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W. R. JACOBS, INC.

Company Details

Entity Name: W. R. JACOBS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Foreign BCA
Status: Revoked
Date Formed: 07 Dec 1978
Company Number: CORP_51618416
File Number: 51618416
Date Status Change: 01 May 1998
Address 965 W CHICAGO AVE, CHICAGO, IL, 60642
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OFFICE CONCEPTS INC. 401(K) RETIREMENT PLAN 2012 364022947 2013-10-08 OFFICE CONCEPTS, INC. 128
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-07-01
Business code 423200
Sponsor’s telephone number 3125635257
Plan sponsor’s mailing address 1142 N NORTH BRANCH ST., CHICAGO, IL, 60642
Plan sponsor’s address 1142 N NORTH BRANCH ST., CHICAGO, IL, 60642

Plan administrator’s name and address

Administrator’s EIN 364022947
Plan administrator’s name OFFICE CONCEPTS, INC.
Plan administrator’s address 1142 N NORTH BRANCH ST., CHICAGO, IL, 60642
Administrator’s telephone number 3125635257

Number of participants as of the end of the plan year

Active participants 77
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 48
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 117
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2013-10-08
Name of individual signing MARY ANN SMITH
Valid signature Filed with authorized/valid electronic signature
OFFICE CONCEPTS INC. 401(K) RETIREMENT PLAN 2011 364022947 2012-10-15 OFFICE CONCEPTS, INC. 134
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-07-01
Business code 423200
Sponsor’s telephone number 3125635257
Plan sponsor’s mailing address 1142 N. NORTH BRANCH CT., CHICAGO, IL, 60622
Plan sponsor’s address 1142 N. NORTH BRANCH CT., CHICAGO, IL, 60622

Plan administrator’s name and address

Administrator’s EIN 364022947
Plan administrator’s name OFFICE CONCEPTS, INC.
Plan administrator’s address 1142 N. NORTH BRANCH CT., CHICAGO, IL, 60622
Administrator’s telephone number 3125635257

Number of participants as of the end of the plan year

Active participants 74
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 52
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 119
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing MARY ANN SMITH
Valid signature Filed with authorized/valid electronic signature
OFFICE CONCEPTS INC. 401(K) RETIREMENT PLAN 2010 364022947 2011-10-14 OFFICE CONCEPTS, INC. 152
Three-digit plan number (PN) 001
Effective date of plan 1968-07-01
Business code 423200
Sponsor’s telephone number 3125635257
Plan sponsor’s mailing address 965 W. CHICAGO AVE., CHICAGO, IL, 60642
Plan sponsor’s address 965 W. CHICAGO AVE., CHICAGO, IL, 60642

Plan administrator’s name and address

Administrator’s EIN 364022947
Plan administrator’s name OFFICE CONCEPTS, INC.
Plan administrator’s address 965 W. CHICAGO AVE., CHICAGO, IL, 60642
Administrator’s telephone number 3125635257

Number of participants as of the end of the plan year

Active participants 78
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 54
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 125
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Employer/plan sponsor
Date 2011-10-14
Name of individual signing THOMAS WORNIAK
Valid signature Filed with authorized/valid electronic signature
OFFICE CONCEPTS INC. 401(K) RETIREMENT PLAN 2009 364022947 2010-09-07 OFFICE CONCEPTS, INC. 181
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1968-07-01
Business code 423200
Sponsor’s telephone number 3125635257
Plan sponsor’s mailing address 965 W. CHICAGO AVE., CHICAGO, IL, 60642
Plan sponsor’s address 965 W. CHICAGO AVE., CHICAGO, IL, 60642

Plan administrator’s name and address

Administrator’s EIN 364022947
Plan administrator’s name OFFICE CONCEPTS, INC.
Plan administrator’s address 965 W. CHICAGO AVE., CHICAGO, IL, 60642
Administrator’s telephone number 3125635257

Number of participants as of the end of the plan year

Active participants 92
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 58
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 142
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Employer/plan sponsor
Date 2010-09-07
Name of individual signing THOMAS WORNIAK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LEWIS B GREENBLATT, 401 N MICHIGAN AVE STE 1900, CHICAGO, 60611, COOK-NOT IN CITY OF CHICAGO Agent 1996-01-05

President

Name and Address Role
W R JACOBS, 1900 HARBOURSIDE DR #101 LONGBOAT KEY FL 34228 President

Historical Names

Name Change Date
OFFICE CONCEPTS, INC. 1995-07-06

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Rights Unknown 10000 7906000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State