| Entity Name: | MERVINE & SON TRUCKING LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Revoked |
| Date Formed: | 20 Apr 2015 |
| Company Number: | LLC_05107083 |
| File Number: | 05107083 |
| Type of Management: | Manager Managed |
| Date Status Change: | 13 Oct 2023 |
| Address | 3279 245TH STREET, DEWITT, 52742, IA |
| Place of Formation: | IOWA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARDINAL MEDICAL GROUP LTD PROFIT SHARING PLAN | 2011 | 364157822 | 2013-01-30 | CARDINAL MEDICAL GROUP LTD | 27 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 364157822 |
| Plan administrator’s name | SAME |
| Plan administrator’s address | 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907 |
| Administrator’s telephone number | 3096938611 |
Signature of
| Role | Plan administrator |
| Date | 2013-01-30 |
| Name of individual signing | MICHAEL SHADLEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-01-30 |
| Name of individual signing | MICHAEL SHADLEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3096938611 |
| Plan sponsor’s address | 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907 |
Plan administrator’s name and address
| Administrator’s EIN | 364157822 |
| Plan administrator’s name | SAME |
| Plan administrator’s address | 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907 |
| Administrator’s telephone number | 3096938611 |
Signature of
| Role | Plan administrator |
| Date | 2012-11-20 |
| Name of individual signing | MICHAEL SHADLEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-11-20 |
| Name of individual signing | MICHAEL SHADLEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3096938611 |
| Plan sponsor’s address | 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907 |
Plan administrator’s name and address
| Administrator’s EIN | 364157822 |
| Plan administrator’s name | SAME |
| Plan administrator’s address | 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907 |
| Administrator’s telephone number | 3096938611 |
Signature of
| Role | Plan administrator |
| Date | 2012-04-16 |
| Name of individual signing | CARDINAL MEDICAL GROUP, LTD. |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-04-16 |
| Name of individual signing | CARDINAL MEDICAL GROUP, LTD. |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1999-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3096938611 |
| Plan sponsor’s address | 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907 |
Plan administrator’s name and address
| Administrator’s EIN | 364157822 |
| Plan administrator’s name | SAME |
| Plan administrator’s address | 6339 N BIG HOLLOW ROAD, PEORIA, IL, 616152907 |
| Administrator’s telephone number | 3096938611 |
Signature of
| Role | Plan administrator |
| Date | 2011-04-15 |
| Name of individual signing | MICHAEL SHADLEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-04-15 |
| Name of individual signing | MICHAEL SHADLEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JOE M CZOLGOSZ, 202 BENGSTON ST, LYNN CENTER, 61262 | Agent | 2015-04-20 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MERVINE, FRANK M, SR., 3279 245TH STREET, DEWITT, IA, 52742 | Manager | 2019-07-09 |
| MERVINE, TAMMY, 3279 245TH STREET, DEWITT, IA, 52742 | Manager | 2019-07-09 |
| MERVINE, MICHAEL, 410 FULTON ST, GRAND MOUND, IA, 52751 | Manager | 2019-07-09 |
Date of last update: 23 Dec 2024
