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DEERFIELD INSURANCE AGENCY, INC.

Company Details

Entity Name: DEERFIELD INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 05 Jan 1955
Company Number: CORP_34925585
File Number: 34925585
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DEERFIELD INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2010 362355737 2011-01-21 DEERFIELD INSURANCE AGENCY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 524210
Sponsor’s telephone number 8475821620
Plan sponsor’s address 420 LAKE COOK ROAD 112, DEERFIELD, IL, 60015

Plan administrator’s name and address

Administrator’s EIN 362355737
Plan administrator’s name DEERFIELD INSURANCE AGENCY, INC.
Plan administrator’s address 420 LAKE COOK ROAD 112, DEERFIELD, IL, 60015
Administrator’s telephone number 8475821620

Signature of

Role Plan administrator
Date 2011-01-21
Name of individual signing GORDON DUPREY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-01-21
Name of individual signing GORDON DUPREY
Valid signature Filed with authorized/valid electronic signature
DEERFIELD INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2009 362355737 2011-01-20 DEERFIELD INSURANCE AGENCY, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 524210
Sponsor’s telephone number 8475821620
Plan sponsor’s address 420 LAKE COOK ROAD 112, DEERFIELD, IL, 60015

Plan administrator’s name and address

Administrator’s EIN 362355737
Plan administrator’s name DEERFIELD INSURANCE AGENCY, INC.
Plan administrator’s address 420 LAKE COOK ROAD 112, DEERFIELD, IL, 60015
Administrator’s telephone number 8475821620

Signature of

Role Plan administrator
Date 2011-01-20
Name of individual signing GORDON DUPREY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-01-20
Name of individual signing GORDON DUPREY
Valid signature Filed with authorized/valid electronic signature
DEERFIELD INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2009 362355737 2010-10-07 DEERFIELD INSURANCE AGENCY, INC. 1
Three-digit plan number (PN) 001
Effective date of plan 1986-01-01
Business code 524210
Sponsor’s telephone number 8475821620
Plan sponsor’s address 420 LAKE COOK ROAD 112, DEERFIELD, IL, 60015

Plan administrator’s name and address

Administrator’s EIN 362355737
Plan administrator’s name DEERFIELD INSURANCE AGENCY, INC.
Plan administrator’s address 420 LAKE COOK ROAD 112, DEERFIELD, IL, 60015
Administrator’s telephone number 8475821620

Signature of

Role Plan administrator
Date 2010-10-07
Name of individual signing GORDON DUPREY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-07
Name of individual signing GORDON DUPREY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GORDON J DUPREY, 1038 KNOLLWOOD, DEERFIELD, 60015, LAKE Agent 1986-12-15

President

Name and Address Role
GORDON J DUPREY, 1038 KNOLLWOOD DEERFIELD 60015 President

Secretary

Name and Address Role
CAROL DUPREY Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 5000 300000 10

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State