SAUGATUCK HOMECARE, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-06-11
Business code	621610
Sponsor’s telephone number	4752829400
Plan sponsor’s DBA name	VISITING ANGELS
Plan sponsor’s address	2452 BLACK ROCK TPKE STE 1B, FAIRFIELD, CT, 068252407

Signature of

Role	Plan administrator
Date	2016-05-16
Name of individual signing	ROBERT MELCHER
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2016-05-16
Name of individual signing	ROBERT MELCHER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-06-11
Business code	621610
Sponsor’s telephone number	2032540402
Plan sponsor’s DBA name	VISITING ANGELS
Plan sponsor’s address	2452 BLACK ROCK TURNPIKE, SUITE 1B, FAIRFIELD, CT, 06825

Signature of

Role	Plan administrator
Date	2015-06-18
Name of individual signing	ROBERT MELCHER
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2015-06-18
Name of individual signing	ROBERT MELCHER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-06-11
Business code	621610
Sponsor’s telephone number	2032540402
Plan sponsor’s DBA name	VISTING ANGELS
Plan sponsor’s address	2452 BLACK ROCK TURNPIKE, SUITE 1B, FAIRFIELD, CT, 06825

Signature of

Role	Plan administrator
Date	2014-05-30
Name of individual signing	ROBERT MELCHER
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2014-05-30
Name of individual signing	ROBERT MELCHER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-06-11
Business code	621610
Sponsor’s telephone number	2032540402
Plan sponsor’s DBA name	VISITING ANGELS
Plan sponsor’s address	1305 POST RD, SUITE 106, FAIRFIELD, CT, 068246016

Plan administrator’s name and address

Administrator’s EIN	272844310
Plan administrator’s name	SAUGATUCK HOMECARE, INC
Plan administrator’s address	1305 POST RD, SUITE 106, FAIRFIELD, CT, 068246016
Administrator’s telephone number	2032540402

Signature of

Role	Plan administrator
Date	2014-05-30
Name of individual signing	ROBERT MELCHER
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2014-05-30
Name of individual signing	ROBERT MELCHER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-06-11
Business code	621610
Sponsor’s telephone number	2032540402
Plan sponsor’s DBA name	VISITING ANGELS
Plan sponsor’s address	1305 POST RD, SUITE 106, FAIRFIELD, CT, 068246016

Plan administrator’s name and address

Administrator’s EIN	272844310
Plan administrator’s name	SAUGATUCK HOMECARE, INC
Plan administrator’s address	1305 POST RD, SUITE 106, FAIRFIELD, CT, 068246016
Administrator’s telephone number	2032540402

Signature of

Role	Plan administrator
Date	2012-07-12
Name of individual signing	ROBERT MELCHER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-06-11
Business code	621610
Sponsor’s telephone number	2032540402
Plan sponsor’s DBA name	VISITING ANGELS
Plan sponsor’s address	1305 POST RD, SUITE 106, FAIRFIELD, CT, 06824

Plan administrator’s name and address

Administrator’s EIN	272844310
Plan administrator’s name	SAUGATUCK HOMECARE, INC.
Plan administrator’s address	1305 POST RD, SUITE 106, FAIRFIELD, CT, 06824
Administrator’s telephone number	2032540402

Signature of

Role	Employer/plan sponsor
Date	2011-07-12
Name of individual signing	ROBERT MELCHER
Valid signature	Filed with authorized/valid electronic signature