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LAVERGNE RISK SERVICES, INC.

Company Details

Entity Name: LAVERGNE RISK SERVICES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 20 Mar 2002
Date of Dissolution: 11 Aug 2017
Company Number: CORP_62123966
File Number: 62123966
Type of Business: All Inclusive Purpose
Date Status Change: 11 Aug 2017
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SCHWARTZ INSURANCE AGENCY, INC. 401K PLAN 2014 371425785 2015-07-30 SCHWARTZ INSURANCE AGENCY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 3126300800
Plan sponsor’s address 500 W. MADISON ST., SUITE 2760, CHICAGO, IL, 60661

Signature of

Role Plan administrator
Date 2015-07-30
Name of individual signing MICHAEL SCHWARTZ
Valid signature Filed with authorized/valid electronic signature
SCHWARTZ INSURANCE AGENCY, INC. 401(K) PLAN 2014 371425785 2015-03-27 SCHWARTZ INSURANCE AGENCY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 3126300800
Plan sponsor’s address 500 WEST MADISON ST., SUITE 2760, CHICAGO, IL, 606614400

Signature of

Role Plan administrator
Date 2015-03-27
Name of individual signing MICHAEL SCHWARTZ
Valid signature Filed with authorized/valid electronic signature
SCHWARTZ INSURANCE AGENCY, INC. 401(K) PLAN 2013 371425785 2014-03-10 SCHWARTZ INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 3126300800
Plan sponsor’s address 500 W. MADISON ST., SUITE 2760, CHICAGO, IL, 60661

Signature of

Role Plan administrator
Date 2014-03-10
Name of individual signing MICHAEL SCHWARTZ
Valid signature Filed with authorized/valid electronic signature
SCHWARTZ INSURANCE AGENCY, INC. 401(K) PLAN 2012 371425785 2013-02-07 SCHWARTZ INSURANCE AGENCY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 3126300800
Plan sponsor’s address 500 W. MADISON ST., SUITE 2760, CHICAGO, IL, 60661

Signature of

Role Plan administrator
Date 2013-02-07
Name of individual signing MICHAEL SCHWARTZ
Valid signature Filed with authorized/valid electronic signature
SCHWARTZ INSURANCE AGENCY, INC. 401K PLAN 2011 371425785 2012-05-03 SCHWARTZ INSURANCE AGENCY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 3126300800
Plan sponsor’s address 500 W. MADISON ST., SUITE 2760, CHICAGO, IL, 60661

Plan administrator’s name and address

Administrator’s EIN 371425785
Plan administrator’s name SCHWARTZ INSURANCE AGENCY, INC.
Plan administrator’s address 500 W. MADISON ST., SUITE 2760, CHICAGO, IL, 60661
Administrator’s telephone number 3126300800

Signature of

Role Plan administrator
Date 2012-05-03
Name of individual signing MICHAEL SCHWARTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-03
Name of individual signing MICHAEL SCHWARTZ
Valid signature Filed with authorized/valid electronic signature
SCHWARTZ INSURANCE AGENCY, INC. 401K PLAN 2010 371425785 2011-08-30 SCHWARTZ INSURANCE AGENCY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 3126300800
Plan sponsor’s address 500 W. MADISON ST., SUITE 2760, CHICAGO, IL, 60661

Plan administrator’s name and address

Administrator’s EIN 371425785
Plan administrator’s name SCHWARTZ INSURANCE AGENCY, INC.
Plan administrator’s address 500 W. MADISON ST., SUITE 2760, CHICAGO, IL, 60661
Administrator’s telephone number 3126300800

Signature of

Role Plan administrator
Date 2011-08-29
Name of individual signing MICHAEL SCHWARTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-29
Name of individual signing MICHAEL SCHWARTZ
Valid signature Filed with authorized/valid electronic signature
SCHWARTZ INSURANCE AGENCY, INC. 401K PLAN 2009 371425785 2010-07-06 SCHWARTZ INSURANCE AGENCY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 3126300800
Plan sponsor’s address 500 W. MADISON ST., SUITE 500, CHICAGO, IL, 60661

Plan administrator’s name and address

Administrator’s EIN 371425785
Plan administrator’s name SCHWARTZ INSURANCE AGENCY, INC.
Plan administrator’s address 500 W. MADISON ST., SUITE 500, CHICAGO, IL, 60661
Administrator’s telephone number 3126300800

Signature of

Role Plan administrator
Date 2010-07-06
Name of individual signing MICHAEL SCHWARTZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-06
Name of individual signing MICHAEL SCHWARTZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL L SCHWARTZ, 500 W MADISON ST STE 2760, CHICAGO, 60661, COOK-NOT IN CITY OF CHICAGO Agent 2011-03-25

President

Name and Address Role
MICHAEL L SCHWARTZ, 500 W MADISON ST STE 2760, CHICAGO 60661 President

Historical Names

Name Change Date
SCHWARTZ INSURANCE AGENCY, INC. 2015-04-10

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1250000 No data

Date of last update: 13 Feb 2025

Sources: Illinois Office of the Secretary of State