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  5. CAMOSY INCORPORATED

CAMOSY INCORPORATED

Company Details

Entity Name: CAMOSY INCORPORATED
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 18 Sep 1968
Company Number: CORP_49035063
File Number: 49035063
Type of Business: Business Corporations
Address ROUTE 41 STATE LINE RD, RUSSELL, IL, 60075
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAMOSY, INC. 401(K) RETIREMENT PLAN 2023 362658857 2024-06-24 CAMOSY INCORPORATED 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 236200
Sponsor’s telephone number 8473956800
Plan sponsor’s address 43451 N. US HWY. 41, ZION, IL, 60099

Signature of
Role Plan administrator
Date 2024-06-24
Name of individual signing SCOTT E HEETER
Valid signature Filed with authorized/valid electronic signature
CAMOSY, INC. 401(K) RETIREMENT PLAN 2022 362658857 2023-07-13 CAMOSY INCORPORATED 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 236200
Sponsor’s telephone number 8473956800
Plan sponsor’s address 43451 N. US HWY. 41, ZION, IL, 60099

Signature of
Role Plan administrator
Date 2023-07-13
Name of individual signing SCOTT E HEETER
Valid signature Filed with authorized/valid electronic signature
CAMOSY, INC. 401(K) RETIREMENT PLAN 2021 362658857 2022-09-29 CAMOSY INCORPORATED 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 236200
Sponsor’s telephone number 8473956800
Plan sponsor’s address 43451 N. US HWY. 41, ZION, IL, 60099

Signature of
Role Plan administrator
Date 2022-09-29
Name of individual signing SCOTT E HEETER
Valid signature Filed with authorized/valid electronic signature
CAMOSY INCORPORATED 401(K) PLAN 2011 362658857 2012-02-06 CAMOSY INCORPORATED 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 236200
Sponsor’s telephone number 8473956800
Plan sponsor’s address 43451 N. US HWY 41, ZION, IL, 600999455

Plan administrator’s name and address
Administrator’s EIN 362658857
Plan administrator’s name CAMOSY INCORPORATED
Plan administrator’s address 43451 N. US HWY 41, ZION, IL, 600999455
Administrator’s telephone number 8473956800

Signature of
Role Plan administrator
Date 2012-02-06
Name of individual signing BECKY EDWARDS
Valid signature Filed with authorized/valid electronic signature
CAMOSY INCORPORATED 401(K) PLAN 2010 362658857 2011-03-31 CAMOSY INCORPORATED 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 236200
Sponsor’s telephone number 8473956800
Plan sponsor’s address 43451 N. US HWY 41, ZION, IL, 600999455

Plan administrator’s name and address
Administrator’s EIN 362658857
Plan administrator’s name CAMOSY INCORPORATED
Plan administrator’s address 43451 N. US HWY 41, ZION, IL, 600999455
Administrator’s telephone number 8473956800

Signature of
Role Plan administrator
Date 2011-03-30
Name of individual signing BECKY EDWARDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-30
Name of individual signing BECKY EDWARDS
Valid signature Filed with authorized/valid electronic signature
CAMOSY INCORPORATED 401(K) PLAN 2009 362658857 2010-07-09 CAMOSY INCORPORATED 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-07-01
Business code 236200
Sponsor’s telephone number 8473956800
Plan sponsor’s address 43451 N. US HWY 41, ZION, IL, 600999455

Plan administrator’s name and address
Administrator’s EIN 362658857
Plan administrator’s name CAMOSY INCORPORATED
Plan administrator’s address 43451 N. US HWY 41, ZION, IL, 600999455
Administrator’s telephone number 8473956800

Signature of
Role Plan administrator
Date 2010-07-08
Name of individual signing BECKY EDWARDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-08
Name of individual signing BECKY EDWARDS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOHN P CAMOSY, 43451 N US HWY 41, ZION, 60099, LAKE Agent 2009-10-20

President

Name and Address Role Account Number
JOHN P CAMOSY 1320-45TH AVE, KENOSHA WI 53144 President No data
JOHN P COMOSY President 58135

Vice president

Name and Address Role Account Number
TIMOTHY DREWRY Vice president 58135
ROBERT NIKOLAI Vice president 58135

Asst. secretary

Name and Address Role Account Number
TODD PEYTON Asst. secretary 58135
TODD KNOP Asst. secretary 58135

Other

Name and Address Role Account Number
BECKY EDWARDS Other 58135

Secretary

Name and Address Role Account Number
JOHN P CAMOSY 1320-45TH AVE, KENOSHA WI 53144 Secretary 58135

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2079478 Issued 1010 Limited Business License 708 - Miscellaneous Commercial Services 2015-05-28 2015-05-16 2017-05-15
BUSINESS LICENSE 58552 Issued 1010 Limited Business License No data 2007-01-23 2007-02-16 2009-05-15

Historical Names

Name Change Date
JENKINS AND BOLLER CO., INC. 1986-10-30

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
CLASS A No data Voting Rights 2000 748000 10
CLASS B No data No Voting Rights 20000 3818000 10

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State

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