AVIVA HOSPITALITY GROUP, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-07-01
Business code	722300
Sponsor’s telephone number	9174768205
Plan sponsor’s address	21 BENNETTS RD, EAST SETAUKET, NY, 11733

Signature of

Role	Plan administrator
Date	2024-07-31
Name of individual signing	GEORGI FSADNI

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-07-01
Business code	722300
Sponsor’s telephone number	9174768205
Plan sponsor’s address	21 BENNETTS RD, SUITE 101, EAST SETAUKET, NY, 11733

Signature of

Role	Plan administrator
Date	2023-06-08
Name of individual signing	GEORGI FSADNI

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-07-01
Business code	722300
Sponsor’s telephone number	9174768205
Plan sponsor’s address	21 BENNETTS RD, EAST SETAUKET, NY, 11733

Signature of

Role	Plan administrator
Date	2022-05-26
Name of individual signing	GEORGI FSADNI

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-07-01
Business code	722300
Sponsor’s telephone number	9174768205
Plan sponsor’s address	21 BENNETTS RD, EAST SETAUKET, NY, 11733

Signature of

Role	Plan administrator
Date	2021-07-12
Name of individual signing	GEORGI FSADNI

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-07-01
Business code	722300
Sponsor’s telephone number	9174768205
Plan sponsor’s address	21 BENNETTS RD, EAST SETAUKET, NY, 11733

Signature of

Role	Plan administrator
Date	2020-11-10
Name of individual signing	GEORGI FSADNI

Three-digit plan number (PN)	001
Effective date of plan	2019-07-01
Business code	722300
Sponsor’s telephone number	9174768205
Plan sponsor’s address	21 BENNETTS RD, EAST SETAUKET, NY, 11733

Signature of

Role	Plan administrator
Date	2020-07-09
Name of individual signing	GEORGI FSADNI