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HEIDI HO, INC.

Company Details

Entity Name: HEIDI HO, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 22 Mar 1990
Date of Dissolution: 02 Aug 2004
Company Number: CORP_55890889
File Number: 55890889
Type of Business: All Inclusive Purpose
Date Status Change: 02 Aug 2004
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHAKER'S LOUNGE, INC. 401(K) PROFIT SHARING PLAN 2018 364400554 2019-07-18 SHAKERS LOUNGE, INC. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 722511
Sponsor’s telephone number 8154332110
Plan sponsor’s address 121 W STEVENSON ROAD, OTTAWA, IL, 613509675

Signature of

Role Plan administrator
Date 2019-07-18
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
SHAKER'S LOUNGE, INC. 401(K) PROFIT SHARING PLAN 2018 364400554 2019-07-18 SHAKERS LOUNGE, INC. 9
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 722511
Sponsor’s telephone number 8154332110
Plan sponsor’s address 121 W STEVENSON ROAD, OTTAWA, IL, 613509675

Signature of

Role Plan administrator
Date 2019-07-18
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
SHAKER'S LOUNGE, INC. CASH BALANCE PLAN 2018 364400554 2019-07-18 SHAKERS LOUNGE, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 722511
Sponsor’s telephone number 8154332110
Plan sponsor’s address 121 W STEVENSON ROAD, OTTAWA, IL, 613509675

Signature of

Role Plan administrator
Date 2019-07-18
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
SHAKER'S LOUNGE, INC. CASH BALANCE PLAN 2018 364400554 2019-07-18 SHAKERS LOUNGE, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 722511
Sponsor’s telephone number 8154332110
Plan sponsor’s address 121 W STEVENSON ROAD, OTTAWA, IL, 613509675

Signature of

Role Plan administrator
Date 2019-07-18
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
SHAKER'S LOUNGE, INC. 401(K) PROFIT SHARING PLAN 2017 364400554 2018-10-09 SHAKERS LOUNGE, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 722511
Sponsor’s telephone number 8154332110
Plan sponsor’s address 121 W STEVENSON ROAD, OTTAWA, IL, 613509675

Signature of

Role Plan administrator
Date 2018-10-09
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
SHAKER'S LOUNGE, INC. CASH BALANCE PLAN 2017 364400554 2018-10-09 SHAKERS LOUNGE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 722511
Sponsor’s telephone number 8154332110
Plan sponsor’s address 121 W STEVENSON ROAD, OTTAWA, IL, 613509675

Signature of

Role Plan administrator
Date 2018-10-09
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
SHAKER'S LOUNGE, INC. CASH BALANCE PLAN 2016 364400554 2017-10-09 SHAKERS LOUNGE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 722511
Sponsor’s telephone number 8154332110
Plan sponsor’s address 121 W STEVENSON ROAD, OTTAWA, IL, 613509675

Signature of

Role Plan administrator
Date 2017-10-09
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
SHAKER'S LOUNGE, INC. 401(K) PROFIT SHARING PLAN 2016 364400554 2017-10-09 SHAKERS LOUNGE, INC. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 722511
Sponsor’s telephone number 8154332110
Plan sponsor’s address 121 W STEVENSON ROAD, OTTAWA, IL, 613509675

Signature of

Role Plan administrator
Date 2017-10-09
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
SHAKER'S LOUNGE, INC. 401(K) PROFIT SHARING PLAN 2015 364400554 2016-06-24 SHAKERS LOUNGE, INC. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-01-01
Business code 722511
Sponsor’s telephone number 8154332110
Plan sponsor’s address 121 W STEVENSON ROAD, OTTAWA, IL, 613509675

Signature of

Role Plan administrator
Date 2016-06-24
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
SHAKER'S LOUNGE, INC. CASH BALANCE PLAN 2015 364400554 2016-06-24 SHAKERS LOUNGE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 722511
Sponsor’s telephone number 8154332110
Plan sponsor’s address 121 W STEVENSON ROAD, OTTAWA, IL, 613509675

Signature of

Role Plan administrator
Date 2016-06-24
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
HEIDI KAUFENBERG, 4052 E 2351ST RD BOX 19A, SERENA, 60549, LA SALLE Agent 1995-02-21

President

Name and Address Role
HEIDI MILLER 4052 E 2351 ROAD SERENA 60549 President

Historical Names

Name Change Date
SHAKER'S LOUNGE OF CENTRAL ILLINOIS, INC. 2001-06-26
SHAKERS LOUNGE, INC. 2000-11-09

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 100000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State