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| Plan Name | COWABUNGA, INC. SHORT TERM DISABILITY PLAN |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COWABUNGA, INC. |
| Employer identification number (EIN): | 581909919 |
| NAIC Classification: | 722513 |
| NAIC Description: | Limited-Service Restaurants |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2013-07-01 | FLOYD ANDERSON | |||
| 505 | 2012-07-01 | FLOYD ANDERSON | |||
| 505 | 2011-07-01 | FLOYD ANDERSON | |||
| 505 | 2009-07-01 | FLOYD ANDERSON |
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