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SEMBLEX CORPORATION

Company Details

Entity Name: SEMBLEX CORPORATION
Jurisdiction: Illinois
Entity Type: Corporation - Foreign BCA
Status: Goodstanding
Date Formed: 06 Mar 1969
Company Number: CORP_49464622
File Number: 49464622
Type of Business: Business Corporations
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SEMBLEX CORPORATION LIFE BENEFIT PLAN 2017 362664176 2018-10-11 SEMBLEX CORPORATION 232
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1984-01-01
Business code 332700
Sponsor’s telephone number 6308332880
Plan sponsor’s mailing address 900 N CHURCH RD, ELMHURST, IL, 601261014
Plan sponsor’s address 900 N CHURCH RD, ELMHURST, IL, 601261014

Number of participants as of the end of the plan year

Active participants 224

Signature of

Role Plan administrator
Date 2018-10-11
Name of individual signing GORDON MCLEISH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing GORDON MCLEISH
Valid signature Filed with authorized/valid electronic signature
SEMBLEX CORPORATION MEDICAL DENTAL & FRINGE BENEFIT PLAN 2017 362664176 2018-10-11 SEMBLEX CORPORATION 210
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1984-01-01
Business code 332700
Sponsor’s telephone number 6308332880
Plan sponsor’s mailing address 900 N CHURCH RD, ELMHURST, IL, 601261014
Plan sponsor’s address 900 N CHURCH RD, ELMHURST, IL, 601261014

Number of participants as of the end of the plan year

Active participants 192

Signature of

Role Plan administrator
Date 2018-10-11
Name of individual signing GORDON MCLEISH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing GORDON MCLEISH
Valid signature Filed with authorized/valid electronic signature
SEMBLEX CORPORATION LIFE BENEFIT PLAN 2016 362664176 2018-10-11 SEMBLEX CORPORATION 230
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1984-01-01
Business code 332700
Sponsor’s telephone number 6308332880
Plan sponsor’s mailing address 900 N CHURCH RD, ELMHURST, IL, 601261014
Plan sponsor’s address 900 N CHURCH RD, ELMHURST, IL, 601261014

Number of participants as of the end of the plan year

Active participants 232

Signature of

Role Plan administrator
Date 2017-10-11
Name of individual signing GORDON MCLEISH
Valid signature Filed with authorized/valid electronic signature
SEMBLEX CORPORATION MEDICAL DENTAL & FRINGE BENEFIT PLAN 2016 362664176 2018-10-11 SEMBLEX CORPORATION 200
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1984-01-01
Business code 332700
Sponsor’s telephone number 6308332880
Plan sponsor’s mailing address 900 N CHURCH RD, ELMHURST, IL, 601261014
Plan sponsor’s address 900 N CHURCH RD, ELMHURST, IL, 601261014

Number of participants as of the end of the plan year

Active participants 210

Signature of

Role Plan administrator
Date 2017-10-11
Name of individual signing GORDON MCLEISH
Valid signature Filed with authorized/valid electronic signature
SEMBLEX CORPORATION LIFE BENEFIT PLAN 2015 362664176 2016-10-10 SEMBLEX CORPORATION 230
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1984-01-01
Business code 332700
Sponsor’s telephone number 6308332880
Plan sponsor’s mailing address 900 N CHURCH RD, ELMHURST, IL, 601261014
Plan sponsor’s address 900 N CHURCH RD, ELMHURST, IL, 601261014

Number of participants as of the end of the plan year

Active participants 229

Signature of

Role Plan administrator
Date 2016-10-10
Name of individual signing GORDON MCLEISH
Valid signature Filed with authorized/valid electronic signature
SEMBLEX COPPORATION MEDICAL DENTAL & FRINGE BENEFIT PLAN 2015 362664176 2016-10-10 SEMBLEX CORPORATION 220
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1984-01-01
Business code 332700
Sponsor’s telephone number 6308332880
Plan sponsor’s mailing address 900 N CHURCH RD, ELMHURST, IL, 601261014
Plan sponsor’s address 900 N CHURCH RD, ELMHURST, IL, 601261014

Number of participants as of the end of the plan year

Active participants 200

Signature of

Role Plan administrator
Date 2016-10-10
Name of individual signing GORDON MCLEISH
Valid signature Filed with authorized/valid electronic signature
SEMBLEX CORPORATION MEDICAL DENTAL & FRINGE BENEFIT PLAN 2014 362664176 2015-10-13 SEMBLEX CORPORATION 205
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1984-01-01
Business code 332700
Sponsor’s telephone number 6308332880
Plan sponsor’s mailing address 600 N CHURCH RD, ELMHURST, IL, 60126
Plan sponsor’s address 600 N CHURCH RD, ELMHURST, IL, 60126

Number of participants as of the end of the plan year

Active participants 220

Signature of

Role Plan administrator
Date 2015-10-12
Name of individual signing GORDON MCLEISH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-12
Name of individual signing GORDON MCLEISH
Valid signature Filed with authorized/valid electronic signature
SEMBLEX CORPORATION LIFE BENEFIT PLAN 2014 362664176 2015-10-13 SEMBLEX CORPORATION 207
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1984-01-01
Business code 332700
Sponsor’s telephone number 6308332880
Plan sponsor’s mailing address 900 N CHURCH RD, ELMHURST, IL, 60126
Plan sponsor’s address 900 N CHURCH RD, ELMHURST, IL, 60126

Number of participants as of the end of the plan year

Active participants 230

Signature of

Role Plan administrator
Date 2015-10-13
Name of individual signing GORDON MCLEISH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-13
Name of individual signing GORDON MCLEISH
Valid signature Filed with authorized/valid electronic signature
SEMBLEX CORPORATION LIFE BENEFIT PLAN 2013 362664176 2014-10-14 SEMBLEX CORPORATION 200
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1984-01-01
Business code 332700
Sponsor’s telephone number 6308332880
Plan sponsor’s mailing address 199 W. DIVERSEY AVE, ELMHURST, IL, 60126
Plan sponsor’s address 199 W. DIVERSEY AVE, ELMHURST, IL, 60126

Number of participants as of the end of the plan year

Active participants 207

Signature of

Role Plan administrator
Date 2014-10-14
Name of individual signing GORDON MCLEISH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing GORDON MCLEISH
Valid signature Filed with authorized/valid electronic signature
SEMBLEX CORPORATION MEDICAL DENTAL & FRINGE BENEFIT PLAN 2013 362664176 2014-10-14 SEMBLEX CORPORATION 195
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1984-01-01
Business code 332700
Sponsor’s telephone number 6308332880
Plan sponsor’s mailing address 199 W. DIVERSEY AVE, ELMHURST, IL, 60126
Plan sponsor’s address 199 W. DIVERSEY AVE, ELMHURST, IL, 60126

Number of participants as of the end of the plan year

Active participants 205

Signature of

Role Plan administrator
Date 2014-10-14
Name of individual signing GORDON MCLEISH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing GORDON MCLEISH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BURKELAW AGENTS INC, 330 N WABASH AVE 22ND FLR, CHICAGO, 60611, COOK-NOT IN CITY OF CHICAGO Agent 2010-12-22

President

Name and Address Role
GENE SIMPSON 900 N CHURCH RD ELMHURST IL 60126 President

Secretary

Name and Address Role
PATRICK MACKEY 900 N CHURCH RD ELMHURST 60126 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 20000 13750000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State