CT DENTAL, LLC

Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621210
Sponsor’s telephone number	2035742725
Plan sponsor’s address	171 GRANDVIEW AVE STE 103, WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2024-08-13
Name of individual signing	AMIT SATHYAN
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	2035742725
Plan sponsor’s address	171 GRANDVIEW AVE STE 103, WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2024-09-16
Name of individual signing	AMIT SATHYAN
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	2035742725
Plan sponsor’s address	171 GRANDVIEW AVE STE 103, WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2023-08-15
Name of individual signing	AMIT SATHYAN
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	2035742725
Plan sponsor’s address	171 GRANDVIEW AVE STE 103, WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2022-06-27
Name of individual signing	AMIT SATHYAN
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	2035742725
Plan sponsor’s address	171 GRANDVIEW AVE STE 103, WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2021-10-06
Name of individual signing	AMIT SATHYAN
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	2035742725
Plan sponsor’s address	171 GRANDVIEW AVE STE 103, WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2020-06-30
Name of individual signing	AMIT SATHYAN
Valid signature	Filed with authorized/valid electronic signature

Three-digit plan number (PN)	001
Effective date of plan	2012-01-01
Business code	621210
Sponsor’s telephone number	2035742725
Plan sponsor’s address	171 GRANDVIEW AVE STE 103, WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2020-06-24
Name of individual signing	ASATHYAN1432
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	2035742725
Plan sponsor’s address	171 GRANDVIEW AVE STE 103, WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2019-07-11
Name of individual signing	AMIT SATHYAN
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	2035742725
Plan sponsor’s address	171 GRANDVIEW AVE STE 103, WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2018-07-12
Name of individual signing	AMIT SATHYAN
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	2035742725
Plan sponsor’s address	171 GRANDVIEW AVE STE 103, WATERBURY, CT, 06708

Signature of

Role	Plan administrator
Date	2017-07-24
Name of individual signing	AMIT SATHYAN
Valid signature	Filed with authorized/valid electronic signature