| Entity Name: | PALM INSURANCE SERVICES, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 22 May 1990 |
| Date of Dissolution: | 18 Apr 1996 |
| Company Number: | CORP_55970599 |
| File Number: | 55970599 |
| Type of Business: | Insurance and/or real estate agencies and brokers |
| Date Status Change: | 18 Apr 1996 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE MICAR COMPANY 401(K) PLAN | 2012 | 371220582 | 2013-08-07 | THE MICAR COMPANY | 61 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 371220582 |
| Plan administrator’s name | THE MICAR COMPANY |
| Plan administrator’s address | P. O. BOX 2471, DECATUR, IL, 625242471 |
| Administrator’s telephone number | 2173620054 |
Signature of
| Role | Plan administrator |
| Date | 2013-08-07 |
| Name of individual signing | DAN CANTRELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1993-04-15 |
| Business code | 332900 |
| Sponsor’s telephone number | 2173620054 |
| Plan sponsor’s address | P. O. BOX 2471, DECATUR, IL, 625242471 |
Plan administrator’s name and address
| Administrator’s EIN | 371220582 |
| Plan administrator’s name | THE MICAR COMPANY |
| Plan administrator’s address | P. O. BOX 2471, DECATUR, IL, 625242471 |
| Administrator’s telephone number | 2173620054 |
Signature of
| Role | Plan administrator |
| Date | 2013-08-07 |
| Name of individual signing | DAN CANTRELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1993-04-15 |
| Business code | 332900 |
| Sponsor’s telephone number | 2173620054 |
| Plan sponsor’s address | P. O. BOX 2471, DECATUR, IL, 625242471 |
Plan administrator’s name and address
| Administrator’s EIN | 371220582 |
| Plan administrator’s name | THE MICAR COMPANY |
| Plan administrator’s address | P. O. BOX 2471, DECATUR, IL, 625242471 |
| Administrator’s telephone number | 2173620054 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-09 |
| Name of individual signing | DAN CANTRELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1993-04-15 |
| Business code | 332900 |
| Sponsor’s telephone number | 2173620054 |
| Plan sponsor’s address | P. O. BOX 2471, DECATUR, IL, 625242471 |
Plan administrator’s name and address
| Administrator’s EIN | 371220582 |
| Plan administrator’s name | THE MICAR COMPANY |
| Plan administrator’s address | P. O. BOX 2471, DECATUR, IL, 625242471 |
| Administrator’s telephone number | 2173620054 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-10 |
| Name of individual signing | DANIEL CANTRELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1993-04-15 |
| Business code | 332900 |
| Sponsor’s telephone number | 2173620054 |
| Plan sponsor’s address | P. O. BOX 2471, DECATUR, IL, 625242471 |
Plan administrator’s name and address
| Administrator’s EIN | 371220582 |
| Plan administrator’s name | THE MICAR COMPANY |
| Plan administrator’s address | P. O. BOX 2471, DECATUR, IL, 625242471 |
| Administrator’s telephone number | 2173620054 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-21 |
| Name of individual signing | DANIEL CANTRELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| LINDA DIANE PALM, 4511 E HILLSIDE CT, CRYSTAL LAKE, 60012, MC HENRY | Agent | 1993-04-08 |
| Name and Address | Role |
|---|---|
| LINDA D PALM, 4511 E HILLSIDE CT CRYSTAL LAKE 60012 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 100 | 100000 | No data |
Date of last update: 13 Jan 2025
