KIESER FARMS LLC MEDOVA LIFESTYLE HEALTH PLAN
|
2022
|
454765382
|
2024-05-15
|
KIESER FARMS LLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-03-01
|
Business code |
111100
|
Sponsor’s telephone number |
3092129494
|
Plan sponsor’s
address |
1829 N 700 EAST RD, MC LEAN, IL, 617549203
|
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 |
|
|
KIESER FARMS LLC MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
454765382
|
2022-12-14
|
KIESER FARMS LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-03-01
|
Business code |
111100
|
Sponsor’s telephone number |
3092129494
|
Plan sponsor’s
address |
1829 N 700 EAST RD, MC LEAN, IL, 617549203
|
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 |
2022-12-14 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|