ORIGINAL IDEAS WELFARE BENEFIT PLAN NATIONAL BENEFIT TRUST I

[ EIN: 95-4350313 | Plan No. 501 ]

Form 5500 records indicate that ORIGINAL IDEAS WELFARE BENEFIT PLAN NATIONAL BENEFIT TRUST I is a Health & Welfare plan sponsored by ORIGINAL IDEAS. The plan is classified as a Small Plan with 2 participants and assets totaling $220,819 for the 2012 plan year.

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

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Plan Sponsor: ORIGINAL IDEAS

Location: 80-585 VIA TALAVERA, LA QUINTA, CA 92253

EIN: 954350313

Plan Number: 501

Plan Year: 2012

Plan Size: Small Plan

Plan Entity Type: Health & Welfare

Plan Type: Health & Welfare

Participants: 2

Total Assets: $220,819

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