BOSTON MUTUAL HOSPITALIZATION FOR SALARIED AND CERTAIN OTHER EMPLOYEES

[ EIN: 04-1106240 | Plan No. 505 ]

BOSTON MUTUAL HOSPITALIZATION FOR SALARIED AND CERTAIN OTHER EMPLOYEES is reported on Form 5500 as a Health & Welfare plan sponsored by BOSTON MUTUAL LIFE INSURANCE CO. For the 2011 plan year, the plan had 0 participants and total assets of $0.

Health & Welfare plans are subject to ERISA disclosure requirements and annual reporting obligations.

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Plan Sponsor: BOSTON MUTUAL LIFE INSURANCE CO

Location: 120 ROYALL ST, CANTON, MA 02021

EIN: 041106240

Plan Number: 505

Plan Year: 2011

Plan Size: Large Plan

Plan Entity Type: Health & Welfare

Plan Type: Health & Welfare

Participants: 0

Total Assets: $0

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