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BETH & RUDNICKI INSURANCE AGENCY, INC.

Company Details

Entity Name: BETH & RUDNICKI INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 06 Oct 2000
Company Number: CORP_61296352
File Number: 61296352
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BETH & RUDNICKI INSURANCE AGENCY, INC. 401(K) PLAN AND TRUST 2023 364396484 2024-02-22 BETH & RUDNICKI INSURANCE AGENCY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 8153996690
Plan sponsor’s address 5411 EAST STATE STREET, SUITE 204, SUITE 204, ROCKFORD, IL, 61108

Signature of

Role Plan administrator
Date 2024-02-22
Name of individual signing EUGENE RUDNICKI
Valid signature Filed with authorized/valid electronic signature
BETH & RUDNICKI INSURANCE AGENCY, INC. 401(K) PLAN AND TRUST 2022 364396484 2023-06-01 BETH & RUDNICKI INSURANCE AGENCY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 8153996690
Plan sponsor’s address 5411 EAST STATE STREET, SUITE 204, SUITE 204, ROCKFORD, IL, 61108

Signature of

Role Plan administrator
Date 2023-06-01
Name of individual signing EUGENE RUDNICKI
Valid signature Filed with authorized/valid electronic signature
BETH & RUDNICKI INSURANCE AGENCY, INC. 401(K) PLAN AND TRUST 2021 364396484 2022-04-06 BETH & RUDNICKI INSURANCE AGENCY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 8153996690
Plan sponsor’s address 5411 EAST STATE STREET, SUITE 204, SUITE 204, ROCKFORD, IL, 61108

Signature of

Role Plan administrator
Date 2022-04-06
Name of individual signing EUGENE RUDNICKI
Valid signature Filed with authorized/valid electronic signature
BETH & RUDNICKI INSURANCE AGENCY, INC. 401(K) PLAN AND TRUST 2020 364396484 2021-06-17 BETH & RUDNICKI INSURANCE AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 8153996690
Plan sponsor’s address 5411 EAST STATE STREET, SUITE 204, ROCKFORD, IL, 61108

Signature of

Role Plan administrator
Date 2021-06-17
Name of individual signing EUGENE RUDNICKI
Valid signature Filed with authorized/valid electronic signature
BETH & RUDNICKI INSURANCE AGENCY, INC. 401(K) PLAN AND TRUST 2019 364396484 2020-06-03 BETH & RUDNICKI INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 8153996690
Plan sponsor’s address 5411 EAST STATE STREET, SUITE 204, ROCKFORD, IL, 61108

Signature of

Role Plan administrator
Date 2020-06-03
Name of individual signing EUGENE RUDNICKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-03
Name of individual signing EUGENE RUDNICKI
Valid signature Filed with authorized/valid electronic signature
BETH & RUDNICKI INSURANCE AGENCY, INC. 401(K) PLAN AND TRUST 2018 364396484 2019-04-09 BETH & RUDNICKI INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 8153996690
Plan sponsor’s address 5411 EAST STATE STREET, SUITE 204, ROCKFORD, IL, 61108

Signature of

Role Plan administrator
Date 2019-04-09
Name of individual signing EUGENE RUDNICKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-09
Name of individual signing EUGENE RUDNICKI
Valid signature Filed with authorized/valid electronic signature
BETH & RUDNICKI INSURANCE AGENCY, INC. 401(K) PLAN AND TRUST 2017 364396484 2018-02-21 BETH & RUDNICKI INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 8153996690
Plan sponsor’s address 5411 EAST STATE STREET, SUITE 204, ROCKFORD, IL, 61108

Signature of

Role Plan administrator
Date 2018-02-21
Name of individual signing EUGENE RUDNICKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-21
Name of individual signing EUGENE RUDNICKI
Valid signature Filed with authorized/valid electronic signature
BETH & RUDNICKI INSURANCE AGENCY, INC. 401(K) PLAN AND TRUST 2016 364396484 2017-03-20 BETH & RUDNICKI INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 8153996690
Plan sponsor’s address 5411 EAST STATE STREET, SUITE 204, ROCKFORD, IL, 61108

Signature of

Role Plan administrator
Date 2017-03-20
Name of individual signing EUGENE RUDNICKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-20
Name of individual signing EUGENE RUDNICKI
Valid signature Filed with authorized/valid electronic signature
BETH & RUDNICKI INSURANCE AGENCY, INC. 401(K) PLAN 2015 364396484 2016-03-14 BETH & RUDNICKI INSURANCE AGENCY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 8153996690
Plan sponsor’s address 5411 EAST STATE STREET, SUITE 204, ROCKFORD, IL, 61108

Signature of

Role Plan administrator
Date 2016-03-14
Name of individual signing EUGENE RUDNICKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-14
Name of individual signing EUGENE RUDNICKI
Valid signature Filed with authorized/valid electronic signature
BETH & RUDNICKI INSURANCE AGENCY, INC. 401(K) PLAN 2014 364396484 2015-04-02 BETH & RUDNICKI INSURANCE AGENCY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 524210
Sponsor’s telephone number 8153996690
Plan sponsor’s address 5411 EAST STATE STREET, SUITE 204, ROCKFORD, IL, 61108

Signature of

Role Plan administrator
Date 2015-04-02
Name of individual signing EUGENE RUDNICKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-02
Name of individual signing EUGENE RUDNICKI
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
EUGENE RUDNICKI, 5411 E STATE ST STE 204, ROCKFORD, 61108, WINNEBAGO Agent 2001-12-04

President

Name and Address Role
ROGER BETH, 2757 CONSTANCE LNMARENGO 60152 President

Secretary

Name and Address Role
EUGENE RUDNICKI 7308 CODY RUNSOUTH BELOIT, IL 61080 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State