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  5. MARK MITCHELL INSURANCE AGENCY, INC.

MARK MITCHELL INSURANCE AGENCY, INC.

Company Details

Entity Name: MARK MITCHELL INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Jul 2003
Company Number: CORP_62928417
File Number: 62928417
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARK MITCHELL INSURANCE AGENCY 401K PLAN 2023 200059880 2024-04-04 MARK MITCHELL INSURANCE AGENCY 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 8152363204
Plan sponsor’s address 717 S EASTWOOD DRIVE, WOODSTOCK, IL, 60098

Signature of
Role Plan administrator
Date 2024-04-04
Name of individual signing MARK MITCHELL
Valid signature Filed with authorized/valid electronic signature
MARK MITCHELL INSURANCE AGENCY 401K PLAN 2022 200059880 2023-04-24 MARK MITCHELL INSURANCE AGENCY 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 8153341000
Plan sponsor’s address 717 S EASTWOOD DRIVE, WOODSTOCK, IL, 60098

Signature of
Role Plan administrator
Date 2023-04-24
Name of individual signing MARK MITCHELL
Valid signature Filed with authorized/valid electronic signature
MARK MITCHELL INSURANCE AGENCY 401K PLAN 2021 200059880 2022-05-13 MARK MITCHELL INSURANCE AGENCY 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 8153341000
Plan sponsor’s address 717 S EASTWOOD DRIVE, WOODSTOCK, IL, 60098

Signature of
Role Plan administrator
Date 2022-05-13
Name of individual signing MARK MITCHELL
Valid signature Filed with authorized/valid electronic signature
MARK MITCHELL INSURANCE AGENCY 401K PLAN 2020 200059880 2021-07-09 MARK MITCHELL INSURANCE AGENCY 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 8153341000
Plan sponsor’s address 717 S EASTWOOD DRIVE, WOODSTOCK, IL, 60098

Signature of
Role Plan administrator
Date 2021-07-09
Name of individual signing MARK MITCHELL
Valid signature Filed with authorized/valid electronic signature
MARK MITCHELL INSURANCE AGENCY 401K PLAN 2019 200059880 2020-07-13 MARK MITCHELL INSURANCE AGENCY 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 8153341000
Plan sponsor’s address PO BOX 345, WOODSTOCK, IL, 60098

Signature of
Role Plan administrator
Date 2020-07-13
Name of individual signing MARK MITCHELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-13
Name of individual signing MARK MITCHELL
Valid signature Filed with authorized/valid electronic signature
MARK MITCHELL INSURANCE AGENCY 401K PLAN 2018 200059880 2019-06-09 MARK MITCHELL INSURANCE AGENCY 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 8153341000
Plan sponsor’s address PO BOX 345, WOODSTOCK, IL, 60098

Signature of
Role Plan administrator
Date 2019-06-09
Name of individual signing MARK MITCHELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-09
Name of individual signing MARK MITCHELL
Valid signature Filed with authorized/valid electronic signature
MARK MITCHELL INSURANCE AGENCY 401K PLAN 2017 200059880 2018-09-19 MARK MITCHELL INSURANCE AGENCY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 8153341000
Plan sponsor’s address PO BOX 345, WOODSTOCK, IL, 60098

Signature of
Role Plan administrator
Date 2018-09-19
Name of individual signing MARK MITCHELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-19
Name of individual signing MARK MITCHELL
Valid signature Filed with authorized/valid electronic signature
MARK MITCHELL INSURANCE AGENCY 401K PLAN 2016 200059880 2017-07-26 MARK MITCHELL INSURANCE AGENCY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 8153341015
Plan sponsor’s address PO BOX 345, WOODSTOCK, IL, 60098

Signature of
Role Plan administrator
Date 2017-07-26
Name of individual signing MARK MITCHELL
Valid signature Filed with authorized/valid electronic signature
MARK MITCHELL INSURANCE AGENCY 401K PLAN 2015 200059880 2016-07-20 MARK MITCHELL INSURANCE AGENCY 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 8153341015
Plan sponsor’s address PO BOX 345, WOODSTOCK, IL, 600980345

Signature of
Role Plan administrator
Date 2016-07-20
Name of individual signing MARK MITCHELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-20
Name of individual signing MARK MITCHELL
Valid signature Filed with authorized/valid electronic signature
MARK MITCHELL INSURANCE AGENCY, INC. 401(K) PLAN 2010 200059880 2011-06-10 MARK MITCHELL INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 8153341000
Plan sponsor’s address 717 S. EASTWOOD DRIVE, WOODSTOCK, IL, 600984634

Plan administrator’s name and address
Administrator’s EIN 200059880
Plan administrator’s name MARK MITCHELL INSURANCE AGENCY, INC.
Plan administrator’s address 717 S. EASTWOOD DRIVE, WOODSTOCK, IL, 600984634
Administrator’s telephone number 8153341000

Signature of
Role Plan administrator
Date 2011-06-10
Name of individual signing MARK MITCHELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-10
Name of individual signing MARK MITCHELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARK R MITCHELL, 717 S EASTWOOD DR, WOODSTOCK, 60098, MC HENRY Agent 2003-07-01

President

Name and Address Role
MARK MITCHELL, 717 S EASTWOODDR WOODSTOCK 60098 President

Secretary

Name and Address Role
MARK MITCHELL, 717 S EASTWOODDR WOODSTOCK 60098 Secretary

Shares

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