|
JL COLEMAN FARMS INC MEDOVA LIFESTYLE HEALTH PLAN
|
2022
|
842046158
|
2023-10-05
|
JL COLEMAN FARMS INC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2021-01-01
|
| Business code |
111100
|
| Sponsor’s telephone number |
3202842258
|
| Plan sponsor’s
address |
21657 COUNTY ROAD 11, ELBOW LAKE, MN, 565319213
|
Plan administrator’s name and address
| Administrator’s EIN |
200200514 |
| Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number |
6153700051 |
Signature of
| Role |
Plan administrator |
| Date |
2023-10-05 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
JL COLEMAN FARMS INC MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
842046158
|
2022-09-30
|
JL COLEMAN FARMS INC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2021-01-01
|
| Business code |
111100
|
| Sponsor’s telephone number |
3202842258
|
| Plan sponsor’s
address |
21657 COUNTY ROAD 11, ELBOW LAKE, MN, 565319213
|
Plan administrator’s name and address
| Administrator’s EIN |
200200514 |
| Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number |
6153700051 |
Signature of
| Role |
Plan administrator |
| Date |
2022-09-29 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
