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  5. SANDMAN INSURANCE AGENCY, INC.

SANDMAN INSURANCE AGENCY, INC.

Company Details

Entity Name: SANDMAN INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 05 Jun 2000
Company Number: CORP_61113878
File Number: 61113878
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SANDMAN INS. AGENCY, INC. 401(K) PROFIT SHARING PLAN 2012 364374381 2013-07-24 SANDMAN INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 6302088300
Plan sponsor’s address 716 W. STATE STREET, SUITE E, GENEVA, IL, 60134

Plan administrator’s name and address
Administrator’s EIN 364374381
Plan administrator’s name SANDMAN INSURANCE AGENCY, INC.
Plan administrator’s address 716 W. STATE STREET, SUITE E, GENEVA, IL, 60134
Administrator’s telephone number 6302088300

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing STEPHEN SANDMAN
Valid signature Filed with authorized/valid electronic signature
SANDMAN INS. AGENCY, INC. 401(K) PROFIT SHARING PLAN 2011 364374381 2012-07-27 SANDMAN INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 6302088300
Plan sponsor’s address 716 W. STATE STREET, SUITE E, GENEVA, IL, 60134

Plan administrator’s name and address
Administrator’s EIN 364374381
Plan administrator’s name SANDMAN INSURANCE AGENCY, INC.
Plan administrator’s address 716 W. STATE STREET, SUITE E, GENEVA, IL, 60134
Administrator’s telephone number 6302088300

Signature of
Role Plan administrator
Date 2012-07-27
Name of individual signing STEPHEN SANDMAN
Valid signature Filed with authorized/valid electronic signature
SANDMAN INS. AGENCY, INC. 401(K) PROFIT SHARING PLAN 2010 364374381 2011-10-10 SANDMAN INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 6302088300
Plan sponsor’s address 409 W. STATE STREET, GENEVA, IL, 60134

Plan administrator’s name and address
Administrator’s EIN 364374381
Plan administrator’s name SANDMAN INSURANCE AGENCY, INC.
Plan administrator’s address 409 W. STATE STREET, GENEVA, IL, 60134
Administrator’s telephone number 6302088300

Signature of
Role Plan administrator
Date 2011-10-10
Name of individual signing STEPHEN SANDMAN
Valid signature Filed with authorized/valid electronic signature
SANDMAN INS. AGENCY, INC. 401(K) PROFIT SHARING PLAN 2009 364374381 2010-10-08 SANDMAN INSURANCE AGENCY, INC. 4
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 6302088300
Plan sponsor’s address 409 W. STATE STREET, GENEVA, IL, 60134

Plan administrator’s name and address
Administrator’s EIN 364374381
Plan administrator’s name SANDMAN INSURANCE AGENCY, INC.
Plan administrator’s address 409 W. STATE STREET, GENEVA, IL, 60134
Administrator’s telephone number 6302088300

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing STEPHEN SANDMAN
Valid signature Filed with authorized/valid electronic signature
SANDMAN INS. AGENCY, INC. 401(K) PROFIT SHARING PLAN 2009 364374381 2011-10-10 SANDMAN INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 6302088300
Plan sponsor’s address 409 W. STATE STREET, GENEVA, IL, 60134

Plan administrator’s name and address
Administrator’s EIN 364374381
Plan administrator’s name SANDMAN INSURANCE AGENCY, INC.
Plan administrator’s address 409 W. STATE STREET, GENEVA, IL, 60134
Administrator’s telephone number 6302088300

Signature of
Role Plan administrator
Date 2011-10-10
Name of individual signing STEPHEN SANDMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
THOMAS H BILLETER, 37W766 HERITAGE DR, BATAVIA, 60510, KANE Agent 2019-09-11

President

Name and Address Role
STEPHEN W SANDMAN, 901 SUNSET RD GENEVA 60134 President

Secretary

Name and Address Role
KATHRYN J SANDMAN Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
HARVEST RISK MANAGEMENT Assume Name 2004-12-08 No data No data No data

Shares

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

Related by officers

STEPHEN W SANDMAN, 901 SUNSET RD GENEVA 60134

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THOMAS H BILLETER, 37W766 HERITAGE DR, BATAVIA, 60510, KANE

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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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