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CHAMPION FITNESS, INC.

Company Details

Entity Name: CHAMPION FITNESS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 10 Nov 1993
Company Number: CORP_57552298
File Number: 57552298
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHAMPION FITNESS, INC. 401(K) P/S PLAN 2016 371317835 2017-06-19 CHAMPION FITNESS, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 8158445411
Plan sponsor’s address 924 W. CUSTER AVENUE, PONTIAC, IL, 61764

Signature of

Role Plan administrator
Date 2017-06-19
Name of individual signing JEFFERY SCHADE
Valid signature Filed with authorized/valid electronic signature
CHAMPION FITNESS, INC. 401(K) P/S PLAN 2016 371317835 2017-02-09 CHAMPION FITNESS, INC. 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 8158445411
Plan sponsor’s address 924 W. CUSTER AVENUE, PONTIAC, IL, 61764

Plan administrator’s name and address

Administrator’s EIN 371317835
Plan administrator’s name CHAMPION FITNESS, INC.
Plan administrator’s address 924 W. CUSTER AVENUE, PONTIAC, IL, 61764
Administrator’s telephone number 8158445411

Signature of

Role Plan administrator
Date 2017-02-09
Name of individual signing MICHAEL COHLMAN
Valid signature Filed with authorized/valid electronic signature
CHAMPION FITNESS, INC. 401(K) P/S PLAN 2015 371317835 2016-02-23 CHAMPION FITNESS, INC. 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 8158445411
Plan sponsor’s address 924 W. CUSTER AVENUE, PONTIAC, IL, 61764

Plan administrator’s name and address

Administrator’s EIN 371317835
Plan administrator’s name CHAMPION FITNESS, INC.
Plan administrator’s address 924 W. CUSTER AVENUE, PONTIAC, IL, 61764
Administrator’s telephone number 8158445411

Signature of

Role Plan administrator
Date 2016-02-23
Name of individual signing MICHAEL COHLMAN
Valid signature Filed with authorized/valid electronic signature
CHAMPION FITNESS, INC. 401(K) P/S PLAN 2014 371317835 2015-04-09 CHAMPION FITNESS, INC. 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 8158445411
Plan sponsor’s address 924 W. CUSTER AVENUE, PONTIAC, IL, 61764

Plan administrator’s name and address

Administrator’s EIN 371317835
Plan administrator’s name CHAMPION FITNESS, INC.
Plan administrator’s address 924 W. CUSTER AVENUE, PONTIAC, IL, 61764
Administrator’s telephone number 8158445411

Signature of

Role Plan administrator
Date 2015-04-09
Name of individual signing MICHAEL COHLMAN
Valid signature Filed with authorized/valid electronic signature
CHAMPION FITNESS, INC. 401(K) P/S PLAN 2013 371317835 2014-04-25 CHAMPION FITNESS, INC. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 8158445411
Plan sponsor’s address 924 W. CUSTER AVENUE, PONTIAC, IL, 61764

Plan administrator’s name and address

Administrator’s EIN 371317835
Plan administrator’s name CHAMPION FITNESS, INC.
Plan administrator’s address 924 W. CUSTER AVENUE, PONTIAC, IL, 61764
Administrator’s telephone number 8158445411

Signature of

Role Plan administrator
Date 2014-04-25
Name of individual signing MICHAEL COHLMAN
Valid signature Filed with authorized/valid electronic signature
CHAMPION FITNESS, INC. 401(K) P/S PLAN 2012 371317835 2013-04-18 CHAMPION FITNESS, INC. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 8158445411
Plan sponsor’s address 924 W. CUSTER AVENUE, PONTIAC, IL, 61764

Plan administrator’s name and address

Administrator’s EIN 371317835
Plan administrator’s name CHAMPION FITNESS, INC.
Plan administrator’s address 924 W. CUSTER AVENUE, PONTIAC, IL, 61764
Administrator’s telephone number 8158445411

Signature of

Role Plan administrator
Date 2013-04-18
Name of individual signing JEFFERY SCHADE
Valid signature Filed with authorized/valid electronic signature
CHAMPION FITNESS, INC. 401(K) P/S PLAN 2011 371317835 2012-04-18 CHAMPION FITNESS, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 8158445411
Plan sponsor’s address 924 W. CUSTER AVENUE, PONTIAC, IL, 61764

Plan administrator’s name and address

Administrator’s EIN 371317835
Plan administrator’s name CHAMPION FITNESS, INC.
Plan administrator’s address 924 W. CUSTER AVENUE, PONTIAC, IL, 61764
Administrator’s telephone number 8158445411

Signature of

Role Plan administrator
Date 2012-04-18
Name of individual signing JEFFERY SCHADE
Valid signature Filed with authorized/valid electronic signature
CHAMPION FITNESS, INC. 401(K) P/S PLAN 2010 371317835 2011-03-10 CHAMPION FITNESS, INC. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 8158445411
Plan sponsor’s address 924 W. CUSTER AVENUE, PONTIAC, IL, 61764

Plan administrator’s name and address

Administrator’s EIN 371317835
Plan administrator’s name CHAMPION FITNESS, INC.
Plan administrator’s address 924 W. CUSTER AVENUE, PONTIAC, IL, 61764
Administrator’s telephone number 8158445411

Signature of

Role Plan administrator
Date 2011-03-10
Name of individual signing JEFFERY SCHADE
Valid signature Filed with authorized/valid electronic signature
CHAMPION FITNESS, INC. 401(K) P/S PLAN 2009 371317835 2010-05-13 CHAMPION FITNESS, INC. 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 8158445411
Plan sponsor’s address 924 W. CUSTER AVENUE, PONTIAC, IL, 61764

Plan administrator’s name and address

Administrator’s EIN 371317835
Plan administrator’s name CHAMPION FITNESS, INC.
Plan administrator’s address 924 W. CUSTER AVENUE, PONTIAC, IL, 61764
Administrator’s telephone number 8158445411

Signature of

Role Plan administrator
Date 2010-05-13
Name of individual signing MICHAEL COHLMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-05-13
Name of individual signing MICHAEL COHLMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
STEPHEN J TOCK, 310 S PRAIRIE AVE, DWIGHT, 60420, LIVINGSTON Agent 2020-08-28

President

Name and Address Role
JEFFERY C SCHADE 16802 S MOUNTAIN STONE TR PHOENIX AZ 85048 President

Secretary

Name and Address Role
JEFFERY C SCHADE 16802 S MOUNTAIN STONE TR PHOENIX AZ 85048 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 1000 200000 No data

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State