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JIM XAMIS FORD, LINCOLN, INC.

Company Details

Entity Name: JIM XAMIS FORD, LINCOLN, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 02 Dec 1981
Company Number: CORP_52580897
File Number: 52580897
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JIM XAMIS FORD 401(K) PLAN 2023 371109879 2024-09-18 JIM XAMIS FORD LINCOLN MERCURY INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 441110
Sponsor’s telephone number 2177322111
Plan sponsor’s address 2301 WOODLAWN RD, LINCOLN, IL, 62656

Signature of

Role Plan administrator
Date 2024-09-18
Name of individual signing JOHN CARTER
Valid signature Filed with authorized/valid electronic signature
JIM XAMIS FORD LINCOLN MERCURY, INC 401(K) PLAN 2022 371109879 2023-09-14 JIM XAMIS FORD LINCOLN MERCURY INC. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 441110
Sponsor’s telephone number 2177322111
Plan sponsor’s address 2301 WOODLAWN RD, LINCOLN, IL, 62656

Signature of

Role Plan administrator
Date 2023-09-14
Name of individual signing JOHN CARTER
Valid signature Filed with authorized/valid electronic signature
JIM XAMIS FORD LINCOLN MERCURY, INC 401(K) PLAN 2021 371109879 2022-09-28 JIM XAMIS FORD LINCOLN MERCURY INC. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 441110
Sponsor’s telephone number 2177322111
Plan sponsor’s address 2301 WOODLAWN RD, LINCOLN, IL, 62656

Signature of

Role Plan administrator
Date 2022-09-28
Name of individual signing JOHN CARTER
Valid signature Filed with authorized/valid electronic signature
JIM XAMIS FORD LINCOLN MERCURY, INC 401(K) PLAN 2020 371109879 2021-06-24 JIM XAMIS FORD LINCOLN MERCURY INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 441110
Sponsor’s telephone number 2177322111
Plan sponsor’s address 2301 WOODLAWN RD, LINCOLN, IL, 62656

Signature of

Role Plan administrator
Date 2021-06-24
Name of individual signing JOHN CARTER
Valid signature Filed with authorized/valid electronic signature
JIM XAMIS FORD LINCOLN MERCURY, INC 401(K) PLAN 2019 371109879 2020-10-08 JIM XAMIS FORD LINCOLN MERCURY INC. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 441110
Sponsor’s telephone number 2177322111
Plan sponsor’s address 2301 WOODLAWN RD, LINCOLN, IL, 62656

Signature of

Role Plan administrator
Date 2020-10-08
Name of individual signing JOHN CARTER
Valid signature Filed with authorized/valid electronic signature
JIM XAMIS FORD LINCOLN MERCURY, INC 401(K) PLAN 2018 371109879 2019-10-01 JIM XAMIS FORD LINCOLN MERCURY INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 441110
Sponsor’s telephone number 2177322111
Plan sponsor’s address 2301 WOODLAWN RD, LINCOLN, IL, 62656

Signature of

Role Plan administrator
Date 2019-10-01
Name of individual signing JOHN CARTER
Valid signature Filed with authorized/valid electronic signature
JIM XAMIS FORD LINCOLN MERCURY, INC 401(K) PLAN 2017 371109879 2018-09-27 JIM XAMIS FORD LINCOLN MERCURY INC. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 441110
Sponsor’s telephone number 2177322111
Plan sponsor’s address 2301 WOODLAWN RD, LINCOLN, IL, 62656

Signature of

Role Plan administrator
Date 2018-09-27
Name of individual signing JOHN CARTER
Valid signature Filed with authorized/valid electronic signature
JIM XAMIS FORD LINCOLN MERCURY, INC 401(K) PLAN 2016 371109879 2017-09-28 JIM XAMIS FORD LINCOLN MERCURY, INC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 441110
Sponsor’s telephone number 2177322111
Plan sponsor’s address 2301 WOODLAWN RD, LINCOLN, IL, 62656

Signature of

Role Plan administrator
Date 2017-09-28
Name of individual signing JOHN CARTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-28
Name of individual signing JOHN CARTER
Valid signature Filed with authorized/valid electronic signature
JIM XAMIS FORD LINCOLN MERCURY, INC 401(K) PLAN 2015 371109879 2016-10-04 JIM XAMIS FORD LINCOLN MERCURY, INC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 441110
Sponsor’s telephone number 2177322111
Plan sponsor’s address 2301 WOODLAWN RD, LINCOLN, IL, 62656

Signature of

Role Plan administrator
Date 2016-09-22
Name of individual signing JOHN A CARTER
Valid signature Filed with authorized/valid electronic signature
JIM XAMIS FORD LINCOLN MERCURY, INC 401(K) PLAN 2014 371109879 2015-10-09 JIM XAMIS FORD LINCOLN MERCURY, INC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 441110
Sponsor’s telephone number 2177322111
Plan sponsor’s address 2301 WOODLAWN RD, LINCOLN, IL, 62656

Signature of

Role Plan administrator
Date 2015-10-09
Name of individual signing JOHN CARTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-09
Name of individual signing JOHN CARTER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BETH E. BROTHERTON, 221 W MAIN CROSS ST, TAYLORVILLE, 62568, CHRISTIAN Agent 2024-11-06

President

Name and Address Role
JAMES P. XAMIS 19 PINEHURST ROAD, LINCOLN, IL 62656 President

Secretary

Name and Address Role
CATHY XAMIS 19 PINEHURST ROAD, LINCOLN, IL 62656 Secretary

Historical Names

Name Change Date
JIM XAMIS FORD, LINCOLN-MERCURY, INC. 2011-06-08
TOM ASHLEY FORD, LINCOLN-MERCURY, INC. 1989-08-07

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 1000000 No data

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State