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  5. JASON HERBERS INSURANCE AGENCY, INC.

JASON HERBERS INSURANCE AGENCY, INC.

Company Details

Entity Name: JASON HERBERS INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 15 Jul 2014
Company Number: CORP_69536557
File Number: 69536557
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JASON HERBERS INSURANCE AGENCY, INC. 401(K) RETIREMENT PLAN 2023 471348141 2024-07-04 JASON HERBERS INSURANCE AGENCY, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 6307967330
Plan sponsor’s address 7440 S WOODWARD AVE, SUITE H, WOODRIDGE, IL, 60517
JASON HERBERS INSURANCE AGENCY, INC. 401(K) RETIREMENT PLAN 2022 471348141 2023-07-10 JASON HERBERS INSURANCE AGENCY, INC. 25
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 6306492688
Plan sponsor’s address 7440 WOODWARD AVENUE, SUITE H, WOODRIDGE, IL, 60517
JASON HERBERS INSURANCE AGENCY, INC. 401(K) RETIREMENT PLAN 2022 471348141 2023-07-10 JASON HERBERS INSURANCE AGENCY, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 6306492688
Plan sponsor’s address 7440 WOODWARD AVENUE, SUITE H, WOODRIDGE, IL, 60517
JASON HERBERS INSURANCE AGENCY, INC. 401(K) RETIREMENT PLAN 2021 471348141 2022-10-04 JASON HERBERS INSURANCE AGENCY, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 6307967330
Plan sponsor’s address 7440 WOODWARD AVENUE, SUITE H, WOODRIDGE, IL, 60517
JASON HERBERS INSURANCE AGENCY, INC. 401(K) RETIREMENT PLAN 2020 471348141 2021-06-24 JASON HERBERS INSURANCE AGENCY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 6307967330
Plan sponsor’s address 7440 WOODWARD AVENUE, SUITE H, WOODRIDGE, IL, 60517

Signature of
Role Plan administrator
Date 2021-06-24
Name of individual signing JASON HERBERS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-24
Name of individual signing JASON HERBERS
Valid signature Filed with authorized/valid electronic signature
JASON HERBERS INSURANCE AGENCY, INC. 401(K) RETIREMENT PLAN 2019 471348141 2020-07-02 JASON HERBERS INSURANCE AGENCY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 6307967330
Plan sponsor’s address 7440 WOODWARD AVENUE, SUITE H, WOODRIDGE, IL, 60517

Signature of
Role Plan administrator
Date 2020-07-02
Name of individual signing JASON HERBERS
Valid signature Filed with authorized/valid electronic signature
JASON HERBERS INSURANCE AGENCY, INC. 401(K) RETIREMENT PLAN 2018 471348141 2019-10-08 JASON HERBERS INSURANCE AGENCY, INC. 6
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 6307967330
Plan sponsor’s address 7440 WOODWARD AVENUE, SUITE H, WOODRIDGE, IL, 60517

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing JASON HERBERS
Valid signature Filed with authorized/valid electronic signature
JASON HERBERS INSURANCE AGENCY, INC. 401(K) RETIREMENT PLAN 2018 471348141 2020-01-23 JASON HERBERS INSURANCE AGENCY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 6307967330
Plan sponsor’s address 7440 WOODWARD AVENUE, SUITE H, WOODRIDGE, IL, 60517

Signature of
Role Plan administrator
Date 2020-01-23
Name of individual signing JASON HERBERS
Valid signature Filed with authorized/valid electronic signature
JASON HERBERS INSURANCE AGENCY, INC. 401(K) RETIREMENT PLAN 2017 471348141 2018-03-07 JASON HERBERS INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 6307967330
Plan sponsor’s address 7440 WOODWARD AVENUE, SUITE H, WOODRIDGE, IL, 60517

Signature of
Role Plan administrator
Date 2018-03-07
Name of individual signing JASON HERBERS
Valid signature Filed with authorized/valid electronic signature
JASON HERBERS INSURANCE AGENCY, INC. 401(K) RETIREMENT PLAN 2016 471348141 2017-03-22 JASON HERBERS INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 524210
Sponsor’s telephone number 6307967330
Plan sponsor’s address 7440 WOODWARD AVENUE, SUITE H, WOODRIDGE, IL, 60517

Agent

Name and Address Role Appointment Date
AYOTTE DECKER LLC, 1730 PARK ST STE 211, NAPERVILLE, 60563, DU PAGE Agent 2022-06-22

President

Name and Address Role
JASON HERBERS 7440 WOODWARD AVE, STE. H, WOODRIDGE, IL 60517 President

Shares

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

Related by officers

AYOTTE DECKER LLC, 1730 PARK ST STE 211, NAPERVILLE, 60563, DU PAGE

ARGAVEST MEDICAL, INC.

Related by address

No related companies by address

Date of last update: 30 Jan 2025

Sources: Illinois Office of the Secretary of State

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