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  5. CLIFFORD-JACOBS FORGING COMPANY

CLIFFORD-JACOBS FORGING COMPANY

Company Details

Entity Name: CLIFFORD-JACOBS FORGING COMPANY
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 03 May 1923
Company Number: CORP_17000977
File Number: 17000977
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
J4SLD171W9U4 2024-06-15 2410 N 5TH ST, CHAMPAIGN, IL, 61822, 1340, USA PO BOX 0830, CHAMPAIGN, IL, 61824, 0830, USA

Business Information
URL http://www.clifford-jacobs.com
Division Name CLIFFORD-JACOBS FORGING COMPANY
Division Number CLIFFORD-J
Congressional District 13
State/Country of Incorporation IL, USA
Activation Date 2023-06-21
Initial Registration Date 2002-08-12
Entity Start Date 1919-01-01
Fiscal Year End Close Date Jan 01

Service Classifications
NAICS Codes 332111, 332112
Product and Service Codes 1270, 1280, 1510, 1520, 1550, 1560, 1620, 1630, 2010, 2020, 2835, 2840, 2910, 2915, 2925, 2930, 2935, 2940, 2945, 2990, 2995, 3020, 3110, 3120, 3130, 3414, 5365, 9510, 9520, 9640, AR11, AR12, AR13, AR14, AR15, B539, C1ED, H115, H116, H117, K015, K016, K017

Points of Contacts
Electronic Business
Title PRIMARY POC
Name LORI BROWN
Role SALES MANAGER
Address 2410 N 5TH ST, CHAMPAIGN, IL, 61822, USA
Title ALTERNATE POC
Name LINDSAY CARNEY
Address P.O. BOX 830, CHAMPAIGN, IL, 61824, USA
Government Business
Title PRIMARY POC
Name LORI BROWN
Role SALES MANAGER
Address 2410 N 5TH ST, CHAMPAIGN, IL, 61822, USA
Title ALTERNATE POC
Name JASON RAY
Address P.O. BOX 830, CHAMPAIGN, IL, 61824, USA
Past Performance
Title ALTERNATE POC
Name JASON RAY
Address P.O. BOX 830, CHAMPAIGN, IL, 61824, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
96743 Active Non-Manufacturer 1974-11-04 2024-05-23 2029-05-23 2025-05-17

Contact Information
POC LORI BROWN
Phone +1 217-352-5172
Fax +1 888-720-2599
Address 2410 N 5TH ST, CHAMPAIGN, IL, 61822 1340, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner
Vendor Certified 2024-05-22
CAGE number 37558
Company Name IMT PARTNERSHIP
CAGE Last Updated 2024-11-19
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLIFFORD-JACOBS FORGING COMPANY PROFIT SHARING AND 401(K) PLAN 2023 370220380 2024-08-06 CLIFFORD JACOBS FORGING COMPANY 53
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 332110
Sponsor’s telephone number 2179793153
Plan sponsor’s address 2410 N. 5TH STREET, CHAMPAIGN, IL, 61820

Signature of
Role Plan administrator
Date 2024-08-06
Name of individual signing ANNEKE MILLER
Valid signature Filed with authorized/valid electronic signature
CLIFFORD-JACOBS FORGING COMPANY RETIREMENT PLAN 2023 370220380 2024-10-11 CLIFFORD-JACOBS FORGING COMPANY 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1959-01-01
Business code 332110
Sponsor’s telephone number 2173525172
Plan sponsor’s address 2410 N. 5TH STREET, CHAMPAIGN, IL, 61822

Plan administrator’s name and address
Administrator’s EIN 621506963
Plan administrator’s name EMPLOYEE BENEFITS COMMITTEE
Plan administrator’s address P.O. BOX 830, CHAMPAIGN, IL, 618240830
Administrator’s telephone number 2173525172

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing ANNEKE MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-11
Name of individual signing ANNEKE MILLER
Valid signature Filed with authorized/valid electronic signature
CLIFFORD-JACOBS FORGING COMPANY PENSION PLAN 2023 370220380 2024-10-11 CLIFFORD-JACOBS FORGING COMPANY 34
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1959-01-01
Business code 332110
Sponsor’s telephone number 2173525172
Plan sponsor’s address 2410 N. 5TH STREET, CHAMPAIGN, IL, 61822

Plan administrator’s name and address
Administrator’s EIN 621506963
Plan administrator’s name EMPLOYEE BENEFITS COMMITTEE
Plan administrator’s address P.O. BOX 830, CHAMPAIGN, IL, 618240830
Administrator’s telephone number 2173525172

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing ANNEKE MILLER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-11
Name of individual signing ANNEKE MILLER
Valid signature Filed with authorized/valid electronic signature
CLIFFORD-JACOBS FORGING COMPANY UNION 401K PLAN 2023 370220380 2024-05-02 CLIFFORD-JACOBS FORGING COMPANY 87
File View Page
Three-digit plan number (PN) 006
Effective date of plan 2009-01-01
Business code 332110
Sponsor’s telephone number 2172009283
Plan sponsor’s address 2410 N. 5TH STREET, CHAMPAIGN, IL, 61820

