| Entity Name: | KOMAZEC INSURANCE AGENCY, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 17 Apr 2015 |
| Company Number: | CORP_70136996 |
| File Number: | 70136996 |
| Type of Business: | All Inclusive Purpose |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KOMAZEC INSURANCE AGENCY RETIREMENT PLAN | 2018 | 473762523 | 2019-09-25 | KOMAZEC INSURANCE AGENCY INC | 1 | |||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||
| Active participants | 1 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 1 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2019-09-25 |
| Name of individual signing | MILOS KOMAZEC |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2019-09-25 |
| Name of individual signing | MILOS KOMAZEC |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-04-20 |
| Business code | 524210 |
| Sponsor’s telephone number | 8155191591 |
| Plan sponsor’s mailing address | 365 JOYCE AVE, ROCKFORD, IL, 611076322 |
| Plan sponsor’s address | 365 JOYCE AVE, ROCKFORD, IL, 611076322 |
Number of participants as of the end of the plan year
| Active participants | 1 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 1 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2018-10-20 |
| Name of individual signing | MILOS KOMAZEC |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-04-20 |
| Business code | 524210 |
| Sponsor’s telephone number | 8155165565 |
| Plan sponsor’s mailing address | 365 JOYCE AVE, ROCKFORD, IL, 611076322 |
| Plan sponsor’s address | 365 JOYCE AVE, ROCKFORD, IL, 611076322 |
Number of participants as of the end of the plan year
| Active participants | 1 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 1 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2017-10-13 |
| Name of individual signing | MILOS KOMAZEC |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MILOS KOMAZEC, 365 JOYCE AVE, ROCKFORD, 61107, WINNEBAGO | Agent | 2015-04-17 |
| Name and Address | Role |
|---|---|
| MILOS KOMAZEC 365 JOYCE AVE ROCKFORD , IL 61107 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 500000 | 10000000 | No data |
Date of last update: 16 Jan 2025
