GULF COAST DERMATOLOGY, P.A.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1996-01-01
Business code	621111
Sponsor’s telephone number	2288684006
Plan sponsor’s address	1304 44TH AVENUE, GULFPORT, MS, 39501

Plan administrator’s name and address

Administrator’s EIN	640862931
Plan administrator’s name	GULF COAST DERMATOLOGY, P.A.
Plan administrator’s address	1304 44TH AVENUE, GULFPORT, MS, 39501
Administrator’s telephone number	2288684006

Signature of

Role	Plan administrator
Date	2010-09-10
Name of individual signing	RUTH MATTHEWS
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2010-09-10
Name of individual signing	RUTH MATTHEWS
Valid signature	Filed with authorized/valid electronic signature