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NORTH SIDE CASINO

Company Details

Entity Name: NORTH SIDE CASINO
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 27 Mar 1914
Company Number: CORP_12835159
File Number: 12835159
Address 195 E DELAWARE PL 1ST, CHICAGO, IL, 60611
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE CASINO 401K PLAN 2021 360878370 2023-04-18 THE CASINO 103
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 722300
Sponsor’s telephone number 3127872100
Plan sponsor’s address 195 E. DELAWARE PLACE, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2023-04-18
Name of individual signing ROBERT LA RUE
Valid signature Filed with authorized/valid electronic signature
THE CASINO 401K PLAN 2018 360878370 2020-07-15 THE CASINO 104
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 722300
Sponsor’s telephone number 3127872100
Plan sponsor’s address 195 E. DELAWARE PLACE, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2020-07-15
Name of individual signing ROBERT LA RUE
Valid signature Filed with authorized/valid electronic signature
THE CASINO 401K PLAN 2016 360878370 2018-04-12 THE CASINO 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 722300
Sponsor’s telephone number 3127872100
Plan sponsor’s address 195 E. DELAWARE PLACE, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2018-04-12
Name of individual signing ROBERT LA RUE
Valid signature Filed with authorized/valid electronic signature
THE CASINO 401K PLAN 2013 360878370 2014-09-23 THE CASINO 103
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 722300
Sponsor’s telephone number 3127872100
Plan sponsor’s address 195 E. DELAWARE PLACE, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2014-09-23
Name of individual signing STACY KOTSANIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-23
Name of individual signing SARAH POTTER
Valid signature Filed with authorized/valid electronic signature
THE CASINO 401K PLAN 2012 360878370 2014-01-21 THE CASINO 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 722300
Sponsor’s telephone number 3127872100
Plan sponsor’s address 195 E. DELAWARE PLACE, CHICAGO, IL, 60611

Signature of

Role Plan administrator
Date 2014-01-21
Name of individual signing STACY KOTSANIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-01-21
Name of individual signing STACY KOTSANIS
Valid signature Filed with authorized/valid electronic signature
THE CASINO 401K PLAN 2011 360878370 2012-11-15 THE CASINO 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 722300
Sponsor’s telephone number 3127872100
Plan sponsor’s address 195 E. DELAWARE PLACE, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 360878370
Plan administrator’s name THE CASINO
Plan administrator’s address 195 E. DELAWARE PLACE, CHICAGO, IL, 60611
Administrator’s telephone number 3127872100

Signature of

Role Plan administrator
Date 2012-11-15
Name of individual signing STACY KOTSANIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-11-15
Name of individual signing STACY KOTSANIS
Valid signature Filed with authorized/valid electronic signature
THE CASINO 401K PLAN 2010 360878370 2011-11-18 THE CASINO 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 722300
Sponsor’s telephone number 3127872100
Plan sponsor’s address 195 E. DELAWARE PLACE, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 360878370
Plan administrator’s name THE CASINO
Plan administrator’s address 195 E. DELAWARE PLACE, CHICAGO, IL, 60611
Administrator’s telephone number 3127872100

Signature of

Role Plan administrator
Date 2011-11-18
Name of individual signing STACY KOTSANIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-11-18
Name of individual signing STACY KOTSANIS
Valid signature Filed with authorized/valid electronic signature
THE CASINO 401K PLAN 2009 360878370 2011-02-03 THE CASINO 20
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 722300
Sponsor’s telephone number 3127872100
Plan sponsor’s address 195 E. DELAWARE PLACE, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 360878370
Plan administrator’s name THE CASINO
Plan administrator’s address 195 E. DELAWARE PLACE, CHICAGO, IL, 60611
Administrator’s telephone number 3127872100

Signature of

Role Plan administrator
Date 2011-02-03
Name of individual signing STACY KOTSANIS
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-02-03
Name of individual signing STACY KOTSANIS
Valid signature Filed with incorrect/unrecognized electronic signature
THE CASINO 401K PLAN 2009 360878370 2011-02-03 THE CASINO 20
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 722300
Sponsor’s telephone number 3127872100
Plan sponsor’s address 195 E. DELAWARE PLACE, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 360878370
Plan administrator’s name THE CASINO
Plan administrator’s address 195 E. DELAWARE PLACE, CHICAGO, IL, 60611
Administrator’s telephone number 3127872100

Signature of

Role Plan administrator
Date 2011-02-03
Name of individual signing STACY KOTSANIS
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-02-03
Name of individual signing STACY KOTSANIS
Valid signature Filed with incorrect/unrecognized electronic signature
THE CASINO 401K PLAN 2009 360878370 2011-02-08 THE CASINO 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-07-01
Business code 722300
Sponsor’s telephone number 3127872100
Plan sponsor’s address 195 E. DELAWARE PLACE, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN 360878370
Plan administrator’s name THE CASINO
Plan administrator’s address 195 E. DELAWARE PLACE, CHICAGO, IL, 60611
Administrator’s telephone number 3127872100

Signature of

Role Plan administrator
Date 2011-02-08
Name of individual signing STACY KOTSANIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SARAH E POTTER, 195 E DELAWARE PLACE, CHICAGO, 60611, COOK-NOT IN CITY OF CHICAGO Agent 2011-02-25

Secretary

Name and Address Role Account Number
LAURA DE FRISE Secretary 64272

President

Name and Address Role Account Number
POTTER PALMER President 64272

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 43075 Issued 1475 Consumption on Premises - Incidental Activity 638 - Consumption of Liquor on Premises 2023-06-26 2023-03-16 2025-03-15
BUSINESS LICENSE 43074 Issued 1006 Retail Food Establishment 775 - Retail Sales of Perishable Foods 2023-06-26 2023-03-16 2025-03-15

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
THE CASINO NFP Assume Name 1993-10-05 No data No data No data

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State