| Entity Name: | LIGHTHOUSE INSURANCE AGENCY, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 29 Jan 1991 |
| Company Number: | CORP_56259295 |
| File Number: | 56259295 |
| Type of Business: | Insurance and/or real estate agencies and brokers |
| Place of Formation: | ILLINOIS |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | LIGHTHOUSE INSURANCE AGENCY, INC., IDAHO | 628386 | IDAHO |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LIGHTHOUSE INSURANCE AGENCY 401(K) RETIREMENT SAVINGS PLAN | 2023 | 371287183 | 2024-05-20 | LIGHTHOUSE INSURANCE AGENCY, INC. | 5 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-20 |
| Name of individual signing | MICHAEL LACINE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 2172532008 |
| Plan sponsor’s address | 200 E. SOUTHLINE RD, TUSCOLA, IL, 61953 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-12 |
| Name of individual signing | MICHAEL LACINE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 2172532008 |
| Plan sponsor’s address | 200 E. SOUTHLINE RD, TUSCOLA, IL, 61953 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-21 |
| Name of individual signing | MICHAEL LACINE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 2172532008 |
| Plan sponsor’s address | 200 E. SOUTHLINE RD, TUSCOLA, IL, 61953 |
Signature of
| Role | Plan administrator |
| Date | 2021-03-29 |
| Name of individual signing | MICHAEL LACINE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| STEVE G LACINE, 200 E SOUTHLINE RD, TUSCOLA, 61953, DOUGLAS | Agent | 2017-01-04 |
| Name and Address | Role |
|---|---|
| JULIE K LACINE 1461 TIMBER LANE CAMARGO IL 61919 | Secretary |
| Name and Address | Role |
|---|---|
| STEPHEN G LACINE, 1461 TIMBERLANE, CAMARGO IL 61919 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 10000 | 1000000 | No data |
Date of last update: 27 Jan 2025
