PURCHASE GASTROENTEROLOGY ASSOCIATES, PSC

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	2702514575
Plan sponsor’s address	1029 MEDICAL CENTER CIRCLE, SUITE 306, MAYFIELD, KY, 42066

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	2702514575
Plan sponsor’s address	1029 MEDICAL CENTER CIRCLE, SUITE 306, MAYFIELD, KY, 42066

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	2702514575
Plan sponsor’s address	1029 MEDICAL CENTER CIRCLE, SUITE 306, MAYFIELD, KY, 42066

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	2702514575
Plan sponsor’s address	1029 MEDICAL CENTER CIRCLE, SUITE 306, MAYFIELD, KY, 42066

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	2702514575
Plan sponsor’s address	1029 MEDICAL CENTER CIRCLE, SUITE 306, MAYFIELD, KY, 42066

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	2702514575
Plan sponsor’s address	1029 MEDICAL CENTER CIR. STE 306, MAYFIELD, KY, 42066

Signature of

Role	Plan administrator
Date	2013-07-03
Name of individual signing	RUBEN CUADRADO, MD
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	2702514575
Plan sponsor’s address	1029 MEDICAL CENTER CIR. STE 306, MAYFIELD, KY, 42066

Plan administrator’s name and address

Administrator’s EIN	202470062
Plan administrator’s name	PURCHASE GASTROENTEROLOGY ASSOCIATES, PSC
Plan administrator’s address	1029 MEDICAL CENTER CIR. STE 306, MAYFIELD, KY, 42066
Administrator’s telephone number	2702514575

Signature of

Role	Plan administrator
Date	2012-03-26
Name of individual signing	RUBEN CUADRADO, MD
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	2702514575
Plan sponsor’s address	1029 MEDICAL CENTER CIR. STE 306, MAYFIELD, KY, 42066

Plan administrator’s name and address

Administrator’s EIN	202470062
Plan administrator’s name	PURCHASE GASTROENTEROLOGY ASSOCIATES, PSC
Plan administrator’s address	1029 MEDICAL CENTER CIR. STE 306, MAYFIELD, KY, 42066
Administrator’s telephone number	2702514575

Signature of

Role	Plan administrator
Date	2011-07-12
Name of individual signing	RUBEN CUADRADO, MD
Valid signature	Filed with authorized/valid electronic signature