|
RTJ ELECTRIC LTD EMPLOYEE GROUP HEALTH PLAN
|
2023
|
464102651
|
2024-07-09
|
RTJ ELECTRIC LTD
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2021-01-01
|
| Business code |
238210
|
| Sponsor’s telephone number |
8156578281
|
| Plan sponsor’s
address |
208 W WABASH AVE, FORREST, IL, 61741
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-09 |
| Name of individual signing |
RYAN FEHR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-07-09 |
| Name of individual signing |
RYAN FEHR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RTJ ELECTRIC LTD EMPLOYEE GROUP HEALTH PLAN
|
2022
|
464102651
|
2023-06-22
|
RTJ ELECTRIC LTD
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2021-01-01
|
| Business code |
238210
|
| Sponsor’s telephone number |
8156578281
|
| Plan sponsor’s
address |
208 W WABASH AVE, FORREST, IL, 61741
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-22 |
| Name of individual signing |
RYAN FEHR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-06-22 |
| Name of individual signing |
RYAN FEHR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RTJ ELECTRIC LTD EMPLOYEE GROUP HEALTH PLAN
|
2021
|
464102651
|
2022-07-06
|
RTJ ELECTRIC LTD
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2021-01-01
|
| Business code |
238210
|
| Sponsor’s telephone number |
8156578281
|
| Plan sponsor’s
address |
208 W WABASH AVE, FORREST, IL, 61741
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-06 |
| Name of individual signing |
RYAN FEHR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RTJ ELECTRIC LTD EMPLOYEE GROUP HEALTH PLAN
|
2020
|
464102651
|
2021-07-13
|
RTJ ELECTRIC LTD
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-01-01
|
| Business code |
238210
|
| Sponsor’s telephone number |
8156578281
|
| Plan sponsor’s
address |
208 W WABASH AVE, FORREST, IL, 61741
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-13 |
| Name of individual signing |
RYAN FEHR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-07-13 |
| Name of individual signing |
RYAN FEHR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RTJ ELECTRIC LTD EMPLOYEE GROUP HEALTH PLAN
|
2019
|
464102651
|
2020-07-24
|
RTJ ELECTRIC LTD
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2019-01-01
|
| Business code |
238210
|
| Sponsor’s telephone number |
8156578281
|
| Plan sponsor’s
address |
208 W WABASH AVE, FORREST, IL, 61741
|
|
