| Entity Name: | PROFESSIONAL BENEFIT ADMINISTRATORS, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 30 Jul 1985 |
| Company Number: | CORP_53927882 |
| File Number: | 53927882 |
| Type of Business: | Business Corporations |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PROFESSIONAL BENEFIT ADMINISTRATORS, INC. RETIREMENT PLAN | 2010 | 363384135 | 2011-10-11 | PROFESSIONAL BENEFIT ADMINISTRATORS, INC. | 134 | |||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 363384135 |
| Plan administrator’s name | PROFESSIONAL BENEFIT ADMINISTRATORS, INC. |
| Plan administrator’s address | 900 JORIE BOULEVARD, OAK BROOK, IL, 60523 |
| Administrator’s telephone number | 6306553755 |
Number of participants as of the end of the plan year
| Active participants | 109 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 15 |
| 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 | 99 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 5 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-11 |
| Name of individual signing | JULIA BLAIR |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1992-04-01 |
| Business code | 524290 |
| Sponsor’s telephone number | 6306553755 |
| Plan sponsor’s mailing address | 900 JORIE BOULEVARD, OAK BROOK, IL, 60523 |
| Plan sponsor’s address | 900 JORIE BOULEVARD, OAK BROOK, IL, 60523 |
Plan administrator’s name and address
| Administrator’s EIN | 363384135 |
| Plan administrator’s name | PROFESSIONAL BENEFIT ADMINISTRATORS, INC. |
| Plan administrator’s address | 900 JORIE BOULEVARD, OAK BROOK, IL, 60523 |
| Administrator’s telephone number | 6306553755 |
Number of participants as of the end of the plan year
| Active participants | 117 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 17 |
| 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 | 106 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 3 |
Signature of
| Role | Employer/plan sponsor |
| Date | 2010-10-15 |
| Name of individual signing | JULIA BLAIR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1992-04-01 |
| Business code | 524290 |
| Sponsor’s telephone number | 6306553755 |
| Plan sponsor’s mailing address | 900 JORIE BOULEVARD, OAK BROOK, IL, 60523 |
| Plan sponsor’s address | 900 JORIE BOULEVARD, OAK BROOK, IL, 60523 |
Plan administrator’s name and address
| Administrator’s EIN | 363384135 |
| Plan administrator’s name | PROFESSIONAL BENEFIT ADMINISTRATORS, INC. |
| Plan administrator’s address | 900 JORIE BOULEVARD, OAK BROOK, IL, 60523 |
| Administrator’s telephone number | 6306553755 |
Number of participants as of the end of the plan year
| Active participants | 117 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 17 |
| 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 | 106 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 3 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-10 |
| Name of individual signing | JULIA BLAIR |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| RONALD WALTER, 900 JORIE BLVD, #250, OAK BROOK, 60523, DU PAGE | Agent | 2007-02-20 |
| Name and Address | Role |
|---|---|
| JEFFREY WALTER 26165 W RAVINEWOODS DR CHANNAHON IL 60410 | President |
| Name and Address | Role |
|---|---|
| RONALD WALTER 8045 WOODSIDE LANE BURR RIDGE IL 60527 | Secretary |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 100000 | 1071000 | No data |
Date of last update: 20 Jan 2025
