| Entity Name: | H AND A CONVENIENCE STORE, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 22 Aug 1997 |
| Date of Dissolution: | 02 Jan 2002 |
| Company Number: | CORP_59560948 |
| File Number: | 59560948 |
| Type of Business: | Mercantile (sales only, no service) |
| Date Status Change: | 02 Jan 2002 |
| Place of Formation: | ILLINOIS |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | H AND A CONVENIENCE STORE, INC., NEW YORK | 3128288 | NEW YORK |
| Headquarter of | H AND A CONVENIENCE STORE, INC., KENTUCKY | 0595307 | KENTUCKY |
| Headquarter of | H AND A CONVENIENCE STORE, INC., COLORADO | 20041416732 | COLORADO |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DON R. JENSEN 401K SAVINGS PLAN | 2012 | 363875777 | 2013-07-15 | DON R. JENSEN & COMPANY | 10 | |||||||||||||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2013-07-15 |
| Name of individual signing | MICHAEL KRISTOF |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-07-15 |
| Name of individual signing | MICHAEL KRISTOF |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1994-05-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 6307343240 |
| Plan sponsor’s address | 1 OAKHILL CTR STE 204, WESTMONT, IL, 605595501 |
Plan administrator’s name and address
| Administrator’s EIN | 363875777 |
| Plan administrator’s name | DON R. JENSEN & COMPANY |
| Plan administrator’s address | 1 OAKHILL CTR STE 204, WESTMONT, IL, 605595501 |
| Administrator’s telephone number | 6307343240 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-02 |
| Name of individual signing | MICHAEL KRISTOF |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-07-02 |
| Name of individual signing | MICHAEL KRISTOF |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1994-05-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 6307343240 |
| Plan sponsor’s address | 1 OAKHILL CTR STE 204, WESTMONT, IL, 605595501 |
Plan administrator’s name and address
| Administrator’s EIN | 363875777 |
| Plan administrator’s name | DON R. JENSEN & COMPANY |
| Plan administrator’s address | 1 OAKHILL CTR STE 204, WESTMONT, IL, 605595501 |
| Administrator’s telephone number | 6307343240 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-09 |
| Name of individual signing | MICHAEL KRISTOF |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-05-09 |
| Name of individual signing | MICHAEL KRISTOF |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1994-05-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 6307343240 |
| Plan sponsor’s address | 1 OAKHILL CTR STE 204, WESTMONT, IL, 605595501 |
Plan administrator’s name and address
| Administrator’s EIN | 363875777 |
| Plan administrator’s name | DON R. JENSEN & COMPANY |
| Plan administrator’s address | 1 OAKHILL CTR STE 204, WESTMONT, IL, 605595501 |
| Administrator’s telephone number | 6307343240 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-25 |
| Name of individual signing | MICHAEL KRISTOF |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-06-25 |
| Name of individual signing | MICHAEL KRISTOF |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| HUSSEIN NIJMEH, 4607 BOND AVE, ALORTON, 62207, ST. CLAIR | Agent | 1997-08-22 |
| Name and Address | Role |
|---|---|
| HUSSEIN NIJMEH, 4602 BOND AVE ALORTON 62207 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000 | 100000 | No data |
Date of last update: 27 Jan 2025
