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  5. BOURBON TILE & MARBLE, INC.

BOURBON TILE & MARBLE, INC.

Company Details

Entity Name: BOURBON TILE & MARBLE, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 30 May 1991
Company Number: CORP_56410295
File Number: 56410295
Type of Business: Construction – Special trade contractors (plumbing, heating, electrical, masonry, carpentry, roofing, landscaping, etc.)
Address 270 LEXINGTON 1ST, BUFFALO GROVE, IL, 60089
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOURBON TILE & MARBLE, INC. 401(K) PLAN 2023 363770113 2024-10-10 BOURBON TILE & MARBLE, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 423990
Sponsor’s telephone number 8472299694
Plan sponsor’s address 270 LEXINGTON DRIVE, BUFFALO GROVE, IL, 60089

Signature of
Role Plan administrator
Date 2024-10-10
Name of individual signing NANCY E. BOURBON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-10
Name of individual signing NANCY E. BOURBON
Valid signature Filed with authorized/valid electronic signature
BOURBON TILE & MARBLE, INC. 401(K) PLAN 2022 363770113 2023-10-05 BOURBON TILE & MARBLE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 423990
Sponsor’s telephone number 8472299694
Plan sponsor’s address 270 LEXINGTON DRIVE, BUFFALO GROVE, IL, 60089

Signature of
Role Plan administrator
Date 2023-10-05
Name of individual signing NANCY E. BOURBON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-05
Name of individual signing NANCY E. BOURBON
Valid signature Filed with authorized/valid electronic signature
BOURBON TILE & MARBLE, INC. 401(K) PLAN 2021 363770113 2022-10-17 BOURBON TILE & MARBLE, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 423990
Sponsor’s telephone number 8472299694
Plan sponsor’s address 270 LEXINGTON DRIVE, BUFFALO GROVE, IL, 60089

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing NANCY BOURBON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-17
Name of individual signing NANCY BOURBON
Valid signature Filed with authorized/valid electronic signature
BOURBON TILE & MARBLE, INC. 401(K) PLAN 2020 363770113 2021-10-07 BOURBON TILE & MARBLE, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 423990
Sponsor’s telephone number 8472299694
Plan sponsor’s address 270 LEXINGTON DRIVE, BUFFALO GROVE, IL, 60089

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing NANCY BOURBON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-07
Name of individual signing NANCY BOURBON
Valid signature Filed with authorized/valid electronic signature
BOURBON TILE & MARBLE, INC. 401(K) PLAN 2019 363770113 2020-10-09 BOURBON TILE & MARBLE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 423990
Sponsor’s telephone number 8472299694
Plan sponsor’s address 270 LEXINGTON DRIVE, BUFFALO GROVE, IL, 60089

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing NANCY BOURBON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-09
Name of individual signing NANCY BOURBON
Valid signature Filed with authorized/valid electronic signature
BOURBON TILE & MARBLE, INC. 401(K) PLAN 2018 363770113 2019-10-02 BOURBON TILE & MARBLE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 423990
Sponsor’s telephone number 8472299694
Plan sponsor’s address 270 LEXINGTON DRIVE, BUFFALO GROVE, IL, 60089

Signature of
Role Plan administrator
Date 2019-10-01
Name of individual signing NANCY E. BOURBON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-01
Name of individual signing NANCY E. BOURBON
Valid signature Filed with authorized/valid electronic signature
BOURBON TILE & MARBLE, INC. 401(K) PLAN 2017 363770113 2018-07-16 BOURBON TILE & MARBLE, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 423990
Sponsor’s telephone number 8472299694
Plan sponsor’s address 270 LEXINGTON DRIVE, BUFFALO GROVE, IL, 60089

Signature of
Role Plan administrator
Date 2018-07-12
Name of individual signing NANCY E. BOURBON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-12
Name of individual signing NANCY E. BOURBON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
NANCY E BOURBON, 270 LEXINGTON DRIVE, BUFFALO GROVE, 60089, LAKE Agent 1999-04-26

President

Name and Address Role Account Number
NANCY E BOURBON, 270 LEXINGTON DRIVE BUFFALO GROVE 60089 President 5667

Secretary

Name and Address Role Account Number
NANCY E BOURBON, 270 LEXINGTON DRIVE BUFFALO GROVE 60089 Secretary 5667

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 47723 Issued 1010 Limited Business License No data 2024-03-20 2024-05-16 2026-05-15

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 1000000 No data

Related by officers

NANCY E BOURBON, 270 LEXINGTON DRIVE, BUFFALO GROVE, 60089, LAKE

BOURBON TILE, INC.

NANCY E BOURBON, 270 LEXINGTON DRIVE BUFFALO GROVE 60089

BOURBON TILE, INC.

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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