THORNTONMD COSMETIC SURGERY CENTER, PLLC

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Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	5028023712
Plan sponsor’s address	P.O. BOX 4937, LOUISVILLE, KY, 402040937

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	5028023712
Plan sponsor’s address	P.O. BOX 4937, LOUISVILLE, KY, 402040937

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	5028023712
Plan sponsor’s address	P.O. BOX 4937, LOUISVILLE, KY, 402040937

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Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	5028023712
Plan sponsor’s address	210 EAST GRAY ST., STE. 802, LOUISVILLE, KY, 402023904

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Sponsor’s telephone number	5028023712
Plan sponsor’s address	210 EAST GRAY ST., STE. 802, LOUISVILLE, KY, 402023904

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Plan sponsor’s address	P.O. BOX 4937, LOUISVILLE, KY, 402040937

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Plan sponsor’s address	P.O. BOX 4937, LOUISVILLE, KY, 402040937

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	621111
Plan sponsor’s address	P.O. BOX 4937, LOUISVILLE, KY, 402040937

Signature of

Role	Plan administrator
Date	2017-07-25
Name of individual signing	BRIAN P. THORNTON
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	621111
Plan sponsor’s address	P.O. BOX 4937, LOUISVILLE, KY, 402040937

Signature of

Role	Plan administrator
Date	2016-06-23
Name of individual signing	BRIAN P. THORNTON
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	621111
Plan sponsor’s address	P.O. BOX 4937, LOUISVILLE, KY, 402040937

Signature of

Role	Plan administrator
Date	2015-07-15
Name of individual signing	BRIAN P. THORNTON
Valid signature	Filed with authorized/valid electronic signature