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  5. MIDSTATE MANUFACTURING COMPANY

MIDSTATE MANUFACTURING COMPANY

Company Details

Entity Name: MIDSTATE MANUFACTURING COMPANY
Jurisdiction: Illinois
Entity Type: Corporation - Foreign BCA
Status: Goodstanding
Date Formed: 23 Jan 1980
Company Number: CORP_51962265
File Number: 51962265
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDSTATE MANUFACTURING HEALTHCARE PLAN 2021 371082009 2023-11-30 MIDSTATE MANUFACTURING 155
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2021-08-01
Business code 331200
Sponsor’s telephone number 3093429555
Plan sponsor’s mailing address 750 W 3RD ST, GALESBURG, IL, 614015829
Plan sponsor’s address 750 W 3RD ST, GALESBURG, IL, 614015829

Plan administrator’s name and address
Administrator’s EIN 371082009
Plan administrator’s name ANITA SELLS
Plan administrator’s address 750 W 3RD ST, GALESBURG, IL, 614015829
Administrator’s telephone number 3093429555

Number of participants as of the end of the plan year
Active participants 161

Signature of
Role Plan administrator
Date 2023-06-16
Name of individual signing ANITA SELLS
Valid signature Filed with authorized/valid electronic signature
MIDSTATE MANUFACTURING COMPANY LIFE & AD&D 2021 371082009 2023-11-30 MIDSTATE MANUFACTURING 143
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2021-08-01
Business code 331200
Sponsor’s telephone number 3093429555
Plan sponsor’s mailing address 750 W 3RD ST, GALESBURG, IL, 614015829
Plan sponsor’s address 750 W 3RD ST, GALESBURG, IL, 614015829

Number of participants as of the end of the plan year
Active participants 177

Signature of
Role Plan administrator
Date 2023-06-17
Name of individual signing ANITA SELLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-17
Name of individual signing ANITA SELLS
Valid signature Filed with authorized/valid electronic signature
MIDSTATE MANUFACTURING COMPANY LIFE & AD&D 2020 371082009 2022-05-25 MIDSTATE MANUFACTURING COMPANY 157
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2010-02-01
Business code 331200
Sponsor’s telephone number 3093429555
Plan sponsor’s mailing address 750 W 3RD ST, GALESBURG, IL, 614015829
Plan sponsor’s address 750 W 3RD ST, GALESBURG, IL, 614015829

Number of participants as of the end of the plan year
Active participants 143

Signature of
Role Plan administrator
Date 2022-05-25
Name of individual signing ANITA SELLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-25
Name of individual signing ANITA SELLS
Valid signature Filed with authorized/valid electronic signature
MIDSTATE MANUFACTURING HEALTHCARE PLAN 2020 371082009 2022-06-09 MIDSTATE MANUFACTURING 157
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2019-01-01
Business code 331200
Sponsor’s telephone number 3093429555
Plan sponsor’s mailing address 750 W 3RD ST, GALESBURG, IL, 614015829
Plan sponsor’s address 750 W 3RD ST, GALESBURG, IL, 614015829

Number of participants as of the end of the plan year
Active participants 155

Signature of
Role Plan administrator
Date 2022-06-09
Name of individual signing ANITA SELLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-09
Name of individual signing ANITA SELLS
Valid signature Filed with authorized/valid electronic signature
MIDSTATE MANUFACTURING HEALTHCARE PLAN 2019 371082009 2021-06-07 MIDSTATE MANUFACTURING 90
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2019-01-01
Business code 331200
Sponsor’s telephone number 3093429555
Plan sponsor’s mailing address 750 W 3RD ST, GALESBURG, IL, 614015829
Plan sponsor’s address 750 W 3RD ST, GALESBURG, IL, 614015829

Plan administrator’s name and address
Administrator’s EIN 371082009
Plan administrator’s name MIDSTATE MANUFACTURING
Plan administrator’s address 750 W 3RD ST, GALESBURG, IL, 614015829
Administrator’s telephone number 3093429555

Number of participants as of the end of the plan year
Active participants 157

Signature of
Role Plan administrator
Date 2021-06-07
Name of individual signing ANITA SELLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-07
Name of individual signing ANITA SELLS
Valid signature Filed with authorized/valid electronic signature
MIDSTATE MANUFACTURING COMPANY LIFE & AD & D 2019 371082009 2021-06-07 MIDSTATE MANUFACTURING COMPANY 156
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2010-02-01
Business code 331200
Sponsor’s telephone number 3093429555
Plan sponsor’s mailing address 750 W 3RD ST, GALESBURG, IL, 614015829
Plan sponsor’s address 750 W 3RD ST, GALESBURG, IL, 614015829

Number of participants as of the end of the plan year
Active participants 157

Signature of
Role Plan administrator
Date 2021-06-07
Name of individual signing ANITA SELLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-07
Name of individual signing ANITA SELLS
Valid signature Filed with authorized/valid electronic signature
MIDSTATE MANUFACTURING COMPANY LIFE & AD & D 2018 371082009 2020-06-17 MIDSTATE MANUFACTURING COMPANY 135
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2010-02-01
Business code 331200
Sponsor’s telephone number 3093429555
Plan sponsor’s mailing address 750 W 3RD ST, GALESBURG, IL, 614015829
Plan sponsor’s address 750 W 3RD ST, GALESBURG, IL, 614015829

Number of participants as of the end of the plan year
Active participants 156
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2020-06-17
Name of individual signing ANITA SELLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-17
Name of individual signing ANITA SELLS
Valid signature Filed with authorized/valid electronic signature
MIDSTATE MANUFACTURING COMPANY LIFE & AD & D 2018 371082009 2019-05-16 MIDSTATE MANUFACTURING COMPANY 111
Three-digit plan number (PN) 502
Effective date of plan 2010-02-01
Business code 331200
Sponsor’s telephone number 3093429555
Plan sponsor’s mailing address 750 W 3RD ST, GALESBURG, IL, 614015829
Plan sponsor’s address 750 W 3RD ST, GALESBURG, IL, 614015829

Number of participants as of the end of the plan year
Active participants 151
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2019-05-16
Name of individual signing ANITA SELLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-16
Name of individual signing ANITA SELLS
Valid signature Filed with authorized/valid electronic signature
MIDSTATE MANUFACTURING COMPANY LIFE & ADD PLAN 2017 371082009 2018-05-31 MIDSTATE MANUFACTURING COMPANY 114
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2010-02-01
Business code 331200
Sponsor’s telephone number 3093429555
Plan sponsor’s mailing address 750 W 3RD ST, GALESBURG, IL, 614015829
Plan sponsor’s address 750 W 3RD ST, GALESBURG, IL, 614015829

Number of participants as of the end of the plan year
Active participants 111
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2018-05-31
Name of individual signing ANITA SELLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-31
Name of individual signing ANITA SELLS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRIAN A PETERSON, 246 E MAIN ST #201, GALESBURG, 61401, KNOX Agent 2016-12-08

President

Name and Address Role
CURTIS A PITMAN, BOX 135 RIO 61472 President

Secretary

Name and Address Role
RUSSELL L LARSON, 564 S PEARL GALESBURG 61401 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
FILTER SERVICE CENTER OF ILLINOIS, INC. Assume Name 2016-01-11 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100 100000 100

Related by officers

BRIAN A PETERSON, 246 E MAIN ST #201, GALESBURG, 61401, KNOX

BERTIS CARLSON TRUCKING, INC. WEST BROTHERS FARMS, INC.

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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