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KINGS REHABILITATION CENTER, INC. 403(B) PLAN 401k Plan overview

Plan NameKINGS REHABILITATION CENTER, INC. 403(B) PLAN
Plan identification number 001

KINGS REHABILITATION CENTER, INC. 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

KINGS REHABILITATION CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:KINGS REHABILITATION CENTER, INC.
Employer identification number (EIN):941609347
NAIC Classification:624310
NAIC Description:Vocational Rehabilitation Services

Additional information about KINGS REHABILITATION CENTER, INC.

Jurisdiction of Incorporation: California Department of State
Incorporation Date: 1965-04-21
Company Identification Number: C0489575
Legal Registered Office Address: 494 E Hanford Armona Rd

Hanford
United States of America (USA)
93232

More information about KINGS REHABILITATION CENTER, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KINGS REHABILITATION CENTER, INC. 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01LUBOV PAVLUK2023-10-13 LUBOV PAVLUK2023-10-13
0012021-01-01
0012020-01-01
0012019-01-01
0012019-01-01
0012018-01-01LUBOV PAVLUK2019-10-14 LUBOV PAVLUK2019-10-14
0012017-01-01LUBOV PAVLUK2019-03-14 LUBOV PAVLUK2019-03-14
0012016-01-01LUBOV PAVLUK2017-10-09 LUBOV PAVLUK2017-10-09
0012015-01-01LUBOV PAVLUK2016-10-17 LUBOV PAVLUK2016-10-17
0012014-01-01LUBOV PAVLUK2015-10-09 LUBOV PAVLUK2015-10-09
0012013-01-01LUBOV PAVLUK2014-10-13 LUBOV PAVLUK2014-10-13
0012012-01-01LUBOV PAVLUK2013-10-15 LUBOV PAVLUK2013-10-15
0012011-01-01LUBOV PAVLUK2012-10-15
0012010-01-01LUBOV PAVLUK2011-10-18

Plan Statistics for KINGS REHABILITATION CENTER, INC. 403(B) PLAN

401k plan membership statisitcs for KINGS REHABILITATION CENTER, INC. 403(B) PLAN

Measure Date Value
2020: KINGS REHABILITATION CENTER, INC. 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01140
Total number of active participants reported on line 7a of the Form 55002020-01-0168
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0129
Total of all active and inactive participants2020-01-0197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0197
Number of participants with account balances2020-01-0183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: KINGS REHABILITATION CENTER, INC. 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01152
Total number of active participants reported on line 7a of the Form 55002019-01-0190
Number of other retired or separated participants entitled to future benefits2019-01-0147
Total of all active and inactive participants2019-01-01137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01137
Number of participants with account balances2019-01-01130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: KINGS REHABILITATION CENTER, INC. 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01130
Total number of active participants reported on line 7a of the Form 55002018-01-01104
Number of other retired or separated participants entitled to future benefits2018-01-0146
Total of all active and inactive participants2018-01-01150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01150
Number of participants with account balances2018-01-01144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010

Financial Data on KINGS REHABILITATION CENTER, INC. 403(B) PLAN

Measure Date Value
2020 : KINGS REHABILITATION CENTER, INC. 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,794
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$650
Total income from all sources (including contributions)2020-12-31$334,293
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$146,839
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$144,611
Value of total corrective distributions2020-12-31$1,097
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$133,526
Value of total assets at end of year2020-12-31$1,751,259
Value of total assets at beginning of year2020-12-31$1,562,661
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,131
Total interest from all sources2020-12-31$9,556
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$48,877
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$48,877
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$175,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$58,231
Participant contributions at end of year2020-12-31$100
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$1,794
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$650
Other income not declared elsewhere2020-12-31$142,334
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$187,454
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,749,465
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,562,011
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$1,131
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$1,413,688
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$1,222,659
Interest earned on other investments2020-12-31$9,556
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$337,214
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$339,952
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$75,295
Employer contributions (assets) at end of year2020-12-31$257
Employer contributions (assets) at beginning of year2020-12-31$50
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$144,611
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31DRITSAS GROOM MCCORMICK LLP
Accountancy firm EIN2020-12-31942782187
2019 : KINGS REHABILITATION CENTER, INC. 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$650
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$339
Total income from all sources (including contributions)2019-12-31$377,351
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$46,439
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$44,772
Value of total corrective distributions2019-12-31$311
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$165,736
Value of total assets at end of year2019-12-31$1,562,661
Value of total assets at beginning of year2019-12-31$1,231,438
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,356
Total interest from all sources2019-12-31$8,816
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$54,566
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$54,566
Was this plan covered by a fidelity bond2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$63,594
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$650
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$339
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$330,912
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,562,011
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,231,099
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$1,356
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$1,222,659
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$922,313
Interest earned on other investments2019-12-31$8,816
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$339,952
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$303,192
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$148,233
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$102,142
Employer contributions (assets) at end of year2019-12-31$50
Employer contributions (assets) at beginning of year2019-12-31$5,933
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$44,772
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31DRITSAS GROOM MCCORMICK LLP
Accountancy firm EIN2019-12-31942782187
2018 : KINGS REHABILITATION CENTER, INC. 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$339
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$135,715
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$168,457
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$166,800
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$176,134
Value of total assets at end of year2018-12-31$1,231,438
Value of total assets at beginning of year2018-12-31$1,263,841
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,657
Total interest from all sources2018-12-31$11,991
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$53,095
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$53,095
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$65,592
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$18
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$339
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-32,742
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,231,099
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,263,841
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$1,657
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$922,313
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$975,344
Interest earned on other investments2018-12-31$11,991
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$303,192
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$287,948
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-105,505
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$110,524
Employer contributions (assets) at end of year2018-12-31$5,933
Employer contributions (assets) at beginning of year2018-12-31$549
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$166,800
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31DIRTISAS GROOM MCCORMICK LLC
Accountancy firm EIN2018-12-31942782187

Form 5500 Responses for KINGS REHABILITATION CENTER, INC. 403(B) PLAN

2020: KINGS REHABILITATION CENTER, INC. 403(B) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: KINGS REHABILITATION CENTER, INC. 403(B) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: KINGS REHABILITATION CENTER, INC. 403(B) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberGX78
Policy instance 1
Insurance contract or identification numberGX78
Number of Individuals Covered14
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,375
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,282
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberGX78
Policy instance 1
Insurance contract or identification numberGX78
Number of Individuals Covered16
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,676
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,551
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberGX78
Policy instance 1
Insurance contract or identification numberGX78
Number of Individuals Covered21
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,710
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,573
Insurance broker organization code?3

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