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  5. PEORIA STAFFING, INC.

PEORIA STAFFING, INC.

Company Details

Entity Name: PEORIA STAFFING, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 01 Mar 2004
Date of Dissolution: 14 Aug 2015
Company Number: CORP_63388866
File Number: 63388866
Type of Business: All Inclusive Purpose
Date Status Change: 14 Aug 2015
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEORIA STAFFING INC. 401(K) SAFE HARBOR PLAN 2023 200799707 2024-02-01 PEORIA STAFFING, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 3096904700
Plan sponsor’s address 7501 NORTH UNIVERSITY STREET, #104, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2024-02-01
Name of individual signing GUY NICKELSON
Valid signature Filed with authorized/valid electronic signature
PEORIA STAFFING INC. 401(K) SAFE HARBOR PLAN 2022 200799707 2023-04-01 PEORIA STAFFING, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 3096904700
Plan sponsor’s address 7501 NORTH UNIVERSITY STREET, #104, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2023-04-01
Name of individual signing GUY NICKELSON
Valid signature Filed with authorized/valid electronic signature
PEORIA STAFFING INC. 401(K) SAFE HARBOR PLAN 2021 200799707 2022-03-28 PEORIA STAFFING, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 3096904700
Plan sponsor’s address 7501 NORTH UNIVERSITY STREET, #104, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2022-03-28
Name of individual signing GUY NICKELSON
Valid signature Filed with authorized/valid electronic signature
PEORIA STAFFING INC. 401(K) SAFE HARBOR PLAN 2020 200799707 2021-04-20 PEORIA STAFFING, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 3096904700
Plan sponsor’s address 7501 NORTH UNIVERSITY STREET, #104, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2021-04-20
Name of individual signing GUY NICKELSON
Valid signature Filed with authorized/valid electronic signature
PEORIA STAFFING INC. 401(K) SAFE HARBOR PLAN 2019 200799707 2020-02-26 PEORIA STAFFING, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 3096904700
Plan sponsor’s address 7501 NORTH UNIVERSITY STREET, #104, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2020-02-26
Name of individual signing GUY NICKELSON
Valid signature Filed with authorized/valid electronic signature
PEORIA STAFFING INC. 401(K) SAFE HARBOR PLAN 2018 200799707 2019-04-03 PEORIA STAFFING, INC. 5
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 3096904700
Plan sponsor’s address 7501 NORTH UNIVERSITY STREET, #104, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2019-04-02
Name of individual signing GUY NICKELSON
Valid signature Filed with authorized/valid electronic signature
PEORIA STAFFING INC. 401(K) SAFE HARBOR PLAN 2017 200799707 2018-03-29 PEORIA STAFFING, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 3096904700
Plan sponsor’s address 7501 NORTH UNIVERSITY STREET, #104, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2018-03-29
Name of individual signing GUY NICKELSON
Valid signature Filed with authorized/valid electronic signature
PEORIA STAFFING INC. 401(K) SAFE HARBOR PLAN 2016 200799707 2017-08-24 PEORIA STAFFING, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 3096904700
Plan sponsor’s address 7501 NORTH UNIVERSITY STREET, #104, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2017-08-24
Name of individual signing GUY NICKELSON
Valid signature Filed with authorized/valid electronic signature
PEORIA STAFFING INC. 401(K) SAFE HARBOR PLAN 2015 200799707 2016-08-11 PEORIA STAFFING, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 3096904700
Plan sponsor’s address 7501 NORTH UNIVERSITY STREET,, SUITE 104, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2016-08-11
Name of individual signing GUY NICKELSON
Valid signature Filed with authorized/valid electronic signature
PEORIA STAFFING 401(K) SAFE HARBOR PLAN 2014 200799707 2015-10-14 PEORIA STAFFING, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 3096904700
Plan sponsor’s address 7501 NORTH UNIVERSITY STREET #104, PEORIA, IL, 61614

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing GUY NICKELSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GUY B NICKELSON, 7501 N UNIVERSITY ST 104, PEORIA, 61614, PEORIA Agent 2011-03-18

President

Name and Address Role
GUY B NICKELSON, 1452 BOULDER CREEK WAY, ROCKFORD, IL 61108 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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