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  5. MIDWEST CERTIFIED INSURANCE AGENCY, LTD.

MIDWEST CERTIFIED INSURANCE AGENCY, LTD.

Company Details

Entity Name: MIDWEST CERTIFIED INSURANCE AGENCY, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 03 Jan 1980
Company Number: CORP_51944577
File Number: 51944577
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN 2023 363050926 2024-08-07 MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 524210
Sponsor’s telephone number 8476408000
Plan sponsor’s address 54 WEST SEEGERS ROAD, PO BOX 670, ARLINGTON HEIGHTS, IL, 60005
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN 2022 363050926 2023-07-17 MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 524210
Sponsor’s telephone number 8476408000
Plan sponsor’s address 54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60005

Signature of
Role Plan administrator
Date 2023-07-17
Name of individual signing BRITNEY CAMACHO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-17
Name of individual signing BRITNEY CAMACHO
Valid signature Filed with authorized/valid electronic signature
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN 2021 363050926 2022-04-05 MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 524210
Sponsor’s telephone number 8476408000
Plan sponsor’s address 54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60005

Signature of
Role Plan administrator
Date 2022-04-05
Name of individual signing PERRY C CAMODECA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-05
Name of individual signing PERRY C CAMODECA
Valid signature Filed with authorized/valid electronic signature
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN 2020 363050926 2021-05-07 MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 524210
Sponsor’s telephone number 8476408000
Plan sponsor’s address 54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60005

Signature of
Role Plan administrator
Date 2021-05-07
Name of individual signing PERRY C CAMODECA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-07
Name of individual signing PERRY C CAMODECA
Valid signature Filed with authorized/valid electronic signature
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN 2019 363050926 2020-07-14 MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 524210
Sponsor’s telephone number 8476408000
Plan sponsor’s address 54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60005

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing PERRY C CAMODECA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-14
Name of individual signing PERRY C CAMODECA
Valid signature Filed with authorized/valid electronic signature
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN 2018 363050926 2019-07-02 MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 524210
Sponsor’s telephone number 8476408000
Plan sponsor’s address 54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60005

Signature of
Role Plan administrator
Date 2019-07-02
Name of individual signing PERRY C CAMODECA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-02
Name of individual signing PERRY C CAMODECA
Valid signature Filed with authorized/valid electronic signature
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN 2017 363050926 2018-06-08 MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 524210
Sponsor’s telephone number 8476408000
Plan sponsor’s address 54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60005

Signature of
Role Plan administrator
Date 2018-06-08
Name of individual signing DEBBIE STEFFENS
Valid signature Filed with authorized/valid electronic signature
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN 2016 363050926 2017-05-24 MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 524210
Sponsor’s telephone number 8476408000
Plan sponsor’s address 54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006

Signature of
Role Plan administrator
Date 2017-05-24
Name of individual signing PERRY C CAMODECA
Valid signature Filed with authorized/valid electronic signature
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN 2015 363050926 2016-05-19 MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 524210
Sponsor’s telephone number 8476408000
Plan sponsor’s address 54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006

Signature of
Role Plan administrator
Date 2016-05-19
Name of individual signing PERRY C CAMODECA
Valid signature Filed with authorized/valid electronic signature
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN 2014 363050926 2015-06-04 MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-08-01
Business code 524210
Sponsor’s telephone number 8476408000
Plan sponsor’s address 54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006

Signature of
Role Plan administrator
Date 2015-06-04
Name of individual signing JEFFREY CAMODECA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PERRY C CAMODECA, 54 W SEEGERS, ARLINGTON HEIGHTS, 60005, COOK-NOT IN CITY OF CHICAGO Agent 2015-10-21

President

Name and Address Role
PERRY CAMODECA, 54 W SEEGERS ARLINGTON HEIGHTS IL 60005 President

Secretary

Name and Address Role
ANTHONY J CAMODECA Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100 100000 No data
COMMON NON-VOTING No data No Voting Rights 900 900000 No data

Related by officers

PERRY C CAMODECA, 54 W SEEGERS, ARLINGTON HEIGHTS, 60005, COOK-NOT IN CITY OF CHICAGO

GROUP HEALTH SERVICES, L.L.C.

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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