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  5. AMERICAN CLAIMS SERVICE, LTD.

AMERICAN CLAIMS SERVICE, LTD.

Company Details

Entity Name: AMERICAN CLAIMS SERVICE, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 15 Feb 1972
Company Number: CORP_49971516
File Number: 49971516
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMERICAN CLAIMS SERVICE, LTD PROFIT SHARING PLAN 2021 362738791 2022-02-28 AMERICAN CLAIMS SERVICE, LTD. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 7084991900
Plan sponsor’s address 9757 SOUTH KEDZIE AVENUE, EVERGREEN PARK, IL, 60805

Signature of
Role Plan administrator
Date 2022-02-28
Name of individual signing PAMELA M. RATAJACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-02-28
Name of individual signing PAMELA M. RATAJACK
Valid signature Filed with authorized/valid electronic signature
AMERICAN CLAIMS SERVICE, LTD PROFIT SHARING PLAN 2020 362738791 2021-02-24 AMERICAN CLAIMS SERVICE, LTD. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 7084991900
Plan sponsor’s address 9757 SOUTH KEDZIE AVENUE, EVERGREEN PARK, IL, 60805

Signature of
Role Plan administrator
Date 2021-02-24
Name of individual signing PAMELA M. RATAJACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-24
Name of individual signing PAMELA M. RATAJACK
Valid signature Filed with authorized/valid electronic signature
AMERICAN CLAIMS SERVICE, LTD PROFIT SHARING PLAN 2019 362738791 2020-04-22 AMERICAN CLAIMS SERVICE, LTD. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 7084991900
Plan sponsor’s address 9757 SOUTH KEDZIE AVENUE, EVERGREEN PARK, IL, 60805

Signature of
Role Plan administrator
Date 2020-04-22
Name of individual signing PAMELA M. RATAJACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-22
Name of individual signing PAMELA M. RATAJACK
Valid signature Filed with authorized/valid electronic signature
AMERICAN CLAIMS SERVICE, LTD PROFIT SHARING PLAN 2018 362738791 2019-02-14 AMERICAN CLAIMS SERVICE, LTD. 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 7084991900
Plan sponsor’s address 9757 SOUTH KEDZIE AVENUE, EVERGREEN PARK, IL, 60805

Signature of
Role Plan administrator
Date 2019-02-14
Name of individual signing PAMELA M. RATAJACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-14
Name of individual signing PAMELA M. RATAJACK
Valid signature Filed with authorized/valid electronic signature
AMERICAN CLAIMS SERVICE, LTD PROFIT SHARING PLAN 2017 362738791 2018-03-19 AMERICAN CLAIMS SERVICE, LTD. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 7084991900
Plan sponsor’s address 9757 SOUTH KEDZIE AVENUE, EVERGREEN PARK, IL, 60805

Signature of
Role Plan administrator
Date 2018-03-19
Name of individual signing PAMELA M. RATAJACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-19
Name of individual signing PAMELA M. RATAJACK
Valid signature Filed with authorized/valid electronic signature
AMERICAN CLAIMS SERVICE, LTD PROFIT SHARING PLAN 2016 362738791 2017-02-21 AMERICAN CLAIMS SERVICE, LTD. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 7084991900
Plan sponsor’s address 9757 SOUTH KEDZIE AVENUE, EVERGREEN PARK, IL, 60805

Signature of
Role Plan administrator
Date 2017-02-21
Name of individual signing PAMELA M. RATAJACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-21
Name of individual signing PAMELA M. RATAJACK
Valid signature Filed with authorized/valid electronic signature
AMERICAN CLAIMS SERVICE, LTD. PROFIT SHARING PLAN 2015 362738791 2016-03-07 AMERICAN CLAIMS SERVICE, LTD. 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 7084991900
Plan sponsor’s address 9757 SOUTH KEDZIE AVENUE, EVERGREEN PARK, IL, 60805

Signature of
Role Plan administrator
Date 2016-03-07
Name of individual signing PAMELA M. RATAJACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-07
Name of individual signing PAMELA M. RATAJACK
Valid signature Filed with authorized/valid electronic signature
AMERICAN CLAIMS SERVICE, LTD. PROFIT SHARING PLAN 2014 362738791 2015-03-31 AMERICAN CLAIMS SERVICE, LTD. 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 7084991900
Plan sponsor’s address 9757 SOUTH KEDZIE AVENUE, EVERGREEN PARK, IL, 60805

Signature of
Role Plan administrator
Date 2015-03-31
Name of individual signing PAMELA M. RATAJACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-31
Name of individual signing PAMELA M. RATAJACK
Valid signature Filed with authorized/valid electronic signature
AMERICAN CLAIMS SERVICE, LTD. PROFIT SHARING PLAN 2013 362738791 2014-02-21 AMERICAN CLAIMS SERVICE, LTD. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 7084991900
Plan sponsor’s address 9757 SOUTH KEDZIE AVENUE, EVERGREEN PARK, IL, 60805

Signature of
Role Plan administrator
Date 2014-02-21
Name of individual signing PAMELA RATAJACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-02-21
Name of individual signing PAMELA RATAJACK
Valid signature Filed with authorized/valid electronic signature
AMERICAN CLAIMS SERVICE, LTD. PROFIT SHARING PLAN 2012 362738791 2013-03-18 AMERICAN CLAIMS SERVICE, LTD. 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 524290
Sponsor’s telephone number 7084991900
Plan sponsor’s address 9757 SOUTH KEDZIE AVENUE, EVERGREEN PARK, IL, 60805

Signature of
Role Plan administrator
Date 2013-03-15
Name of individual signing PAMELA RATAJACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-15
Name of individual signing PAMELA RATAJACK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ROBERT C. COLLINS JR., 3108 RIDGE RD, LANSING, 60438, COOK-NOT IN CITY OF CHICAGO Agent 2022-01-17

President

Name and Address Role
JEFFREY J. RATAJACK, 1601 BLUEBIRD LANE, MUNSTER, IN 46321 President

Secretary

Name and Address Role
PAMELA M. RATAJACK, 1601 BLUEBIRD LANE, MUNSTER, IN 46321 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 2000 10000 100

Related by officers

ROBERT C. COLLINS JR., 3108 RIDGE RD, LANSING, 60438, COOK-NOT IN CITY OF CHICAGO

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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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