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  5. JACOBS AGENCY, INC.

JACOBS AGENCY, INC.

Company Details

Entity Name: JACOBS AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 09 May 1997
Date of Dissolution: 08 Oct 2021
Company Number: CORP_59412116
File Number: 59412116
Type of Business: All Inclusive Purpose
Date Status Change: 08 Oct 2021
Address 430 W ERIE ST 403, CHICAGO, IL, 60610
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACOBS AGENCY, INC. 401(K) PLAN 2019 364159929 2020-10-23 JACOBS AGENCY, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 3126645000
Plan sponsor’s address 325 WEST HURON STREET, SUITE 310, CHICAGO, IL, 60654

Signature of
Role Plan administrator
Date 2020-10-23
Name of individual signing THOMAS JACOBS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-23
Name of individual signing THOMAS JACOBS
Valid signature Filed with authorized/valid electronic signature
JACOBS AGENCY, INC. 401(K) PLAN 2019 364159929 2020-09-23 JACOBS AGENCY, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 3126645000
Plan sponsor’s address 325 WEST HURON STREET, SUITE 310, CHICAGO, IL, 60654

Signature of
Role Plan administrator
Date 2020-09-23
Name of individual signing THOMAS JACOBS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-23
Name of individual signing THOMAS JACOBS
Valid signature Filed with authorized/valid electronic signature
JACOBS AGENCY, INC. 401(K) PLAN 2018 364159929 2019-09-11 JACOBS AGENCY, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 3126645000
Plan sponsor’s address 325 WEST HURON STREET, SUITE 310, CHICAGO, IL, 60654

Signature of
Role Plan administrator
Date 2019-09-11
Name of individual signing THOMAS JACOBS
Valid signature Filed with authorized/valid electronic signature
JACOBS AGENCY, INC. 401(K) PLAN 2018 364159929 2019-09-03 JACOBS AGENCY, INC. 29
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 3126645000
Plan sponsor’s address 325 WEST HURON STREET, SUITE 310, CHICAGO, IL, 60654

Signature of
Role Plan administrator
Date 2019-09-03
Name of individual signing THOMAS JACOBS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-03
Name of individual signing THOMAS JACOBS
Valid signature Filed with authorized/valid electronic signature
JACOBS AGENCY, INC. 401(K) PLAN 2017 364159929 2018-10-01 JACOBS AGENCY, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 3126645000
Plan sponsor’s address 325 WEST HURON STREET, SUITE 310, CHICAGO, IL, 60654

Signature of
Role Plan administrator
Date 2018-10-01
Name of individual signing THOMAS JACOBS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-01
Name of individual signing THOMAS JACOBS
Valid signature Filed with authorized/valid electronic signature
JACOBS AGENCY, INC. 401(K) PLAN 2016 364159929 2018-10-01 JACOBS AGENCY, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 3126645000
Plan sponsor’s address 325 WEST HURON STREET, SUITE 310, CHICAGO, IL, 60654

Signature of
Role Plan administrator
Date 2018-10-01
Name of individual signing THOMAS JACOBS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-01
Name of individual signing THOMAS JACOBS
Valid signature Filed with authorized/valid electronic signature
JACOBS AGENCY, INC. 401(K) PLAN 2016 364159929 2017-05-22 JACOBS AGENCY, INC. 22
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 3126645000
Plan sponsor’s address 325 WEST HURON STREET, SUITE 310, CHICAGO, IL, 60654

Signature of
Role Plan administrator
Date 2017-05-22
Name of individual signing THOMAS JACOBS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-22
Name of individual signing THOMAS JACOBS
Valid signature Filed with incorrect/unrecognized electronic signature
JACOBS AGENCY, INC. 401(K) PLAN 2015 364159929 2016-09-15 JACOBS AGENCY, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 3126645000
Plan sponsor’s address 325 WEST HURON STREET, SUITE 310, CHICAGO, IL, 60654

Signature of
Role Plan administrator
Date 2016-09-15
Name of individual signing THOMAS JACOBS
Valid signature Filed with authorized/valid electronic signature
JACOBS AGENCY, INC. 401(K) PLAN 2014 364159929 2015-07-09 JACOBS AGENCY, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 3126645000
Plan sponsor’s address 325 WEST HURON STREET, SUITE 310, CHICAGO, IL, 60654

Signature of
Role Plan administrator
Date 2015-07-09
Name of individual signing THOMAS JACOBS
Valid signature Filed with authorized/valid electronic signature
JACOBS AGENCY, INC. 401(K) PLAN 2013 364159929 2014-03-04 JACOBS AGENCY INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 3126645000
Plan sponsor’s address 308 WEST ERIE STREET, 2ND FL, CHICAGO, IL, 60654

Signature of
Role Plan administrator
Date 2014-03-04
Name of individual signing THOMAS JACOBS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ANTHONY G BARONE, 635 BUTTERFIELD RD #145, OAKBROOK TERRACE, 60181, DU PAGE Agent 2009-06-08

Secretary

Name and Address Role Account Number
TOM JACOBS Secretary 47763

President

Name and Address Role Account Number
TOM JACOBS President 47763
THOMAS JACOBS 325 W HURON ST STE 310 CHICAGO IL 60654 President No data

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 2386069 Issued 1010 Limited Business License 703 - Advertising / Marketing / Sales Office 2018-02-01 2018-02-16 2020-02-15
BUSINESS LICENSE 2240557 Issued 1010 Limited Business License 703 - Advertising / Marketing / Sales Office 2014-01-16 2014-02-16 2016-02-15
BUSINESS LICENSE 77718 Cancelled 1010 Limited Business License No data 2008-03-05 2008-02-16 2010-02-15

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 1

Related by officers

ANTHONY G BARONE, 635 BUTTERFIELD RD #145, OAKBROOK TERRACE, 60181, DU PAGE

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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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