Notice of Formation

NOTICE OF FORMATION

OF LIMITED

LIABILITY COMPANY

(1) Name:  Capri Kaye Dix Nurse Practitioner in Psychiatry PLLC (the “PLLC”). (2) Articles of Organization of the PLLC were filed with the Secretary of State NY (“SSNY”) on March 9, 2023 (3) Its office location is to be in Genesee County, State of New York. (4) The SSNY has been designated as agent of the PLLC upon whom process against it may be served.  The post office address to which the SSNY shall mail a copy of any process against the PLLC is: 5686 Griswold Road, Byron, NY 14422 (5) Purpose: Any lawful act or activity.