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  5. THE CORKSCREW WINE EMPORIUM, LTD.

THE CORKSCREW WINE EMPORIUM, LTD.

Company Details

Entity Name: THE CORKSCREW WINE EMPORIUM, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 03 Jun 1994
Company Number: CORP_57843357
File Number: 57843357
Type of Business: Business Corporations
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE CORKSCREW WINE EMPORIUM, LTD. 401(K) PLAN 2016 371328277 2017-08-15 THE CORKSCREW WINE EMPORIUM, LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 445310
Sponsor’s telephone number 2176981112
Plan sponsor’s address 2613 CHATHAM ROAD, SPRINGFIELD, IL, 62704

Signature of
Role Plan administrator
Date 2017-08-03
Name of individual signing GEOFFREY BLAND
Valid signature Filed with authorized/valid electronic signature
THE CORKSCREW WINE EMPORIUM, LTD. 401(K) PLAN 2015 371328277 2016-07-28 THE CORKSCREW WINE EMPORIUM, LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 445310
Sponsor’s telephone number 2176981112
Plan sponsor’s address 2613 CHATHAM ROAD, SPRINGFIELD, IL, 62704

Signature of
Role Plan administrator
Date 2016-07-07
Name of individual signing GEOFFREY BLAND
Valid signature Filed with authorized/valid electronic signature
THE CORKSCREW WINE EMPORIUM, LTD. 401(K) PLAN 2014 371328277 2015-07-30 THE CORKSCREW WINE EMPORIUM, LTD. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 445310
Sponsor’s telephone number 2176981112
Plan sponsor’s address 2613 CHATHAM ROAD, SPRINGFIELD, IL, 62704

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing GEOFFREY BLAND
Valid signature Filed with authorized/valid electronic signature
THE CORKSCREW WINE EMPORIUM, LTD. 401(K) PLAN 2013 371328277 2014-07-30 THE CORKSCREW WINE EMPORIUM, LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 445310
Sponsor’s telephone number 2176981112
Plan sponsor’s address 2613 CHATHAM ROAD, SPRINGFIELD, IL, 62704

Signature of
Role Plan administrator
Date 2014-07-01
Name of individual signing GEOFFREY BLAND
Valid signature Filed with authorized/valid electronic signature
THE CORKSCREW WINE EMPORIUM, LTD. 401(K) PLAN 2012 371328277 2013-07-25 THE CORKSCREW WINE EMPORIUM, LTD. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 445310
Sponsor’s telephone number 2176981112
Plan sponsor’s address 2613 CHATHAM ROAD, SPRINGFIELD, IL, 62704

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing GEOFFREY BLAND
Valid signature Filed with authorized/valid electronic signature
THE CORKSCREW WINE EMPORIUM, LTD. 401(K) PLAN 2011 371328277 2012-07-26 THE CORKSCREW WINE EMPORIUM, LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 445310
Sponsor’s telephone number 2176981112
Plan sponsor’s mailing address 2613 CHATHAM ROAD, SPRINGFIELD, IL, 62704
Plan sponsor’s address 2613 CHATHAM ROAD, SPRINGFIELD, IL, 62704

Plan administrator’s name and address
Administrator’s EIN 371328277
Plan administrator’s name THE CORKSCREW WINE EMPORIUM, LTD.
Plan administrator’s address 2613 CHATHAM ROAD, SPRINGFIELD, IL, 62704
Administrator’s telephone number 2176981112

Number of participants as of the end of the plan year
Active participants 8
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 9

Signature of
Role Plan administrator
Date 2012-07-09
Name of individual signing GEOFFREY BLAND
Valid signature Filed with authorized/valid electronic signature
THE CORKSCREW WINE EMPORIUM, LTD. 401(K) PLAN 2010 371328277 2011-07-22 THE CORKSCREW WINE EMPORIUM, LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 445310
Sponsor’s telephone number 2176981112
Plan sponsor’s mailing address 2613 CHATHAM ROAD, SPRINGFIELD, IL, 62704
Plan sponsor’s address 2613 CHATHAM ROAD, SPRINGFIELD, IL, 62704

Plan administrator’s name and address
Administrator’s EIN 371328277
Plan administrator’s name THE CORKSCREW WINE EMPORIUM, LTD.
Plan administrator’s address 2613 CHATHAM ROAD, SPRINGFIELD, IL, 62704
Administrator’s telephone number 2176981112

Number of participants as of the end of the plan year
Active participants 7
Other retired or separated participants entitled to future benefits 3
Number of participants with account balances as of the end of the plan year 10

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing GEOFFREY BLAND
Valid signature Filed with authorized/valid electronic signature
THE CORKSCREW WINE EMPORIUM, LTD. 401K PLAN 2009 371328277 2010-07-28 THE CORKSCREW WINE EMPORIUM, LTD. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 445310
Sponsor’s telephone number 2176981112
Plan sponsor’s mailing address 2613 CHATHAM ROAD, SPRINGFIELD, IL, 62704
Plan sponsor’s address 2613 CHATHAM ROAD, SPRINGFIELD, IL, 62704

Plan administrator’s name and address
Administrator’s EIN 371328277
Plan administrator’s name THE CORKSCREW WINE EMPORIUM, LTD.
Plan administrator’s address 2613 CHATHAM ROAD, SPRINGFIELD, IL, 62704
Administrator’s telephone number 2176981112

Number of participants as of the end of the plan year
Active participants 7
Other retired or separated participants entitled to future benefits 3
Number of participants with account balances as of the end of the plan year 10

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing GEOFFREY BLAND
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID R ANDERSON, 2625 CHATHAM RD, SPRINGFIELD, 62704, SANGAMON Agent 2021-04-21

Secretary

Name and Address Role
DAVID R ANDERSON 2312 DUBSDREAD DR SPRINGFIELD IL 62711 Secretary

President

Name and Address Role
DANIELLE M ANDERSON 2312 DUBSDREAD DR SPRINGFIELD IL 62711 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 200000 1

Related by officers

No related officers

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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