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BOONE COUNTY SHOPPER INC.

Company Details

Entity Name: BOONE COUNTY SHOPPER INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 06 Sep 1961
Company Number: CORP_41281511
File Number: 41281511
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOONE COUNTY SHOPPER, INC. RETIREMENT PLAN 2023 362469696 2024-07-09 BOONE COUNTY SHOPPER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 511110
Sponsor’s telephone number 8155442166
Plan sponsor’s address 112 LEONARD COURT, BELVIDERE, IL, 61008

Signature of

Role Plan administrator
Date 2024-07-09
Name of individual signing EDWARD BRANOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-09
Name of individual signing EDWARD BRANOM
Valid signature Filed with authorized/valid electronic signature
BOONE COUNTY SHOPPER, INC. RETIREMENT PLAN 2022 362469696 2023-05-31 BOONE COUNTY SHOPPER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 511110
Sponsor’s telephone number 8155442166
Plan sponsor’s address 112 LEONARD COURT, BELVIDERE, IL, 61008

Signature of

Role Plan administrator
Date 2023-05-31
Name of individual signing ED BRANOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-31
Name of individual signing EDWARD BRANOM
Valid signature Filed with authorized/valid electronic signature
BOONE COUNTY SHOPPER, INC. RETIREMENT PLAN 2021 362469696 2022-09-09 BOONE COUNTY SHOPPER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 511110
Sponsor’s telephone number 8155442166
Plan sponsor’s address 112 LEONARD COURT, BELVIDERE, IL, 61008

Signature of

Role Plan administrator
Date 2022-09-07
Name of individual signing EDWARD BRANOM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-07
Name of individual signing EDWARD BRANOM
Valid signature Filed with authorized/valid electronic signature
BOONE COUNTY SHOPPER, INC. RETIREMENT PLAN 2020 362469696 2021-07-27 BOONE COUNTY SHOPPER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 511110
Sponsor’s telephone number 8155442166
Plan sponsor’s address 112 LEONARD COURT, BELVIDERE, IL, 61008

Signature of

Role Plan administrator
Date 2021-07-27
Name of individual signing ED BRANOM
Valid signature Filed with authorized/valid electronic signature
BOONE COUNTY SHOPPER, INC. RETIREMENT PLAN 2019 362469696 2020-07-22 BOONE COUNTY SHOPPER 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 511110
Sponsor’s telephone number 8155442166
Plan sponsor’s address 112 LEONARD COURT, BELVIDERE, IL, 61008

Signature of

Role Plan administrator
Date 2020-07-22
Name of individual signing ED BRANOM
Valid signature Filed with authorized/valid electronic signature
BOONE COUNTY SHOPPER, INC. RETIREMENT PLAN 2018 362469696 2019-07-22 BOONE COUNTY SHOPPER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 511110
Sponsor’s telephone number 8155442166
Plan sponsor’s address 112 LEONARD COURT, BELVIDERE, IL, 61008
BOONE COUNTY SHOPPER, INC. RETIREMENT PLAN 2017 362469696 2018-07-03 BOONE COUNTY SHOPPER 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 511110
Sponsor’s telephone number 8155442166
Plan sponsor’s address 112 LEONARD COURT, BELVIDERE, IL, 61008
BOONE COUNTY SHOPPER, INC. RETIREMENT PLAN 2016 362469696 2017-06-21 BOONE COUNTY SHOPPER 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 511110
Sponsor’s telephone number 8155442166
Plan sponsor’s address 112 LEONARD COURT, BELVIDERE, IL, 61008

Signature of

Role Plan administrator
Date 2017-06-21
Name of individual signing EDWARD L. BRANOM
Valid signature Filed with authorized/valid electronic signature
BOONE COUNTY SHOPPER, INC. RETIREMENT PLAN 2015 362469696 2016-08-12 BOONE COUNTY SHOPPER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 511110
Sponsor’s telephone number 8155442166
Plan sponsor’s address 112 LEONARD COURT, BELVIDERE, IL, 61008

Plan administrator’s name and address

Administrator’s EIN 362469696
Plan administrator’s name BOONE COUNTY SHOPPER
Plan administrator’s address 112 LEONARD COURT, BELVIDERE, IL, 61008
Administrator’s telephone number 8155442166
BOONE COUNTY SHOPPER, INC. RETIREMENT PLAN 2014 362469696 2015-04-08 BOONE COUNTY SHOPPER 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 511110
Sponsor’s telephone number 8155442166
Plan sponsor’s address 112 LEONARD COURT, BELVIDERE, IL, 61008

Plan administrator’s name and address

Administrator’s EIN 362469696
Plan administrator’s name BOONE COUNTY SHOPPER
Plan administrator’s address 112 LEONARD COURT, BELVIDERE, IL, 61008
Administrator’s telephone number 8155442166

Signature of

Role Plan administrator
Date 2015-04-08
Name of individual signing EDWARD BRANOM
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
EDWARD BRANOM, 112 LEONARD COURT, BELVIDERE, 61008, BOONE Agent 2012-08-03

President

Name and Address Role
EDWARD J BRANOM 319 EDGEWOOD LN BELEVIDERE IL 61008 President

Secretary

Name and Address Role
MATTHEW L BRANOM 216 TYSON CLOSE ROCKFORD IL 61108 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 300 150000 100

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State