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  5. CLIFFORD INC.

CLIFFORD INC.

Company Details

Entity Name: CLIFFORD INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 12 Nov 1998
Date of Dissolution: 01 Apr 2003
Company Number: CORP_60207682
File Number: 60207682
Type of Business: Business Corporations
Date Status Change: 01 Apr 2003
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAVERICK INSURANCE SERVICES, INC SIMPLE 401(K) PLAN 2011 371322692 2012-07-25 MAVERICK INSURANCE SERVICES, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 6183776300
Plan sponsor’s address P.O. BOX 205, BETHALTO, IL, 62010

Plan administrator’s name and address
Administrator’s EIN 371322692
Plan administrator’s name MAVERICK INSURANCE SERVICES, INC
Plan administrator’s address P.O. BOX 205, BETHALTO, IL, 62010
Administrator’s telephone number 6183776300

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing DEBORAH M DIXON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-25
Name of individual signing DEBOAH M DIXON
Valid signature Filed with authorized/valid electronic signature
MAVERICK INSURANCE SERVICES, INC SIMPLE 401(K) PLAN 2009 371322692 2011-10-12 MAVERICK INSURANCE SERVICES, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 6183776300
Plan sponsor’s address P.O. BOX 205, BETHALTO, IL, 62010

Plan administrator’s name and address
Administrator’s EIN 371322692
Plan administrator’s name MAVERICK INSURANCE SERVICES, INC
Plan administrator’s address P.O. BOX 205, BETHALTO, IL, 62010
Administrator’s telephone number 6183776300

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing DEBBIE DIXON
Valid signature Filed with authorized/valid electronic signature
MAVERICK INSURANCE SERVICES, INC SIMPLE 401(K) PLAN 2009 371322692 2010-09-23 MAVERICK INSURANCE SERVICES, INC 10
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 6183776300
Plan sponsor’s address P.O. BOX 205, BETHALTO, IL, 62010

Plan administrator’s name and address
Administrator’s EIN 371322692
Plan administrator’s name MAVERICK INSURANCE SERVICES, INC
Plan administrator’s address P.O. BOX 205, BETHALTO, IL, 62010
Administrator’s telephone number 6183776300

Signature of
Role Employer/plan sponsor
Date 2010-09-22
Name of individual signing DEBORAH M. DIXON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CLIFFORD J MOHDA, 4042 W LAWRENCE, CHICAGO, 60630, COOK-NOT IN CITY OF CHICAGO Agent 2001-05-25

President

Name and Address Role
CLIFFORD J MOHDA, 16023 PEPPERMILL TR LOCKPORT 60441 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 1

Related by officers

CLIFFORD J MOHDA, 4042 W LAWRENCE, CHICAGO, 60630, COOK-NOT IN CITY OF CHICAGO

MOHDA, 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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