CNY COSMETIC AND RECONSTRUCTIVE SURGERY, LLC

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	3156630112
Plan sponsor’s address	5898 BRIDGE ST., E. SYRACUSE, NY, 13057

Signature of

Role	Plan administrator
Date	2024-07-12
Name of individual signing	GREGORY BAUM
Role	Employer/plan sponsor
Date	2024-07-12
Name of individual signing	GREGORY BAUM

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	621111
Sponsor’s telephone number	3156630112
Plan sponsor’s address	5898 BRIDGE STREET, EAST SYRACUSE, NY, 13057

Signature of

Role	Plan administrator
Date	2024-03-29
Name of individual signing	GREGORY A. BAUM, MD

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	621111
Sponsor’s telephone number	3156630112
Plan sponsor’s address	5898 BRIDGE STREET, EAST SYRACUSE, NY, 13057

Signature of

Role	Plan administrator
Date	2023-03-23
Name of individual signing	GREGORY A. BAUM, MD

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	3156630112
Plan sponsor’s address	5898 BRIDGE ST., E. SYRACUSE, NY, 13057

Signature of

Role	Plan administrator
Date	2023-05-27
Name of individual signing	GREGORY BAUM
Role	Employer/plan sponsor
Date	2023-05-27
Name of individual signing	GREGORY BAUM

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	3156630112
Plan sponsor’s address	5898 BRIDGE ST., E. SYRACUSE, NY, 13057

Signature of

Role	Plan administrator
Date	2022-08-19
Name of individual signing	GREGORY BAUM
Role	Employer/plan sponsor
Date	2022-08-19
Name of individual signing	GREGORY BAUM

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	621111
Sponsor’s telephone number	3156630112
Plan sponsor’s address	5898 BRIDGE STREET, EAST SYRACUSE, NY, 13057

Signature of

Role	Plan administrator
Date	2022-07-17
Name of individual signing	GREGORY A. BAUM, MD

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	3157979850
Plan sponsor’s address	5898 BRIDGE ST., E. SYRACUSE, NY, 13057

Signature of

Role	Plan administrator
Date	2021-07-05
Name of individual signing	GREGORY BAUM
Role	Employer/plan sponsor
Date	2021-07-05
Name of individual signing	GREGORY BAUM

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	621111
Sponsor’s telephone number	3156630112
Plan sponsor’s address	5898 BRIDGE STREET, EAST SYRACUSE, NY, 13057

Signature of

Role	Plan administrator
Date	2021-03-31
Name of individual signing	GREGORY A. BAUM, MD

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2010-01-01
Business code	621111
Sponsor’s telephone number	3157979850
Plan sponsor’s address	5898 BRIDGE ST., E. SYRACUSE, NY, 13057

Signature of

Role	Plan administrator
Date	2020-10-05
Name of individual signing	GREGORY BAUM
Role	Employer/plan sponsor
Date	2020-10-05
Name of individual signing	GREGORY BAUM

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-01-01
Business code	621111
Sponsor’s telephone number	3156630112
Plan sponsor’s address	5898 BRIDGE STREET, EAST SYRACUSE, NY, 13057

Signature of

Role	Plan administrator
Date	2020-03-08
Name of individual signing	GREGORY A. BAUM, MD