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| Plan Name | TPC QUALIFIED PLANS LLC RETIREMENT SAVINGS PLAN |
| Plan identification number | 020 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | EVANSVILLE MANOR, INC. |
| Employer identification number (EIN): | 391147485 |
| 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 |
|---|---|---|---|---|---|
| 020 | 2018-01-01 | ||||
| 020 | 2017-01-01 | ANGELA PICKEL | 2018-06-06 | BONNIE MARTIN | 2018-06-06 |
| 020 | 2016-01-01 | ANGELA PICKEL | 2017-05-31 | ||
| 020 | 2015-01-01 | ANGELA PICKEL | 2016-08-08 | BONNIE MARTIN | 2016-08-08 |
| 020 | 2014-01-01 | ANGELA PICKEL | 2015-07-20 | ||
| 020 | 2013-01-01 |