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VAN ZELST, INC.

Company Details

Entity Name: VAN ZELST, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 19 Jan 1982
Company Number: CORP_52623995
File Number: 52623995
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VAN ZELST, INC. 401(K) PLAN 2023 363240741 2024-06-21 VAN ZELST, INC. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 561730
Sponsor’s telephone number 8476233580
Plan sponsor’s address 39400 N HWY 41, WADSWORTH, IL, 600830250

Signature of

Role Plan administrator
Date 2024-06-21
Name of individual signing T. DAVID VAN ZELST
Valid signature Filed with authorized/valid electronic signature
VAN ZELST, INC. 401(K) PLAN 2022 363240741 2023-09-19 VAN ZELST, INC. 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 561730
Sponsor’s telephone number 8476233580
Plan sponsor’s address 39400 N HWY 41, WADSWORTH, IL, 600830250

Signature of

Role Plan administrator
Date 2023-09-19
Name of individual signing T. DAVID VAN ZELST
Valid signature Filed with authorized/valid electronic signature
VAN ZELST, INC. 401(K) PLAN 2021 363240741 2022-10-12 VAN ZELST, INC. 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 561730
Sponsor’s telephone number 8476233580
Plan sponsor’s address 39400 N HWY 41, WADSWORTH, IL, 600830250

Signature of

Role Plan administrator
Date 2022-10-12
Name of individual signing T. DAVID VAN ZELST
Valid signature Filed with authorized/valid electronic signature
VAN ZELST, INC. 401(K) PLAN 2020 363240741 2021-10-12 VAN ZELST, INC. 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 561730
Sponsor’s telephone number 8476233580
Plan sponsor’s address 39400 N HWY 41, WADSWORTH, IL, 600830250

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing T. DAVID VAN ZELST
Valid signature Filed with authorized/valid electronic signature
VAN ZELST, INC. 401(K) PLAN 2019 363240741 2020-07-16 VAN ZELST, INC. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 561730
Sponsor’s telephone number 8476233580
Plan sponsor’s address 39400 N HWY 41, WADSWORTH, IL, 600830250

Signature of

Role Plan administrator
Date 2020-07-16
Name of individual signing T. DAVID VAN ZELST
Valid signature Filed with authorized/valid electronic signature
VAN ZELST, INC. 401(K) PLAN 2018 363240741 2019-07-17 VAN ZELST, INC. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 561730
Sponsor’s telephone number 8476233580
Plan sponsor’s address 39400 N HWY 41, WADSWORTH, IL, 600830250

Signature of

Role Plan administrator
Date 2019-07-17
Name of individual signing T. DAVID VAN ZELST
Valid signature Filed with authorized/valid electronic signature
VAN ZELST, INC. 401(K) PLAN 2017 363240741 2018-09-26 VAN ZELST, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 811410
Sponsor’s telephone number 8476233580
Plan sponsor’s address 39400 N HWY 41, WADSWORTH, IL, 600830250

Signature of

Role Plan administrator
Date 2018-09-26
Name of individual signing T. DAVID VAN ZELST
Valid signature Filed with authorized/valid electronic signature
VAN ZELST, INC. 401(K) PLAN 2016 363240741 2017-07-10 VAN ZELST, INC. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 811410
Sponsor’s telephone number 8476233580
Plan sponsor’s address 39400 N HWY 41, WADSWORTH, IL, 600830250

Signature of

Role Plan administrator
Date 2017-07-10
Name of individual signing T. DAVID VAN ZELST
Valid signature Filed with authorized/valid electronic signature
VAN ZELST, INC. 401(K) PLAN 2015 363240741 2016-07-20 VAN ZELST, INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 811410
Sponsor’s telephone number 8476233580
Plan sponsor’s address 39400 N HWY 41, WADSWORTH, IL, 600830250

Signature of

Role Plan administrator
Date 2016-07-20
Name of individual signing T. DAVID VAN ZELST
Valid signature Filed with authorized/valid electronic signature
VAN ZELST, INC. 401(K) PLAN 2014 363240741 2015-07-16 VAN ZELST, INC. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-03-01
Business code 811410
Sponsor’s telephone number 8476233580
Plan sponsor’s address 39400 N HWY 41, WADSWORTH, IL, 600830250

Signature of

Role Plan administrator
Date 2015-07-16
Name of individual signing T. DAVID VAN ZELST
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
THEODORE DAVID VANZELST, 2134 CHANDLER LANE, GLENVIEW, 60026, COOK-NOT IN CITY OF CHICAGO Agent 2010-01-06

Secretary

Name and Address Role
CINDY VAN ZELST Secretary

President

Name and Address Role
THEODORE DAVID VAN ZELST, 1213WAGNER RD GLENVIEW IL 60025 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
LAND SERVICES, INC. No data 1985-01-22 1995-06-01 Involuntary Cancellation No data

