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TED ORZEHOSKIE INSURANCE AGENCY, INC.

Company Details

Entity Name: TED ORZEHOSKIE INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 28 Mar 2012
Company Number: CORP_68299209
File Number: 68299209
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TED ORZEHOSKIE INSURANCE AGENCY INC 401K PLAN 2023 454942464 2024-04-19 TED ORZEHOSKIE INSURANCE AGENCY INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 524210
Sponsor’s telephone number 8154555444
Plan sponsor’s address 6207 NORTHWEST HIGHWAY, CRYSTAL LAKE, IL, 60014

Signature of

Role Plan administrator
Date 2024-04-19
Name of individual signing THEODORE ORZEHOSKIE
Valid signature Filed with authorized/valid electronic signature
TED ORZEHOSKIE INSURANCE AGENCY INC 401K PLAN 2022 454942464 2023-04-20 TED ORZEHOSKIE INSURANCE AGENCY INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 524210
Sponsor’s telephone number 8154555444
Plan sponsor’s address 6207 NORTHWEST HIGHWAY, CRYSTAL LAKE, IL, 60014

Signature of

Role Plan administrator
Date 2023-04-20
Name of individual signing THEODORE ORZEHOSKIE
Valid signature Filed with authorized/valid electronic signature
TED ORZEHOSKIE INSURANCE AGENCY INC 401K PLAN 2021 454942464 2022-05-09 TED ORZEHOSKIE INSURANCE AGENCY INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 524210
Sponsor’s telephone number 8154555444
Plan sponsor’s address 6207 NORTHWEST HWY, CRYSTAL LAKE, IL, 60014

Signature of

Role Plan administrator
Date 2022-05-09
Name of individual signing THEODORE ORZEHOSKIE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
SA LAW AGENTS INC, 150 N MICHIGAN AVE STE 3300, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO Agent 2014-02-25

President

Name and Address Role
THEDORE L ORZEHOSKIE 6207 NW HWY, CRYSTAL LAKE IL 60014 President

Shares

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

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State