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MIDWEST LAB SOLUTIONS, INC.

Company Details

Entity Name: MIDWEST LAB SOLUTIONS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 09 Sep 2016
Company Number: CORP_70942135
File Number: 70942135
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDWEST LAB SOLUTIONS 401(K) PLAN 2023 813801586 2024-04-16 MIDWEST LAB SOLUTIONS INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541600
Sponsor’s telephone number 8152581002
Plan sponsor’s address 527 1450TH AVE, MOUNT PULASKI, IL, 62548

Signature of

Role Plan administrator
Date 2024-04-16
Name of individual signing PAT KOLOTKA
Valid signature Filed with authorized/valid electronic signature
MIDWEST LAB SOLUTIONS 401(K) PLAN 2022 813801586 2023-06-02 MIDWEST LAB SOLUTIONS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541600
Sponsor’s telephone number 2178710042
Plan sponsor’s address 527 1450TH AVENUE, MOUNT PULASKI, IL, 62548

Signature of

Role Plan administrator
Date 2023-06-02
Name of individual signing PAT KOLOTKA
Valid signature Filed with authorized/valid electronic signature
MIDWEST LAB SOLUTIONS 401(K) PLAN 2021 813801586 2022-09-14 MIDWEST LAB SOLUTIONS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541600
Sponsor’s telephone number 2178710042
Plan sponsor’s address 527 1450TH AVENUE, MOUNT PULASKI, IL, 62548

Signature of

Role Plan administrator
Date 2022-09-14
Name of individual signing PAT KOLOTKA
Valid signature Filed with authorized/valid electronic signature
MIDWEST LAB SOLUTIONS 401(K) PLAN 2020 813801586 2021-02-12 MIDWEST LAB SOLUTIONS, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541600
Sponsor’s telephone number 2178710042
Plan sponsor’s address 527 1450TH AVENUE, MOUNT PULASKI, IL, 62548

Signature of

Role Plan administrator
Date 2021-02-12
Name of individual signing PATRICIA KOLOTKA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CLAYTON GEORGE, 207 S MCLEAN ST, LINCOLN, 62656, LOGAN Agent 2021-09-29

President

Name and Address Role
AARON WILHAM 527 1450TH AVE MT PULASKI 62548 President

Secretary

Name and Address Role
JENNIFER WILHAM Secretary

Shares

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

Sources: Illinois Office of the Secretary of State