FISCELLA & SUSSMAN, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	541110
Sponsor’s telephone number	5162228003
Plan sponsor’s address	825 EAST GATE BLVD, GARDEN CITY, NY, 11530

Signature of

Role	Plan administrator
Date	2016-07-29
Name of individual signing	JAMES FISCELLA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	541110
Sponsor’s telephone number	5162228003
Plan sponsor’s address	825 EAST GATE BLVD, GARDEN CITY, NY, 11530

Signature of

Role	Plan administrator
Date	2015-07-29
Name of individual signing	JAMES FISCELLA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2013-01-01
Business code	541110
Sponsor’s telephone number	5162228003
Plan sponsor’s address	825 EAST GATE BLVD, GARDEN CITY, NY, 11530

Signature of

Role	Plan administrator
Date	2014-06-05
Name of individual signing	JAMES FISCELLA