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HAROLD D. BLACKBURN, INC.

Company Details

Entity Name: HAROLD D. BLACKBURN, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 13 Apr 2000
Company Number: CORP_61014241
File Number: 61014241
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HAROLD D BLACKBURN INC 2018 203584998 2020-11-17 HAROLD D BLACKBURN INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541211
Sponsor’s telephone number 8472511720
Plan sponsor’s address 1000 SKOKIE BLVD. SUITE LL-31, WILMETTE, IL, 60091

Signature of

Role Plan administrator
Date 2020-11-17
Name of individual signing HAROLD D BLACKBURN
Valid signature Filed with authorized/valid electronic signature
HAROLD D BLACKBURN INC 401 K PROFIT SHARING PLAN TRUST 2014 203584998 2015-06-09 HAROLD D BLACKBURN INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541211
Sponsor’s telephone number 8472511720
Plan sponsor’s address 1000 SKOKIE BLVD, WILMETTE, IL, 600911161

Signature of

Role Plan administrator
Date 2015-06-09
Name of individual signing HAROLD D. BLACKBURN
Valid signature Filed with authorized/valid electronic signature
HAROLD D BLACKBURN INC 401 K PROFIT SHARING PLAN TRUST 2013 203584998 2014-10-14 HAROLD D BLACKBURN INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541211
Sponsor’s telephone number 8472511720
Plan sponsor’s address 1000 SKOKIE BLVD, WILMETTE, IL, 600911161

Signature of

Role Plan administrator
Date 2014-10-14
Name of individual signing HAROLD D BLACKBURN INC
Valid signature Filed with authorized/valid electronic signature
HAROLD D BLACKBURN INC 401 K PROFIT SHARING PLAN TRUST 2012 203584998 2013-06-19 HAROLD D BLACKBURN INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541211
Sponsor’s telephone number 8472511720
Plan sponsor’s address 1000 SKOKIE BLVD, WILMETTE, IL, 600911161

Signature of

Role Plan administrator
Date 2013-06-19
Name of individual signing HAROLD D BLACKBURN INC
Valid signature Filed with authorized/valid electronic signature
HAROLD D BLACKBURN INC 401 K PROFIT SHARING PLAN TRUST 2011 203584998 2012-06-08 HAROLD D BLACKBURN INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 541211
Sponsor’s telephone number 8472511720
Plan sponsor’s address 1000 SKOKIE BLVD, WILMETTE, IL, 600911161

Plan administrator’s name and address

Administrator’s EIN 203584998
Plan administrator’s name HAROLD D BLACKBURN INC
Plan administrator’s address 1000 SKOKIE BLVD, WILMETTE, IL, 600911161
Administrator’s telephone number 8472511720

Signature of

Role Plan administrator
Date 2012-06-08
Name of individual signing HAROLD D BLACKBURN INC
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MITCHELL D. WEINSTEIN, 120 S. RIVERSIDE PLAZA, SUITE 1700, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO Agent 2022-06-22

President

Name and Address Role
HAROLD D BLACKBURN, 1000 SKOKIE BLVD LL31 WILMETTE 60091 President

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PUBLIC ACCOUNTANT 066004696 No data No data PUBLIC ACCOUNTANT FIRM LICENSE No data 2015-10-29 2021-11-16 2024-11-30

Historical Names

Name Change Date
HENRY & DONELSON ENTERPRISES, INC. 2010-07-30

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 1000000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State