DAVID P. BRUCE, D.M.D., LLC

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	2567219994
Plan sponsor’s address	7185 HIGHWAY 72 WEST, SUITE G, MADISON, AL, 35758

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	2567219994
Plan sponsor’s address	7185 HIGHWAY 72 WEST, SUITE G, MADISON, AL, 35758

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	2567219994
Plan sponsor’s address	7185 HIGHWAY 72 WEST, SUITE G, MADISON, AL, 35758

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	2567219994
Plan sponsor’s address	7185 HIGHWAY 72 WEST, SUITE G, MADISON, AL, 35758

File	View Page
Three-digit plan number (PN)	003
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	2567219994
Plan sponsor’s address	7185 HIGHWAY 72 WEST, SUITE G, MADISON, AL, 35758

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2001-01-01
Business code	621210
Sponsor’s telephone number	2567219994
Plan sponsor’s address	7185-G, HWY 72 WEST, MADISON, AL, 35758

Signature of

Role	Plan administrator
Date	2015-09-03
Name of individual signing	DAVID P. BRUCE, D.M.D.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2001-01-01
Business code	621210
Sponsor’s telephone number	2567219994
Plan sponsor’s address	7185-G, HWY 72 WEST, MADISON, AL, 35758

Signature of

Role	Plan administrator
Date	2014-10-03
Name of individual signing	DAVID P. BRUCE, D.M.D.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2001-01-01
Business code	621210
Sponsor’s telephone number	2567219994
Plan sponsor’s address	7185-G, HWY 72 WEST, MADISON, AL, 35758

Signature of

Role	Plan administrator
Date	2013-09-27
Name of individual signing	DAVID P. BRUCE, D.M.D.