| Entity Name: | IN STOCK RETAIL SERVICES, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Foreign BCA |
| Status: | Withdrawn |
| Date Formed: | 08 Aug 2006 |
| Company Number: | CORP_65112388 |
| File Number: | 65112388 |
| Type of Business: | Business Corporations |
| Date Status Change: | 21 Oct 2016 |
| Place of Formation: | TENNESSEE |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FAMILY CARE ASSOC. LTD. PROFIT SHARING PLAN | 2011 | 364376595 | 2012-07-12 | FAMILY CARE ASSOCIATES LTD. | 10 | |||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 364376595 |
| Plan administrator’s name | FAMILY CARE ASSOCIATES LTD. |
| Plan administrator’s address | 5308 W. BELMONT AVE., CHICAGO, IL, 60641 |
| Administrator’s telephone number | 7732058200 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-12 |
| Name of individual signing | CARLOS SGOMEZ MD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7732058200 |
| Plan sponsor’s DBA name | CARLOS GOMEZ MD |
| Plan sponsor’s address | 5308 W. BELMONT AVE., CHICAGO, IL, 60641 |
Plan administrator’s name and address
| Administrator’s EIN | 364376595 |
| Plan administrator’s name | FAMILY CARE ASSOCIATES LTD |
| Plan administrator’s address | 5308 W. BELMONT AVE., CHICAGO, IL, 60641 |
| Administrator’s telephone number | 7732058200 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-06 |
| Name of individual signing | CARLOS SGOMEZ MD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 7732058200 |
| Plan sponsor’s DBA name | CARLOS GOMEZ MD |
| Plan sponsor’s address | 5308 W. BELMONT AVE., CHICAGO, IL, 60641 |
Plan administrator’s name and address
| Administrator’s EIN | 364376595 |
| Plan administrator’s name | FAMILY CARE ASSOCIATES LTD |
| Plan administrator’s address | 5308 W. BELMONT AVE., CHICAGO, IL, 60641 |
| Administrator’s telephone number | 7732058200 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-16 |
| Name of individual signing | CARLOS GOMEZ MD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JAY KEPPLER, 2715 CLINTON ST, VANDALIA, 62471, FAYETTE | Agent | 2009-10-27 |
| Name and Address | Role |
|---|---|
| MARVIN K BLAIR 2670 DOUGLAS LN THOMPSON'S STATION TN 37179 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000 | 1000000 | No data |
Date of last update: 13 Jan 2025
