OLSON FARM, INC.

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

OLSON FARM MEDOVA LIFESTYLE HEALTH PLAN

2022

311718608

2024-05-15

OLSON FARM

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	2024-05-14
Name of individual signing	ROBERT MOORE
Valid signature	Filed with authorized/valid electronic signature

OLSON FARM MEDOVA LIFESTYLE HEALTH PLAN

2020

311718608

2022-04-12

OLSON FARM

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	2022-03-18
Name of individual signing	ROBERT MOORE
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
PAUL LEROY OLSON JR, 4305 E 400TH ST, PLYMOUTH, 62367, MC DONOUGH	Agent	1995-02-22

Name and Address	Role
PAUL L OLSON JR, 4305 E 400TH ST, PLYMOUTH, 62367	President

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMM	No data	Voting Rights	10000	1000000	No data

Date of last update: 23 Dec 2024