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  5. A. W. ANDERSON AGENCY, INC.

A. W. ANDERSON AGENCY, INC.

Company Details

Entity Name: A. W. ANDERSON AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 24 Jun 1963
Company Number: CORP_43203851
File Number: 43203851
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
A. W. ANDERSON AGENCY, INC. 401(K) PLAN 2023 362512204 2024-09-30 A.W. ANDERSON AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-02-15
Business code 524210
Sponsor’s telephone number 8156336464
Plan sponsor’s address 6464 N. 2ND STREET, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2024-09-30
Name of individual signing HEATHER STEWART
Valid signature Filed with authorized/valid electronic signature
A. W. ANDERSON AGENCY, INC. 401(K) PLAN 2022 362512204 2023-07-24 A.W. ANDERSON AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-02-15
Business code 524210
Sponsor’s telephone number 8156336464
Plan sponsor’s address 6464 N. 2ND STREET, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2023-07-24
Name of individual signing HEATHER STEWART
Valid signature Filed with authorized/valid electronic signature
A. W. ANDERSON AGENCY, INC. 401(K) PLAN 2021 362512204 2022-05-26 A.W. ANDERSON AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-02-15
Business code 524210
Sponsor’s telephone number 8156336464
Plan sponsor’s address 6464 N. 2ND STREET, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2022-05-26
Name of individual signing RANDY MARTINEZ
Valid signature Filed with authorized/valid electronic signature
A. W. ANDERSON AGENCY, INC. 401(K) PLAN 2020 362512204 2021-05-19 A.W. ANDERSON AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-02-15
Business code 524210
Sponsor’s telephone number 8156336464
Plan sponsor’s address 6464 N. 2ND STREET, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2021-05-19
Name of individual signing CHRISTOPHER ANDERSON
Valid signature Filed with authorized/valid electronic signature
A. W. ANDERSON AGENCY, INC. 401(K) PLAN 2019 362512204 2020-07-01 A.W. ANDERSON AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-02-15
Business code 524210
Sponsor’s telephone number 8156336464
Plan sponsor’s address 6464 N. 2ND STREET, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2020-07-01
Name of individual signing CHRISTOPHER ANDERSON
Valid signature Filed with authorized/valid electronic signature
A. W. ANDERSON AGENCY, INC. 401(K) PLAN 2018 362512204 2019-05-29 A.W. ANDERSON AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-02-15
Business code 524210
Sponsor’s telephone number 8156336464
Plan sponsor’s address 6464 N. 2ND STREET, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2019-05-29
Name of individual signing TIMOTHY HUMPAL
Valid signature Filed with authorized/valid electronic signature
A. W. ANDERSON AGENCY, INC. 401(K) PLAN 2017 362512204 2018-07-30 A.W. ANDERSON AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-02-15
Business code 524210
Sponsor’s telephone number 8156336464
Plan sponsor’s address 6464 N. 2ND STREET, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing TIMOTHY HUMPAL
Valid signature Filed with authorized/valid electronic signature
A. W. ANDERSON AGENCY, INC. MONEY PURCHASE PLAN 2016 362512204 2018-06-14 A.W. ANDERSON AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-11-01
Business code 524210
Sponsor’s telephone number 8156336464
Plan sponsor’s address 6464 N. SECOND STREET, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2018-06-14
Name of individual signing TIMOTHY HUMPAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-14
Name of individual signing TIMOTHY HUMPAL
Valid signature Filed with authorized/valid electronic signature
A. W. ANDERSON AGENCY, INC. MONEY PURCHASE PLAN 2015 362512204 2017-05-12 A.W. ANDERSON AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-11-01
Business code 524210
Plan sponsor’s address 6464 N. SECOND STREET, LOVES PARK, IL, 61111

Signature of
Role Plan administrator
Date 2017-05-12
Name of individual signing TIMOTHY HUMPAL
Valid signature Filed with authorized/valid electronic signature
A.W. ANDERSON AGENCY, INC. MONEY PURCHASE PLAN 2014 362512204 2016-03-29 A.W. ANDERSON AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1975-11-01
Business code 524210
Sponsor’s telephone number 8156336464
Plan sponsor’s address 6464 N. SECOND STREET, LOVES PARK, IL, 61111

Agent

Name and Address Role Appointment Date
CHRISTOPHER L ANDERSON, 6464 N SECOND, LOVES PARK, 61111, WINNEBAGO Agent 2017-05-02

President

Name and Address Role
KYLE T ANDERSON 774 FREEDLUND DRIVE ROCKTON IL 61072 President

Secretary

Name and Address Role
KYLE T ANDERSON 774 FREEDLUND DRIVE ROCKTON IL 61072 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 10000000 10

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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