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  5. PACIFIC GENERAL INSURANCE AGENCY, INC.

PACIFIC GENERAL INSURANCE AGENCY, INC.

Company Details

Entity Name: PACIFIC GENERAL INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 23 Nov 1977
Company Number: CORP_51314085
File Number: 51314085
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PGIA, INC. 401(K) PLAN 2019 362943973 2020-10-15 PACIFIC GENERAL INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524210
Sponsor’s telephone number 6305150090
Plan sponsor’s address 210 QUAIL RIDGE DRIVE, WESTMONT, IL, 60559
PGIA, INC. 401(K) PLAN 2018 362943973 2019-10-10 PACIFIC GENERAL INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524210
Sponsor’s telephone number 6305150090
Plan sponsor’s address 210 QUAIL RIDGE DRIVE, WESTMONT, IL, 60559
PGIA, INC. 401(K) PLAN 2017 362943973 2018-06-20 PACIFIC GENERAL INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524210
Sponsor’s telephone number 6305150090
Plan sponsor’s address 210 QUAIL RIDGE DRIVE, WESTMONT, IL, 60559

Signature of
Role Plan administrator
Date 2018-06-20
Name of individual signing DAVID WIERINGA
Valid signature Filed with authorized/valid electronic signature
PGIA, INC. 401(K) PLAN 2016 362943973 2017-10-11 PACIFIC GENERAL INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524210
Sponsor’s telephone number 6305150090
Plan sponsor’s address 210 QUAIL RIDGE DRIVE, WESTMONT, IL, 60559

Signature of
Role Plan administrator
Date 2017-10-11
Name of individual signing DAVID WIERINGA
Valid signature Filed with authorized/valid electronic signature
PGIA, INC. 401(K) PLAN 2015 362943973 2016-08-18 PACIFIC GENERAL INSURANCE AGENCY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524210
Sponsor’s telephone number 6305150090
Plan sponsor’s address 5337 MAIN STREET, DOWNERS GROVE, IL, 60515

Signature of
Role Plan administrator
Date 2016-08-18
Name of individual signing DAVID WIERINGA
Valid signature Filed with authorized/valid electronic signature
PGIA, INC. 401(K) PLAN 2014 362943973 2015-06-19 PACIFIC GENERAL INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524210
Sponsor’s telephone number 6305150090
Plan sponsor’s address 5337 MAIN STREET, DOWNERS GROVE, IL, 60515

Signature of
Role Plan administrator
Date 2015-06-19
Name of individual signing DAVID WIERINGA
Valid signature Filed with authorized/valid electronic signature
PGIA, INC. 401(K) PLAN 2013 362943973 2014-10-07 PACIFIC GENERAL INSURANCE AGENCY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524210
Sponsor’s telephone number 6305150090
Plan sponsor’s address 5337 MAIN STREET, DOWNERS GROVE, IL, 60515

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing DAVID WIERINGA
Valid signature Filed with authorized/valid electronic signature
PGIA, INC. 401(K) PLAN 2012 362943973 2013-07-26 PACIFIC GENERAL INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524210
Sponsor’s telephone number 6305150090
Plan sponsor’s address 5337 MAIN STREET, DOWNERS GROVE, IL, 60515

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing DAVID WIERINGA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-26
Name of individual signing DAVID WIERINGA
Valid signature Filed with authorized/valid electronic signature
PGIA, INC. 401(K) PLAN 2011 362943973 2012-10-12 PACIFIC GENERAL INSURANCE AGENCY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524210
Sponsor’s telephone number 6305150090
Plan sponsor’s address 5337 MAIN STREET, DOWNERS GROVE, IL, 60515

Plan administrator’s name and address
Administrator’s EIN 362943973
Plan administrator’s name PACIFIC GENERAL INSURANCE AGENCY, INC.
Plan administrator’s address 5337 MAIN STREET, DOWNERS GROVE, IL, 60515
Administrator’s telephone number 6305150090

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing DAVID WIERINGA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing DAVID WIERINGA
Valid signature Filed with authorized/valid electronic signature
PGIA, INC. 401(K) PLAN 2010 362943973 2011-10-04 PACIFIC GENERAL INSURANCE AGENCY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 524210
Sponsor’s telephone number 6305150090
Plan sponsor’s address 5337 MAIN STREET, DOWNERS GROVE, IL, 60515

Plan administrator’s name and address
Administrator’s EIN 362943973
Plan administrator’s name PACIFIC GENERAL INSURANCE AGENCY, INC.
Plan administrator’s address 5337 MAIN STREET, DOWNERS GROVE, IL, 60515
Administrator’s telephone number 6305150090

Signature of
Role Plan administrator
Date 2011-10-04
Name of individual signing DAVID WIERENGA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-04
Name of individual signing DAVID WIERENGA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PATRICK A MURPHY, 815 COMMERCE DR. SUITE 240, OAK BROOK, 60523, DU PAGE Agent 2022-11-29

President

Name and Address Role
PATRICK MURPHY 815 COMMERCE SUITE 240 OAK BROOK IL 60523 President

Secretary

Name and Address Role
CHRISTE A MURPHY 815 COMMERCE SUITE 240 OAK BROOK IL 60523 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
LLOYDS CREDIT OF 5337 SOUTH MAIN STREET No data 1994-08-05 2016-04-01 Involuntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 5000 1000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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