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  5. MAVERICK INSURANCE SERVICES, INC.

MAVERICK INSURANCE SERVICES, INC.

Company Details

Entity Name: MAVERICK INSURANCE SERVICES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 22 Feb 1994
Company Number: CORP_57691042
File Number: 57691042
Type of Business: Insurance and/or real estate agencies and brokers
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAVERICK INSURANCE SERVICES, INC. SIMPLE 401(K) PLAN 2016 371322692 2017-10-05 MAVERICK INSURANCE SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 8882490035
Plan sponsor’s address PO BOX 205, 403 S. PRAIRIE STREET, BETHALTO, IL, 62010
MAVERICK INSURANCE SERVICES, INC. SIMPLE 401(K) PLAN 2016 371322692 2017-08-29 MAVERICK INSURANCE SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 8882490035
Plan sponsor’s address PO BOX 205, 403 S. PRAIRIE STREET, BETHALTO, IL, 62010
MAVERICK INSURANCE SERVICES, INC. SIMPLE 401(K) PLAN 2015 371322692 2016-10-15 MAVERICK INSURANCE SERVICES, INC. 6
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 8882490035
Plan sponsor’s address PO BOX 205, 403 S. PRAIRIE STREET, BETHALTO, IL, 62010

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing DEBBIE DIXON
Valid signature Filed with authorized/valid electronic signature
MAVERICK INSURANCE SERVICES, INC. SIMPLE 401(K) PLAN 2014 371322692 2015-10-13 MAVERICK INSURANCE SERVICES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 8882490035
Plan sponsor’s address PO BOX 205, 403 S. PRAIRIE STREET, BETHALTO, IL, 62010

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing DEBBIE DIXON
Valid signature Filed with authorized/valid electronic signature
MAVERICK INSURANCE SERVICES, INC SIMPLE 401(K) PLAN 2013 371322692 2014-09-08 MAVERICK INSURANCE SERVICES,INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 6183776300
Plan sponsor’s address P.O. BOX 205, BETHALTO, IL, 62010

Signature of
Role Plan administrator
Date 2014-09-08
Name of individual signing DEBORAH M DIXON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-08
Name of individual signing DEBORAH M DIXON
Valid signature Filed with authorized/valid electronic signature
MAVERICK INSURANCE SERVICES, INC SIMPLE 401(K) PLAN 2012 371322692 2013-09-13 MAVERICK INSURANCE SERVICES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 6183776300
Plan sponsor’s address PO BOX 205, BETHALTO, IL, 62010

Signature of
Role Plan administrator
Date 2013-09-13
Name of individual signing DEBORAH M. DIXON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-13
Name of individual signing DEBORAH M. DIXON
Valid signature Filed with authorized/valid electronic signature
MAVERICK INSURANCE SERVICES, INC SIMPLE 401(K) PLAN 2011 371322692 2012-07-25 MAVERICK INSURANCE SERVICES, INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 6183776300
Plan sponsor’s address P.O. BOX 205, BETHALTO, IL, 62010

Plan administrator’s name and address
Administrator’s EIN 371322692
Plan administrator’s name MAVERICK INSURANCE SERVICES, INC
Plan administrator’s address P.O. BOX 205, BETHALTO, IL, 62010
Administrator’s telephone number 6183776300

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing DEBORAH M DIXON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-25
Name of individual signing DEBOAH M DIXON
Valid signature Filed with authorized/valid electronic signature
MAVERICK INSURANCE SERVICES, INC SIMPLE 401(K) PLAN 2009 371322692 2011-10-12 MAVERICK INSURANCE SERVICES, INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 6183776300
Plan sponsor’s address P.O. BOX 205, BETHALTO, IL, 62010

Plan administrator’s name and address
Administrator’s EIN 371322692
Plan administrator’s name MAVERICK INSURANCE SERVICES, INC
Plan administrator’s address P.O. BOX 205, BETHALTO, IL, 62010
Administrator’s telephone number 6183776300

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing DEBBIE DIXON
Valid signature Filed with authorized/valid electronic signature
MAVERICK INSURANCE SERVICES, INC SIMPLE 401(K) PLAN 2009 371322692 2010-09-23 MAVERICK INSURANCE SERVICES, INC 10
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 524210
Sponsor’s telephone number 6183776300
Plan sponsor’s address P.O. BOX 205, BETHALTO, IL, 62010

Plan administrator’s name and address
Administrator’s EIN 371322692
Plan administrator’s name MAVERICK INSURANCE SERVICES, INC
Plan administrator’s address P.O. BOX 205, BETHALTO, IL, 62010
Administrator’s telephone number 6183776300

Signature of
Role Employer/plan sponsor
Date 2010-09-22
Name of individual signing DEBORAH M. DIXON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRET WAYNE DIXON, 403 S PRAIRIE, BETHALTO, 62010, MADISON Agent 2003-04-10

President

Name and Address Role
BRET W DIXON 400 PARK DR BETHALTO 62010 President

Secretary

Name and Address Role
DEBORAH M DIXON 400 PARK DR BETHALTO 62010 Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
BRET DIXON INSURANCE AGENCY Assume Name 2004-04-07 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
A No data Voting Rights 1000 100000 1

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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