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ROMAN INSURANCE AGENCY, INC.

Company Details

Entity Name: ROMAN INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 04 Jan 2006
Company Number: CORP_64651323
File Number: 64651323
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROMAN INSURANCE AGENCY, INC 401(K) PLAN 2023 203993161 2024-06-27 ROMAN INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 8478690677
Plan sponsor’s address 1800 CENTRAL STREET, EVANSTON, IL, 60201

Signature of

Role Plan administrator
Date 2024-06-27
Name of individual signing JOHN ROMAN
Valid signature Filed with authorized/valid electronic signature
ROMAN INSURANCE AGENCY, INC 401(K) PLAN 2022 203993161 2023-06-21 ROMAN INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 8478690677
Plan sponsor’s address 1800 CENTRAL STREET, EVANSTON, IL, 60201

Signature of

Role Plan administrator
Date 2023-06-21
Name of individual signing JOHN ROMAN
Valid signature Filed with authorized/valid electronic signature
ROMAN INSURANCE AGENCY, INC 401(K) PLAN 2021 203993161 2022-07-22 ROMAN INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 8478690677
Plan sponsor’s address 1800 CENTRAL STREET, EVANSTON, IL, 60201

Signature of

Role Plan administrator
Date 2022-07-22
Name of individual signing JOHN ROMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-15
Name of individual signing JOHN ROMAN
Valid signature Filed with authorized/valid electronic signature
ROMAN INSURANCE AGENCY, INC 401(K) PLAN 2020 203993161 2021-05-26 ROMAN INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 8478690677
Plan sponsor’s address 1800 CENTRAL STREET, EVANSTON, IL, 60201

Signature of

Role Plan administrator
Date 2021-05-26
Name of individual signing JOHN ROMAN
Valid signature Filed with authorized/valid electronic signature
ROMAN INSURANCE AGENCY, INC 401(K) PLAN 2019 203993161 2020-06-18 ROMAN INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 8478690677
Plan sponsor’s address 1800 CENTRAL STREET, EVANSTON, IL, 60201

Signature of

Role Plan administrator
Date 2020-06-18
Name of individual signing JOHN ROMAN
Valid signature Filed with authorized/valid electronic signature
ROMAN INSURANCE AGENCY, INC 401(K) PLAN 2018 203993161 2019-05-13 ROMAN INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 8478690677
Plan sponsor’s address 1800 CENTRAL STREET, EVANSTON, IL, 60201

Signature of

Role Plan administrator
Date 2019-05-13
Name of individual signing JOHN ROMAN
Valid signature Filed with authorized/valid electronic signature
ROMAN INSURANCE AGENCY, INC 401(K) PLAN 2017 203993161 2018-05-23 ROMAN INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 8478690677
Plan sponsor’s address 1800 CENTRAL STREET, EVANSTON, IL, 60201

Signature of

Role Plan administrator
Date 2018-05-23
Name of individual signing JOHN W. ROMAN
Valid signature Filed with authorized/valid electronic signature
ROMAN INSURANCE AGENCY, INC 401(K) PLAN 2016 203993161 2017-07-25 ROMAN INSURANCE AGENCY, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 8478690677
Plan sponsor’s address 1800 CENTRAL STREET, EVANSTON, IL, 60201

Signature of

Role Plan administrator
Date 2017-07-25
Name of individual signing JOHN ROMAN
Valid signature Filed with authorized/valid electronic signature
ROMAN INSURANCE AGENCY, INC. 401(K) PLAN 2015 203993161 2016-05-17 ROMAN INSURANCE AGENCY, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 8478690677
Plan sponsor’s address 1800 CENTRAL STREET, EVANSTON, IL, 60201

Signature of

Role Plan administrator
Date 2016-05-17
Name of individual signing JOHN ROMAN
Valid signature Filed with authorized/valid electronic signature
ROMAN INSURANCE AGENCY, INC. 401(K) PLAN 2014 203993161 2015-03-10 ROMAN INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 524210
Sponsor’s telephone number 8478690677
Plan sponsor’s address 1800 CENTRAL STREET, EVANSTON, IL, 60201

Signature of

Role Plan administrator
Date 2015-03-10
Name of individual signing JOHN ROMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-10
Name of individual signing JOHN ROMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
J CASEY HUGHES, 20856 N RAND RD, BARRINGTON, 60010, LAKE Agent 2006-01-04

President

Name and Address Role
JOHN ROMAN 0N730 WATERBURY DR WHEATON IL 60187 President

Secretary

Name and Address Role
SUSAN ROMAN 0N730 WATERBURY DR WHEATON IL 60187 Secretary

Historical Names

Name Change Date
ROMAN HOLDINGS, INC. 2006-01-31

Shares

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

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State