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AMERICAN LEGION HOME OF BENTON, INCORPORATED

Company Details

Entity Name: AMERICAN LEGION HOME OF BENTON, INCORPORATED
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Dissolved
Date Formed: 18 Jan 1948
Date of Dissolution: 13 Jun 2008
Company Number: CORP_28514832
File Number: 28514832
Date Status Change: 13 Jun 2008
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEADER DIE AND TOOL, INC. SAVINGS AND PROFIT SHARING PLAN 2012 362276646 2013-09-13 HEADER DIE AND TOOL, INC. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 332700
Sponsor’s telephone number 8153970123
Plan sponsor’s address P.O. BOX 5846, ROCKFORD, IL, 61125

Signature of

Role Plan administrator
Date 2013-09-13
Name of individual signing LUCAS DERRY
Valid signature Filed with authorized/valid electronic signature
HEADER DIE AND TOOL, INC. SAVINGS AND PROFIT SHARING PLAN 2011 362276646 2012-09-25 HEADER DIE AND TOOL, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 332700
Sponsor’s telephone number 8153970123
Plan sponsor’s address P.O. BOX 5846, ROCKFORD, IL, 61125

Plan administrator’s name and address

Administrator’s EIN 362276646
Plan administrator’s name HEADER DIE AND TOOL, INC.
Plan administrator’s address P.O. BOX 5846, ROCKFORD, IL, 61125
Administrator’s telephone number 8153970123

Signature of

Role Plan administrator
Date 2012-09-25
Name of individual signing LUCAS DERRY
Valid signature Filed with authorized/valid electronic signature
HEADER DIE AND TOOL, INC. SAVINGS AND PROFIT SHARING PLAN 2010 362276646 2011-07-27 HEADER DIE AND TOOL, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 332700
Sponsor’s telephone number 8153970123
Plan sponsor’s address P.O. BOX 5846, ROCKFORD, IL, 61125

Plan administrator’s name and address

Administrator’s EIN 362276646
Plan administrator’s name HEADER DIE AND TOOL, INC.
Plan administrator’s address P.O. BOX 5846, ROCKFORD, IL, 61125
Administrator’s telephone number 8153970123

Signature of

Role Plan administrator
Date 2011-07-27
Name of individual signing LUCAS DERRY
Valid signature Filed with authorized/valid electronic signature
HEADER DIE AND TOOL, INC. SAVINGS AND PROFIT SHARING PLAN 2009 362276646 2010-07-26 HEADER DIE AND TOOL, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-07-01
Business code 332700
Sponsor’s telephone number 8153970123
Plan sponsor’s address P.O. BOX 5846, ROCKFORD, IL, 61125

Plan administrator’s name and address

Administrator’s EIN 362276646
Plan administrator’s name HEADER DIE AND TOOL, INC.
Plan administrator’s address P.O. BOX 5846, ROCKFORD, IL, 61125
Administrator’s telephone number 8153970123

Signature of

Role Plan administrator
Date 2010-07-26
Name of individual signing LUCAS DERRY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DON SHOCKLEY, 311 S MAIN, BENTON, 62812, FRANKLIN Agent 2004-01-28

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State