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  5. LEDBETTER INSURANCE AGENCY, INC.

LEDBETTER INSURANCE AGENCY, INC.

Company Details

Entity Name: LEDBETTER INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 23 Aug 1990
Company Number: CORP_56081143
File Number: 56081143
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LEDBETTER INSURANCE AGENCY SIMPLE 401(K) RETIREMENT PLAN 2014 371274822 2015-07-08 LEDBETTER INSURANCE AGENCY, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 524210
Sponsor’s telephone number 3096735544
Plan sponsor’s address 308 N. WESTERN, PEORIA, IL, 616040000

Signature of
Role Plan administrator
Date 2015-07-08
Name of individual signing BRIAN KEITH LEDBETTER
Valid signature Filed with authorized/valid electronic signature
LEDBETTER INSURANCE AGENCY SIMPLE 401(K) RETIREMENT PLAN 2013 371274822 2014-07-15 LEDBETTER INSURANCE AGENCY, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 524210
Sponsor’s telephone number 3096735544
Plan sponsor’s address 308 N. WESTERN, PEORIA, IL, 616040000

Signature of
Role Plan administrator
Date 2014-07-15
Name of individual signing BRIAN KEITH LEDBETTER
Valid signature Filed with authorized/valid electronic signature
LEDBETTER INSURANCE AGENCY SIMPLE 401(K) RETIREMENT PLAN 2012 371274822 2013-09-04 LEDBETTER INSURANCE AGENCY, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 524210
Sponsor’s telephone number 3096735544
Plan sponsor’s address 308 N. WESTERN, PEORIA, IL, 616040000

Signature of
Role Plan administrator
Date 2013-09-04
Name of individual signing BRIAN KEITH LEDBETTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-04
Name of individual signing BRIAN KEITH LEDBETTER
Valid signature Filed with authorized/valid electronic signature
LEDBETTER INSURANCE AGENCY SIMPLE 401(K) RETIREMENT PLAN 2011 371274822 2012-07-11 LEDBETTER INSURANCE AGENCY, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 524210
Sponsor’s telephone number 3096735544
Plan sponsor’s address 308 N. WESTERN, PEORIA, IL, 616040000

Plan administrator’s name and address
Administrator’s EIN 371274822
Plan administrator’s name LEDBETTER INSURANCE AGENCY, INC
Plan administrator’s address 308 N. WESTERN, PEORIA, IL, 616040000
Administrator’s telephone number 3096735544

Signature of
Role Plan administrator
Date 2012-07-11
Name of individual signing BRIAN KEITH LEDBETTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-11
Name of individual signing BRIAN KEITH LEDBETTER
Valid signature Filed with authorized/valid electronic signature
LEDBETTER INSURANCE AGENCY SIMPLE 401(K) RETIREMENT PLAN 2010 371274822 2011-05-05 LEDBETTER INSURANCE AGENCY, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 524210
Sponsor’s telephone number 3096735544
Plan sponsor’s address 308 N. WESTERN, PEORIA, IL, 61604

Plan administrator’s name and address
Administrator’s EIN 371274822
Plan administrator’s name LEDBETTER INSURANCE AGENCY, INC
Plan administrator’s address 308 N. WESTERN, PEORIA, IL, 61604
Administrator’s telephone number 3096735544

Signature of
Role Plan administrator
Date 2011-05-05
Name of individual signing BRIAN KEITH LEDBETTER
Valid signature Filed with authorized/valid electronic signature
LEDBETTER INSURANCE AGENCY SIMPLE 401(K) RETIREMENT PLAN 2009 371274822 2010-07-08 LEDBETTER INSURANCE AGENCY, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-03-01
Business code 524210
Sponsor’s telephone number 3096735544
Plan sponsor’s address 308 N. WESTERN AVE, PEORIA, IL, 61604

Plan administrator’s name and address
Administrator’s EIN 371274822
Plan administrator’s name LEDBETTER INSURANCE AGENCY, INC
Plan administrator’s address 308 N. WESTERN AVE, PEORIA, IL, 61604
Administrator’s telephone number 3096735544

Signature of
Role Plan administrator
Date 2010-07-08
Name of individual signing BRIAN K LEDBETTER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRIAN KEITH LEDBETTER, 308 N WESTERN AVE, PEORIA, 61604, PEORIA Agent 2015-07-08

President

Name and Address Role
BRIAN LEDBETTER, 1815 W MARTINLUTHER KING DR PEORIA 61605 President

Secretary

Name and Address Role
GARNET LEDBETTER, 4513 W REDBUD DR, PEORIA 61604 Secretary

Shares

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

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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