| Entity Name: | JACKSON SUPERMARKETS, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 16 Mar 1990 |
| Company Number: | CORP_55883831 |
| File Number: | 55883831 |
| Type of Business: | All Inclusive Purpose |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JACKSON SUPERMARKETS, INC. RETIREMENT SAVINGS PLAN | 2010 | 371263746 | 2011-09-06 | JACKSON SUPERMARKETS, INC. | 0 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 371263746 |
| Plan administrator’s name | JACKSON SUPERMARKETS, INC. |
| Plan administrator’s address | 302 N CENTER ST, CLINTON, IL, 617271402 |
| Administrator’s telephone number | 2179355459 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-06 |
| Name of individual signing | DAVID JACKSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-09-06 |
| Name of individual signing | DAVID JACKSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1991-01-01 |
| Business code | 445110 |
| Sponsor’s telephone number | 2179355459 |
| Plan sponsor’s address | 302 N CENTER ST, CLINTON, IL, 617271402 |
Plan administrator’s name and address
| Administrator’s EIN | 371263746 |
| Plan administrator’s name | JACKSON SUPERMARKETS, INC. |
| Plan administrator’s address | 302 N CENTER ST, CLINTON, IL, 617271402 |
| Administrator’s telephone number | 2179355459 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-12 |
| Name of individual signing | DAVID JACKSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-09-12 |
| Name of individual signing | DAVID JACKSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| DAVID ALAN JACKSON, 205 E WASHINGTON ST, CLINTON, 61727, DE WITT | Agent | 2019-02-13 |
| Name and Address | Role |
|---|---|
| DAVID A JACKSON 205 E WASHINGTON ST CLINTON 61727 | President |
| Name and Address | Role |
|---|---|
| NANCY K JACKSON | Secretary |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 2000 | 500000 | No data |
Date of last update: 27 Jan 2025
