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| Plan Name | NORTHSIDE REHABILITATION CHAMBER BENEFIT ARRANGEMENT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NORTHSIDE REHABILITATION |
| Employer identification number (EIN): | 432016080 |
| NAIC Classification: | 621340 |
| NAIC Description: | Offices of Physical, Occupational and Speech Therapists, and Audiologists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2022-09-01 | STEPHEN MILLARD | 2024-03-29 | ||
| 501 | 2022-07-01 | STEPHEN MILLARD | 2023-03-29 |
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