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  5. SERVICE INDUSTRIAL SUPPLY, INC.

SERVICE INDUSTRIAL SUPPLY, INC.

Company Details

Entity Name: SERVICE INDUSTRIAL SUPPLY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 19 Sep 1973
Company Number: CORP_50311198
File Number: 50311198
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SERVICE INDUSTRIAL SUPPLY, INC. EMPLOYEES PROFIT SHARING PLAN 2023 362780239 2024-03-05 SERVICE INDUSTRIAL SUPPLY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 326200
Sponsor’s telephone number 8157250062
Plan sponsor’s address 506 BROOKFOREST AVENUE, SHOREWOOD, IL, 60404

Signature of
Role Plan administrator
Date 2024-02-23
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-02-23
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
SERVICE INDUSTRIAL SUPPLY, INC. EMPLOYEES PROFIT SHARING PLAN 2022 362780239 2023-09-07 SERVICE INDUSTRIAL SUPPLY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 326200
Sponsor’s telephone number 8157250062
Plan sponsor’s address 506 BROOKFOREST AVENUE, SHOREWOOD, IL, 60404

Signature of
Role Plan administrator
Date 2023-09-06
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-06
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
SERVICE INDUSTRIAL SUPPLY, INC. EMPLOYEES PROFIT SHARING PLAN 2021 362780239 2022-07-27 SERVICE INDUSTRIAL SUPPLY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 326200
Sponsor’s telephone number 8157250062
Plan sponsor’s address 506 BROOKFOREST AVENUE, SHOREWOOD, IL, 60404

Signature of
Role Plan administrator
Date 2022-07-19
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-19
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
SERVICE INDUSTRIAL SUPPLY, INC. EMPLOYEES PROFIT SHARING PLAN 2020 362780239 2021-09-28 SERVICE INDUSTRIAL SUPPLY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 326200
Sponsor’s telephone number 8157250062
Plan sponsor’s address 506 BROOKFOREST AVENUE, SHOREWOOD, IL, 60404

Signature of
Role Plan administrator
Date 2021-09-28
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-28
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
SERVICE INDUSTRIAL SUPPLY, INC. EMPLOYEES PROFIT SHARING PLAN 2019 362780239 2020-08-27 SERVICE INDUSTRIAL SUPPLY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 326200
Sponsor’s telephone number 8157250062
Plan sponsor’s address 506 BROOKFOREST AVENUE, SHOREWOOD, IL, 60404

Signature of
Role Plan administrator
Date 2020-08-27
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-27
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
SERVICE INDUSTRIAL SUPPLY, INC. EMPLOYEES PROFIT SHARING PLAN 2018 362780239 2019-06-17 SERVICE INDUSTRIAL SUPPLY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 326200
Sponsor’s telephone number 8157250062
Plan sponsor’s address 506 BROOKFOREST AVENUE, SHOREWOOD, IL, 60404

Signature of
Role Plan administrator
Date 2019-06-17
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-17
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
SERVICE INDUSTRIAL SUPPLY, INC. EMPLOYEES PROFIT SHARING PLAN 2017 362780239 2018-04-18 SERVICE INDUSTRIAL SUPPLY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 326200
Sponsor’s telephone number 8157250062
Plan sponsor’s address 506 BROOKFOREST AVENUE, SHOREWOOD, IL, 60404

Signature of
Role Plan administrator
Date 2018-04-18
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-18
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
SERVICE INDUSTRIAL SUPPLY, INC. EMPLOYEES PROFIT SHARING PLAN 2016 362780239 2017-01-31 SERVICE INDUSTRIAL SUPPLY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 326200
Sponsor’s telephone number 8157250062
Plan sponsor’s address 506 BROOKFOREST AVENUE, SHOREWOOD, IL, 60404

Signature of
Role Plan administrator
Date 2017-01-31
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-01-31
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
SERVICE INDUSTRIAL SUPPLY, INC. EMPLOYEES PROFIT SHARING PLAN 2015 362780239 2016-08-30 SERVICE INDUSTRIAL SUPPLY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 326200
Sponsor’s telephone number 8157250062
Plan sponsor’s address 506 BROOKFOREST AVENUE, SHOREWOOD, IL, 60404

Signature of
Role Plan administrator
Date 2016-08-30
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-30
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
SERVICE INDUSTRIAL SUPPLY, INC. EMPLOYEES PROFIT SHARING PLAN 2014 362780239 2015-10-08 SERVICE INDUSTRIAL SUPPLY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 326200
Sponsor’s telephone number 8157250062
Plan sponsor’s address 506 BROOKFOREST AVENUE, SHOREWOOD, IL, 60404

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-08
Name of individual signing DERK SMITH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MSC ILLINOIS AGENTS LTD, 822 N 129TH INFANTRY DR STE 10, JOLIET, 60435, WILL Agent 2021-11-29

President

Name and Address Role
DERK SMITH, 506 BROOK FOREST AVE, SHOREWOOD, IL 60404 President

Secretary

Name and Address Role
GAEL SMITH, 506 BROOK FOREST AVE, SHOREWOOD, IL 60404 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 200000 No data

Related by officers

MSC ILLINOIS AGENTS LTD, 822 N 129TH INFANTRY DR STE 10, JOLIET, 60435, WILL

M & W BUILDING OF ILLINOIS, LLC INDEPENDENT FORMS SERVICES, INC. JOLIET HOSPITALIST GROUP, LLC BEST REALTY INVESTMENTS, LLC COVENTRY MANAGEMENT GROUP, LLC RED ORTHODONTICS, LTD. AIM NORTH DEVELOPMENT CORPORATION NFP UNITED METERS, INC. KD LIFETIME CORPORATION

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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