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| Plan Name | NORTHWEST TRUCK SERVICE LLC EMPLOYEE GROUP HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NORTHWEST TRUCK SERVICE LLC |
| Employer identification number (EIN): | 471180844 |
| NAIC Classification: | 811110 |
| NAIC Description: | Automotive Mechanical and Electrical Repair and Maintenance |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2021-01-01 | JANI KOTT | 2022-07-16 | JANI KOTT | 2022-07-16 |
| 501 | 2020-01-01 | JANI KOTT | 2021-07-27 | JANI KOTT | 2021-07-27 |
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