NEW HAVEN DENTAL LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2023-01-01
Business code	621210
Sponsor’s telephone number	2154217576
Plan sponsor’s address	214 GRAND AVENUE, NEW HAVEN, CT, 06513

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2024-05-21
Name of individual signing	QIAN LIU
Valid signature	Filed with authorized/valid electronic signature