ARTHUR M. COTLIAR, M.D., PLLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-10-01
Business code	621111
Sponsor’s telephone number	2123052241
Plan sponsor’s address	130 FORT WASHINGTON AVE., SUITE 1M, NEW YORK, NY, 10032

Signature of

Role	Plan administrator
Date	2024-10-07
Name of individual signing	ARTHUR M. COTLIAR, M.D.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-10-01
Business code	621111
Sponsor’s telephone number	2123052241
Plan sponsor’s address	130 FORT WASHINGTON AVE., SUITE 1M, NEW YORK, NY, 10032

Signature of

Role	Plan administrator
Date	2023-08-08
Name of individual signing	ARTHUR M. COTLIAR, M.D.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-10-01
Business code	621111
Sponsor’s telephone number	2123052241
Plan sponsor’s address	130 FORT WASHINGTON AVE., SUITE 1M, NEW YORK, NY, 10032

Signature of

Role	Plan administrator
Date	2022-09-08
Name of individual signing	ARTHUR M. COTLIAR, M.D.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-10-01
Business code	621111
Sponsor’s telephone number	2123052241
Plan sponsor’s address	C/O HARKNESS EYE INSTITUTE, 635 WEST 165TH STREET, NEW YORK, NY, 10032

Signature of

Role	Plan administrator
Date	2021-08-10
Name of individual signing	ARTHUR M. COTLIAR, M.D.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2012-01-01
Business code	621111
Sponsor’s telephone number	2123052241
Plan sponsor’s address	635 WEST 165TH STREET, NEW YORK, NY, 10032

Signature of

Role	Plan administrator
Date	2020-12-04
Name of individual signing	ARTHUR M. COTLIAR, M.D.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2012-01-01
Business code	621111
Sponsor’s telephone number	2123052241
Plan sponsor’s address	635 WEST 165TH STREET, NEW YORK, NY, 10032

Signature of

Role	Plan administrator
Date	2020-05-27
Name of individual signing	ARTHUR M. COTLIAR, M.D.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-10-01
Business code	621111
Sponsor’s telephone number	2123052241
Plan sponsor’s address	635 WEST 165TH STREET, NEW YORK, NY, 10032

Signature of

Role	Plan administrator
Date	2020-07-23
Name of individual signing	ARTHUR M. COTLIAR, M.D.

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2012-01-01
Business code	621111
Sponsor’s telephone number	2123052241
Plan sponsor’s address	635 WEST 165TH STREET, NEW YORK, NY, 10032

Signature of

Role	Plan administrator
Date	2019-10-11
Name of individual signing	ARTHUR M. COTLIAR, M.D.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-10-01
Business code	621111
Sponsor’s telephone number	2123052241
Plan sponsor’s address	635 WEST 165TH STREET, NEW YORK, NY, 10032

Signature of

Role	Plan administrator
Date	2019-09-09
Name of individual signing	ARTHUR M. COTLIAR, M.D.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-10-01
Business code	621111
Sponsor’s telephone number	2123052241
Plan sponsor’s address	635 WEST 165TH STREET, NEW YORK, NY, 10032

Signature of

Role	Plan administrator
Date	2018-09-20
Name of individual signing	ARTHUR M. COTLIAR, M.D.