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  5. ELGIN INDUSTRIES, INC.

ELGIN INDUSTRIES, INC.

Company Details

Entity Name: ELGIN INDUSTRIES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 06 May 1920
Company Number: CORP_15454903
File Number: 15454903
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELGIN INDUSTRIES EMPLOYEE HEALTH PLAN 2023 361035810 2024-03-18 ELGIN INDUSTRIES 85
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-06-01
Business code 336300
Sponsor’s telephone number 8477421720
Plan sponsor’s address 1100 JANSEN FARM DR, ELGIN, IL, 601232550

Signature of
Role Plan administrator
Date 2024-03-18
Name of individual signing ELSIE JAKUBOWSKI
Valid signature Filed with authorized/valid electronic signature
ELGIN INDUSTRIES EMPLOYEE HEALTH PLAN 2022 361035810 2023-02-22 ELGIN INDUSTRIES, INC. 83
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-06-01
Business code 336300
Sponsor’s telephone number 8477421720
Plan sponsor’s address 1100 JANSEN FARM DR, ELGIN, IL, 601232550

Signature of
Role Plan administrator
Date 2023-02-22
Name of individual signing MARIE ZIEMBA
Valid signature Filed with authorized/valid electronic signature
ELGIN INDUSTRIES EMPLOYEE HEALTH PLAN 2021 361035810 2022-02-08 ELGIN INDUSTRIES 83
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-06-01
Business code 336300
Plan sponsor’s address 1100 JANSEN FARM DR, ELGIN, IL, 601232550

Signature of
Role Plan administrator
Date 2022-02-08
Name of individual signing MARIE ZIEMBA
Valid signature Filed with authorized/valid electronic signature
ELGIN INDUSTRIES EMPLOYEE HEALTH PLAN 2020 361035810 2021-01-26 ELGIN INDUSTRIES 91
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-06-01
Business code 336300
Plan sponsor’s address 1100 JANSEN FARM DR, ELGIN, IL, 601232550

Signature of
Role Plan administrator
Date 2021-01-26
Name of individual signing MARIE ZIEMBA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-01-26
Name of individual signing MARIE ZIEMBA
Valid signature Filed with authorized/valid electronic signature
ELGIN INDUSTRIES EMPLOYEE HEALTH PLAN 2019 361035810 2020-01-20 ELGIN INDUSTRIES 92
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-06-01
Business code 336300
Sponsor’s telephone number 8479306306
Plan sponsor’s address 1100 JANSEN FARM DR, ELGIN, IL, 601232550

Plan administrator’s name and address
Administrator’s EIN 361035810
Plan administrator’s name ELGIN INDUSTRIES
Plan administrator’s address 1100 JANSEN FARM DR, ELGIN, IL, 601232550
Administrator’s telephone number 8479306306

Signature of
Role Plan administrator
Date 2020-01-20
Name of individual signing MARIE ZIEMBA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-20
Name of individual signing MARIE ZIEMBA
Valid signature Filed with authorized/valid electronic signature
ELGIN INDUSTRIES EMPLOYEE HEALTH PLAN 2017 361035810 2019-01-30 ELGIN INDUSTRIES 93
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-06-01
Business code 336300
Plan sponsor’s address 1100 JANSEN FARM DR, ELGIN, IL, 601232550

Signature of
Role Plan administrator
Date 2019-01-30
Name of individual signing MARIE ZIEMBA
Valid signature Filed with authorized/valid electronic signature
ELGIN INDUSTRIES EMPLOYEE HEALTH PLAN 2016 361035810 2018-03-06 ELGIN INDUSTRIES 87
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-06-01
Business code 336300
Plan sponsor’s address 1100 JANSEN FARM DR, ELGIN, IL, 601232550

Signature of
Role Plan administrator
Date 2018-03-06
Name of individual signing MARIE ZIEMBA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-06
Name of individual signing MARIE ZIEMBA
Valid signature Filed with authorized/valid electronic signature
ELGIN INDUSTRIES EMPLOYEE HEALTH PLAN 2015 361035810 2018-03-06 ELGIN INDUSTRIES 81
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-06-01
Business code 336300
Plan sponsor’s address 1100 JANSEN FARM DR, ELGIN, IL, 601232550

Signature of
Role Plan administrator
Date 2018-03-06
Name of individual signing MARIE ZIEMBA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-06
Name of individual signing MARIE ZIEMBA
Valid signature Filed with authorized/valid electronic signature
ELGIN INDUSTRIES EMPLOYEE HEALTH PLNA 2014 361035810 2018-03-06 ELGIN INDUSTRIES 86
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-06-01
Business code 336300
Sponsor’s telephone number 8479306306
Plan sponsor’s address 1100 JANSEN FARM DRIVE, ELGIN, IL, 60123

Signature of
Role Plan administrator
Date 2018-03-06
Name of individual signing MARIE ZIEMBA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-06
Name of individual signing MARIE ZIEMBA
Valid signature Filed with authorized/valid electronic signature
ELGIN INDUSTRIES EMPLOYEE HEALTH PLAN 2013 361035810 2014-08-11 ELGIN INDUSTRIES 87
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1988-06-01
Business code 336300
Sponsor’s telephone number 8479306306
Plan sponsor’s mailing address 1100 JANSEN FARM DRIVE, ELGIN, IL, 60123
Plan sponsor’s address 1100 JANSEN FARM DRIVE, ELGIN, IL, 60123

Plan administrator’s name and address
Administrator’s EIN 361035810
Plan administrator’s name ELGIN INDUSTRIES
Plan administrator’s address 1100 JANSEN FARM DRIVE, ELGIN, IL, 60123
Administrator’s telephone number 8479306306

Number of participants as of the end of the plan year
Active participants 86

Signature of
Role Plan administrator
Date 2014-08-11
Name of individual signing MARIE ZIEMBA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GLEN T DOBOSZ, 2175 POINT BOULEVARD 150, ELGIN, 60123, KANE Agent 2011-08-02

Secretary

Name and Address Role
THOMAS D SKOK 1100 JANSEN FARM DRIVE ELGIN IL 60123 Secretary

President

Name and Address Role
WILLIAM H SKOK, 1100 JANSEN FARM DRIVE ELGIN IL 60123 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
ELGIN WORLD TRADE, INC. Assume Name 2003-12-10 No data No data No data
ELGIN MACHINE WORKS, INC. No data 1983-12-01 1990-10-13 Involuntary Cancellation No data

Historical Names

Name Change Date
ELGIN MACHINE WORKS, INC. 1983-11-04

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
A No data Voting Rights 400000 77320000 10
B No data Voting Rights 5000 1663000 1

Related by officers

GLEN T DOBOSZ, 2175 POINT BOULEVARD 150, ELGIN, 60123, KANE

DEAN'S BOYS & MENS STORE, INC. AGRI-BIO SYSTEMS, INC.

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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