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GUSTAFSON FORD LLC

Company Details

Entity Name: GUSTAFSON FORD LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 14 Feb 2006
Company Number: LLC_01763121
File Number: 01763121
Type of Management: Manager Managed
Date Status Change: 20 Jan 2025
Address 112 N LEXINGTON AVE, KEWANEE, 61443, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GUSTAFSON FORD, LLC 401(K) PLAN 2023 204317260 2024-03-21 GUSTAFSON FORD, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-10-01
Business code 441110
Sponsor’s telephone number 3098522107
Plan sponsor’s address 112 N LEXINGTON AVE, KEWANEE, IL, 614432126

Signature of

Role Plan administrator
Date 2024-03-21
Name of individual signing KURT GUSTAFSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-03-21
Name of individual signing KURT GUSTAFSON
Valid signature Filed with authorized/valid electronic signature
GUSTAFSON FORD, LLC 401(K) PLAN 2022 204317260 2023-04-26 GUSTAFSON FORD, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-10-01
Business code 441110
Sponsor’s telephone number 3098522107
Plan sponsor’s address 112 N LEXINGTON AVE, KEWANEE, IL, 614432126

Signature of

Role Plan administrator
Date 2023-04-26
Name of individual signing KURT GUSTAFSON
Valid signature Filed with authorized/valid electronic signature
GUSTAFSON FORD, LLC 401(K) PLAN 2021 204317260 2022-06-10 GUSTAFSON FORD, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-10-01
Business code 441110
Sponsor’s telephone number 3098522107
Plan sponsor’s address 112 N LEXINGTON AVE, KEWANEE, IL, 614432126

Signature of

Role Plan administrator
Date 2022-06-10
Name of individual signing KURT GUSTAFSON
Valid signature Filed with authorized/valid electronic signature
GUSTAFSON FORD, LLC 401(K) PLAN 2020 204317260 2021-06-29 GUSTAFSON FORD, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-10-01
Business code 441110
Sponsor’s telephone number 3098522107
Plan sponsor’s address 112 N LEXINGTON AVE, KEWANEE, IL, 614432126

Signature of

Role Plan administrator
Date 2021-06-29
Name of individual signing RAYLENE PALM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-29
Name of individual signing RAYLENE PALM
Valid signature Filed with authorized/valid electronic signature
GUSTAFSON FORD, LLC 401(K) PLAN 2019 204317260 2021-01-15 GUSTAFSON FORD, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-10-01
Business code 441110
Sponsor’s telephone number 3098522107
Plan sponsor’s address 112 N LEXINGTON AVE, KEWANEE, IL, 614432126

Signature of

Role Plan administrator
Date 2021-01-15
Name of individual signing KURT GUSTAFSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-01-15
Name of individual signing KURT GUSTAFSON
Valid signature Filed with authorized/valid electronic signature
GUSTAFSON FORD, LLC 401(K) PLAN 2018 204317260 2019-03-25 GUSTAFSON FORD, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-10-01
Business code 441110
Sponsor’s telephone number 3098522107
Plan sponsor’s address 112 N LEXINGTON AVE, KEWANEE, IL, 614432126

Signature of

Role Plan administrator
Date 2019-03-25
Name of individual signing KURT GUSTAFSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-25
Name of individual signing KURT GUSTAFSON
Valid signature Filed with authorized/valid electronic signature
GUSTAFSON FORD, LLC 401(K) PLAN 2017 204317260 2018-03-26 GUSTAFSON FORD, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-10-01
Business code 441110
Sponsor’s telephone number 3098522107
Plan sponsor’s address 112 N LEXINGTON AVE, KEWANEE, IL, 614432126

Signature of

Role Plan administrator
Date 2018-03-26
Name of individual signing KURT GUSTAFSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-26
Name of individual signing KURT GUSTAFSON
Valid signature Filed with authorized/valid electronic signature
GUSTAFSON FORD, LLC 401(K) PLAN 2016 204317260 2017-04-03 GUSTAFSON FORD, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-10-01
Business code 441110
Sponsor’s telephone number 3098522107
Plan sponsor’s address 112 N LEXINGTON AVE, KEWANEE, IL, 614432126

Signature of

Role Plan administrator
Date 2017-04-03
Name of individual signing KURT GUSTAFSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-04-03
Name of individual signing KURT GUSTAFSON
Valid signature Filed with authorized/valid electronic signature
GUSTAFSON FORD, LLC 401(K) PLAN 2015 204317260 2016-10-17 GUSTAFSON FORD, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-10-01
Business code 441110
Sponsor’s telephone number 3098522107
Plan sponsor’s address 112 N LEXINGTON AVE, KEWANEE, IL, 614432126

Signature of

Role Plan administrator
Date 2016-10-17
Name of individual signing KURT GUSTAFSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-17
Name of individual signing KURT GUSTAFSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KURT GUSTAFSON, 112 N. LEXINGTON AVE., KEWANEE, 61443, PEORIA Agent 2016-01-07

Manager

Name and Address Role Appointment Date
GUSTAFSON, KURT G., 552 E MILL ST, KEWANEE, IL, 61443 Manager 2025-01-20

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
GUSTAFSON AUTOS Assumed name 2009-12-31 2010-04-09 Involuntary cancellation No data

Historical Names

Name Change Date
THIRTY TWELVE, LLC 2024-01-08
GUSTAFSON FORD LLC 2023-12-27
GUSTAFSON FORD, LINCOLN, MERCURY, LLC 2011-06-23

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State