Norman F. McGowin,III,M.D., P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1994-01-01
Business code	621111
Sponsor’s telephone number	3343826864
Plan sponsor’s address	45 MEDICAL ARTS COURT, SUITE 4, GREENVILLE, AL, 36037

Signature of

Role	Plan administrator
Date	2018-04-30
Name of individual signing	NORMAN F. MCGOWIN III

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1994-01-01
Business code	621111
Sponsor’s telephone number	3343826864
Plan sponsor’s address	45 MEDICAL ARTS COURT, SUITE 4, GREENVILLE, AL, 36037

Signature of

Role	Plan administrator
Date	2018-12-04
Name of individual signing	NORMAN F. MCGOWIN III

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1994-01-01
Business code	621111
Sponsor’s telephone number	3343826864
Plan sponsor’s address	45 MEDICAL ARTS COURT, SUITE 4, GREENVILLE, AL, 36037

Signature of

Role	Plan administrator
Date	2017-05-16
Name of individual signing	NORMAN F. MCGOWIN III

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1994-01-01
Business code	621111
Sponsor’s telephone number	3343826864
Plan sponsor’s address	45 MEDICAL ARTS COURT, SUITE 4, GREENVILLE, AL, 36037

Signature of

Role	Plan administrator
Date	2016-03-22
Name of individual signing	NORMAN F. MCGOWIN III

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1994-01-01
Business code	621111
Sponsor’s telephone number	3343826864
Plan sponsor’s address	45 MEDICAL ARTS COURT, SUITE 4, GREENVILLE, AL, 36037

Signature of

Role	Plan administrator
Date	2015-07-15
Name of individual signing	NORMAN F. MCGOWIN III

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1994-01-01
Business code	621111
Sponsor’s telephone number	3343826864
Plan sponsor’s address	45 MEDICAL ARTS CENTER, GREENVILLE, AL, 36037

Signature of

Role	Plan administrator
Date	2014-10-14
Name of individual signing	NORMAN F. MCGOWIN III