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JRACK HOLDINGS, INC.

Company Details

Entity Name: JRACK HOLDINGS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 16 Nov 2015
Company Number: CORP_70410877
File Number: 70410877
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JRACK MEDICAL PLAN 2021 475589228 2023-10-06 JRACK HOLDINGS, INC. 28
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2017-02-01
Business code 238220
Sponsor’s telephone number 8474515000
Plan sponsor’s mailing address 11045 GAGE AVE, FRANKLIN PARK, IL, 601311437
Plan sponsor’s address 11045 GAGE AVE, FRANKLIN PARK, IL, 601311437

Number of participants as of the end of the plan year

Active participants 27
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2023-10-06
Name of individual signing TAMI FARBER
Valid signature Filed with authorized/valid electronic signature
JRACK MEDICAL PLAN 2021 475589228 2022-10-17 JRACK HOLDINGS, INC. 28
Three-digit plan number (PN) 504
Effective date of plan 2017-02-01
Business code 238220
Sponsor’s telephone number 8474515000
Plan sponsor’s mailing address 11045 GAGE AVE, FRANKLIN PARK, IL, 601311437
Plan sponsor’s address 11045 GAGE AVE, FRANKLIN PARK, IL, 601311437

Number of participants as of the end of the plan year

Active participants 27

Signature of

Role Plan administrator
Date 2022-10-17
Name of individual signing TAMI FARBER
Valid signature Filed with authorized/valid electronic signature
JRACK MEDICAL PLAN 2020 475589228 2021-10-14 JRACK HOLDINGS, INC. 29
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2017-02-01
Business code 238220
Sponsor’s telephone number 8474515000
Plan sponsor’s mailing address 11045 GAGE AVE, FRANKLIN PARK, IL, 601311437
Plan sponsor’s address 11045 GAGE AVE, FRANKLIN PARK, IL, 601311437

Number of participants as of the end of the plan year

Active participants 28

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing TAMI FARBER
Valid signature Filed with authorized/valid electronic signature
JRACK MEDICAL PLAN 2019 475589228 2020-10-15 JRACK HOLDINGS, INC. 29
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2017-02-01
Business code 238220
Sponsor’s telephone number 8474515000
Plan sponsor’s mailing address 11045 GAGE AVE, FRANKLIN PARK, IL, 601311437
Plan sponsor’s address 11045 GAGE AVE, FRANKLIN PARK, IL, 601311437

Number of participants as of the end of the plan year

Active participants 29

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing TAMI FARBER
Valid signature Filed with authorized/valid electronic signature
JRACK HOLDINGS, INC. PROFIT SHARING PLAN 2017 475589228 2018-10-10 JRACK HOLDINGS INC. 221
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1957-01-01
Business code 238220
Sponsor’s telephone number 8474515000
Plan sponsor’s mailing address 11045 GAGE AVENUE, FRANKLIN PARK, IL, 60131
Plan sponsor’s address 11045 GAGE AVENUE, FRANKLIN PARK, IL, 60131

Number of participants as of the end of the plan year

Active participants 204
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 32
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 233
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 17

Signature of

Role Plan administrator
Date 2018-10-10
Name of individual signing TAMI FARBER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LYNN LUCCHESE-SOTO, 1753 N TRIPP AVE, CHICAGO, 60639, COOK-NOT IN CITY OF CHICAGO Agent 2020-04-30

Secretary

Name and Address Role
CAROLYN KOSIOREK, 11045 GAGE AVE., FRANKLIN PARK, IL 60131 Secretary

President

Name and Address Role
JAMES B. HILL II, 11045 GAGE AVE., FRANKLIN PARK, IL 60131 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
VOTING COMMON STOCK No data Voting Rights 1000 120000 No data
NON-VOTING COMMON STOCK No data No Voting Rights 999000 499880000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State