INTEGRITY DENTAL OF GREENWICH, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1986-01-01
Business code	621210
Sponsor’s telephone number	2035315595
Plan sponsor’s address	235 GLENVILLE ROAD, GREENWICH, CT, 06831

Signature of

Role	Plan administrator
Date	2024-10-08
Name of individual signing	DR. THOMAS ANZALONE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1986-01-01
Business code	621210
Sponsor’s telephone number	2035315595
Plan sponsor’s address	235 GLENVILLE ROAD, GREENWICH, CT, 06831

Signature of

Role	Plan administrator
Date	2023-09-19
Name of individual signing	DR. THOMAS ANZALONE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1986-01-01
Business code	621210
Sponsor’s telephone number	2035315595
Plan sponsor’s address	235 GLENVILLE ROAD, GREENWICH, CT, 06831

Signature of

Role	Plan administrator
Date	2022-08-25
Name of individual signing	DR. THOMAS ANZALONE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1986-01-01
Business code	621210
Sponsor’s telephone number	2035315595
Plan sponsor’s address	235 GLENVILLE ROAD, GREENWICH, CT, 06831

Signature of

Role	Plan administrator
Date	2021-08-11
Name of individual signing	DR. THOMAS ANZALONE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1986-01-01
Business code	621210
Sponsor’s telephone number	2035315595
Plan sponsor’s address	235 GLENVILLE ROAD, GREENWICH, CT, 06831

Signature of

Role	Plan administrator
Date	2020-06-29
Name of individual signing	DR. THOMAS ANZALONE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1986-01-01
Business code	621210
Sponsor’s telephone number	2035315595
Plan sponsor’s address	235 GLENVILLE ROAD, GREENWICH, CT, 06831

Signature of

Role	Plan administrator
Date	2019-05-23
Name of individual signing	THOMAS ANZALONE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1986-01-01
Business code	621210
Sponsor’s telephone number	2035315595
Plan sponsor’s address	235 GLENVILLE ROAD, GREENWICH, CT, 06831

Signature of

Role	Plan administrator
Date	2018-10-10
Name of individual signing	THOMAS ANZALONE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1986-01-01
Business code	621210
Sponsor’s telephone number	2035315595
Plan sponsor’s address	235 GLENVILLE ROAD, GREENWICH, CT, 06831

Signature of

Role	Plan administrator
Date	2017-06-08
Name of individual signing	THOMAS ANZALONE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1986-01-01
Business code	621210
Sponsor’s telephone number	2035315595
Plan sponsor’s address	235 GLENVILLE ROAD, GREENWICH, CT, 06831

Signature of

Role	Plan administrator
Date	2016-09-20
Name of individual signing	THOMAS ANZALONE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1986-01-01
Business code	621210
Sponsor’s telephone number	2035315595
Plan sponsor’s address	235 GLENVILLE ROAD, GREENWICH, CT, 06831

Signature of

Role	Plan administrator
Date	2015-10-09
Name of individual signing	THOMAS ANZALONE
Valid signature	Filed with authorized/valid electronic signature