| Plan Name | POPLAR BLUFF MONUMENT WORKS MEDOVA LIFESTYLE HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | POPLAR BLUFF MONUMENT WORKS |
| Employer identification number (EIN): | 800146013 |
| NAIC Classification: | 327900 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2021-12-01 | ROBERT MOORE | 2024-08-29 | ||
| 501 | 2020-12-01 | ROBERT MOORE | 2022-08-31 |