MOUNTAIN VIEW FAMILY PRACTICE, PLLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	6068772850
Plan sponsor’s address	272 LONDON MOUNTAIN VIEW DRIVE, LONDON, KY, 40741

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	6068772850
Plan sponsor’s address	272 LONDON MOUNTAIN VIEW DRIVE, LONDON, KY, 40741

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	6068772850
Plan sponsor’s address	272 LONDON MOUNTAIN VIEW DRIVE, LONDON, KY, 40741

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	6068772850
Plan sponsor’s address	272 LONDON MOUNTAIN VIEW DRIVE, LONDON, KY, 40741

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	6068772850
Plan sponsor’s address	272 LONDON MOUNTAIN VIEW DRIVE, LONDON, KY, 40741

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	6068772850
Plan sponsor’s address	272 LONDON MOUNTAIN VIEW DRIVE, LONDON, KY, 40741

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	6068772850
Plan sponsor’s address	272 LONDON MOUNTAIN VIEW DRIVE, LONDON, KY, 40741

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	6068772850
Plan sponsor’s address	272 LONDON MOUNTAIN VIEW DRIVE, LONDON, KY, 40741

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	6068772850
Plan sponsor’s address	272 LONDON MOUNTAIN VIEW DRIVE, LONDON, KY, 40741

Signature of

Role	Plan administrator
Date	2013-09-30
Name of individual signing	KATHY KEATON
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	6068772850
Plan sponsor’s address	272 LONDON MOUNTAIN VIEW DRIVE, LONDON, KY, 40741

Plan administrator’s name and address

Administrator’s EIN	203586908
Plan administrator’s name	MOUNTAIN VIEW FAMILY PRACTICE, PLLC
Plan administrator’s address	272 LONDON MOUNTAIN VIEW DRIVE, LONDON, KY, 40741
Administrator’s telephone number	6068772850

Signature of

Role	Plan administrator
Date	2012-10-05
Name of individual signing	SAMUEL D. KREIS, MD
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/27/20110927074210P040141146609001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	6068772850
Plan sponsor’s address	148 LONDON MTN VIEW, STE 3, LONDON, KY, 40741

Plan administrator’s name and address

Administrator’s EIN	203586908
Plan administrator’s name	MOUNTAIN VIEW FAMILY PRACTICE, PLLC
Plan administrator’s address	148 LONDON MTN VIEW, STE 3, LONDON, KY, 40741
Administrator’s telephone number	6068772850

Signature of

Role	Plan administrator
Date	2011-09-27
Name of individual signing	SAMUEL D. KREIS, MD
Valid signature	Filed with authorized/valid electronic signature