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  5. CVS, INC.

CVS, INC.

Company Details

Entity Name: CVS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 05 Feb 1955
Date of Dissolution: 08 Jul 2016
Company Number: CORP_34993343
File Number: 34993343
Date Status Change: 08 Jul 2016
Address 2045 N JANICE AVE, MELROSE PARK, IL, 60160
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMPLETE VENDING SERVICE, INC. 401(K) PROFIT SHARING PLAN 2014 362305819 2015-08-29 COMPLETE VENDING SERVICE, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 454210
Sponsor’s telephone number 7083434400
Plan sponsor’s address 2045 N. JANICE, MELROSE PARK, IL, 60160

Signature of
Role Plan administrator
Date 2015-08-29
Name of individual signing ROBERT CARQUEVILLE
Valid signature Filed with authorized/valid electronic signature
COMPLETE VENDING SERVICE, INC. 401(K) PROFIT SHARING PLAN 2013 362305819 2014-09-25 COMPLETE VENDING SERVICE, INC. 37
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 454210
Sponsor’s telephone number 7083434400
Plan sponsor’s address 2045 N. JANICE, MELROSE PARK, IL, 60160

Signature of
Role Plan administrator
Date 2014-09-25
Name of individual signing ROBERT CARQUEVILLE
Valid signature Filed with authorized/valid electronic signature
COMPLETE VENDING SERVICE, INC. 401(K) PROFIT SHARING PLAN 2013 362305819 2014-07-09 COMPLETE VENDING SERVICE, INC. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 454210
Sponsor’s telephone number 7083434400
Plan sponsor’s address 2045 N. JANICE, MELROSE PARK, IL, 60160

Signature of
Role Plan administrator
Date 2014-07-09
Name of individual signing ROBERT CARQUEVILLE
Valid signature Filed with authorized/valid electronic signature
COMPLETE VENDING SERVICE, INC. 401(K) PROFIT SHARING PLAN 2012 362305819 2013-06-18 COMPLETE VENDING SERVICE, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 454210
Sponsor’s telephone number 7083434400
Plan sponsor’s address 2045 N. JANICE, MELROSE PARK, IL, 60160

Signature of
Role Plan administrator
Date 2013-06-18
Name of individual signing ROBERT CARQUEVILLE
Valid signature Filed with authorized/valid electronic signature
COMPLETE VENDING SERVICE, INC. 401(K) PROFIT SHARING PLAN 2011 362305819 2012-06-14 COMPLETE VENDING SERVICE, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 454210
Sponsor’s telephone number 7083434400
Plan sponsor’s address 2045 N. JANICE, MELROSE PARK, IL, 60160

Plan administrator’s name and address
Administrator’s EIN 362305819
Plan administrator’s name COMPLETE VENDING SERVICE, INC.
Plan administrator’s address 2045 N. JANICE, MELROSE PARK, IL, 60160
Administrator’s telephone number 7083434400

Signature of
Role Plan administrator
Date 2012-06-14
Name of individual signing ROBERT W. CARQUEVILLE, TRUSTEE
Valid signature Filed with authorized/valid electronic signature
COMPLETE VENDING SERVICE, INC. 401(K) PROFIT SHARING PLAN 2011 362305819 2012-06-14 COMPLETE VENDING SERVICE, INC. 46
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 454210
Sponsor’s telephone number 7083434400
Plan sponsor’s address 2045 N. JANICE, MELROSE PARK, IL, 60160

Plan administrator’s name and address
Administrator’s EIN 362305819
Plan administrator’s name COMPLETE VENDING SERVICE, INC.
Plan administrator’s address 2045 N. JANICE, MELROSE PARK, IL, 60160
Administrator’s telephone number 7083434400

Signature of
Role Plan administrator
Date 2012-06-14
Name of individual signing ROBERT W. CARQUEVILLE, TRUSTEE
Valid signature Filed with incorrect/unrecognized electronic signature
COMPLETE VENDING SERVICE, INC. 401(K) PROFIT SHARING PLAN 2010 362305819 2011-07-08 COMPLETE VENDING SERVICE, INC. 54
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 454210
Sponsor’s telephone number 7083434400
Plan sponsor’s address 2045 N. JANICE, MELROSE PARK, IL, 60160

Plan administrator’s name and address
Administrator’s EIN 362305819
Plan administrator’s name COMPLETE VENDING SERVICE, INC.
Plan administrator’s address 2045 N. JANICE, MELROSE PARK, IL, 60160
Administrator’s telephone number 7083434400

Signature of
Role Plan administrator
Date 2011-07-08
Name of individual signing ROBERT W. CARQUEVILLE
Valid signature Filed with incorrect/unrecognized electronic signature
COMPLETE VENDING SERVICE, INC. 401(K) PROFIT SHARING PLAN 2010 362305819 2011-07-08 COMPLETE VENDING SERVICE, INC. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 454210
Sponsor’s telephone number 7083434400
Plan sponsor’s address 2045 N. JANICE, MELROSE PARK, IL, 60160

Plan administrator’s name and address
Administrator’s EIN 362305819
Plan administrator’s name COMPLETE VENDING SERVICE, INC.
Plan administrator’s address 2045 N. JANICE, MELROSE PARK, IL, 60160
Administrator’s telephone number 7083434400

Signature of
Role Plan administrator
Date 2011-07-08
Name of individual signing ROBERT W. CARQUEVILLE
Valid signature Filed with authorized/valid electronic signature
COMPLETE VENDING SERVICE, INC. 401(K) PROFIT SHARING PLAN 2009 362305819 2010-08-10 COMPLETE VENDING SERVICE, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 454210
Sponsor’s telephone number 7083434400
Plan sponsor’s address 2045 N. JANICE, MELROSE PARK, IL, 60160

Plan administrator’s name and address
Administrator’s EIN 362305819
Plan administrator’s name COMPLETE VENDING SERVICE, INC.
Plan administrator’s address 2045 N. JANICE, MELROSE PARK, IL, 60160
Administrator’s telephone number 7083434400

Signature of
Role Plan administrator
Date 2010-08-10
Name of individual signing ROBERT W. CARQUEVILLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-10
Name of individual signing ROBERT W. CARQUEVILLE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
FRANK CARQUEVILLE, 2045 N JANICE, MELROSE PARK, 60160, COOK-NOT IN CITY OF CHICAGO Agent 1986-01-28

President

Name and Address Role
ROBERT W CARQUEVILLE 2045 N JANICE MELROSE PARK IL 60160 President

Historical Names

Name Change Date
COMPLETE VENDING SERVICE, INC. 2014-11-07

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100 50000 100

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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