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  5. SCOTT ANGAROLA INSURANCE AGENCY, INC.

SCOTT ANGAROLA INSURANCE AGENCY, INC.

Company Details

Entity Name: SCOTT ANGAROLA INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 17 Nov 2004
Company Number: CORP_63891126
File Number: 63891126
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SCOTT ANGAROLA INSURANCE AGENCY 401(K) PLAN 2023 270109431 2024-05-14 SCOTT ANGAROLA INSURANCE AGENCY INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 7733685359
Plan sponsor’s address 1700 W. BELMONT AVE., CHICAGO, IL, 60657

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-14
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
SCOTT ANGAROLA INSURANCE AGENCY 401(K) PLAN 2022 270109431 2023-05-27 SCOTT ANGAROLA INSURANCE AGENCY INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 7733685359
Plan sponsor’s address 1700 W. BELMONT AVE., CHICAGO, IL, 60657

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
SCOTT ANGAROLA INSURANCE AGENCY 401(K) PLAN 2021 270109431 2022-06-02 SCOTT ANGAROLA INSURANCE AGENCY INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 7733685359
Plan sponsor’s address 1700 W. BELMONT AVE., CHICAGO, IL, 60657

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-06-02
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
SCOTT ANGAROLA INSURANCE AGENCY, INC 401(K) PLAN 2020 270109431 2021-09-13 SCOTT ANGAROLA INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 7734040800
Plan sponsor’s address 1700 W. BELMONT AVE., CHICAGO, IL, 606573020

Signature of
Role Plan administrator
Date 2021-09-13
Name of individual signing JOSEPH SCOTT ANGAROLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-13
Name of individual signing JOSEPH SCOTT ANGAROLA
Valid signature Filed with authorized/valid electronic signature
SCOTT ANGAROLA INSURANCE AGENCY, INC 401(K) PLAN 2019 270109431 2020-08-06 SCOTT ANGAROLA INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 7734040800
Plan sponsor’s address 1700 W. BELMONT AVE., CHICAGO, IL, 606573020

Signature of
Role Plan administrator
Date 2020-08-06
Name of individual signing JOSEPH ANGAROLA
Valid signature Filed with authorized/valid electronic signature
SCOTT ANGAROLA INSURANCE AGENCY, INC 401(K) PLAN 2018 270109431 2019-07-31 SCOTT ANGAROLA INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 7734040800
Plan sponsor’s address 1700 W. BELMONT AVE., CHICAGO, IL, 606573020

Signature of
Role Plan administrator
Date 2019-07-31
Name of individual signing JOSEPH ANGAROLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-31
Name of individual signing JOSEPH ANGAROLA
Valid signature Filed with authorized/valid electronic signature
SCOTT ANGAROLA INSURANCE AGENCY, INC 401(K) PLAN 2017 270109431 2018-10-02 SCOTT ANGAROLA INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 7734040800
Plan sponsor’s address 1700 W. BELMONT AVE., CHICAGO, IL, 606573020

Signature of
Role Plan administrator
Date 2018-10-02
Name of individual signing JOSEPH SCOTT ANGAROLA
Valid signature Filed with authorized/valid electronic signature
SCOTT ANGAROLA INSURANCE AGENCY, INC 401(K) PLAN 2016 270109431 2017-07-21 SCOTT ANGAROLA INSURANCE AGENCY, INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 7734040800
Plan sponsor’s address 1700 W. BELMONT AVE., CHICAGO, IL, 606573020

Signature of
Role Plan administrator
Date 2017-07-21
Name of individual signing JOSEPH ANGAROLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-21
Name of individual signing JOSEPH ANGAROLA
Valid signature Filed with authorized/valid electronic signature
SCOTT ANGAROLA INSURANCE AGENCY, INC 401(K) PLAN 2015 270109431 2016-07-19 SCOTT ANGAROLA INSURANCE AGENCY, INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 7734040800
Plan sponsor’s address 1700 W. BELMONT AVE., CHICAGO, IL, 606573020

Signature of
Role Plan administrator
Date 2016-07-19
Name of individual signing JOSEPH SCOTT ANGAROLA
Valid signature Filed with authorized/valid electronic signature
SCOTT ANGAROLA INSURANCE AGENCY, INC. 401(K) PLAN 2014 270109431 2015-02-12 SCOTT ANGAROLA INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 524210
Sponsor’s telephone number 7734040800
Plan sponsor’s address 1700 W. BELMONT AVE., CHICAGO, IL, 606573020

Signature of
Role Plan administrator
Date 2015-02-12
Name of individual signing JOSEPH ANGAROLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-02-12
Name of individual signing JOSEPH ANGAROLA
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOSEPH S ANGAROLA, 1700 W BELMONT AVE, CHICAGO, 60657, COOK-NOT IN CITY OF CHICAGO Agent 2004-11-17

President

Name and Address Role
JOSEPH S ANGAROLA 1700 WEST BELMONT AVE CHICAGO IL 60657 President

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: 23 Jan 2025

Sources: Illinois Office of the Secretary of State

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