LNN INC MEDOVA LIFESTYLE HEALTH PLAN
|
2022
|
260014722
|
2023-10-05
|
LNN INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
7733201111
|
Plan sponsor’s
address |
1740 N HARLEM AVE, ELMWOOD PARK, IL, 607074304
|
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 |
2023-10-05 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LNN INC MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
260014722
|
2022-09-30
|
LNN INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
7733201111
|
Plan sponsor’s
address |
1740 N HARLEM AVE, ELMWOOD PARK, IL, 607074304
|
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 |
2022-09-29 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|