| Plan Name | GOLDEN VISTA RESORT EMPLOYEE GROUP HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | GOLDEN VISTA RV RESORT |
| Employer identification number (EIN): | 860738702 |
| NAIC Classification: | 561110 |
| NAIC Description: | Office Administrative Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-01-01 | JEFF ELKINS | 2018-05-31 | JEFF ELKINS | 2018-05-31 |