DUNKIRK OPERATING, LLC

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Three-digit plan number (PN)	504
Effective date of plan	2016-01-01
Business code	623000
Sponsor’s telephone number	5163505551
Plan sponsor’s DBA name	CHAUTAUQUA NURSING AND REHABILITATION CENTER
Plan sponsor’s mailing address	230 HILTON AVE STE 4, HEMPSTEAD, NY, 115508116
Plan sponsor’s address	10836 TEMPLE ROAD, DUNKIRK, NY, 14048

Plan administrator’s name and address

Administrator’s EIN	461744864
Plan administrator’s name	GOLDEN HILL ADVISORS CORP DBA VESTRACARE
Plan administrator’s address	230 HILTON AVE STE 4, HEMPSTEAD, NY, 115508116
Administrator’s telephone number	5163505551

Number of participants as of the end of the plan year

Active participants

91

Signature of

Role	Plan administrator
Date	2017-07-28
Name of individual signing	ANTHONY BACCHI
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2017-07-28
Name of individual signing	ANTHONY BACCHI
Valid signature	Filed with authorized/valid electronic signature