|
IRON CITY CHURCH HEALTH AND WELFARE BENEFIT PLAN
|
2020
|
832882481
|
2021-10-09
|
IRON CITY CHURCH
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2019-07-01
|
| Business code |
524140
|
| Sponsor’s telephone number |
8643821138
|
| Plan sponsor’s
address |
P O BOX 55143, BIRMINGHAM, AL, 35205
|
Plan administrator’s name and address
| Administrator’s EIN |
834125247 |
| Plan administrator’s name |
ARSENAL HEALTH LLC |
| Plan administrator’s
address |
5151 HAMPSTEAD HIGH STREET STE 200, MONTGOMERY, AL, 36116 |
| Administrator’s telephone number |
3342607774 |
Signature of
| Role |
Plan administrator |
| Date |
2021-10-06 |
| Name of individual signing |
THOMAS BRITT TAYLOR |
|
|
|
IRON CITY CHURCH HEALTH AND WELFARE BENEFIT PLAN
|
2019
|
832882481
|
2020-10-14
|
IRON CITY CHURCH
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2019-07-01
|
| Business code |
524140
|
| Sponsor’s telephone number |
8643821138
|
| Plan sponsor’s
address |
P O BOX 55143, BIRMINGHAM, AL, 35205
|
Plan administrator’s name and address
| Administrator’s EIN |
834125247 |
| Plan administrator’s name |
ARSENAL HEALTH LLC |
| Plan administrator’s
address |
5151 HAMPSTEAD HIGH STREET STE 200, MONTGOMERY, AL, 36116 |
| Administrator’s telephone number |
3342607774 |
Signature of
| Role |
Plan administrator |
| Date |
2020-10-14 |
| Name of individual signing |
THOMAS BRITT TAYLOR |
|
|
