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  5. OLD HSA, INC.

OLD HSA, INC.

Company Details

Entity Name: OLD HSA, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 13 Apr 1966
Company Number: CORP_46446241
File Number: 46446241
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HUNZEKER SERVICE AGENCY, INC./M.E.HUNZEKER CO., INC. 401(K) PLAN 2018 370891494 2019-07-02 HUNZEKER SERVICE AGENCY INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 238220
Sponsor’s telephone number 3097132812
Plan sponsor’s mailing address 1921 W. ALTORFER DRIVE, PEORIA, IL, 61615
Plan sponsor’s address 1921 W. ALTORFER DRIVE, PEORIA, IL, 61615

Number of participants as of the end of the plan year
Active participants 0
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 0

Signature of
Role Plan administrator
Date 2019-07-02
Name of individual signing WILLIAM PILLMAN
Valid signature Filed with authorized/valid electronic signature
HUNZEKER SERVICE AGENCY, INC./M.E.HUNZEKER CO., INC. 401(K) PLAN 2018 370891494 2019-05-24 HUNZEKER SERVICE AGENCY INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 238220
Sponsor’s telephone number 3097132812
Plan sponsor’s mailing address 1921 W. ALTORFER DRIVE, PEORIA, IL, 61615
Plan sponsor’s address 1921 W. ALTORFER DRIVE, PEORIA, IL, 61615

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 3
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 2019-05-24
Name of individual signing WILLIAM PILLMAN
Valid signature Filed with authorized/valid electronic signature
HUNZEKER SERVICE AGENCY, INC./M.E.HUNZEKER CO., INC. 401(K) PLAN 2017 370891494 2018-09-14 HUNZEKER SERVICE AGENCY INC. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 238220
Sponsor’s telephone number 3097132812
Plan sponsor’s mailing address 1921 W. ALTORFER DRIVE, PEORIA, IL, 61615
Plan sponsor’s address 1921 W. ALTORFER DRIVE, PEORIA, IL, 61615

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 9
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 10

Signature of
Role Plan administrator
Date 2018-09-14
Name of individual signing WILLIAM PILLMAN
Valid signature Filed with authorized/valid electronic signature
HUNZEKER SERVICE AGENCY, INC. M.E. HUNZEKER CO INC 401K PLAN 2014 370891494 2015-07-20 HUNZEKER SERVICE AGENCY, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 238220
Sponsor’s telephone number 3096913052
Plan sponsor’s address 8720 N. UNIVERSITY AVENUE, PEORIA, IL, 616151634

Signature of
Role Plan administrator
Date 2015-07-20
Name of individual signing KEVIN ADOLPHSON
Valid signature Filed with authorized/valid electronic signature
HUNZEKER SERVICE AGENCY, INC. M.E. HUNZEKER CO INC 401K PLAN 2013 370891494 2014-07-31 HUNZEKER SERVICE AGENCY, INC. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 238220
Sponsor’s telephone number 3096913052
Plan sponsor’s address 8720 N. UNIVERSITY AVENUE, PEORIA, IL, 616151634

Signature of
Role Plan administrator
Date 2014-07-31
Name of individual signing KEVIN ADOLPHSON
Valid signature Filed with authorized/valid electronic signature
HUNZEKER SERVICE AGENCY, INC. M.E. HUNZEKER CO INC 401K PLAN 2012 370891494 2013-07-10 HUNZEKER SERVICE AGENCY, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 238220
Sponsor’s telephone number 3096913052
Plan sponsor’s address 8720 N. UNIVERSITY AVENUE, ATTN KEVIN ADOLPHSON, PEORIA, IL, 616151634

Signature of
Role Plan administrator
Date 2013-07-10
Name of individual signing KEVIN ADOLPHSON
Valid signature Filed with authorized/valid electronic signature
HUNZEKER SERVICE AGENCY, INC. M.E. HUNZEKER CO INC 401K PLAN 2011 370891494 2012-07-24 HUNZEKER SERVICE AGENCY, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-01-01
Business code 238220
Sponsor’s telephone number 3096913052
Plan sponsor’s address 8720 N. UNIVERSITY AVENUE, ATTN KEVIN ADOLPHSON, PEORIA, IL, 616151634

Plan administrator’s name and address
Administrator’s EIN 370891494
Plan administrator’s name HUNZEKER SERVICE AGENCY, INC.
Plan administrator’s address 8720 N. UNIVERSITY AVENUE, ATTN KEVIN ADOLPHSON, PEORIA, IL, 616151634
Administrator’s telephone number 3096913052

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing KEVIN ADOLPHSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DEREK A SCHRYER, 401 MAIN ST STE 1600, PEORIA, 61602, PEORIA Agent 2017-08-01

President

Name and Address Role
RANDAL S HUNZEKER, 8718 N UNIVERSITY ST PEORIA IL 61615 President

Secretary

Name and Address Role
NICOLE M JOHNSON Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
MIDWEST AIR CONDITIONING PARTS No data 1985-03-01 2000-06-09 Expired No data

Historical Names

Name Change Date
HUNZEKER SERVICE AGENCY, INC. 2019-04-03

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 392000 No data

Related by officers

DEREK A SCHRYER, 401 MAIN ST STE 1600, PEORIA, 61602, PEORIA

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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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