| Entity Name: | DUTCH VAN ROSSUM INSURANCE AGENCY, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 11 Feb 2014 |
| Company Number: | CORP_69460682 |
| File Number: | 69460682 |
| Type of Business: | All Inclusive Purpose |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DUTCH VAN ROSSUM INSURANCE AGENCY 401K PLAN | 2023 | 464782132 | 2024-07-23 | DUTCH VAN ROSSUM INSURANCE AGENCY, INC. | 9 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-23 |
| Name of individual signing | WILLIAM VAN ROSSUM |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-07-23 |
| Name of individual signing | WILLIAM VAN ROSSUM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 6302899850 |
| Plan sponsor’s address | 113 W RAILROAD AVE, BARTLETT, IL, 60103 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-23 |
| Name of individual signing | WILLIAM VAN ROSSUM |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-05-23 |
| Name of individual signing | WILLIAM VAN ROSSUM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 6302899850 |
| Plan sponsor’s address | 978 S. BARTLETT ROAD, BARTLETT, IL, 60103 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-06 |
| Name of individual signing | WILLIAM VAN ROSSUM |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-05-06 |
| Name of individual signing | WILLIAM VAN ROSSUM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 6302899850 |
| Plan sponsor’s address | 978 S. BARTLETT ROAD, BARTLETT, IL, 60103 |
Signature of
| Role | Plan administrator |
| Date | 2021-05-03 |
| Name of individual signing | WILLIAM VAN ROSSUM |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| TIMOTHY A ARMSTRONG, 1N282 PARK BLVD, GLEN ELLYN, 60137, DU PAGE | Agent | 2024-05-30 |
| Name and Address | Role |
|---|---|
| WILLIAM K VAN ROSSUM 113 W RAILROAD AVE BARTLETT IL 60103 | President |
| Name and Address | Role |
|---|---|
| WILLIAM K VAN ROSSUM 113 W RAILROAD AVE BARTLETT IL 60103 | Secretary |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000 | 100000 | No data |
Date of last update: 16 Jan 2025
