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  5. ROTARY CLUB OF MENDOTA

ROTARY CLUB OF MENDOTA

Company Details

Entity Name: ROTARY CLUB OF MENDOTA
Jurisdiction: Illinois
Entity Type: Corporation - Not-for-Profit
Status: Goodstanding
Date Formed: 11 May 1962
Company Number: CORP_42026395
File Number: 42026395
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FIELD AND GOLDBERG, LLC DEFINED BENEFIT PLAN 2012 364444369 2013-06-24 FIELD AND GOLDBERG, LLC 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 541190
Sponsor’s telephone number 3124087271
Plan sponsor’s address 10 SOUTH LASALLE STREET, SUITE 2910, CHICAGO, IL, 60603

Signature of
Role Plan administrator
Date 2013-06-24
Name of individual signing JAY GOLDBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-24
Name of individual signing JAY GOLDBERG
Valid signature Filed with authorized/valid electronic signature
FIELD AND GOLDBERG, LLC 401(K) PROFIT SHARING PLAN 2012 364444369 2013-06-11 FIELD AND GOLDBERG, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-12-01
Business code 541190
Sponsor’s telephone number 3124087271
Plan sponsor’s address 10 SOUTH LASALLE STREET, SUITE 2910, CHICAGO, IL, 60603

Plan administrator’s name and address
Administrator’s EIN 364444369
Plan administrator’s name FIELD AND GOLDBERG, LLC
Plan administrator’s address 10 SOUTH LASALLE STREET, SUITE 2910, CHICAGO, IL, 60603
Administrator’s telephone number 3124087271

Signature of
Role Plan administrator
Date 2013-06-11
Name of individual signing JAY GOLDBERG
Valid signature Filed with authorized/valid electronic signature
FIELD AND GOLDBERG, LLC DEFINED BENEFIT PLAN 2011 364444369 2012-07-02 FIELD AND GOLDBERG, LLC 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 541190
Sponsor’s telephone number 3124087271
Plan sponsor’s address 10 SOUTH LASALLE STREET, SUITE 2910, CHICAGO, IL, 60603

Plan administrator’s name and address
Administrator’s EIN 364444369
Plan administrator’s name FIELD AND GOLDBERG, LLC
Plan administrator’s address 10 SOUTH LASALLE STREET, SUITE 2910, CHICAGO, IL, 60603
Administrator’s telephone number 3124087271

Signature of
Role Plan administrator
Date 2012-07-02
Name of individual signing JAY GOLDBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-02
Name of individual signing JAY GOLDBERG
Valid signature Filed with authorized/valid electronic signature
FIELD AND GOLDBERG, LLC 401(K) PROFIT SHARING PLAN 2011 364444369 2012-06-26 FIELD AND GOLDBERG, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-12-01
Business code 541190
Sponsor’s telephone number 3124087271
Plan sponsor’s address 10 SOUTH LASALLE STREET, SUITE 2910, CHICAGO, IL, 60603

Plan administrator’s name and address
Administrator’s EIN 364444369
Plan administrator’s name FIELD AND GOLDBERG, LLC
Plan administrator’s address 10 SOUTH LASALLE STREET, SUITE 2910, CHICAGO, IL, 60603
Administrator’s telephone number 3124087271

Signature of
Role Plan administrator
Date 2012-06-26
Name of individual signing JAY GOLDBERG
Valid signature Filed with authorized/valid electronic signature
FIELD AND GOLDBERG, LLC 401(K) PROFIT SHARING PLAN 2010 364444369 2011-03-24 FIELD AND GOLDBERG, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-12-01
Business code 541190
Sponsor’s telephone number 3124087271
Plan sponsor’s address 10 SOUTH LASALLE STREET, SUITE 2910, CHICAGO, IL, 60603

Plan administrator’s name and address
Administrator’s EIN 364444369
Plan administrator’s name FIELD AND GOLDBERG, LLC
Plan administrator’s address 10 SOUTH LASALLE STREET, SUITE 2910, CHICAGO, IL, 60603
Administrator’s telephone number 3124087271

Signature of
Role Plan administrator
Date 2011-03-24
Name of individual signing JAY GOLDBERG
Valid signature Filed with authorized/valid electronic signature
FIELD AND GOLDBERG, LLC DEFINED BENEFIT PLAN 2010 364444369 2011-03-24 FIELD AND GOLDBERG, LLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 541190
Sponsor’s telephone number 3124087271
Plan sponsor’s address 10 SOUTH LASALLE STREET, SUITE 2910, CHICAGO, IL, 60603

Plan administrator’s name and address
Administrator’s EIN 364444369
Plan administrator’s name FIELD AND GOLDBERG, LLC
Plan administrator’s address 10 SOUTH LASALLE STREET, SUITE 2910, CHICAGO, IL, 60603
Administrator’s telephone number 3124087271

Signature of
Role Plan administrator
Date 2011-03-24
Name of individual signing JAY R. GOLDBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-24
Name of individual signing JAY R. GOLDBERG
Valid signature Filed with authorized/valid electronic signature
FIELD AND GOLDBERG, LLC DEFINED BENEFIT PLAN 2009 364444369 2010-07-28 FIELD AND GOLDBERG, LLC 0
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 541190
Sponsor’s telephone number 3124087271
Plan sponsor’s address 10 SOUTH LASALLE STREET, SUITE 2910, CHICAGO, IL, 60603

Plan administrator’s name and address
Administrator’s EIN 364444369
Plan administrator’s name FIELD AND GOLDBERG, LLC
Plan administrator’s address 10 SOUTH LASALLE STREET, SUITE 2910, CHICAGO, IL, 60603
Administrator’s telephone number 3124087271

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing JAY GOLDBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-28
Name of individual signing JAY GOLDBERG
Valid signature Filed with authorized/valid electronic signature
FIELD AND GOLDBERG, LLC 401(K) PROFIT SHARING PLAN 2009 364444369 2010-08-26 FIELD AND GOLDBERG, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-12-01
Business code 541190
Sponsor’s telephone number 3124087271
Plan sponsor’s address 10 SOUTH LASALLE STREET, SUITE 2910, CHICAGO, IL, 60603

Plan administrator’s name and address
Administrator’s EIN 364444369
Plan administrator’s name FIELD AND GOLDBERG, LLC
Plan administrator’s address 10 SOUTH LASALLE STREET, SUITE 2910, CHICAGO, IL, 60603
Administrator’s telephone number 3124087271

Signature of
Role Plan administrator
Date 2010-08-26
Name of individual signing JAY GOLDBERG
Valid signature Filed with authorized/valid electronic signature
FIELD AND GOLDBERG, LLC DEFINED BENEFIT PLAN 2009 364444369 2010-07-28 FIELD AND GOLDBERG, LLC 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 541190
Sponsor’s telephone number 3124087271
Plan sponsor’s address 10 SOUTH LASALLE STREET, SUITE 2910, CHICAGO, IL, 60603

Plan administrator’s name and address
Administrator’s EIN 364444369
Plan administrator’s name FIELD AND GOLDBERG, LLC
Plan administrator’s address 10 SOUTH LASALLE STREET, SUITE 2910, CHICAGO, IL, 60603
Administrator’s telephone number 3124087271

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing JAY GOLDBERG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-28
Name of individual signing JAY GOLDBERG
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ROGER L ANDERSON, 1711 CHAR-LU DR, MENDOTA, 61342, LA SALLE Agent 2007-04-30

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State

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