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  5. HABETLER BOWL, INC.

HABETLER BOWL, INC.

Company Details

Entity Name: HABETLER BOWL, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Foreign BCA
Status: Goodstanding
Date Formed: 31 May 1977
Company Number: CORP_51175913
File Number: 51175913
Type of Business: All Inclusive Purpose
Address 5242 -5250 N NORTHWEST HWY 1ST, CHICAGO, IL, 60630
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HABETLER BOWL INC EMPLOYEE GROUP HEALTH PLAN 2023 362371738 2024-07-12 HABETLER BOWL, INC. 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2023-01-01
Business code 713900
Sponsor’s telephone number 7737740500
Plan sponsor’s address 5250 N. NORTHWEST HIGHWAY, CHICAGO, IL, 60630

Signature of
Role Plan administrator
Date 2024-07-12
Name of individual signing JAMES HABETLER
Valid signature Filed with authorized/valid electronic signature
HABETLER BOWL INC EMPLOYEE GROUP HEALTH PLAN 2022 362371738 2023-06-20 HABETLER BOWL, INC. 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 713900
Sponsor’s telephone number 7737740500
Plan sponsor’s address 5250 N. NORTHWEST HIGHWAY, CHICAGO, IL, 60630

Signature of
Role Plan administrator
Date 2023-06-20
Name of individual signing JAMES HABETLER
Valid signature Filed with authorized/valid electronic signature
HABETLER BOWL INC EMPLOYEE GROUP HEALTH PLAN 2022 362371738 2023-05-30 HABETLER BOWL INC 3
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 713900
Sponsor’s telephone number 7737740500
Plan sponsor’s address 5250 N NORTHWEST HWY, CHICAGO, IL, 606301246

Signature of
Role Plan administrator
Date 2023-05-30
Name of individual signing JIM HABETLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-30
Name of individual signing JIM HABETLER
Valid signature Filed with authorized/valid electronic signature
HABETLER BOWL INC EMPLOYEE GROUP HEALTH PLAN 2021 362371738 2022-07-18 HABETLER BOWL, INC. 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-01-01
Business code 713900
Sponsor’s telephone number 7737740500
Plan sponsor’s address 5250 N. NORTHWEST HIGHWAY, CHICAGO, IL, 60630

Signature of
Role Plan administrator
Date 2022-07-18
Name of individual signing JAMES HABETLER
Valid signature Filed with authorized/valid electronic signature
HABETLER BOWL INC EMPLOYEE GROUP HEALTH PLAN 2020 362371738 2021-06-11 HABETLER BOWL INC 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 713900
Sponsor’s telephone number 7737740500
Plan sponsor’s address 5250 N NORTHWEST HWY, CHICAGO, IL, 606301246

Plan administrator’s name and address
Administrator’s EIN 431625757
Plan administrator’s name ALLIED NATIONAL INC.
Plan administrator’s address PO BOX 29187, SHAWNEE MISSION, KS, 662019187
Administrator’s telephone number 8008257531

Signature of
Role Employer/plan sponsor
Date 2021-06-11
Name of individual signing DAVID HABETLER
Valid signature Filed with authorized/valid electronic signature
HABETLER BOWL INC EMPLOYEE GROUP HEALTH PLAN 2019 362371738 2020-07-21 HABETLER BOWL, INC. 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-01-01
Business code 713900
Sponsor’s telephone number 7737740500
Plan sponsor’s address 5250 N. NORTHWEST HIGHWAY, CHICAGO, IL, 60630

Signature of
Role Plan administrator
Date 2020-07-21
Name of individual signing DAVID HABETLER
Valid signature Filed with authorized/valid electronic signature
HABETLER BOWL INC EMPLOYEE GROUP HEALTH PLAN 2018 362371738 2019-07-23 HABETLER BOWL, INC. 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-01-01
Business code 713900
Sponsor’s telephone number 7737740500
Plan sponsor’s address 5250 N. NORTHWEST HIGHWAY, CHICAGO, IL, 60630

Signature of
Role Plan administrator
Date 2019-07-23
Name of individual signing DAVID HABETLER
Valid signature Filed with authorized/valid electronic signature
HABETLER BOWL INC EMPLOYEE GROUP HEALTH PLAN 2017 362371738 2018-07-27 HABETLER BOWL, INC. 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2017-01-01
Business code 713900
Sponsor’s telephone number 7737740500
Plan sponsor’s address 5250 N. NORTHWEST HIGHWAY, CHICAGO, IL, 60630

