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  5. BLACKHAWK AMUSEMENTS, INC.

BLACKHAWK AMUSEMENTS, INC.

Company Details

Entity Name: BLACKHAWK AMUSEMENTS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 01 Aug 2012
Company Number: CORP_68623715
File Number: 68623715
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLACKHAWK AMUSEMENTS, INC. 401(K) PROFIT SHARING PLAN 2019 460790062 2021-10-15 BLACKHAWK AMUSEMENTS, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-12-20
Business code 713900
Sponsor’s telephone number 8156260405
Plan sponsor’s address 1205 WEST 4TH STREET, STERLING, IL, 61081

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing JULIE BOGACKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-15
Name of individual signing JULIE BOGACKI
Valid signature Filed with authorized/valid electronic signature
BLACKHAWK AMUSEMENTS, INC. 401(K) PROFIT SHARING PLAN 2018 460790062 2019-10-14 BLACKHAWK AMUSEMENTS, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-12-20
Business code 713900
Sponsor’s telephone number 8156260405
Plan sponsor’s address 1205 WEST 4TH STREET, STERLING, IL, 61081

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing JASON JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing JASON JENSEN
Valid signature Filed with authorized/valid electronic signature
BLACKHAWK AMUSEMENTS, INC. 401(K) PROFIT SHARING PLAN 2017 460790062 2018-10-04 BLACKHAWK AMUSEMENTS, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-12-20
Business code 713900
Sponsor’s telephone number 8156260405
Plan sponsor’s address 1205 WEST 4TH STREET, STERLING, IL, 61081

Signature of
Role Plan administrator
Date 2018-10-02
Name of individual signing JASON JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-02
Name of individual signing JASON JENSEN
Valid signature Filed with authorized/valid electronic signature
BLACKHAWK AMUSEMENTS, INC. 401(K) PROFIT SHARING PLAN 2016 460790062 2017-09-06 BLACKHAWK AMUSEMENTS, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-12-20
Business code 713900
Sponsor’s telephone number 8156260405
Plan sponsor’s address 1205 WEST 4TH STREET, STERLING, IL, 61081

Signature of
Role Plan administrator
Date 2017-08-31
Name of individual signing JASON JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-31
Name of individual signing JASON JENSEN
Valid signature Filed with authorized/valid electronic signature
BLACKHAWK AMUSEMENTS, INC. 401(K) PROFIT SHARING PLAN 2015 460790062 2016-10-06 BLACKHAWK AMUSEMENTS, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-12-20
Business code 713900
Sponsor’s telephone number 8156260405
Plan sponsor’s address 1205 WEST 4TH STREET, STERLING, IL, 61081

Signature of
Role Plan administrator
Date 2016-10-05
Name of individual signing JASON JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-05
Name of individual signing JASON JENSEN
Valid signature Filed with authorized/valid electronic signature
BLACKHAWK AMUSEMENTS, INC. 401(K) PROFIT SHARING PLAN 2014 460790062 2015-09-03 BLACKHAWK AMUSEMENTS, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-12-20
Business code 713900
Sponsor’s telephone number 8156260405
Plan sponsor’s address 1205 WEST 4TH STREET, STERLING, IL, 61081

Signature of
Role Plan administrator
Date 2015-09-03
Name of individual signing JASON JENSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-03
Name of individual signing JASON JENSEN
Valid signature Filed with authorized/valid electronic signature
BLACKHAWK AMUSEMENTS, INC. 401(K) PROFIT SHARING PLAN 2012 460790062 2013-10-03 BLACKHAWK AMUSEMENTS, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-12-20
Business code 713900
Sponsor’s telephone number 6308940099
Plan sponsor’s address 399 WALL ST., UNIT H, GLENDALE HEIGHTS, IL, 60139

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing TOM GREEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CHRISTOPHER J GOLUBA, 5277 TRILLIUM BOULEVARD, HOFFMAN ESTATES, 60192, COOK-NOT IN CITY OF CHICAGO Agent 2017-06-30

President

Name and Address Role
RICK E. HEIDNER 20 BRINKER ROAD BARRINGTON HILLS, IL 60010 President

Secretary

Name and Address Role
RICK E. HEIDNER 20 BRINKER ROAD, BARRINGTON HILLS, IL 60010 Secretary

Shares

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

Related by officers

RICK E. HEIDNER 20 BRINKER ROAD BARRINGTON HILLS, IL 60010

HEIDNER, INC. PARAMOUNT AMUSEMENTS, INC. RICKY ROCKET'S FUEL CENTER FRANCHISE COMPANY CHASECAR.COM, INC. DUNCAN'S TOY CHEST STORE, INC. CHICAGO & STATE INC.

RICK E. HEIDNER 20 BRINKER ROAD, BARRINGTON HILLS, IL 60010

ILLINOIS AVENUE COIN LAUNDRY, INC. HEIDNER, INC. RICKY ROCKET'S FUEL CENTER, INC. PARAMOUNT AMUSEMENTS, INC. RICKY ROCKET'S FUEL CENTER FRANCHISE COMPANY CHASECAR.COM, INC. DUNCAN'S TOY CHEST STORE, INC.

CHRISTOPHER J GOLUBA, 5277 TRILLIUM BOULEVARD, HOFFMAN ESTATES, 60192, COOK-NOT IN CITY OF CHICAGO

ILLINOIS AVENUE COIN LAUNDRY, INC. HEIDNER PROPERTIES INC. SEQUOIA PREMIER PARTNERS, INC.

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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