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  5. A.M. INSURANCE GROUP, INC.

A.M. INSURANCE GROUP, INC.

Company Details

Entity Name: A.M. INSURANCE GROUP, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 02 Apr 2012
Company Number: CORP_68429471
File Number: 68429471
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMI GROUP, INC. 401(K) PLAN 2023 364730734 2024-10-07 A.M. INSURANCE GROUP, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8478889820
Plan sponsor’s address 4N701 SCHOOL ROAD ST, CHARLES, IL, 601756648

Signature of
Role Plan administrator
Date 2024-10-07
Name of individual signing ANTHONY MACCHIONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-07
Name of individual signing ANTHONY MACCHIONE
Valid signature Filed with authorized/valid electronic signature
AMI GROUP, INC. 401(K) PLAN 2022 364730734 2023-10-03 A.M. INSURANCE GROUP, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8478889820
Plan sponsor’s address 4N701 SCHOOL ROAD ST, CHARLES, IL, 601756648

Signature of
Role Plan administrator
Date 2023-10-03
Name of individual signing ANTHONY MACCHIONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-03
Name of individual signing ANTHONY MACCHIONE
Valid signature Filed with authorized/valid electronic signature
AMI GROUP, INC. 401(K) PLAN 2021 364730734 2022-09-19 A.M. INSURANCE GROUP, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8478889820
Plan sponsor’s address 4N701 SCHOOL ROAD ST, CHARLES, IL, 601756648

Signature of
Role Plan administrator
Date 2022-09-19
Name of individual signing ANTHONY MACCHIONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-19
Name of individual signing ANTHONY MACCHIONE
Valid signature Filed with authorized/valid electronic signature
AMI GROUP, INC. 401(K) PLAN 2020 364730734 2021-10-11 A.M. INSURANCE GROUP, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8478889820
Plan sponsor’s address 4N701 SCHOOL ROAD ST, CHARLES, IL, 601756648

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing ANTHONY MACCHIONE
Valid signature Filed with authorized/valid electronic signature
AMI GROUP, INC. 401(K) PLAN 2019 364730734 2020-06-30 A.M. INSURANCE GROUP, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8478889820
Plan sponsor’s address 4N701 SCHOOL ROAD ST, CHARLES, IL, 601756648

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing ANTHONY MACCHIONE
Valid signature Filed with authorized/valid electronic signature
AMI GROUP, INC. 401(K) PLAN 2018 364730734 2019-02-19 A.M. INSURANCE GROUP, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8478889820
Plan sponsor’s address 75 N. MARKET STREET, SUITE 26, ELGIN, IL, 601235061

Signature of
Role Plan administrator
Date 2019-02-19
Name of individual signing ANTHONY MACCHIONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-02-19
Name of individual signing ANTHONY MACCHIONE
Valid signature Filed with authorized/valid electronic signature
AMI GROUP, INC. 401(K) PLAN 2017 364730734 2019-01-23 A.M. INSURANCE GROUP, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8478889820
Plan sponsor’s address 75 N. MARKET STREET, SUITE 26, ELGIN, IL, 601235061

Signature of
Role Plan administrator
Date 2019-01-23
Name of individual signing ANTHONY MACCHIONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-01-23
Name of individual signing ANTHONY MACCHIONE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL C POPER, 105 E MAIN ST, CARY, 60013, MC HENRY Agent 2022-03-11

President

Name and Address Role
ANTHONY MACCHIONE 5N648 COURCIVAL WAYNE IL 60184 President

Secretary

Name and Address Role
NICOLE MACCHIONE Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 No data

Related by officers

MICHAEL C POPER, 105 E MAIN ST, CARY, 60013, MC HENRY

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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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