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| Plan Name | LIFE AND DISABILITY INSURANCE PLAN FOR OLD SALEM EMPLOYEES |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | OLD SALEM, INC. |
| Employer identification number (EIN): | 560587289 |
| NAIC Classification: | 712100 |
| NAIC Description: | Museums, Historical Sites, and Similar Institutions |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2022-01-01 | ||||
| 502 | 2021-01-01 | ||||
| 502 | 2020-01-01 | ||||
| 502 | 2019-01-01 | TERRY TAYLOR | 2020-07-23 | ||
| 502 | 2018-01-01 | TERRY TAYLOR | 2019-07-24 | ||
| 502 | 2017-01-01 | KEN BUCHANAN | 2018-10-09 | ||
| 502 | 2016-01-01 | ANTHONY SLATER | 2017-07-28 | ||
| 502 | 2015-01-01 | ANTHONY SLATER | 2016-07-27 | ||
| 502 | 2014-01-01 | ANTHONY SLATER | 2015-07-10 | ||
| 502 | 2013-01-01 | ERIC N. HOYLE | 2014-08-13 | ||
| 502 | 2012-01-01 | ERIC N. HOYLE | 2013-07-29 | ||
| 502 | 2011-01-01 | ERIC N HOYLE | 2012-10-12 | ||
| 502 | 2010-01-01 | ERIC N HOYLE | 2011-10-14 |
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