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  5. OLD BLUE ILLINOIS, INC.

OLD BLUE ILLINOIS, INC.

Company Details

Entity Name: OLD BLUE ILLINOIS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 29 Dec 1997
Date of Dissolution: 12 Apr 2019
Company Number: CORP_59735438
File Number: 59735438
Type of Business: All Inclusive Purpose
Date Status Change: 12 Apr 2019
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OLD BLUE ILLINOIS INC 401K PLAN 2017 364198633 2018-08-01 OLD BLUE ILLINOIS INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 321900
Sponsor’s telephone number 3092897921
Plan sponsor’s address 1283 KNOX ROAD 1600 NORTH, KNOXVILLE, IL, 61448

Signature of
Role Plan administrator
Date 2018-08-01
Name of individual signing NICOLE COLLINS
Valid signature Filed with authorized/valid electronic signature
OLD BLUE ILLINOIS INC 401K PLAN 2017 364198633 2018-05-25 OLD BLUE ILLINOIS INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 321900
Sponsor’s telephone number 3092897921
Plan sponsor’s address 1283 KNOX ROAD 1600 NORTH, KNOXVILLE, IL, 61448

Signature of
Role Plan administrator
Date 2018-05-25
Name of individual signing NICOLE COLLINS
Valid signature Filed with authorized/valid electronic signature
OLD BLUE ILLINOIS INC 401K PLAN 2016 364198633 2017-10-16 OLD BLUE ILLINOIS INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 321900
Sponsor’s telephone number 3092897921
Plan sponsor’s address 1283 KNOX ROAD 1600 NORTH, KNOXVILLE, IL, 61448

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing NICOLE COLLINS
Valid signature Filed with authorized/valid electronic signature
OLD BLUE ILLINOIS INC 401K PLAN 2015 364198633 2016-07-13 OLD BLUE ILLINOIS INC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 321900
Sponsor’s telephone number 3092897921
Plan sponsor’s address 1283 KNOX ROAD 1600 NORTH, KNOXVILLE, IL, 61448

Signature of
Role Plan administrator
Date 2016-07-13
Name of individual signing LESLIE MCQUELLON
Valid signature Filed with authorized/valid electronic signature
OLD BLUE ILLINOIS INC 401K PLAN 2014 364198633 2015-07-28 OLD BLUE ILLINOIS INC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 321900
Sponsor’s telephone number 3092897921
Plan sponsor’s address 1283 KNOX ROAD 1600 NORTH, KNOXVILLE, IL, 61448

Signature of
Role Plan administrator
Date 2015-07-28
Name of individual signing LESLIE MCQUELLON
Valid signature Filed with authorized/valid electronic signature
OLD BLUE ILLINOIS INC 401K PLAN 2013 364198633 2014-06-19 OLD BLUE ILLINOIS INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 321900
Sponsor’s telephone number 3092897921
Plan sponsor’s address 1283 KNOX ROAD 1600 NORTH, KNOXVILLE, IL, 61448

Signature of
Role Plan administrator
Date 2014-06-19
Name of individual signing LESLIE MCQUELLON
Valid signature Filed with authorized/valid electronic signature
OLD BLUE ILLINOIS INC 401K PLAN 2012 364198633 2013-09-17 OLD BLUE ILLINOIS INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 321900
Sponsor’s telephone number 3092897921
Plan sponsor’s address 1283 KNOX ROAD 1600 NORTH, KNOXVILLE, IL, 61448

Signature of
Role Plan administrator
Date 2013-09-17
Name of individual signing JAYNE ROGERS
Valid signature Filed with authorized/valid electronic signature
OLD BLUE ILLINOIS INC 401K PLAN 2011 364198633 2012-02-09 OLD BLUE ILLINOIS INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 321900
Sponsor’s telephone number 3092897921
Plan sponsor’s address 1283 KNOX ROAD 1600 NORTH, KNOXVILLE, IL, 61448

Plan administrator’s name and address
Administrator’s EIN 364198633
Plan administrator’s name OLD BLUE ILLINOIS INC
Plan administrator’s address 1283 KNOX ROAD 1600 NORTH, KNOXVILLE, IL, 61448
Administrator’s telephone number 3092897921

Signature of
Role Plan administrator
Date 2012-02-09
Name of individual signing TERESA COLLINS-BEARD
Valid signature Filed with authorized/valid electronic signature
OLD BLUE ILLINOIS INC 401K PLAN 2010 364198633 2011-01-24 OLD BLUE ILLINOIS INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 321900
Sponsor’s telephone number 3092897921
Plan sponsor’s address 1283 KNOX ROAD, 1600 NORTH, KNOXVILLE, IL, 61448

Plan administrator’s name and address
Administrator’s EIN 364198633
Plan administrator’s name OLD BLUE ILLINOIS INC
Plan administrator’s address 1283 KNOX ROAD, 1600 NORTH, KNOXVILLE, IL, 61448
Administrator’s telephone number 3092897921

Signature of
Role Plan administrator
Date 2011-01-24
Name of individual signing TERESA COLLINS-BEARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-01-24
Name of individual signing TERESA COLLINS-BEARD
Valid signature Filed with authorized/valid electronic signature
OLD BLUE ILLINOIS INC 401K PLAN 2010 364198633 2011-01-24 OLD BLUE ILLINOIS INC 11
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 321900
Sponsor’s telephone number 3092897921
Plan sponsor’s address 1283 KNOX ROAD, 1600 NORTH, KNOXVILLE, IL, 61448

Plan administrator’s name and address
Administrator’s EIN 364198633
Plan administrator’s name OLD BLUE ILLINOIS INC
Plan administrator’s address 1283 KNOX ROAD, 1600 NORTH, KNOXVILLE, IL, 61448
Administrator’s telephone number 3092897921

Agent

Name and Address Role Appointment Date
STATHAM & LONG, LLC, 117 E MAIN ST STE 101, GALESBURG, 61401, KNOX Agent 2018-11-07

President

Name and Address Role
RICHARD COLLINS, 1277 KNOX RD,1600N, KNOXVILLE, IL, 61448 President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
TRILLIUM DELL TIMBERWORKS No data 2016-10-26 2019-04-12 Voluntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 200000 1

Related by officers

STATHAM & LONG, LLC, 117 E MAIN ST STE 101, GALESBURG, 61401, KNOX

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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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