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| Company Name: | LIFE INSURANCE COMPANY OF NORTH AMERICA |
| Employer identification number (EIN): | 231503784 |
| National Association of Insurance Commissioner's ID: | 65498 |
| NAIC Classification: | 65498 |
| GULFMARK OFFSHORE, INC. | GULFMARK AMERICAS, INC. WELFARE BENEFIT PLAN | 2015-01-01 |
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