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| Plan Name | JOHN BLACKFORD INSURANCE CBS BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | JOHN BLACKFORD INSURANCE |
| Employer identification number (EIN): | 263323444 |
| NAIC Classification: | 524210 |
| NAIC Description: | Insurance Agencies and Brokerages |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2021-06-01 | SHAWNA BURTON | 2022-12-29 | ||
| 501 | 2021-01-01 | SHAWNA BURTON | 2021-12-14 |
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