LINDOW CONTRACTING INC MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
651297825
|
2023-05-07
|
LINDOW CONTRACTING INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2020-08-01
|
Business code |
236110
|
Sponsor’s telephone number |
6186442589
|
Plan sponsor’s
address |
311 N DOUGLAS ST, SAINT JACOB, IL, 622811568
|
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 |
2023-05-07 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDOW CONTRACTING INC MEDOVA LIFESTYLE HEALTH PLAN
|
2020
|
651297825
|
2022-05-10
|
LINDOW CONTRACTING INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2020-08-01
|
Business code |
236110
|
Sponsor’s telephone number |
6186442589
|
Plan sponsor’s
address |
311 N DOUGLAS ST, SAINT JACOB, IL, 622811568
|
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 |
|
|
LINDOW CONTRACTING INC EMPLOYEE GROUP HEALTH PLAN
|
2020
|
651297825
|
2021-06-22
|
LINDOW CONTRACTING
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
6186442589
|
Plan
sponsor’s DBA name |
LINDOW CONTRACTING
|
Plan sponsor’s
address |
311 N DOUGLAS ST APT 8, SAINT JACOB, IL, 622811568
|
Signature of
Role |
Plan administrator |
Date |
2021-06-22 |
Name of individual signing |
KELLY LINDOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-22 |
Name of individual signing |
KELLY LINDOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDOW CONTRACTING INC EMPLOYEE GROUP HEALTH PLAN
|
2019
|
651297825
|
2020-06-12
|
LINDOW CONTRACTING, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
6186442589
|
Plan sponsor’s
address |
311 N DOUGLAS ST APT 8, SAINT JACOB, IL, 622811568
|
Signature of
Role |
Plan administrator |
Date |
2020-06-12 |
Name of individual signing |
KELLY LINDOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDOW CONTRACTING INC. EMPLOYEE GROUP HEALTH PLAN
|
2018
|
651297825
|
2019-05-28
|
LINDOW CONTRACTING, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-01-01
|
Business code |
236110
|
Plan sponsor’s
address |
311 N DOUGLAS ST APT 8, SAINT JACOB, IL, 622811568
|
Signature of
Role |
Plan administrator |
Date |
2019-05-28 |
Name of individual signing |
KELLY LINDOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-28 |
Name of individual signing |
KELLY LINDOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDOW CONTRACTING INC EMPLOYEE GROUP HEALTH PLAN
|
2017
|
651297825
|
2018-06-12
|
LINDOW CONTRACTING, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-12-01
|
Business code |
236110
|
Sponsor’s telephone number |
6186442589
|
Plan sponsor’s
address |
311 N DOUGLAS ST APT 8, SAINT JACOB, IL, 622811568
|
Signature of
Role |
Plan administrator |
Date |
2018-06-12 |
Name of individual signing |
KELLY LINDOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-12 |
Name of individual signing |
KELLY LINDOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|