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  5. VEGRZYN, SARVER & ASSOCIATES, INC.

VEGRZYN, SARVER & ASSOCIATES, INC.

Company Details

Entity Name: VEGRZYN, SARVER & ASSOCIATES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 22 Mar 1973
Date of Dissolution: 10 Nov 2020
Company Number: CORP_50204391
File Number: 50204391
Date Status Change: 10 Nov 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VEGRZYN, SARVER & ASSOCIATES, INC. 401(K) PLAN 2018 362762863 2019-09-05 VEGRZYN, SARVER & ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 541330
Sponsor’s telephone number 8154347225
Plan sponsor’s address 218 WEST LAFAYETTE, OTTAWA, IL, 613502076

Signature of
Role Plan administrator
Date 2019-09-05
Name of individual signing NANCY VEGRZYN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-05
Name of individual signing NANCY VEGRZYN
Valid signature Filed with authorized/valid electronic signature
VEGRZYN, SARVER & ASSOCIATES, INC. 401(K) PLAN 2018 362762863 2019-01-31 VEGRZYN, SARVER & ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 541330
Sponsor’s telephone number 8154347225
Plan sponsor’s address 218 WEST LAFAYETTE, OTTAWA, IL, 613502076

Signature of
Role Plan administrator
Date 2019-01-31
Name of individual signing NANCY VEGRZYN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-01-31
Name of individual signing NANCY VEGRZYN
Valid signature Filed with authorized/valid electronic signature
VEGRZYN, SARVER & ASSOCIATES, INC. 401(K) PLAN 2017 362762863 2018-04-19 VEGRZYN, SARVER & ASSOCIATES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 541330
Sponsor’s telephone number 8154347225
Plan sponsor’s address 218 WEST LAFAYETTE, OTTAWA, IL, 613502076

Signature of
Role Plan administrator
Date 2018-04-19
Name of individual signing NANCY VEGRZYN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-19
Name of individual signing NANCY VEGRZYN
Valid signature Filed with authorized/valid electronic signature
VEGRZYN, SARVER & ASSOCIATES, INC. 401(K) PLAN 2016 362762863 2017-02-08 VEGRZYN, SARVER & ASSOCIATES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 541330
Sponsor’s telephone number 8154347225
Plan sponsor’s address 218 WEST LAFAYETTE, OTTAWA, IL, 613502076

Signature of
Role Plan administrator
Date 2017-02-08
Name of individual signing NANCY VEGRZYN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-08
Name of individual signing NANCY VEGRZYN
Valid signature Filed with authorized/valid electronic signature
VEGRZYN, SARVER & ASSOCIATES, INC. 401(K) PLAN 2015 362762863 2016-09-23 VEGRZYN, SARVER & ASSOCIATES, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 541330
Sponsor’s telephone number 8154347225
Plan sponsor’s address 218 WEST LAFAYETTE, OTTAWA, IL, 613502076

Signature of
Role Plan administrator
Date 2016-09-23
Name of individual signing NANCY VEGRZYN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-23
Name of individual signing NANCY VEGRZYN
Valid signature Filed with authorized/valid electronic signature
VEGRZYN, SARVER & ASSOCIATES, INC. 401(K) PLAN 2014 362762863 2015-05-11 VEGRZYN, SARVER & ASSOCIATES, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 541330
Sponsor’s telephone number 8154347225
Plan sponsor’s address 218 WEST LAFAYETTE, OTTAWA, IL, 613502076

Signature of
Role Plan administrator
Date 2015-05-11
Name of individual signing NANCY VEGRZYN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-11
Name of individual signing NANCY VEGRZYN
Valid signature Filed with authorized/valid electronic signature
VEGRZYN, SARVER & ASSOCIATES, INC. 401(K) PLAN 2013 362762863 2014-05-19 VEGRZYN, SARVER & ASSOCIATES, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 541330
Sponsor’s telephone number 8154347225
Plan sponsor’s address 218 WEST LAFAYETTE, OTTAWA, IL, 613502076

Signature of
Role Plan administrator
Date 2014-05-19
Name of individual signing CARTER SARVER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-19
Name of individual signing CARTER SARVER
Valid signature Filed with authorized/valid electronic signature
VEGRZYN, SARVER & ASSOCIATES, INC. 401(K) PLAN 2012 362762863 2013-05-15 VEGRZYN, SARVER & ASSOCIATES, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 541330
Sponsor’s telephone number 8154347225
Plan sponsor’s address 218 WEST LAFAYETTE, OTTAWA, IL, 613502076

Signature of
Role Plan administrator
Date 2013-05-15
Name of individual signing CARTER SARVER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-15
Name of individual signing CARTER SARVER
Valid signature Filed with authorized/valid electronic signature
VEGRZYN, SARVER & ASSOCIATES, INC. 401(K) PLAN 2011 362762863 2012-06-29 VEGRZYN, SARVER & ASSOCIATES, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 541330
Sponsor’s telephone number 8154347225
Plan sponsor’s address 218 WEST LAFAYETTE, OTTAWA, IL, 613502076

Plan administrator’s name and address
Administrator’s EIN 362762863
Plan administrator’s name VEGRZYN, SARVER & ASSOCIATES, INC.
Plan administrator’s address 218 WEST LAFAYETTE, OTTAWA, IL, 613502076
Administrator’s telephone number 8154347225

Signature of
Role Plan administrator
Date 2012-06-28
Name of individual signing CARTER SARVER
Valid signature Filed with authorized/valid electronic signature
VEGRZYN, SARVER & ASSOCIATES, INC. 401(K) PLAN 2010 362762863 2011-05-05 VEGRZYN, SARVER & ASSOCIATES, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1990-02-01
Business code 541330
Sponsor’s telephone number 8154347225
Plan sponsor’s address 218 WEST LAFAYETTE, OTTAWA, IL, 613502076

Plan administrator’s name and address
Administrator’s EIN 362762863
Plan administrator’s name VEGRZYN, SARVER & ASSOCIATES, INC.
Plan administrator’s address 218 WEST LAFAYETTE, OTTAWA, IL, 613502076
Administrator’s telephone number 8154347225

Signature of
Role Plan administrator
Date 2011-05-05
Name of individual signing CARTER SARVER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
NANCY L VEGRZYN, 218 W LAFAYETTE ST, OTTAWA, 61350, LA SALLE Agent 2014-07-11

President

Name and Address Role
NANCY L VEGRZYN 2303 CIRCLE DR, OTTAWA 61350 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
DESIGN FIRM 184000346-0010 No data No data DESIGN FIRM - LAND SURVEYOR/PROF ENG No data 1995-01-27 2017-04-27 2019-04-30
LAND SURVEYOR BOARD 048000065 No data No data PROFESSIONAL LAND SURVEYING FIRM No data 1989-08-01 1989-08-01 1990-11-30

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Related by officers

No related officers

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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