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  5. COUNTRY BOB, INC.

COUNTRY BOB, INC.

Company Details

Entity Name: COUNTRY BOB, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 16 Oct 1978
Company Number: CORP_51574249
File Number: 51574249
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COUNTRY BOB, INC. EMPLOYEES' SAVINGS & PROFIT SHARING PLAN AND TRUST 2023 371133891 2024-04-22 COUNTRY BOB, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 311900
Sponsor’s telephone number 6185332375
Plan sponsor’s address 24000 US HIGHWAY 51, CENTRALIA, IL, 62801

Signature of
Role Plan administrator
Date 2024-04-22
Name of individual signing NATE EDSON
Valid signature Filed with authorized/valid electronic signature
COUNTRY BOB, INC. EMPLOYEES' SAVINGS & PROFIT SHARING PLAN AND TRUST 2022 371133891 2023-09-14 COUNTRY BOB, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 311400
Sponsor’s telephone number 6185332375
Plan sponsor’s address 24000 N U.S. HIGHWAY 51, CENTRALIA, IL, 62801

Signature of
Role Plan administrator
Date 2023-09-14
Name of individual signing NATE EDSON
Valid signature Filed with authorized/valid electronic signature
COUNTRY BOB, INC. EMPLOYEES' SAVINGS & PROFIT SHARING PLAN AND TRUST 2021 371133891 2022-09-20 COUNTRY BOB, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 311400
Sponsor’s telephone number 6185332375
Plan sponsor’s address 24000 US HIGHWAY 51, CENTRALIA, IL, 62801

Signature of
Role Plan administrator
Date 2022-09-20
Name of individual signing NATE EDSON
Valid signature Filed with authorized/valid electronic signature
COUNTRY BOB INC EMPLOYEE GROUP HEALTH PLAN 2020 371133891 2022-03-15 COUNTRY BOB INC 10
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 311900
Sponsor’s telephone number 6185332375
Plan sponsor’s DBA name COUNTRY BOB INC
Plan sponsor’s address 2400 N US HIGHWAY 51, CENTRALIA, IL, 62801

Signature of
Role Plan administrator
Date 2022-03-15
Name of individual signing ALBERT MALEKOVIC
Valid signature Filed with authorized/valid electronic signature
COUNTRY BOB, INC. EMPLOYEES' SAVINGS & PROFIT SHARING PLAN AND TRUST 2020 371133891 2021-07-29 COUNTRY BOB, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 311400
Sponsor’s telephone number 6185332375
Plan sponsor’s address 24000 US HIGHWAY 51, CENTRALIA, IL, 62801

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing REED MALEKOVIC
Valid signature Filed with authorized/valid electronic signature
COUNTRY BOB INC EMPLOYEE GROUP HEALTH PLAN 2019 371133891 2020-07-30 COUNTRY BOB INC 10
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-01-01
Business code 311900
Sponsor’s telephone number 6185332375
Plan sponsor’s address 24000 N US HIGHWAY 51, CENTRALIA, IL, 628018992

Signature of
Role Plan administrator
Date 2020-07-30
Name of individual signing REED MALEKOVIC
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-30
Name of individual signing REED MALEKOVIC
Valid signature Filed with authorized/valid electronic signature
COUNTRY BOB, INC. EMPLOYEES' SAVINGS & PROFIT SHARING PLAN AND TRUST 2019 371133891 2020-07-14 COUNTRY BOB, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 311400
Sponsor’s telephone number 6185332375
Plan sponsor’s address 24000 US HIGHWAY 51, CENTRALIA, IL, 62801

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing REED MALEKOVIC
Valid signature Filed with authorized/valid electronic signature
COUNTRY BOB INC EMPLOYEE GROUP HEALTH PLAN 2018 371133891 2019-08-01 COUNTRY BOB, INC. 11
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2018-01-01
Business code 311900
Sponsor’s telephone number 6185332375
Plan sponsor’s address 24000 N US HIGHWAY 51, CENTRALIA, IL, 628018992

Signature of
Role Plan administrator
Date 2019-08-01
Name of individual signing REED MALEKOVIC
Valid signature Filed with authorized/valid electronic signature
COUNTRY BOB INC EMPLOYEE GROUP HEALTH PLAN 2018 371133891 2019-08-01 COUNTRY BOB, INC. 11
Three-digit plan number (PN) 501
Effective date of plan 2018-01-01
Business code 311900
Sponsor’s telephone number 6185332375
Plan sponsor’s address 24000 N US HIGHWAY 51, CENTRALIA, IL, 628018992

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

Signature of
Role Employer/plan sponsor
Date 2019-08-01
Name of individual signing REED MALEKOVIC
Valid signature Filed with authorized/valid electronic signature
COUNTRY BOB, INC. EMPLOYEES' SAVINGS & PROFIT SHARING PLAN AND TRUST 2018 371133891 2019-07-18 COUNTRY BOB, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 311400
Sponsor’s telephone number 6185332375
Plan sponsor’s address 24000 US HIGHWAY 51, CENTRALIA, IL, 62801

Signature of
Role Plan administrator
Date 2019-07-18
Name of individual signing REED MALEKOVIC
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ALBERT ASHBY MALEKOVIC, 24000 US HIGHWAY 51, CENTRALIA, 62801, MARION Agent 2022-10-04

President

Name and Address Role
ALBERT MALEKOVIC, 2301 BUNDYVILLE RD WALNUT HILL IL 62893 President

Secretary

Name and Address Role
CALEB EDSON, 43 WOODS LN CENTRALIA IL 62801 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 500000 10000000 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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