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| Plan Name | TRI-STATE TRUSSES, INC EMPLOYEE GROUP HEALTH PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | TRI-STATE TRUSSES, INC. |
| Employer identification number (EIN): | 731487025 |
| NAIC Classification: | 444190 |
| NAIC Description: | Other Building Material Dealers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2015-01-01 | KELLI HICKMAN | 2016-06-30 | KELLI HICKMAN | 2016-06-30 |
| 501 | 2014-01-01 | KELLI HICKMAN | 2015-10-15 | KELLI HICKMAN | 2015-10-15 |
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