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LAKE VILLA RESCUE SQUAD

LAKE VILLA RESCUE SQUAD

Company Details

Entity Name:	LAKE VILLA RESCUE SQUAD
Jurisdiction:	Illinois
Entity Type:	Corporation - Not-for-Profit
Status:	Dissolved
Date Formed:	14 Mar 1956
Date of Dissolution:	25 May 2012
Company Number:	CORP_35936777
File Number:	35936777
Date Status Change:	25 May 2012
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

LAKE VILLA RESCUE SQUAD 403(B) PLAN

2010

363153360

2011-12-28

LAKE VILLA RESCUE SQUAD

4

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2007-02-01
Business code	621900
Sponsor’s telephone number	8473562277
Plan sponsor’s address	PO BOX 4, LAKE VILLA, IL, 60046

Plan administrator’s name and address

Administrator’s EIN	363153360
Plan administrator’s name	LAKE VILLA RESCUE SQUAD
Plan administrator’s address	PO BOX 4, LAKE VILLA, IL, 60046
Administrator’s telephone number	8473562277

Signature of

Role	Plan administrator
Date	2011-12-28
Name of individual signing	AARON BERNAU
Valid signature	Filed with authorized/valid electronic signature

LAKE VILLA RESCUE SQUAD 403(B) PLAN

2010

363153360

2011-10-11

LAKE VILLA RESCUE SQUAD

11

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2007-02-01
Business code	621900
Sponsor’s telephone number	8473562277
Plan sponsor’s address	PO BOX 4, LAKE VILLA, IL, 60046

Plan administrator’s name and address

Administrator’s EIN	363153360
Plan administrator’s name	LAKE VILLA RESCUE SQUAD
Plan administrator’s address	PO BOX 4, LAKE VILLA, IL, 60046
Administrator’s telephone number	8473562277

Signature of

Role	Plan administrator
Date	2011-10-11
Name of individual signing	AARON BERNAU
Valid signature	Filed with authorized/valid electronic signature

LAKE VILLA RESCUE SQUAD 403(B) PLAN

2009

363153360

2010-10-14

LAKE VILLA RESCUE SQUAD

9

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2007-02-01
Business code	621900
Sponsor’s telephone number	8473562277
Plan sponsor’s address	910 EAST GRAND AVENUE, LAKE VILLA, IL, 60046

Plan administrator’s name and address

Administrator’s EIN	363153360
Plan administrator’s name	LAKE VILLA RESCUE SQUAD
Plan administrator’s address	910 EAST GRAND AVENUE, LAKE VILLA, IL, 60046
Administrator’s telephone number	8473562277

Signature of

Role	Plan administrator
Date	2010-10-14
Name of individual signing	AARON BERNAU
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
LAKE VILLA RESCUE SQUAD, 910 E GRAND, LAKE VILLA, 60046, LAKE	Agent	2001-08-09

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State