ULTIMATE CARE MEDICAL SERVICES LLC

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Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	624100
Sponsor’s telephone number	6063934632
Plan sponsor’s address	3655 WINCHESTER AVENUE, ASHLAND, KY, 41101

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621111
Sponsor’s telephone number	6069207318
Plan sponsor’s address	855 CENTRAL AVENUE, ASHLAND, KY, 41101

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621111
Sponsor’s telephone number	6069207318
Plan sponsor’s address	855 CENTRAL AVENUE, ASHLAND, KY, 41101

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621111
Sponsor’s telephone number	6063934632
Plan sponsor’s address	3655 WINCHESTER AVENUE, ASHLAND, KY, 41101

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621111
Sponsor’s telephone number	6069207318
Plan sponsor’s address	855 CENTRAL AVENUE, ASHLAND, KY, 41101

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621111
Sponsor’s telephone number	6069207318
Plan sponsor’s address	855 CENTRAL AVENUE, ASHLAND, KY, 41101

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621111
Sponsor’s telephone number	6069207318
Plan sponsor’s address	855 CENTRAL AVENUE, ASHLAND, KY, 41101

Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621111
Sponsor’s telephone number	6069207318
Plan sponsor’s address	855 CENTRAL AVENUE, ASHLAND, KY, 41101

Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621111
Sponsor’s telephone number	6069207318
Plan sponsor’s address	855 CENTRAL AVENUE, ASHLAND, KY, 41101

Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621111
Sponsor’s telephone number	6063934632
Plan sponsor’s address	3655 WINCHESTER AVENUE, ASHLAND, KY, 41101

File	https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/05/20171005145220P040204596497001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621111
Sponsor’s telephone number	6069207318
Plan sponsor’s address	855 CENTRAL AVENUE, ASHLAND, KY, 41101

File	https://efast2-filings-public.s3.amazonaws.com/prd/2016/05/23/20160523114506P030076870829001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621111
Sponsor’s telephone number	6063934632
Plan sponsor’s address	3655 WINCHESTER AVENUE, ASHLAND, KY, 41101

Signature of

Role	Plan administrator
Date	2016-05-23
Name of individual signing	ONYEMAUCHE OPARA
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2015/09/18/20150918083631P030007088897001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621111
Sponsor’s telephone number	6063934632
Plan sponsor’s address	3655 WINCHESTER AVENUE, ASHLAND, KY, 41101

Signature of

Role	Plan administrator
Date	2015-09-18
Name of individual signing	ONYEMAUCHE OPARA
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2014/08/13/20140813121204P040026659887001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	621111
Sponsor’s telephone number	6063934632
Plan sponsor’s address	3655 WINCHESTER AVENUE, ASHLAND, KY, 41101

Signature of

Role	Plan administrator
Date	2014-08-13
Name of individual signing	ONYEMAUCHE OPARA
Valid signature	Filed with authorized/valid electronic signature