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| Plan Name | BURKE MARKETING CORPORATION EMPLOYEE HEALTH BENEFITS PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | BURKE MARKETING CORPORATION DBA BURKE CORPORATION |
| Employer identification number (EIN): | 421024234 |
| NAIC Classification: | 311610 |
| NAIC Description: | Animal Slaughtering and Processing |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2015-01-01 | SHELLI SEIBERT | |||
| 502 | 2014-01-01 | SHELLI SEIBERT | |||
| 502 | 2013-01-01 | SHELLI SEIBERT | |||
| 502 | 2012-01-01 | SHELLI SEIBERT | SHELLI SEIBERT | 2013-06-19 | |
| 502 | 2011-01-01 | SHELLI SEIBERT | |||
| 502 | 2010-01-01 | SHELLI SEIBERT | |||
| 502 | 2009-01-01 | SHELLI SEIBERT |
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) | |
| Policy contract number | 1275 |
| Policy instance | 2 |
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) | |
| Policy contract number | 00016474 |
| Policy instance | 1 |
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) | |
| Policy contract number | 00016474 |
| Policy instance | 2 |
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) | |
| Policy contract number | 1275 |
| Policy instance | 1 |
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) | |
| Policy contract number | 1012 |
| Policy instance | 1 |
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) | |
| Policy contract number | 00016474 |
| Policy instance | 2 |
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) | |
| Policy contract number | 00016474 |
| Policy instance | 1 |
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) | |
| Policy contract number | 1012 |
| Policy instance | 2 |
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) | |
| Policy contract number | 00016474 |
| Policy instance | 1 |
| DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 ) | |
| Policy contract number | 1012 |
| Policy instance | 2 |
| WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 ) | |
| Policy contract number | 00016474 |
| Policy instance | 1 |
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