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PINCKNEYVILLE LIONS CLUB

PINCKNEYVILLE LIONS CLUB

Company Details

Entity Name:	PINCKNEYVILLE LIONS CLUB
Jurisdiction:	Illinois
Entity Type:	Corporation - Not-for-Profit
Status:	Dissolved
Date Formed:	30 Sep 1952
Date of Dissolution:	14 Feb 2020
Company Number:	CORP_33358521
File Number:	33358521
Date Status Change:	14 Feb 2020
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

PERMATRON CORPORATION 401 (K) PROFIT SHARING PLAN

2011

362473091

2012-07-18

PERMATRON CORPORATION

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1996-01-01
Business code	333410
Sponsor’s telephone number	8474341421
Plan sponsor’s address	2020 TOUCHY AVE, ELK GROVE VILLAGE, IL, 60007

Plan administrator’s name and address

Administrator’s EIN	362473091
Plan administrator’s name	PERMATRON CORPORATION
Plan administrator’s address	2020 TOUCHY AVE, ELK GROVE VILLAGE, IL, 60007
Administrator’s telephone number	8474341421

Signature of

Role	Plan administrator
Date	2012-07-18
Name of individual signing	LESLYE SANDBERG
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2012-07-18
Name of individual signing	LESLYE SANDBERG
Valid signature	Filed with authorized/valid electronic signature

PERMATRON CORPORATION 401 (K) PROFIT SHARING PLAN

2010

362473091

2011-05-16

PERMATRON CORPORATION

12

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1996-01-01
Business code	339900
Sponsor’s telephone number	8474341421
Plan sponsor’s address	1180 PRATT AVENUE, ELK GROVE VILLAGE, IL, 60007

Plan administrator’s name and address

Administrator’s EIN	362473091
Plan administrator’s name	PERMATRON CORPORATION
Plan administrator’s address	1180 PRATT AVENUE, ELK GROVE VILLAGE, IL, 60007
Administrator’s telephone number	8474341421

Signature of

Role	Plan administrator
Date	2011-05-16
Name of individual signing	LESLYE SANDBERG
Valid signature	Filed with authorized/valid electronic signature

PERMATRON CORPORATION 401 (K) PROFIT SHARING PLAN

2009

362473091

2010-06-21

PERMATRON CORPORATION

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1996-01-01
Business code	339900
Sponsor’s telephone number	8474341421
Plan sponsor’s address	1180 PRATT AVENUE, ELK GROVE VILLAGE, IL, 60007

Plan administrator’s name and address

Administrator’s EIN	362473091
Plan administrator’s name	PERMATRON CORPORATION
Plan administrator’s address	1180 PRATT AVENUE, ELK GROVE VILLAGE, IL, 60007
Administrator’s telephone number	8474341421

Signature of

Role	Plan administrator
Date	2010-06-21
Name of individual signing	LESLYE SANDBERG
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
KENNETH L HICKS, 605 S DOUGLAS ST PO BOX 422, PINCKNEYVILLE, 62274, PERRY	Agent	2012-09-11

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State