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JAZ FORWARDING, INC.

JAZ FORWARDING, INC.

Company Details

Entity Name:	JAZ FORWARDING, INC.
Jurisdiction:	Illinois
Entity Type:	Corporation - Domestic BCA
Status:	Merged/Consolidated
Date Formed:	11 Jul 2001
Company Number:	CORP_61733272
File Number:	61733272
Type of Business:	All Inclusive Purpose
Date Status Change:	01 Jan 2014
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

M.E.S.A. 401(K) PLAN

2012

364087574

2013-06-27

MEDICAL EQUIPMENT SALES ASSOCIATES, INC.

5

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-03-01
Business code	423990
Sponsor’s telephone number	6308602546
Plan sponsor’s address	1701 CARMEN, ELK GROVE VILLAGE, IL, 60007

Signature of

Role	Plan administrator
Date	2013-06-24
Name of individual signing	JAMES VOLLBRACHT
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2013-06-24
Name of individual signing	JAMES VOLLBRACHT
Valid signature	Filed with authorized/valid electronic signature

M.E.S.A. 401(K) PLAN

2010

364087574

2011-05-19

MEDICAL EQUIPMENT SALES ASSOCIATES, INC.

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-03-01
Business code	423990
Sponsor’s telephone number	6308602546
Plan sponsor’s address	1748 ELMHURST ROAD, ELK GROVE VILLAGE, IL, 60007

Plan administrator’s name and address

Administrator’s EIN	364087574
Plan administrator’s name	MEDICAL EQUIPMENT SALES ASSOCIATES, INC.
Plan administrator’s address	1748 ELMHURST ROAD, ELK GROVE VILLAGE, IL, 60007
Administrator’s telephone number	6308602546

Signature of

Role	Plan administrator
Date	2011-05-19
Name of individual signing	JAMES VOLLBRACHT
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2011-05-19
Name of individual signing	JAMES VOLLBRACHT
Valid signature	Filed with authorized/valid electronic signature

M.E.S.A. 401(K) PLAN

2009

364087574

2010-05-11

MEDICAL EQUIPMENT SALES ASSOCIATES, INC.

6

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-03-01
Business code	423990
Sponsor’s telephone number	6308602546
Plan sponsor’s address	599 NORTH EDGEWOOD AVENUE, WOOD DALE, IL, 601912600

Plan administrator’s name and address

Administrator’s EIN	364087574
Plan administrator’s name	MEDICAL EQUIPMENT SALES ASSOCIATES, INC.
Plan administrator’s address	599 NORTH EDGEWOOD AVENUE, WOOD DALE, IL, 601912600
Administrator’s telephone number	6308602546

Signature of

Role	Plan administrator
Date	2010-05-10
Name of individual signing	JAMES VOLLBRACHT
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2010-05-10
Name of individual signing	JAMES VOLLBRACHT
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
DAVID M. STEIN, 541 N FAIRBANKS, CHICAGO, 60611, COOK-NOT IN CITY OF CHICAGO	Agent	2001-07-11

President

Name and Address	Role
LEONARD ZMIJEWSKI, 541 N FAIRBANKS, CHICAGO 60611	President

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State