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  5. O'BRIEN BROS. BUSINESS FORMS INC.

O'BRIEN BROS. BUSINESS FORMS INC.

Company Details

Entity Name: O'BRIEN BROS. BUSINESS FORMS INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 22 Mar 1974
Company Number: CORP_50414469
File Number: 50414469
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
O'BRIEN BROS. BUSINESS FORMS, INC. 401(K) PLAN 2023 362796459 2024-10-03 O'BRIEN BROS. BUSINESS FORMS, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424100
Sponsor’s telephone number 8002329595
Plan sponsor’s address 2440 PRODUCTION DRIVE, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2024-10-03
Name of individual signing KEVIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-03
Name of individual signing KEVIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
O'BRIEN BROS. BUSINESS FORMS, INC. 401(K) PLAN 2022 362796459 2023-10-04 O'BRIEN BROS. BUSINESS FORMS, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424100
Sponsor’s telephone number 8002329595
Plan sponsor’s DBA name OBRIEN INSURANCE SOLUTIONS
Plan sponsor’s address 2440 PRODUCTION DR, ST CHARLES, IL, 601742455

Signature of
Role Plan administrator
Date 2023-10-04
Name of individual signing KEVIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
O'BRIEN BROS. BUSINESS FORMS, INC. 401(K) PLAN 2021 362796459 2022-10-12 O'BRIEN BROS. BUSINESS FORMS, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424100
Sponsor’s telephone number 8002329595
Plan sponsor’s address 2440 PRODUCTION DRIVE, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing MIKE MULCAHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-11
Name of individual signing MIKE MULCAHY
Valid signature Filed with authorized/valid electronic signature
O'BRIEN BROS. BUSINESS FORMS, INC. 401(K) PLAN 2020 362796459 2021-10-07 O'BRIEN BROS. BUSINESS FORMS, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424100
Sponsor’s telephone number 8002329595
Plan sponsor’s address 2440 PRODUCTION DRIVE, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2021-09-28
Name of individual signing KEVIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-28
Name of individual signing KEVIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
O'BRIEN BROS. BUSINESS FORMS, INC. 401(K) PLAN 2019 362796459 2020-10-09 O'BRIEN BROS. BUSINESS FORMS, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424100
Sponsor’s telephone number 8002329595
Plan sponsor’s address 1273 HUMBRACHT CIRCLE, BARTLETT, IL, 60103

Signature of
Role Plan administrator
Date 2020-10-05
Name of individual signing KEVIN B. OBRIEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-05
Name of individual signing KEVIN B. OBRIEN
Valid signature Filed with authorized/valid electronic signature
O'BRIEN BROS. BUSINESS FORMS, INC. 401(K) PLAN 2018 362796459 2019-10-04 O'BRIEN BROS. BUSINESS FORMS, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424100
Sponsor’s telephone number 8002329595
Plan sponsor’s address 1273 HUMBRACHT CIRCLE, BARTLETT, IL, 60103

Signature of
Role Plan administrator
Date 2019-09-27
Name of individual signing KEVIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-27
Name of individual signing KEVIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
O'BRIEN BROS. BUSINESS FORMS, INC. 401(K) PLAN 2017 362796459 2018-10-04 O'BRIEN BROS. BUSINESS FORMS, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424100
Sponsor’s telephone number 8002329595
Plan sponsor’s address 1273 HUMBRACHT CIRCLE, BARTLETT, IL, 60103

Signature of
Role Plan administrator
Date 2018-09-22
Name of individual signing KEVIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-22
Name of individual signing KEVIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
O'BRIEN BROS. BUSINESS FORMS, INC. 401(K) PLAN 2016 362796459 2017-09-06 O'BRIEN BROS. BUSINESS FORMS, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424100
Sponsor’s telephone number 8002329595
Plan sponsor’s address 1273 HUMBRACHT CIRCLE, BARTLETT, IL, 60103

Signature of
Role Plan administrator
Date 2017-09-05
Name of individual signing KEVIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-05
Name of individual signing KEVIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
O'BRIEN BROS. BUSINESS FORMS, INC. 401(K) PLAN 2015 362796459 2016-09-06 O'BRIEN BROS. BUSINESS FORMS, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424100
Sponsor’s telephone number 8002329595
Plan sponsor’s address 1273 HUMBRACHT CIRCLE, BARTLETT, IL, 60103

Signature of
Role Plan administrator
Date 2016-08-18
Name of individual signing KEVIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-18
Name of individual signing KEVIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
O'BRIEN BROS. BUSINESS FORMS, INC. 401(K) PLAN 2014 362796459 2015-10-07 O'BRIEN BROS. BUSINESS FORMS, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 424100
Sponsor’s telephone number 8002329595
Plan sponsor’s address 1273 HUMBRACHT CIRCLE, BARTLETT, IL, 60103

Signature of
Role Plan administrator
Date 2015-10-02
Name of individual signing KEVIN OBRIEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-02
Name of individual signing KEVIN OBRIEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
LISA M WAGGONER, 4 N WALKUP AVE, CRYSTAL LAKE, 60014, MC HENRY Agent 1995-03-29

President

Name and Address Role
KEVIN B O'BRIEN 2440 PRODUCTION DR., ST. CHARLES, IL, 60174 President

Secretary

Name and Address Role
MICHAEL MULCAHY Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
OBRIEN INSURANCE SOLUTIONS Assume Name 2019-02-04 No data No data No data
O'BRIEN INSURANCE SOLUTIONS No data 2014-06-09 2019-02-04 Voluntary Cancellation No data
O'BRIEN DOCUMENT SOLUTIONS Assume Name 2002-11-07 No data No data No data
OBRIEN PROFESSIONAL SERVICES, INC. No data 1996-06-14 2000-04-06 Expired No data
OBI No data 1991-07-24 2000-04-06 Expired No data
OBRIEN Assume Name 1991-04-02 No data No data No data
NATIONAL DEALER PRODUCTS No data 1989-11-07 1995-08-01 Involuntary Cancellation No data
ACUSYS, INC. No data 1989-11-07 2000-04-06 Expired No data
SCHIAVONE-O'BRIEN GRAPHIC SERVICES, INC. No data 1989-01-25 1995-08-01 Involuntary Cancellation No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM A No data Voting Rights 99000 1000000 No data

Related by officers

LISA M WAGGONER, 4 N WALKUP AVE, CRYSTAL LAKE, 60014, MC HENRY

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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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