Medicare Opt Out AgreementAppendix 2 • July 14th, 2014
This agreement (“ Agreement”) is entered into by and between Stahl Primary Care, LLC, a Georgia professional corporation, owned and operated by Dr Stahl, (the “Physician ”), whose principal medical office is located at 5925 Iron Gate Trace, Cumming, GA 30040, and
YOUTH WORKSITE AGREEMENTAppendix 2 • April 12th, 2017 • Ohio
This Worksite Agreement is entered into between the INSERT WIOA YOUTH PROVIDER NAME (hereinafter “Youth Provider”) having its principal place of business located at INSERT WIOA YOUTH PROVIDER ADDRESS and INSERT WORKSITE NAME HERE (hereinafter “Employer of Record”) having its principal place of business located at INSERT WORKSITE ADDRESS HERE who is a Employer of Record participating in the 2016 Year-round Workforce Innovation Opportunities Act (WIOA) Work Experience Program.
DIOCESAN HOUSE OCCUPANCY AGREEMENTAppendix 2 • January 9th, 2019
This Agreement provides residential accommodation as part of the clergy stipend package and is dependent on the Occupant continuing their position with the Diocese and the Parish/Organisation.
Partnership AgreementAppendix 2 • August 17th, 2021
Medicare Opt Out AgreementAppendix 2 • September 5th, 2018
This agreement (“Agreement”) is entered into by and between New South Family Medicine, LLC, a South Carolina professional corporation, owned and operated by Dr. Jessica Kaiser Mendelsohn (the “Physician”), whose principal medical office is located at 1365 Broadcloth Street, Suite 203 Fort Mill, SC 29715 and
APPENDIX 2Appendix 2 • November 14th, 2003 • Valence Technology Inc • Miscellaneous electrical machinery, equipment & supplies • California
