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| Plan Name | NOTRE DAME CONVALESCENT HOME PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | NOTRE DAME CONVALESCENT HOME INC |
| Employer identification number (EIN): | 060685115 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2012-01-01 | DELORES TIRPAK | 2012-12-06 | DELORES TIRPAK | 2012-12-06 |
| 001 | 2011-01-01 | DANA PAUL | 2012-02-03 | DANA PAUL | 2012-02-03 |
| 001 | 2010-01-01 | DELORES TIRPAK | 2011-02-24 | DELORES TIRPAK | 2011-02-24 |
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