403(B) THRIFT PLAN OF APPALSHOP, INCORPORATED
|
2021
|
610890210
|
2022-03-31
|
APPALSHOP, INCORPORATED
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
6066330108
|
Plan sponsor’s
address |
91 MADISON AVE, WHITESBURG, KY, 418589317
|
Signature of
Role |
Plan administrator |
Date |
2022-03-31 |
Name of individual signing |
DARYL ROYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF APPALSHOP, INCORPORATED
|
2020
|
610890210
|
2021-09-10
|
APPALSHOP, INCORPORATED
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
6066330108
|
Plan sponsor’s
address |
91 MADISON AVE, WHITESBURG, KY, 418589317
|
Signature of
Role |
Plan administrator |
Date |
2021-09-10 |
Name of individual signing |
DARYL ROYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF APPALSHOP, INCORPORATED
|
2019
|
610890210
|
2020-10-09
|
APPALSHOP, INCORPORATED
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
6066330108
|
Plan sponsor’s
address |
91 MADISON AVE, WHITESBURG, KY, 418589317
|
Signature of
Role |
Plan administrator |
Date |
2020-10-09 |
Name of individual signing |
DARYL ROYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF APPALSHOP, INCORPORATED
|
2018
|
610890210
|
2019-10-15
|
APPALSHOP, INCORPORATED
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
6066330108
|
Plan sponsor’s
address |
91 MADISON AVE, WHITESBURG, KY, 418589317
|
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
DARYL ROYSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403 B THRIFT PLAN OF APPALSHOP INCORPORATED
|
2017
|
610890210
|
2018-07-26
|
APPALSHOP INCORPORATED
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
512100
|
Sponsor’s telephone number |
6066330108
|
Plan sponsor’s
address |
91 MADISON AVE, WHITESBURG, KY, 418589317
|
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-26 |
Name of individual signing |
CAROLINE RUBENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC.403(B) PLAN
|
2016
|
610890210
|
2017-05-25
|
APPALSHOP, INCORPORATED
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
512100
|
Sponsor’s telephone number |
6066330108
|
Plan
sponsor’s DBA name |
APPALSHOP, INC.
|
Plan sponsor’s
address |
91 MADISON AVE, WHITESBURG, KY, 418589317
|
Signature of
Role |
Plan administrator |
Date |
2017-05-23 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-25 |
Name of individual signing |
CAROLINE RUBENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC. 403(B) PLAN
|
2015
|
610890210
|
2016-06-29
|
APPALSHOP, INCORPORATED
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
512100
|
Sponsor’s telephone number |
6066330108
|
Plan
sponsor’s DBA name |
APPALSHOP, INC.
|
Plan sponsor’s
address |
91 MADISON AVE, WHITESBURG, KY, 418589317
|
Signature of
Role |
Plan administrator |
Date |
2016-06-29 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-28 |
Name of individual signing |
CAROLINE RUBENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC. 403(B) PLAN
|
2014
|
610890210
|
2015-06-10
|
APPALSHOP, INCORPORATED
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
512100
|
Sponsor’s telephone number |
6066330108
|
Plan
sponsor’s DBA name |
APPALSHOP, INC.
|
Plan sponsor’s
address |
91 MADISON AVENUE, WHITESBURG, KY, 41858
|
Signature of
Role |
Plan administrator |
Date |
2015-06-10 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-10 |
Name of individual signing |
CAROLINE RUBENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC. 403(B) PLAN
|
2013
|
610890210
|
2014-07-22
|
APPALSHOP, INCORPORATED
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
512100
|
Sponsor’s telephone number |
6066330108
|
Plan
sponsor’s DBA name |
APPALSHOP, INC.
|
Plan sponsor’s
address |
91 MADISON AVENUE, WHITESBURG, KY, 41858
|
Signature of
Role |
Plan administrator |
Date |
2014-07-10 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-22 |
Name of individual signing |
CAROLINE RUBENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC. 403(B) PLAN
|
2012
|
610890210
|
2014-04-01
|
APPALSHOP, INCORPORATED
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
512100
|
Sponsor’s telephone number |
6066330108
|
Plan
sponsor’s DBA name |
APPALSHOP, INC.
