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  5. TRACY OLSON INSURANCE AGENCY, INC.

TRACY OLSON INSURANCE AGENCY, INC.

Company Details

Entity Name: TRACY OLSON INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 25 Nov 2008
Company Number: CORP_66296407
File Number: 66296407
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SATISH K. DHANDA, M.D., S.C. 401(K) PLAN 2012 364483622 2013-09-11 SATISH K. DHANDA, M.D., S.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8477581230
Plan sponsor’s address 1675 S. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 600053769

Signature of
Role Plan administrator
Date 2013-09-10
Name of individual signing SATISH K. DHANDA, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-10
Name of individual signing SATISH K. DHANDA, M.D.
Valid signature Filed with authorized/valid electronic signature
SATISH K. DHANDA, M.D., S.C. 401(K) PLAN 2011 364483622 2012-06-21 SATISH K. DHANDA, M.D., S.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8477581230
Plan sponsor’s address 1675 S. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 600053769

Plan administrator’s name and address
Administrator’s EIN 364483622
Plan administrator’s name SATISH K. DHANDA, M.D., S.C.
Plan administrator’s address 1675 S. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 600053769
Administrator’s telephone number 8477581230

Signature of
Role Plan administrator
Date 2012-06-21
Name of individual signing SATISH K. DHANDA, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-21
Name of individual signing SATISH K. DHANDA, M.D.
Valid signature Filed with authorized/valid electronic signature
SATISH K. DHANDA, M.D., S.C. 401(K) PLAN 2010 364483622 2011-06-22 SATISH K. DHANDA, M.D., S.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8477581230
Plan sponsor’s address 1675 S. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 600053769

Plan administrator’s name and address
Administrator’s EIN 364483622
Plan administrator’s name SATISH K. DHANDA, M.D., S.C.
Plan administrator’s address 1675 S. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 600053769
Administrator’s telephone number 8477581230

Signature of
Role Plan administrator
Date 2011-06-22
Name of individual signing SATISH K. DHANDA, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-22
Name of individual signing SATISH K. DHANDA, M.D.
Valid signature Filed with authorized/valid electronic signature
SATISH K. DHANDA, M.D., S.C. 401(K) PLAN 2009 364483622 2010-09-09 SATISH K. DHANDA, M.D., S.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621111
Sponsor’s telephone number 8477581230
Plan sponsor’s address 1675 S. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 600053769

Plan administrator’s name and address
Administrator’s EIN 364483622
Plan administrator’s name SATISH K. DHANDA, M.D., S.C.
Plan administrator’s address 1675 S. ARLINGTON HEIGHTS ROAD, ARLINGTON HEIGHTS, IL, 600053769
Administrator’s telephone number 8477581230

Signature of
Role Plan administrator
Date 2010-09-08
Name of individual signing SATISH K. DHANDA, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-08
Name of individual signing SATISH K. DHANDA, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
TRACY A. OLSON, 106 WEST ELM STREET, MASON CITY, 62664, MASON Agent 2008-11-25

President

Name and Address Role
TRACY A OLSON, 926 2400TH STREET, HARTSBURG, 62643 President

Secretary

Name and Address Role
AS ABOVE Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 1000000 No data

Related by officers

AS ABOVE

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Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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