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| Plan Name | THE WITHAM FAMILY LLC |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | THE WITHAM FAMILY, LLC |
| Employer identification number (EIN): | 833254849 |
| NAIC Classification: | 721110 |
| NAIC Description: | Hotels (except Casino Hotels) and Motels |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2022-03-01 | ||||
| 002 | 2022-03-01 | TRACY JORDAN | |||
| 002 | 2021-03-01 | ||||
| 002 | 2021-03-01 | TRACY JORDAN |
| DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 ) | |
| Policy contract number | 000006507 |
| Policy instance | 1 |
| DELTA DENTAL PLAN OF MAINE (National Association of Insurance Commissioners NAIC id number: 14369 ) | |
| Policy contract number | 000006507 |
| Policy instance | 1 |
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