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AMERICAN HARDWARE & LUMBER INSURANCE AGENCY, INC.

Headquarter

Company Details

Entity Name: AMERICAN HARDWARE & LUMBER INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 06 Mar 1978
Company Number: CORP_51390342
File Number: 51390342
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of AMERICAN HARDWARE & LUMBER INSURANCE AGENCY, INC., ALABAMA 000-929-999 ALABAMA
Headquarter of AMERICAN HARDWARE & LUMBER INSURANCE AGENCY, INC., NEW YORK 3825265 NEW YORK
Headquarter of AMERICAN HARDWARE & LUMBER INSURANCE AGENCY, INC., FLORIDA F05000003423 FLORIDA
Headquarter of AMERICAN HARDWARE & LUMBER INSURANCE AGENCY, INC., MINNESOTA 9e4a588c-a0d4-e011-a886-001ec94ffe7f MINNESOTA
Headquarter of AMERICAN HARDWARE & LUMBER INSURANCE AGENCY, INC., KENTUCKY 0411926 KENTUCKY
Headquarter of AMERICAN HARDWARE & LUMBER INSURANCE AGENCY, INC., COLORADO 19891101857 COLORADO
Headquarter of AMERICAN HARDWARE & LUMBER INSURANCE AGENCY, INC., IDAHO 622893 IDAHO

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEMBER INSURANCE AGENCY RETIREMENT SAVINGS PLAN 2012 362964176 2013-05-31 MEMBER INSURANCE AGENCY, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-07-01
Business code 524210
Sponsor’s telephone number 8003230131
Plan sponsor’s mailing address 760 W. MAIN STREET, SUITE 100, BARRINGTON, IL, 60010
Plan sponsor’s address 760 W. MAIN STREET, SUITE 100, BARRINGTON, IL, 60010

Plan administrator’s name and address

Administrator’s EIN 362964176
Plan administrator’s name MEMBER INSURANCE AGENCY, INC.
Plan administrator’s address 760 W. MAIN STREET, SUITE 100, BARRINGTON, IL, 60010
Administrator’s telephone number 8003230131

Number of participants as of the end of the plan year

Active participants 32
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 14
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 46
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 5

Signature of

Role Plan administrator
Date 2013-05-31
Name of individual signing DOUGLAS JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-31
Name of individual signing DOUGLAS JENSEN
Valid signature Filed with authorized/valid electronic signature
MEMBER INSURANCE AGENCY RETIREMENT SAVINGS PLAN 2011 362964176 2012-06-29 MEMBER INSURANCE AGENCY, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-07-01
Business code 524210
Sponsor’s telephone number 8472772628
Plan sponsor’s mailing address 760 W. MAIN STREET, SUITE 100, BARRINGTON, IL, 60010
Plan sponsor’s address 760 W. MAIN STREET, SUITE 100, BARRINGTON, IL, 60010

Plan administrator’s name and address

Administrator’s EIN 362964176
Plan administrator’s name MEMBER INSURANCE AGENCY, INC.
Plan administrator’s address 760 W. MAIN STREET, SUITE 100, BARRINGTON, IL, 60010
Administrator’s telephone number 8472772628

Number of participants as of the end of the plan year

Active participants 31
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 19
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 46
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 7

Signature of

Role Plan administrator
Date 2012-06-29
Name of individual signing DOUGLAS JENSEN
Valid signature Filed with authorized/valid electronic signature
MEMBER INSURANCE AGENCY RETIREMENT SAVINGS PLAN 2010 362964176 2011-04-26 MEMBER INSURANCE AGENCY, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-07-01
Business code 524210
Sponsor’s telephone number 8472772628
Plan sponsor’s mailing address 760 W. MAIN STREET, SUITE 100, BARRINGTON, IL, 60010
Plan sponsor’s address 760 W. MAIN STREET, SUITE 100, BARRINGTON, IL, 60010

Plan administrator’s name and address

Administrator’s EIN 362964176
Plan administrator’s name MEMBER INSURANCE AGENCY, INC.
Plan administrator’s address 760 W. MAIN STREET, SUITE 100, BARRINGTON, IL, 60010
Administrator’s telephone number 8472772628

Number of participants as of the end of the plan year

Active participants 26
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 31
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 56
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 23

Signature of

Role Plan administrator
Date 2011-04-26
Name of individual signing DOUGLAS JENSEN
Valid signature Filed with authorized/valid electronic signature
MEMBER INSURANCE AGENCY RETIREMENT SAVINGS PLAN 2009 362964176 2010-05-05 MEMBER INSURANCE AGENCY, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-07-01
Business code 524210
Sponsor’s telephone number 8472771800
Plan sponsor’s mailing address 760 WEST MAIN STREET, SUITE 100, BARRINGTON, IL, 60010
Plan sponsor’s address 760 WEST MAIN STREET, SUITE 100, BARRINGTON, IL, 60010

Plan administrator’s name and address

Administrator’s EIN 362964176
Plan administrator’s name MEMBER INSURANCE AGENCY, INC.
Plan administrator’s address 760 WEST MAIN STREET, SUITE 100, BARRINGTON, IL, 60010
Administrator’s telephone number 8472771800

Number of participants as of the end of the plan year

Active participants 45
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 19
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 62
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 12

Signature of

Role Plan administrator
Date 2010-05-05
Name of individual signing DOUGLAS JENSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ILLINOIS CORPORATION SERVICE COMPANY, 801 ADLAI STEVENSON DRIVE, SPRINGFIELD, 62703, SANGAMON Agent 2022-06-08

President

Name and Address Role
JEFFRERY SCOTT REYNOLDS, 800 HART RD #200, BARRINGTON 60010 President

Secretary

Name and Address Role
HAROLD NEAL WALKER JR, 800 HART RD #200, BARRINGTON 60010 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
THEWCMARKETPLACE.COM Assume Name 2023-07-05 No data No data No data
AMERICAN TRADESMEN INSURANCE AGENCY Assume Name 2023-06-15 No data No data No data
MEMBER INSURANCE UNDERWRITERS Assume Name 2016-12-02 No data No data No data
MEMBER INSURANCE GROUP Assume Name 2011-11-08 No data No data No data

Historical Names

Name Change Date
MEMBER INSURANCE AGENCY, INC. 2021-01-08
COTTER INSURANCE AGENCY, INC. 1995-05-23

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 5000 1000000 10

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State