| Entity Name: | SOUTHERN ILLINOIS GROCERS, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Goodstanding |
| Date Formed: | 23 Jul 2004 |
| Company Number: | CORP_63670359 |
| File Number: | 63670359 |
| Type of Business: | All Inclusive Purpose |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHERN ILLINOIS GROCERS INC EMPLOYEE GROUP HEALT | 2017 | 201402483 | 2018-07-12 | SOUTHERN ILLINOIS GROCERS, INC. | 9 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-07-12 |
| Name of individual signing | JOHN HOLMES |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2018-07-12 |
| Name of individual signing | JOHN HOLMES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2015-01-01 |
| Business code | 445110 |
| Sponsor’s telephone number | 6189266715 |
| Plan sponsor’s address | 202 S. CAPITAL STREET, HARRISBURG, IL, 62946 |
Signature of
| Role | Plan administrator |
| Date | 2017-06-14 |
| Name of individual signing | JOHN HOLMES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2015-01-01 |
| Business code | 445110 |
| Sponsor’s telephone number | 6189266715 |
| Plan sponsor’s address | 202 S. CAPITAL STREET, HARRISBURG, IL, 62946 |
Signature of
| Role | Plan administrator |
| Date | 2016-07-25 |
| Name of individual signing | JOHN HOLMES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2014-01-01 |
| Business code | 445110 |
| Sponsor’s telephone number | 6182533663 |
| Plan sponsor’s address | 202 S CAPITAL STREET, HARRISBURG, IL, 62946 |
Signature of
| Role | Plan administrator |
| Date | 2015-07-09 |
| Name of individual signing | JOHN HOLMES |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2015-07-09 |
| Name of individual signing | JOHN HOLMES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JOHN W HOLMES, 1 FAIRWAY DR, HARRISBURG, 62946, SALINE | Agent | 2020-06-24 |
| Name and Address | Role |
|---|---|
| JOHN W. HOLMES, 1 FAIRWAY DRIVE, HARRISBURG, IL, 62946 | President |
| Name and Address | Role |
|---|---|
| JOHN HOLMES 1 FAIRWAY DR HARRISBURG 62946 | Secretary |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMMON | No data | Voting Rights | 1000 | 100000 | No data |
Date of last update: 23 Dec 2024
