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ANTIOCH TIRE, INC.

Company Details

Entity Name: ANTIOCH TIRE, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Merged/Consolidated
Date Formed: 13 Jan 1993
Company Number: CORP_57141867
File Number: 57141867
Type of Business: All Inclusive Purpose
Date Status Change: 28 Sep 2016
Address 12002 S DOTY AVE, CHICAGO, IL, 60628
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANTIOCH TIRE INC METLIFE PLAN 2015 2015 363878545 2017-03-06 ANTIOCH TIRE INC. 447
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2015-10-01
Business code 441300
Sponsor’s telephone number 2242654070
Plan sponsor’s DBA name TREDROC TIRE SERVICES
Plan sponsor’s mailing address 2450 LUNT AVE, ELK GROVE VILLAGE, IL, 600075612
Plan sponsor’s address 2450 LUNT AVE, ELK GROVE VILLAGE, IL, 600075612

Number of participants as of the end of the plan year

Active participants 383
Retired or separated participants receiving benefits 1

Signature of

Role Plan administrator
Date 2017-03-06
Name of individual signing MARY HELS-JAGER
Valid signature Filed with authorized/valid electronic signature
ANTIOCH TIRE INC. HEALTH INSURANCE PLAN 2015 362739571 2017-03-06 ANTIOCH TIRE, INC. 497
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2015-10-01
Business code 441300
Sponsor’s telephone number 2242654070
Plan sponsor’s DBA name TREDROC TIRE SERVICES
Plan sponsor’s mailing address 2450 LUNT AVE, ELK GROVE VILLAGE, IL, 600075612
Plan sponsor’s address 2450 LUNT AVE, ELK GROVE VILLAGE, IL, 600075612

Number of participants as of the end of the plan year

Active participants 247
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2017-03-06
Name of individual signing MARY HELS-JAGER
Valid signature Filed with authorized/valid electronic signature
UNITEDHEALTHCARE HEALTH PLAN 2014 363878545 2016-03-04 ANTIOCH TIRE, INC. 509
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2014-10-01
Business code 441300
Sponsor’s telephone number 2242654070
Plan sponsor’s DBA name TREDROC TIRE SERICES
Plan sponsor’s mailing address 2450 LUNT AVENUE, ELK GROVE VILLAGE, IL, 60007
Plan sponsor’s address 2450 LUNT AVENUE, ELK GROVE VILLAGE, IL, 60007

Number of participants as of the end of the plan year

Active participants 497
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2016-03-04
Name of individual signing MARY HELS-JAGER
Valid signature Filed with authorized/valid electronic signature
ANTIOCH TIRE, INC. AND CBA TIRE INC HEALTH AND WELFARE PLAN 2013 362739571 2015-01-30 ANTIOCH TIRE, INC. 169
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-10-01
Business code 441300
Sponsor’s telephone number 2242654070
Plan sponsor’s DBA name TREDROC TIRE SERVICES
Plan sponsor’s mailing address 2450 LUNT AVENUE, ELK GROVE VILLAGE, IL, 60007
Plan sponsor’s address 2450 LUNT AVENUE, ELK GROVE VILLAGE, IL, 60007

Number of participants as of the end of the plan year

Active participants 509
Retired or separated participants receiving benefits 2

Signature of

Role Plan administrator
Date 2015-01-30
Name of individual signing MARY HELS-JAGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-01-30
Name of individual signing MARY HELS-JAGER
Valid signature Filed with authorized/valid electronic signature
CBA TIRE INC HEALTH AND WELFARE PLAN 2013 363878545 2014-06-04 ANTIOCH TIRE INC. 1136
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 441300
Sponsor’s telephone number 2242654070
Plan sponsor’s DBA name TREDROC TIRE SERVICES
Plan sponsor’s mailing address 2450 LUNT AVENUE, ELK GROVE VILLAGE, IL, 60007
Plan sponsor’s address 2450 LUNT AVENUE, ELK GROVE VILLAGE, IL, 60007

Number of participants as of the end of the plan year

Active participants 671
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2014-06-04
Name of individual signing MARY HELS-JAGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-04
Name of individual signing MARY HELS-JAGER
Valid signature Filed with authorized/valid electronic signature
ANTIOCH TIRE SERVICES LIFE AND ADD 2013 363878545 2014-06-13 ANTIOCH TIRE INC. 169
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2013-03-01
Business code 441300
Sponsor’s telephone number 2242654070
Plan sponsor’s DBA name TREDROC TIRE SERVICES
Plan sponsor’s mailing address 2450 LUNT AVENUE, ELK GROVE VILLAGE, IL, 60007
Plan sponsor’s address 2450 LUNT AVENUE, ELK GROVE VILLAGE, IL, 60007

Number of participants as of the end of the plan year

Active participants 169
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2014-06-13
Name of individual signing MARY HELS-JAGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-13
Name of individual signing MARY HELS-JAGER
Valid signature Filed with authorized/valid electronic signature
CBA TIRE HEALTH AND WELFARE PLAN 2009 363878545 2010-07-23 ANTIOCH TIRE, INC. 1136
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2000-09-01
Business code 441300
Sponsor’s telephone number 2242654070
Plan sponsor’s mailing address 2450 LUNT AVE., ELK GROVE VILLAGE, IL, 60007
Plan sponsor’s address 2450 LUNT AVE., ELK GROVE VILLAGE, IL, 60007

Plan administrator’s name and address

Administrator’s EIN 363878545
Plan administrator’s name ANTIOCH TIRE, INC.
Plan administrator’s address 2450 LUNT AVE., ELK GROVE VILLAGE, IL, 60007
Administrator’s telephone number 2242654070

Number of participants as of the end of the plan year

Active participants 961

Signature of

Role Plan administrator
Date 2010-07-23
Name of individual signing GLEN PARKS
Valid signature Filed with authorized/valid electronic signature

Agent

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 2013-03-15

Secretary

Name and Address Role Account Number
Anthony Lavelle Secretary 248253

President

Name and Address Role Account Number
MICHAEL QUIG 2450 LUNT AVE ELK GROVE VILLAGE IL 60007 President No data
John Lavelle President 248253

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 1382035 Issued 1010 Limited Business License No data 2003-07-31 2003-07-31 2003-11-15
BUSINESS LICENSE 1248287 Issued 1571 Tire Facilty Class I (100 - 1,000 Tires) No data 2003-06-26 2003-06-26 2003-11-15

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
TREDROC TIRE SERVICES No data 2007-12-13 2016-09-28 Voluntary Cancellation No data

Historical Names

Name Change Date
LAVELLE INDUSTRIES, INC. 2005-03-17

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
VOTING COMMON No data Voting Rights 100000 29280000 No data
NON-VOTING COMMON No data No Voting Rights 1000000 292800000 No data

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State