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  5. BLANK'S INSURANCE AGENCY, LLC

BLANK'S INSURANCE AGENCY, LLC

Headquarter

Company Details

Entity Name: BLANK'S INSURANCE AGENCY, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 01 Jan 2003
Company Number: LLC_00837369
File Number: 00837369
Type of Management: Manager Managed
Date Status Change: 27 Dec 2023
Address 515 WHITTLE AVE, OLNEY, 62450, IL
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of BLANK'S INSURANCE AGENCY, LLC, NEW YORK 5380250 NEW YORK
Headquarter of BLANK'S INSURANCE AGENCY, LLC, KENTUCKY 0665179 KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLANK'S INSURANCE AGENCY, LLC 401(K) PS PLAN 2022 421567258 2023-07-07 BLANK'S INSURANCE AGENCY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 6183932195
Plan sponsor’s address PO BOX 69, OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 421567258
Plan administrator’s name BLANK'S INSURANCE AGENCY, LLC
Plan administrator’s address PO BOX 69, OLNEY, IL, 62450
Administrator’s telephone number 6183932195

Signature of
Role Plan administrator
Date 2023-07-07
Name of individual signing JULIE HEARRING
Valid signature Filed with authorized/valid electronic signature
BLANK'S INSURANCE AGENCY, LLC 401(K) PS PLAN 2021 421567258 2022-09-23 BLANK'S INSURANCE AGENCY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 6183932195
Plan sponsor’s address PO BOX 69, OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 421567258
Plan administrator’s name BLANK'S INSURANCE AGENCY, LLC
Plan administrator’s address PO BOX 69, OLNEY, IL, 62450
Administrator’s telephone number 6183932195

Signature of
Role Plan administrator
Date 2022-09-23
Name of individual signing JULIE HEARRING
Valid signature Filed with authorized/valid electronic signature
BLANK'S INSURANCE AGENCY, LLC 401(K) PS PLAN 2020 421567258 2021-09-15 BLANK'S INSURANCE AGENCY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 6183932195
Plan sponsor’s address PO BOX 69, OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 421567258
Plan administrator’s name BLANK'S INSURANCE AGENCY, LLC
Plan administrator’s address PO BOX 69, OLNEY, IL, 62450
Administrator’s telephone number 6183932195

Signature of
Role Plan administrator
Date 2021-09-15
Name of individual signing JULIE M HEARRING
Valid signature Filed with authorized/valid electronic signature
BLANK'S INSURANCE AGENCY, LLC 401(K) PS PLAN 2019 421567258 2020-08-20 BLANK'S INSURANCE AGENCY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 6183932195
Plan sponsor’s address PO BOX 69, OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 421567258
Plan administrator’s name BLANK'S INSURANCE AGENCY, LLC
Plan administrator’s address PO BOX 69, OLNEY, IL, 62450
Administrator’s telephone number 6183932195

Signature of
Role Plan administrator
Date 2020-08-20
Name of individual signing JULIE M HEARRING
Valid signature Filed with authorized/valid electronic signature
BLANK'S INSURANCE AGENCY, LLC 401(K) PS PLAN 2018 421567258 2019-09-13 BLANK'S INSURANCE AGENCY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 6183932195
Plan sponsor’s address 515 WHITTLE AVE., OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 421567258
Plan administrator’s name BLANK'S INSURANCE AGENCY, LLC
Plan administrator’s address 515 WHITTLE AVE., OLNEY, IL, 62450
Administrator’s telephone number 6183932195

Signature of
Role Plan administrator
Date 2019-09-13
Name of individual signing JULIE M HEARRING
Valid signature Filed with authorized/valid electronic signature
BLANK'S INSURANCE AGENCY, LLC 401(K) PS PLAN 2017 421567258 2018-08-20 BLANK'S INSURANCE AGENCY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 6183932195
Plan sponsor’s address 515 WHITTLE AVE., OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 421567258
Plan administrator’s name BLANK'S INSURANCE AGENCY, LLC
Plan administrator’s address 515 WHITTLE AVE., OLNEY, IL, 62450
Administrator’s telephone number 6183932195

Signature of
Role Plan administrator
Date 2018-08-20
Name of individual signing JULIE M HEARRING
Valid signature Filed with authorized/valid electronic signature
BLANK'S INSURANCE AGENCY, LLC 401(K) PS PLAN 2016 421567258 2017-08-07 BLANK'S INSURANCE AGENCY, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 6183932195
Plan sponsor’s address 515 WHITTLE AVE., OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 421567258
Plan administrator’s name BLANK'S INSURANCE AGENCY, LLC
Plan administrator’s address 515 WHITTLE AVE., OLNEY, IL, 62450
Administrator’s telephone number 6183932195

Signature of
Role Plan administrator
Date 2017-08-07
Name of individual signing JULIE M HEARRING
Valid signature Filed with authorized/valid electronic signature
BLANK'S INSURANCE AGENCY, LLC 401(K) PS PLAN 2015 421567258 2016-08-08 BLANK'S INSURANCE AGENCY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 6183932195
Plan sponsor’s address 515 WHITTLE AVE., OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 421567258
Plan administrator’s name BLANK'S INSURANCE AGENCY, LLC
Plan administrator’s address 515 WHITTLE AVE., OLNEY, IL, 62450
Administrator’s telephone number 6183932195

Signature of
Role Plan administrator
Date 2016-08-08
Name of individual signing JULIE HEARRING
Valid signature Filed with authorized/valid electronic signature
BLANK'S INSURANCE AGENCY, LLC 401(K) PS PLAN 2014 421567258 2015-08-31 BLANK'S INSURANCE AGENCY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 6183932195
Plan sponsor’s address 515 WHITTLE AVE., OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 421567258
Plan administrator’s name BLANK'S INSURANCE AGENCY, LLC
Plan administrator’s address 515 WHITTLE AVE., OLNEY, IL, 62450
Administrator’s telephone number 6183932195

Signature of
Role Plan administrator
Date 2015-08-31
Name of individual signing JULIE M HEARRING
Valid signature Filed with authorized/valid electronic signature
BLANK'S INSURANCE AGENCY, LLC 401(K) PS PLAN 2013 421567258 2015-08-31 BLANK'S INSURANCE AGENCY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 524210
Sponsor’s telephone number 6183932195
Plan sponsor’s address 515 WHITTLE AVE., OLNEY, IL, 62450

Plan administrator’s name and address
Administrator’s EIN 421567258
Plan administrator’s name BLANK'S INSURANCE AGENCY, LLC
Plan administrator’s address 515 WHITTLE AVE., OLNEY, IL, 62450
Administrator’s telephone number 6183932195

Signature of
Role Plan administrator
Date 2015-08-31
Name of individual signing JULIE M HEARRING
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JULIE M. HEARRING, 515 WHITTLE AVE. POB 69, OLNEY, 62450, RICHLAND Agent 2007-03-23

Manager

Name and Address Role Appointment Date
HEARING, JULIE, 1101 S. MAPLE ST., OLNEY, IL, 62450 Manager 2023-12-27
PADILLA, ALLYSON, 104 WEST GASSMANN STREET, OLNEY, IL, 62450 Manager 2023-12-27

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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