Lisa D. Bruce, D.M.D., L.L.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2568836770
Plan sponsor’s address	8315 WHITESBURG SOUTH, HUNTSVILLE, AL, 35802

Signature of

Role	Plan administrator
Date	2014-06-10
Name of individual signing	LISA D. BRUCE, D.M.D.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2568836770
Plan sponsor’s address	8315 WHITESBURG SOUTH, HUNTSVILLE, AL, 35802

Signature of

Role	Plan administrator
Date	2013-06-03
Name of individual signing	LISA D. BRUCE, D.M.D.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621210
Sponsor’s telephone number	2568836770
Plan sponsor’s address	8315 WHITESBURG SOUTH, HUNTSVILLE, AL, 35802

Plan administrator’s name and address

Administrator’s EIN	721384689
Plan administrator’s name	LISA D. BRUCE, D.M.D., L.L.C.
Plan administrator’s address	8315 WHITESBURG SOUTH, HUNTSVILLE, AL, 35802
Administrator’s telephone number	2568836770

Signature of

Role	Plan administrator
Date	2012-02-29
Name of individual signing	LISA D. BRUCE, D.M.D.