LEWIS ENTERPRISES, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	812990
Sponsor’s telephone number	2035854875
Plan sponsor’s DBA name	I LOVE KICKBOXING
Plan sponsor’s address	213 BURBANK AVE, STRATFORD, CT, 066143129

Signature of

Role	Plan administrator
Date	2024-09-14
Name of individual signing	MARGARET LEWIS
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2024-09-14
Name of individual signing	MARGARET LEWIS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	812990
Sponsor’s telephone number	2038148317
Plan sponsor’s address	213 BURBANK AVENUE, STRATFORD, CT, 06614

Signature of

Role	Plan administrator
Date	2022-10-14
Name of individual signing	MARGARET M LEWIS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	812990
Sponsor’s telephone number	2038148317
Plan sponsor’s address	5104 AVALON DRIVE, SHELTON, CT, 06484

Signature of

Role	Plan administrator
Date	2021-04-13
Name of individual signing	MARGARET LEWIS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	812990
Sponsor’s telephone number	2034458134
Plan sponsor’s address	16 NICKEL PLACE, MONROE, CT, 06468

Signature of

Role	Plan administrator
Date	2020-05-15
Name of individual signing	MARGARET LEWIS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-01-01
Business code	812990
Sponsor’s telephone number	2034458134
Plan sponsor’s address	16 NICKEL PLACE, MONROE, CT, 06468

Signature of

Role	Plan administrator
Date	2019-04-03
Name of individual signing	MARGARET LEWIS
Valid signature	Filed with authorized/valid electronic signature