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  5. JEANNIE BALSAM LLC

JEANNIE BALSAM LLC

Company Details

Entity Name: JEANNIE BALSAM LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 15 Jun 2001
Company Number: LLC_00567426
File Number: 00567426
Type of Management: Member Managed
Date Status Change: 10 Dec 2021
Address 903 GREEN BAY ROAD LN, WINNETKA, 60093, IL
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
SJL3AMQJ8KC5 2022-06-10 1901 N ROSELLE RD STE 800, SCHAUMBURG, IL, 60195, 3186, USA 1901 N ROSELLE RD STE 800, SCHAUMBURG, IL, 60195, 3186, USA

Business Information
URL www.incworx.com
Division Name INCWORX INC.
Division Number INCWORX IN
Congressional District 08
State/Country of Incorporation IL, USA
Activation Date 2021-05-21
Initial Registration Date 2021-03-16
Entity Start Date 2002-09-25
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 541511, 541512, 611420
Product and Service Codes 7A20, 7A21, 7B20, 7B22, 7D20, 7E20, 7F20, 7J20

Points of Contacts
Electronic Business
Title PRIMARY POC
Name FANAN LEMEZIS
Address 1901 N. ROSELLE ROAD SUITE 800, SCHAUMBURG, IL, 60195, USA
Government Business
Title PRIMARY POC
Name FANAN LEMEZIS
Role DIRECTOR OF OPERATIONS
Address 1901 N. ROSELLE ROAD SUITE 800, SCHAUMBURG, IL, 60195, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JEANNIE BALSAM LLC 401(K) PLAN 2020 364445385 2021-10-07 JEANNIE BALSAM LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 541400
Sponsor’s telephone number 8474415228
Plan sponsor’s address 494 GREENLEAF AVENUE, GLENCOE, IL, 60022

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing DOUGLAS BALSAM
Valid signature Filed with authorized/valid electronic signature
JEANNIE BALSAM LLC 401(K) PLAN 2020 364445385 2021-07-01 JEANNIE BALSAM LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 541400
Sponsor’s telephone number 8474415228
Plan sponsor’s address 494 GREENLEAF AVENUE, GLENCOE, IL, 60022

Signature of
Role Plan administrator
Date 2021-07-01
Name of individual signing DOUGLAS BALSAM
Valid signature Filed with authorized/valid electronic signature
JEANNIE BALSAM LLC 401(K) PLAN 2019 364445385 2020-07-23 JEANNIE BALSAM LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 541400
Sponsor’s telephone number 8474415228
Plan sponsor’s address 494 GREENLEAF AVENUE, GLENCOE, IL, 60022

Signature of
Role Plan administrator
Date 2020-07-23
Name of individual signing JEANNIE BALSAM
Valid signature Filed with authorized/valid electronic signature
JEANNIE BALSAM LLC 401(K) PLAN 2018 364445385 2019-07-16 JEANNIE BALSAM LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 541400
Sponsor’s telephone number 8474415228
Plan sponsor’s address 903 GREEN BAY ROAD, 2N, WINNETKA, IL, 60093

Signature of
Role Plan administrator
Date 2019-07-16
Name of individual signing JEANNIE BALSAM
Valid signature Filed with authorized/valid electronic signature
JEANNIE BALSAM LLC 401(K) PLAN 2017 364445385 2018-06-25 JEANNIE BALSAM LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 541400
Sponsor’s telephone number 8474415228
Plan sponsor’s address 903 GREEN BAY ROAD, 2N, WINNETKA, IL, 60093

Signature of
Role Plan administrator
Date 2018-06-25
Name of individual signing JEANNIE BALSAM
Valid signature Filed with authorized/valid electronic signature
JEANNIE BALSAM LLC 401(K) PLAN 2016 364445385 2017-07-13 JEANNIE BALSAM LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 541400
Sponsor’s telephone number 8474415228
Plan sponsor’s address 903 GREEN BAY ROAD, 2N, WINNETKA, IL, 60093

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing JEANNIE BALSAM
Valid signature Filed with authorized/valid electronic signature
JEANNIE BALSAM LLC 401(K) PLAN 2015 364445385 2016-07-11 JEANNIE BALSAM LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 541400
Sponsor’s telephone number 8474415228
Plan sponsor’s address 903 GREEN BAY ROAD, 2N, WINNETKA, IL, 60093

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing JEANNIE BALSAM
Valid signature Filed with authorized/valid electronic signature
JEANNIE BALSAM LLC 401(K) PLAN 2014 364445385 2015-07-15 JEANNIE BALSAM LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 541400
Sponsor’s telephone number 8474415228
Plan sponsor’s address 903 GREEN BAY ROAD, 2N, WINNETKA, IL, 60093

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing JEANNIE BALSAM
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JEANNIE BALSAM, 494 GREENLEAF AVE., GLENCOE, 60022 Agent 2020-10-16

Member

Name and Address Role Appointment Date
BALSAM, JEANNIE M., 494 GREEN LEAF AVE, GLENCOE, IL, 60022 Member 2014-05-29

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
JEANNIE BALSAM INTERIORS Assumed name 2017-02-10 2021-12-10 Involuntary cancellation 2020-04-20

Historical Names

Name Change Date
JRB INTERIORS LLC 2007-05-10

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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