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PERCHINSKI INSURANCE AGENCY, INC.

Company Details

Entity Name: PERCHINSKI INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 30 Mar 2007
Company Number: CORP_65456761
File Number: 65456761
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PERCHINSKI INSURANCE AGENCY, INC. 401(K) PLAN 2023 208920733 2024-05-17 PERCHINSKI INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 524290
Sponsor’s telephone number 7087547300
Plan sponsor’s address 29 E 34TH ST, STEGER, IL, 60475

Signature of

Role Plan administrator
Date 2024-05-17
Name of individual signing TIM PERCHINSKI
Valid signature Filed with authorized/valid electronic signature
PERCHINSKI INSURANCE AGENCY, INC. 401(K) PLAN 2022 208920733 2023-08-23 PERCHINSKI INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 524290
Sponsor’s telephone number 7087547300
Plan sponsor’s address 29 E 34TH ST, STEGER, IL, 60475

Signature of

Role Plan administrator
Date 2023-08-23
Name of individual signing TIM PERCHINSKI
Valid signature Filed with authorized/valid electronic signature
PERCHINSKI INSURANCE AGENCY, INC. 401(K) PLAN 2021 208920733 2022-05-23 PERCHINSKI INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 524140
Sponsor’s telephone number 7087547300
Plan sponsor’s address 29 E 34TH ST,, STEGER, IL, 60475
PERCHINSKI INSURANCE AGENCY, INC. 401(K) PLAN 2020 208920733 2021-06-01 PERCHINSKI INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 524140
Sponsor’s telephone number 7087547300
Plan sponsor’s address 29 E 34TH ST,, STEGER, IL, 60475

Signature of

Role Plan administrator
Date 2021-06-01
Name of individual signing TIM PERCHINSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-01
Name of individual signing TIM PERCHIN
Valid signature Filed with authorized/valid electronic signature
PERCHINSKI INSURANCE AGENCY, INC. 401(K) PLAN 2019 208920733 2020-05-06 PERCHINSKI INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 524140
Sponsor’s telephone number 7087547300
Plan sponsor’s address 29 E 34TH ST,, STEGER, IL, 60475

Agent

Name and Address Role Appointment Date
TIMOTHY PERCHINSKI, 29 E 34TH ST, STEGER, 60475, COOK-NOT IN CITY OF CHICAGO Agent 2007-03-30

President

Name and Address Role
TIMOTHY PERCHINSKI 243 HILLCREST LN STEGER 60475 President

Shares

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

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State