| Entity Name: | POWER THREE INSURANCE GROUP INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 01 Nov 2018 |
| Company Number: | CORP_72038096 |
| File Number: | 72038096 |
| Type of Business: | All Inclusive Purpose |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| POWER THREE INSURANCE GROUP, INC. 401(K) PLAN | 2023 | 832417703 | 2024-10-09 | POWER THREE INSURANCE GROUP, INC. | 6 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-09 |
| Name of individual signing | JOSEPH A BORSELLINO, JR |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-10-09 |
| Name of individual signing | JOSEPH A BORSELLINO, JR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-05-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 6303970378 |
| Plan sponsor’s address | 2N225 GRACE STREET, LOMBARD, IL, 60148 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-17 |
| Name of individual signing | JOSEPH A BORSELLINO, JR |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-07-17 |
| Name of individual signing | JOSEPH A BORSELLINO, JR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-05-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 6303970378 |
| Plan sponsor’s address | 2N225 GRACE STREET, LOMBARD, IL, 60148 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-14 |
| Name of individual signing | JOSEPH BORSELLINO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-10-14 |
| Name of individual signing | JOSEPH BORSELLINO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-05-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 6303970378 |
| Plan sponsor’s address | 711 S. ROUTE 83, ELMHURST, IL, 60126 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-27 |
| Name of individual signing | JOSEPH BORSELLINO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-07-27 |
| Name of individual signing | JOSEPH BORSELLINO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JOSEPH A BORSELLINO, 2N225 GRACE ST, LOMBARD, 60148, DU PAGE | Agent | 2021-03-08 |
| Name and Address | Role |
|---|---|
| JOSEPH A BORSELLINO 2N225 GRACE STREET, LOMBARD, IL 60148 | President |
| Name and Address | Role |
|---|---|
| JOHN A BORSELLINO 2N225 GRACESTREET, LOMBARD, IL 60148 | Secretary |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 10000 | 1000000 | No data |
Date of last update: 16 Jan 2025
