| Entity Name: | BLUE LINE DISTRIBUTING, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Foreign BCA |
| Status: | Merged/Consolidated |
| Date Formed: | 05 Apr 1984 |
| Company Number: | CORP_53418805 |
| File Number: | 53418805 |
| Type of Business: | Business Corporations |
| Date Status Change: | 06 Feb 1995 |
| Place of Formation: | MICHIGAN |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MADAMBA MEDICAL ASSOCIATES, S.C. PENSION PLAN | 2011 | 363141714 | 2012-06-01 | MADAMBA MEDICAL ASSOCIATES, S.C. | 3 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 363141714 |
| Plan administrator’s name | MADAMBA MEDICAL ASSOCIATES, S.C. |
| Plan administrator’s address | 5332 NORTH KILDARE AVENUE, CHICAGO, IL, 60630 |
| Administrator’s telephone number | 7732781222 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-01 |
| Name of individual signing | E. MADAMBA, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1981-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7732781222 |
| Plan sponsor’s address | 5332 NORTH KILDARE AVENUE, CHICAGO, IL, 60630 |
Plan administrator’s name and address
| Administrator’s EIN | 363141714 |
| Plan administrator’s name | MADAMBA MEDICAL ASSOCIATES, S.C. |
| Plan administrator’s address | 5332 NORTH KILDARE AVENUE, CHICAGO, IL, 60630 |
| Administrator’s telephone number | 7732781222 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-01 |
| Name of individual signing | E. MADAMBA, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1981-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7732781222 |
| Plan sponsor’s address | 5332 NORTH KILDARE AVENUE, CHICAGO, IL, 60630 |
Plan administrator’s name and address
| Administrator’s EIN | 363141714 |
| Plan administrator’s name | MADAMBA MEDICAL ASSOCIATES, S.C. |
| Plan administrator’s address | 5332 NORTH KILDARE AVENUE, CHICAGO, IL, 60630 |
| Administrator’s telephone number | 7732781222 |
Signature of
| Role | Plan administrator |
| Date | 2011-06-15 |
| Name of individual signing | E. MADAMBA, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-06-15 |
| Name of individual signing | E. MADAMBA, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| C T CORPORATION SYSTEM, 208 SO LASALLE ST, SUITE 814, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO | Agent | 1984-04-05 |
| Name and Address | Role |
|---|---|
| MICHAEL ILITCH, 24120 HAGGERTY RD FARMINGTON HILLS MI 48024 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 50000 | 1000000 | 1 |
Date of last update: 20 Jan 2025
