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  5. CASEY'S MARKETS INC.

CASEY'S MARKETS INC.

Company Details

Entity Name: CASEY'S MARKETS INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 06 Dec 2004
Company Number: CORP_63960365
File Number: 63960365
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CMI PROFIT SHARING PLAN 2019 300287014 2020-04-14 CASEY'S MARKETS, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-03-02
Business code 445210
Sponsor’s telephone number 7082460380
Plan sponsor’s address 915 BURLINGTON AVE, WESTERN SPRINGS, IL, 605581293

Signature of
Role Plan administrator
Date 2020-04-14
Name of individual signing DAVID CASEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-14
Name of individual signing DAVID CASEY
Valid signature Filed with authorized/valid electronic signature
CMI MEAT CUTTER'S PLAN 2019 300287014 2020-04-14 CASEY'S MARKETS, INC. 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-03-02
Business code 445210
Sponsor’s telephone number 7082460380
Plan sponsor’s address 915 BURLINGTON AVE, WESTERN SPRINGS, IL, 605581293

Signature of
Role Plan administrator
Date 2020-04-14
Name of individual signing DAVID CASEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-14
Name of individual signing DAVID CASEY
Valid signature Filed with authorized/valid electronic signature
CMI PROFIT SHARING PLAN 2018 300287014 2019-02-19 CASEY'S MARKETS, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-03-02
Business code 445210
Sponsor’s telephone number 7082460380
Plan sponsor’s address 915 BURLINGTON AVE, WESTERN SPRINGS, IL, 605581293

Signature of
Role Plan administrator
Date 2019-02-19
Name of individual signing DAVID CASEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-19
Name of individual signing DAVID CASEY
Valid signature Filed with authorized/valid electronic signature
CMI MEAT CUTTER'S PLAN 2018 300287014 2019-02-27 CASEY'S MARKETS, INC. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-03-02
Business code 445210
Sponsor’s telephone number 7082460380
Plan sponsor’s address 915 BURLINGTON AVE, WESTERN SPRINGS, IL, 605581293

Signature of
Role Plan administrator
Date 2019-02-27
Name of individual signing DAVID CASEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-27
Name of individual signing DAVID CASEY
Valid signature Filed with authorized/valid electronic signature
CMI MEAT CUTTER'S PLAN 2017 300287014 2018-02-20 CASEY'S MARKETS, INC. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-03-02
Business code 445210
Sponsor’s telephone number 7082460380
Plan sponsor’s address 915 BURLINGTON AVE, WESTERN SPRINGS, IL, 605581293

Signature of
Role Plan administrator
Date 2018-02-20
Name of individual signing DAVID CASEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-20
Name of individual signing DAVID CASEY
Valid signature Filed with authorized/valid electronic signature
CMI PROFIT SHARING PLAN 2017 300287014 2018-02-20 CASEY'S MARKETS, INC. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-03-02
Business code 445210
Sponsor’s telephone number 7082460380
Plan sponsor’s address 915 BURLINGTON AVE, WESTERN SPRINGS, IL, 605581293

Signature of
Role Plan administrator
Date 2018-02-20
Name of individual signing DAVID CASEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-20
Name of individual signing DAVID CASEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARK D TOLJANIC, 3601 ALGONQUIN RD STE 860, ROLLING MEADOWS, 60008, COOK-NOT IN CITY OF CHICAGO Agent 2022-06-01

President

Name and Address Role
DAVID G. CASEY 429 S OAKLAND AVENUE VILLA PARK IL 60181 President

Secretary

Name and Address Role
DAVID G. CASEY 429 S OAKLAND AVENUE VILLA PARK IL 60181 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 10000000 No data

Related by officers

MARK D TOLJANIC, 3601 ALGONQUIN RD STE 860, ROLLING MEADOWS, 60008, COOK-NOT IN CITY OF CHICAGO

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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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