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  5. ILLINOIS INSURANCE ASSOCIATION

ILLINOIS INSURANCE ASSOCIATION

Company Details

Entity Name: ILLINOIS INSURANCE ASSOCIATION
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 04 Jun 1958
Company Number: CORP_37836613
File Number: 37836613
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ILLINOIS INSURANCE ASSOCIATION 401K PLAN 2012 362390323 2013-05-14 ILLINOIS INSURANCE ASSOCIATION 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 2177891010
Plan sponsor’s mailing address 217 E MONROE ST STE 110, SPRINGFIELD, IL, 62701
Plan sponsor’s address 217 E MONROE ST STE 110, SPRINGFIELD, IL, 62701

Plan administrator’s name and address
Administrator’s EIN 362390323
Plan administrator’s name ILLINOIS INSURANCE ASSOCIATION
Plan administrator’s address 217 E MONROE ST STE 110, SPRINGFIELD, IL, 62701
Administrator’s telephone number 2177891010

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-05-14
Name of individual signing KEVIN MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-14
Name of individual signing KEVIN MARTIN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS INSURANCE ASSOCIATION 401K PLAN 2011 362390323 2012-07-18 ILLINOIS INSURANCE ASSOCIATION 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 2177891010
Plan sponsor’s mailing address 217 E MONROE ST STE 110, SPRINGFIELD, IL, 62701
Plan sponsor’s address 217 E MONROE ST STE 110, SPRINGFIELD, IL, 62701

Plan administrator’s name and address
Administrator’s EIN 362390323
Plan administrator’s name ILLINOIS INSURANCE ASSOCIATION
Plan administrator’s address 217 E MONROE ST STE 110, SPRINGFIELD, IL, 62701
Administrator’s telephone number 2177891010

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-07-18
Name of individual signing KEVIN MARTIN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS INSURANCE ASSOCIATION 401K PLAN 2010 362390323 2011-05-17 ILLINOIS INSURANCE ASSOCIATION 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 2177891010
Plan sponsor’s mailing address 217 E. MONROE STREET, SUITE 110, SPRINGFIELD, IL, 62701
Plan sponsor’s address 217 E. MONROE STREET, SUITE 110, SPRINGFIELD, IL, 62701

Plan administrator’s name and address
Administrator’s EIN 362390323
Plan administrator’s name ILLINOIS INSURANCE ASSOCIATION
Plan administrator’s address 217 E. MONROE STREET, SUITE 110, SPRINGFIELD, IL, 62701
Administrator’s telephone number 2177891010

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-05-17
Name of individual signing KEVIN MARTIN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS INSURANCE ASSOCIATION 2009 362390323 2011-05-16 ILLINOIS INSURANCE ASSOCIATION 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 2177891010
Plan sponsor’s mailing address 217 E MONROE ST STE 110, SPRINGFIELD, IL, 62701
Plan sponsor’s address 217 E MONROE ST STE 110, SPRINGFIELD, IL, 62701

Plan administrator’s name and address
Administrator’s EIN 362390323
Plan administrator’s name ILLINOIS INSURANCE ASSOCIATION
Plan administrator’s address 217 E MONROE ST STE 110, SPRINGFIELD, IL, 62701
Administrator’s telephone number 2177891010

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2011-05-16
Name of individual signing KEVIN MARTIN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS INSURANCE ASSOCIATION 401K PLAN 2009 362390323 2010-05-21 ILLINOIS INSURANCE ASSOCIATION 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 2177891010
Plan sponsor’s mailing address 217 E. MONROE STREET, SUITE 110, SPRINGFIELD, IL, 62701
Plan sponsor’s address 217 E. MONROE STREET, SUITE 110, SPRINGFIELD, IL, 62701

Plan administrator’s name and address
Administrator’s EIN 362390323
Plan administrator’s name ILLINOIS INSURANCE ASSOCIATION
Plan administrator’s address 217 E. MONROE STREET, SUITE 110, SPRINGFIELD, IL, 62701
Administrator’s telephone number 2177891010

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-05-21
Name of individual signing KEVIN MARTIN
Valid signature Filed with authorized/valid electronic signature
ILLINOIS INSURANCE ASSOCIATION 401K PLAN 2009 362390323 2010-07-21 ILLINOIS INSURANCE ASSOCIATION 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2004-01-01
Business code 813000
Sponsor’s telephone number 2177891010
Plan sponsor’s mailing address 217 E MONROE ST STE 110, SPRINGFIELD, IL, 62701
Plan sponsor’s address 217 E MONROE ST STE 110, SPRINGFIELD, IL, 62701

Plan administrator’s name and address
Administrator’s EIN 362390323
Plan administrator’s name ILLINOIS INSURANCE ASSOCIATION
Plan administrator’s address 217 E MONROE ST STE 110, SPRINGFIELD, IL, 62701
Administrator’s telephone number 2177891010

Number of participants as of the end of the plan year
Active participants 3
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 3
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-07-21
Name of individual signing KEVIN MARTIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KEVIN J MARTIN, 217 E MONROE ST, SUITE 110, SPRINGFIELD, 62701, SANGAMON Agent 1998-06-25

Historical Names

Name Change Date
ILLINOIS INSURANCE INFORMATION SERVICE 1998-02-26

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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