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  5. PELION ACTUARIAL SERVICES, INC.

PELION ACTUARIAL SERVICES, INC.

Company Details

Entity Name: PELION ACTUARIAL SERVICES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Foreign BCA
Status: Goodstanding
Date Formed: 24 Jul 2012
Company Number: CORP_68498325
File Number: 68498325
Type of Business: All Inclusive Purpose
Place of Formation: INDIANA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PELION ACTUARIAL SERVICES, INC. 401(K) PROFIT SHARING PLAN 2023 452927365 2024-10-07 PELION ACTUARIAL SERVICES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 8888491295
Plan sponsor’s address 4320 SPRING CREEK ROAD, SUITE A, ROCKFORD, IL, 61107
PELION ACTUARIAL SERVICES, INC. 401(K) PROFIT SHARING PLAN 2022 452927365 2023-10-05 PELION ACTUARIAL SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 8888491295
Plan sponsor’s address 4320 SPRING CREEK ROAD, SUITE A, ROCKFORD, IL, 61107
PELION ACTUARIAL SERVICES, INC. 401(K) PROFIT SHARING PLAN 2021 452927365 2022-10-03 PELION ACTUARIAL SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 8888491295
Plan sponsor’s address 4320 SPRING CREEK ROAD, SUITE A, ROCKFORD, IL, 61107
PELION ACTUARIAL SERVICES, INC. 401(K) PROFIT SHARING PLAN 2020 452927365 2021-09-30 PELION ACTUARIAL SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 8888491295
Plan sponsor’s address 4320 SPRING CREEK ROAD, SUITE A, ROCKFORD, IL, 61107
PELION ACTUARIAL SERVICES, INC. 401(K) PROFIT SHARING PLAN 2019 452927365 2020-07-28 PELION ACTUARIAL SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 8888491295
Plan sponsor’s address 4320 SPRING CREEK ROAD, SUITE A, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2020-07-28
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
PELION ACTUARIAL SERVICES, INC. 401(K) PROFIT SHARING PLAN 2018 452927365 2019-07-26 PELION ACTUARIAL SERVICES, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 8888491295
Plan sponsor’s address 4320 SPRING CREEK ROAD, SUITE A, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2019-07-26
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-26
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
PELION ACTUARIAL SERVICES, INC. 401(K) PROFIT SHARING PLAN 2017 452927365 2018-07-26 PELION ACTUARIAL SERVICES, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 8888491295
Plan sponsor’s address 4320 SPRING CREEK ROAD, SUITE A, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-26
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
PELION ACTUARIAL SERVICES, INC. 401(K) PROFIT SHARING PLAN 2016 452927365 2017-10-02 PELION ACTUARIAL SERVICES, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 8888491295
Plan sponsor’s address 4320 SPRING CREEK ROAD, SUITE A, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2017-10-02
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-02
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
PELION ACTUARIAL SERVICES, INC. 401(K) PROFIT SHARING PLAN 2015 452927365 2016-07-29 PELION ACTUARIAL SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 8888491295
Plan sponsor’s address 4320 SPRING CREEK ROAD, SUITE A, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-29
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
PELION ACTUARIAL SERVICES, INC. 401(K) PROFIT SHARING PLAN 2014 452927365 2015-10-05 PELION ACTUARIAL SERVICES, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 541990
Sponsor’s telephone number 8888491295
Plan sponsor’s address 4320 SPRING CREEK ROAD, SUITE A, ROCKFORD, IL, 61107

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-05
Name of individual signing JEFFREY MASON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JEFFREY MASON, 11095 LINDEN BLOSSOM LANE, ROSCOE, 61073, WINNEBAGO Agent 2014-07-03

President

Name and Address Role
JEFFREY MASON, 11095 LINDEN BLOSSOM LN ROSCOE IL 61073 President

Secretary

Name and Address Role
CHRISTOPHER HAMMOND 112 CANTEBURY CT WAUNAKEE WI 53597 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 20000 1350000 No data

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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