BE WELL PROVIDERS, LLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	621610
Sponsor’s telephone number	5023193105
Plan sponsor’s address	11824 RANSUM DRIVE, SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2024-05-16
Name of individual signing	QIAN LIU
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	621610
Sponsor’s telephone number	5023193105
Plan sponsor’s address	11824 RANSUM DRIVE, SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2023-05-27
Name of individual signing	CHRISTINE RIMER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2021-01-01
Business code	621610
Sponsor’s telephone number	5023193105
Plan sponsor’s address	11824 RANSUM DRIVE, SUITE 100, LOUISVILLE, KY, 40243

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2022-05-19
Name of individual signing	CHRISTINE RIMER
Valid signature	Filed with authorized/valid electronic signature