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  5. CLOVER INSURANCE AGENCY, INC.

CLOVER INSURANCE AGENCY, INC.

Company Details

Entity Name: CLOVER INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 27 Apr 1970
Company Number: CORP_49655126
File Number: 49655126
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLOVER INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2023 362693419 2024-08-21 CLOVER INSURANCE AGENCY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 524210
Sponsor’s telephone number 7739733700
Plan sponsor’s address 7535 N WESTERN AVENUE, CHICAGO, IL, 606451510

Signature of
Role Plan administrator
Date 2024-08-21
Name of individual signing BRIAN WEINER
Valid signature Filed with authorized/valid electronic signature
CLOVER INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2022 362693419 2023-08-04 CLOVER INSURANCE AGENCY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 524210
Sponsor’s telephone number 7739733700
Plan sponsor’s address 7535 N WESTERN AVENUE, CHICAGO, IL, 606451510

Signature of
Role Plan administrator
Date 2023-08-04
Name of individual signing BRIAN WEINER
Valid signature Filed with authorized/valid electronic signature
CLOVER INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2021 362693419 2022-08-10 CLOVER INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 524210
Sponsor’s telephone number 7739733700
Plan sponsor’s address 7535 N WESTERN AVENUE, CHICAGO, IL, 606451510

Signature of
Role Plan administrator
Date 2022-08-10
Name of individual signing BRIAN WEINER
Valid signature Filed with authorized/valid electronic signature
CLOVER INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2020 362693419 2021-08-09 CLOVER INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 524210
Sponsor’s telephone number 7739733700
Plan sponsor’s address 7535 N WESTERN AVENUE, CHICAGO, IL, 606451510

Signature of
Role Plan administrator
Date 2021-08-09
Name of individual signing BRIAN WEINER
Valid signature Filed with authorized/valid electronic signature
CLOVER INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2019 362693419 2020-07-08 CLOVER INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 524210
Sponsor’s telephone number 7739733700
Plan sponsor’s address 7535 N WESTERN AVENUE, CHICAGO, IL, 606451510

Signature of
Role Plan administrator
Date 2020-07-08
Name of individual signing BRIAN WEINER
Valid signature Filed with authorized/valid electronic signature
CLOVER INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2018 362693419 2019-07-22 CLOVER INSURANCE AGENCY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 524210
Sponsor’s telephone number 7739733700
Plan sponsor’s address 7535 N WESTERN AVENUE, CHICAGO, IL, 606451510

Signature of
Role Plan administrator
Date 2019-07-22
Name of individual signing BRIAN WEINER
Valid signature Filed with authorized/valid electronic signature
CLOVER INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2017 362693419 2018-07-25 CLOVER INSURANCE AGENCY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 524210
Sponsor’s telephone number 7739733700
Plan sponsor’s address 7535 N WESTERN AVENUE, CHICAGO, IL, 606451510

Signature of
Role Plan administrator
Date 2018-07-25
Name of individual signing BRIAN WEINER
Valid signature Filed with authorized/valid electronic signature
CLOVER INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2016 362693419 2017-07-20 CLOVER INSURANCE AGENCY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 524210
Sponsor’s telephone number 7739733700
Plan sponsor’s address 7535 N WESTERN AVENUE, CHICAGO, IL, 606451510

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing BRIAN WEINER
Valid signature Filed with authorized/valid electronic signature
CLOVER INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2015 362693419 2016-07-28 CLOVER INSURANCE AGENCY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 524210
Sponsor’s telephone number 7739733700
Plan sponsor’s address 7535 N WESTERN AVENUE, CHICAGO, IL, 606451510

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing BRIAN WEINER
Valid signature Filed with authorized/valid electronic signature
CLOVER INSURANCE AGENCY, INC. PROFIT SHARING PLAN 2014 362693419 2015-07-30 CLOVER INSURANCE AGENCY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 524210
Sponsor’s telephone number 7739733700
Plan sponsor’s address 7535 N WESTERN AVENUE, CHICAGO, IL, 606451510

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing BRIAN WEINER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CHRISTOPHER T. NOWOTARSKI, 8 S. MICHIGAN AVE. SUITE 333, CHICAGO, 60603, COOK-NOT IN CITY OF CHICAGO Agent 2024-08-12

President

Name and Address Role
BRIAN WEINER, 7535 N WESTERN AVENUE CHICAGO 60645 President

Secretary

Name and Address Role
SHARYN TRACHTENBERG, 7535 N WESTERN AVE, CHICAGO, 60645 Secretary

Shares

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

Related by officers

CHRISTOPHER T. NOWOTARSKI, 8 S. MICHIGAN AVE. SUITE 333, CHICAGO, 60603, COOK-NOT IN CITY OF CHICAGO

SCIENTIFIC CONTROL LABORATORIES, LTD. POLISH AMERICAN CONGRESS CHARITABLE FOUNDATION, INC. CHRISTOPHER T. NOWOTARSKI, P.C. ELECTRO-MAX, INC. JAMES MALONEY D.D.S., P.C.

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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