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CHAMPAIGN SURPLUS STORE, INC.

Company Details

Entity Name: CHAMPAIGN SURPLUS STORE, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 19 Dec 1980
Company Number: CORP_52250072
File Number: 52250072
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHAMPAIGN SURPLUS 401(K) PLAN 2023 371089866 2024-09-26 CHAMPAIGN SURPLUS STORE, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 451110
Sponsor’s telephone number 2173564703
Plan sponsor’s address 3002 N. APOLLO DRIVE #1, CHAMPAIGN, IL, 61822

Signature of

Role Plan administrator
Date 2024-09-26
Name of individual signing DAN EPSTEIN
Valid signature Filed with authorized/valid electronic signature
CHAMPAIGN SURPLUS 401(K) PLAN 2023 371089866 2024-09-26 CHAMPAIGN SURPLUS STORE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 451110
Sponsor’s telephone number 2173564703
Plan sponsor’s address 3002 N. APOLLO DRIVE #1, CHAMPAIGN, IL, 61822

Signature of

Role Plan administrator
Date 2024-09-26
Name of individual signing DAN EPSTEIN
Valid signature Filed with authorized/valid electronic signature
CHAMPAIGN SURPLUS 401(K) PLAN 2022 371089866 2023-06-22 CHAMPAIGN SURPLUS STORE, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 451110
Sponsor’s telephone number 2173564769
Plan sponsor’s address 3002 N. APOLLO DRIVE #1, CHAMPAIGN, IL, 61822

Signature of

Role Plan administrator
Date 2023-06-22
Name of individual signing DAN EPSTEIN
Valid signature Filed with authorized/valid electronic signature
CHAMPAIGN SURPLUS 401(K) PLAN 2021 371089866 2022-08-30 CHAMPAIGN SURPLUS STORE, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 451110
Sponsor’s telephone number 2173564703
Plan sponsor’s address 3002 N. APOLLO DRIVE #1, CHAMPAIGN, IL, 61822

Signature of

Role Plan administrator
Date 2022-08-30
Name of individual signing DAN EPSTEIN
Valid signature Filed with authorized/valid electronic signature
CHAMPAIGN SURPLUS 401(K) PLAN 2020 371089866 2021-05-25 CHAMPAIGN SURPLUS STORE, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 451110
Sponsor’s telephone number 2173564703
Plan sponsor’s address 3002 N. APOLLO DRIVE #1, CHAMPAIGN, IL, 61822

Signature of

Role Plan administrator
Date 2021-05-25
Name of individual signing DAN EPSTEIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DANIEL LOUIS EPSTEIN, 4201 BRITTANY TRAIL DR, CHAMPAIGN, 61822, CHAMPAIGN Agent 2024-09-08

President

Name and Address Role
DANIEL EPSTEIN 4201 BRITTANY TRAIL DRIVE CHAMPAIGN IL, 61822 President

Secretary

Name and Address Role
SHIRA EPSTEIN 4201 BRITTANY TRAIL DRIVE CHAMPAIGN IL, 61822 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 100000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State