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  5. SOUTHERN ILLINOIS OXYGEN AND MEDICAL SUPPLY, INC.

SOUTHERN ILLINOIS OXYGEN AND MEDICAL SUPPLY, INC.

Company Details

Entity Name: SOUTHERN ILLINOIS OXYGEN AND MEDICAL SUPPLY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 09 Jul 1987
Date of Dissolution: 09 Jun 2010
Company Number: CORP_54731205
File Number: 54731205
Type of Business: All Inclusive Purpose
Date Status Change: 09 Jun 2010
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
S. S. SCHWARZ CONSTRUCTION, INC. PROFIT SHARING PLAN 2012 363372955 2013-06-17 S. S. SCHWARZ CONSTRUCTION, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 238900
Sponsor’s telephone number 6302933322
Plan sponsor’s address 1185 CAROLINA DRIVE, WEST CHICAGO, IL, 60185

Signature of
Role Plan administrator
Date 2013-06-17
Name of individual signing STEVEN S. SCHWARZ
Valid signature Filed with authorized/valid electronic signature
S. S. SCHWARZ CONSTRUCTION, INC. PROFIT SHARING PLAN 2011 363372955 2012-08-02 S. S. SCHWARZ CONSTRUCTION, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 238900
Sponsor’s telephone number 6302933322
Plan sponsor’s address 1185 CAROLINA DRIVE, WEST CHICAGO, IL, 60185

Plan administrator’s name and address
Administrator’s EIN 363372955
Plan administrator’s name S. S. SCHWARZ CONSTRUCTION, INC.
Plan administrator’s address 1185 CAROLINA DRIVE, WEST CHICAGO, IL, 60185
Administrator’s telephone number 6302933322

Signature of
Role Plan administrator
Date 2012-08-02
Name of individual signing STEVEN S.SCHWARZ JR.
Valid signature Filed with authorized/valid electronic signature
S. S. SCHWARZ CONSTRUCTION, INC. PROFIT SHARING PLAN 2010 363372955 2011-03-01 S. S. SCHWARZ CONSTRUCTION, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 238900
Sponsor’s telephone number 6302933322
Plan sponsor’s address 1185 CAROLINA DRIVE, WEST CHICAGO, IL, 60185

Plan administrator’s name and address
Administrator’s EIN 363372955
Plan administrator’s name S. S. SCHWARZ CONSTRUCTION, INC.
Plan administrator’s address 1185 CAROLINA DRIVE, WEST CHICAGO, IL, 60185
Administrator’s telephone number 6302933322

Signature of
Role Plan administrator
Date 2011-03-01
Name of individual signing STEVEN S. SCHWARZ
Valid signature Filed with authorized/valid electronic signature
S. S. SCHWARZ CONSTRUCTION, INC. PROFIT SHARING PLAN 2010 363372955 2011-03-01 S. S. SCHWARZ CONSTRUCTION, INC. 7
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 238900
Sponsor’s telephone number 6302933322
Plan sponsor’s address 1185 CAROLINA DRIVE, WEST CHICAGO, IL, 60185

Plan administrator’s name and address
Administrator’s EIN 363372955
Plan administrator’s name S. S. SCHWARZ CONSTRUCTION, INC.
Plan administrator’s address 1185 CAROLINA DRIVE, WEST CHICAGO, IL, 60185
Administrator’s telephone number 6302933322

Signature of
Role Plan administrator
Date 2011-03-01
Name of individual signing STEVEN S. SCHWARZ
Valid signature Filed with authorized/valid electronic signature
S. S. SCHWARZ CONSTRUCTION, INC. PROFIT SHARING PLAN 2009 363372955 2010-09-22 S. S. SCHWARZ CONSTRUCTION, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 238900
Sponsor’s telephone number 6302933322
Plan sponsor’s address 1185 CAROLINA DRIVE, WEST CHICAGO, IL, 60185

Plan administrator’s name and address
Administrator’s EIN 363372955
Plan administrator’s name S. S. SCHWARZ CONSTRUCTION, INC.
Plan administrator’s address 1185 CAROLINA DRIVE, WEST CHICAGO, IL, 60185
Administrator’s telephone number 6302933322

Signature of
Role Plan administrator
Date 2010-09-21
Name of individual signing STEVEN S. SCHWARZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ROBERT C WILSON, 117 W POPLAR POB 544, HARRISBURG, 62946, SALINE Agent 2004-12-07

President

Name and Address Role
DARLENE AUSTIN KEELHORN, RT 34 BOX 382 ELIZABETHTOWN 62931 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Related by officers

ROBERT C WILSON, 117 W POPLAR POB 544, HARRISBURG, 62946, SALINE

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Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

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