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| Plan Name | PIZZA HUT OF FORT WAYNE INC MEDOVA LIFESTYLE HEALTH PLAN |
| Plan identification number | 507 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | PIZZA HUT OF FORT WAYNE, INC. |
| Employer identification number (EIN): | 351273422 |
| NAIC Classification: | 722511 |
| NAIC Description: | Full-Service Restaurants |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 507 | 2022-01-01 | ROBERT MOORE | 2023-11-01 | ||
| 507 | 2021-01-01 | ROBERT MOORE | 2022-10-12 |
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