|
RXPLUS LIMITED LLC DBA BUENA VISTA DRUG MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
463712465
|
2023-12-04
|
RXPLUS LIMITED LLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2020-10-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
7193952481
|
| Plan
sponsor’s DBA name |
BUENA VISTA DRUG
|
| Plan sponsor’s
address |
PO BOX 1670, BUENA VISTA, CO, 812111670
|
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 |
2023-12-04 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RXPLUS LIMITED LLC DBA BUENA VIS MEDOVA LIFESTYLE HEALTH PLAN
|
2020
|
463712465
|
2022-06-14
|
RXPLUS LIMITED LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2020-10-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
7193952481
|
| Plan
sponsor’s DBA name |
BUENA VISTA DRUG
|
| Plan sponsor’s
address |
PO BOX 1670, BUENA VISTA, CO, 812111670
|
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 |
2022-06-13 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
