|
RINGA FUNERAL HOME INC. MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
454852310
|
2023-09-02
|
RINGA FUNERAL HOME INC.
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-11-01
|
| Business code |
812210
|
| Sponsor’s telephone number |
8473562146
|
| Plan sponsor’s
address |
122 S MILWAUKEE AVE, LAKE VILLA, IL, 600469361
|
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 |
2023-09-01 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RINGA FUNERAL HOME INC. MEDOVA LIFESTYLE HEALTH PLAN
|
2020
|
454852310
|
2022-07-28
|
RINGA FUNERAL HOME INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-11-01
|
| Business code |
812210
|
| Sponsor’s telephone number |
8473562146
|
| Plan sponsor’s
address |
122 S MILWAUKEE AVE, LAKE VILLA, IL, 600469361
|
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 |
2022-07-28 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
