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  5. DAN BOROWIAK AGENCY, INC.

DAN BOROWIAK AGENCY, INC.

Company Details

Entity Name: DAN BOROWIAK AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 28 Jun 2004
Company Number: CORP_63628239
File Number: 63628239
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAN BOROWIAK AGENCY, INC. 401(K) PLAN 2023 364018320 2024-05-28 DAN BOROWIAK AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-15
Business code 524210
Sponsor’s telephone number 6304668900
Plan sponsor’s address 720 NORTH HEARTLAND DRIVE, SUITE D, SUGAR GROVE, IL, 60554

Signature of
Role Plan administrator
Date 2024-05-28
Name of individual signing TODD HENNIG
Valid signature Filed with authorized/valid electronic signature
DAN BOROWIAK AGENCY, INC. 401(K) PLAN 2022 364018320 2023-07-15 DAN BOROWIAK AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-15
Business code 524210
Sponsor’s telephone number 6304668900
Plan sponsor’s address 720 NORTH HEARTLAND DRIVE, SUITE D, SUGAR GROVE, IL, 60554

Signature of
Role Plan administrator
Date 2023-07-15
Name of individual signing TODD HENNIG
Valid signature Filed with authorized/valid electronic signature
DAN BOROWIAK AGENCY, INC. 401(K) PLAN 2021 364018320 2022-05-03 DAN BOROWIAK AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-15
Business code 524210
Sponsor’s telephone number 6304668900
Plan sponsor’s address 720 NORTH HEARTLAND DRIVE, SUITE D, SUGAR GROVE, IL, 60554

Signature of
Role Plan administrator
Date 2022-05-03
Name of individual signing TODD HENNIG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-03
Name of individual signing TODD HENNIG
Valid signature Filed with authorized/valid electronic signature
DAN BOROWIAK AGENCY, INC. 401(K) PLAN 2020 364018320 2021-07-08 DAN BOROWIAK AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-15
Business code 524210
Sponsor’s telephone number 6304668900
Plan sponsor’s address 720 NORTH HEARTLAND DRIVE, SUITE D, SUGAR GROVE, IL, 60554

Signature of
Role Plan administrator
Date 2021-07-08
Name of individual signing TODD HENNIG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-08
Name of individual signing TODD HENNIG
Valid signature Filed with authorized/valid electronic signature
DAN BOROWIAK AGENCY, INC. 401(K) PLAN 2019 364018320 2020-10-08 DAN BOROWIAK AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-15
Business code 524210
Sponsor’s telephone number 6304668900
Plan sponsor’s address 720 NORTH HEARTLAND DRIVE, SUITE D, SUGAR GROVE, IL, 60554

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing MARY HUBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-08
Name of individual signing MARY HUBER
Valid signature Filed with authorized/valid electronic signature
DAN BOROWIAK AGENCY, INC. 401(K) PLAN 2018 364018320 2019-08-05 DAN BOROWIAK AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-15
Business code 524210
Sponsor’s telephone number 6304668900
Plan sponsor’s address 720 NORTH HEARTLAND DRIVE, SUITE D, SUGAR GROVE, IL, 60554

Signature of
Role Plan administrator
Date 2019-08-05
Name of individual signing MARY B HUBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-05
Name of individual signing MARY B HUBER
Valid signature Filed with authorized/valid electronic signature
DAN BOROWIAK AGENCY, INC. 401(K) PLAN 2017 364018320 2018-10-11 DAN BOROWIAK AGENCY, INC. 5
Three-digit plan number (PN) 001
Effective date of plan 2007-09-15
Business code 524210
Sponsor’s telephone number 6304668900
Plan sponsor’s address 720 NORTH HEARTLAND DRIVE, SUITE D, SUGAR GROVE, IL, 60554

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing MARSHA HENNIG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing MARSHA HENNIG
Valid signature Filed with authorized/valid electronic signature
DAN BOROWIAK AGENCY, INC. 401(K) PLAN 2017 364018320 2018-10-11 DAN BOROWIAK AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-15
Business code 524210
Sponsor’s telephone number 6304668900
Plan sponsor’s address 720 NORTH HEARTLAND DRIVE, SUITE D, SUGAR GROVE, IL, 60554

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing MARSHA HENNIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing MARSHA HENNIN
Valid signature Filed with authorized/valid electronic signature
DAN BOROWIAK AGENCY, INC. 401(K) PLAN 2016 364018320 2017-07-17 DAN BOROWIAK AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-15
Business code 524210
Sponsor’s telephone number 6304668900
Plan sponsor’s address 720 N HEARTLAND DR STE D, SUGAR GROVE, IL, 60554

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing DANIEL BOROWIAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-17
Name of individual signing DANIEL BOROWIAK
Valid signature Filed with authorized/valid electronic signature
DAN BOROWIAK AGENCY, INC. 401(K) PLAN 2015 364018320 2016-06-08 DAN BOROWIAK AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-09-15
Business code 524210
Sponsor’s telephone number 6304668900
Plan sponsor’s address 720 N HEARTLAND DR STE D, SUGAR GROVE, IL, 60554

Signature of
Role Plan administrator
Date 2016-06-08
Name of individual signing DANIEL BOROWIAK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-08
Name of individual signing DANIEL BOROWIAK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TODD ALLEN HENNIG, 720 HEARTLAND DRIVE UNIT D, SUGAR GROVE, 60554, KANE Agent 2021-08-10

President

Name and Address Role
TODD HENNIG 66 S ROYAL OAKS DRIVE BRISTOL 60512 President

Secretary

Name and Address Role
CHERYL HENNIG, AS ABOVE Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
PLAINFIELD INSURANCE AGENCY, INC. No data 2007-06-05 2015-05-21 Expired No data
DAN BOROWIAK INSURANCE AGENCY No data 2007-06-05 2020-11-02 Involuntary Cancellation No data

Historical Names

Name Change Date
LEGACY INSURANCE GROUP, INC. 2023-11-13
DAN BOROWIAK AGENCY, INC. 2023-11-09

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 25000 5000000 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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