| Plan Name | CITIZENS FOR ADEQUATE HOUSING, INC. SECTION 403(B) PLAN |
| Plan identification number | 003 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | CITIZENS INN, INC. |
| Employer identification number (EIN): | 222540856 |
| NAIC Classification: | 624200 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 003 | 2017-01-01 | MICHELE STASIAK | 2018-06-14 | MICHELE STASIAK | 2018-06-14 |
| 003 | 2016-01-01 | MICHELE STASIAK | 2017-09-19 | MICHELE STASIAK | 2017-09-19 |
| 003 | 2015-01-01 | MICHELE STASIAK | 2017-09-19 | MICHELE STASIAK | 2017-09-19 |
| 003 | 2013-01-01 | MICHELE STASIAK | 2017-10-03 | MICHELE STASIAK | 2017-10-03 |
| 003 | 2012-01-01 | MICHELE STASIAK | 2017-09-20 | MICHELE STASIAK | 2017-09-20 |
| 003 | 2011-01-01 | MICHELE STASIAK | 2017-10-03 | MICHELE STASIAK | 2017-10-03 |
| 003 | 2010-01-01 | MICHELE STASIAK | 2017-09-20 | MICHELE STASIAK | 2017-09-20 |