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AMBERLEAF PARTNERS, INC.

Company Details

Entity Name: AMBERLEAF PARTNERS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 02 Jul 2004
Date of Dissolution: 08 Dec 2023
Company Number: CORP_63674532
File Number: 63674532
Type of Business: All Inclusive Purpose
Date Status Change: 08 Dec 2023
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMBERLEAF PARTNERS 401(K) PLAN 2020 201320677 2021-05-26 AMBERLEAF PARTNERS, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541511
Sponsor’s telephone number 8156784050
Plan sponsor’s address P.O. BOX 471, RICHMOND, IL, 60071

Signature of

Role Plan administrator
Date 2021-05-26
Name of individual signing DONALD STEFFEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-26
Name of individual signing DONALD STEFFEN
Valid signature Filed with authorized/valid electronic signature
AMBERLEAF PARTNERS 401(K) PLAN 2019 201320677 2020-02-21 AMBERLEAF PARTNERS, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541511
Sponsor’s telephone number 8156784050
Plan sponsor’s address P.O. BOX 471, RICHMOND, IL, 60071

Signature of

Role Plan administrator
Date 2020-02-21
Name of individual signing GERI RUBEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-02-21
Name of individual signing GERI RUBEL
Valid signature Filed with authorized/valid electronic signature
AMBERLEAF PARTNERS 401(K) PLAN 2018 201320677 2019-03-08 AMBERLEAF PARTNERS, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541511
Sponsor’s telephone number 8156784050
Plan sponsor’s address P.O. BOX 471, RICHMOND, IL, 60071

Signature of

Role Plan administrator
Date 2019-03-08
Name of individual signing GERI RUBEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-08
Name of individual signing GERI RUBEL
Valid signature Filed with authorized/valid electronic signature
AMBERLEAF PARTNERS 401(K) PLAN 2017 201320677 2018-03-15 AMBERLEAF PARTNERS, INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541511
Sponsor’s telephone number 8156784050
Plan sponsor’s address P.O. BOX 471, RICHMOND, IL, 60071

Signature of

Role Plan administrator
Date 2018-03-15
Name of individual signing GERI RUBEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-15
Name of individual signing GERI RUBEL
Valid signature Filed with authorized/valid electronic signature
AMBERLEAF PARTNERS 401(K) PLAN 2016 201320677 2017-06-14 AMBERLEAF PARTNERS INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541511
Sponsor’s telephone number 8156784050
Plan sponsor’s address P O BOX 471, RICHMOND, IL, 60071

Signature of

Role Plan administrator
Date 2017-06-14
Name of individual signing KEVIN MILLER
Valid signature Filed with authorized/valid electronic signature
AMBERLEAF PARTNERS 401(K) PLAN 2015 201320677 2016-06-01 AMBERLEAF PARTNERS INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541511
Sponsor’s telephone number 8156784050
Plan sponsor’s address P O BOX 471, RICHMOND, IL, 60071

Signature of

Role Plan administrator
Date 2016-06-01
Name of individual signing KEVIN MILLER
Valid signature Filed with authorized/valid electronic signature
AMBERLEAF PARTNERS 401(K) PLAN 2014 201320677 2015-06-08 AMBERLEAF PARTNERS INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541511
Sponsor’s telephone number 8156784050
Plan sponsor’s address P O BOX 471, RICHMOND, IL, 60071

Signature of

Role Plan administrator
Date 2015-06-08
Name of individual signing KEVIN MILLER
Valid signature Filed with authorized/valid electronic signature
AMBERLEAF PARTNERS 401(K) PLAN 2013 201320677 2014-06-11 AMBERLEAF PARTNERS INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541511
Sponsor’s telephone number 8156784050
Plan sponsor’s address P O BOX 471, RICHMOND, IL, 60071

Signature of

Role Plan administrator
Date 2014-06-11
Name of individual signing KEVIN MILLER
Valid signature Filed with authorized/valid electronic signature
AMBERLEAF PARTNERS 401(K) PLAN 2012 201320677 2013-06-04 AMBERLEAF PARTNERS INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541511
Sponsor’s telephone number 8156784050
Plan sponsor’s address P. O. BOX 471, RICHMOND, IL, 60071

Signature of

Role Plan administrator
Date 2013-06-04
Name of individual signing KEVIN MILLER
Valid signature Filed with authorized/valid electronic signature
AMBERLEAF PARTNERS 401(K) PLAN 2011 201320677 2012-12-20 AMBERLEAF PARTNERS INC. 13
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 541511
Sponsor’s telephone number 8478451781
Plan sponsor’s address 781 S MIDLOTHIAN ROAD, MUNDELEIN, IL, 60060

Plan administrator’s name and address

Administrator’s EIN 201320677
Plan administrator’s name AMBERLEAF PARTNERS INC.
Plan administrator’s address 781 S MIDLOTHIAN ROAD, MUNDELEIN, IL, 60060
Administrator’s telephone number 8478451781

Signature of

Role Plan administrator
Date 2012-12-20
Name of individual signing MITCHELL GOLDMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
COGENCY GLOBAL INC., 600 SOUTH SECOND ST, SUITE 404, SPRINGFIELD, 62704, SANGAMON Agent 2021-10-06

President

Name and Address Role
GANESHAN VENKATESHWAREN 1305 CHERRINGTON PARKWAY BLDG 210 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1500000 1050000000 No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State