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J. MARTIN INSURANCE AGENCY, LTD.

Company Details

Entity Name: J. MARTIN INSURANCE AGENCY, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 29 Dec 1989
Company Number: CORP_55788383
File Number: 55788383
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
J. MARTIN INSURANCE AGENCY LTD 401K PLAN 2023 364200067 2024-04-24 J. MARTIN INSURANCE AGENCY LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 8473366800
Plan sponsor’s address 1761 N DILLEYS RD, SUITE 103, GURNEE, IL, 60031

Signature of

Role Plan administrator
Date 2024-04-24
Name of individual signing JACK MARTIN
Valid signature Filed with authorized/valid electronic signature
J. MARTIN INSURANCE AGENCY LTD 401K PLAN 2022 364200067 2023-04-19 J. MARTIN INSURANCE AGENCY LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 8473366800
Plan sponsor’s address 1761 N DILLEYS RD, SUITE 103, GURNEE, IL, 60031

Signature of

Role Plan administrator
Date 2023-04-19
Name of individual signing JACK MARTIN
Valid signature Filed with authorized/valid electronic signature
J. MARTIN INSURANCE AGENCY LTD 401K PLAN 2021 364200067 2022-05-05 J. MARTIN INSURANCE AGENCY LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 8473366800
Plan sponsor’s address 1761 N DILLEYS RD, SUITE 103, GURNEE, IL, 60031

Signature of

Role Plan administrator
Date 2022-05-05
Name of individual signing JACK MARTIN
Valid signature Filed with authorized/valid electronic signature
J. MARTIN INSURANCE AGENCY LTD 401K PLAN 2020 364200067 2021-08-30 J. MARTIN INSURANCE AGENCY LTD 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 8473366800
Plan sponsor’s address 35 TOWER CT, SUITE L, GURNEE, IL, 60031

Signature of

Role Plan administrator
Date 2021-08-30
Name of individual signing JACK MARTIN
Valid signature Filed with authorized/valid electronic signature
J. MARTIN INSURANCE AGENCY LTD 401K PLAN 2019 364200067 2020-08-04 J. MARTIN INSURANCE AGENCY LTD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 8473366800
Plan sponsor’s address 35 TOWER CT, SUITE L, GURNEE, IL, 60031

Signature of

Role Plan administrator
Date 2020-08-04
Name of individual signing JACK MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-04
Name of individual signing JACK MARTIN
Valid signature Filed with authorized/valid electronic signature
J. MARTIN INSURANCE AGENCY LTD 401K PLAN 2018 364200067 2019-05-08 J. MARTIN INSURANCE AGENCY LTD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 8473366800
Plan sponsor’s address 35 TOWER CT, SUITE L, GURNEE, IL, 60031

Signature of

Role Plan administrator
Date 2019-05-08
Name of individual signing JACK MARTIN
Valid signature Filed with authorized/valid electronic signature
JACK T. MARTIN INSURANCE AGENCY, LTD. PROFIT SHARING PLAN 2013 364200067 2014-03-07 JACK T. MARTIN INSURANCE AGENCY, LTD 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524210
Sponsor’s telephone number 8473366800
Plan sponsor’s address 35 TOWER COURT, SUITE L, GURNEE, IL, 60031

Signature of

Role Plan administrator
Date 2014-03-07
Name of individual signing JACK MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-07
Name of individual signing JACK MARTIN
Valid signature Filed with authorized/valid electronic signature
JACK T. MARTIN INSURANCE AGENCY, LTD. PROFIT SHARING PLAN 2012 364200067 2013-10-28 JACK T. MARTIN INSURANCE AGENCY, LTD 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524210
Sponsor’s telephone number 8473366800
Plan sponsor’s address 35 TOWER COURT, SUITE L, GURNEE, IL, 60031

Signature of

Role Plan administrator
Date 2013-10-28
Name of individual signing JACK MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-28
Name of individual signing JACK MARTIN
Valid signature Filed with authorized/valid electronic signature
JACK T. MARTIN INSURANCE AGENCY, LTD. PROFIT SHARING PLAN 2011 364200067 2012-05-21 JACK T. MARTIN INSURANCE AGENCY, LTD 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 524210
Sponsor’s telephone number 8473366800
Plan sponsor’s address 35 TOWER COURT, SUITE L, GURNEE, IL, 60031

Plan administrator’s name and address

Administrator’s EIN 364200067
Plan administrator’s name JACK T. MARTIN INSURANCE AGENCY, LTD
Plan administrator’s address 35 TOWER COURT, SUITE L, GURNEE, IL, 60031
Administrator’s telephone number 8473366800

Signature of

Role Plan administrator
Date 2012-05-21
Name of individual signing JACK MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-21
Name of individual signing JACK MARTIN
Valid signature Filed with authorized/valid electronic signature
JACK T. MARTIN INSURANCE AGENCY, LTD. PROFIT SHARING PLAN 2010 364200067 2011-08-16 JACK T. MARTIN INSURANCE AGENCY, LTD. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 524210
Sponsor’s telephone number 8473366800
Plan sponsor’s address 35 TOWER COURT, SUITE L, GURNEE, IL, 60031

Plan administrator’s name and address

Administrator’s EIN 364200067
Plan administrator’s name JACK T. MARTIN INSURANCE AGENCY, LTD.
Plan administrator’s address 35 TOWER COURT, SUITE L, GURNEE, IL, 60031
Administrator’s telephone number 8473366800

Signature of

Role Plan administrator
Date 2011-08-16
Name of individual signing JACK MARTIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-16
Name of individual signing JACK MARTIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
WILLIAM S HERST, 555 SKOKIE BLVD STE 500, NORTHBROOK, 60062, COOK-NOT IN CITY OF CHICAGO Agent 2008-03-20

President

Name and Address Role
JACK T MARTIN 1761 N DILLEYS RD SUITE 103 GURNEE IL. 60031 President

Historical Names

Name Change Date
JACK T. MARTIN INSURANCE AGENCY, LTD. 2000-02-01

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 1000000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State