OLEYNIK DMD, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1970-01-01
Business code	621210
Sponsor’s telephone number	2039244731
Plan sponsor’s address	19 PENNY LN, WOODBRIDGE, CT, 06525

Signature of

Role	Plan administrator
Date	2024-09-15
Name of individual signing	KEN OLEYNIK
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1970-01-01
Business code	621210
Sponsor’s telephone number	2033877085
Plan sponsor’s address	74 WOOSTER STREET, SHELTON, CT, 06484

Signature of

Role	Plan administrator
Date	2023-10-08
Name of individual signing	KENNETH OLEYNIK
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1970-01-01
Business code	621210
Sponsor’s telephone number	2033877085
Plan sponsor’s address	19 PENNY LANE, WOODBRIDGE, CT, 06525

Signature of

Role	Plan administrator
Date	2022-09-11
Name of individual signing	KENNETH OLEYNIK
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1970-01-01
Business code	621210
Sponsor’s telephone number	2033877085
Plan sponsor’s address	19 PENNY LANE, WOODBRIDGE, CT, 06525

Signature of

Role	Plan administrator
Date	2021-09-25
Name of individual signing	KENNETH OLEYNIK
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1970-01-01
Business code	621210
Sponsor’s telephone number	2033877085
Plan sponsor’s address	19 PENNY LANE, WOODBRIDGE, CT, 06525

Signature of

Role	Plan administrator
Date	2020-08-13
Name of individual signing	KENNETH OLEYNIK
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1970-01-01
Business code	621210
Sponsor’s telephone number	2033877085
Plan sponsor’s address	19 PENNY LANE, WOODBRIDGE, CT, 06525

Signature of

Role	Plan administrator
Date	2019-08-11
Name of individual signing	KENNETH OLEYNIK
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1970-01-01
Business code	621210
Sponsor’s telephone number	2033877085
Plan sponsor’s address	19 PENNY LANE, WOODBRIDGE, CT, 06525

Signature of

Role	Plan administrator
Date	2018-06-24
Name of individual signing	KENNETH OLEYNIK
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1970-01-01
Business code	621210
Sponsor’s telephone number	2033877085
Plan sponsor’s address	19 PENNY LANE, WOODBRIDGE, CT, 06525

Signature of

Role	Plan administrator
Date	2017-05-28
Name of individual signing	KENNETH OLEYNIK
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1970-01-01
Business code	621210
Sponsor’s telephone number	2033877085
Plan sponsor’s address	19 PENNY LANE, WOODBRIDGE, CT, 06525

Signature of

Role	Plan administrator
Date	2016-05-18
Name of individual signing	KENNETH OLEYNIK
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1970-01-01
Business code	621210
Sponsor’s telephone number	2033877085
Plan sponsor’s address	19 PENNY LANE, WOODBRIDGE, CT, 06525

Signature of

Role	Plan administrator
Date	2015-06-21
Name of individual signing	KENNETH OLEYNIK
Valid signature	Filed with authorized/valid electronic signature