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CHAD CRUSE INSURANCE AGENCY, INC.

Company Details

Entity Name: CHAD CRUSE INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 17 Jul 2013
Company Number: CORP_69153569
File Number: 69153569
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHAD CRUSE INSURANCE AGENCY 401(K) PLAN 2023 463201562 2024-05-07 CHAD CRUSE INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 524210
Sponsor’s telephone number 3092308625
Plan sponsor’s address 1922 7TH STREET #201, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2024-05-07
Name of individual signing CHAD CRUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-07
Name of individual signing CHAD CRUSE
Valid signature Filed with authorized/valid electronic signature
CHAD CRUSE INSURANCE AGENCY 401(K) PLAN 2022 463201562 2023-05-02 CHAD CRUSE INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 524210
Sponsor’s telephone number 3092308625
Plan sponsor’s address 1922 7TH STREET #201, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2023-05-02
Name of individual signing CHAD CRUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-02
Name of individual signing CHAD CRUSE
Valid signature Filed with authorized/valid electronic signature
CHAD CRUSE INSURANCE AGENCY 401(K) PLAN 2021 463201562 2022-05-09 CHAD CRUSE INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 524210
Sponsor’s telephone number 3097369337
Plan sponsor’s address 1922 7TH STREET #201, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2022-05-09
Name of individual signing CHAD CRUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-09
Name of individual signing CHAD CRUSE
Valid signature Filed with authorized/valid electronic signature
CHAD CRUSE INSURANCE AGENCY 401(K) PLAN 2020 463201562 2021-04-30 CHAD CRUSE INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 524210
Sponsor’s telephone number 3092308625
Plan sponsor’s address 1922 7TH STREET #201, MOLINE, IL, 61265

Signature of

Role Plan administrator
Date 2021-04-30
Name of individual signing CHAD CRUSE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-30
Name of individual signing CHAD CRUSE
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
CHAD CRUSE, 1922 7TH ST STE 201, MOLINE, 61265, ROCK ISLAND Agent 2013-07-17

President

Name and Address Role
CHAD CRUSE, 209 S BARRINGTON HAMPTON IL 61256 President

Secretary

Name and Address Role
CHAD CRUSE, 209 S BARRINGTON HAMPTON IL 61256 Secretary

Historical Names

Name Change Date
CRUSE INSURANCE AGENCY, INC. 2013-08-01

Shares

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

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State