LEMISTRAL INC DBA BRASSERIE PROVENCE MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
462851457
|
2024-03-11
|
LEMISTRAL INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-09-01
|
Business code |
722511
|
Sponsor’s telephone number |
5028833153
|
Plan
sponsor’s DBA name |
BRASSERIE PROVENCE
|
Plan sponsor’s
address |
150 N HURSTBOURNE PKWY, LOUISVILLE, KY, 402225108
|
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 |
2024-03-11 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEMISTRAL INC DBA BRASSERIE PROVENCE MEDOVA LIFESTYLE HEALTH PLAN
|
2020
|
462851457
|
2022-05-15
|
LEMISTRAL INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-09-01
|
Business code |
722511
|
Sponsor’s telephone number |
5028833153
|
Plan
sponsor’s DBA name |
BRASSERIE PROVENCE
|
Plan sponsor’s
address |
150 N HURSTBOURNE PKWY, LOUISVILLE, KY, 402225108
|
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 |
2022-05-15 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|