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  5. ROGER HERMAN INSURANCE AGENCY, INC.

ROGER HERMAN INSURANCE AGENCY, INC.

Company Details

Entity Name: ROGER HERMAN INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 07 Aug 2007
Date of Dissolution: 21 Oct 2020
Company Number: CORP_65648121
File Number: 65648121
Type of Business: All Inclusive Purpose
Date Status Change: 21 Oct 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROGER HERMAN INSURANCE AGENCY, INC. 401(K) PROFIT-SHARING PLAN & TRUST 2020 260614088 2021-07-23 ROGER HERMAN INSURANCE AGENCY, INC. 6
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3096638041
Plan sponsor’s address 2415 E. WASHINGTON ST., BLOOMINGTON, IL, 61704
ROGER HERMAN INSURANCE AGENCY, INC. 401(K) PROFIT-SHARING PLAN & TRUST 2020 260614088 2021-07-23 ROGER HERMAN INSURANCE AGENCY, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3096638041
Plan sponsor’s address 2415 E. WASHINGTON ST., BLOOMINGTON, IL, 61704
ROGER HERMAN INSURANCE AGENCY, INC. 401(K) PROFIT-SHARING PLAN & TRUST 2019 260614088 2020-04-08 ROGER HERMAN INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3096638041
Plan sponsor’s address 2415 E. WASHINGTON ST., BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2020-04-08
Name of individual signing ROGER HERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-08
Name of individual signing ROGER HERMAN
Valid signature Filed with authorized/valid electronic signature
ROGER HERMAN INSURANCE AGENCY, INC. 401(K) PROFIT-SHARING PLAN & TRUST 2018 260614088 2019-10-11 ROGER HERMAN INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Plan sponsor’s address 2415 E. WASHINGTON ST., BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing ROGER HERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-11
Name of individual signing ROGER HERMAN
Valid signature Filed with authorized/valid electronic signature
ROGER HERMAN INSURANCE AGENCY, INC. 401(K) PROFIT-SHARING PLAN & TRUST 2017 260614088 2018-09-30 ROGER HERMAN INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Plan sponsor’s address 2415 E. WASHINGTON ST., BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2018-09-30
Name of individual signing ROGER HERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-30
Name of individual signing ROGER HERMAN
Valid signature Filed with authorized/valid electronic signature
ROGER HERMAN INSURANCE AGENCY, INC. 401(K) PROFIT-SHARING PLAN & TRUST 2016 260614088 2017-08-14 ROGER HERMAN INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3096638041
Plan sponsor’s address 2415 EAST WASHINGTON STREET, STE. A, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2017-08-14
Name of individual signing ROGER HERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-14
Name of individual signing ROGER HERMAN
Valid signature Filed with authorized/valid electronic signature
ROGER HERMAN INSURANCE AGENCY, INC. 401(K) PROFIT-SHARING PLAN & TRUST 2015 260614088 2016-09-20 ROGER HERMAN INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3096638041
Plan sponsor’s address 2415 EAST WASHINGTON STREET, STE. A, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2016-09-20
Name of individual signing ROGER HERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-20
Name of individual signing ROGER HERMAN
Valid signature Filed with authorized/valid electronic signature
ROGER HERMAN INSURANCE AGENCY, INC. 401(K) PROFIT-SHARING PLAN & TRUST 2014 260614088 2015-09-19 ROGER HERMAN INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3096638041
Plan sponsor’s address 2415 EAST WASHINGTON STREET, STE. A, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2015-09-19
Name of individual signing ROGER HERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-19
Name of individual signing ROGER HERMAN
Valid signature Filed with authorized/valid electronic signature
ROGER HERMAN INSURANCE AGENCY, INC. 401(K) PROFIT-SHARING PLAN & TRUST 2013 260614088 2014-09-22 ROGER HERMAN INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3096638041
Plan sponsor’s address 2415 EAST WASHINGTON STREET, STE. A, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing ROGER HERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-22
Name of individual signing ROGER HERMAN
Valid signature Filed with authorized/valid electronic signature
ROGER HERMAN INSURANCE AGENCY, INC. 401(K) PROFIT-SHARING PLAN & TRUST 2012 260614088 2013-10-11 ROGER HERMAN INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 3096638041
Plan sponsor’s address 2415 EAST WASHINGTON STREET, STE. A, BLOOMINGTON, IL, 61704

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing ROGER HERMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-11
Name of individual signing ROGER HERMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ROGER W. HERMAN, 2415 E WASHINGTON ST. STE.A, BLOOMINGTON, 61704, MC LEAN Agent 2007-08-07

President

Name and Address Role
ROGER HERMAN 15 PEMBROOK CIRCLE BLOOMINGTON 61704 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Related by officers

No related officers

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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