| Entity Name: | BELMONT INSURANCE BROKERAGE, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 18 Jun 2018 |
| Company Number: | CORP_71878511 |
| File Number: | 71878511 |
| Type of Business: | All Inclusive Purpose |
| Place of Formation: | ILLINOIS |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | BELMONT INSURANCE BROKERAGE, INC., NEW YORK | 5951314 | NEW YORK |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BELMONT INSURANCE BROKERAGE RETIREMENT PLAN | 2023 | 830928743 | 2024-08-11 | BELMONT INSURANCE BROKERAGE, INC. | 8 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-11 |
| Name of individual signing | NICHOLAS HUBBUCH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 3126100992 |
| Plan sponsor’s address | 19 S. LASALLE STREET, SUITE 301, CHICAGO, IL, 60603 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-04 |
| Name of individual signing | NICHOLAS HUBBUCH |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 541990 |
| Sponsor’s telephone number | 3126100992 |
| Plan sponsor’s address | 19 S. LASALLE STREET, SUITE 301, CHICAGO, IL, 60603 |
Plan administrator’s name and address
| Administrator’s EIN | 830928743 |
| Plan administrator’s name | BELMONT INSURANCE BROKERAGE, INC. |
| Plan administrator’s address | 123 N. WACKER SUITE 1025, CHICAGO, IL, 60606 |
| Administrator’s telephone number | 3126100992 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-06 |
| Name of individual signing | NICHOLAS HUBBUCH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| NICHOLAS JOHN HUBBUCH, 123 N WACKER DRIVE STE 1025, CHICAGO, 60606, COOK-NOT IN CITY OF CHICAGO | Agent | 2022-10-12 |
| Name and Address | Role |
|---|---|
| JOE SAVATORI, 123 N. WACKER SUITE 1025 CHICAGO IL 60606 | President |
| Name and Address | Role |
|---|---|
| NICHOLAS HUBBUCH, 123 N. WACKER SUITE 1025 CHICAGO IL 60606 | Secretary |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 100000 | 2000000 | No data |
Date of last update: 23 Jan 2025
