QUEENS COUNTY NEUROPSYCHIATRIC INSTITUTE, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621330
Sponsor’s telephone number	7183353434
Plan sponsor’s DBA name	INSTITUTE CORP.
Plan sponsor’s address	37-64 72ND STREET, JACKSON HEIGHTS, NY, 11372

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621330
Sponsor’s telephone number	7183353434
Plan sponsor’s DBA name	INSTITUTE CORP.
Plan sponsor’s address	37-64 72ND STREET, JACKSON HEIGHTS, NY, 11372

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621330
Sponsor’s telephone number	7183353434
Plan sponsor’s DBA name	INSTITUTE CORP.
Plan sponsor’s address	37-64 72ND STREET, JACKSON HEIGHTS, NY, 11372

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621330
Sponsor’s telephone number	7183353434
Plan sponsor’s DBA name	INSTITUTE CORP.
Plan sponsor’s address	37-64 72ND STREET, JACKSON HEIGHTS, NY, 11372

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621330
Sponsor’s telephone number	7183353434
Plan sponsor’s DBA name	INSTITUTE CORP.
Plan sponsor’s address	37-64 72ND STREET, JACKSON HEIGHTS, NY, 11372

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621330
Sponsor’s telephone number	7183353434
Plan sponsor’s DBA name	INSTITUTE CORP.
Plan sponsor’s address	37-64 72ND STREET, JACKSON HEIGHTS, NY, 11372

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621330
Sponsor’s telephone number	7183353434
Plan sponsor’s DBA name	INSTITUTE CORP.
Plan sponsor’s address	37-64 72ND STREET, JACKSON HEIGHTS, NY, 11372

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621330
Sponsor’s telephone number	7183353434
Plan sponsor’s DBA name	INSTITUTE CORP.
Plan sponsor’s address	37-64 72ND STREET, JACKSON HEIGHTS, NY, 11372

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621330
Sponsor’s telephone number	7183353434
Plan sponsor’s DBA name	INSTITUTE CORP.
Plan sponsor’s address	37-64 72ND STREET, JACKSON HEIGHTS, NY, 11372

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2010-01-01
Business code	621330
Sponsor’s telephone number	7183353434
Plan sponsor’s DBA name	INSTITUTE CORP.
Plan sponsor’s address	37-64 72ND STREET, JACKSON HEIGHTS, NY, 11372

Signature of

Role	Plan administrator
Date	2015-05-20
Name of individual signing	JOSEPH J. FAILLACE