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| Plan Name | SAMPLE TEST PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | JOE TEST CO. |
| Employer identification number (EIN): | 021234567 |
| NAIC Classification: | 211540 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2001-01-01 | DEREK GOGUEN |
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