| Entity Name: | MI-BOX OF CENTRAL ILLINOIS, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Foreign BCA |
| Status: | Goodstanding |
| Date Formed: | 20 May 1977 |
| Company Number: | CORP_51168828 |
| File Number: | 51168828 |
| Place of Formation: | INDIANA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ASSOCIATED PLASTIC SURGEONS, SC PROFIT SHARING AND SAVINGS PLAN | 2012 | 362821079 | 2013-07-09 | ASSOCIATED PLASTIC SURGEONS, S.C. | 6 | |||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2013-07-09 |
| Name of individual signing | OTTO J. PLACIK, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-07-09 |
| Name of individual signing | OTTO J. PLACIK, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1975-11-06 |
| Business code | 621111 |
| Sponsor’s telephone number | 8473981660 |
| Plan sponsor’s address | 880 W. CENTRAL ROAD, SUITE 3100, ARLINGTON HEIGHTS, IL, 60005 |
Plan administrator’s name and address
| Administrator’s EIN | 362821079 |
| Plan administrator’s name | ASSOCIATED PLASTIC SURGEONS, S.C. |
| Plan administrator’s address | 880 W. CENTRAL ROAD, SUITE 3100, ARLINGTON HEIGHTS, IL, 60005 |
| Administrator’s telephone number | 8473981660 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-13 |
| Name of individual signing | OTTO J. PLACIK, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-06-17 |
| Name of individual signing | OTTO J. PLACIK, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| ACTON & SNYDER, LLP, 220 N VERMILLION ST, DANVILLE, 61832, VERMILION | Agent | 2021-11-24 |
| Name and Address | Role |
|---|---|
| DALE A CARLTON 1017 BAHLS STDANVILLE 61832 | President |
| Name and Address | Role |
|---|---|
| CONNIE J CARLTON | Secretary |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| MI-BOX OF CENTRAL ILLINOIS | Assume Name | 2017-10-23 | No data | No data | No data |
| Name | Change Date |
|---|---|
| LEATHERNECK HARDWARE, INC. | 2021-01-27 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 1000 | 250000 | No data |
Date of last update: 27 Jan 2025
