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  5. DASCO INSURANCE AGENCY, INC.

DASCO INSURANCE AGENCY, INC.

Headquarter

Company Details

Entity Name: DASCO INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 19 Jul 1971
Company Number: CORP_49865783
File Number: 49865783
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of DASCO INSURANCE AGENCY, INC., ALABAMA 000-349-705 ALABAMA
Headquarter of DASCO INSURANCE AGENCY, INC., NEW YORK 3614355 NEW YORK

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DASCO INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST 2023 362715983 2024-04-03 DASCO INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 8472910660
Plan sponsor’s address 628 ACADEMY DR, NORTHBROOK, IL, 600622421

Signature of
Role Plan administrator
Date 2024-04-03
Name of individual signing KENNETH SAMSON
Valid signature Filed with authorized/valid electronic signature
DASCO INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST 2022 362715983 2023-01-24 DASCO INSURANCE AGENCY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 8472910660
Plan sponsor’s address 628 ACADEMY DR, NORTHBROOK, IL, 600622421

Signature of
Role Plan administrator
Date 2023-01-24
Name of individual signing KENNETH SAMSON
Valid signature Filed with authorized/valid electronic signature
DASCO INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST 2021 362715983 2022-03-28 DASCO INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 8472910660
Plan sponsor’s address 628 ACADEMY DR, NORTHBROOK, IL, 600622421

Signature of
Role Plan administrator
Date 2022-03-28
Name of individual signing KENNETH SAMSON
Valid signature Filed with authorized/valid electronic signature
DASCO INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST 2020 362715983 2021-04-28 DASCO INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 8472910660
Plan sponsor’s address 628 ACADEMY DR, NORTHBROOK, IL, 600622421

Signature of
Role Plan administrator
Date 2021-04-28
Name of individual signing KENNETH SAMSON
Valid signature Filed with authorized/valid electronic signature
DASCO INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST 2019 362715983 2020-04-27 DASCO INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 8472910660
Plan sponsor’s address 628 ACADEMY DR, NORTHBROOK, IL, 600622421

Signature of
Role Plan administrator
Date 2020-04-27
Name of individual signing KENNETH SAMSON
Valid signature Filed with authorized/valid electronic signature
DASCO INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST 2018 362715983 2019-05-06 DASCO INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 8472910660
Plan sponsor’s address 628 ACADEMY DR, NORTHBROOK, IL, 600622421

Signature of
Role Plan administrator
Date 2019-05-06
Name of individual signing KENNETH SAMSON
Valid signature Filed with authorized/valid electronic signature
DASCO INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST 2017 362715983 2018-05-17 DASCO INSURANCE AGENCY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 8472910660
Plan sponsor’s address 628 ACADEMY DR, NORTHBROOK, IL, 600622421

Signature of
Role Plan administrator
Date 2018-05-17
Name of individual signing KENNETH SAMSON
Valid signature Filed with authorized/valid electronic signature
DASCO INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST 2016 362715983 2017-05-09 DASCO INSURANCE AGENCY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 8472910660
Plan sponsor’s address 628 ACADEMY DR, NORTHBROOK, IL, 600622421

Signature of
Role Plan administrator
Date 2017-05-09
Name of individual signing KENNETH SAMSON
Valid signature Filed with authorized/valid electronic signature
DASCO INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST 2015 362715983 2016-04-14 DASCO INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 8472910660
Plan sponsor’s address 628 ACADEMY DR, NORTHBROOK, IL, 600622421

Signature of
Role Plan administrator
Date 2016-04-14
Name of individual signing KENNETH SAMSON
Valid signature Filed with authorized/valid electronic signature
DASCO INSURANCE AGENCY INC 401 K PROFIT SHARING PLAN TRUST 2014 362715983 2015-05-04 DASCO INSURANCE AGENCY INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 8472910660
Plan sponsor’s address 628 ACADEMY DR, NORTHBROOK, IL, 600622421

Signature of
Role Plan administrator
Date 2015-05-04
Name of individual signing KENNETH SAMSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
STEVEN H ELIZER, 7366 N LINCOLN AVE. SUITE #305, LINCOLNWOOD, 60712, COOK-NOT IN CITY OF CHICAGO Agent 2022-10-28

President

Name and Address Role
KENNETH M SAMSON 628 ACADEMY DR NORTHBROOK IL 60062 President

Secretary

Name and Address Role
JEANNETTE D SAMSON Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
1 No data Voting Rights 100000 1000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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