| Plan Name | RETIREMENT PLAN FOR EMPLOYEES OF NORTHERN WYOMING MENTAL HEALTH CENTER |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | NORTHERN WYOMING MENTAL HEALTH CENTER |
| Employer identification number (EIN): | 830294580 |
| NAIC Classification: | 621420 |
| NAIC Description: | Outpatient Mental Health and Substance Abuse Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2018-07-01 | NICHOLE SIMQUE | 2018-12-06 | PAUL DEMPLE | 2018-12-06 |
| 001 | 2017-07-01 | NICHOLE SIMQUE | 2018-11-07 | PAUL DEMPLE | 2018-11-07 |