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| Plan Name | BOYS & GIRLS CLUB OF ROCKFORD RETIREMENT PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | BOYS & GIRLS CLUB OF ROCKFORD |
| Employer identification number (EIN): | 362167840 |
| 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 |
|---|---|---|---|---|---|
| 001 | 2010-08-01 | CLIFFORD STONER | 2011-09-30 |