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  5. OTTAWA FUNERAL HOME, INC.

OTTAWA FUNERAL HOME, INC.

Company Details

Entity Name: OTTAWA FUNERAL HOME, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 19 Dec 1995
Company Number: CORP_58636452
File Number: 58636452
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OTTAWA FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2020 364056080 2021-05-07 OTTAWA FUNERAL HOME INC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 812210
Sponsor’s telephone number 8154330300
Plan sponsor’s address 1111 LA SALLE STREET, OTTAWA, IL, 613502020

Signature of
Role Plan administrator
Date 2021-05-07
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-07
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
OTTAWA FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2019 364056080 2020-07-15 OTTAWA FUNERAL HOME INC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 812210
Sponsor’s telephone number 8154330300
Plan sponsor’s address 1111 LA SALLE STREET, OTTAWA, IL, 613502020

Signature of
Role Plan administrator
Date 2020-07-15
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-15
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
OTTAWA FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2018 364056080 2019-07-03 OTTAWA FUNERAL HOME INC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 812210
Sponsor’s telephone number 8154330300
Plan sponsor’s address 1111 LA SALLE STREET, OTTAWA, IL, 613502020

Signature of
Role Plan administrator
Date 2019-07-03
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-03
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
OTTAWA FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2017 364056080 2019-01-23 OTTAWA FUNERAL HOME INC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 812210
Sponsor’s telephone number 8154330300
Plan sponsor’s address 1111 LA SALLE STREET, OTTAWA, IL, 613502020

Signature of
Role Plan administrator
Date 2019-01-23
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-01-23
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
OTTAWA FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2016 364056080 2017-07-20 OTTAWA FUNERAL HOME INC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 812210
Sponsor’s telephone number 8154330300
Plan sponsor’s address 1111 LA SALLE STREET, OTTAWA, IL, 613502020

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-20
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
OTTAWA FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2015 364056080 2016-06-29 OTTAWA FUNERAL HOME INC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 812210
Sponsor’s telephone number 8154330300
Plan sponsor’s address 1111 LA SALLE STREET, OTTAWA, IL, 613502020

Signature of
Role Plan administrator
Date 2016-06-29
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-29
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
OTTAWA FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2014 364056080 2015-07-15 OTTAWA FUNERAL HOME INC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 812210
Sponsor’s telephone number 8154330300
Plan sponsor’s address 1111 LA SALLE STREET, OTTAWA, IL, 613502020

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
OTTAWA FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2013 364056080 2014-07-14 OTTAWA FUNERAL HOME INC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 812210
Sponsor’s telephone number 8154330300
Plan sponsor’s address 1111 LA SALLE STREET, OTTAWA, IL, 613502020

Signature of
Role Plan administrator
Date 2014-07-14
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-14
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
OTTAWA FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2012 364056080 2013-07-11 OTTAWA FUNERAL HOME INC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 812210
Sponsor’s telephone number 8154330300
Plan sponsor’s address 1111 LA SALLE STREET, OTTAWA, IL, 613502020

Signature of
Role Plan administrator
Date 2013-07-11
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-11
Name of individual signing NELSON NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
OTTAWA FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN 2011 364056080 2012-07-05 OTTAWA FUNERAL HOME INC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 812210
Sponsor’s telephone number 8154330300
Plan sponsor’s address 1111 LA SALLE STREET, OTTAWA, IL, 613502020

Plan administrator’s name and address
Administrator’s EIN 364056080
Plan administrator’s name OTTAWA FUNERAL HOME INC
Plan administrator’s address 1111 LA SALLE STREET, OTTAWA, IL, 613502020
Administrator’s telephone number 8154330300

Signature of
Role Plan administrator
Date 2012-07-05
Name of individual signing KAREN NUSSBAUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-05
Name of individual signing KAREN NUSSBAUM
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
RICHARD STEVEN KLOTT, 1556 GORDON TERRACE, DEERFIELD, 60015, LAKE Agent 2023-01-31

President

Name and Address Role
WILLIAM F. DUNN 210 S. MADISON STREET OSWEGO IL 60543 President

Secretary

Name and Address Role
PATRICIA A. DUNN 210 S. MADISON STREET OSWEGO IL 60543 Secretary

Shares

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

Related by officers

RICHARD STEVEN KLOTT, 1556 GORDON TERRACE, DEERFIELD, 60015, LAKE

WORLDWIDE COMMERCE, INC. THE COMPACT DISC SOURCE, INC. UNFORGETTABLE ENTERPRISES, INC. ANTHONY SCHULTZ, M.D., S.C.

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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