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  5. GENOA BUSINESS FORMS, INC.

GENOA BUSINESS FORMS, INC.

Company Details

Entity Name: GENOA BUSINESS FORMS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 07 Jan 1957
Company Number: CORP_36637323
File Number: 36637323
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GENOA BUSINESS FORMS INC 401K PROFIT SHARING PLAN & TRUST 2023 362376432 2024-06-20 GENOA BUSINESS FORMS INC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-05-01
Business code 323100
Sponsor’s telephone number 8003832801
Plan sponsor’s address 445 PARK AVE, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2024-06-20
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
GENOA BUSINESS FORMS INC 401K PROFIT SHARING PLAN & TRUST 2022 362376432 2023-06-24 GENOA BUSINESS FORMS INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-05-01
Business code 323100
Sponsor’s telephone number 8003832801
Plan sponsor’s address 445 PARK AVE, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2023-06-24
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
GENOA BUSINESS FORMS INC 401K PROFIT SHARING PLAN & TRUST 2021 362376432 2022-06-27 GENOA BUSINESS FORMS INC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-05-01
Business code 323100
Sponsor’s telephone number 8003832801
Plan sponsor’s address 445 PARK AVE, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2022-06-27
Name of individual signing PHILIP PAULSON
Valid signature Filed with authorized/valid electronic signature
GENOA BUSINESS FORMS INC 401K PROFIT SHARING PLAN & TRUST 2020 362376432 2021-06-01 GENOA BUSINESS FORMS INC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-05-01
Business code 323100
Sponsor’s telephone number 8003832801
Plan sponsor’s address 445 PARK AVE, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2021-06-01
Name of individual signing PHILIP PAULSON
Valid signature Filed with authorized/valid electronic signature
GENOA BUSINESS FORMS INC 401K PROFIT SHARING PLAN & TRUST 2019 362376432 2020-06-16 GENOA BUSINESS FORMS INC 28
Three-digit plan number (PN) 001
Effective date of plan 2004-05-01
Business code 323100
Sponsor’s telephone number 8003832801
Plan sponsor’s address 445 PARK AVE, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2020-06-16
Name of individual signing PPAULSON9747
Valid signature Filed with authorized/valid electronic signature
GENOA BUSINESS FORMS INC 401K PROFIT SHARING PLAN & TRUST 2019 362376432 2020-06-30 GENOA BUSINESS FORMS INC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-05-01
Business code 323100
Sponsor’s telephone number 8003832801
Plan sponsor’s address 445 PARK AVE, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing PHILIP PAULSON
Valid signature Filed with authorized/valid electronic signature
GENOA BUSINESS FORMS INC 401K PROFIT SHARING PLAN & TRUST 2018 362376432 2019-06-04 GENOA BUSINESS FORMS INC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-05-01
Business code 323100
Sponsor’s telephone number 8003832801
Plan sponsor’s address 445 PARK AVE, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2019-06-04
Name of individual signing PHILIP PAULSON
Valid signature Filed with authorized/valid electronic signature
GENOA BUSINESS FORMS INC 401K PROFIT SHARING PLAN & TRUST 2017 362376432 2018-06-11 GENOA BUSINESS FORMS INC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-05-01
Business code 323100
Sponsor’s telephone number 8003832801
Plan sponsor’s address 445 PARK AVE, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2018-06-11
Name of individual signing PHILIP PAULSON
Valid signature Filed with authorized/valid electronic signature
GENOA BUSINESS FORMS INC 401K PROFIT SHARING PLAN & TRUST 2016 362376432 2017-06-07 GENOA BUSINESS FORMS INC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-05-01
Business code 323100
Sponsor’s telephone number 8003832801
Plan sponsor’s address 445 PARK AVE, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2017-06-07
Name of individual signing PHILIP PAULSON
Valid signature Filed with authorized/valid electronic signature
GENOA BUSINESS FORMS INC 401K PROFIT SHARING PLAN & TRUST 2015 362376432 2016-05-27 GENOA BUSINESS FORMS INC 25
Three-digit plan number (PN) 001
Effective date of plan 2004-05-01
Business code 323100
Sponsor’s telephone number 8003832801
Plan sponsor’s address 445 PARK AVE, SYCAMORE, IL, 60178

Signature of
Role Plan administrator
Date 2016-05-26
Name of individual signing PHILIP PAULSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PHILLIP J PAULSON, 445 PARK AVE, SYCAMORE, 60178, DE KALB Agent 2011-12-13

President

Name and Address Role
PHILIP PAULSON 1327 JANET ST.SYCAMORE, IL 60178 President

Secretary

Name and Address Role
LISA M PAULSON Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
CENTURY PRINT AND GRAPHICS Assume Name 2014-12-01 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 5000 1030000 10

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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