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  5. HEISER INSURANCE AGENCY, INC.

HEISER INSURANCE AGENCY, INC.

Headquarter

Company Details

Entity Name: HEISER INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 25 Aug 1977
Date of Dissolution: 08 Jan 2016
Company Number: CORP_51245113
File Number: 51245113
Type of Business: Business Corporations
Date Status Change: 08 Jan 2016
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of HEISER INSURANCE AGENCY, INC., NEW YORK 3230394 NEW YORK
Headquarter of HEISER INSURANCE AGENCY, INC., KENTUCKY 0534776 KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEISER INSURANCE AGENCY 401(K) RETIREMENT PLAN 2012 371033021 2013-07-29 HEISER INSURANCE AGENCY, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 522291
Sponsor’s telephone number 3092638431
Plan sponsor’s address 133 S. MAIN STREET, MORTON, IL, 61550

Signature of
Role Plan administrator
Date 2013-07-29
Name of individual signing GLEN A. PARROTT
Valid signature Filed with authorized/valid electronic signature
HEISER INSURANCE AGENCY 401(K) RETIREMENT PLAN 2012 371033021 2013-07-29 HEISER INSURANCE AGENCY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 522291
Sponsor’s telephone number 3092638431
Plan sponsor’s address 133 S. MAIN STREET, MORTON, IL, 61550

Signature of
Role Plan administrator
Date 2013-07-29
Name of individual signing GLEN A. PARROTT
Valid signature Filed with authorized/valid electronic signature
HEISER INSURANCE AGENCY 401(K) RETIREMENT PLAN 2011 371033021 2012-07-27 HEISER INSURANCE AGENCY, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 522291
Sponsor’s telephone number 3092638431
Plan sponsor’s address 133 S. MAIN STREET, MORTON, IL, 61550

Plan administrator’s name and address
Administrator’s EIN 371033021
Plan administrator’s name HEISER INSURANCE AGENCY, INC.
Plan administrator’s address 133 S. MAIN STREET, MORTON, IL, 61550
Administrator’s telephone number 3092638431

Signature of
Role Plan administrator
Date 2012-07-27
Name of individual signing GLEN A. PARROTT
Valid signature Filed with authorized/valid electronic signature
HEISER INSURANCE AGENCY 401(K) RETIREMENT PLAN 2010 371033021 2011-07-07 HEISER INSURANCE AGENCY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 522291
Sponsor’s telephone number 3092638431
Plan sponsor’s address 133 S. MAIN STREET, MORTON, IL, 61550

Plan administrator’s name and address
Administrator’s EIN 371033021
Plan administrator’s name HEISER INSURANCE AGENCY, INC.
Plan administrator’s address 133 S. MAIN STREET, MORTON, IL, 61550
Administrator’s telephone number 3092638431

Signature of
Role Plan administrator
Date 2011-07-07
Name of individual signing GLEN A. PARROTT
Valid signature Filed with authorized/valid electronic signature
HEISER INSURANCE AGENCY 401(K) RETIREMENT PLAN 2009 371033021 2010-10-13 HEISER INSURANCE AGENCY, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 522291
Sponsor’s telephone number 3092638431
Plan sponsor’s address 133 S. MAIN STREET, MORTON, IL, 61550

Plan administrator’s name and address
Administrator’s EIN 371033021
Plan administrator’s name HEISER INSURANCE AGENCY, INC.
Plan administrator’s address 133 S. MAIN STREET, MORTON, IL, 61550
Administrator’s telephone number 3092638431

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing GLEN A. PARROTT
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GLEN A PARROTT, 133 S MAIN ST, MORTON, 61550, TAZEWELL Agent 2015-04-07

President

Name and Address Role
SAMUEL R PARROTT, 133 MAIN ST, MORTON IL 61550 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
HEISER INSURANCE AND FINANCIAL SERVICES No data 1988-03-03 1990-01-02 Involuntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
CLASS A No data Voting Rights 20000 14750000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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