|
SAS TRANS LLC CBS BENEFIT PLAN
|
2022
|
472434037
|
2023-12-27
|
SAS TRANS LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2021-09-01
|
| Business code |
484120
|
| Sponsor’s telephone number |
2703937005
|
| Plan sponsor’s
address |
6130 NASHVILLE RD, BOWLING GREEN, KY, 42101
|
Plan administrator’s name and address
| Administrator’s EIN |
846429706 |
| Plan administrator’s name |
SHAWNA BURTON |
| Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number |
5026954700 |
Signature of
| Role |
Plan administrator |
| Date |
2023-12-27 |
| Name of individual signing |
SHAWNA BURTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SAS TRANS LLC MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
472454037
|
2024-08-28
|
SAS TRANS LLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-09-01
|
| Business code |
484120
|
| Sponsor’s telephone number |
6062640405
|
| Plan sponsor’s
address |
6130 NASHVILLE RD, BOWLING GREEN, KY, 421017514
|
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 |
|
|
|
SAS TRANS LLC CBS BENEFIT PLAN
|
2021
|
472434037
|
2022-12-29
|
SAS TRANS LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2021-09-01
|
| Business code |
484120
|
| Sponsor’s telephone number |
2703937005
|
| Plan sponsor’s
address |
6130 NASHVILLE RD, BOWLING GREEN, KY, 42101
|
Plan administrator’s name and address
| Administrator’s EIN |
846429706 |
| Plan administrator’s name |
SHAWNA BURTON |
| Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number |
5026954700 |
Signature of
| Role |
Plan administrator |
| Date |
2022-12-29 |
| Name of individual signing |
SHAWNA BURTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SAS TRANS LLC MEDOVA LIFESTYLE HEALTH PLAN
|
2020
|
472454037
|
2022-05-15
|
SAS TRANS LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-09-01
|
| Business code |
484120
|
| Sponsor’s telephone number |
6062640405
|
| Plan sponsor’s
address |
6130 NASHVILLE RD, BOWLING GREEN, KY, 421017514
|
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 |
|
|
