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CERMAK PRODUCE, INC.

Company Details

Entity Name: CERMAK PRODUCE, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Jul 1993
Company Number: CORP_57371455
File Number: 57371455
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CERMAK PRODUCE 2022 363897177 2023-06-20 CERMAK PRODUCE INC 106
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 445110
Sponsor’s telephone number 7088631100
Plan sponsor’s DBA name CERMAK PRODUCE
Plan sponsor’s mailing address 4605 W CERMAK RD, CICERO, IL, 608042509
Plan sponsor’s address 4605 W CERMAK RD, CICERO, IL, 608042509

Plan administrator’s name and address

Administrator’s EIN 363086057
Plan administrator’s name ALLIED BENEFIT SYSTEMS INC
Plan administrator’s address 200 W ADAMS ST STE 500, CHICAGO, IL, 606065215
Administrator’s telephone number 3129068080

Number of participants as of the end of the plan year

Active participants 98

Signature of

Role Plan administrator
Date 2023-06-20
Name of individual signing DIMITRIS BOUSIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-20
Name of individual signing DIMITRIS BOUSIS
Valid signature Filed with authorized/valid electronic signature
CERMAK PRODUCE 2021 363897177 2022-07-19 CERMAK PRODUCE INC 131
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-01-01
Business code 445110
Sponsor’s telephone number 7088631100
Plan sponsor’s DBA name CERMAK PRODUCE
Plan sponsor’s mailing address 4605 W CERMAK RD, CICERO, IL, 608042509
Plan sponsor’s address 4605 W CERMAK RD, CICERO, IL, 608042509

Plan administrator’s name and address

Administrator’s EIN 363086057
Plan administrator’s name ALLIED BENEFIT SYSTEMS INC.
Plan administrator’s address 200 W ADAMS ST STE 500, CHICAGO, IL, 606065215
Administrator’s telephone number 3129068080

Number of participants as of the end of the plan year

Active participants 131

Signature of

Role Plan administrator
Date 2022-07-19
Name of individual signing DIMITRIS BOUSIS
Valid signature Filed with authorized/valid electronic signature
CERMAK PRODUCE 2020 363897177 2021-11-22 CERMAK PRODUCE INC 132
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 445110
Sponsor’s telephone number 7088631100
Plan sponsor’s DBA name CERMAK PRODUCE
Plan sponsor’s mailing address 4605 W CERMAK RD, CICERO, IL, 608042509
Plan sponsor’s address 4605 W CERMAK RD, CICERO, IL, 608042509

Plan administrator’s name and address

Administrator’s EIN 363086057
Plan administrator’s name ALLIED BENEFIT SYSTEMS INC.
Plan administrator’s address 200 W ADAMS ST STE 500, CHICAGO, IL, 606065215
Administrator’s telephone number 3129068080

Number of participants as of the end of the plan year

Active participants 131

Signature of

Role Plan administrator
Date 2021-11-22
Name of individual signing DIMITRIS BOUSIS
Valid signature Filed with authorized/valid electronic signature
CERMAK PRODUCE 2019 363897177 2020-07-23 CERMAK PRODUCE INC 189
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-01-01
Business code 445110
Sponsor’s telephone number 7088631100
Plan sponsor’s DBA name CERMAK PRODUCE
Plan sponsor’s mailing address 4605 W CERMAK RD, CICERO, IL, 608042509
Plan sponsor’s address 4605 W CERMAK RD, CICERO, IL, 608042509

Plan administrator’s name and address

Administrator’s EIN 363086057
Plan administrator’s name ALLIED BENEFIT SYSTEMS INC.
Plan administrator’s address 200 W ADAMS ST STE 500, CHICAGO, IL, 606065215
Administrator’s telephone number 3129068080

Number of participants as of the end of the plan year

Active participants 167

Signature of

Role Plan administrator
Date 2020-07-23
Name of individual signing DIMITRIS BOUSIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-23
Name of individual signing DIMITRIS BOUSIS
Valid signature Filed with authorized/valid electronic signature
CERMAK PRODUCE 2018 363897177 2019-07-29 CERMAK PRODUCE INC. 171
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-01-01
Business code 445110
Sponsor’s telephone number 7088631100
Plan sponsor’s DBA name CERMAK PRODUCE
Plan sponsor’s mailing address 4605 W CERMAK RD, CICERO, IL, 608042509
Plan sponsor’s address 4605 W CERMAK RD, CICERO, IL, 608042509

Plan administrator’s name and address

Administrator’s EIN 363086057
Plan administrator’s name ALLIED BENEFIT SYSTEMS INC.
Plan administrator’s address 200 W ADAMS ST STE 500, CHICAGO, IL, 606065215
Administrator’s telephone number 3129068080

