| Entity Name: | FORKERT, BLOME & ASSOCIATES, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 05 Dec 1959 |
| Date of Dissolution: | 01 May 1998 |
| Company Number: | CORP_39370921 |
| File Number: | 39370921 |
| Date Status Change: | 01 May 1998 |
| Place of Formation: | ILLINOIS |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BMP 401K AND PROFIT SHARING PLAN | 2012 | 362475131 | 2013-07-09 | BANNER MOULDED PRODUCTS CORPORATION | 33 | |||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2013-07-09 |
| Name of individual signing | MICHAEL R RANDAZZO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1982-01-01 |
| Business code | 326200 |
| Plan sponsor’s address | 3050 NORTH RIVER ROAD, RIVER GROVE, IL, 601711094 |
Plan administrator’s name and address
| Administrator’s EIN | 362475131 |
| Plan administrator’s name | BANNER MOULDED PRODUCTS CORPORATION |
| Plan administrator’s address | 3050 NORTH RIVER ROAD, RIVER GROVE, IL, 601711094 |
| Administrator’s telephone number | 7736254313 |
Signature of
| Role | Plan administrator |
| Date | 2012-05-29 |
| Name of individual signing | MICHAEL R RANDAZZO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1982-01-01 |
| Business code | 326200 |
| Sponsor’s telephone number | 7736254313 |
| Plan sponsor’s address | 3050 NORTH RIVER ROAD, RIVER GROVE, IL, 601711094 |
Plan administrator’s name and address
| Administrator’s EIN | 362475131 |
| Plan administrator’s name | BANNER MOULDED PRODUCTS CORPORATION |
| Plan administrator’s address | 3050 NORTH RIVER ROAD, RIVER GROVE, IL, 601711094 |
| Administrator’s telephone number | 7736254313 |
Signature of
| Role | Plan administrator |
| Date | 2011-06-28 |
| Name of individual signing | MICHAEL R RANDAZZO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1982-01-01 |
| Business code | 326200 |
| Sponsor’s telephone number | 7736254313 |
| Plan sponsor’s address | 3050 NORTH RIVER ROAD, RIVER GROVE, IL, 601711094 |
Plan administrator’s name and address
| Administrator’s EIN | 362475131 |
| Plan administrator’s name | BANNER MOULDED PRODUCTS CORPORATION |
| Plan administrator’s address | 3050 NORTH RIVER ROAD, RIVER GROVE, IL, 601711094 |
| Administrator’s telephone number | 7736254313 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-27 |
| Name of individual signing | MICHAEL R RANDAZZO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| WILLIAM H TOWLE, 1010 LAKE ST #210, OAK PARK, 60301, COOK-NOT IN CITY OF CHICAGO | Agent | 1993-02-23 |
| Name and Address | Role |
|---|---|
| DONALD A BLOME, 1246 FORT FISHER BLVD, KURE BEACH NC 28449 | President |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 100 | 50000 | 100 |
Date of last update: 13 Jan 2025
