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  5. DAVID B RASMUSSEN INSURANCE AGENCY, INC.

DAVID B RASMUSSEN INSURANCE AGENCY, INC.

Company Details

Entity Name: DAVID B RASMUSSEN INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 02 Dec 1998
Company Number: CORP_60236895
File Number: 60236895
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID B. RASMUSSEN INSURANCE AGENCY, INC. 401(K) PLAN 2023 364262918 2024-07-17 DAVID B. RASMUSSEN INSURANCE AGENCY 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-10-01
Business code 524140
Sponsor’s telephone number 7738367633
Plan sponsor’s address 7148 W ADDISON ST, CHICAGO, IL, 606343657

Signature of
Role Plan administrator
Date 2024-07-17
Name of individual signing DAVID B. RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
DAVID B. RASMUSSEN INSURANCE AGENCY, INC. 401(K) PLAN 2022 364262918 2023-07-06 DAVID B. RASMUSSEN INSURANCE AGENCY 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524140
Sponsor’s telephone number 7738367633
Plan sponsor’s address 7148 W ADDISON ST, CHICAGO, IL, 606343657

Signature of
Role Plan administrator
Date 2023-07-06
Name of individual signing DAVID B. RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
DAVID B. RASMUSSEN INSURANCE AGENCY, INC. 401(K) PLAN 2021 364262918 2022-07-12 DAVID B. RASMUSSEN INSURANCE AGENCY 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524140
Sponsor’s telephone number 7738367633
Plan sponsor’s address 7148 W ADDISON ST, CHICAGO, IL, 606343657

Signature of
Role Plan administrator
Date 2022-07-12
Name of individual signing DAVID B. RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
DAVID B. RASMUSSEN INSURANCE 2020 364262918 2021-06-25 DAVID B. RASMUSSEN INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524140
Sponsor’s telephone number 7738367633
Plan sponsor’s address 7148 W ADDISON ST, CHICAGO, IL, 606343657

Signature of
Role Plan administrator
Date 2021-06-25
Name of individual signing DAVID B. RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
DAVID B. RASMUSSEN INSURANCE AGENCY, INC. 401(K) PLAN 2019 364262918 2020-07-09 DAVID B. RASMUSSEN INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524140
Sponsor’s telephone number 7738367633
Plan sponsor’s address 7148 W ADDISON ST, CHICAGO, IL, 606343657

Signature of
Role Plan administrator
Date 2020-07-09
Name of individual signing DAVID B. RASMUSSEN
Valid signature Filed with authorized/valid electronic signature
DAVID B. RASMUSSEN INSURANCE AGENCY, INC. 401(K) PLAN 2018 364262918 2019-07-09 DAVID B. RASMUSSEN INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524140
Sponsor’s telephone number 7738367633
Plan sponsor’s address 7148 W ADDISON ST, CHICAGO, IL, 606343657

Signature of
Role Plan administrator
Date 2019-07-09
Name of individual signing DAVID B. RASMUSSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID B RASMUSSEN, 7148 W ADDISON, CHICAGO, 60634, COOK-NOT IN CITY OF CHICAGO Agent 2003-12-10

President

Name and Address Role
DAVID B RASMUSSEN 7148 W ADDISON AVE CHICAGO 60634 President

Shares

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

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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