Number of participants as of the end of the plan year

Active participants 157

Signature of

Role Plan administrator
Date 2019-07-29
Name of individual signing DIMITRIS BOUSIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-29
Name of individual signing DIMITRIS BOUSIS
Valid signature Filed with authorized/valid electronic signature
CERMAK PRODUCE 2017 363897177 2018-07-23 CERMAK PRODUCE INC 187
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-01-01
Business code 445110
Sponsor’s telephone number 7088631100
Plan sponsor’s DBA name CERMAK PRODUCE
Plan sponsor’s mailing address 4605 W CERMAK RD, CICERO, IL, 608042509
Plan sponsor’s address 4605 W CERMAK RD, CICERO, IL, 608042509

Plan administrator’s name and address

Administrator’s EIN 363086057
Plan administrator’s name ALLIED BENEFIT SYSTEMS INC
Plan administrator’s address 200 W ADAMS ST STE 500, CHICAGO, IL, 606065215
Administrator’s telephone number 3129068080

Number of participants as of the end of the plan year

Active participants 177

Signature of

Role Plan administrator
Date 2018-07-23
Name of individual signing DIMITRIS BOUSIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-23
Name of individual signing DIMITRIS BOUSIS
Valid signature Filed with authorized/valid electronic signature
CERMAK PRODUCE 2015 363897177 2016-07-28 CERMAK PRODUCE INC. 284
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2015-01-01
Business code 445110
Sponsor’s telephone number 7088631100
Plan sponsor’s DBA name CERMAK PRODUCE
Plan sponsor’s mailing address 4605 W CERMAK RD, CICERO, IL, 608042509
Plan sponsor’s address 4605 W CERMAK RD, CICERO, IL, 608042509

Plan administrator’s name and address

Administrator’s EIN 363086057
Plan administrator’s name ALLIED BENEFIT SYSTEMS INC.
Plan administrator’s address 200 W. ADAMS ST. SUITE 500, CHICAGO, IL, 60606
Administrator’s telephone number 3129068080

Number of participants as of the end of the plan year

Active participants 294

Signature of

Role Plan administrator
Date 2016-07-28
Name of individual signing DIMITRIS BOUSIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-28
Name of individual signing DIMITRIS BOUSIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KOSTAS L CIOS, 200 WEST JACKSON SUITE 1050, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO Agent 2015-06-26

President

Name and Address Role
DIMITRI BOUSIS 4605 W CERMAK ROAD CICERO IL 60804 President

Secretary

Name and Address Role
ELENI TZOTZOLIS 4605 W CERMAK ROAD CICERO IL 60804 Secretary

Shares

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

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
1718623 Interstate 2024-01-30 40000 2023 11 10 Private(Property)
Legal Name CERMAK PRODUCE INC
DBA Name -
Physical Address 4605 W CERMAK RD, CICERO, IL, 60804, US
Mailing Address 4605 W CERMAK, CICERO, IL, 60804, US
Phone (708) 863-1100
Fax -
E-mail BOBT@CERMAKFRESHMARKET.COM

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months) 2
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 2
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 0
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Inspections

Unique report number of the inspection 4243780042
State abbreviation that indicates the state the inspector is from IL
The date of the inspection 2023-10-07
ID that indicates the level of inspection Driver-Only
State abbreviation that indicates where the inspection occurred IL
Time weight of the inspection 1
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit TRUCK TRACTOR
Description of the make of the main unit KENWORTH
License plate of the main unit 3923X
License state of the main unit IL
Vehicle Identification Number of the main unit 1XKAD49X6BJ288916
Description of the type of the secondary unit SEMI-TRAILER
Description of the make of the secondary unit UTILITY
License plate of the secondary unit 721487ST
License state of the secondary unit IL
Vehicle Identification Number of the secondary unit 1UYVS2538HM829435
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Total number of BASIC violations 0
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection 4180050024
State abbreviation that indicates the state the inspector is from IL
The date of the inspection 2023-07-15
ID that indicates the level of inspection Driver-Only
State abbreviation that indicates where the inspection occurred IL
Time weight of the inspection 1
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit TRUCK TRACTOR
Description of the make of the main unit KENWORTH
License plate of the main unit 3923X
License state of the main unit IL
Vehicle Identification Number of the main unit 1XKAD49X6BJ288916
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Total number of BASIC violations 0
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection 4178930008
State abbreviation that indicates the state the inspector is from IL
The date of the inspection 2023-01-17
ID that indicates the level of inspection Driver-Only
State abbreviation that indicates where the inspection occurred IL
Time weight of the inspection 1
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit TRUCK TRACTOR
Description of the make of the main unit KW
License plate of the main unit 39941TZ
License state of the main unit IL
Vehicle Identification Number of the main unit 1XKAD49XXBJ288918
Description of the type of the secondary unit SEMI-TRAILER
Description of the make of the secondary unit HYTR
License plate of the secondary unit 677467ST
License state of the secondary unit IL
Vehicle Identification Number of the secondary unit 3H3V532C0AT323035
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Total number of BASIC violations 0
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0

Date of last update: 17 Mar 2025

Sources: Illinois Office of the Secretary of State