Search icon

LAKE MILLS INSURANCE SERVICES, INC.

Headquarter

Company Details

Entity Name: LAKE MILLS INSURANCE SERVICES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 23 Jan 2002
Company Number: CORP_62022213
File Number: 62022213
Type of Business: Business Corporations
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of LAKE MILLS INSURANCE SERVICES, INC., ALABAMA 000-939-098 ALABAMA
Headquarter of LAKE MILLS INSURANCE SERVICES, INC., IDAHO 629233 IDAHO

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHATHAM INSURANCE SERVICES, INC. 401(K) PROFIT SHARING PLAN 2012 300036061 2013-09-13 CHATHAM INSURANCE SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-09-01
Business code 524290
Sponsor’s telephone number 2246539476
Plan sponsor’s mailing address 1515 E. WOODFIELD ROAD, SUITE 660, SCHAUMBURG, IL, 60173
Plan sponsor’s address 1515 E. WOODFIELD ROAD, SUITE 660, SCHAUMBURG, IL, 60173

Plan administrator’s name and address

Administrator’s EIN 300036061
Plan administrator’s name CHATHAM INSURANCE SERVICES, INC.
Plan administrator’s address 1515 E. WOODFIELD ROAD, SUITE 660, SCHAUMBURG, IL, 60173
Administrator’s telephone number 2246539476

Number of participants as of the end of the plan year

Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 4
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2013-09-13
Name of individual signing JEFFREY STETSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-13
Name of individual signing JEFFREY STETSON
Valid signature Filed with authorized/valid electronic signature
CHATHAM INSURANCE SERVICES, INC. 401 K PROFIT SHARING PLAN 2011 300036061 2012-05-29 CHATHAM INSURANCE SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-09-01
Business code 524210
Sponsor’s telephone number 2246539476
Plan sponsor’s address 1515 E WOODFIELD RD, SUITE 660, SCHAUMBURG, IL, 60173

Plan administrator’s name and address

Administrator’s EIN 300036061
Plan administrator’s name CHATHAM INSURANCE SERVICES, INC.
Plan administrator’s address 1515 E WOODFIELD RD, SUITE 660, SCHAUMBURG, IL, 60173
Administrator’s telephone number 2246539476

Signature of

Role Plan administrator
Date 2012-05-25
Name of individual signing JEFFREY S STETSON
Valid signature Filed with authorized/valid electronic signature
CHATHAM INSURANCE SERVICES INC 401K PROFIT SHARING PLAN 2010 300036061 2011-06-06 CHATHAM INSURANCE SERVICES, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-09-01
Business code 524210
Sponsor’s telephone number 8474661066
Plan sponsor’s address 10 N MARTINGALE STE 400, SCHAUMBURG, IL, 60173

Plan administrator’s name and address

Administrator’s EIN 300036061
Plan administrator’s name CHATHAM INSURANCE SERVICES INC
Plan administrator’s address 10 N MARTINGALE STE 400, SCHAUMBURG, IL, 60173
Administrator’s telephone number 8474661066

Signature of

Role Plan administrator
Date 2011-06-06
Name of individual signing JEFFREY S STETSON
Valid signature Filed with authorized/valid electronic signature
CHATHAM INSURANCE SERVICES INC 401K PROFIT SHARING PLAN 2010 300036061 2011-06-03 CHATHAM INSURANCE SERVICES, INC 4
Three-digit plan number (PN) 001
Effective date of plan 2002-09-01
Business code 524210
Sponsor’s telephone number 8474661066
Plan sponsor’s address 10 N MARTINGALE STE 400, SCHAUMBURG, IL, 60173

Plan administrator’s name and address

Administrator’s EIN 300036061
Plan administrator’s name CHATHAM INSURANCE SERVICES INC
Plan administrator’s address 10 N MARTINGALE STE 400, SCHAUMBURG, IL, 60173
Administrator’s telephone number 8474661066

Signature of

Role Plan administrator
Date 2011-06-03
Name of individual signing JEFFREY S STETSON
Valid signature Filed with incorrect/unrecognized electronic signature
CHATHAM INSURANCE SERVICES INC 401K PROFIT SHARING PLAN 2009 300036061 2010-07-21 CHATHAM INSURANCE SERVICES, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-09-01
Business code 524210
Sponsor’s telephone number 8474661066
Plan sponsor’s address 10 N MARTINGALE, SCHAUMBURG, IL, 60173

Plan administrator’s name and address

Administrator’s EIN 300036061
Plan administrator’s name CHATHAM INSURANCE SERVICES INC
Plan administrator’s address 10 N MARTINGALE, SCHAUMBURG, IL, 60173
Administrator’s telephone number 8474661066

Signature of

Role Plan administrator
Date 2010-07-21
Name of individual signing JEFFREY S STETSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
NAUMANN, AGNELLO & ASSOCIATES, LLC, 25 NORTHWEST POINT BLVD #180, ELK GROVE VILLAGE, 60007, COOK-NOT IN CITY OF CHICAGO Agent 2022-01-24

President

Name and Address Role
JEFFREY S STETSON 1515 E WOODFIELD RD/#960 SCHAUMBURG 60173 President

Historical Names

Name Change Date
CHATHAM INSURANCE SERVICES, INC. 2018-07-16

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 2000 2000000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State