LIFESTYLE HEALTH & WELLNESS CENTER, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	713900
Sponsor’s telephone number	5024261971
Plan sponsor’s address	6212 DEEP COVE COURT, PROSPECT, KY, 40059

Signature of

Role	Plan administrator
Date	2019-05-02
Name of individual signing	BENITA SIMON
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	713900
Sponsor’s telephone number	5024251971
Plan sponsor’s address	6212 DEEP COVE COURT, PROSPECT, KY, 40059

Signature of

Role	Plan administrator
Date	2019-05-02
Name of individual signing	BENITA SIMON
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	713900
Sponsor’s telephone number	5024261971
Plan sponsor’s address	6212 DEEP COVE COURT, PROSPECT, KY, 40059

Signature of

Role	Plan administrator
Date	2018-07-12
Name of individual signing	BENITA SIMON
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	713900
Sponsor’s telephone number	5024261971
Plan sponsor’s address	6212 DEEP COVE COURT, PROSPECT, KY, 40059

Signature of

Role	Plan administrator
Date	2018-07-12
Name of individual signing	BENITA SIMON
Valid signature	Filed with authorized/valid electronic signature

Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	713900
Sponsor’s telephone number	5024261971
Plan sponsor’s address	6212 DEEP COVE COURT, PROSPECT, KY, 40059

Signature of

Role	Plan administrator
Date	2017-06-26
Name of individual signing	BENITA SIMON
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	713900
Sponsor’s telephone number	5024261971
Plan sponsor’s address	6212 DEEP COVE COURT, PROSPECT, KY, 40059

Signature of

Role	Plan administrator
Date	2016-07-29
Name of individual signing	BENITA SIMON
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	713900
Sponsor’s telephone number	5024261971
Plan sponsor’s address	6212 DEEP COVE COURT, PROSPECT, KY, 40059

Signature of

Role	Plan administrator
Date	2015-06-02
Name of individual signing	BENITA SIMON
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2015-06-02
Name of individual signing	BENITA SIMON
Valid signature	Filed with authorized/valid electronic signature