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PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 401k Plan overview

Plan NamePLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN
Plan identification number 505

PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

PLAYWORLD SYSTEMS INC has sponsored the creation of one or more 401k plans.

Company Name:PLAYWORLD SYSTEMS INC
Employer identification number (EIN):240810112
NAIC Classification:332900

Additional information about PLAYWORLD SYSTEMS INC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2011-09-01
Company Identification Number: 0801452803
Legal Registered Office Address: 1000 BUFFALO RD

LEWISBURG
United States of America (USA)
17837

More information about PLAYWORLD SYSTEMS INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052016-01-01ANNETTE CAMUSO-SARSFIELD
5052015-07-01MATTHEW MILLER MATTHEW MILLER2016-08-22
5052014-07-01MATTHEW MILLER MATTHEW MILLER2015-12-08
5052013-07-01MATTHEW MILLER MATTHEW MILLER2014-10-28
5052012-07-01MATTHEW MILLER MATTHEW MILLER2013-10-22
5052011-07-01MATTHEW MILLER MATTHEW MILLER2012-10-23
5052010-07-01MATTHEW MILLER MATTHEW MILLER2011-08-24
5052009-07-01MATTHEW MILLER MATTHEW MILLER2010-08-02
5052009-07-01MATTHEW MILLER MATTHEW MILLER2011-01-18

Plan Statistics for PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN

401k plan membership statisitcs for PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN

Measure Date Value
2016: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01320
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-010
2015: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01337
Total number of active participants reported on line 7a of the Form 55002015-07-01338
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-01338
2014: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01344
Total number of active participants reported on line 7a of the Form 55002014-07-01337
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-01337
2013: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01308
Total number of active participants reported on line 7a of the Form 55002013-07-01344
Total of all active and inactive participants2013-07-01344
2012: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01285
Total number of active participants reported on line 7a of the Form 55002012-07-01308
Total of all active and inactive participants2012-07-01308
2011: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01284
Total number of active participants reported on line 7a of the Form 55002011-07-01285
Total of all active and inactive participants2011-07-01285
2010: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01301
Total number of active participants reported on line 7a of the Form 55002010-07-01284
Total of all active and inactive participants2010-07-01284
2009: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01352
Total number of active participants reported on line 7a of the Form 55002009-07-01301
Total of all active and inactive participants2009-07-01301

