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  5. ILLINI SUPPLY INC.

ILLINI SUPPLY INC.

Company Details

Entity Name: ILLINI SUPPLY INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 24 Oct 1949
Company Number: CORP_31592542
File Number: 31592542
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ILLINI SUPPLY, INC. CASH OR DEFERRED PROFIT SHARING PLAN 2012 370652577 2013-06-18 ILLINI SUPPLY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-12-01
Business code 453210
Sponsor’s telephone number 2178776551
Plan sponsor’s address 111 ILLINI DRIVE, FORSYTH, IL, 62535

Signature of
Role Plan administrator
Date 2013-06-18
Name of individual signing DONNA MAUZEY
Valid signature Filed with authorized/valid electronic signature
ILLINI SUPPLY, INC. CASH OR DEFERRED PROFIT SHARING PLAN 2011 370652577 2013-06-18 ILLINI SUPPLY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-12-01
Business code 453210
Sponsor’s telephone number 2178776551
Plan sponsor’s address 111 ILLINI DRIVE, FORSYTH, IL, 62535

Plan administrator’s name and address
Administrator’s EIN 370652577
Plan administrator’s name ILLINI SUPPLY, INC.
Plan administrator’s address 111 ILLINI DRIVE, FORSYTH, IL, 62535
Administrator’s telephone number 2178776551

Signature of
Role Plan administrator
Date 2013-06-18
Name of individual signing DONNA MAUZEY
Valid signature Filed with authorized/valid electronic signature
ILLINI SUPPLY, INC. CASH OR DEFERRED PROFIT SHARING PLAN 2010 370652577 2012-03-19 ILLINI SUPPLY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-12-01
Business code 453210
Sponsor’s telephone number 2178776551
Plan sponsor’s address 111 ILLINI DRIVE, FORSYTH, IL, 62535

Plan administrator’s name and address
Administrator’s EIN 370652577
Plan administrator’s name ILLINI SUPPLY, INC.
Plan administrator’s address 111 ILLINI DRIVE, FORSYTH, IL, 62535
Administrator’s telephone number 2178776551

Signature of
Role Plan administrator
Date 2012-03-19
Name of individual signing DONNA MAUZEY
Valid signature Filed with authorized/valid electronic signature
ILLINI SUPPLY, INC. CASH OR DEFERRED PROFIT SHARING PLAN 2009 370652577 2011-06-29 ILLINI SUPPLY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-12-01
Business code 453210
Sponsor’s telephone number 2178776551
Plan sponsor’s address 111 ILLINI DRIVE, FORSYTH, IL, 62535

Plan administrator’s name and address
Administrator’s EIN 370652577
Plan administrator’s name ILLINI SUPPLY, INC.
Plan administrator’s address 111 ILLINI DRIVE, FORSYTH, IL, 62535
Administrator’s telephone number 2178776551

Signature of
Role Plan administrator
Date 2011-06-29
Name of individual signing DONNA MAUZEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DEBORAH LEIGH BORN, 111 ILLINI DR, FORSYTH, 62535, MACON Agent 2022-01-25

President

Name and Address Role
DEBORAH LEIGH BORN, 111 ILLINI DR FORSYTH IL 62535 President

Secretary

Name and Address Role
DEBORAH LEIGH BORN, 111 ILLINI DR FORSYTH IL 62535 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 2000 400000 50

Related by officers

No related officers

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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