| Entity Name: | EMBASSY INTERNATIONAL, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 27 Aug 1976 |
| Date of Dissolution: | 02 Jan 1987 |
| Company Number: | CORP_50975339 |
| File Number: | 50975339 |
| Date Status Change: | 02 Jan 1987 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PROJECT OZ 403(B) PLAN | 2012 | 370982824 | 2013-05-01 | PROJECT OZ | 11 | |||||||||||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2013-05-01 |
| Name of individual signing | ZOHREH KAVOSI |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-05-01 |
| Name of individual signing | ZOHREH KAVOSI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-07-01 |
| Business code | 813000 |
| Sponsor’s telephone number | 3098278877 |
| Plan sponsor’s address | 1105 WEST FRONT STREET, BLOOMINGTON, IL, 61701 |
Plan administrator’s name and address
| Administrator’s EIN | 370982824 |
| Plan administrator’s name | PROJECT OZ |
| Plan administrator’s address | 1105 WEST FRONT STREET, BLOOMINGTON, IL, 61701 |
| Administrator’s telephone number | 3098278877 |
Signature of
| Role | Plan administrator |
| Date | 2012-09-04 |
| Name of individual signing | ZOHREH KAVOSI |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-09-04 |
| Name of individual signing | ZOHREH KAVOSI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-07-01 |
| Business code | 813000 |
| Sponsor’s telephone number | 3098278877 |
| Plan sponsor’s address | 1105 WEST FRONT STREET, BLOOMINGTON, IL, 61701 |
Plan administrator’s name and address
| Administrator’s EIN | 370982824 |
| Plan administrator’s name | PROJECT OZ |
| Plan administrator’s address | 1105 WEST FRONT STREET, BLOOMINGTON, IL, 61701 |
| Administrator’s telephone number | 3098278877 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-08 |
| Name of individual signing | ZOHREH KAVOSI |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-09-08 |
| Name of individual signing | ZOHREH KAVOSI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-07-01 |
| Business code | 813000 |
| Sponsor’s telephone number | 3098278877 |
| Plan sponsor’s address | 1105 WEST FRONT STREET, BLOOMINGTON, IL, 61701 |
Plan administrator’s name and address
| Administrator’s EIN | 370982824 |
| Plan administrator’s name | PROJECT OZ |
| Plan administrator’s address | 1105 WEST FRONT STREET, BLOOMINGTON, IL, 61701 |
| Administrator’s telephone number | 3098278877 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-01 |
| Name of individual signing | LOIS BROWNING |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JACK MALLON, 360 E RANDOLPH 3802, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO | Agent | 1985-07-24 |
| Name and Address | Role |
|---|---|
| JACK MALLON, 7419 N CALIFORNIA CHICAGO | President |
Date of last update: 16 Jan 2025
