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SAMUEL MUSIC COMPANY

SAMUEL MUSIC COMPANY

Company Details

Entity Name:	SAMUEL MUSIC COMPANY
Jurisdiction:	Illinois
Entity Type:	Corporation - Foreign BCA
Status:	Revoked
Date Formed:	27 Oct 1955
Company Number:	CORP_10613884
File Number:	10613884
Date Status Change:	12 Mar 2021
Place of Formation:	MISSOURI

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

SAMUEL MUSIC COMPANY 401(K) PLAN

2013

370732810

2015-01-08

SAMUEL MUSIC COMPANY

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1964-03-01
Business code	442299
Sponsor’s telephone number	2173429226
Plan sponsor’s address	908 WEST FAYETTE AVENUE, EFFINGHAM, IL, 62401

Signature of

Role	Plan administrator
Date	2015-01-08
Name of individual signing	LOWELL SAMUEL
Valid signature	Filed with authorized/valid electronic signature

SAMUEL MUSIC COMPANY 401(K) PLAN

2013

370732810

2014-06-24

SAMUEL MUSIC COMPANY

32

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1964-03-01
Business code	442299
Sponsor’s telephone number	2173429226
Plan sponsor’s address	908 WEST FAYETTE AVENUE, EFFINGHAM, IL, 62401

Signature of

Role	Plan administrator
Date	2014-06-24
Name of individual signing	LOWELL SAMUEL
Valid signature	Filed with authorized/valid electronic signature

SAMUEL MUSIC COMPANY 401(K) PLAN

2012

370732810

2013-06-21

SAMUEL MUSIC COMPANY

39

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1964-03-01
Business code	442299
Sponsor’s telephone number	2173429226
Plan sponsor’s address	908 WEST FAYETTE AVENUE, EFFINGHAM, IL, 62401

Signature of

Role	Plan administrator
Date	2013-06-21
Name of individual signing	CHERI ENGELBART
Valid signature	Filed with authorized/valid electronic signature

SAMUEL MUSIC COMPANY 401(K) PLAN

2011

370732810

2012-10-10

SAMUEL MUSIC COMPANY

40

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1964-03-01
Business code	442299
Sponsor’s telephone number	2173429226
Plan sponsor’s address	908 WEST FAYETTE AVENUE, EFFINGHAM, IL, 62401

Plan administrator’s name and address

Administrator’s EIN	370732810
Plan administrator’s name	SAMUEL MUSIC COMPANY
Plan administrator’s address	908 WEST FAYETTE AVENUE, EFFINGHAM, IL, 62401
Administrator’s telephone number	2173429226

Signature of

Role	Plan administrator
Date	2012-10-10
Name of individual signing	CHERI ENGELBART
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
LOWELL D SAMUEL, 1300 N KELLER DR STE 1 POB 621, EFFINGHAM, 62401, EFFINGHAM	Agent	2018-05-24

President

Name and Address	Role
L DEAN SAMUEL, 10911 KINGWOODDR, EFFINGHAM 62401	President

Shares

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMM	No data	Voting Rights	300	45000	100

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State