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing DAVID HABETLER
Valid signature Filed with authorized/valid electronic signature
HABETLER BOWL INC EMPLOYEE GROUP HEALTH PLAN 2016 362371738 2017-07-24 HABETLER BOWL, INC. 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2016-01-01
Business code 713900
Sponsor’s telephone number 7737740500
Plan sponsor’s address 5250 N. NORTHWEST HIGHWAY, CHICAGO, IL, 60630

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing DAVID HABETLER
Valid signature Filed with authorized/valid electronic signature
HABETLER BOWL INC EMPLOYEE GROUP HEALTH PLAN 2015 362371738 2016-07-12 HABETLER BOWL, INC. 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2015-01-01
Business code 713900
Sponsor’s telephone number 7737740500
Plan sponsor’s address 5250 N. NORTHWEST HIGHWAY, CHICAGO, IL, 60630

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing DAVID HABETLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JAMES HABETLER, 5242-5250 N NW HWY 1ST FLOOR, CHICAGO, 60630, COOK-NOT IN CITY OF CHICAGO Agent 2022-04-13

President

Name and Address Role Account Number
JAMES HABETLER, 1302 E WASHINGTON, DES PLAINES IL 60016 President 85290

Shareholder

Name and Address Role Account Number
ROBERT HABETLER Shareholder 85290

Secretary

Name and Address Role Account Number
DAVID HABETLER Secretary 85290

Vice president

Name and Address Role Account Number
WILLIAM HABETLER Vice president 85290

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 38166 Issued 1050 Public Place of Amusement 743 - Provides Onsite Amusement or Entertainment 2024-04-09 2024-04-16 2026-04-15
BUSINESS LICENSE 38167 Issued 1475 Consumption on Premises - Incidental Activity 638 - Consumption of Liquor on Premises 2024-02-16 2024-04-16 2026-04-15
BUSINESS LICENSE 38164 Issued 1006 Retail Food Establishment 775 - Retail Sales of Perishable Foods 2024-02-16 2024-04-16 2026-04-15
BUSINESS LICENSE 38165 Cancelled 1010 Limited Business License No data 2012-03-02 2012-04-16 2014-04-15
BUSINESS LICENSE 38168 Issued 1781 Tobacco 763 - Retail Sale of Tobacco 2003-05-15 2003-05-16 2004-05-15

Inspection

Inspection ID Inspection Type Inspection Date License Facility Type Address Risk Results
2595501 Canvass 2024-05-31 38164 Restaurant 5242 -5250 N NORTHWEST HWY, CHICAGO, IL, 60630 Risk 1 (High) Pass
2583699 Canvass Re-Inspection 2023-10-20 38164 Restaurant 5242 -5250 N NORTHWEST HWY, CHICAGO, IL, 60630 Risk 1 (High) Pass
2583565 Canvass 2023-10-18 38164 Restaurant 5242 -5250 N NORTHWEST HWY, CHICAGO, IL, 60630 Risk 1 (High) Pass w/ Conditions
2565100 Canvass 2022-10-11 38164 Restaurant 5242 -5250 N NORTHWEST HWY, CHICAGO, IL, 60630 Risk 1 (High) Pass
2498107 Canvass 2021-04-12 38164 Restaurant 5242 -5250 N NORTHWEST HWY, CHICAGO, IL, 60630 Risk 1 (High) Pass w/ Conditions
2116910 Canvass Re-Inspection 2017-12-08 38164 Restaurant 5242 -5250 N NORTHWEST HWY, CHICAGO, IL, 60630 Risk 1 (High) Pass
2116509 Canvass 2017-11-30 38164 Restaurant 5242 -5250 N NORTHWEST HWY, CHICAGO, IL, 60630 Risk 1 (High) Fail
1966869 Canvass 2016-10-20 38164 Restaurant 5242 -5250 N NORTHWEST HWY, CHICAGO, IL, 60630 Risk 1 (High) Pass
1424474 Canvass 2014-09-03 38164 Restaurant 5242 -5250 N NORTHWEST HWY, CHICAGO, IL, 60630 Risk 1 (High) Pass
1360262 Canvass 2013-08-14 38164 Restaurant 5242 -5250 N NORTHWEST HWY, CHICAGO, IL, 60630 Risk 1 (High) Pass

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 550000 10

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Illinois Office of the Secretary of State

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