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| Plan Name | TAX DEFERRED ANNUITY PLAN OF BOYS & GIRLS CLUB OF THE UMPQUA VALLEY |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | BOYS & GIRLS CLUB OF THE UMPQUA VAL LEY |
| Employer identification number (EIN): | 911788798 |
| NAIC Classification: | 624200 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2012-01-01 | KAREN PRUMMER | 2013-10-15 | ||
| 002 | 2011-01-01 | KAREN PRUMMER | 2013-10-15 |