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| Plan Name | BOYS & GIRLS CLUBS OF WAYNE COUNTY MEDOVA LIFESTYLE HEALTH CARE |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BOYS & GIRLS CLUBS OF WAYNE COUNTY |
| Employer identification number (EIN): | 351065715 |
| NAIC Classification: | 813000 |
| NAIC Description: | Religious, Grantmaking, Civic, Professional, and Similar Organizations |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-02-01 | ROBERT MOORE | 2024-07-12 | ||
| 501 | 2021-02-01 | ROBERT MOORE | 2022-11-14 | ||
| 501 | 2021-02-01 | ROBERT MOORE | 2022-11-14 |
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