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| Plan Name | LINCOLN LUTHERAN OF RACINE, WI INC EMPLOYEE HEALTH PLAN |
| Plan identification number | 650 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | LINCOLN LUTHERAN OF RACINE |
| Employer identification number (EIN): | 390874802 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 650 | 2014-01-01 | MICHAEL POLSKY | |||
| 650 | 2013-01-01 | JENNIFER GETCHE-LAMMERT | |||
| 650 | 2012-01-01 | JENNIFER GETCHE-LAMMERT | JENNIFER GETCHE-LAMMERT | 2013-10-10 | |
| 650 | 2011-01-01 | RICK BOVA | RICK BOVA | 2012-10-04 | |
| 650 | 2009-04-01 | DANIEL RISCH | |||
| 650 | 2009-04-01 | DANIEL RISCH | 2010-10-11 |
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