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  5. C, F & H INSURANCE AGENCY, INC.

C, F & H INSURANCE AGENCY, INC.

Company Details

Entity Name: C, F & H INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 29 Aug 1974
Date of Dissolution: 06 Dec 2021
Company Number: CORP_50508544
File Number: 50508544
Type of Business: Insurance and/or real estate agencies and brokers
Date Status Change: 06 Dec 2021
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
C, F & H INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2021 370984543 2022-03-28 C, F & H INSURANCE AGENCY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 2177622182
Plan sponsor’s address 113 S STATE STREET, MONTICELLO, IL, 61856

Signature of
Role Plan administrator
Date 2022-03-28
Name of individual signing LINDA L CARLTON-HUBER
Valid signature Filed with authorized/valid electronic signature
C, F & H INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2020 370984543 2021-08-09 C, F & H INSURANCE AGENCY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 2177622182
Plan sponsor’s address 113 SOUTH STATE STREET, MONTICELLO, IL, 61856

Signature of
Role Plan administrator
Date 2021-08-09
Name of individual signing LINDA L CARLTON-HUBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-09
Name of individual signing LINDA L CARLTON-HUBER
Valid signature Filed with authorized/valid electronic signature
C F & H INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN 2019 370984543 2020-08-24 C F & H INSURANCE AGENCY INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 524210
Sponsor’s telephone number 2177622182
Plan sponsor’s address 113 SOUTH STATE STREET, MONTICELLO, IL, 61856

Signature of
Role Plan administrator
Date 2020-08-24
Name of individual signing LINDA CARLTON-HUBER
Valid signature Filed with authorized/valid electronic signature
C F & H INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN 2018 370984543 2019-06-11 C F & H INSURANCE AGENCY INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 524210
Sponsor’s telephone number 2177622182
Plan sponsor’s address 113 SOUTH STATE STREET, MONTICELLO, IL, 61856

Signature of
Role Plan administrator
Date 2019-06-11
Name of individual signing LINDA CARLTON-HUBER
Valid signature Filed with authorized/valid electronic signature
C F & H INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN 2017 370984543 2018-06-08 C F & H INSURANCE AGENCY INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 524210
Sponsor’s telephone number 2177622182
Plan sponsor’s address 113 SOUTH STATE STREET, MONTICELLO, IL, 61856

Signature of
Role Plan administrator
Date 2018-06-08
Name of individual signing MICHELLE CRAWFORD-STOCK
Valid signature Filed with authorized/valid electronic signature
C F & H INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN 2016 370984543 2017-07-26 C F & H INSURANCE AGENCY INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 524210
Sponsor’s telephone number 2177622182
Plan sponsor’s address 113 SOUTH STATE STREET, MONTICELLO, IL, 61856

Plan administrator’s name and address
Administrator’s EIN 370984543
Plan administrator’s name C F & H INSURANCE AGENCY INC
Plan administrator’s address 113 SOUTH STATE STREET, MONTICELLO, IL, 61856
Administrator’s telephone number 2177622182

Signature of
Role Plan administrator
Date 2017-07-26
Name of individual signing MICHELLE CRAWFORD-STOCK
Valid signature Filed with authorized/valid electronic signature
C F & H INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN 2015 370984543 2016-06-23 C F & H INSURANCE AGENCY INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 524210
Sponsor’s telephone number 2177622182
Plan sponsor’s address 113 SOUTH STATE STREET, MONTICELLO, IL, 61856

Plan administrator’s name and address
Administrator’s EIN 370984543
Plan administrator’s name C F & H INSURANCE AGENCY INC
Plan administrator’s address 113 SOUTH STATE STREET, MONTICELLO, IL, 61856
Administrator’s telephone number 2177622182

Signature of
Role Plan administrator
Date 2016-06-23
Name of individual signing MICHELLE CRAWFORD-STOCK
Valid signature Filed with authorized/valid electronic signature
C F & H INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN 2014 370984543 2015-05-22 C F & H INSURANCE AGENCY INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 524210
Sponsor’s telephone number 2177622182
Plan sponsor’s address 113 SOUTH STATE STREET, MONTICELLO, IL, 61856

Plan administrator’s name and address
Administrator’s EIN 370984543
Plan administrator’s name C F & H INSURANCE AGENCY INC
Plan administrator’s address 113 SOUTH STATE STREET, MONTICELLO, IL, 61856
Administrator’s telephone number 2177622182

Signature of
Role Plan administrator
Date 2015-05-22
Name of individual signing MICHELLE CRAWFORD-STOCK
Valid signature Filed with authorized/valid electronic signature
C F & H INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN 2013 370984543 2014-06-30 C F & H INSURANCE AGENCY INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 524210
Sponsor’s telephone number 2177622182
Plan sponsor’s address 113 SOUTH STATE STREET, MONTICELLO, IL, 61856

Plan administrator’s name and address
Administrator’s EIN 370984543
Plan administrator’s name C F & H INSURANCE AGENCY INC
Plan administrator’s address 113 SOUTH STATE STREET, MONTICELLO, IL, 61856
Administrator’s telephone number 2177622182

Signature of
Role Plan administrator
Date 2014-06-30
Name of individual signing MICHELLE CRAWFORD-STOCK
Valid signature Filed with authorized/valid electronic signature
C F & H INSURANCE AGENCY INC 401(K) PROFIT SHARING PLAN 2012 370984543 2013-07-16 C F & H INSURANCE AGENCY INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1984-01-01
Business code 524210
Sponsor’s telephone number 2177622182
Plan sponsor’s address 113 SOUTH STATE STREET, MONTICELLO, IL, 61856

Plan administrator’s name and address
Administrator’s EIN 370984543
Plan administrator’s name C F & H INSURANCE AGENCY INC
Plan administrator’s address 113 SOUTH STATE STREET, MONTICELLO, IL, 61856
Administrator’s telephone number 2177622182

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing MICHELLE CRAWFORD-STOCK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHELLE LYNN CRAWFORD-STOCK, 1353 E MOUND RD, DECATUR, 62526, MACON Agent 2019-07-31

President

Name and Address Role
LINDA CARLTON HUBER 917 E JACKSON SULLIVAN IL 61951 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 5000 142000 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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