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AFINA INSURANCE ADVISORS INC.

Company Details

Entity Name: AFINA INSURANCE ADVISORS INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 06 Mar 2017
Company Number: CORP_71103927
File Number: 71103927
Type of Business: Financial, lending and investment institutions other than banks
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AFINA INSURANCE ADVISORS INC. 401(K) PS PLAN 2023 821217219 2024-05-29 AFINA INSURANCE ADVISORS INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 6305243090
Plan sponsor’s address 1 S 660 MIDW RD SUITE 330, VILLA PARK, IL, 60181

Signature of

Role Plan administrator
Date 2024-05-29
Name of individual signing GEORGE VANDENEND
Valid signature Filed with authorized/valid electronic signature
AFINA INSURANCE ADVISORS INC. 401(K) P/S PLAN 2022 821217219 2023-06-27 AFINA INSURANCE ADVISORS INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 6305243090
Plan sponsor’s address 1 S 660 MIDWEST ROAD SUITE 330, VILLA PARK, IL, 60181

Plan administrator’s name and address

Administrator’s EIN 821217219
Plan administrator’s name AFINA INSURANCE ADVISORS INC.
Plan administrator’s address 1 S 660 MIDWEST ROAD SUITE 330, VILLA PARK, IL, 60181
Administrator’s telephone number 6305243090

Signature of

Role Plan administrator
Date 2023-06-27
Name of individual signing GEORGE VAN DENEND
Valid signature Filed with authorized/valid electronic signature
AFINA INSURANCE ADVISORS INC. 401(K) P/S PLAN 2021 821217219 2022-07-05 AFINA INSURANCE ADVISORS INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 6305243090
Plan sponsor’s address 1 S 660 MIDWEST ROAD SUITE 300, VILLA PARK, IL, 60181

Plan administrator’s name and address

Administrator’s EIN 821217219
Plan administrator’s name AFINA INSURANCE ADVISORS INC.
Plan administrator’s address 1 S 660 MIDWEST ROAD SUITE 300, VILLA PARK, IL, 60181
Administrator’s telephone number 6305243090

Signature of

Role Plan administrator
Date 2022-07-05
Name of individual signing GEORGE VAN DENEND
Valid signature Filed with authorized/valid electronic signature
AFINA INSURANCE ADVISORS INC. 401(K) P/S PLAN 2020 821217219 2021-05-17 AFINA INSURANCE ADVISORS INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 6305243090
Plan sponsor’s address 1 S 660 MIDWEST ROAD SUITE 300, VILLA PARK, IL, 60181

Plan administrator’s name and address

Administrator’s EIN 821217219
Plan administrator’s name AFINA INSURANCE ADVISORS INC.
Plan administrator’s address 1 S 660 MIDWEST ROAD SUITE 300, VILLA PARK, IL, 60181
Administrator’s telephone number 6305243090

Signature of

Role Plan administrator
Date 2021-05-17
Name of individual signing GEORGE VAN DENEND
Valid signature Filed with authorized/valid electronic signature
AFINA INSURANCE ADVISORS INC. 401(K) P/S PLAN 2019 821217219 2020-03-13 AFINA INSURANCE ADVISORS INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 6305243090
Plan sponsor’s address 1 S 660 MIDWEST ROAD SUITE 300, VILLA PARK, IL, 60181

Plan administrator’s name and address

Administrator’s EIN 821217219
Plan administrator’s name AFINA INSURANCE ADVISORS INC.
Plan administrator’s address 1 S 660 MIDWEST ROAD SUITE 300, VILLA PARK, IL, 60181
Administrator’s telephone number 6305243090

Signature of

Role Plan administrator
Date 2020-03-13
Name of individual signing GEORGE VAN DENEND
Valid signature Filed with authorized/valid electronic signature
AFINA INSURANCE ADVISORS INC. 401(K) P/S PLAN 2018 821217219 2019-02-28 AFINA INSURANCE ADVISORS INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 524210
Sponsor’s telephone number 6305243090
Plan sponsor’s address 1 S 660 MIDWEST ROAD SUITE 300, VILLA PARK, IL, 60181

Plan administrator’s name and address

Administrator’s EIN 821217219
Plan administrator’s name AFINA INSURANCE ADVISORS INC.
Plan administrator’s address 1 S 660 MIDWEST ROAD SUITE 300, VILLA PARK, IL, 60181
Administrator’s telephone number 6305243090

Signature of

Role Plan administrator
Date 2019-02-28
Name of individual signing GEORGE VAN DENEND
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GEORGE D LATTAS, 3660 W IRVING PARK RD 2ND FL, CHICAGO, 60618, COOK-NOT IN CITY OF CHICAGO Agent 2017-03-06

President

Name and Address Role
GEORGE VAN DENEND 1S660 MIDWEST RD #300 OAKBROOK TER 60181 President

Secretary

Name and Address Role
NONE Secretary

Historical Names

Name Change Date
SECURANCE RISK ADVISORS, INC. 2017-11-30

Shares

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

Sources: Illinois Office of the Secretary of State