| Entity Name: | HSI ENTERPRISES/ILLINOIS, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Involuntary Dissolution |
| Date Formed: | 13 Jan 2006 |
| Company Number: | LLC_01734717 |
| File Number: | 01734717 |
| Type of Management: | Member Managed |
| Date Status Change: | 08 Jul 2011 |
| Address | 5 SHENANDOAH, JACKSONVILLE, 62650, IL |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HSI ENTERPRISES/ILLINOIS, LLC. 401K PLAN | 2010 | 203367196 | 2011-10-13 | HSI ENTERPRISES/ILLINOIS, LLC. | 2 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 203367196 |
| Plan administrator’s name | HSI ENTERPRISES/ILLINOIS, LLC. |
| Plan administrator’s address | 5 SHENANDOAH AVE, JACKSONVILLE, IL, 626501073 |
| Administrator’s telephone number | 2172452220 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-13 |
| Name of individual signing | JAMES L MANN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-03-01 |
| Business code | 561110 |
| Sponsor’s telephone number | 2172452220 |
| Plan sponsor’s address | 5 SHENANDOAH AVE, JACKSONVILLE, IL, 626501073 |
Plan administrator’s name and address
| Administrator’s EIN | 203367196 |
| Plan administrator’s name | HSI ENTERPRISES/ILLINOIS, LLC. |
| Plan administrator’s address | 5 SHENANDOAH AVE, JACKSONVILLE, IL, 626501073 |
| Administrator’s telephone number | 2172452220 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-11 |
| Name of individual signing | JAMES L MANN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JAMES L. MANN, 5 SHENANDOAH, JACKSONVILLE, 62650, MORGAN | Agent | 2006-01-13 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MANN, JAMES L., 5 SHENANDOAH, JACKSONVILLE, IL, 62650 | Member | 2009-12-29 |
| MANN, JOHN A., 5 SHENANDOAH, JACKSONVILLE, IL, 62650 | Member | 2009-12-29 |
Date of last update: 27 Jan 2025
