Universal Subscription Agreement (USA)Tasc Universal Subscription Agreement • May 3rd, 2019
Contract Type FiledMay 3rd, 2019Company Name: EIN #: Federal FilingStatus: C-Corp S-Corp Partnership Sole Proprietor Non-Profit LLC Other Multi-Employer Group(check all that apply) PEO ASOControlled Group MEWA Joint Employer Integrated EmployerGovernmental Entity Municipality Total # of Employees: Total # of Benefit Eligible Employees: Total # of Employees Participating in Group Health Plan Benefits: Nature of Business: NAICS Code: Are you a current TASC Client? Yes No If yes, please provide your 12-digitTASC ID: