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  5. KEICHER INSURANCE AGENCY, INC.

KEICHER INSURANCE AGENCY, INC.

Company Details

Entity Name: KEICHER INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 16 Apr 2014
Company Number: CORP_69573908
File Number: 69573908
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KEICHER INSURANCE AGENCY INC. 401(K) PS PLAN 2023 465417264 2024-06-28 KEICHER INSURANCE AGENCY INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8158951945
Plan sponsor’s address 315 W ELM ST, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2024-06-28
Name of individual signing JEFF KEICHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-28
Name of individual signing JEFF KEICHER
Valid signature Filed with authorized/valid electronic signature
KEICHER INSURANCE AGENCY INC. 401(K) P/S PLAN 2022 465417264 2023-07-05 KEICHER INSURANCE AGENCY INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8158951945
Plan sponsor’s address 315 W ELM ST, SYCAMORE, IL, 60178

Plan administrator’s name and address
Administrator’s EIN 465417264
Plan administrator’s name KEICHER INSURANCE AGENCY INC.
Plan administrator’s address 315 W ELM ST, SYCAMORE, IL, 60178
Administrator’s telephone number 8158951945

Signature of
Role Plan administrator
Date 2023-07-05
Name of individual signing JEFFREY KEICHER
Valid signature Filed with authorized/valid electronic signature
KEICHER INSURANCE AGENCY INC. 401(K) P/S PLAN 2021 465417264 2022-04-28 KEICHER INSURANCE AGENCY INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8158951945
Plan sponsor’s address 315 W ELM ST, SYCAMORE, IL, 60178

Plan administrator’s name and address
Administrator’s EIN 465417264
Plan administrator’s name KEICHER INSURANCE AGENCY INC.
Plan administrator’s address 315 W ELM ST, SYCAMORE, IL, 60178
Administrator’s telephone number 8158951945

Signature of
Role Plan administrator
Date 2022-04-28
Name of individual signing JEFFREY KEICHER
Valid signature Filed with authorized/valid electronic signature
KEICHER INSURANCE AGENCY INC. 401(K) P/S PLAN 2020 465417264 2021-06-03 KEICHER INSURANCE AGENCY INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8158951945
Plan sponsor’s address 315 W ELM ST, SYCAMORE, IL, 60178

Plan administrator’s name and address
Administrator’s EIN 465417264
Plan administrator’s name KEICHER INSURANCE AGENCY INC.
Plan administrator’s address 315 W ELM ST, SYCAMORE, IL, 60178
Administrator’s telephone number 8158951945

Signature of
Role Plan administrator
Date 2021-06-03
Name of individual signing JEFFREY KEICHER
Valid signature Filed with authorized/valid electronic signature
KEICHER INSURANCE AGENCY INC. 401(K) P/S PLAN 2019 465417264 2020-05-28 KEICHER INSURANCE AGENCY INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8158951945
Plan sponsor’s address 315 W ELM ST, SYCAMORE, IL, 60178

Plan administrator’s name and address
Administrator’s EIN 465417264
Plan administrator’s name KEICHER INSURANCE AGENCY INC.
Plan administrator’s address 315 W ELM ST, SYCAMORE, IL, 60178
Administrator’s telephone number 8158951945

Signature of
Role Plan administrator
Date 2020-05-28
Name of individual signing JEFFREY KEICHER
Valid signature Filed with authorized/valid electronic signature
KEICHER INSURANCE AGENCY INC. 401(K) P/S PLAN 2018 465417264 2019-05-18 KEICHER INSURANCE AGENCY INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8158951945
Plan sponsor’s address 315 W ELM ST, SYCAMORE, IL, 60178

Plan administrator’s name and address
Administrator’s EIN 465417264
Plan administrator’s name KEICHER INSURANCE AGENCY INC.
Plan administrator’s address 315 W ELM ST, SYCAMORE, IL, 60178
Administrator’s telephone number 8158951945

Signature of
Role Plan administrator
Date 2019-05-18
Name of individual signing JEFFREY KEICHER
Valid signature Filed with authorized/valid electronic signature
KEICHER INSURANCE AGENCY INC. 401(K) P/S PLAN 2017 465417264 2018-03-06 KEICHER INSURANCE AGENCY INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 524210
Sponsor’s telephone number 8158951945
Plan sponsor’s address 315 W ELM ST, SYCAMORE, IL, 60178

Plan administrator’s name and address
Administrator’s EIN 465417264
Plan administrator’s name KEICHER INSURANCE AGENCY INC.
Plan administrator’s address 315 W ELM ST, SYCAMORE, IL, 60178
Administrator’s telephone number 8158951945

Signature of
Role Plan administrator
Date 2018-03-06
Name of individual signing JEFF KEICHER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JEFF KEICHER, 315 W ELM ST, SYCAMORE, 60178, DE KALB Agent 2014-04-16

Secretary

Name and Address Role
KAREN KEICHER Secretary

President

Name and Address Role
JEFF KEICHER 315 W ELM ST SYCAMORE IL 60178 President

Shares

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

Related by officers

No related officers

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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