|
TEAL LOGISTICS LLC MEDOVA LIFESTYLE HEALTH PLAN
|
2022
|
822987757
|
2023-03-31
|
TEAL LOGISTICS LLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2021-01-01
|
| Business code |
484120
|
| Sponsor’s telephone number |
5027670200
|
| Plan sponsor’s
address |
7230 GLOBAL DR, LOUISVILLE, KY, 402581980
|
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 |
2023-03-31 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TEAL LOGISTICS MEDOVA LIFESTYLE HEALTH PLAN
|
2022
|
822987757
|
2024-08-28
|
TEAL LOGISTICS
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2021-01-01
|
| Business code |
484120
|
| Sponsor’s telephone number |
5027417514
|
| Plan sponsor’s
address |
10200 FOREST GREEN BLVD, LOUISVILLE, KY, 402235165
|
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 |
2024-08-28 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TEAL LOGISTICS MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
822987757
|
2022-10-13
|
TEAL LOGISTICS
|
78
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2021-01-01
|
| Business code |
484120
|
| Sponsor’s telephone number |
5027417514
|
| Plan sponsor’s
address |
10200 FOREST GREEN BLVD, LOUISVILLE, KY, 402235165
|
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 |
2022-10-11 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TEAL LOGISTICS LLC MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
822987757
|
2022-10-10
|
TEAL LOGISTICS LLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2021-01-01
|
| Business code |
484120
|
| Sponsor’s telephone number |
5027670200
|
| Plan sponsor’s
address |
7230 GLOBAL DR, LOUISVILLE, KY, 402581980
|
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 |
2022-10-10 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
