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SHELBY MOTORS, INC.

SHELBY MOTORS, INC.

Company Details

Entity Name:	SHELBY MOTORS, INC.
Jurisdiction:	Illinois
Entity Type:	Corporation - Foreign BCA
Status:	Revoked
Date Formed:	24 Feb 1964
Company Number:	CORP_17099876
File Number:	17099876
Date Status Change:	13 Jul 2018
Place of Formation:	DELAWARE

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

SHELBY MOTORS INC 401K PLAN

2011

370914064

2012-11-08

SHELBY MOTORS INC

38

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1992-08-01
Business code	441110
Sponsor’s telephone number	2173524273
Plan sponsor’s address	1906 MORELAND BLVD, CHAMPAIGN, IL, 61822

Plan administrator’s name and address

Administrator’s EIN	370914064
Plan administrator’s name	SHELBY MOTORS INC
Plan administrator’s address	1906 MORELAND BLVD, CHAMPAIGN, IL, 61822
Administrator’s telephone number	2173524273

Signature of

Role	Plan administrator
Date	2012-11-08
Name of individual signing	JOYCE RAHN
Valid signature	Filed with authorized/valid electronic signature

SHELBY MOTORS INC 401K PLAN

2010

370914064

2011-11-15

SHELBY MOTORS INC

32

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1992-08-01
Business code	441110
Sponsor’s telephone number	2173524273
Plan sponsor’s address	1906 MORELAND BLVD, CHAMPAIGN, IL, 61822

Plan administrator’s name and address

Administrator’s EIN	370914064
Plan administrator’s name	SHELBY MOTORS INC
Plan administrator’s address	1906 MORELAND BLVD, CHAMPAIGN, IL, 61822
Administrator’s telephone number	2173524273

Signature of

Role	Plan administrator
Date	2011-11-15
Name of individual signing	JOYCE RAHN
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2011-11-15
Name of individual signing	JOYCE RAHN
Valid signature	Filed with authorized/valid electronic signature

SHELBY MOTORS INC. 401K PLAN

2009

370914064

2010-12-27

SHELBY MOTORS INC.

34

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1992-08-01
Business code	441110
Sponsor’s telephone number	2173524273
Plan sponsor’s address	1906 MORELAND BLVD, CHAMPAIGN, IL, 61822

Plan administrator’s name and address

Administrator’s EIN	370914064
Plan administrator’s name	SHELBY MOTORS INC.
Plan administrator’s address	1906 MORELAND BLVD, CHAMPAIGN, IL, 61822
Administrator’s telephone number	2173524273

Signature of

Role	Plan administrator
Date	2010-12-27
Name of individual signing	JOYCE RAHN
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2010-12-27
Name of individual signing	JOYCE RAHN
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
JENNIFER J SHELBY, 2105 BRISTOL RD, CHAMPAIGN, 61821, CHAMPAIGN	Agent	2014-06-26

President

Name and Address	Role
JENNIFER SHELBY 2105 BRISTOL RD CHAMPAIGN, IL, 61821	President

Shares

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMM	No data	Voting Rights	250	250000	No data

Date of last update: 23 Jan 2025

Sources: Illinois Office of the Secretary of State