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  5. M.L. SULLIVAN INSURANCE AGENCY, INC.

M.L. SULLIVAN INSURANCE AGENCY, INC.

Company Details

Entity Name: M.L. SULLIVAN INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Feb 1985
Company Number: CORP_53728227
File Number: 53728227
Type of Business: Insurance and/or real estate agencies and brokers
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
M.L. SULLIVAN INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2016 363343489 2017-10-05 M.L. SULLIVAN INSURANCE AGENCY, INC. 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 6302894410
Plan sponsor’s address 852 WEST BARTLETT ROAD, BARTLETT, IL, 60103

Signature of
Role Plan administrator
Date 2017-10-05
Name of individual signing WILLIAM SULLIVAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-05
Name of individual signing WILLIAM SULLIVAN
Valid signature Filed with authorized/valid electronic signature
M.L. SULLIVAN INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2015 363343489 2016-06-28 M.L. SULLIVAN INSURANCE AGENCY, INC. 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 6302894410
Plan sponsor’s address 852 WEST BARTLETT ROAD, BARTLETT, IL, 60103

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing WILLIAM SULLIVAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-28
Name of individual signing WILLIAM SULLIVAN
Valid signature Filed with authorized/valid electronic signature
M.L. SULLIVAN INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2014 363343489 2015-05-15 M.L. SULLIVAN INSURANCE AGENCY, INC. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 6302894410
Plan sponsor’s address 852 WEST BARTLETT ROAD, BARTLETT, IL, 60103

Signature of
Role Plan administrator
Date 2015-05-15
Name of individual signing DIANA BRILL
Valid signature Filed with authorized/valid electronic signature
M.L. SULLIVAN INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2013 363343489 2014-03-11 M.L. SULLIVAN INSURANCE AGENCY, INC. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 6302894410
Plan sponsor’s address 852 WEST BARTLETT ROAD, BARTLETT, IL, 60103

Signature of
Role Plan administrator
Date 2014-03-10
Name of individual signing DIANA BRILL
Valid signature Filed with authorized/valid electronic signature
M.L. SULLIVAN INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2012 363343489 2013-05-13 M.L. SULLIVAN INSURANCE AGENCY, INC. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 6302894410
Plan sponsor’s address 852 WEST BARTLETT ROAD, BARTLETT, IL, 60103

Signature of
Role Plan administrator
Date 2013-05-13
Name of individual signing DIANA BRILL
Valid signature Filed with authorized/valid electronic signature
M.L. SULLIVAN INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2011 363343489 2012-05-07 M.L. SULLIVAN INSURANCE AGENCY, INC. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 6302894410
Plan sponsor’s address 852 WEST BARTLETT ROAD, BARTLETT, IL, 60103

Plan administrator’s name and address
Administrator’s EIN 363343489
Plan administrator’s name M.L. SULLIVAN INSURANCE AGENCY, INC.
Plan administrator’s address 852 WEST BARTLETT ROAD, BARTLETT, IL, 60103
Administrator’s telephone number 6302894410

Signature of
Role Plan administrator
Date 2012-05-04
Name of individual signing DIANA BRILL
Valid signature Filed with authorized/valid electronic signature
M.L. SULLIVAN INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2010 363343489 2011-10-12 M.L. SULLIVAN INSURANCE AGENCY, INC. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 6302894410
Plan sponsor’s address 852 WEST BARTLETT ROAD, BARTLETT, IL, 60103

Plan administrator’s name and address
Administrator’s EIN 363343489
Plan administrator’s name M.L. SULLIVAN INSURANCE AGENCY, INC.
Plan administrator’s address 852 WEST BARTLETT ROAD, BARTLETT, IL, 60103
Administrator’s telephone number 6302894410

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing DIANA BRILL
Valid signature Filed with authorized/valid electronic signature
M.L. SULLIVAN INSURANCE AGENCY, INC. 401(K) PROFIT SHARING PLAN 2009 363343489 2010-08-24 M.L. SULLIVAN INSURANCE AGENCY, INC. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 6302894410
Plan sponsor’s address 852 WEST BARTLETT ROAD, BARTLETT, IL, 60103

Plan administrator’s name and address
Administrator’s EIN 363343489
Plan administrator’s name M.L. SULLIVAN INSURANCE AGENCY, INC.
Plan administrator’s address 852 WEST BARTLETT ROAD, BARTLETT, IL, 60103
Administrator’s telephone number 6302894410

Signature of
Role Plan administrator
Date 2010-08-24
Name of individual signing LAWRENCE SULLIVAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-24
Name of individual signing LAWRENCE SULLIVAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID D O'SULLIVAN, 1755 S NAPERVILLE RD STE 200, WHEATON, 60189, DU PAGE Agent 2010-01-15

President

Name and Address Role
WILLIAM T SULLIVAN, 852 W BARTLETT RD BARTLETT IL 60103 President

Secretary

Name and Address Role
SOLE OFFICER Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
SULLIVAN AND ASSOCIATES-INSURANCE AND RISK MANAGEMENT Assume Name 2005-01-24 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 2000 500000 1

Related by officers

WILLIAM T SULLIVAN, 852 W BARTLETT RD BARTLETT IL 60103

EXECUTIVE AND GLOBAL INSURANCE RISK MANAGERS, INC.

SOLE OFFICER

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DAVID D O'SULLIVAN, 1755 S NAPERVILLE RD STE 200, WHEATON, 60189, DU PAGE

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Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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