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  5. FOUR CORNERS TAVERN GROUP INC.

FOUR CORNERS TAVERN GROUP INC.

Company Details

Entity Name: FOUR CORNERS TAVERN GROUP INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Jul 2005
Company Number: CORP_64329359
File Number: 64329359
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOUR CORNERS 401(K) PLAN 2018 342050782 2019-10-09 FOUR CORNERS TAVERN GROUP, INC. 262
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 551112
Sponsor’s telephone number 7735282240
Plan sponsor’s mailing address 1040 W RANDOLPH STREET, CHICAGO, IL, 60607
Plan sponsor’s address 3258 NORTH SOUTHPORT AVENUE, CHICAGO, IL, 60657

Number of participants as of the end of the plan year
Active participants 225
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 49
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 133
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2019-10-09
Name of individual signing JOHN H. FIGUEROA
Valid signature Filed with authorized/valid electronic signature
FOUR CORNERS 401(K) PLAN 2017 342050782 2018-09-04 FOUR CORNERS TAVERN GROUP, INC. 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 551112
Sponsor’s telephone number 7735282240
Plan sponsor’s mailing address 1040 W RANDOLPH STREET, CHICAGO, IL, 60607
Plan sponsor’s address 3258 NORTH SOUTHPORT AVENUE, CHICAGO, IL, 60657

Number of participants as of the end of the plan year
Active participants 104
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 15
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 49
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2018-09-04
Name of individual signing JOHN FIGUEROA
Valid signature Filed with authorized/valid electronic signature
FOUR CORNERS 401(K) PLAN 2016 342050782 2017-10-03 FOUR CORNERS TAVERN GROUP, INC. 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 551112
Sponsor’s telephone number 7735282240
Plan sponsor’s mailing address 1040 W RANDOLPH STREET, CHICAGO, IL, 60607
Plan sponsor’s address 3258 NORTH SOUTHPORT AVENUE, CHICAGO, IL, 60657

Number of participants as of the end of the plan year
Active participants 82
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 16
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 51
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2017-10-03
Name of individual signing JOHN FIGUEROA
Valid signature Filed with authorized/valid electronic signature
FOUR CORNERS 401(K) PLAN 2015 342050782 2016-10-13 FOUR CORNERS TAVERN GROUP, INC. 107
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 551112
Sponsor’s telephone number 7735282240
Plan sponsor’s address 1040 W RANDOLPH STREET, CHICAGO, IL, 60607

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing EDWARD POMPER
Valid signature Filed with authorized/valid electronic signature
FOUR CORNERS 401(K) PLAN 2014 342050782 2015-10-15 FOUR CORNERS TAVERN GROUP, INC. 119
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 551112
Sponsor’s telephone number 7735282240
Plan sponsor’s address 1040 W RANDOLPH ST, CHICAGO, IL, 60607

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing EDWARD POMPER
Valid signature Filed with authorized/valid electronic signature
FOUR CORNERS 401(K) PLAN 2014 342050782 2016-12-22 FOUR CORNERS TAVERN GROUP, INC. 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 551112
Sponsor’s telephone number 7735282240
Plan sponsor’s address 1040 W RANDOLPH ST, CHICAGO, IL, 60607

Signature of
Role Plan administrator
Date 2016-12-22
Name of individual signing EDWARD POMPER
Valid signature Filed with authorized/valid electronic signature
FOUR CORNERS 401(K) PLAN 2013 342050782 2014-10-07 FOUR CORNERS TAVERN GROUP, INC. 116
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 551112
Sponsor’s telephone number 7735282240
Plan sponsor’s address 1040 W RANDOLPH ST, CHICAGO, IL, 60607

Plan administrator’s name and address
Administrator’s EIN 342050782
Plan administrator’s name FOUR CORNERS TAVERN GROUP, INC.
Plan administrator’s address 3258 NORTH SOUTHPORT AVENUE, CHICAGO, IL, 60657
Administrator’s telephone number 7735282240

Signature of
Role Plan administrator
Date 2014-10-07
Name of individual signing EDWARD POMPER
Valid signature Filed with authorized/valid electronic signature
FOUR CORNERS 401(K) PLAN 2012 342050782 2013-09-26 FOUR CORNERS TAVERN GROUP, INC. 117
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 551112
Sponsor’s telephone number 7735282240
Plan sponsor’s address 3258 NORTH SOUTHPORT AVENUE, CHICAGO, IL, 60657

Plan administrator’s name and address
Administrator’s EIN 342050782
Plan administrator’s name FOUR CORNERS TAVERN GROUP, INC.
Plan administrator’s address 3258 NORTH SOUTHPORT AVENUE, CHICAGO, IL, 60657
Administrator’s telephone number 7735282240

Signature of
Role Plan administrator
Date 2013-09-26
Name of individual signing EDWARD POMPER
Valid signature Filed with authorized/valid electronic signature
FOUR CORNERS 401(K) PLAN 2011 342050782 2012-07-03 FOUR CORNERS TAVERN GROUP, INC. 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 551112
Sponsor’s telephone number 7735282240
Plan sponsor’s address 3258 NORTH SOUTHPORT AVENUE, CHICAGO, IL, 60657

Plan administrator’s name and address
Administrator’s EIN 342050782
Plan administrator’s name FOUR CORNERS TAVERN GROUP, INC.
Plan administrator’s address 3258 NORTH SOUTHPORT AVENUE, CHICAGO, IL, 60657
Administrator’s telephone number 7735282240

Signature of
Role Plan administrator
Date 2012-07-03
Name of individual signing EDWARD POMPER
Valid signature Filed with authorized/valid electronic signature
FOUR CORNERS 401(K) PLAN 2010 342050782 2011-10-07 FOUR CORNERS TAVERN GROUP, INC. 15
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 551112
Sponsor’s telephone number 7735282240
Plan sponsor’s address 3258 NORTH SOUTHPORT AVENUE, CHICAGO, IL, 60657

Plan administrator’s name and address
Administrator’s EIN 342050782
Plan administrator’s name FOUR CORNERS TAVERN GROUP, INC.
Plan administrator’s address 3258 NORTH SOUTHPORT AVENUE, CHICAGO, IL, 60657
Administrator’s telephone number 7735282240

Signature of
Role Plan administrator
Date 2011-10-07
Name of individual signing EDWARD POMPER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRIAN W TROGLIA, 1525 N ELSTON AVE, STE 200, CHICAGO, 60642, COOK-NOT IN CITY OF CHICAGO Agent 2022-06-15

President

Name and Address Role
MATTHEW MENNA 1326 W. MADISON,APT #2R CHICAGO, IL 60607 President

Secretary

Name and Address Role
ANDREW GLOOR 1326 W. MADISON,APT #2R CHICAGO, IL 60607 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 1000000 No data

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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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