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  5. DIEDERICH INSURANCE AGENCY, LLC

DIEDERICH INSURANCE AGENCY, LLC

Headquarter

Company Details

Entity Name: DIEDERICH INSURANCE AGENCY, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 03 Mar 2000
Company Number: LLC_00385492
File Number: 00385492
Type of Management: Member Managed
Date Status Change: 14 Feb 2024
Address 112 AIRWAY DRIVE, MARION, 62959, IL
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of DIEDERICH INSURANCE AGENCY, LLC, MISSISSIPPI 1003631 MISSISSIPPI
Headquarter of DIEDERICH INSURANCE AGENCY, LLC, RHODE ISLAND 001294813 RHODE ISLAND
Headquarter of DIEDERICH INSURANCE AGENCY, LLC, ALABAMA 000-619-821 ALABAMA
Headquarter of DIEDERICH INSURANCE AGENCY, LLC, NEW YORK 3571245 NEW YORK
Headquarter of DIEDERICH INSURANCE AGENCY, LLC, MINNESOTA 3fcd6240-b8d4-e011-a886-001ec94ffe7f MINNESOTA
Headquarter of DIEDERICH INSURANCE AGENCY, LLC, MINNESOTA c0102f2f-af88-e111-b001-001ec94ffe7f MINNESOTA
Headquarter of DIEDERICH INSURANCE AGENCY, LLC, KENTUCKY 0548561 KENTUCKY
Headquarter of DIEDERICH INSURANCE AGENCY, LLC, COLORADO 20111453193 COLORADO
Headquarter of DIEDERICH INSURANCE AGENCY, LLC, CONNECTICUT 0914181 CONNECTICUT
Headquarter of DIEDERICH INSURANCE AGENCY, LLC, IDAHO 458803 IDAHO

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DIEDERICH INSURANCE AGENCY, LLC 401(K) SALARY DEFERRAL PLAN 2023 371395986 2024-05-10 DIEDERICH INSURANCE AGENCY, LLC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 6183513226
Plan sponsor’s address 112 AIRWAY DRIVE, MARION, IL, 62959
DIEDERICH INSURANCE AGENCY LLC EMPLOYEE GROUP HEALTH PLAN 2023 371395986 2024-07-23 DIEDERICH INSURANCE AGENCY LLC 17
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2023-01-01
Business code 524210
Sponsor’s telephone number 6189971802
Plan sponsor’s address 112 AIRWAY DR, MARION, IL, 629595841
DIEDERICH INSURANCE AGENCY LLC EMPLOYEE GROUP HEALTH PLAN 2022 371395986 2024-07-23 DIEDERICH INSURANCE AGENCY LLC 21
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 524210
Sponsor’s telephone number 6189971802
Plan sponsor’s address 112 AIRWAY DR, MARION, IL, 629595841
DIEDERICH INSURANCE AGENCY, LLC 401(K) SALARY DEFERRAL PLAN 2022 371395986 2023-06-12 DIEDERICH INSURANCE AGENCY, LLC 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 6183513226
Plan sponsor’s address 112 AIRWAY DRIVE, MARION, IL, 62959
DIEDERICH INSURANCE AGENCY, LLC 401(K) SALARY DEFERRAL PLAN 2021 371395986 2022-07-21 DIEDERICH INSURANCE AGENCY, LLC 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 6183513226
Plan sponsor’s address 112 AIRWAY DRIVE, MARION, IL, 62959
DIEDERICH INSURANCE AGENCY LLC EMPLOYEE GROUP HEALTH PLAN 2021 371395986 2024-07-23 DIEDERICH INSURANCE AGENCY LLC 21
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-01-01
Business code 524210
Sponsor’s telephone number 6189971802
Plan sponsor’s address 112 AIRWAY DR, MARION, IL, 629595841
DIEDERICH INSURANCE AGENCY, LLC 401(K) SALARY DEFERRAL PLAN 2020 371395986 2021-07-14 DIEDERICH INSURANCE AGENCY, LLC 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 6183513226
Plan sponsor’s address 112 AIRWAY DRIVE, MARION, IL, 62959
DIEDERICH INSURANCE AGENCY LLC EMPLOYEE GROUP HEALTH PLAN 2020 371395986 2021-07-14 DIEDERICH INSURANCE AGENCY LLC 21
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-01-01
Business code 524210
Sponsor’s telephone number 6189971802
Plan sponsor’s address 112 AIRWAY DR, MARION, IL, 629595841

Signature of
Role Plan administrator
Date 2021-07-14
Name of individual signing JEFFREY DIEDERICH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-14
Name of individual signing JEFFREY DIEDERICH
Valid signature Filed with authorized/valid electronic signature
DIEDERICH INSURANCE AGENCY, LLC 401(K) SALARY DEFERRAL PLAN 2019 371395986 2020-08-21 DIEDERICH INSURANCE AGENCY, LLC 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 524210
Sponsor’s telephone number 6183513226
Plan sponsor’s address 112 AIRWAY DRIVE, MARION, IL, 62959
DIEDERICH INSURANCE AGENCY LLC EMPLOYEE GROUP HEALTH PLAN 2019 371395986 2020-07-29 DIEDERICH INSURANCE AGENCY LLC 18
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-01-01
Business code 524210
Sponsor’s telephone number 6189971802
Plan sponsor’s address 112 AIRWAY DR, MARION, IL, 629595841

Signature of
Role Plan administrator
Date 2020-07-29
Name of individual signing JEFFREY DIEDERICH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-29
Name of individual signing JEFFREY DIEDERICH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JEFFREY DIEDERICH, 112 AIRWAY DR, MARION, 62959, JACKSON Agent 2024-11-15

Manager

Name and Address Role Appointment Date
DIEDERICH INSURANCE CONSULTING INC D6025 179 7, PO BOX 1210, MARION, IL, 62959 Manager 2024-02-14
DIEDERICH, JEFFREY M, 112 AIRWAY DRIVE, MARION, IL, 62959 Manager 2024-02-14

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
DIEDERICH HEALTHCARE Assumed name 2007-08-06 No data No data 2020-06-18
MIDWEST BUDGET Assumed name 2000-03-08 2005-04-30 Involuntary cancellation No data
MARKET SOURCE Assumed name 2000-03-08 No data No data 2020-06-18

Related by officers

No related officers

Related by address

112 AIRWAY DRIVE, MARION, 62959, IL

SELECT PSYCHIATRIC MANAGEMENT GROUP LLC

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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