MARIANNE ZAKARIAN, M.D., P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621111
Sponsor’s telephone number	2084841211
Plan sponsor’s address	4761 N. RIVERVISTA PLACE, GARDEN CITY, ID, 83714

Signature of

Role	Plan administrator
Date	2020-01-27
Name of individual signing	MARIANNE ZAKARIAN, M.D.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621111
Sponsor’s telephone number	2084841211
Plan sponsor’s address	2536 N. STOKESBERRY PLACE, MERIDIAN, ID, 83646

Signature of

Role	Plan administrator
Date	2019-05-14
Name of individual signing	MARIANNE ZAKARIAN, M.D.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621111
Sponsor’s telephone number	2084841211
Plan sponsor’s address	2536 N. STOKESBERRY PLACE, MERIDIAN, ID, 83646

Signature of

Role	Plan administrator
Date	2018-10-04
Name of individual signing	MARIANNE ZAKARIAN, M.D.
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2016-01-01
Business code	621111
Sponsor’s telephone number	2084841211
Plan sponsor’s address	2536 N. STOKESBERRY PLACE, MERIDIAN, ID, 83646

Signature of

Role	Plan administrator
Date	2017-10-12
Name of individual signing	MARIANNE ZAKARIAN, M.D.
Valid signature	Filed with authorized/valid electronic signature