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  5. MEDICAL SHIPMENT, LLC

MEDICAL SHIPMENT, LLC

Headquarter

Company Details

Entity Name: MEDICAL SHIPMENT, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 01 Jan 2010
Company Number: LLC_02905388
File Number: 02905388
Type of Management: Manager Managed
Date Status Change: 29 Nov 2024
Address 8060 ST. LOUIS AVE., SKOKIE, 60076, IL
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of MEDICAL SHIPMENT, LLC, FLORIDA M17000004645 FLORIDA

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
MG2JA59KDAN8 2024-11-30 8060 SAINT LOUIS AVE, SKOKIE, IL, 60076, 2923, USA 8060 SAINT LOUIS AVE, SKOKIE, IL, 60076, USA

Business Information
URL http://www.medicalshipment.com
Division Name MEDICAL SHIPMENT, LLC
Division Number MEDICAL SH
Congressional District 09
State/Country of Incorporation IL, USA
Activation Date 2023-12-05
Initial Registration Date 2010-10-15
Entity Start Date 2007-05-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 339113, 423450, 611110, 611210, 611310, 611430, 611620, 611699, 621111, 621112, 621210, 621310, 621320, 621330, 621340, 621391, 621399, 621410, 621420, 621491, 621492, 621493, 621498, 621511, 621512, 621610, 621910, 621991, 621999, 622110, 622210, 622310, 623110, 623210, 623220, 623311, 623312, 623990, 624110, 624120, 624190, 624210, 624221, 624229, 624230, 624310, 624410, 922120, 922140, 922150, 922160, 923110, 923120, 923130, 928110
Product and Service Codes 6515, 6520, 6525, 6530, 6532, 6545

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DAN MICIC
Role CEO
Address 8060 SAINT LOUIS AVE, SKOKIE, IL, 60076, 1619, USA
Title ALTERNATE POC
Name KRISTINA BUGARSKI
Role PURCHASING MANAGER
Address 8060 SAINT LOUIS AVE, SKOKIE, IL, 60076, 2828, USA
Government Business
Title PRIMARY POC
Name DAN MICIC
Role CEO
Address 8060 SAINT LOUIS AVE, SKOKIE, IL, 60076, 1619, USA
Title ALTERNATE POC
Name KRISTINA BUGARSKI
Role PURCHASING MANAGER
Address 8060 SAINT LOUIS AVE, SKOKIE, IL, 60076, 2828, USA
Past Performance
Title PRIMARY POC
Name DAN MICIC
Role CEO
Address 8060 SAINT LOUIS AVE, SKOKIE, IL, 60076, USA
Title ALTERNATE POC
Name KRISTINA BUGARSKI
Role PURCHASING MANAGER
Address 8060 SAINT LOUIS AVE, SKOKIE, IL, 60076, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICAL SHIPMENT 401(K) PROFIT SHARING PLAN 2023 271508826 2024-06-29 MEDICAL SHIPMENT LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 424990
Sponsor’s telephone number 8472533000
Plan sponsor’s address 8060 ST. LOUIS AVE, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2024-06-29
Name of individual signing DAN MICIC
Valid signature Filed with authorized/valid electronic signature
MEDICAL SHIPMENT 401(K) PROFIT SHARING PLAN 2022 271508826 2023-06-27 MEDICAL SHIPMENT LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 424990
Sponsor’s telephone number 8472533000
Plan sponsor’s address 8060 ST. LOUIS AVE, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2023-06-27
Name of individual signing DAN MICIC
Valid signature Filed with authorized/valid electronic signature
MEDICAL SHIPMENT 401(K) PROFIT SHARING PLAN 2021 271508826 2022-06-08 MEDICAL SHIPMENT LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 424990
Sponsor’s telephone number 8472533000
Plan sponsor’s address 8060 ST. LOUIS AVE, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2022-06-08
Name of individual signing DAN MICIC
Valid signature Filed with authorized/valid electronic signature
MEDICAL SHIPMENT 401(K) PROFIT SHARING PLAN 2020 271508826 2021-10-12 MEDICAL SHIPMENT LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 424990
Sponsor’s telephone number 8472533000
Plan sponsor’s address 8060 ST. LOUIS AVE, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing DAN MICIC
Valid signature Filed with authorized/valid electronic signature
MEDICAL SHIPMENT 401(K) PROFIT SHARING PLAN 2019 271508826 2021-10-12 MEDICAL SHIPMENT LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 424990
Sponsor’s telephone number 8472533000
Plan sponsor’s address 8060 ST. LOUIS AVE, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing DAN MICIC
Valid signature Filed with authorized/valid electronic signature
MEDICAL SHIPMENT 401(K) PROFIT SHARING PLAN 2018 271508826 2019-05-22 MEDICAL SHIPMENT LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 424990
Sponsor’s telephone number 8472533000
Plan sponsor’s address 8060 ST. LOUIS AVE, SKOKIE, IL, 60076

Signature of
Role Plan administrator
Date 2019-05-22
Name of individual signing BRIAN SANCHEZ
Valid signature Filed with authorized/valid electronic signature
MEDICAL SHIPMENT 401(K) PROFIT SHARING PLAN 2017 271508826 2018-05-17 MEDICAL SHIPMENT LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 424990
Sponsor’s telephone number 8472533000
Plan sponsor’s address 70 LIVELY BOULEVARD, ELK GROVE VILLAGE, IL, 60007

Signature of
Role Plan administrator
Date 2018-05-17
Name of individual signing BRIAN SANCHEZ
Valid signature Filed with authorized/valid electronic signature
MEDICAL SHIPMENT 401(K) PROFIT SHARING PLAN 2016 271508826 2017-05-25 MEDICAL SHIPMENT LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 424990
Sponsor’s telephone number 8472533000
Plan sponsor’s address 70 LIVELY BOULEVARD, ELK GROVE VILLAGE, IL, 60007

Signature of
Role Plan administrator
Date 2017-05-25
Name of individual signing DAN MICIC
Valid signature Filed with authorized/valid electronic signature
MEDICAL SHIPMENT 401(K) PROFIT SHARING PLAN 2015 271508826 2018-11-07 MEDICAL SHIPMENT LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 424990
Sponsor’s telephone number 8472533000
Plan sponsor’s address 70 LIVELY BOULEVARD, ELK GROVE VILLAGE, IL, 60007

Signature of
Role Plan administrator
Date 2018-11-07
Name of individual signing BRIAN SANCHEZ
Valid signature Filed with authorized/valid electronic signature
MEDICAL SHIPMENT 401(K) PROFIT SHARING PLAN 2015 271508826 2016-10-31 MEDICAL SHIPMENT LLC 10
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 424990
Sponsor’s telephone number 8472533000
Plan sponsor’s address 70 LIVELY BOULEVARD, ELK GROVE VILLAGE, IL, 60007

Signature of
Role Plan administrator
Date 2016-10-31
Name of individual signing DAN MICIC
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DANIEL MICHAEL MICIC, 8060 SAINT LOUIS AVE, SKOKIE, 60076 Agent 2018-04-27

Manager

Name and Address Role Appointment Date
MICIC, DANIEL, 155 N HARBOR DR, UNIT 3404, CHICAGO, IL, 60601 Manager 2024-11-29

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
HME AND SERVICES PROV 203002004 No data No data HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER No data 2018-05-21 2024-01-04 2027-03-31
PHARMACY 004003232 No data No data LICENSED WHOLESALE DRUG DISTRIBUTOR No data 2011-05-10 2024-09-30 2026-12-31

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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