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MAPLEWOOD ENTERPRISES, INC.

Company Details

Entity Name: MAPLEWOOD ENTERPRISES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 20 Apr 1998
Date of Dissolution: 12 Dec 2022
Company Number: CORP_59909657
File Number: 59909657
Type of Business: All Inclusive Purpose
Date Status Change: 12 Dec 2022
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KING-FORMAN INSURANCE AGENCY 401(K) PLAN 2020 364222963 2021-09-27 KING-FORMAN INSURANCE AGENCY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-15
Business code 524210
Sponsor’s telephone number 8472980100
Plan sponsor’s address 2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429

Signature of

Role Plan administrator
Date 2021-09-27
Name of individual signing ADAM KAMM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-27
Name of individual signing ADAM KAMM
Valid signature Filed with authorized/valid electronic signature
KING-FORMAN INSURANCE AGENCY 401(K) PLAN 2019 364222963 2020-07-10 KING-FORMAN INSURANCE AGENCY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-15
Business code 524210
Sponsor’s telephone number 8472980100
Plan sponsor’s address 2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429

Signature of

Role Plan administrator
Date 2020-07-10
Name of individual signing WENDY KORTE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-10
Name of individual signing WENDY KORTE
Valid signature Filed with authorized/valid electronic signature
KING-FORMAN INSURANCE AGENCY 401(K) PLAN 2018 364222963 2019-07-09 KING-FORMAN INSURANCE AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-15
Business code 524210
Sponsor’s telephone number 8472980100
Plan sponsor’s address 2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429

Signature of

Role Plan administrator
Date 2019-07-09
Name of individual signing GEORGE WALSH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-09
Name of individual signing GEORGE WALSH
Valid signature Filed with authorized/valid electronic signature
KING-FORMAN INSURANCE AGENCY 401(K) PLAN 2017 364222963 2018-06-06 KING-FORMAN INSURANCE AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-15
Business code 524210
Sponsor’s telephone number 8472980100
Plan sponsor’s address 2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429

Signature of

Role Plan administrator
Date 2018-06-06
Name of individual signing GEORGE WALSH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-06
Name of individual signing GEORGE WALSH
Valid signature Filed with authorized/valid electronic signature
KING-FORMAN INSURANCE AGENCY 401(K) PLAN 2016 364222963 2017-02-23 KING-FORMAN INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-15
Business code 524210
Sponsor’s telephone number 8472980100
Plan sponsor’s address 2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429

Signature of

Role Plan administrator
Date 2017-02-23
Name of individual signing GEORGE WALSH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-23
Name of individual signing GEORGE WALSH
Valid signature Filed with authorized/valid electronic signature
KING-FORMAN INSURANCE AGENCY 401(K) PLAN 2015 364222963 2016-07-12 KING-FORMAN INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-15
Business code 524210
Sponsor’s telephone number 8472980100
Plan sponsor’s address 2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429

Signature of

Role Plan administrator
Date 2016-07-12
Name of individual signing GEORGE WALSH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-12
Name of individual signing GEORGE WALSH
Valid signature Filed with authorized/valid electronic signature
KING-FORMAN INSURANCE AGENCY 401(K) PLAN 2014 364222963 2015-06-26 KING-FORMAN INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-15
Business code 524210
Sponsor’s telephone number 8472980100
Plan sponsor’s address 2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429

Signature of

Role Plan administrator
Date 2015-06-26
Name of individual signing GEORGE WALSH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-26
Name of individual signing GEORGE WALSH
Valid signature Filed with authorized/valid electronic signature
KING-FORMAN INSURANCE AGENCY 401(K) PLAN 2013 364222963 2014-06-11 KING-FORMAN INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-15
Business code 524210
Sponsor’s telephone number 8472980100
Plan sponsor’s address 2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429

Signature of

Role Plan administrator
Date 2014-06-11
Name of individual signing GEORGE WALSH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-11
Name of individual signing GEORGE WALSH
Valid signature Filed with authorized/valid electronic signature
KING-FORMAN INSURANCE AGENCY 401(K) PLAN 2012 364222963 2013-06-26 KING-FORMAN INSURANCE AGENCY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-15
Business code 524210
Sponsor’s telephone number 8472980100
Plan sponsor’s address 2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429

Signature of

Role Plan administrator
Date 2013-06-26
Name of individual signing GEORGE WALSH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-26
Name of individual signing GEORGE WALSH
Valid signature Filed with authorized/valid electronic signature
KING-FORMAN INSURANCE AGENCY 401(K) PLAN 2011 364222963 2012-07-27 KING-FORMAN INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-12-15
Business code 524210
Sponsor’s telephone number 8472980100
Plan sponsor’s address 2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429

Plan administrator’s name and address

Administrator’s EIN 364222963
Plan administrator’s name KING-FORMAN INSURANCE AGENCY, INC.
Plan administrator’s address 2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429
Administrator’s telephone number 8472980100

Signature of

Role Plan administrator
Date 2012-07-27
Name of individual signing GEORGE WALSH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-27
Name of individual signing GEORGE WALSH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID J. MORRIS, 200 W MADISON ST STE 3000, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO Agent 2021-04-13

President

Name and Address Role
ADAM M KAMM 2604 EAST DEMPSTERST #501 PARK RIDGE IL 60068 President

Historical Names

Name Change Date
KING-FORMAN INSURANCE AGENCY, INC. 2022-01-12
M.R.S., INC. 2010-03-24

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State