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| Plan Name | CHIPPEWA CHIROPRACTIC CLINIC MEDOVA LIFESTYLE HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CHIPPEWA CHIROPRACTIC CLINIC |
| Employer identification number (EIN): | 232941298 |
| NAIC Classification: | 621310 |
| NAIC Description: | Offices of Chiropractors |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-01-01 | ROBERT MOORE | 2023-12-04 | ||
| 501 | 2021-01-01 | ROBERT MOORE | 2022-09-30 |
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