CENTER FOR DIGESTIVE HEALTHCARE, INC.

Contacts

Phone	+1 727-443-2920
Fax	7274432726

Authorized person

Name	DR. DAVID SCOTT BORISLOW
Role	PRESIDENT
Phone	7274432920

Taxonomy

Taxonomy Code	207RG0100X - Gastroenterology Physician
License Number	ME57541
State	FL
Is Primary	Yes

Three-digit plan number (PN)	001
Effective date of plan	1998-04-20
Business code	621111
Sponsor’s telephone number	7274432802
Plan sponsor’s address	1260 S MLK JR. AVENUE, SUITE E, CLEARWATER, FL, 33756

Plan administrator’s name and address

Administrator’s EIN	593487758
Plan administrator’s name	CENTER FOR DIGESTIVE HEALTHCARE, INC.
Plan administrator’s address	1260 S MLK JR. AVENUE, SUITE E, CLEARWATER, FL, 33756
Administrator’s telephone number	7274432802

Signature of

Role	Plan administrator
Date	2012-07-03
Name of individual signing	DAVID BORISLOW, M.D.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-04-20
Business code	621111
Sponsor’s telephone number	7274432802
Plan sponsor’s address	1260 S MLK JR. AVENUE, SUITE E, CLEARWATER, FL, 33756

Plan administrator’s name and address

Administrator’s EIN	593487758
Plan administrator’s name	CENTER FOR DIGESTIVE HEALTHCARE, INC.
Plan administrator’s address	1260 S MLK JR. AVENUE, SUITE E, CLEARWATER, FL, 33756
Administrator’s telephone number	7274432802

Signature of

Role	Plan administrator
Date	2011-09-15
Name of individual signing	DAVID BORISLOW, M.D.
Valid signature	Filed with authorized/valid electronic signature

Three-digit plan number (PN)	001
Effective date of plan	1998-04-20
Business code	621111
Sponsor’s telephone number	7274432802
Plan sponsor’s address	1260 S MLK JR. AVENUE, SUITE E, CLEARWATER, FL, 33756

Plan administrator’s name and address

Administrator’s EIN	593487758
Plan administrator’s name	CENTER FOR DIGESTIVE HEALTHCARE, INC.
Plan administrator’s address	1260 S MLK JR. AVENUE, SUITE E, CLEARWATER, FL, 33756
Administrator’s telephone number	7274432802

Signature of

Role	Plan administrator
Date	2011-07-30
Name of individual signing	DAVID BORISLOW, M.D.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1998-04-20
Business code	621111
Sponsor’s telephone number	7274432802
Plan sponsor’s address	1260 S MLK JR. AVENUE, SUITE E, CLEARWATER, FL, 33756

Plan administrator’s name and address

Administrator’s EIN	593487758
Plan administrator’s name	CENTER FOR DIGESTIVE HEALTHCARE, INC.
Plan administrator’s address	1260 S MLK JR. AVENUE, SUITE E, CLEARWATER, FL, 33756
Administrator’s telephone number	7274432802

Signature of

Role	Plan administrator
Date	2010-07-29
Name of individual signing	DAVID BORISLOW, M.D.
Valid signature	Filed with authorized/valid electronic signature