MERIDEN EYE CARE, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-12-01
Business code	621320
Sponsor’s telephone number	2124705092
Plan sponsor’s address	658 BROAD STREET, MERIDEN, CT, 06450

Signature of

Role	Plan administrator
Date	2024-10-02
Name of individual signing	LUIZA YOUSSEFI
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-12-01
Business code	621320
Sponsor’s telephone number	2124705092
Plan sponsor’s address	658 BROAD STREET, MERIDEN, CT, 06450

Signature of

Role	Plan administrator
Date	2023-06-01
Name of individual signing	LUIZA YOUSSEFI
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-12-01
Business code	621320
Sponsor’s telephone number	2124705092
Plan sponsor’s address	658 BROAD STREET, MERIDEN, CT, 06450

Signature of

Role	Plan administrator
Date	2022-05-31
Name of individual signing	LUIZA YOUSSEFI
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-12-01
Business code	621320
Sponsor’s telephone number	2124705092
Plan sponsor’s address	658 BROAD STREET, MERIDEN, CT, 06450

Signature of

Role	Plan administrator
Date	2021-10-14
Name of individual signing	LUIZA YOUSSEFI
Valid signature	Filed with authorized/valid electronic signature