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  5. MOSS FAMILY FUNERAL HOME, LTD.

MOSS FAMILY FUNERAL HOME, LTD.

Company Details

Entity Name: MOSS FAMILY FUNERAL HOME, LTD.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Oct 2001
Company Number: CORP_61827137
File Number: 61827137
Type of Business: Business Corporations
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOSS FAMILY FUNERAL HOME, LTD., INTEGRATED 401(K) PROFT SHARING PLAN 2023 364470365 2024-07-25 MOSS FAMILY FUNERAL HOME, LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6308797900
Plan sponsor’s address 209 S. BATAVIA AVENUE, BATAVIA, IL, 60510

Signature of
Role Plan administrator
Date 2024-07-25
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-25
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
MOSS FAMILY FUNERAL HOME, LTD., INTEGRATED 401(K) PROFT SHARING PLAN 2022 364470365 2023-05-05 MOSS FAMILY FUNERAL HOME, LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6308797900
Plan sponsor’s address 209 S. BATAVIA AVENUE, BATAVIA, IL, 60510

Signature of
Role Plan administrator
Date 2023-05-05
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-05
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
MOSS FAMILY FUNERAL HOME, LTD., INTEGRATED 401(K) PROFT SHARING PLAN 2021 364470365 2022-06-22 MOSS FAMILY FUNERAL HOME, LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6308797900
Plan sponsor’s address 209 S. BATAVIA AVENUE, BATAVIA, IL, 60510

Signature of
Role Plan administrator
Date 2022-06-22
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-22
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
MOSS FAMILY FUNERAL HOME, LTD., INTEGRATED 401(K) PROFT SHARING PLAN 2020 364470365 2021-05-19 MOSS FAMILY FUNERAL HOME, LTD. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6308797900
Plan sponsor’s address 209 SOUTH BATAVIA AVENUE, BATAVIA, IL, 60510

Signature of
Role Plan administrator
Date 2021-05-19
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-19
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
MOSS FAMILY FUNERAL HOME, LTD., INTEGRATED 401(K) PROFT SHARING PLAN 2019 364470365 2020-07-13 MOSS FAMILY FUNERAL HOME, LTD. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6308797900
Plan sponsor’s address 209 SOUTH BATAVIA AVENUE, BATAVIA, IL, 60510

Signature of
Role Plan administrator
Date 2020-07-13
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-13
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
MOSS FAMILY FUNERAL HOME, LTD., INTEGRATED 401(K) PROFT SHARING PLAN 2018 364470365 2019-05-10 MOSS FAMILY FUNERAL HOME, LTD. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6308797900
Plan sponsor’s address 209 SOUTH BATAVIA AVENUE, BATAVIA, IL, 60510

Signature of
Role Plan administrator
Date 2019-05-10
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-10
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
MOSS FAMILY FUNERAL HOME, LTD., INT. 401(K) PSP 2016 364470365 2017-11-28 MOSS FAMILY FUNERAL HOME, LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6308797900
Plan sponsor’s address 209 SOUTH BATAVIA AVENUE, BATAVIA, IL, 60510

Signature of
Role Plan administrator
Date 2017-11-28
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-11-28
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
MOSS FAMILY FUNERAL HOME, LTD., INT. 401(K) PSP 2015 364470365 2017-11-28 MOSS FAMILY FUNERAL HOME, LTD. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6308797900
Plan sponsor’s address 209 SOUTH BATAVIA AVENUE, BATAVIA, IL, 60510

Signature of
Role Plan administrator
Date 2017-11-28
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-11-28
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
MOSS FAMILY FUNERAL HOME, LTD., INT. 401(K) PSP 2014 364470365 2017-11-28 MOSS FAMILY FUNERAL HOME, LTD. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6308797900
Plan sponsor’s address 209 SOUTH BATAVIA AVENUE, BATAVIA, IL, 60510

Signature of
Role Plan administrator
Date 2017-11-28
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-11-28
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
MOSS FAMILY FUNERAL HOME, LTD., INT. 401(K) PSP 2013 364470365 2014-10-15 MOSS FAMILY FUNERAL HOME, LTD. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 812210
Sponsor’s telephone number 6308797900
Plan sponsor’s address 209 SOUTH BATAVIA AVENUE, BATAVIA, IL, 60510

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing BRYAN MOSS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRYAN W MOSS, 209 SOUTH BATAVIA AVE, BATAVIA, 60510, KANE Agent 2001-10-01

President

Name and Address Role
BRYAN W MOSS 209 SOUTH BATAVIAAVENUE BATAVIA, IL 60510 President

Secretary

Name and Address Role
BRYAN W MOSS 209 SOUTH BATAVIA AVENUE BATAVIA, IL 60510 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
FOX RIVER CREMATION SOCIETY Assume Name 2019-02-07 No data No data No data
MOSS FAMILY PAWS Assume Name 2013-11-18 No data No data No data
NORRIS FUNERAL HOME - ST. CHARLES Assume Name 2009-12-22 No data No data No data
MOSS - NORRIS FUNERAL HOME Assume Name 2009-12-22 No data No data No data
YURS, PETERSON AND MOSS FUNERAL HOME No data 2001-10-01 2005-08-30 Expired 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

No related officers

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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