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  5. AMSYSCO, INC.

AMSYSCO, INC.

Company Details

Entity Name: AMSYSCO, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 02 Oct 1981
Company Number: CORP_52528801
File Number: 52528801
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMSYSCO, INC. PROFIT SHARING TRUST 2021 363147293 2022-09-21 AMSYSCO, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 332300
Sponsor’s telephone number 6302968383
Plan sponsor’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446

Signature of
Role Plan administrator
Date 2022-09-21
Name of individual signing NEEL KHOSA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-21
Name of individual signing NEEL KHOSA
Valid signature Filed with authorized/valid electronic signature
AMSYSCO, INC. PROFIT SHARING TRUST 2020 363147293 2021-06-28 AMSYSCO, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 332300
Sponsor’s telephone number 6302968383
Plan sponsor’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446

Signature of
Role Plan administrator
Date 2021-06-28
Name of individual signing NEEL KHOSA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-28
Name of individual signing NEEL KHOSA
Valid signature Filed with authorized/valid electronic signature
AMSYSCO, INC. PROFIT SHARING TRUST 2019 363147293 2020-04-03 AMSYSCO, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 332300
Sponsor’s telephone number 6302968383
Plan sponsor’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446

Plan administrator’s name and address
Administrator’s EIN 363147293
Plan administrator’s name AMSYSCO, INC.
Plan administrator’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446
Administrator’s telephone number 6302968383

Signature of
Role Plan administrator
Date 2020-04-03
Name of individual signing NEEL KHOSA
Valid signature Filed with authorized/valid electronic signature
AMSYSCO, INC. PROFIT SHARING TRUST 2018 363147293 2019-05-29 AMSYSCO, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 332300
Sponsor’s telephone number 6302968383
Plan sponsor’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446

Plan administrator’s name and address
Administrator’s EIN 363147293
Plan administrator’s name AMSYSCO, INC.
Plan administrator’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446
Administrator’s telephone number 6302968383

Signature of
Role Plan administrator
Date 2019-05-29
Name of individual signing NEEL KHOSA
Valid signature Filed with authorized/valid electronic signature
AMSYSCO, INC. PROFIT SHARING TRUST 2017 363147293 2018-06-20 AMSYSCO, INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 332300
Sponsor’s telephone number 6302968383
Plan sponsor’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446

Plan administrator’s name and address
Administrator’s EIN 363147293
Plan administrator’s name AMSYSCO, INC.
Plan administrator’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446
Administrator’s telephone number 6302968383

Signature of
Role Plan administrator
Date 2018-06-20
Name of individual signing NEEL KHOSA
Valid signature Filed with authorized/valid electronic signature
AMSYSCO, INC. PROFIT SHARING TRUST 2016 363147293 2017-07-14 AMSYSCO, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 332300
Sponsor’s telephone number 6302968383
Plan sponsor’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446

Plan administrator’s name and address
Administrator’s EIN 363147293
Plan administrator’s name AMSYSCO, INC.
Plan administrator’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446
Administrator’s telephone number 6302968383

Signature of
Role Plan administrator
Date 2017-07-14
Name of individual signing NEEL KHOSA
Valid signature Filed with authorized/valid electronic signature
AMSYSCO, INC. PROFIT SHARING TRUST 2015 363147293 2016-07-12 AMSYSCO, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 332300
Sponsor’s telephone number 6302968383
Plan sponsor’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446

Plan administrator’s name and address
Administrator’s EIN 363147293
Plan administrator’s name AMSYSCO, INC.
Plan administrator’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446
Administrator’s telephone number 6302968383

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing BHARATI KHOSA
Valid signature Filed with authorized/valid electronic signature
AMSYSCO, INC. PROFIT SHARING TRUST 2014 363147293 2015-07-14 AMSYSCO, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 332300
Sponsor’s telephone number 6302968383
Plan sponsor’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446

Plan administrator’s name and address
Administrator’s EIN 363147293
Plan administrator’s name AMSYSCO, INC.
Plan administrator’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446
Administrator’s telephone number 6302968383

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing BHARATI KHOSA
Valid signature Filed with authorized/valid electronic signature
AMSYSCO, INC. PROFIT SHARING TRUST 2013 363147293 2014-06-24 AMSYSCO, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 332300
Sponsor’s telephone number 6302968383
Plan sponsor’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446

Plan administrator’s name and address
Administrator’s EIN 363147293
Plan administrator’s name AMSYSCO, INC.
Plan administrator’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446
Administrator’s telephone number 6302968383

Signature of
Role Plan administrator
Date 2014-06-24
Name of individual signing BHARATI KHOSA
Valid signature Filed with authorized/valid electronic signature
AMSYSCO, INC. PROFIT SHARING TRUST 2012 363147293 2013-07-18 AMSYSCO, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 332300
Sponsor’s telephone number 6302968383
Plan sponsor’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446

Plan administrator’s name and address
Administrator’s EIN 363147293
Plan administrator’s name AMSYSCO, INC.
Plan administrator’s address 1200 WINDHAM PARKWAY, ROMEOVILLE, IL, 60446
Administrator’s telephone number 6302968383

Signature of
Role Plan administrator
Date 2013-07-18
Name of individual signing BHARATI KHOSA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TIMOTHY M MCLEAN, 2300 CABOT DRIVE, STE 500, LISLE, 60532, DU PAGE Agent 2014-08-06

President

Name and Address Role
NEEL KHOSA 1200 WINDHAM PARKWAY ROMEOVILLE IL 60446 President

Secretary

Name and Address Role
BHARATI KHOSA Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 1000000 No data

Related by officers

TIMOTHY M MCLEAN, 2300 CABOT DRIVE, STE 500, LISLE, 60532, DU PAGE

SPROVIERI'S CUSTOM COUNTERS, INC.

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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