name of individual signing	CONNIE GAO
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	621210
Sponsor’s telephone number	8607490791
Plan sponsor’s address	150 HAZARD AVENUE, BUILDING A, ENFIELD, CT, 06082

Signature of

Role	Plan administrator
Date	2015-07-07
Name of individual signing	CONNIE GAO
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2015-07-07
Name of individual signing	CONNIE GAO
Valid signature	Filed with authorized/valid electronic signature