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  5. THE NOBLE LIONS CLUB

THE NOBLE LIONS CLUB

Company Details

Entity Name: THE NOBLE LIONS CLUB
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Dissolved
Date Formed: 15 Aug 1938
Date of Dissolution: 08 Jan 2021
Company Number: CORP_25781619
File Number: 25781619
Date Status Change: 08 Jan 2021
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HARDIN COUNTY GENERAL HOSPITAL TAX DEFERRED ANNUITY PLAN 2012 370702309 2013-10-01 HARDIN COUNTY GENERAL HOSPITAL 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1967-04-01
Business code 622000
Sponsor’s telephone number 6182856634
Plan sponsor’s address PO BOX 2467, ROSICLARE, IL, 62982

Signature of
Role Plan administrator
Date 2013-10-01
Name of individual signing ROBY WILLIAMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-01
Name of individual signing ROBY WILLIAMS
Valid signature Filed with authorized/valid electronic signature
HARDIN COUNTY GENERAL HOSPITAL TAX DEFERRED ANNUITY PLAN 2011 370702309 2012-10-04 HARDIN COUNTY GENERAL HOSPITAL 19
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1967-04-01
Business code 622000
Sponsor’s telephone number 6182856634
Plan sponsor’s address P.O. BOX 2467, ROSICLARE, IL, 62982

Plan administrator’s name and address
Administrator’s EIN 370702309
Plan administrator’s name HARDIN COUNTY GENERAL HOSPITAL
Plan administrator’s address P.O. BOX 2467, ROSICLARE, IL, 62982
Administrator’s telephone number 6182856634

Signature of
Role Plan administrator
Date 2012-10-04
Name of individual signing ROBY WILLIAMS
Valid signature Filed with authorized/valid electronic signature
HARDIN COUNTY GENERAL HOSPITAL TAX DEFERRED ANNUITY PLAN 2010 370702309 2011-09-27 HARDIN COUNTY GENERAL HOSPITAL 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1967-04-01
Business code 622000
Sponsor’s telephone number 6182856634
Plan sponsor’s address PO BOX 2467, ROSICLARE, IL, 62982

Plan administrator’s name and address
Administrator’s EIN 370702309
Plan administrator’s name HARDIN COUNTY GENERAL HOSPITAL
Plan administrator’s address PO BOX 2467, ROSICLARE, IL, 62982
Administrator’s telephone number 6182856634

Signature of
Role Plan administrator
Date 2011-09-27
Name of individual signing ROBY WILLIAMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-27
Name of individual signing ROBY WILLIAMS
Valid signature Filed with authorized/valid electronic signature
HARDIN COUNTY GENERAL HOSPITAL TAX DEFERRED ANNUITY PLAN 2009 370702309 2010-09-29 HARDIN COUNTY GENERAL HOSPITAL 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1967-04-01
Business code 622000
Sponsor’s telephone number 6182856634
Plan sponsor’s address PO BOX 2467, ROSICLARE, IL, 62982

Plan administrator’s name and address
Administrator’s EIN 370702309
Plan administrator’s name HARDIN COUNTY GENERAL HOSPITAL
Plan administrator’s address PO BOX 2467, ROSICLARE, IL, 62982
Administrator’s telephone number 6182856634

Signature of
Role Plan administrator
Date 2010-09-29
Name of individual signing ROBY WILLIAMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-29
Name of individual signing ROBY WILLIAMS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
VICTOR CANNONS, 902 S EAST, OLNEY, 62450, RICHLAND Agent 2013-03-06

Related by officers

No related officers

Related by address

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Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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