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KCPAG INSURANCE SERVICES LLC

Company Details

Entity Name: KCPAG INSURANCE SERVICES LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 12 Jul 2000
Company Number: LLC_00435015
File Number: 00435015
Type of Management: Manager Managed
Date Status Change: 23 May 2024
Address 7200 EAGLE CREST BLVD, EVANSVILLE, 47715, IN
Place of Formation: INDIANA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN ILLINOIS SAND COMPANY 401K PLAN 2012 370623940 2013-09-26 SOUTHERN ILLINOIS SAND COMPANY 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-06-01
Business code 212320
Sponsor’s telephone number 6188264347
Plan sponsor’s address 550 WATER STREET, CHESTER, IL, 62233

Plan administrator’s name and address

Administrator’s EIN 370623940
Plan administrator’s name SOUTHERN ILLINOIS SAND COMPANY
Plan administrator’s address 550 WATER STREET, CHESTER, IL, 62233
Administrator’s telephone number 6188264347

Signature of

Role Plan administrator
Date 2013-09-26
Name of individual signing BRUCE W. BROWN
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS SAND COMPANY 401K PLAN 2011 370623940 2012-08-10 SOUTHERN ILLINOIS SAND COMPANY 5
Three-digit plan number (PN) 002
Effective date of plan 1999-06-01
Business code 212320
Sponsor’s telephone number 6188264347
Plan sponsor’s address 550 WATER STREET, CHESTER, IL, 62233

Plan administrator’s name and address

Administrator’s EIN 370623940
Plan administrator’s name SOUTHERN ILLINOIS SAND COMPANY
Plan administrator’s address 550 WATER STREET, CHESTER, IL, 62233
Administrator’s telephone number 6188264347

Signature of

Role Plan administrator
Date 2012-08-10
Name of individual signing BRUCE W. BROWN
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS SAND COMPANY 401K PLAN 2011 370623940 2012-09-28 SOUTHERN ILLINOIS SAND COMPANY 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-06-01
Business code 212320
Sponsor’s telephone number 6188264347
Plan sponsor’s address 550 WATER STREET, CHESTER, IL, 62233

Plan administrator’s name and address

Administrator’s EIN 370623940
Plan administrator’s name SOUTHERN ILLINOIS SAND COMPANY
Plan administrator’s address 550 WATER STREET, CHESTER, IL, 62233
Administrator’s telephone number 6188264347

Signature of

Role Plan administrator
Date 2012-09-28
Name of individual signing BRUCE W. BROWN
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS SAND COMPANY 401K PLAN 2010 370623940 2011-10-12 SOUTHERN ILLINOIS SAND COMPANY 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-06-01
Business code 212320
Sponsor’s telephone number 6188264347
Plan sponsor’s address 550 WATER STREET, CHESTER, IL, 62233

Plan administrator’s name and address

Administrator’s EIN 370623940
Plan administrator’s name SOUTHERN ILLINOIS SAND COMPANY
Plan administrator’s address 550 WATER STREET, CHESTER, IL, 62233
Administrator’s telephone number 6188264347

Signature of

Role Plan administrator
Date 2011-10-12
Name of individual signing BRUCE W. BROWN
Valid signature Filed with authorized/valid electronic signature
SOUTHERN ILLINOIS SAND COMPANY 401K PLAN 2009 370623940 2010-05-11 SOUTHERN ILLINOIS SAND COMPANY 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-06-01
Business code 212320
Sponsor’s telephone number 6188264347
Plan sponsor’s address 550 WATER STREET, CHESTER, IL, 62233

Plan administrator’s name and address

Administrator’s EIN 370623940
Plan administrator’s name SOUTHERN ILLINOIS SAND COMPANY
Plan administrator’s address 550 WATER STREET, CHESTER, IL, 62233
Administrator’s telephone number 6188264347

Signature of

Role Plan administrator
Date 2010-05-11
Name of individual signing BRUCE W. BROWN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-05-11
Name of individual signing BRUCE W. BROWN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
THOMAS A. MOORE, 1619 W. MAIN ST., ROBINSON, 62454 Agent 2021-01-11

Manager

Name and Address Role Appointment Date
MOORE THOMAS A, 1619 WEST MAIN STREET, ROBINSON, IL, 62454 Manager 2024-05-23

Historical Names

Name Change Date
KCPAG INSURANCE LLC 2001-03-09
KCPAG INSURANCE, L.L.C. 2000-12-28

Date of last update: 23 Dec 2024

Sources: Illinois Office of the Secretary of State