Historical Names

Name Change Date
LAND SERVICES, INC. 1985-01-07

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 1000000 1

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
102987500 0524200 1993-04-23 39400 N. HIGHWAY 41, WADSWORTH, IL, 60083
Inspection Type Complaint
Scope Complete
Safety/Health Safety
Close Conference 1993-04-23
Case Closed 1993-11-16

Related Activity

Type Complaint
Activity Nr 74200841
Safety Yes
Health Yes

Violation Items

Citation ID 01001A
Citaton Type Serious
Standard Cited 19100219 D01
Issuance Date 1993-05-19
Abatement Due Date 1993-05-27
Current Penalty 1100.0
Initial Penalty 1750.0
Nr Instances 1
Nr Exposed 2
Gravity 05
Citation ID 01001B
Citaton Type Serious
Standard Cited 19100219 E03 I
Issuance Date 1993-05-19
Abatement Due Date 1993-05-27
Nr Instances 1
Nr Exposed 2
Gravity 05
Citation ID 01002
Citaton Type Serious
Standard Cited 19100303 G02 I
Issuance Date 1993-05-19
Abatement Due Date 1993-05-24
Current Penalty 300.0
Initial Penalty 1000.0
Nr Instances 2
Nr Exposed 2
Related Event Code (REC) Complaint
Gravity 02
Citation ID 01003
Citaton Type Serious
Standard Cited 19101200 G01
Issuance Date 1993-05-19
Abatement Due Date 1993-06-01
Current Penalty 600.0
Initial Penalty 1000.0
Nr Instances 1
Nr Exposed 2
Related Event Code (REC) Complaint
Gravity 02

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5073777104 2020-04-13 0507 PPP 39400 N Hwy 41, WADSWORTH, IL, 60083
Loan Status Date 2021-08-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 533500
Loan Approval Amount (current) 533500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 21442
Servicing Lender Name BMO Bank National Association
Servicing Lender Address 320 S Canal St, Chicago, IL, 60606
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address WADSWORTH, LAKE, IL, 60083-0001
Project Congressional District IL-10
Number of Employees 78
NAICS code 484110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 21442
Originating Lender Name BMO Bank National Association
Originating Lender Address Chicago, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 540048.16
Forgiveness Paid Date 2021-07-15

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
777000 Interstate 2024-11-01 31560 2023 38 23 Private(Property), Priv. Pass.(Non-business)
Legal Name VAN ZELST INC
DBA Name -
Physical Address 39400 N HIGHWAY 41, WADSWORTH, IL, 60083-0250, US
Mailing Address PO BOX 250, WADSWORTH, IL, 60083-0250, US
Phone (847) 623-3580
Fax (847) 623-7546
E-mail BETH@VANZELST.COM

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months) 1
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 1
Vehicle Maintenance BASIC Roadside Performance measure value 3
Total Number of Vehicle Inspections for the measurement period 1
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 1
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Inspections

Unique report number of the inspection 2749002757
State abbreviation that indicates the state the inspector is from WI
The date of the inspection 2024-08-19
ID that indicates the level of inspection Full
State abbreviation that indicates where the inspection occurred WI
Time weight of the inspection 3
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit INTERNATIO
License plate of the main unit 21175K
License state of the main unit WI
Vehicle Identification Number of the main unit 1HTSDZ4P3MH303518
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Vehicle Maintenance BASIC inspection Y
Total number of BASIC violations 1
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 1
Number of Hazardous Materials Compliance BASIC violations 0

Violations

The date of the inspection 2024-08-19
Code of the violation 3965BL
Name of the BASIC Vehicle Maintenance
The violation is identified as Out-Of-Service violation N
The weight that is assigned to a violation if it's identified as an Out-Of-Service violation 0
The severity weight that is assigned to a violation 3
The time weight that is assigned to a violation 3
The description of a violation Lubrication - Oil or grease leak
The description of the violation group Other Vehicle Defect
The unit a violation is cited against Vehicle main unit

Crashes

Unique state report number for the incident ILX003213471
Sequence number for each vehicle involved in a crash 1
The date a incident occurred 2023-10-30
State abbreviation IL
Total number of fatalities reported in the crash 0
Total number of injuries reported in the crash 1
The vehicle involved in the accident was towed from the scene Y
Hazardous materials were released during the accident N
Description of the trafficway One-Way Trafficway Not Divided
Description of the access control No Control
Description of the road surface condition Dry
Description of the weather condition No Adverse Conditions
Description of the light condition Daylight
Vehicle Identification number (VIN) 1FDXW46F92EA52017
Vehicle license number 73132F
Vehicle license state IL
The severity weight that is assigned to the incident 2
The time weight that is assigned to the incident 1
Sequence number 1

Date of last update: 13 Feb 2025

Sources: Illinois Office of the Secretary of State