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Microtek Medical LLC

Company Details

Name: Microtek Medical LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 29 Nov 1984 (40 years ago)
Business ID: 519757
State of Incorporation: DELAWARE
Principal Office Address: 3 LAKES DR.NORTHFIELD, IL 60093
Historical names: MICROTEK MEDICAL, INC.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PLASCO, INC. RETIREMENT PLAN TRUST 2018 640700671 2019-10-09 MICROTEK MEDICAL , INC. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-05-01
Business code 326100
Sponsor’s telephone number 6623271863
Plan sponsor’s address 512 LEHMBERG RD., COLUMBUS, MS, 39704
PLASCO, INC. RETIREMENT PLAN TRUST 2017 640700671 2018-10-15 MICROTEK MEDICAL , INC. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-05-01
Business code 326100
Sponsor’s telephone number 6623271863
Plan sponsor’s address 512 LEHMBERG RD., COLUMBUS, MS, 39704
PLASCO, INC. RETIREMENT PLAN TRUST 2016 640700671 2017-10-16 MICROTEK MEDICAL , INC. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-05-01
Business code 326100
Sponsor’s telephone number 6623271863
Plan sponsor’s address 512 LEHMBERG RD., COLUMBUS, MS, 39704
PLASCO, INC. RETIREMENT PLAN TRUST 2015 640700671 2016-10-14 MICROTEK MEDICAL , INC. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-05-01
Business code 326100
Sponsor’s telephone number 6623271863
Plan sponsor’s address 512 LEHMBERG RD., COLUMBUS, MS, 39704
PLASCO, INC. RETIREMENT PLAN TRUST 2014 640700671 2015-10-15 MICROTEK MEDICAL , INC. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-05-01
Business code 326100
Sponsor’s telephone number 6623271863
Plan sponsor’s address 512 LEHMBERG RD., COLUMBUS, MS, 39704
PLASCO, INC. RETIREMENT PLAN TRUST 2013 640700671 2014-10-14 MICROTEK MEDICAL , INC. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-05-01
Business code 326100
Sponsor’s telephone number 6623271863
Plan sponsor’s address 512 LEHMBERG RD., COLUMBUS, MS, 39704
PLASCO, INC. RETIREMENT PLAN TRUST 2012 640700671 2013-10-15 MICROTEK MEDICAL , INC. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-05-01
Business code 326100
Sponsor’s telephone number 6623271863
Plan sponsor’s address 512 LEHMBERG RD., COLUMBUS, MS, 39704

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing BETH JOLLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing BETH JOLLY
Valid signature Filed with authorized/valid electronic signature
PLASCO, INC. RETIREMENT PLAN TRUST 2011 640700671 2012-10-15 MICROTEK MEDICAL , INC. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-05-01
Business code 326100
Sponsor’s telephone number 6623271863
Plan sponsor’s address 512 LEHMBERG RD., COLUMBUS, MS, 39704

Plan administrator’s name and address
Administrator’s EIN 640700671
Plan administrator’s name MICROTEK MEDICAL , INC.
Plan administrator’s address 512 LEHMBERG RD., COLUMBUS, MS, 39704
Administrator’s telephone number 6623271863

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing ELIZABETH JOLLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing ELIZABETH JOLLY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 109 Executive Drive, Suite 3, Madison, MS 39110

Member

Name Role Address
Medline Industries, LP Member Attn: Legal Operations, 3 Lakes Drive, Northfield, IL 60093

Secretary

Name Role Address
Alexander M. Liberman Secretary 615 Bent Creek Ridge, Deerfield, IL 60015

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-08 Annual Report For Microtek Medical LLC
Business Conversion Filed 2024-08-23 Business Conversion For MICROTEK MEDICAL, INC.
Amendment Form Filed 2024-07-31 Amendment For MICROTEK MEDICAL, INC.
Annual Report Filed 2024-03-06 Annual Report For MICROTEK MEDICAL, INC.
Annual Report Filed 2023-03-28 Annual Report For MICROTEK MEDICAL, INC.
Annual Report Filed 2023-03-09 Annual Report For MICROTEK MEDICAL, INC.
Annual Report Filed 2022-03-21 Annual Report For MICROTEK MEDICAL, INC.
Annual Report Filed 2021-03-22 Annual Report For MICROTEK MEDICAL, INC.
Annual Report Filed 2020-04-09 Annual Report For MICROTEK MEDICAL, INC.
Annual Report Filed 2019-02-12 Annual Report For MICROTEK MEDICAL, INC.

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PURCHASE ORDER AWARD W81K0012P0751 2012-10-01 2013-09-30 2013-09-30
Unique Award Key CONT_AWD_W81K0012P0751_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts
Obligated Amount 0.00
Current Award Amount 74585.00
Potential Award Amount 74585.00

Description
Title ORS-300 WARMER DRAPE (CASE)
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Recipient Address 512 N LEHMBERG RD, COLUMBUS, LOWNDES, MISSISSIPPI, 397024464, UNITED STATES
PO AWARD VA24312P2131 2012-09-07 2012-09-30 2012-09-30
Unique Award Key CONT_AWD_VA24312P2131_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title HUSH SLUSH SYSTEM
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes Q523: MEDICAL- SURGERY

