SANITATION SERVICE INC MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
370893348
|
2024-08-29
|
SANITATION SERVICE INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-10-01
|
Business code |
562000
|
Sponsor’s telephone number |
2173423713
|
Plan sponsor’s
address |
1713 S WILLOW ST, EFFINGHAM, IL, 624014065
|
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 |
2024-08-29 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SANITATION SERVICE INC MEDOVA LIFESTYLE HEALTH PLAN
|
2020
|
370893348
|
2022-06-14
|
SANITATION SERVICE INC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-10-01
|
Business code |
562000
|
Sponsor’s telephone number |
2173423713
|
Plan sponsor’s
address |
1713 S WILLOW ST, EFFINGHAM, IL, 624014065
|
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 |
2022-06-13 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|