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| Plan Name | D SUSAN KELLER MONEY PURCHASE PN PL PART QRP |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | SUSAN KELLER |
| Employer identification number (EIN): | 680244376 |
| NAIC Classification: | 621330 |
| NAIC Description: | Offices of Mental Health Practitioners (except Physicians) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2017-01-01 | RICHARD GREEN | 2018-07-31 | RICHARD GREEN | 2018-07-31 |
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