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FIRST CHOICE INSURANCE AGENCY, INC.

Company Details

Entity Name: FIRST CHOICE INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 08 Aug 2002
Company Number: CORP_62374381
File Number: 62374381
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FIRST CHOICE INSURANCE AGENCY 401K PLAN 2023 743065933 2024-08-14 FIRST CHOICE INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-04-01
Business code 524210
Sponsor’s telephone number 6305418344
Plan sponsor’s address 1301 W. 22ND ST, SUITE 805, OAK BROOK, IL, 60523

Signature of

Role Plan administrator
Date 2024-08-14
Name of individual signing ASHLEY GAMBRO
Valid signature Filed with authorized/valid electronic signature
FIRST CHOICE INSURANCE AGENCY 401K PLAN 2023 743065933 2024-07-15 FIRST CHOICE INSURANCE AGENCY, INC. 6
Three-digit plan number (PN) 001
Effective date of plan 2014-04-01
Business code 524210
Sponsor’s telephone number 6305418344
Plan sponsor’s address 1301 W. 22ND ST, SUITE 805, OAK BROOK, IL, 60523

Signature of

Role Plan administrator
Date 2024-07-15
Name of individual signing ASHLEY GAMBRO
Valid signature Filed with authorized/valid electronic signature
FIRST CHOICE INSURANCE AGENCY 401K PLAN 2022 743065933 2023-07-17 FIRST CHOICE INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-04-01
Business code 524210
Sponsor’s telephone number 6305418344
Plan sponsor’s address 1301 W. 22ND ST, SUITE 805, OAK BROOK, IL, 60523

Signature of

Role Plan administrator
Date 2023-07-17
Name of individual signing ASHLEY GAMBRO
Valid signature Filed with authorized/valid electronic signature
FIRST CHOICE INSURANCE AGENCY 401K PLAN 2021 743065933 2022-08-04 FIRST CHOICE INSURANCE AGENCY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-04-01
Business code 524210
Sponsor’s telephone number 6305418344
Plan sponsor’s address 1301 W 22ND ST STE 805, OAK BROOK, IL, 605233393

Signature of

Role Plan administrator
Date 2022-08-04
Name of individual signing MICHAEL PERNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-04
Name of individual signing MICHAEL PERNA
Valid signature Filed with authorized/valid electronic signature
FIRST CHOICE INSURANCE AGENCY 401K PLAN 2020 743065933 2021-05-06 FIRST CHOICE INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-04-01
Business code 524210
Sponsor’s telephone number 6305418344
Plan sponsor’s address 1301 W 22ND ST STE 805, OAK BROOK, IL, 605233393

Signature of

Role Plan administrator
Date 2021-05-06
Name of individual signing MICHAEL PERNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-06
Name of individual signing MICHAEL PERNA
Valid signature Filed with authorized/valid electronic signature
FIRST CHOICE INSURANCE AGENCY 401K PLAN 2020 743065933 2021-05-06 FIRST CHOICE INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-04-01
Business code 524210
Sponsor’s telephone number 6305418344
Plan sponsor’s address 1301 W 22ND ST STE 805, OAK BROOK, IL, 605233393

Signature of

Role Plan administrator
Date 2021-05-06
Name of individual signing MICHAEL PERNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-06
Name of individual signing MICHAEL PERNA
Valid signature Filed with authorized/valid electronic signature
FIRST CHOICE INSURANCE AGENCY 401K PLAN 2019 743065933 2021-05-06 FIRST CHOICE INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-04-01
Business code 524210
Sponsor’s telephone number 6305418344
Plan sponsor’s address 1301 W 22ND ST STE 805, OAK BROOK, IL, 605233393

Signature of

Role Plan administrator
Date 2021-05-06
Name of individual signing MICHAEL PERNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-06
Name of individual signing MICHAEL PERNA
Valid signature Filed with authorized/valid electronic signature
FIRST CHOICE INSURANCE AGENCY 401K PLAN 2019 743065933 2021-05-06 FIRST CHOICE INSURANCE AGENCY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-04-01
Business code 524210
Sponsor’s telephone number 6305418344
Plan sponsor’s address 1301 W 22ND ST STE 805, OAK BROOK, IL, 605233393

Signature of

Role Plan administrator
Date 2021-05-06
Name of individual signing MICHAEL PERNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-06
Name of individual signing MICHAEL PERNA
Valid signature Filed with authorized/valid electronic signature
FIRST CHOICE INSURANCE AGENCY 401K PLAN 2019 743065933 2021-05-06 FIRST CHOICE INSURANCE AGENCY 4
Three-digit plan number (PN) 001
Effective date of plan 2014-04-01
Business code 524210
Sponsor’s telephone number 6305418344
Plan sponsor’s address 1301 W 22ND ST STE 805, OAK BROOK, IL, 605233393

Signature of

Role Plan administrator
Date 2021-05-06
Name of individual signing MICHAEL PERNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-06
Name of individual signing MICHAEL PERNA
Valid signature Filed with authorized/valid electronic signature
FIRST CHOICE INSURANCE AGENCY 401K PLAN 2019 743065933 2021-05-06 FIRST CHOICE INSURANCE AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-04-01
Business code 524210
Sponsor’s telephone number 6305418344
Plan sponsor’s address 1301 W 22ND ST STE 805, OAK BROOK, IL, 605233393

Signature of

Role Plan administrator
Date 2021-05-06
Name of individual signing MICHAEL PERNA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-06
Name of individual signing MICHAEL PERNA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
WAYNE M SKWAREK, 2135 CITY GATE LN STE 300, NAPERVILLE, 60563, DU PAGE Agent 2020-08-03

President

Name and Address Role
ASHLEY GAMBRO 1301 W 22ND STSTE 805 OAK BROOK, IL 60523 President

Secretary

Name and Address Role
MICHAEL J PERNA 1301 W 22ND STSTE 805 OAK BROOK, IL 60523 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