SMILES IN BLOOM, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	8602545840
Plan sponsor’s address	137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of

Role	Plan administrator
Date	2024-07-30
Name of individual signing	JUSTIN BLOOM
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	8602545840
Plan sponsor’s address	137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of

Role	Plan administrator
Date	2023-10-16
Name of individual signing	JUSTIN BLOOM
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	8602545840
Plan sponsor’s address	137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of

Role	Plan administrator
Date	2022-09-27
Name of individual signing	JUSTIN BLOOM
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	8602545840
Plan sponsor’s address	137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of

Role	Plan administrator
Date	2021-08-02
Name of individual signing	JUSTIN BLOOM
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	8602545840
Plan sponsor’s address	137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of

Role	Plan administrator
Date	2020-09-09
Name of individual signing	JUSTIN BLOOM
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	8602545840
Plan sponsor’s address	137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of

Role	Plan administrator
Date	2019-10-08
Name of individual signing	JUSTIN BLOOM
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	8602545840
Plan sponsor’s address	137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of

Role	Plan administrator
Date	2018-10-02
Name of individual signing	JUSTIN BLOOM
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	8602545840
Plan sponsor’s address	137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of

Role	Plan administrator
Date	2017-10-05
Name of individual signing	JUSTIN BLOOM
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2017-10-05
Name of individual signing	SMILES IN BLOOM
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	8602545840
Plan sponsor’s address	137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of

Role	Plan administrator
Date	2016-09-28
Name of individual signing	JUSTIN BLOOM
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621210
Sponsor’s telephone number	8602545840
Plan sponsor’s address	137 PROSPECT HILL ROAD, P.O. BOX 806, EAST WINDSOR, CT, 06088

Signature of

Role	Plan administrator
Date	2015-07-23
Name of individual signing	JUSTIN BLOOM
Valid signature	Filed with authorized/valid electronic signature