GOODWIN DENTAL LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	2032466015
Plan sponsor’s address	31 RIVER ROAD, SUITE 300, COS COB, CT, 06807

Signature of

Role	Plan administrator
Date	2024-06-07
Name of individual signing	DANIELLE GOODWIN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	2032466015
Plan sponsor’s address	31 RIVER ROAD, SUITE 300, COS COB, CT, 06807

Signature of

Role	Plan administrator
Date	2023-07-07
Name of individual signing	DANIELLE GOODWIN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	2032466015
Plan sponsor’s address	31 RIVER ROAD, SUITE 300, COS COB, CT, 06807

Signature of

Role	Plan administrator
Date	2022-10-07
Name of individual signing	DANIELLE GOODWIN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	2039844599
Plan sponsor’s address	31 RIVER ROAD,, SUITE 300, COS COB, CT, 06807

Signature of

Role	Plan administrator
Date	2022-02-04
Name of individual signing	DANIELLE GOODWIN
Valid signature	Filed with authorized/valid electronic signature

Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	2039844599
Plan sponsor’s address	31 RIVER ROAD, SUITE 300, COS COB, CT, 06807

Signature of

Role	Plan administrator
Date	2021-12-28
Name of individual signing	DANIELLE GOODWIN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	2039844599
Plan sponsor’s address	31 RIVER ROAD, SUITE 300, COS COB, CT, 06807

Signature of

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

Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	2039844599
Plan sponsor’s address	31 RIVER ROAD, SUITE 300, COS COB, CT, 06807

Signature of

Role	Plan administrator
Date	2020-06-26
Name of individual signing	DGOODWIN0125
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	2039844599
Plan sponsor’s address	31 RIVER ROAD, SUITE 300, COS COB, CT, 06807

Signature of

Role	Plan administrator
Date	2019-07-30
Name of individual signing	DANIELLE GOODWIN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	2039844599
Plan sponsor’s address	31 RIVER ROAD, SUITE 300, COS COB, CT, 06807

Signature of

Role	Plan administrator
Date	2018-06-26
Name of individual signing	DANIELLE GOODWIN
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	2039844599
Plan sponsor’s address	453 EAST PUTNAM AVENUE, COS COB, CT, 068072524

Signature of

Role	Plan administrator
Date	2017-07-13
Name of individual signing	DANIELLE GOODWIN
Valid signature	Filed with authorized/valid electronic signature