|
OHM'S CAR CARE INC MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
363123012
|
2023-08-03
|
OHM'S CAR CARE INC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-08-01
|
| Business code |
811110
|
| Sponsor’s telephone number |
8476971320
|
| Plan sponsor’s
address |
836 E CHICAGO ST UNIT E, ELGIN, IL, 60120
|
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 |
2023-08-03 |
| Name of individual signing |
JACQUELINE LAWSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OHM'S CAR CARE INC MEDOVA LIFESTYLE HEALTH PLAN
|
2020
|
363123012
|
2022-05-10
|
OHM'S CAR CARE INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-08-01
|
| Business code |
811110
|
| Sponsor’s telephone number |
8476971320
|
| Plan sponsor’s
address |
936 E CHICAGO ST UNIT E, ELGIN, IL, 601206805
|
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 |
2022-04-25 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
