| Entity Name: | NAUTICAL MEDICAL SERVICES, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 03 Nov 2005 |
| Date of Dissolution: | 16 Jan 2019 |
| Company Number: | CORP_64540114 |
| File Number: | 64540114 |
| Type of Business: | All Inclusive Purpose |
| Date Status Change: | 16 Jan 2019 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NAUTICAL MEDICAL SERVICES 401(K) PLAN | 2012 | 421690937 | 2013-05-21 | NAUTICAL MEDICAL SERVICES, INC. | 2 | |||||||||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-05-17 |
| Name of individual signing | DAVID RAKEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 6182424150 |
| Plan sponsor’s address | 1011 WILSHIRE DRIVE, MT VERNON, IL, 62864 |
Plan administrator’s name and address
| Administrator’s EIN | 421690937 |
| Plan administrator’s name | NAUTICAL MEDICAL SERVICES, INC. |
| Plan administrator’s address | 1011 WILSHIRE DRIVE, MT VERNON, IL, 62864 |
| Administrator’s telephone number | 6182424150 |
Signature of
| Role | Plan administrator |
| Date | 2012-08-15 |
| Name of individual signing | DAVID RAKEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-08-15 |
| Name of individual signing | DAVID RAKEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 6182424150 |
| Plan sponsor’s address | 1011 WILSHIRE DRIVE, MT VERNON, IL, 62864 |
Plan administrator’s name and address
| Administrator’s EIN | 421690937 |
| Plan administrator’s name | NAUTICAL MEDICAL SERVICES, INC. |
| Plan administrator’s address | 1011 WILSHIRE DRIVE, MT VERNON, IL, 62864 |
| Administrator’s telephone number | 6182424150 |
Signature of
| Role | Plan administrator |
| Date | 2011-08-03 |
| Name of individual signing | DAVID RAKEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-08-03 |
| Name of individual signing | DAVID RAKEY |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 6182424150 |
| Plan sponsor’s address | 1011 WILSHIRE DRIVE, MT VERNON, IL, 62864 |
Plan administrator’s name and address
| Administrator’s EIN | 421690937 |
| Plan administrator’s name | NAUTICAL MEDICAL SERVICES, INC. |
| Plan administrator’s address | 1011 WILSHIRE DRIVE, MT VERNON, IL, 62864 |
| Administrator’s telephone number | 6182424150 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-09 |
| Name of individual signing | DAVID RAKEY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| DAVID P RAKEY, 1011 WILSHIRE DR, MT VERNON, 62864, JEFFERSON | Agent | 2006-06-29 |
| Name and Address | Role |
|---|---|
| DAVID P RAKEY 14 FAIRWAY DRIVE MT VERVON, IL 62864 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 3000 | 2000000 | No data |
Date of last update: 16 Jan 2025
