TACTICAL REHABILITATION, INC

Contacts

Phone	+1 858-254-7395

Authorized person

Name	DAVID JAMES MARR
Role	PRESIDENT
Phone	8582547395

Taxonomy

Taxonomy Code	332BX2000X - Oxygen Equipment & Supplies (DME)
Is Primary	Yes
Taxonomy Code	335E00000X - Prosthetic/Orthotic Supplier
Is Primary	No

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	812990
Sponsor’s telephone number	4232629720
Plan sponsor’s address	86 43RD CT, VERO BEACH, FL, 32968

Signature of

Role	Plan administrator
Date	2023-06-29
Name of individual signing	EDWARD ROJAS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	812990
Sponsor’s telephone number	4232629720
Plan sponsor’s address	86 43RD CT, VERO BEACH, FL, 32968

Signature of

Role	Plan administrator
Date	2022-06-17
Name of individual signing	EDWARD ROJAS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	812990
Sponsor’s telephone number	4232629720
Plan sponsor’s address	86 43RD CT, VERO BEACH, FL, 32968

Signature of

Role	Plan administrator
Date	2021-06-15
Name of individual signing	EDWARD ROJAS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	812990
Sponsor’s telephone number	4232629720
Plan sponsor’s address	86 43RD CT, VERO BEACH, FL, 32968

Signature of

Role	Plan administrator
Date	2020-07-20
Name of individual signing	EDWARD ROJAS
Valid signature	Filed with authorized/valid electronic signature