EAST 52ND MANHATTAN DENTAL ARTS, LLP

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	2126863953
Plan sponsor’s address	16 EAST 52ND STREET, SUITE 1001, NEW YORK, NY, 10022

Signature of

Role	Plan administrator
Date	2021-03-29
Name of individual signing	DOMINIC GALASSO

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	2126863953
Plan sponsor’s address	16 EAST 52ND STREET, SUITE 1001, NEW YORK, NY, 10022

Signature of

Role	Plan administrator
Date	2021-04-22
Name of individual signing	DOMINIC GALASSO

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	2126863953
Plan sponsor’s address	16 EAST 52ND STREET, SUITE 1001, NEW YORK, NY, 10022

Signature of

Role	Plan administrator
Date	2020-05-04
Name of individual signing	DOMINIC GALASSO

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	2126863953
Plan sponsor’s address	16 EAST 52ND STREET, SUITE 1001, NEW YORK, NY, 10022

Signature of

Role	Plan administrator
Date	2019-04-05
Name of individual signing	DOMINIC GALASSO

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	621210
Sponsor’s telephone number	2126863953
Plan sponsor’s address	16 EAST 52ND STREET, SUITE 1001, NEW YORK, NY, 10022

Signature of

Role	Plan administrator
Date	2018-03-13
Name of individual signing	DOMINIC GALASSO