Bowen Orthodontics, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	621210
Sponsor’s telephone number	2568141165
Plan sponsor’s address	1708 FIRESTONE AVE, MUSCLE SHOALS, AL, 35661

Signature of

Role	Plan administrator
Date	2024-09-30
Name of individual signing	DAVID BOWEN
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	621210
Sponsor’s telephone number	2568141165
Plan sponsor’s address	1708 FIRESTONE AVENUE, MUSCLE SHOALS, AL, 35661

Signature of

Role	Plan administrator
Date	2023-07-18
Name of individual signing	DAVID BOWEN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	621210
Sponsor’s telephone number	2567629487
Plan sponsor’s address	1708 FIRESTONE AVENUE, MUSCLE SHOALS, AL, 35661

Signature of

Role	Plan administrator
Date	2022-10-14
Name of individual signing	DAVID BOWEN

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	621210
Sponsor’s telephone number	2567629487
Plan sponsor’s address	1708 FIRESTONE AVENUE, MUSCLE SHOALS, AL, 35661

Signature of

Role	Plan administrator
Date	2021-10-14
Name of individual signing	DAVID BOWEN