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CLYBOURN INVESTMENT CORPORATION

Company Details

Entity Name: CLYBOURN INVESTMENT CORPORATION
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 07 May 1993
Date of Dissolution: 13 Oct 2023
Company Number: CORP_57303468
File Number: 57303468
Type of Business: All Inclusive Purpose
Date Status Change: 13 Oct 2023
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHICAGO STORY PICCOLO GULINER INC 401K PLAN 2012 363663305 2013-05-15 CHICAGO STORY PICCOLO GULINER INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 512100
Sponsor’s telephone number 3126423173
Plan sponsor’s address 401 W SUPERIOR ST, CHICAGO, IL, 606543430

Signature of

Role Plan administrator
Date 2013-05-15
Name of individual signing MARK ANDROW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-15
Name of individual signing MARK ANDROW
Valid signature Filed with authorized/valid electronic signature
CHICAGO STORY PICCOLO GULINER INC 401K PLAN 2011 363663305 2012-06-06 CHICAGO STORY PICCOLO GULINER INC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 512100
Sponsor’s telephone number 3126423173
Plan sponsor’s address 401 W SUPERIOR ST, CHICAGO, IL, 606543430

Plan administrator’s name and address

Administrator’s EIN 363663305
Plan administrator’s name CHICAGO STORY PICCOLO GULINER INC
Plan administrator’s address 401 W SUPERIOR ST, CHICAGO, IL, 606543430
Administrator’s telephone number 3126423173

Signature of

Role Plan administrator
Date 2012-06-06
Name of individual signing MARK ANDROW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-06
Name of individual signing MARK ANDROW
Valid signature Filed with authorized/valid electronic signature
CHICAGO STORY PICCOLO GULINER INC 401K PLAN 2010 363663305 2011-06-15 CHICAGO STORY PICCOLO GULINER INC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 512100
Sponsor’s telephone number 3126423173
Plan sponsor’s address 401 W SUPERIOR ST, CHICAGO, IL, 606543430

Plan administrator’s name and address

Administrator’s EIN 363663305
Plan administrator’s name CHICAGO STORY PICCOLO GULINER INC
Plan administrator’s address 401 W SUPERIOR ST, CHICAGO, IL, 606543430
Administrator’s telephone number 3126423173

Signature of

Role Plan administrator
Date 2011-06-15
Name of individual signing MARK ANDROW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-15
Name of individual signing MARK ANDROW
Valid signature Filed with authorized/valid electronic signature
CHICAGO STORY PICCOLO GULINER INC 401K PLAN 2009 363663305 2010-05-27 CHICAGO STORY PICCOLO GULINER INC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 512100
Sponsor’s telephone number 3126423173
Plan sponsor’s address 401 W SUPERIOR ST, CHICAGO, IL, 606543430

Plan administrator’s name and address

Administrator’s EIN 363663305
Plan administrator’s name CHICAGO STORY PICCOLO GULINER INC
Plan administrator’s address 401 W SUPERIOR ST, CHICAGO, IL, 606543430
Administrator’s telephone number 3126423173

Signature of

Role Plan administrator
Date 2010-05-27
Name of individual signing MARK ANDROW
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-05-27
Name of individual signing MARK ANDROW
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
GARY M HALVORSEN, 12304 DAPHNE DR, HUNTLEY, 60142, MC HENRY Agent 2016-10-22

President

Name and Address Role
RONALD M HALVORSEN, 1755 S MAIN RACINE WI 53403 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 100000 1000000 No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State