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  5. MIDWEST LABORATORY SERVICES, INC.

MIDWEST LABORATORY SERVICES, INC.

Company Details

Entity Name: MIDWEST LABORATORY SERVICES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 17 Dec 2007
Date of Dissolution: 09 May 2014
Company Number: CORP_66366766
File Number: 66366766
Type of Business: All Inclusive Purpose
Date Status Change: 09 May 2014
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDWEST LABORATORY SERVICES, INC. 401(K) PLAN 2012 711043201 2013-08-22 MIDWEST LABORATORY SERVICES, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-04-01
Business code 621510
Sponsor’s telephone number 6186507313
Plan sponsor’s address 241 BELDEN DRIVE, EDWARDSVILLE, IL, 62025

Signature of
Role Plan administrator
Date 2013-08-22
Name of individual signing BRYCE MAPLES
Valid signature Filed with authorized/valid electronic signature
MIDWEST LABORATORY SERVICES, INC. 401(K) PLAN 2011 711043201 2012-07-26 MIDWEST LABORATORY SERVICES, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-04-01
Business code 621510
Sponsor’s telephone number 6186507313
Plan sponsor’s address 241 BELDEN DRIVE, EDWARDSVILLE, IL, 62025

Plan administrator’s name and address
Administrator’s EIN 711043201
Plan administrator’s name MIDWEST LABORATORY SERVICES, INC.
Plan administrator’s address 241 BELDEN DRIVE, EDWARDSVILLE, IL, 62025
Administrator’s telephone number 6186507313

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing JEANNE MAPLES
Valid signature Filed with authorized/valid electronic signature
MIDWEST LABORATORY SERVICES, INC. 401(K) PLAN 2010 711043201 2011-07-26 MIDWEST LABORATORY SERVICES, INC. 18
Three-digit plan number (PN) 001
Effective date of plan 2008-04-01
Business code 621510
Sponsor’s telephone number 6186507313
Plan sponsor’s address 241 BELDEN DRIVE, EDWARDSVILLE, IL, 62025

Plan administrator’s name and address
Administrator’s EIN 711043201
Plan administrator’s name MIDWEST LABORATORY SERVICES, INC.
Plan administrator’s address 241 BELDEN DRIVE, EDWARDSVILLE, IL, 62025
Administrator’s telephone number 6186507313
MIDWEST LABORATORY SERVICES, INC. 401(K) PLAN 2010 711043201 2011-07-26 MIDWEST LABORATORY SERVICES, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-04-01
Business code 621510
Sponsor’s telephone number 6186507313
Plan sponsor’s address 241 BELDEN DRIVE, EDWARDSVILLE, IL, 62025

Plan administrator’s name and address
Administrator’s EIN 711043201
Plan administrator’s name MIDWEST LABORATORY SERVICES, INC.
Plan administrator’s address 241 BELDEN DRIVE, EDWARDSVILLE, IL, 62025
Administrator’s telephone number 6186507313

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing JEANNE MAPLES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-26
Name of individual signing JEANNE MAPLES
Valid signature Filed with authorized/valid electronic signature
MIDWEST LABORATORY SERVICES, INC. 401(K) PLAN 2009 711043201 2010-07-27 MIDWEST LABORATORY SERVICES, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-04-01
Business code 621510
Sponsor’s telephone number 6186507313
Plan sponsor’s address 241 BELDEN DRIVE, EDWARDSVILLE, IL, 62025

Plan administrator’s name and address
Administrator’s EIN 711043201
Plan administrator’s name MIDWEST LABORATORY SERVICES, INC.
Plan administrator’s address 241 BELDEN DRIVE, EDWARDSVILLE, IL, 62025
Administrator’s telephone number 6186507313

Signature of
Role Plan administrator
Date 2010-07-27
Name of individual signing JEANNE MAPLES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-27
Name of individual signing JEANNE MAPLES
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRYCE MAPLES, 241 BELDEN DR, EDWARDSVILLE, 62025, MADISON Agent 2007-12-17

President

Name and Address Role
BRYCE MAPLES 241 BELDEN DR EDWARDSVILLE IL 62025 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 100000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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