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| Plan Name | COWLITZ FAMILY HEALTH CENTER VISION PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COWLITZ FAMILY HEALTH CENTER |
| Employer identification number (EIN): | 910896241 |
| NAIC Classification: | 621410 |
| NAIC Description: | Family Planning Centers |
Additional information about COWLITZ FAMILY HEALTH CENTER
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 1973-03-26 |
| Company Identification Number: | 600176084 |
| Legal Registered Office Address: |
20 HEDLUND RD CATHLAMET United States of America (USA) 986129710 |
More information about COWLITZ FAMILY HEALTH CENTER
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2019-01-01 | KATHERINE LIM-PEDERY | 2020-11-16 | ||
| 504 | 2018-01-01 | KATHERINE LIM-PEDERY | 2020-11-16 | ||
| 504 | 2017-01-01 | KATHERINE LIM-PEDERY | 2020-11-16 |
| 2019: COWLITZ FAMILY HEALTH CENTER VISION PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | This submission is the final filing | Yes |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: COWLITZ FAMILY HEALTH CENTER VISION PLAN 2018 form 5500 responses | ||
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: COWLITZ FAMILY HEALTH CENTER VISION PLAN 2017 form 5500 responses | ||
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | First time form 5500 has been submitted | Yes |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) | |
| Policy contract number | 30043487 |
| Policy instance | 1 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) | |
| Policy contract number | 30043487 |
| Policy instance | 1 |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 ) | |
| Policy contract number | 30043487 |
| Policy instance | 1 |
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