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  5. HANCOCK AREA MEDICAL SUPPLY, INC.

HANCOCK AREA MEDICAL SUPPLY, INC.

Company Details

Entity Name: HANCOCK AREA MEDICAL SUPPLY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 22 Jul 1985
Date of Dissolution: 12 May 2020
Company Number: CORP_53918093
File Number: 53918093
Type of Business: Business Corporations
Date Status Change: 12 May 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HANCOCK AREA MEDICAL SUPPLY INC. 401(K) 2012 371180373 2013-05-08 HANCOCK AREA MEDICAL SUPPLY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 2173573353
Plan sponsor’s address 1204 BUCHANAN, SUITE 2, PO BOX 457, CARTHAGE, IL, 623211510

Signature of
Role Plan administrator
Date 2013-05-08
Name of individual signing ANNETTE DETERS
Valid signature Filed with authorized/valid electronic signature
HANCOCK AREA MEDICAL SUPPLY INC. 401(K) 2011 371180373 2013-05-08 HANCOCK AREA MEDICAL SUPPLY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 2173573353
Plan sponsor’s address 1204 BUCHANAN, SUITE 2, PO BOX 457, CARTHAGE, IL, 623211510

Plan administrator’s name and address
Administrator’s EIN 371180373
Plan administrator’s name HANCOCK AREA MEDICAL SUPPLY, INC.
Plan administrator’s address 1204 BUCHANAN, SUITE 2, PO BOX 457, CARTHAGE, IL, 623211510
Administrator’s telephone number 2173573353

Signature of
Role Plan administrator
Date 2013-05-08
Name of individual signing ANNETTE DETERS
Valid signature Filed with authorized/valid electronic signature
HANCOCK AREA MEDICAL SUPPLY INC. 401(K) 2010 371180373 2013-05-08 HANCOCK AREA MEDICAL SUPPLY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 2173573353
Plan sponsor’s address 1204 BUCHANAN, SUITE 2, PO BOX 457, CARTHAGE, IL, 623211510

Plan administrator’s name and address
Administrator’s EIN 371180373
Plan administrator’s name HANCOCK AREA MEDICAL SUPPLY, INC.
Plan administrator’s address 1204 BUCHANAN, SUITE 2, PO BOX 457, CARTHAGE, IL, 623211510
Administrator’s telephone number 2173573353

Signature of
Role Plan administrator
Date 2013-05-08
Name of individual signing ANNETTE DETERS
Valid signature Filed with authorized/valid electronic signature
HANCOCK AREA MEDICAL SUPPLY INC. 401(K) 2009 371180373 2013-05-08 HANCOCK AREA MEDICAL SUPPLY, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621610
Sponsor’s telephone number 2173573353
Plan sponsor’s address 1204 BUCHANAN, SUITE 2, PO BOX 457, CARTHAGE, IL, 623211510

Plan administrator’s name and address
Administrator’s EIN 371180373
Plan administrator’s name HANCOCK AREA MEDICAL SUPPLY, INC.
Plan administrator’s address 1204 BUCHANAN, SUITE 2, PO BOX 457, CARTHAGE, IL, 623211510
Administrator’s telephone number 2173573353

Signature of
Role Plan administrator
Date 2013-05-08
Name of individual signing ANNETTE DETERS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ELIZABETH V. KURT, 120 NE GLEN OAK AVE STE 101, PEORIA, 61603, PEORIA Agent 2018-09-14

President

Name and Address Role
DENNIS ROYALTY, 508 N FAYETTE, CARTHAGE 62321 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
HME AND SERVICES PROV 203000325 No data No data HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER No data 2001-10-31 2006-01-19 2009-03-31

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
SHERRICK HOME HEALTH No data 2009-06-09 2020-05-12 Voluntary Cancellation No data
SHERRICK DRUG & MEDICAL EQUIPMENT No data 1990-06-18 2010-07-20 Expired No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 5000 1310000 100

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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