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, 397024464, UNITED STATES
PO AWARD VA24312P2081 2012-08-13 2012-08-30 2012-08-30
Unique Award Key CONT_AWD_VA24312P2081_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title EMERGENCY REQUIREMENT FOR A LOANER FOR A SURGICAL PROCEDURE
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, 397024464, UNITED STATES
PO AWARD HHSN269201200176P 2012-07-27 2012-07-29 2012-07-29
Unique Award Key CONT_AWD_HHSN269201200176P_7529_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description
Title P12011398-2EA- ORS-1075HS HUSH SLUSH MACHINE
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, 397024464, UNITED STATES
PO AWARD VA24312P1882 2012-07-11 2012-07-24 2012-07-24
Unique Award Key CONT_AWD_VA24312P1882_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title URGENT FOR A LOANER OF SLUSH MACHINE FOR KIDNEYS
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes W065: LEASE OR RENTAL OF EQUIPMENT- MEDICAL, DENTAL, AND VETERINARY EQUIPMENT AND SUPPLIES

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, 397024464, UNITED STATES
PO AWARD VA24512P1546 2012-06-05 2012-06-08 2012-06-08
Unique Award Key CONT_AWD_VA24512P1546_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SURGICAL SLUSH MARCHINE FOR THE VA HOSPITAL IN BALITMORE MD
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, 397024464, UNITED STATES
PO AWARD VA25112P1250 2012-05-02 2012-05-09 2012-05-09
Unique Award Key CONT_AWD_VA25112P1250_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title DRAPE SURGICAL SOLUTION
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, 397024464, UNITED STATES
PO AWARD VA52812P0936 2012-04-17 2012-04-24 2012-04-24
Unique Award Key CONT_AWD_VA52812P0936_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title ORS-1075HS HUSH-SLUSH MACHINE
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, 397024464, UNITED STATES
PO AWARD VA25712P0753 2012-03-23 2012-04-13 2012-04-13
Unique Award Key CONT_AWD_VA25712P0753_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title DRAPES
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, 397024464, UNITED STATES
PO AWARD HHSP2842011PCO01825 2011-08-25 2011-08-25 2011-09-09
Unique Award Key CONT_AWD_HHSP2842011PCO01825_7555_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description
Title NFH JUL27
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6850: MISCELLANEOUS CHEMICAL SPECIALTIES

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, LOWNDES, MISSISSIPPI, 39702, UNITED STATES OF AMERICA
Unique Award Key CONT_AWD_V580P11739_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title MEDICAL, DENTAL&VETERINARY EQIP
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6510: SURGICAL DRESSING MATERIALS

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, 397024464, UNITED STATES
Unique Award Key CONT_AWD_V580P11160_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title MEDICAL, DENTAL&VETERINARY EQIP
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6510: SURGICAL DRESSING MATERIALS

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, 397024464, UNITED STATES
Unique Award Key CONT_AWD_V580P10919_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title MEDICAL, DENTAL & VETERINARY EQIP
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6525: X-RAY EQ SUPPLIES - MED, DENTAL & V

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, 397024464, UNITED STATES
Unique Award Key CONT_AWD_HHSP2842011PCO00737_7555_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Description
Title DRAPE, XRAY NFH JAN25
NAICS Code 339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product and Service Codes 6530: HOSP FURNITURE,EQ,UTENSILS & SUP

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, LOWNDES, MISSISSIPPI, 39702, UNITED STATES OF AMERICA
Unique Award Key CONT_AWD_V678P10993_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title TAS::36 0160::TAS MEDICAL, DENTAL & VETERINARY EQ
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, 397024464, UNITED STATES
Unique Award Key CONT_AWD_VA678P10993_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SURGICAL SUPPLIES
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, 397024464, UNITED STATES
Unique Award Key CONT_AWD_HHSP284201000202A_7555_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts
Obligated Amount 9993.20
Current Award Amount 9993.20
Potential Award Amount 9993.20

Description
Title P N 70-190 MDI CPR MICROKEY 50S TAS::75 4552 001::TAS
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Recipient Address 512 N LEHMBERG RD, COLUMBUS, LOWNDES, MISSISSIPPI, 397024464, UNITED STATES
Unique Award Key CONT_AWD_VA523R0K595_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title THESE SURGICAL DISPOSABLE PRODUCTS ARE FOR THE J.P.OPERATING ROOM
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, 397024464, UNITED STATES
Unique Award Key CONT_AWD_V580P03267_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title TAS::36 0160::TAS MEDICAL, DENTAL & VETERINARY EQ
Product and Service Codes 6510: SURGICAL DRESSING MATERIALS

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, 397024464, UNITED STATES
Unique Award Key CONT_AWD_N0025908P0111_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Description
Title LARGE STERILE BANDED BAG
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details
Recipient MICROTEK MEDICAL, INC.
UEI C8P4KU4L6FN1
Legacy DUNS 106908437
Recipient Address 512 N LEHMBERG RD, COLUMBUS, 397024464, UNITED STATES

Related by officers

CORPORATION SERVICE COMPANY

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Medline Industries, LP

UNITED MEDCO, LLC

Alexander M. Liberman

Centurion Medical Products Corporation Suture Express, LLC Medline Industries Holdings, L.P. Surgical Instrument Services and Savings, Inc.

Related by address

3 LAKES DR.NORTHFIELD, IL 60093

Medline Industries, LP

Date of last update: 20 Apr 2025

Sources: Mississippi Secretary of State

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