|
Plan sponsor’s
address |
91 MADISON AVENUE, APPALSHOP, INC., WHITESBURG, KY, 41858
|
Signature of
Role |
Plan administrator |
Date |
2014-04-01 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-01 |
Name of individual signing |
CAROLINE RUBENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC. 403(B) PLAN
|
2012
|
610890210
|
2013-05-31
|
APPALSHOP, INCORPORATED
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/31/20130531084212P040239146931001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1995-01-01 |
Business code |
512100 |
Sponsor’s telephone number |
6066330108 |
Plan
sponsor’s DBA name |
APPALSHOP, INC. |
Plan sponsor’s mailing address |
91 MADISON, WHITESBURG, KY, 41858 |
Plan sponsor’s
address |
91 MADISON, WHITESBURG, KY, 41858 |
Signature of
Role |
Plan administrator |
Date |
2013-05-29 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-28 |
Name of individual signing |
MARK KIDD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC. 403(B) PLAN
|
2012
|
610890210
|
2013-05-31
|
APPALSHOP, INCORPORATED
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/31/20130531084140P040239146675001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1995-01-01 |
Business code |
512100 |
Sponsor’s telephone number |
6066330108 |
Plan
sponsor’s DBA name |
APPALSHOP, INC. |
Plan sponsor’s mailing address |
91 MADISON, WHITESBURG, KY, 41858 |
Plan sponsor’s
address |
91 MADISON, WHITESBURG, KY, 41858 |
Signature of
Role |
Plan administrator |
Date |
2013-05-29 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-28 |
Name of individual signing |
MARK KIDD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC 403(B) PLAN
|
2012
|
610890210
|
2013-05-31
|
APPALSHOP, INCORPORATED
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/31/20130531084048P040239146275001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1995-01-01 |
Business code |
512100 |
Sponsor’s telephone number |
6066330108 |
Plan
sponsor’s DBA name |
APPALSHOP, INC. |
Plan sponsor’s mailing address |
91 MADISON, WHITESBURG, KY, 41858 |
Plan sponsor’s
address |
91 MADISON, WHITESBURG, KY, 41858 |
Signature of
Role |
Plan administrator |
Date |
2013-05-29 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-28 |
Name of individual signing |
MARK KIDD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC. 403(B) PLAN
|
2012
|
610890210
|
2013-05-31
|
APPALSHOP, INCORPORATED
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/31/20130531084006P040239146147001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1995-01-01 |
Business code |
512100 |
Sponsor’s telephone number |
6066330108 |
Plan
sponsor’s DBA name |
APPALSHOP, INC. |
Plan sponsor’s mailing address |
91 MADISON, WHITESBURG, KY, 41858 |
Plan sponsor’s
address |
91 MADISON, WHITESBURG, KY, 41858 |
Signature of
Role |
Plan administrator |
Date |
2013-05-29 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-28 |
Name of individual signing |
MARK KIDD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC. 403(B)
|
2012
|
610890210
|
2013-05-31
|
APPALSHOP, INCORPORATED
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/31/20130531083924P040239145987001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1995-01-01 |
Business code |
512100 |
Sponsor’s telephone number |
6066330108 |
Plan
sponsor’s DBA name |
APPALSHOP, INC. |
Plan sponsor’s mailing address |
91 MADISON, WHITESBURG, KY, 41858 |
Plan sponsor’s
address |
91 MADISON, WHITESBURG, KY, 41858 |
Signature of
Role |
Plan administrator |
Date |
2013-05-29 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-28 |
Name of individual signing |
MARK KIDD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP INC. 403(B) PLAN
|
2012
|
610890210
|
2013-05-31
|
APPALSHOP, INCORPORATED
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/31/20130531083846P040239145683001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1995-01-01 |
Business code |
512100 |
Sponsor’s telephone number |
6066330108 |
Plan
sponsor’s DBA name |
APPALSHOP, INC. |
Plan sponsor’s mailing address |
91 MADISON, WHITESBURG, KY, 41858 |
Plan sponsor’s
address |
91 MADISON, WHITESBURG, KY, 41858 |
Signature of
Role |
Plan administrator |
Date |
2013-05-29 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-28 |
Name of individual signing |
MARK KIDD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC. 403(B) PLAN
|
2012
|
610890210
|
2013-05-31
|
APPALSHOP, INCORPORATED
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/31/20130531083801P040239145363001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1995-01-01 |
Business code |
512100 |
Sponsor’s telephone number |
6066330108 |
Plan
sponsor’s DBA name |
APPALSHOP, INC. |
Plan sponsor’s mailing address |
91 MADISON, WHITESBURG, KY, 41959 |
Plan sponsor’s
address |
91 MADISON, WHITESBURG, KY, 41959 |
Signature of
Role |
Plan administrator |
Date |
2013-05-29 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-28 |
Name of individual signing |
MARK KIDD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC. 403(B) PLAN
|
2012
|
610890210
|
2013-05-31
|
APPALSHOP, INCORPORATED
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/31/20130531083725P040239145171001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1995-01-01 |
Business code |
512100 |
Sponsor’s telephone number |
6066330108 |
Plan
sponsor’s DBA name |
APPALSHOP, INC. |
Plan sponsor’s mailing address |
91 MADISON, WHITESBURG, KY, 41858 |
Plan sponsor’s
address |
91 MADISON, WHITESBURG, KY, 41858 |
Signature of
Role |
Plan administrator |
Date |
2013-05-29 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-28 |
Name of individual signing |
MARK KIDD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP INC. 403(B) PLAN
|
2012
|
610890210
|
2013-05-31
