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J & R AMUSEMENT INC.

J & R AMUSEMENT INC.

Company Details

Entity Name:	J & R AMUSEMENT INC.
Jurisdiction:	Illinois
Entity Type:	Corporation - Domestic BCA
Status:	Dissolved
Date Formed:	16 Jun 1981
Date of Dissolution:	08 Nov 2019
Company Number:	CORP_52418615
File Number:	52418615
Date Status Change:	08 Nov 2019
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

J & R AMUSEMENT 401(K) PLAN & TRUST

2012

363160009

2013-07-19

J & R AMUSEMENT, INC.

10

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2003-04-01
Business code	713900
Sponsor’s telephone number	7735220017
Plan sponsor’s address	8404 WILMETTE AVENUE SUITE G, DARIEN, IL, 60561

Signature of

Role	Plan administrator
Date	2013-07-19
Name of individual signing	SCOTT EMERING
Valid signature	Filed with authorized/valid electronic signature

J & R AMUSEMENT 401(K) PLAN & TRUST

2011

363160009

2012-04-20

J & R AMUSEMENT, INC.

11

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2003-04-01
Business code	713900
Sponsor’s telephone number	7735220017
Plan sponsor’s address	8404 WILMETTE AVENUE SUITE G, DARIEN, IL, 60561

Plan administrator’s name and address

Administrator’s EIN	363160009
Plan administrator’s name	J & R AMUSEMENT, INC.
Plan administrator’s address	8404 WILMETTE AVENUE SUITE G, DARIEN, IL, 60561
Administrator’s telephone number	7735220017

Signature of

Role	Plan administrator
Date	2012-04-20
Name of individual signing	SCOTT EMERING
Valid signature	Filed with authorized/valid electronic signature

J & R AMUSEMENT 401(K) PLAN & TRUST

2010

363160009

2011-08-03

J & R AMUSEMENT, INC.

12

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2003-04-01
Business code	713900
Sponsor’s telephone number	7735220017
Plan sponsor’s address	8404 WILMETTE AVENUE SUITE G, DARIEN, IL, 60561

Plan administrator’s name and address

Administrator’s EIN	363160009
Plan administrator’s name	J & R AMUSEMENT, INC.
Plan administrator’s address	8404 WILMETTE AVENUE SUITE G, DARIEN, IL, 60561
Administrator’s telephone number	7735220017

Signature of

Role	Plan administrator
Date	2011-08-03
Name of individual signing	SCOTT EMERING
Valid signature	Filed with authorized/valid electronic signature

J & R AMUSEMENT 401(K) PLAN & TRUST

2009

363160009

2010-09-22

J & R AMUSEMENT, INC.

13

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2003-04-01
Business code	713900
Sponsor’s telephone number	7735220017
Plan sponsor’s address	6226 WEST OGDEN AVENUE, BERWYN, IL, 60402

Plan administrator’s name and address

Administrator’s EIN	363160009
Plan administrator’s name	J & R AMUSEMENT, INC.
Plan administrator’s address	6226 WEST OGDEN AVENUE, BERWYN, IL, 60402
Administrator’s telephone number	7735220017

Signature of

Role	Plan administrator
Date	2010-09-22
Name of individual signing	SCOTT EMERING
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
RICHARD N KAPLAN, 6160 N CICERO AVENUE STE 320, CHICAGO, 60646, COOK-NOT IN CITY OF CHICAGO	Agent	1999-10-04

President

Name and Address	Role
THOMAS RUZICKA; 8529 ARIZONA TRAIL, WILLOW SPRINGS IL. 60480	President

Shares

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMMON	No data	Voting Rights	10000	10000000	No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State