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PULASKI-ALEXANDER FARM BUREAU

Company Details

Entity Name: PULASKI-ALEXANDER FARM BUREAU
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 21 Mar 1922
Company Number: CORP_16453838
File Number: 16453838
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PULASKI-ALEXANDER COUNTY FARM BUREAU 401(K) PLAN 2023 370667499 2024-07-24 PULASKI-ALEXANDER FARM BUREAU 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115110
Sponsor’s telephone number 6187459420
Plan sponsor’s address 404 SOUTH BLANCHE, PO BOX 310, MOUNDS, IL, 629640310

Signature of

Role Plan administrator
Date 2024-07-24
Name of individual signing KATHY BREY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-06
Name of individual signing ALEXIS SHREVES
Valid signature Filed with authorized/valid electronic signature
PULASKI-ALEXANDER COUNTY FARM BUREAU 401(K) PLAN 2022 370667499 2023-08-24 PULASKI-ALEXANDER FARM BUREAU 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115110
Sponsor’s telephone number 6187459420
Plan sponsor’s address 404 SOUTH BLANCHE, PO BOX 310, MOUNDS, IL, 629640310

Signature of

Role Plan administrator
Date 2023-07-24
Name of individual signing KATHY BREY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-24
Name of individual signing ALEXIS BURNETT
Valid signature Filed with authorized/valid electronic signature
PULASKI-ALEXANDER FARM BUREAU 401(K) PLAN 2021 370667490 2022-03-15 PULASKI-ALEXANDER FARM BUREAU 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 6187459420
Plan sponsor’s address PO BOX 310, MOUNDS, IL, 629640310
PULASKI-ALEXANDER FARM BUREAU 401(K) PLAN 2020 370667490 2021-05-03 PULASKI-ALEXANDER FARM BUREAU 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 6187459420
Plan sponsor’s address PO BOX 310, MOUNDS, IL, 629640310
PULASKI-ALEXANDER FARM BUREAU 401(K) PLAN 2019 370667490 2020-04-09 PULASKI-ALEXANDER FARM BUREAU 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 6187459420
Plan sponsor’s address PO BOX 310, MOUNDS, IL, 629640310
PULASKI-ALEXANDER FARM BUREAU 401(K) PLAN 2018 370667490 2019-03-27 PULASKI-ALEXANDER FARM BUREAU 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 6187459429
Plan sponsor’s address PO BOX 310, MOUNDS, IL, 629640310

Signature of

Role Plan administrator
Date 2019-03-27
Name of individual signing HANNAH MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-27
Name of individual signing HANNAH MILLER
Valid signature Filed with authorized/valid electronic signature
PULASKI-ALEXANDER FARM BUREAU 401(K) PLAN 2017 370667490 2018-04-19 PULASKI-ALEXANDER FARM BUREAU 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 6187459429
Plan sponsor’s address PO BOX 310, MOUNDS, IL, 629640310

Signature of

Role Plan administrator
Date 2018-04-19
Name of individual signing TAMMIE OBERMARK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-19
Name of individual signing TAMMIE OBERMARK
Valid signature Filed with authorized/valid electronic signature
PULASKI-ALEXANDER FARM BUREAU 401(K) PLAN 2016 370667490 2017-02-06 PULASKI-ALEXANDER FARM BUREAU 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 6187459429
Plan sponsor’s address PO BOX 310, MOUNDS, IL, 629640310

Signature of

Role Plan administrator
Date 2017-02-06
Name of individual signing TAMMIE OBERMARK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-06
Name of individual signing TAMMIE OBERMARK
Valid signature Filed with authorized/valid electronic signature
PULASKI-ALEXANDER FARM BUREAU 401(K) PLAN 2015 370667490 2016-06-21 PULASKI-ALEXANDER FARM BUREAU 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 813000
Sponsor’s telephone number 6187459429
Plan sponsor’s address PO BOX 310, MOUNDS, IL, 629640310

Signature of

Role Plan administrator
Date 2016-06-21
Name of individual signing TAMMIE OBERMARK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-21
Name of individual signing TAMMIE OBERMARK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ALEXIS BROOKE SHREVES, 404 S BLANCHE ST POB 310, MOUNDS, 62964, PULASKI Agent 2023-03-16

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PULASKI-ALEXANDER AGRICULTURAL ASSOCIATION NFP Assume Name 1987-11-10 No data No data No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State