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BLEYER INSURANCE AGENCY, INC.

Company Details

Entity Name: BLEYER INSURANCE AGENCY, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 28 Nov 1995
Date of Dissolution: 02 Nov 2021
Company Number: CORP_58604267
File Number: 58604267
Type of Business: All Inclusive Purpose
Date Status Change: 02 Nov 2021
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THOMAS A. BLEYER PROFIT SHARING PLAN 2021 371350376 2022-07-06 BLEYER INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-12-01
Business code 524210
Sponsor’s telephone number 6189976347
Plan sponsor’s address 802 NORTH COURT STREET, MARION, IL, 62959
THOMAS A. BLEYER PROFIT SHARING PLAN 2020 371350376 2021-04-07 BLEYER INSURANCE AGENCY, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-12-01
Business code 524210
Sponsor’s telephone number 6189976347
Plan sponsor’s address 802 NORTH COURT STREET, MARION, IL, 62959
THOMAS A. BLEYER PROFIT SHARING PLAN 2019 371350376 2020-06-23 BLEYER INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-12-01
Business code 524210
Sponsor’s telephone number 6189976347
Plan sponsor’s address 802 NORTH COURT STREET, MARION, IL, 62959
THOMAS A. BLEYER PROFIT SHARING PLAN 2018 371350376 2019-04-25 BLEYER INSURANCE AGENCY, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-12-01
Business code 524210
Sponsor’s telephone number 6189976347
Plan sponsor’s address 802 NORTH COURT STREET, MARION, IL, 62959
THOMAS A. BLEYER PROFIT SHARING PLAN 2017 371350376 2018-04-11 BLEYER INSURANCE AGENCY, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-12-01
Business code 524210
Sponsor’s telephone number 6189976347
Plan sponsor’s address 802 NORTH COURT STREET, MARION, IL, 62959
THOMAS A. BLEYER PROFIT SHARING PLAN 2016 371350376 2017-03-08 BLEYER INSURANCE AGENCY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-12-01
Business code 524210
Sponsor’s telephone number 6189976347
Plan sponsor’s address 802 NORTH COURT STREET, MARION, IL, 62959

Signature of

Role Plan administrator
Date 2017-03-08
Name of individual signing THOMAS A. BLEYER
Valid signature Filed with authorized/valid electronic signature
THOMAS A. BLEYER PROFIT SHARING PLAN 2015 371350376 2016-07-15 BLEYER INSURANCE AGENCY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-12-01
Business code 524210
Sponsor’s telephone number 6189976347
Plan sponsor’s address 802 NORTH COURT STREET, MARION, IL, 62959

Signature of

Role Plan administrator
Date 2016-07-15
Name of individual signing THOMAS A. BLEYER
Valid signature Filed with authorized/valid electronic signature
THOMAS A. BLEYER PROFIT SHARING PLAN 2014 371350376 2015-03-25 BLEYER INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-12-01
Business code 524210
Sponsor’s telephone number 6189976347
Plan sponsor’s address 802 NORTH COURT STREET, MARION, IL, 62959

Signature of

Role Plan administrator
Date 2015-03-25
Name of individual signing THOMAS A. BLEYER
Valid signature Filed with authorized/valid electronic signature
THOMAS A. BLEYER PROFIT SHARING PLAN 2013 371350376 2014-07-18 BLEYER INSURANCE AGENCY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-12-01
Business code 524210
Sponsor’s telephone number 6189976347
Plan sponsor’s address 802 NORTH COURT STREET, MARION, IL, 62959

Signature of

Role Plan administrator
Date 2014-06-25
Name of individual signing THOMAS A. BLEYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-25
Name of individual signing THOMAS A. BLEYER
Valid signature Filed with authorized/valid electronic signature
THOMAS A. BLEYER PROFIT SHARING PLAN 2013 371350376 2014-06-25 BLEYER INSURANCE AGENCY, INC. 5
Three-digit plan number (PN) 001
Effective date of plan 1977-12-01
Business code 524210
Sponsor’s telephone number 6189976347
Plan sponsor’s address 802 NORTH COURT STREET, MARION, IL, 62959

Signature of

Role Plan administrator
Date 2014-06-25
Name of individual signing THOMAS A. BLEYER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-25
Name of individual signing THOMAS A. BLEYER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
THOMAS A BLEYER, 802 W COURT ST, MARION, 62859, WILLIAMSON Agent 2016-11-02

President

Name and Address Role
THOMAS A BLEYER, 802 N COURT MARION IL 62959 President

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