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ERICKSON TIRE & AUTO SERVICE, INC.

Company Details

Entity Name: ERICKSON TIRE & AUTO SERVICE, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 03 Jan 1986
Company Number: CORP_54095961
File Number: 54095961
Type of Business: Automobile and other repair shops
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ERICKSON TIRE & AUTO SERVICE INC EMPLOYEE GROUP HEALTH PLAN 2018 363425013 2019-07-23 ERICKSON TIRE & AUTO SERVICE INC 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-01-01
Business code 811110
Sponsor’s telephone number 3097361464
Plan sponsor’s address 1534 47TH AVE, MOLINE, IL, 612657021

Signature of

Role Plan administrator
Date 2019-07-23
Name of individual signing ANTHONY ERICKSON
Valid signature Filed with authorized/valid electronic signature
ERICKSON TIRE & AUTO SERVICE INC EMPLOYEE GROUP HEALTH PLAN 2017 363425013 2018-07-23 ERICKSON TIRE & AUTO SERVICE INC 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-01-01
Business code 811110
Sponsor’s telephone number 3097361464
Plan sponsor’s address 1534 47TH AVE, MOLINE, IL, 612657021

Signature of

Role Plan administrator
Date 2018-07-23
Name of individual signing ANTHONY ERICKSON
Valid signature Filed with authorized/valid electronic signature
ERICKSON TIRE & AUTO SERVICE INC EMPLOYEE GROUP HEALTH PLAN 2016 363425013 2017-07-25 ERICKSON TIRE & AUTO SERVICE INC 2
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2016-01-01
Business code 811110
Sponsor’s telephone number 3097361464
Plan sponsor’s address 1534 47TH AVE, MOLINE, IL, 612657021

Signature of

Role Plan administrator
Date 2017-07-25
Name of individual signing ANTHONY ERICKSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GARY LEE ERICKSON, 1534, 47TH AVE, MOLINE, 61265, ROCK ISLAND Agent 2001-01-03

President

Name and Address Role
ANTHONY C ERICKSON, 1715 14THAVE, MOLINE, 61265 President

Secretary

Name and Address Role
GARY L ERICKSON, 907 E 5TH STCOAL VALLEY, 61240 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State