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LIFE ASSOCIATES, INC.

Company Details

Entity Name: LIFE ASSOCIATES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 30 Sep 1946
Date of Dissolution: 14 Feb 2014
Company Number: CORP_29226261
File Number: 29226261
Date Status Change: 14 Feb 2014
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIFE ASSOCIATES, INC. 401K PLAN 2015 362062806 2016-03-11 LIFE ASSOCIATES, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-09-01
Business code 524210
Sponsor’s telephone number 6304660445
Plan sponsor’s address PO BOX 917, SUGAR GROVE, IL, 60554

Signature of

Role Plan administrator
Date 2016-03-11
Name of individual signing GREGG SZILAGYI - CHP 11 TRUSTEE
Valid signature Filed with authorized/valid electronic signature
LIFE ASSOCIATES, INC. 401(K) PLAN 2014 362062806 2015-09-22 LIFE ASSOCIATES, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-09-01
Business code 524210
Sponsor’s telephone number 6304660445
Plan sponsor’s address PO BOX 917, SUGAR GROVE, IL, 60554

Signature of

Role Plan administrator
Date 2015-09-22
Name of individual signing GREGG SZILAGYI
Valid signature Filed with authorized/valid electronic signature
LIFE ASSOCIATES, INC. 401(K) PLAN 2013 362062806 2014-10-02 LIFE ASSOCIATES, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-09-01
Business code 524210
Sponsor’s telephone number 6304660445
Plan sponsor’s address 160 S. MUNICIPAL DRIVE, SUITE B, SUGAR GROVE, IL, 60554

Signature of

Role Plan administrator
Date 2014-10-02
Name of individual signing GREGG SZILAGYI, CH.11 TTE
Valid signature Filed with authorized/valid electronic signature
LIFE ASSOCIATES, INC. 401(K) PLAN 2012 362062806 2013-10-15 LIFE ASSOCIATES, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-09-01
Business code 524210
Sponsor’s telephone number 6304660445
Plan sponsor’s address 160 MUNICIPAL DRIVE, SUGAR GROVE, IL, 60554

Plan administrator’s name and address

Administrator’s EIN 362062806
Plan administrator’s name LIFE ASSOCIATES, INC.
Plan administrator’s address 160 MUNICIPAL DRIVE, SUGAR GROVE, IL, 60554
Administrator’s telephone number 6304660448

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing RICHARD ZACHMANN
Valid signature Filed with authorized/valid electronic signature
LIFE ASSOCIATES, INC. 401(K) PLAN 2011 362062806 2012-07-09 LIFE ASSOCIATES, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-09-01
Business code 524210
Sponsor’s telephone number 6304660448
Plan sponsor’s address 160 MUNICIPAL DRIVE, SUGAR GROVE, IL, 60554

Plan administrator’s name and address

Administrator’s EIN 362062806
Plan administrator’s name LIFE ASSOCIATES, INC.
Plan administrator’s address 160 MUNICIPAL DRIVE, SUGAR GROVE, IL, 60554
Administrator’s telephone number 6304660448

Signature of

Role Plan administrator
Date 2012-07-09
Name of individual signing LORI ZACHMANN
Valid signature Filed with authorized/valid electronic signature
LIFE ASSOCIATES, INC. 401(K) PLAN 2010 362062806 2011-07-27 LIFE ASSOCIATES, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-09-01
Business code 524210
Sponsor’s telephone number 6304660448
Plan sponsor’s address 160 MUNICIPAL DRIVE, SUGAR GROVE, IL, 60554

Plan administrator’s name and address

Administrator’s EIN 362062806
Plan administrator’s name LIFE ASSOCIATES, INC.
Plan administrator’s address 160 MUNICIPAL DRIVE, SUGAR GROVE, IL, 60554
Administrator’s telephone number 6304660448

Signature of

Role Plan administrator
Date 2011-07-27
Name of individual signing LORI ZACHMANN
Valid signature Filed with authorized/valid electronic signature
LIFE ASSOCIATES, INC. 401(K) PLAN 2009 362062806 2010-04-30 LIFE ASSOCIATES, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-09-01
Business code 524210
Sponsor’s telephone number 6304660448
Plan sponsor’s address 160 MUNICIPAL DRIVE, SUGAR GROVE, IL, 60554

Plan administrator’s name and address

Administrator’s EIN 362062806
Plan administrator’s name LIFE ASSOCIATES, INC.
Plan administrator’s address 160 MUNICIPAL DRIVE, SUGAR GROVE, IL, 60554
Administrator’s telephone number 6304660448

Signature of

Role Plan administrator
Date 2010-04-30
Name of individual signing LORI ZACHMANN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-04-30
Name of individual signing LORI ZACHMANN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LORI L ZACHMANN, 164 N SYCAMORE ST, HINCKLEY, 60520, DE KALB Agent 2012-08-09

President

Name and Address Role
LORI L ZACHMANN, P O BOX 917 SUGARGROVE 60554 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 5000 159000 8

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State