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CARLSON AUTOMOTIVE BODY SHOP, INC.

Company Details

Entity Name: CARLSON AUTOMOTIVE BODY SHOP, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 23 Sep 1992
Company Number: CORP_56998543
File Number: 56998543
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
CARLSON AUTOMOTIVE 401(K) PLAN 2023 371299991 2024-07-22 CARLSON AUTOMOTIVE BODY SHOP INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 811110
Sponsor’s telephone number 8154333862
Plan sponsor’s address 310 W. MAIN ST., OTTAWA, IL, 61350

Signature of

Role Plan administrator
Date 2024-07-22
Name of individual signing GARY CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON AUTOMOTIVE 401(K) PLAN 2022 371299991 2023-05-02 CARLSON AUTOMOTIVE BODY SHOP INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 811110
Sponsor’s telephone number 8154333862
Plan sponsor’s address 310 W. MAIN ST., OTTAWA, IL, 61350

Signature of

Role Plan administrator
Date 2023-05-02
Name of individual signing GARY L CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-02
Name of individual signing GARY L CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON AUTOMOTIVE 401(K) PLAN 2021 371299991 2022-05-20 CARLSON AUTOMOTIVE BODY SHOP INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 811110
Sponsor’s telephone number 8154333862
Plan sponsor’s address 310 W. MAIN ST., OTTAWA, IL, 61350

Signature of

Role Plan administrator
Date 2022-05-20
Name of individual signing GARY CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-20
Name of individual signing GARY CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON AUTOMOTIVE 401(K) PLAN 2020 371299991 2021-07-08 CARLSON AUTOMOTIVE BODY SHOP INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 811110
Sponsor’s telephone number 8154333862
Plan sponsor’s address 310 W. MAIN ST., OTTAWA, IL, 61350

Signature of

Role Plan administrator
Date 2021-07-08
Name of individual signing GARY CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-08
Name of individual signing GARY CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON AUTOMOTIVE 401(K) PLAN 2019 371299991 2020-07-01 CARLSON AUTOMOTIVE BODY SHOP INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 811110
Sponsor’s telephone number 8154333862
Plan sponsor’s address 310 W. MAIN ST., OTTAWA, IL, 61350

Signature of

Role Plan administrator
Date 2020-07-01
Name of individual signing GARY CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-01
Name of individual signing GARY CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON AUTOMOTIVE 401K PLAN 2018 371299991 2019-07-12 CARLSON AUTOMOTIVE BODY SHOP INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 811110
Sponsor’s telephone number 8154333862
Plan sponsor’s address 310 W MAIN ST, OTTAWA, IL, 61350

Signature of

Role Plan administrator
Date 2019-07-12
Name of individual signing GARY CARLSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-12
Name of individual signing GARY CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON AUTOMOTIVE 401K PLAN 2017 371299991 2018-07-11 CARLSON AUTOMOTIVE BODY SHOP INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 811110
Sponsor’s telephone number 8154333862
Plan sponsor’s address 310 W MAIN ST, OTTAWA, IL, 61350

Signature of

Role Plan administrator
Date 2018-07-11
Name of individual signing GARY CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON AUTOMOTIVE 401K PLAN 2016 371299991 2017-06-28 CARLSON AUTOMOTIVE BODY SHOP INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 811110
Sponsor’s telephone number 8154333862
Plan sponsor’s address 310 W MAIN ST, OTTAWA, IL, 61350

Signature of

Role Plan administrator
Date 2017-06-28
Name of individual signing GARY CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON AUTOMOTIVE 401K PLAN 2015 371299991 2016-07-21 CARLSON AUTOMOTIVE BODY SHOP INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 811110
Sponsor’s telephone number 8154333862
Plan sponsor’s address 310 W MAIN ST, OTTAWA, IL, 61350

Signature of

Role Plan administrator
Date 2016-07-21
Name of individual signing GARY CARLSON
Valid signature Filed with authorized/valid electronic signature
CARLSON AUTOMOTIVE 401K PLAN 2014 371299991 2015-05-18 CARLSON AUTOMOTIVE BODY SHOP INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-01-01
Business code 811110
Sponsor’s telephone number 8154333862
Plan sponsor’s address 310 W MAIN ST, OTTAWA, IL, 61350

Signature of

Role Plan administrator
Date 2015-05-18
Name of individual signing GARY CARLSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GARY L CARLSON, 310 W MAIN, OTTAWA, 61350, LA SALLE Agent 1992-09-23

President

Name and Address Role
GARY L CARLSON, 1396 N 2889 ROAD, OTTAWA, 61350 President

Secretary

Name and Address Role
DIANA CARLSON Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 1000000 1

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State