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  5. ADJUSTABLE FORMS, INC.

ADJUSTABLE FORMS, INC.

Headquarter

Company Details

Entity Name: ADJUSTABLE FORMS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 29 Nov 1984
Company Number: CORP_53663206
File Number: 53663206
Type of Business: Business Corporations
Address 1 E PROGRESS RD, LOMBARD, IL, 60148
Place of Formation: ILLINOIS

Links between entities

Type Company Name Company Number State
Headquarter of ADJUSTABLE FORMS, INC., MINNESOTA aa900914-8dd4-e011-a886-001ec94ffe7f MINNESOTA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADJUSTABLE CONCRETE CONSTRUCTION 401(K) PROFIT SHARING PLAN AND TRUST 2023 363332283 2024-07-09 ADJUSTABLE FORMS, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-11-01
Business code 238900
Sponsor’s telephone number 6309538700
Plan sponsor’s address ONE EAST PROGRESS ROAD, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2024-07-09
Name of individual signing MARY PETERS
Valid signature Filed with authorized/valid electronic signature
ADJUSTABLE CONCRETE CONSTRUCTION 401(K) PROFIT SHARING PLAN AND TRUST 2022 363332283 2023-06-28 ADJUSTABLE FORMS, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-11-01
Business code 238900
Sponsor’s telephone number 6309538700
Plan sponsor’s address ONE EAST PROGRESS ROAD, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2023-06-28
Name of individual signing MARY PETERS
Valid signature Filed with authorized/valid electronic signature
ADJUSTABLE CONCRETE CONSTRUCTION 401(K) PROFIT SHARING PLAN AND TRUST 2021 363332283 2022-09-13 ADJUSTABLE FORMS, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-11-01
Business code 238900
Sponsor’s telephone number 6309538700
Plan sponsor’s address ONE EAST PROGRESS ROAD, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2022-09-13
Name of individual signing MARY PETERS
Valid signature Filed with authorized/valid electronic signature
ADJUSTABLE CONCRETE CONSTRUCTION 401(K) PROFIT SHARING PLAN AND TRUST 2020 363332283 2021-05-20 ADJUSTABLE FORMS, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-11-01
Business code 238900
Sponsor’s telephone number 6309538700
Plan sponsor’s address ONE EAST PROGRESS ROAD, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2021-05-20
Name of individual signing MARY PETERS
Valid signature Filed with authorized/valid electronic signature
ADJUSTABLE FORMS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2019 363332283 2020-05-14 ADJUSTABLE FORMS, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-11-01
Business code 238900
Sponsor’s telephone number 6309538700
Plan sponsor’s address 1 E PROGRESS ROAD, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2020-05-14
Name of individual signing MARY PETERS
Valid signature Filed with authorized/valid electronic signature
ADJUSTABLE FORMS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2018 363332283 2019-06-26 ADJUSTABLE FORMS, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-11-01
Business code 238900
Sponsor’s telephone number 6309538700
Plan sponsor’s address ONE EAST PROGRESS ROAD, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2019-06-26
Name of individual signing MARY PETERS
Valid signature Filed with authorized/valid electronic signature
ADJUSTABLE FORMS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2017 363332283 2018-07-13 ADJUSTABLE FORMS, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-11-01
Business code 238900
Sponsor’s telephone number 6309538700
Plan sponsor’s address ONE EAST PROGRESS ROAD, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2018-07-13
Name of individual signing MARY PETERS
Valid signature Filed with authorized/valid electronic signature
ADJUSTABLE FORMS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2016 363332283 2017-07-27 ADJUSTABLE FORMS, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-11-01
Business code 238900
Sponsor’s telephone number 6309538700
Plan sponsor’s address ONE EAST PROGRESS ROAD, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing JAMES E. LINDQUIST
Valid signature Filed with authorized/valid electronic signature
ADJUSTABLE FORMS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2015 363332283 2016-07-15 ADJUSTABLE FORMS, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-11-01
Business code 238900
Sponsor’s telephone number 6309538700
Plan sponsor’s address ONE EAST PROGRESS ROAD, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2016-07-15
Name of individual signing JAMES E. LINDQUIST
Valid signature Filed with authorized/valid electronic signature
ADJUSTABLE FORMS, INC. 401(K) PROFIT SHARING PLAN & TRUST 2014 363332283 2015-06-25 ADJUSTABLE FORMS, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-11-01
Business code 238900
Sponsor’s telephone number 6309538700
Plan sponsor’s address ONE EAST PROGRESS ROAD, LOMBARD, IL, 60148

Signature of
Role Plan administrator
Date 2015-06-25
Name of individual signing JAMES E. LINDQUIST
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ERIC J LINDQUIST, 1 E PROGRESS RD, LOMBARD, 60148, DU PAGE Agent 2017-10-11

Secretary

Name and Address Role Account Number
James Lindquist Secretary 85341
JAMES E LINDQUIST Secretary No data

President

Name and Address Role Account Number
ERIC J LINDQUIST ONE EAST PROGRESS RD LOMBARD 60148 President 85341

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
BUSINESS LICENSE 78516 Issued 1010 Limited Business License No data 2023-03-17 2023-05-16 2025-05-15

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
ADJUSTABLE CONCRETE CONSTRUCTION Assume Name 2019-04-03 No data No data No data

Historical Names

Name Change Date
JAMES E. LINDQUIST, INC. 1985-01-23

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
A COMMON No data Voting Rights 1000 100000 No data

Related by officers

James Lindquist

ADJUSTABLE FORMS INC. OF INDIANA

Related by address

1 E PROGRESS RD, LOMBARD, IL, 60148

ADJUSTABLE FORMS INC. OF INDIANA

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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