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  5. JACK AMS, INC.

JACK AMS, INC.

Company Details

Entity Name: JACK AMS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 12 Jun 1990
Date of Dissolution: 07 Feb 2014
Company Number: CORP_55999252
File Number: 55999252
Type of Business: Retail sales and services
Date Status Change: 07 Feb 2014
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ARROW MEDICAL SUPPLY, INC. PROFIT SHARING PLAN 2011 363718029 2012-04-05 ARROW MEDICAL SUPPLY, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 423990
Sponsor’s telephone number 8473677771
Plan sponsor’s address 28085 N. ASHLEY CIRCLE SUITE 105, LIBERTYVILLE, IL, 600489472

Plan administrator’s name and address
Administrator’s EIN 363718029
Plan administrator’s name ARROW MEDICAL SUPPLY, INC.
Plan administrator’s address 28085 N. ASHLEY CIRCLE SUITE 105, LIBERTYVILLE, IL, 600489472
Administrator’s telephone number 8473677771

Signature of
Role Plan administrator
Date 2012-04-05
Name of individual signing DIANE BARKLEY
Valid signature Filed with authorized/valid electronic signature
ARROW MEDICAL SUPPLY, INC. EMPLOYEES FLEXIBLE COMPENSATION PLAN 2010 363718029 2011-03-10 ARROW MEDICAL SUPPLY, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 423990
Sponsor’s telephone number 8473677771
Plan sponsor’s address 28085 N. ASHLEY CIRCLE SUITE 105, LIBERTYVILLE, IL, 600489472

Plan administrator’s name and address
Administrator’s EIN 363718029
Plan administrator’s name ARROW MEDICAL SUPPLY, INC.
Plan administrator’s address 28085 N. ASHLEY CIRCLE SUITE 105, LIBERTYVILLE, IL, 600489472
Administrator’s telephone number 8473677771

Signature of
Role Plan administrator
Date 2011-03-10
Name of individual signing DIANE BARKLEY
Valid signature Filed with authorized/valid electronic signature
ARROW MEDICAL SUPPLY, INC. PROFIT SHARING PLAN 2010 363718029 2011-03-14 ARROW MEDICAL SUPPLY, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 423990
Sponsor’s telephone number 8473677771
Plan sponsor’s address 28085 N. ASHLEY CIRCLE SUITE 105, LIBERTYVILLE, IL, 600489472

Plan administrator’s name and address
Administrator’s EIN 363718029
Plan administrator’s name ARROW MEDICAL SUPPLY, INC.
Plan administrator’s address 28085 N. ASHLEY CIRCLE SUITE 105, LIBERTYVILLE, IL, 600489472
Administrator’s telephone number 8473677771

Signature of
Role Plan administrator
Date 2011-03-14
Name of individual signing DIANE BARKLEY
Valid signature Filed with authorized/valid electronic signature
ARROW MEDICAL SUPPLY, INC. PROFIT SHARING PLAN 2009 363718029 2010-05-28 ARROW MEDICAL SUPPLY, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 423990
Sponsor’s telephone number 8473677771
Plan sponsor’s address 28085 N. ASHLEY CIRCLE SUITE 105, LIBERTYVILLE, IL, 600489472

Plan administrator’s name and address
Administrator’s EIN 363718029
Plan administrator’s name ARROW MEDICAL SUPPLY, INC.
Plan administrator’s address 28085 N. ASHLEY CIRCLE SUITE 105, LIBERTYVILLE, IL, 600489472
Administrator’s telephone number 8473677771

Signature of
Role Plan administrator
Date 2010-05-28
Name of individual signing DIANE BARKLEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GEORGE M BRADSHAW, 1755 S NAPERVILLE RD #200, WHEATON, 60189, DU PAGE Agent 1995-07-24

President

Name and Address Role
THOMAS J BARKLEY JR, 115 SURREY LN, LAKE FOREST 60045 President

Historical Names

Name Change Date
ARROW MEDICAL SUPPLY, INC. 2011-06-13
ARROWMEDICAL, INC. 1990-10-04

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 1000000 0.01

Related by officers

GEORGE M BRADSHAW, 1755 S NAPERVILLE RD #200, WHEATON, 60189, DU PAGE

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Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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