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| Plan Name | EVERGREEN REHABILITATION DISABILITY BENEFIT LAW PL |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | EVERGREEN REHABILITATION LLC |
| Employer identification number (EIN): | 611361028 |
| NAIC Classification: | 624310 |
| NAIC Description: | Vocational Rehabilitation Services |
Additional information about EVERGREEN REHABILITATION LLC
| Jurisdiction of Incorporation: | State of Delaware Division of Corporations |
| Incorporation Date: | |
| Company Identification Number: | 5764625 |
More information about EVERGREEN REHABILITATION LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2012-07-01 | LESLIE DEARING | LESLIE DEARING | 2014-01-17 |
| Measure | Date | Value |
|---|---|---|
| 2012: EVERGREEN REHABILITATION DISABILITY BENEFIT LAW PL 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-07-01 | 101 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 88 |
| Total of all active and inactive participants | 2012-07-01 | 88 |
| 2012: EVERGREEN REHABILITATION DISABILITY BENEFIT LAW PL 2012 form 5500 responses | ||
|---|---|---|
| 2012-07-01 | Type of plan entity | Single employer plan |
| 2012-07-01 | First time form 5500 has been submitted | Yes |
| 2012-07-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2012-07-01 | Plan funding arrangement – Insurance | Yes |
| 2012-07-01 | Plan benefit arrangement – Insurance | Yes |
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