MED DENTAL MANAGEMENT INC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	541990
Sponsor’s telephone number	9549644229
Plan sponsor’s address	4350 SHERIDAN STREET, SUITE 201E, HOLLYWOOD, FL, 33021

Signature of

Role	Plan administrator
Date	2021-06-11
Name of individual signing	ROCIO QUICUTI
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	541990
Sponsor’s telephone number	9549644229
Plan sponsor’s address	4350 SHERIDAN STREET STE 201E, HOLLYWOOD, FL, 33021

Signature of

Role	Plan administrator
Date	2021-08-18
Name of individual signing	MARIA MORATO
Valid signature	Filed with authorized/valid electronic signature