|
MANATOA HEALTH INC MEDOVA LIFESTYLE HEALTH PLAN
|
2022
|
831698066
|
2024-01-07
|
MANATOA HEALTH INC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-04-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3126356242
|
| Plan sponsor’s
address |
PO BOX 802865, CHICAGO, IL, 606802851
|
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 |
2024-01-07 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MANATOA HEALTH INC MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
831698066
|
2023-01-16
|
MANATOA HEALTH INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2021-04-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3126356242
|
| Plan sponsor’s
address |
PO BOX 802865, CHICAGO, IL, 606802851
|
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 |
2023-01-15 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MANATOA HEALTH INC MEDOVA LIFESTYLE HEALTH PLAN
|
2020
|
831698066
|
2022-01-12
|
MANATOA HEALTH INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-04-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6153700051
|
| Plan sponsor’s
address |
PO BOX 802865, CHICAGO, IL, 606802851
|
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 |
2021-12-27 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
