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| Plan Name | NWV CENTER FOR IND LIVING |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | NORTHERN WEST VIRGINIA CENTER FOR INDEPENDENT LIVING |
| Employer identification number (EIN): | 550724177 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2011-01-01 | JAN DERRY | 2012-07-31 |
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