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HICKORY CREEK ILLINOIS COMPANY

Company Details

Entity Name: HICKORY CREEK ILLINOIS COMPANY
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 10 Nov 2003
Company Number: CORP_63182877
File Number: 63182877
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HICKORY CREEK ILLINOIS COMPANY PROFIT SHARING PLAN 2019 352219009 2020-06-15 HICKORY CREEK ILLINOIS COMPANY 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-11-12
Business code 812320
Sponsor’s telephone number 7082528817
Plan sponsor’s mailing address 610 COTTONWOOD RD, FRANKFORT, IL, 60423
Plan sponsor’s address 610 COTTONWOOD RD, FRANKFORT, IL, 60423

Number of participants as of the end of the plan year

Active participants 2
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 1
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 2020-06-15
Name of individual signing SCOTT LEWIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-15
Name of individual signing SCOTT LEWIS
Valid signature Filed with authorized/valid electronic signature
HICKORY CREEK ILLINOIS COMPANY PROFIT SHARING PLAN 2018 352219009 2019-07-29 HICKORY CREEK ILLINOIS COMPANY 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-11-12
Business code 812320
Sponsor’s telephone number 7082528817
Plan sponsor’s mailing address 610 COTTONWOOD RD, FRANKFORT, IL, 60423
Plan sponsor’s address 610 COTTONWOOD RD, FRANKFORT, IL, 60423

Number of participants as of the end of the plan year

Active participants 2
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 1
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 2019-07-28
Name of individual signing SCOTT LEWIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-28
Name of individual signing SCOTT LEWIS
Valid signature Filed with authorized/valid electronic signature
HICKORY CREEK ILLINOIS COMPANY PROFIT SHARING PLAN 2017 352219009 2018-10-04 HICKORY CREEK ILLINOIS COMPANY 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-11-12
Business code 812320
Sponsor’s telephone number 7082528817
Plan sponsor’s mailing address 610 COTTONWOOD RD, FRANKFORT, IL, 604231012
Plan sponsor’s address 610 COTTONWOOD RD, FRANKFORT, IL, 604231012

Number of participants as of the end of the plan year

Active participants 2
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 1
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 2018-10-02
Name of individual signing SCOTT LEWIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-02
Name of individual signing SCOTT LEWIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SCOTT E LEWIS, 610 COTTONWOOD RD, FRANKFORT, 60423, WILL Agent 2003-11-10

President

Name and Address Role
SCOTT E LEWIS, 610 COTTONWOODRD, FRANKFORT 60423-1012 President

Secretary

Name and Address Role
JULIE A LEWIS Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
S.E. LEWIS GROUP No data 2007-11-15 2011-04-01 Involuntary Cancellation No data
1-800-DRYCLEAN OF FRANKFORT/ORLAND PARK No data 2004-02-26 2007-08-22 Voluntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 15000 3000000 No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State