|
APPALSHOP, INCORPORATED
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/31/20130531083642P040239144867001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1995-01-01 |
Business code |
512100 |
Sponsor’s telephone number |
6066330108 |
Plan
sponsor’s DBA name |
APPALSHOP, INC. |
Plan sponsor’s mailing address |
91 MADISON, WHITESBURG, KY, 41858 |
Plan sponsor’s
address |
91 MADISON, WHITESBURG, KY, 41858 |
Signature of
Role |
Plan administrator |
Date |
2013-05-29 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-28 |
Name of individual signing |
MARK KIDD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC. 403(B) PLAN
|
2012
|
610890210
|
2013-05-31
|
APPALSHOP, INCORPORATED
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/31/20130531083512P040239144163001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1995-01-01 |
Business code |
512100 |
Sponsor’s telephone number |
6066330108 |
Plan
sponsor’s DBA name |
APPALSHOP, INC. |
Plan sponsor’s mailing address |
91 MADISON, WHITESBURG, KY, 41858 |
Plan sponsor’s
address |
91 MADISON, WHITESBURG, KY, 41858 |
Signature of
Role |
Plan administrator |
Date |
2013-05-29 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-28 |
Name of individual signing |
MARK KIDD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC. 403(B) PLAN
|
2012
|
610890210
|
2013-05-31
|
APPALSHOP INCORPORATED
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/31/20130531083321P040239142259001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1995-01-01 |
Business code |
512100 |
Sponsor’s telephone number |
6066330108 |
Plan
sponsor’s DBA name |
APPALSHOP, INC. |
Plan sponsor’s mailing address |
91 MADISON, WHITESBURG, KY, 41858 |
Plan sponsor’s
address |
91 MADISON, WHITESBURG, KY, 41858 |
Signature of
Role |
Plan administrator |
Date |
2013-05-30 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-30 |
Name of individual signing |
MARK KIDD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC. 403(B) PLAN
|
2012
|
610890210
|
2013-05-31
|
APPALSHOP, INCORPORATED
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/31/20130531083043P040239138291001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1995-01-01 |
Business code |
512100 |
Sponsor’s telephone number |
6066330108 |
Plan
sponsor’s DBA name |
APPALSHOP, INC. |
Plan sponsor’s mailing address |
91 MADISON, WHITESBURG, KY, 41858 |
Plan sponsor’s
address |
91 MADISON, WHITESBURG, KY, 41858 |
Signature of
Role |
Plan administrator |
Date |
2013-05-29 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-28 |
Name of individual signing |
MARK KIDD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC. 403(B) PLAN
|
2011
|
610890210
|
2013-06-05
|
APPALSHOP, INCORPORATED
|
44
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/05/20130605114951P030240500339001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1995-01-01 |
Business code |
512100 |
Sponsor’s telephone number |
6066330108 |
Plan
sponsor’s DBA name |
APPALSHOP, INC. |
Plan sponsor’s
address |
91 MADISON, WHTIESBURG, KY, 41858 |
Plan administrator’s name and address
Administrator’s EIN |
610890210 |
Plan administrator’s name |
APPALSHOP, INCORPORATED |
Plan administrator’s
address |
91 MADISON, WHTIESBURG, KY, 41858 |
Administrator’s telephone number |
6066330108 |
Signature of
Role |
Plan administrator |
Date |
2013-06-05 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-04 |
Name of individual signing |
MARK KIDD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC. 403(B) PLAN
|
2010
|
610890210
|
2013-06-04
|
APPALSHOP, INCORPORATED
|
49
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/04/20130604084806P030085683605001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1995-01-01 |
Business code |
512100 |
Sponsor’s telephone number |
6066330108 |
Plan
sponsor’s DBA name |
APPALSHOP, INC. |
Plan sponsor’s
address |
91 MADISON, WHITESBURG, KY, 41858 |
Plan administrator’s name and address
Administrator’s EIN |
610890210 |
Plan administrator’s name |
APPALSHOP, INCORPORATED |
Plan administrator’s
address |
91 MADISON, WHITESBURG, KY, 41858 |
Administrator’s telephone number |
6066330108 |
Signature of
Role |
Plan administrator |
Date |
2013-06-03 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-31 |
Name of individual signing |
MARK KIDD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
APPALSHOP, INC. 403(B) PLAN
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2009
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610890210
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2013-06-04
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APPALSHOP, INCORPORATED
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42
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File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/04/20130604084620P030085682789001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1995-01-01 |
Business code |
512100 |
Sponsor’s telephone number |
6066330108 |
Plan
sponsor’s DBA name |
APPALSHOP, INC. |
Plan sponsor’s
address |
91 MADISON, WHITESBURG, KY, 41858 |
Plan administrator’s name and address
Administrator’s EIN |
610890210 |
Plan administrator’s name |
APPALSHOP, INCORPORATED |
Plan administrator’s
address |
91 MADISON, WHITESBURG, KY, 41858 |
Administrator’s telephone number |
6066330108 |
Signature of
Role |
Plan administrator |
Date |
2013-06-03 |
Name of individual signing |
PATSY ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
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Role |
Employer/plan sponsor |
Date |
2013-05-31 |
Name of individual signing |
MARK KIDD |
Valid signature |
Filed with authorized/valid electronic signature |
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