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  5. ANTIOCH LIQUOR MART, INC.

ANTIOCH LIQUOR MART, INC.

Company Details

Entity Name: ANTIOCH LIQUOR MART, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 10 Jan 1966
Company Number: CORP_46123824
File Number: 46123824
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANTIOCH LIQUOR MART INC MEDOVA LIFESTYLE HEALTH PLAN 2022 362599121 2023-08-01 ANTIOCH LIQUOR MART INC 0
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-12-01
Business code 445310
Sponsor’s telephone number 8473953540
Plan sponsor’s address 1180 MAIN ST, ANTIOCH, IL, 600021884

Plan administrator’s name and address
Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of
Role Plan administrator
Date 2023-08-01
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature
ANTIOCH LIQUOR MART INC MEDOVA LIFESTYLE HEALTH PLAN 2021 362599121 2022-09-30 ANTIOCH LIQUOR MART INC 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-01-01
Business code 445310
Sponsor’s telephone number 8473953540
Plan sponsor’s address 1180 MAIN ST, ANTIOCH, IL, 600021884

Plan administrator’s name and address
Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of
Role Plan administrator
Date 2022-09-29
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature
EMPIRE HARD CHROME, INC. 401(K) PLAN 2012 362588297 2013-06-04 EMPIRE HARD CHROME, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 339900
Sponsor’s telephone number 7737623156
Plan sponsor’s address 1615 S. KOSTNER, CHICAGO, IL, 60623

Signature of
Role Plan administrator
Date 2013-06-04
Name of individual signing ERICA THOMPSON
Valid signature Filed with authorized/valid electronic signature
EMPIRE HARD CHROME, INC. 401(K) PLAN 2011 362588297 2012-06-14 EMPIRE HARD CHROME, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 339900
Sponsor’s telephone number 7737623156
Plan sponsor’s address 1615 S. KOSTNER, CHICAGO, IL, 60623

Plan administrator’s name and address
Administrator’s EIN 362588297
Plan administrator’s name EMPIRE HARD CHROME, INC.
Plan administrator’s address 1615 S. KOSTNER, CHICAGO, IL, 60623
Administrator’s telephone number 7737623156

Signature of
Role Plan administrator
Date 2012-06-14
Name of individual signing ERICA THOMPSON
Valid signature Filed with authorized/valid electronic signature
EMPIRE HARD CHROME, INC. 401(K) PLAN 2010 362588297 2011-07-07 EMPIRE HARD CHROME, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 339900
Sponsor’s telephone number 7737623156
Plan sponsor’s address 1615 S. KOSTNER, CHICAGO, IL, 60623

Plan administrator’s name and address
Administrator’s EIN 362588297
Plan administrator’s name EMPIRE HARD CHROME, INC.
Plan administrator’s address 1615 S. KOSTNER, CHICAGO, IL, 60623
Administrator’s telephone number 7737623156

Signature of
Role Plan administrator
Date 2011-07-07
Name of individual signing ERICA THOMPSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DONALD KOSH, 1180 SO MAIN ST, ANTIOCH, 60002, LAKE Agent 1987-04-06

President

Name and Address Role
DONALD KOSH, 3670 MELODY ST MUNDELEIN IL 60060 President

Secretary

Name and Address Role
LINDA KOSH Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
ARMANETTI LIQUORS No data 1992-04-17 2010-06-01 Involuntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 300000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State

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