M Nasir Ilahi P.C.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2009-01-01
Business code	621330
Sponsor’s telephone number	2036371500
Plan sponsor’s address	28 TERRACE AVENUE, RIVERSIDE, CT, 06878

Plan administrator’s name and address

Administrator’s EIN	522120014
Plan administrator’s name	M. NASIR ILAHI
Plan administrator’s address	28 TERRACE AVENUE, RIVERSIDE, CT, 06878
Administrator’s telephone number	2036371500

Signature of

Role	Plan administrator
Date	2012-10-15
Name of individual signing	M. NASIR ILAHI
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2012-10-15
Name of individual signing	M. NASIR ILAHI
Valid signature	Filed with authorized/valid electronic signature