| Entity Name: | EDWIN MILLER INSURANCE AGENCY INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 15 Jul 2005 |
| Date of Dissolution: | 14 Dec 2007 |
| Company Number: | CORP_64371274 |
| File Number: | 64371274 |
| Type of Business: | All Inclusive Purpose |
| Date Status Change: | 14 Dec 2007 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRIME LINE, INC. 401K PROFIT SHARING PLAN | 2011 | 364309689 | 2012-07-02 | PRIME LINE, INC. | 3 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 364309689 |
| Plan administrator’s name | PRIME LINE, INC. |
| Plan administrator’s address | 3402 ROYAL WOODS DRIVE, CRYSTAL LAKE, IL, 60014 |
| Administrator’s telephone number | 8154798580 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-02 |
| Name of individual signing | KEVIN SULLIVAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-07-02 |
| Name of individual signing | KEVIN SULLIVAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 8154798580 |
| Plan sponsor’s address | 3402 ROYAL WOODS DRIVE, CRYSTAL LAKE, IL, 60014 |
Plan administrator’s name and address
| Administrator’s EIN | 364309689 |
| Plan administrator’s name | PRIME LINE, INC. |
| Plan administrator’s address | 3402 ROYAL WOODS DRIVE, CRYSTAL LAKE, IL, 60014 |
| Administrator’s telephone number | 8154798580 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-31 |
| Name of individual signing | KEVIN J. SULLIVAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-05-31 |
| Name of individual signing | KEVIN J. SULLIVAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 8154798580 |
| Plan sponsor’s address | 3402 ROYAL WOODS DRIVE, CRYSTAL LAKE, IL, 60014 |
Plan administrator’s name and address
| Administrator’s EIN | 364309689 |
| Plan administrator’s name | PRIME LINE, INC. |
| Plan administrator’s address | 3402 ROYAL WOODS DRIVE, CRYSTAL LAKE, IL, 60014 |
| Administrator’s telephone number | 8154798580 |
Signature of
| Role | Plan administrator |
| Date | 2010-09-30 |
| Name of individual signing | KEVIN SULLIVAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-09-30 |
| Name of individual signing | KEVIN SULLIVAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| EDWIN L MILLER, 22398 JEANETTE CT, FRANKFORT, 60423, WILL | Agent | 2005-07-15 |
| Name and Address | Role |
|---|---|
| EDWIN L MILLER 22398 JEANETTE COURT, FRANKFORT 60423 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000 | 100000 | No data |
Date of last update: 16 Jan 2025
