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| Plan Name | MCLENDON HARDWARE, INC. KAISER GROUP HEALTH HMO |
| Plan identification number | 750 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | MCLENDON HARDWARE, INC. |
| Employer identification number (EIN): | 910743973 |
| NAIC Classification: | 444130 |
| NAIC Description: | Hardware Stores |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 750 | 2017-01-01 | GAIL MCLENDON | GAIL MCLENDON | 2018-07-16 |
| GROUP HEALTH COOPERATIVE (National Association of Insurance Commissioners NAIC id number: 95672 ) | |
| Policy contract number | 1644800 |
| Policy instance | 1 |
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