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  5. MCCOY INSURANCE SERVICES, INC.

MCCOY INSURANCE SERVICES, INC.

Company Details

Entity Name: MCCOY INSURANCE SERVICES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 27 Jul 2010
Date of Dissolution: 08 Dec 2023
Company Number: CORP_67184262
File Number: 67184262
Type of Business: All Inclusive Purpose
Date Status Change: 08 Dec 2023
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MCCOY INSURANCE SERVICES, INC. 401(K) PLAN 2020 273163835 2021-11-30 MCCOY INSURANCE SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 8157771302
Plan sponsor’s address 412 SOUTH MAIN STREET, GALENA, IL, 61036

Signature of
Role Plan administrator
Date 2021-11-30
Name of individual signing M. NATHANIEL MCCOY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-11-30
Name of individual signing M. NATHANIEL MCCOY
Valid signature Filed with authorized/valid electronic signature
MCCOY INSURANCE SERVICES, INC. 401(K) PLAN 2020 273163835 2021-05-18 MCCOY INSURANCE SERVICES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 8157771302
Plan sponsor’s address 412 SOUTH MAIN STREET, GALENA, IL, 61036

Signature of
Role Plan administrator
Date 2021-05-18
Name of individual signing M. NATHANIEL MCCOY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-18
Name of individual signing M. NATHANIEL MCCOY
Valid signature Filed with authorized/valid electronic signature
MCCOY INSURANCE SERVICES, INC. 401(K) PLAN 2019 273163835 2020-07-01 MCCOY INSURANCE SERVICES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 8157771302
Plan sponsor’s address 412 SOUTH MAIN STREET, GALENA, IL, 61036

Signature of
Role Plan administrator
Date 2020-07-01
Name of individual signing M. NATHANIEL MCCOY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-01
Name of individual signing M. NATHANIEL MCCOY
Valid signature Filed with authorized/valid electronic signature
MCCOY INSURANCE SERVICES, INC. 401(K) PLAN 2018 273163835 2019-06-24 MCCOY INSURANCE SERVICES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 8157771302
Plan sponsor’s address 412 SOUTH MAIN STREET, GALENA, IL, 61036

Signature of
Role Plan administrator
Date 2019-06-24
Name of individual signing M. NATHANIEL MCCOY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-24
Name of individual signing M. NATHANIEL MCCOY
Valid signature Filed with authorized/valid electronic signature
MCCOY INSURANCE SERVICES, INC. 401(K) PLAN 2017 273163835 2018-07-03 MCCOY INSURANCE SERVICES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 8157771302
Plan sponsor’s address 412 SOUTH MAIN STREET, GALENA, IL, 61036

Signature of
Role Plan administrator
Date 2018-07-03
Name of individual signing M. NATHANIEL MCCOY
Valid signature Filed with authorized/valid electronic signature
MCCOY INSURANCE SERVICES, INC. 401(K) PLAN 2016 273163835 2017-06-09 MCCOY INSURANCE SERVICES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 8157771302
Plan sponsor’s address 412 SOUTH MAIN STREET, GALENA, IL, 61036

Signature of
Role Plan administrator
Date 2017-06-09
Name of individual signing M. NATHANIEL MCCOY
Valid signature Filed with authorized/valid electronic signature
MCCOY INSURANCE SERVICES, INC. 401(K) PLAN 2015 273163835 2016-08-23 MCCOY INSURANCE SERVICES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 8157771302
Plan sponsor’s address 412 SOUTH MAIN STREET, GALENA, IL, 61036

Signature of
Role Plan administrator
Date 2016-08-23
Name of individual signing M. NATHANIEL MCCOY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-23
Name of individual signing M. NATHANIEL MCCOY
Valid signature Filed with incorrect/unrecognized electronic signature
MCCOY INSURANCE SERVICES INC. 401(K) PLAN 2014 362725735 2015-06-02 MCCOY INSURANCE SERVICES INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 8157771302
Plan sponsor’s address 412 SOUTH MAIN STREET PO BOX 321, GALENA, IL, 61036

Signature of
Role Plan administrator
Date 2015-06-02
Name of individual signing DANIAL DITTMAR
Valid signature Filed with authorized/valid electronic signature
MCCOY INSURANCE SERVICES INC. 401(K) PLAN 2013 362725735 2014-05-08 MCCOY INSURANCE SERVICES INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 8157771302
Plan sponsor’s address 412 SOUTH MAIN STREET PO BOX 321, GALENA, IL, 61036

Signature of
Role Plan administrator
Date 2014-05-08
Name of individual signing DANIAL DITTMAR
Valid signature Filed with authorized/valid electronic signature
MCCOY INSURANCE SERVICES INC. 401(K) PLAN 2012 362725735 2013-05-22 MCCOY INSURANCE SERVICES INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 524210
Sponsor’s telephone number 8157771302
Plan sponsor’s address 412 SOUTH MAIN STREET PO BOX 321, GALENA, IL, 61036

Signature of
Role Plan administrator
Date 2013-05-22
Name of individual signing NATE MCCOY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JOSEPH E NACK, 106 N MAIN ST PO BOX 336, GALENA, 61036, JO DAVIESS Agent 2010-07-27

President

Name and Address Role
MARC N MCCOY 412 S MAIN ST GALENA 61036 President

Historical Names

Name Change Date
DITTMAR & MCCOY, INC. 2011-01-03

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100 100000 No data

Related by officers

JOSEPH E NACK, 106 N MAIN ST PO BOX 336, GALENA, 61036, JO DAVIESS

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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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