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CMI CHAMPION, LLC

Company Details

Entity Name: CMI CHAMPION, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Involuntary Dissolution
Date Formed: 09 Jun 2010
Company Number: LLC_02989611
File Number: 02989611
Type of Management: Manager Managed
Date Status Change: 14 Dec 2012
Address 6021 N GALENA RD, PEORIA, 61614, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHAMPION PROFIT SHARING PLAN 2011 273000878 2012-06-15 CMI CHAMPION, LLC 5
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1991-01-01
Business code 333410
Sponsor’s telephone number 3096851031
Plan sponsor’s address 6021 N GALENA RD, PEORIA, IL, 61614

Plan administrator’s name and address

Administrator’s EIN 273000878
Plan administrator’s name CMI CHAMPION, LLC
Plan administrator’s address 6021 N GALENA RD, PEORIA, IL, 61614
Administrator’s telephone number 3096851031

Signature of

Role Plan administrator
Date 2012-06-15
Name of individual signing ANNE FOX
Valid signature Filed with authorized/valid electronic signature
CHAMPION PROFIT SHARING PLAN 2011 273000878 2012-03-15 CMI CHAMPION, LLC 11
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1991-01-01
Business code 333410
Sponsor’s telephone number 3096851031
Plan sponsor’s address 6021 N GALENA RD, PEORIA, IL, 61614

Plan administrator’s name and address

Administrator’s EIN 273000878
Plan administrator’s name CMI CHAMPION, LLC
Plan administrator’s address 6021 N GALENA RD, PEORIA, IL, 61614
Administrator’s telephone number 3096851031

Signature of

Role Plan administrator
Date 2012-03-15
Name of individual signing ANNE FOX
Valid signature Filed with authorized/valid electronic signature
CHAMPION PROFIT SHARING PLAN 2011 273000878 2012-03-15 CMI CHAMPION, LLC 11
Three-digit plan number (PN) 005
Effective date of plan 1991-01-01
Business code 333410
Sponsor’s telephone number 3096851031
Plan sponsor’s address 6021 N GALENA RD, PEORIA, IL, 61614

Plan administrator’s name and address

Administrator’s EIN 273000878
Plan administrator’s name CMI CHAMPION, LLC
Plan administrator’s address 6021 N GALENA RD, PEORIA, IL, 61614
Administrator’s telephone number 3096851031

Signature of

Role Plan administrator
Date 2012-03-15
Name of individual signing ANNE FOX
Valid signature Filed with incorrect/unrecognized electronic signature
CHAMPION PROFIT SHARING PLAN 2011 273000878 2012-03-15 CMI CHAMPION, LLC 11
Three-digit plan number (PN) 005
Effective date of plan 1991-01-01
Business code 333410
Sponsor’s telephone number 3096851031
Plan sponsor’s address 6021 N GALENA RD, PEORIA, IL, 61614

Plan administrator’s name and address

Administrator’s EIN 273000878
Plan administrator’s name CMI CHAMPION, LLC
Plan administrator’s address 6021 N GALENA RD, PEORIA, IL, 61614
Administrator’s telephone number 3096851031

Signature of

Role Plan administrator
Date 2012-03-15
Name of individual signing ANNE FOX
Valid signature Filed with incorrect/unrecognized electronic signature
CHAMPION PROFIT SHARING PLAN 2010 273000878 2011-10-03 CMI CHAMPION, LLC 18
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1991-01-01
Business code 333410
Sponsor’s telephone number 3096851031
Plan sponsor’s address 6021 N GALENA RD, PEORIA, IL, 61614

Plan administrator’s name and address

Administrator’s EIN 273000878
Plan administrator’s name CMI CHAMPION, LLC
Plan administrator’s address 6021 N GALENA RD, PEORIA, IL, 61614
Administrator’s telephone number 3096851031

Signature of

Role Plan administrator
Date 2011-10-03
Name of individual signing ANNE FOX
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-03
Name of individual signing ANNE FOX
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MICHAEL D LAX, 6021 NORTH GALENA ROAD, PEORIA, 61614, PEORIA Agent 2010-06-09

Manager

Name and Address Role Appointment Date
LAX, MICHAEL D, 6021 N GALENA RD, PEORIA, IL, 61614 Manager 2011-05-27

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
CHAMPION FURNACE PIPE Assumed name 2010-09-15 2012-12-14 Involuntary cancellation No data
CHAMPION MANUFACTURING Assumed name 2010-09-15 2012-12-14 Involuntary cancellation No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State