Signature of
Role Plan administrator
Date 2024-05-02
Name of individual signing ANNEKE MILLER
Valid signature Filed with authorized/valid electronic signature
CLIFFORD-JACOBS FORGING COMPANY UNION 401K PLAN 2022 370220380 2023-09-29 CLIFFORD JACOBS FORGING COMPANY 84
File View Page
Three-digit plan number (PN) 006
Effective date of plan 2009-01-01
Business code 332110
Sponsor’s telephone number 2173525172
Plan sponsor’s address P.O. BOX 830, CHAMPAIGN, IL, 618240830

Signature of
Role Plan administrator
Date 2023-09-29
Name of individual signing LINDSAY CARNEY
Valid signature Filed with authorized/valid electronic signature
CLIFFORD-JACOBS FORGING COMPANY RETIREMENT PLAN 2022 370220380 2023-10-06 CLIFFORD-JACOBS FORGING COMPANY 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1959-01-01
Business code 332110
Sponsor’s telephone number 2173525172
Plan sponsor’s address 2410 N. 5TH STREET, CHAMPAIGN, IL, 61820

Plan administrator’s name and address
Administrator’s EIN 621506963
Plan administrator’s name EMPLOYEE BENEFITS COMMITTEE
Plan administrator’s address P.O. BOX 830, CHAMPAIGN, IL, 618240830
Administrator’s telephone number 2173525172

Signature of
Role Plan administrator
Date 2023-10-06
Name of individual signing LINDSAY A. CARNEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-06
Name of individual signing LINDSAY A. CARNEY
Valid signature Filed with authorized/valid electronic signature
CLIFFORD-JACOBS FORGING COMPANY PENSION PLAN 2022 370220380 2023-10-06 CLIFFORD-JACOBS FORGING COMPANY 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1959-01-01
Business code 332110
Sponsor’s telephone number 2173525172
Plan sponsor’s address 2410 N. 5TH STREET, CHAMPAIGN, IL, 61820

Plan administrator’s name and address
Administrator’s EIN 621506963
Plan administrator’s name EMPLOYEE BENEFITS COMMITTEE
Plan administrator’s address P.O. BOX 830, CHAMPAIGN, IL, 618240830
Administrator’s telephone number 2173525172

Signature of
Role Plan administrator
Date 2023-10-06
Name of individual signing LINDSAY A. CARNEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-06
Name of individual signing LINDSAY A. CARNEY
Valid signature Filed with authorized/valid electronic signature
CLIFFORD-JACOBS FORGING COMPANY PROFIT SHARING AND 401(K) PLAN 2022 370220380 2023-08-29 CLIFFORD JACOBS FORGING COMPANY 54
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 332110
Sponsor’s telephone number 2173525172
Plan sponsor’s address P.O. BOX 830, CHAMPAIGN, IL, 618240830

Signature of
Role Plan administrator
Date 2023-08-29
Name of individual signing LINDSAY CARNEY
Valid signature Filed with authorized/valid electronic signature
CLIFFORD-JACOBS FORGING COMPANY PENSION PLAN 2021 370220380 2022-09-13 CLIFFORD-JACOBS FORGING COMPANY 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1959-01-01
Business code 332110
Sponsor’s telephone number 2173525172
Plan sponsor’s address 2410 N. 5TH STREET, CHAMPAIGN, IL, 61820

Plan administrator’s name and address
Administrator’s EIN 621506963
Plan administrator’s name EMPLOYEE BENEFITS COMMITTEE
Plan administrator’s address P.O. BOX 830, CHAMPAIGN, IL, 618240830
Administrator’s telephone number 2173525172

Signature of
Role Plan administrator
Date 2022-09-13
Name of individual signing LINDSAY A. CARNEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-13
Name of individual signing LINDSAY A. CARNEY
Valid signature Filed with authorized/valid electronic signature
CLIFFORD-JACOBS FORGING COMPANY PROFIT SHARING AND 401(K) PLAN 2021 370220380 2022-08-12 CLIFFORD JACOBS FORGING COMPANY 51
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 332110
Sponsor’s telephone number 2173525172
Plan sponsor’s address P.O. BOX 830, CHAMPAIGN, IL, 618240830

Signature of
Role Plan administrator
Date 2022-08-12
Name of individual signing LINDSAY CARNEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JAMES E HACKING, 2410 N 5TH ST, CHAMPAIGN, 61824, CHAMPAIGN Agent 2010-05-05

President

Name and Address Role
JAMES E HACKING 2410 N. 5TH ST, CHAMPAIGN 61824-0830 President

Secretary

Name and Address Role
SHAWN PARNHAM, 2410 N. 5TH ST, CHAMPAIGN, IL 61824-0830 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State

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