Form 5500 Responses for PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN

2016: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingYes
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-07-01Plan funding arrangement – General assets of the sponsorYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – General assets of the sponsorYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – General assets of the sponsorYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – General assets of the sponsorYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – General assets of the sponsorYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Plan funding arrangement – General assets of the sponsorYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: PLAYWORLD SYSTEMS INC WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedYes
2009-07-01Plan funding arrangement – General assets of the sponsorYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number9304-LFG
Policy instance 1
Insurance contract or identification number9304-LFG
Number of Individuals Covered338
Insurance policy start date2015-07-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,825
Total amount of fees paid to insurance companyUSD $2,682
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,224
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,825
Amount paid for insurance broker fees706
Additional information about fees paid to insurance brokerOVERRIDES
Insurance broker organization code?3
Insurance broker nameNORTH AMERICAN BENEFITS CO
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number15483
Policy instance 4
Insurance contract or identification number15483
Number of Individuals Covered216
Insurance policy start date2015-07-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,460
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,781
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,460
Insurance broker organization code?3
Insurance broker namePENTRA INC
AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 )
Policy contract number00521902
Policy instance 3
Insurance contract or identification number00521902
Number of Individuals Covered329
Insurance policy start date2015-07-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $17,715
Welfare Benefit Premiums Paid to CarrierUSD $253,068
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,715
Insurance broker organization code?3
Insurance broker namePENTRA INC
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number3772
Policy instance 2
Insurance contract or identification number3772
Number of Individuals Covered204
Insurance policy start date2015-07-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $959
Total amount of fees paid to insurance companyUSD $1,916
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,159
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $959
Amount paid for insurance broker fees1916
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE & CONTINGENC
Insurance broker organization code?3
Insurance broker namePENTRA INC
AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 )
Policy contract number00521902
Policy instance 3
Insurance contract or identification number00521902
Number of Individuals Covered324
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $36,662
Welfare Benefit Premiums Paid to CarrierUSD $244,415
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,662
Insurance broker organization code?3
Insurance broker namePENTRA INC
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number3772
Policy instance 2
Insurance contract or identification number3772
Number of Individuals Covered205
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $1,117
Total amount of fees paid to insurance companyUSD $2,181
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,810
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,117
Amount paid for insurance broker fees2181
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE & CONTINGENC
Insurance broker organization code?3
Insurance broker namePENTRA INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number9304-LFG
Policy instance 1
Insurance contract or identification number9304-LFG
Number of Individuals Covered337
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $7,269
Total amount of fees paid to insurance companyUSD $5,375
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $55,987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,269
Additional information about fees paid to insurance brokerOVERRIDES
Insurance broker organization code?3
Amount paid for insurance broker fees5375
Insurance broker nameNORTH AMERICAN BENEFITS CO
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number15483
Policy instance 4
Insurance contract or identification number15483
Number of Individuals Covered215
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $1,806
Total amount of fees paid to insurance companyUSD $11,079
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,608
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,806
Amount paid for insurance broker fees11079
Insurance broker organization code?3
Insurance broker namePENTRA INC
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number15483
Policy instance 4
Insurance contract or identification number15483
Number of Individuals Covered336
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of fees paid to insurance companyUSD $15,795
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58,354
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees15795
Insurance broker organization code?3
Insurance broker nameINTEGRATED BENEFIT SVCS
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number1848
Policy instance 2
Insurance contract or identification number1848
Number of Individuals Covered284
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $525
Total amount of fees paid to insurance companyUSD $4,753
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,401
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $525
Amount paid for insurance broker fees4753
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE & CONTINGENC
Insurance broker organization code?3
Insurance broker nameINTEGRATED BENEFIT SERVICES INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number9304-LFG
Policy instance 1
Insurance contract or identification number9304-LFG
Number of Individuals Covered344
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $5,891
Total amount of fees paid to insurance companyUSD $5,321
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $43,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,891
Amount paid for insurance broker fees5321
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
Insurance broker nameNORTH AMERICAN BENEFITS CO
AVALON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 12358 )
Policy contract number00521902
Policy instance 3
Insurance contract or identification number00521902
Number of Individuals Covered338
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $35,161
Welfare Benefit Premiums Paid to CarrierUSD $234,404
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,161
Insurance broker organization code?3
Insurance broker nameINTEGRATED BENEFIT SVCS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number9304-LFG
Policy instance 1
Insurance contract or identification number9304-LFG
Number of Individuals Covered303
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $4,376
Total amount of fees paid to insurance companyUSD $4,275
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $43,853
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,376
Amount paid for insurance broker fees1205
Additional information about fees paid to insurance brokerOVERRIDES
Insurance broker organization code?3
Insurance broker nameNORTH AMERICAN BENEFITS CO
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number15483
Policy instance 4
Insurance contract or identification number15483
Number of Individuals Covered297
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of fees paid to insurance companyUSD $14,832
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,765
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees14832
Insurance broker organization code?3
Insurance broker nameINTEGRATED BENEFIT SVCS
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberELSL-293
Policy instance 3
Insurance contract or identification numberELSL-293
Number of Individuals Covered308
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $28,330
Welfare Benefit Premiums Paid to CarrierUSD $188,865
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,330
Insurance broker organization code?3
Insurance broker nameINTEGRATED BENEFIT SVCS
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number1848
Policy instance 2
Insurance contract or identification number1848
Number of Individuals Covered243
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $1,189
Total amount of fees paid to insurance companyUSD $3,279
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,824
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,189
Amount paid for insurance broker fees3279
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE & CONTINGENC
Insurance broker organization code?3
Insurance broker nameINTEGRATED BENEFIT SERVICES INC
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberELSL-293
Policy instance 4
Insurance contract or identification numberELSL-293
Number of Individuals Covered285
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $29,007
Welfare Benefit Premiums Paid to CarrierUSD $193,381
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number24125
Policy instance 3
Insurance contract or identification number24125
Number of Individuals Covered281
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,850
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number1848
Policy instance 2
Insurance contract or identification number1848
Number of Individuals Covered230
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $485
Total amount of fees paid to insurance companyUSD $2,203
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,400
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number068206
Policy instance 1
Insurance contract or identification number068206
Number of Individuals Covered281
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,748
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number15483
Policy instance 5
Insurance contract or identification number15483
Number of Individuals Covered279
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of fees paid to insurance companyUSD $14,077
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $51,728
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number1848
Policy instance 2
Insurance contract or identification number1848
Number of Individuals Covered224
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $1,110
Total amount of fees paid to insurance companyUSD $2,952
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,566
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $782
Amount paid for insurance broker fees2066
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICE CONTINGENC
Insurance broker organization code?3
Insurance broker nameELITE BROKERAGE SERVICES INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number068206
Policy instance 1
Insurance contract or identification number068206
Number of Individuals Covered286
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,642
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameELITE BROKERAGE SERVICES INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number24125
Policy instance 3
Insurance contract or identification number24125
Number of Individuals Covered284
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameELITE BROKERAGE SERVICES INC

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