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  5. NORTHWEST INSURANCE NETWORK, INC.

NORTHWEST INSURANCE NETWORK, INC.

Company Details

Entity Name: NORTHWEST INSURANCE NETWORK, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 24 Aug 1995
Company Number: CORP_58478865
File Number: 58478865
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHWEST INSURANCE NETWORK, INC. 2019 364031171 2020-10-13 NORTHWEST INSURANCE NETWORK, INC. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3124271777
Plan sponsor’s address 209 W JACKSON BLVD STE 800, CHICAGO, IL, 606066935

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing WILLIAM MEHREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing WILLIAM MEHREN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INSURANCE NETWORK, INC. 2018 364031171 2020-01-29 NORTHWEST INSURANCE NETWORK, INC. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3124271777
Plan sponsor’s address 515 N STATE ST STE 2100, SUITE 2100, CHICAGO, IL, 60654

Signature of
Role Plan administrator
Date 2020-01-29
Name of individual signing WILLIAM MEHREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-29
Name of individual signing WILLIAM MEHREN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INSURANCE NETWORK, INC. 2017 364031171 2018-07-31 NORTHWEST INSURANCE NETWORK, INC. 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3124271777
Plan sponsor’s address 330 S WELLS ST, SUITE 2100, CHICAGO, IL, 606067106

Signature of
Role Plan administrator
Date 2018-07-31
Name of individual signing ROBERT MUNISE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-31
Name of individual signing ROBERT MUNISE
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INSURANCE NETWORK, INC. 2016 364031171 2017-10-04 NORTHWEST INSURANCE NETWORK, INC. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3124271777
Plan sponsor’s address 330 S WELLS ST, SUITE 2100, CHICAGO, IL, 606067106

Signature of
Role Plan administrator
Date 2017-10-04
Name of individual signing ROBERT MUNISE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-04
Name of individual signing ROBERT MUNISE
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INSURANCE NETWORK, INC. 2015 364031171 2016-05-27 NORTHWEST INSURANCE NETWORK, INC. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3124271777
Plan sponsor’s address 330 S WELLS ST, CHICAGO, IL, 606067106

Signature of
Role Plan administrator
Date 2016-05-27
Name of individual signing MARTIN JOSEPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-27
Name of individual signing MARTIN JOSEPH
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INSURANCE NETWORK, INC. 2014 364031171 2015-07-17 NORTHWEST INSURANCE NETWORK, INC. 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3124271777
Plan sponsor’s address 330 S WELLS ST, CHICAGO, IL, 606067106

Signature of
Role Plan administrator
Date 2015-07-17
Name of individual signing MARTIN JOSEPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-17
Name of individual signing MARTIN JOSEPH
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INSURANCE NETWORK, INC. 2013 364031171 2014-07-03 NORTHWEST INSURANCE NETWORK, INC. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3124271777
Plan sponsor’s address 330 S WELLS ST, CHICAGO, IL, 606067106

Signature of
Role Plan administrator
Date 2014-07-03
Name of individual signing MARTIN JOSEPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-03
Name of individual signing MARTIN JOSEPH
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INSURANCE NETWORK, INC. 2012 364031171 2013-07-22 NORTHWEST INSURANCE NETWORK, INC. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3124271777
Plan sponsor’s address 330 S WELLS ST, CHICAGO, IL, 606067106

Signature of
Role Plan administrator
Date 2013-07-22
Name of individual signing MARTIN JOSEPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-22
Name of individual signing MARTIN JOSEPH
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INSURANCE NETWORK, INC. 2011 364031171 2012-06-30 NORTHWEST INSURANCE NETWORK, INC. 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3124271777
Plan sponsor’s address 330 S WELLS ST, CHICAGO, IL, 606067106

Plan administrator’s name and address
Administrator’s EIN 364031171
Plan administrator’s name NORTHWEST INSURANCE NETWORK, INC.
Plan administrator’s address 330 S WELLS ST, CHICAGO, IL, 606067106
Administrator’s telephone number 3124271777

Signature of
Role Plan administrator
Date 2012-06-30
Name of individual signing MARTIN JOSEPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-30
Name of individual signing MARTIN JOSEPH
Valid signature Filed with authorized/valid electronic signature
NORTHWEST INSURANCE NETWORK, INC. 2010 364031171 2011-03-29 NORTHWEST INSURANCE NETWORK, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 524210
Sponsor’s telephone number 3124271777
Plan sponsor’s address 330 S WELLS ST, CHICAGO, IL, 606067106

Plan administrator’s name and address
Administrator’s EIN 364031171
Plan administrator’s name NORTHWEST INSURANCE NETWORK, INC.
Plan administrator’s address 330 S WELLS ST, CHICAGO, IL, 606067106
Administrator’s telephone number 3124271777

Signature of
Role Plan administrator
Date 2011-03-29
Name of individual signing MARTIN JOSEPH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-29
Name of individual signing MARTIN JOSEPH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JEFFREY K. GUTMAN, 4018 N LINCOLN AVE, CHICAGO, 60618, COOK-NOT IN CITY OF CHICAGO Agent 2023-02-03

President

Name and Address Role
MARTIN JOSEPH 209 W JACKSON BLVD SUITE 800 CHICAGO IL 60606 President

Secretary

Name and Address Role
BEENA JOSEPH 209 W. JACKSON BLVD. # 800 CHICAGO, IL 60606 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
SELECT AUTO Assume Name 1998-10-07 No data No data No data
SELECT AUTO PROGRAM Assume Name 1998-10-07 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON (VOTING) No data Voting Rights 10000 1000000 No data
COMMON (NON-VOTING) No data No Voting Rights 100000 99000000 No data

Related by officers

BEENA JOSEPH 209 W. JACKSON BLVD. # 800 CHICAGO, IL 60606

TOWN & COUNTRY MOTORISTS ASSOCIATION, INC. NORTHWEST PREMIUM SERVICES, INC. NORTHWEST INSURANCE BROKERS, INC. SELECT AUTO INSURANCE SERVICES, CO. NORTHWEST INSURANCE ADVISORS INC.

JEFFREY K. GUTMAN, 4018 N LINCOLN AVE, CHICAGO, 60618, COOK-NOT IN CITY OF CHICAGO

BORELLA LLC NEW BLOOD FIGHT GEAR, LLC 4018 LINCOLN LLC RE/MAX COMMERCIAL REAL ESTATE SERVICES LLC AMERICA NILE, INC. RICO RETAIL MEDIA INC.

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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