PEACE AT HOMECARE LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	621610
Sponsor’s telephone number	3156635200
Plan sponsor’s address	499 SALT SPRINGS ST., FAYETTEVILLE, NY, 13066

Plan administrator’s name and address

Administrator’s EIN	621874769
Plan administrator’s name	ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address	6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number	8656701844

Signature of

Role	Plan administrator
Date	2024-10-08
Name of individual signing	TARA EVANS, FOR TAG RESOURCES
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	621610
Sponsor’s telephone number	3156635200
Plan sponsor’s address	499 SALT SPRINGS ST., FAYETTEVILLE, NY, 13066

Plan administrator’s name and address

Administrator’s EIN	621874769
Plan administrator’s name	ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES
Plan administrator’s address	6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number	8656701844

Signature of

Role	Plan administrator
Date	2023-08-11
Name of individual signing	TARA EVANS, FOR TAG RESOURCES

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	621610
Sponsor’s telephone number	3156635200
Plan sponsor’s address	499 SALT SPRINGS ST., FAYETTEVILLE, NY, 13066

Plan administrator’s name and address

Administrator’s EIN	621874769
Plan administrator’s name	TAG RESOURCES, LLC
Plan administrator’s address	6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919
Administrator’s telephone number	8656701844

Signature of

Role	Plan administrator
Date	2022-06-13
Name of individual signing	TARA EVANS