JOSEPH M. ZONA DDS, PLLC

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Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	7189804600
Plan sponsor’s address	265 GUYON AVENUE, STATEN ISLAND, NY, 10306

Plan administrator’s name and address

Administrator’s EIN	133851529
Plan administrator’s name	JOSEPH M ZONA DDS PLLC
Plan administrator’s address	265 GUYON AVENUE, STATEN ISLAND, NY, 10306
Administrator’s telephone number	7189804600

Signature of

Role	Plan administrator
Date	2010-06-02
Name of individual signing	JOSEPH M ZONA DDS
Role	Employer/plan sponsor
Date	2010-06-02
Name of individual signing	JOSEPH M ZONA DDS