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JERRY'S TIRE SALES, INC.

JERRY'S TIRE SALES, INC.

Company Details

Entity Name:	JERRY'S TIRE SALES, INC.
Jurisdiction:	Illinois
Entity Type:	Corporation - Domestic BCA
Status:	Dissolved
Date Formed:	29 Dec 1982
Date of Dissolution:	12 May 2023
Company Number:	CORP_52950341
File Number:	52950341
Date Status Change:	12 May 2023
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

JERRY'S TIRE SALES, INC. 401(K) PLAN

2015

371123763

2016-10-13

JERRY'S TIRE SALES, INC.

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1999-01-01
Business code	441300
Sponsor’s telephone number	6186561180
Plan sponsor’s address	104 W. VANDALIA, EDWARDSVILLE, IL, 62025

Signature of

Role	Plan administrator
Date	2016-10-13
Name of individual signing	BRIAN LEE
Valid signature	Filed with authorized/valid electronic signature

JERRY'S TIRE SALES, INC. 401(K) PLAN

2014

371123763

2015-09-21

JERRY'S TIRE SALES, INC.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1999-01-01
Business code	441300
Sponsor’s telephone number	6186561180
Plan sponsor’s address	104 W. VANDALIA, EDWARDSVILLE, IL, 62025

Signature of

Role	Plan administrator
Date	2015-09-17
Name of individual signing	BRIAN LEE
Valid signature	Filed with authorized/valid electronic signature

JERRY'S TIRE SALES, INC. 401(K) PLAN

2013

371123763

2014-07-28

JERRY'S TIRE SALES, INC.

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1999-01-01
Business code	441300
Sponsor’s telephone number	6186561180
Plan sponsor’s address	104 W. VANDALIA, EDWARDSVILLE, IL, 62025

Signature of

Role	Plan administrator
Date	2014-07-26
Name of individual signing	BRIAN LEE
Valid signature	Filed with authorized/valid electronic signature

JERRY'S TIRE SALES, INC. 401(K) PLAN

2012

371123763

2013-10-10

JERRY'S TIRE SALES, INC.

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1999-01-01
Business code	441300
Sponsor’s telephone number	6186561180
Plan sponsor’s address	104 W. VANDALIA, EDWARDSVILLE, IL, 62025

Signature of

Role	Plan administrator
Date	2013-10-10
Name of individual signing	BRIAN LEE
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
KEITH W LEE, 104 W VANDALIA, EDWARDSVILLE, 62025, MADISON	Agent	2011-12-30

President

Name and Address	Role
KEITH W LEE, 156 EAGLE POINTE BRANSON MO 65616	President

Shares

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMM	No data	Voting Rights	3000	1000000	10

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State