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SOUTHERN IMPERIAL LLC

Company Details

Entity Name: SOUTHERN IMPERIAL LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Withdrawn
Date Formed: 27 Jul 2017
Company Number: LLC_06235611
File Number: 06235611
Type of Management: Manager Managed
Date Status Change: 08 Oct 2019
Address 1400 EDDY AVE., ROCKFORD, 61103, IL
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN IMPERIAL LLC MEDICAL PLAN 2018 821889187 2019-07-30 SOUTHERN IMPERIAL LLC 403
Three-digit plan number (PN) 510
Effective date of plan 1996-05-01
Business code 332610
Sponsor’s telephone number 8158777041
Plan sponsor’s DBA name SIFFRON
Plan sponsor’s mailing address 1400 EDDY AVE, ROCKFORD, IL, 611033171
Plan sponsor’s address 1400 EDDY AVE, ROCKFORD, IL, 611033171

Number of participants as of the end of the plan year

Active participants 0

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing SHANNON WEST
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IMPERIAL LLC MEDICAL PLAN 2018 821889187 2019-07-30 SOUTHERN IMPERIAL LLC 403
File View Page
Three-digit plan number (PN) 510
Effective date of plan 1996-05-01
Business code 332610
Sponsor’s telephone number 8158777041
Plan sponsor’s DBA name SIFFRON
Plan sponsor’s mailing address 1400 EDDY AVE, ROCKFORD, IL, 611033171
Plan sponsor’s address 1400 EDDY AVE, ROCKFORD, IL, 611033171

Number of participants as of the end of the plan year

Active participants 0

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing SHANNON WEST
Valid signature Filed with authorized/valid electronic signature
SI LLC OTHER BENEFITS GUARDIAN 2018 821889187 2019-07-30 SOUTHERN IMPERIAL LLC 239
File View Page
Three-digit plan number (PN) 511
Effective date of plan 1996-05-01
Business code 332610
Sponsor’s telephone number 8158777041
Plan sponsor’s DBA name SIFFRON
Plan sponsor’s mailing address 1400 EDDY AVE, ROCKFORD, IL, 611033171
Plan sponsor’s address 1400 EDDY AVE, ROCKFORD, IL, 611033171

Number of participants as of the end of the plan year

Active participants 0

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing SHANNON WEST
Valid signature Filed with authorized/valid electronic signature
SI LLC OTHER BENEFITS GUARDIAN 2017 821889187 2018-07-31 SOUTHERN IMPERIAL LLC 247
File View Page
Three-digit plan number (PN) 511
Effective date of plan 1996-05-01
Business code 332610
Sponsor’s telephone number 8158777041
Plan sponsor’s DBA name SIFFRON
Plan sponsor’s mailing address 1400 EDDY AVE, ROCKFORD, IL, 611033171
Plan sponsor’s address 1400 EDDY AVE, ROCKFORD, IL, 611033171

Number of participants as of the end of the plan year

Active participants 239

Signature of

Role Plan administrator
Date 2018-07-31
Name of individual signing NIKKI SCHIRO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-31
Name of individual signing NIKKI SCHIRO
Valid signature Filed with authorized/valid electronic signature
SOUTHERN IMPERIAL LLC MEDICAL PLAN 2017 821889187 2018-07-31 SOUTHERN IMPERIAL LLC 197
File View Page
Three-digit plan number (PN) 510
Effective date of plan 1996-05-01
Business code 332610
Sponsor’s telephone number 8158777041
Plan sponsor’s DBA name SIFFRON
Plan sponsor’s mailing address 1400 EDDY AVE, ROCKFORD, IL, 611033171
Plan sponsor’s address 1400 EDDY AVE, ROCKFORD, IL, 611033171

Number of participants as of the end of the plan year

Active participants 403
Retired or separated participants receiving benefits 9

Signature of

Role Plan administrator
Date 2018-07-31
Name of individual signing NIKKI SCHIRO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-31
Name of individual signing NIKKI SCHIRO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
C T CORPORATION SYSTEM, 208 SO LASALLE ST, SUITE 814, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO Agent 2017-07-27

Manager

Name and Address Role Appointment Date
FASTENERS FOR RETAIL, INC., 8181 DARROW ROAD, TWINSBURG, OH, 44087 Manager 2019-09-26

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
SI SOUTHERN IMPERIAL LLC Foreign assumed name 2017-07-27 2019-10-08 Voluntary cancellation No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State