HealthFirst Bluegrass Inc.

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Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621111
Sponsor’s telephone number	8595597398
Plan sponsor’s mailing address	450 SOUTHLAND DR STE E, LEXINGTON, KY, 405031831
Plan sponsor’s address	450 SOUTHLAND DR STE E, LEXINGTON, KY, 405031831

Number of participants as of the end of the plan year

Active participants	172
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	13
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants with account balances as of the end of the plan year	145
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2017-10-12
Name of individual signing	JAMES COYLE
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2017-10-12
Name of individual signing	JAMES COYLE
Valid signature	Filed with authorized/valid electronic signature