THE WEST SIDE TENNIS CLUB

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-05-01
Business code	713900
Sponsor’s telephone number	7182682300
Plan sponsor’s address	ONE TENNIS PLACE, FOREST HILLS, NY, 11375

Signature of

Role	Plan administrator
Date	2024-03-20
Name of individual signing	MARY E HIGGINS
Role	Employer/plan sponsor
Date	2024-03-20
Name of individual signing	MARY E HIGGINS

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1970-12-01
Business code	713900
Sponsor’s telephone number	7182682300
Plan sponsor’s address	ONE TENNIS PLACE, FOREST HILLS, NY, 113755162

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-05-01
Business code	713900
Sponsor’s telephone number	7182682300
Plan sponsor’s address	ONE TENNIS PLACE, FOREST HILLS, NY, 11375

Signature of

Role	Plan administrator
Date	2023-07-25
Name of individual signing	MARY E HIGGINS

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1970-12-01
Business code	713900
Sponsor’s telephone number	7182682300
Plan sponsor’s address	ONE TENNIS PLACE, FOREST HILLS, NY, 113755162

Signature of

Role	Plan administrator
Date	2023-09-21
Name of individual signing	LAYOSH TOTH

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-05-01
Business code	713900
Sponsor’s telephone number	7182682300
Plan sponsor’s address	ONE TENNIS PLACE, FOREST HILLS, NY, 11375

Signature of

Role	Plan administrator
Date	2022-06-06
Name of individual signing	JESSICA SHOPINSKI

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1970-12-01
Business code	713900
Sponsor’s telephone number	7182682300
Plan sponsor’s address	ONE TENNIS PLACE, FOREST HILLS, NY, 113755162

Signature of

Role	Plan administrator
Date	2022-10-14
Name of individual signing	LAYOSH TOTH

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-05-01
Business code	713900
Sponsor’s telephone number	7182682300
Plan sponsor’s address	ONE TENNIS PLACE, FOREST HILLS, NY, 11375

Signature of

Role	Plan administrator
Date	2021-08-13
Name of individual signing	JOSEPH BLEJEC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1970-12-01
Business code	713900
Sponsor’s telephone number	7182682300
Plan sponsor’s address	ONE TENNIS PLACE, FOREST HILLS, NY, 113755162

Signature of

Role	Plan administrator
Date	2021-09-07
Name of individual signing	JOSEPH BLEJEC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-05-01
Business code	713900
Sponsor’s telephone number	7182682300
Plan sponsor’s address	ONE TENNIS PLACE, FOREST HILLS, NY, 11375

Signature of

Role	Plan administrator
Date	2020-10-06
Name of individual signing	JOSEPH BLEJEC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1970-12-01
Business code	713900
Sponsor’s telephone number	7182682300
Plan sponsor’s address	ONE TENNIS PLACE, FOREST HILLS, NY, 113755162

Signature of

Role	Plan administrator
Date	2020-10-06
Name of individual signing	JOSEPH BLEJEC