TEATOWN LAKE RESERVATION, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-12-01
Business code	712100
Sponsor’s telephone number	9147622912
Plan sponsor’s address	1600 SPRING VALLEY RD, OSSINING, NY, 105621655

Signature of

Role	Plan administrator
Date	2023-12-05
Name of individual signing	DIANE DIVERNIERI

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-12-01
Business code	712100
Sponsor’s telephone number	9147622912
Plan sponsor’s address	1600 SPRING VALLEY RD, OSSINING, NY, 105621655

Signature of

Role	Plan administrator
Date	2022-09-14
Name of individual signing	DIANE DIVERNIERI

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-12-01
Business code	712190
Sponsor’s telephone number	9147622912
Plan sponsor’s address	1600 SPRING VALLEY RD, OSSINING, NY, 105621655

Signature of

Role	Plan administrator
Date	2021-08-26
Name of individual signing	DIANE DIVERNIERI

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-12-01
Business code	712190
Sponsor’s telephone number	9147622912
Plan sponsor’s address	1600 SPRING VALLEY RD, OSSINING, NY, 105621655

Signature of

Role	Plan administrator
Date	2020-09-24
Name of individual signing	DIANE DIVERNIERI

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2018-12-01
Business code	712190
Sponsor’s telephone number	9147622912
Plan sponsor’s address	1600 SPRING VALLEY RD, OSSINING, NY, 105621655

Signature of

Role	Plan administrator
Date	2019-09-18
Name of individual signing	DIANE DIVERNIERI