CARL'S OF QUINCY, INC.

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

CARLOS F. PEDRERA, M.D., S.C. EMPLOYEES PENSION PLAN

2011

363137511

2013-05-10

CARLOS F. PEDRERA, M.D., S.C.

Plan administrator’s name and address

Administrator’s EIN	363137511
Plan administrator’s name	CARLOS F. PEDRERA, M.D., S.C.
Plan administrator’s address	6545 LONGMEADOW, LINCOLNWOOD, IL, 60712
Administrator’s telephone number	8475174300

Signature of

Role	Plan administrator
Date	2013-05-10
Name of individual signing	CARLOS PEDRERA, M.D.
Valid signature	Filed with authorized/valid electronic signature

CARLOS F. PEDRERA, M.D., S.C. EMPLOYEES PENSION PLAN

2009

363137511

2011-05-16

CARLOS F. PEDRERA, M.D., S.C.

Plan administrator’s name and address

Administrator’s EIN	363137511
Plan administrator’s name	CARLOS F. PEDRERA, M.D., S.C.
Plan administrator’s address	6545 LONGMEADOW, LINCOLNWOOD, IL, 60712
Administrator’s telephone number	8475174300

Signature of

Role	Plan administrator
Date	2011-05-16
Name of individual signing	CARLOS PEDRERA, M.D.
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2011-05-16
Name of individual signing	CARLOS PEDRERA, M.D.
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
EDWIN C BLAESING, 2827 BROADWAY, QUINCY, 62301, ADAMS	Agent	1990-01-29

Name and Address	Role
EDWIN C BLAESING, 2827 BROADWAY, QUINCY 62301	President

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMMON	No data	Voting Rights	15000	1500000	1

Date of last update: 27 Jan 2025