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  5. GRAY INTERPLANT SYSTEMS, INC.

GRAY INTERPLANT SYSTEMS, INC.

Company Details

Entity Name: GRAY INTERPLANT SYSTEMS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 18 Aug 1995
Company Number: CORP_58463663
File Number: 58463663
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRAY INTERPLANT SYSTEMS, INC. 401(K) PLAN 2014 371347341 2015-07-14 GRAY INTERPLANT SYSTEMS, INC. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 484120
Sponsor’s telephone number 3096731249
Plan sponsor’s mailing address PO BOX 968, MORTON, IL, 615509616
Plan sponsor’s address 1020 W BIRCHWOOD, MORTON, IL, 615509616

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing MICHELE KAUFFMAN
Valid signature Filed with authorized/valid electronic signature
GRAY INTERPLANT SYSTEMS, INC. 401(K) PLAN 2014 371347341 2015-04-28 GRAY INTERPLANT SYSTEMS, INC. 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 484120
Sponsor’s telephone number 3096731249
Plan sponsor’s mailing address PO BOX 968, MORTON, IL, 615509616
Plan sponsor’s address 1020 W BIRCHWOOD, MORTON, IL, 615509616

Number of participants as of the end of the plan year
Active participants 63
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 21
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-04-28
Name of individual signing MICHELE KAUFFMAN
Valid signature Filed with authorized/valid electronic signature
GRAY INTERPLANT SYSTEMS, INC. 401(K) PLAN 2014 371347341 2015-04-27 GRAY INTERPLANT SYSTEMS, INC. 76
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 484120
Sponsor’s telephone number 3096731249
Plan sponsor’s mailing address PO BOX 968, MORTON, IL, 615509616
Plan sponsor’s address 1020 W BIRCHWOOD, MORTON, IL, 615509616

Number of participants as of the end of the plan year
Active participants 63
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 21
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-04-27
Name of individual signing MICHELE KAUFFMAN
Valid signature Filed with authorized/valid electronic signature
GRAY INTERPLANT SYSTEMS, INC. 401(K) PLAN 2013 371347341 2014-06-20 GRAY INTERPLANT SYSTEMS, INC. 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 484120
Sponsor’s telephone number 3096731249
Plan sponsor’s mailing address PO BOX 968, MORTON, IL, 615509616
Plan sponsor’s address 1020 W BIRCHWOOD, MORTON, IL, 615509616

Number of participants as of the end of the plan year
Active participants 68
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 8
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 22
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2014-06-20
Name of individual signing MICHELE KAUFFMAN
Valid signature Filed with authorized/valid electronic signature
GRAY INTERPLANT SYSTEMS, INC. 401(K) PLAN 2012 371347341 2013-07-26 GRAY INTERPLANT SYSTEMS, INC. 140
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 484120
Sponsor’s telephone number 3096731249
Plan sponsor’s mailing address PO BOX 968, MORTON, IL, 615509616
Plan sponsor’s address 1020 W BIRCHWOOD, MORTON, IL, 615509616

Plan administrator’s name and address
Administrator’s EIN 371347341
Plan administrator’s name GRAY INTERPLANT SYSTEMS, INC.
Plan administrator’s address PO BOX 968, MORTON, IL, 615509616
Administrator’s telephone number 3096731249

Number of participants as of the end of the plan year
Active participants 109
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 10
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 27
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing MICHELE KAUFFMAN
Valid signature Filed with authorized/valid electronic signature
GRAY INTERPLANT SYSTEMS, INC. 401(K) PLAN 2011 371347341 2012-07-09 GRAY INTERPLANT SYSTEMS, INC. 242
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 484120
Sponsor’s telephone number 3096731249
Plan sponsor’s mailing address PO BOX 968, MORTON, IL, 615509616
Plan sponsor’s address 1020 W BIRCHWOOD, MORTON, IL, 615509616

Plan administrator’s name and address
Administrator’s EIN 371347341
Plan administrator’s name GRAY INTERPLANT SYSTEMS, INC.
Plan administrator’s address PO BOX 968, MORTON, IL, 615509616
Administrator’s telephone number 3096731249

Number of participants as of the end of the plan year
Active participants 128
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 12
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 30
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-07-09
Name of individual signing MICHELE KAUFFMAN
Valid signature Filed with authorized/valid electronic signature
GRAY INTERPLANT SYSTEMS, INC. DENTAL/LIFE PLAN 2010 371347341 2011-06-27 GRAY INTERPLANT SYSTEMS, INC. 246
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1996-01-01
Business code 493100
Sponsor’s telephone number 3092632899
Plan sponsor’s mailing address PO BOX 968, MORTON, IL, 61550
Plan sponsor’s address PO BOX 968, MORTON, IL, 61550

Plan administrator’s name and address
Administrator’s EIN 371347341
Plan administrator’s name GRAY INTERPLANT SYSTEMS, INC.
Plan administrator’s address PO BOX 968, MORTON, IL, 61550
Administrator’s telephone number 3092632899

Number of participants as of the end of the plan year
Active participants 200
Retired or separated participants receiving benefits 0

Signature of
Role Plan administrator
Date 2011-06-27
Name of individual signing MICHELE KAUFFMAN
Valid signature Filed with authorized/valid electronic signature
GRAY INTERPLANT SYSTEMS, INC. 401(K) PLAN 2010 371347341 2011-07-07 GRAY INTERPLANT SYSTEMS, INC. 268
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 484120
Sponsor’s telephone number 3096731249
Plan sponsor’s mailing address PO BOX 968, MORTON, IL, 615509616
Plan sponsor’s address 1020 W BIRCHWOOD, MORTON, IL, 615509616

Plan administrator’s name and address
Administrator’s EIN 371347341
Plan administrator’s name GRAY INTERPLANT SYSTEMS, INC.
Plan administrator’s address PO BOX 968, MORTON, IL, 615509616
Administrator’s telephone number 3096731249

Number of participants as of the end of the plan year
Active participants 233
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 9
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 52
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-07-07
Name of individual signing MICHELE KAUFFMAN
Valid signature Filed with authorized/valid electronic signature
GRAY INTERPLANT SYSTEMS, INC. 401(K) PLAN 2010 371347341 2011-07-07 GRAY INTERPLANT SYSTEMS, INC. 268
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 484120
Sponsor’s telephone number 3096731249
Plan sponsor’s mailing address PO BOX 968, MORTON, IL, 615509616
Plan sponsor’s address 1020 W BIRCHWOOD, MORTON, IL, 615509616

Plan administrator’s name and address
Administrator’s EIN 371347341
Plan administrator’s name GRAY INTERPLANT SYSTEMS, INC.
Plan administrator’s address PO BOX 968, MORTON, IL, 615509616
Administrator’s telephone number 3096731249

Number of participants as of the end of the plan year
Active participants 233
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 9
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 52
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-07-07
Name of individual signing MICHELE KAUFFMAN
Valid signature Filed with authorized/valid electronic signature
GRAY INTERPLANT SYSTEMS, INC. 401(K) PLAN 2009 371347341 2010-07-01 GRAY INTERPLANT SYSTEMS, INC. 632
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-12-30
Business code 484120
Sponsor’s telephone number 3096731249
Plan sponsor’s mailing address PO BOX 968, MORTON, IL, 615509616
Plan sponsor’s address 1020 W BIRCHWOOD, MORTON, IL, 615509616

Plan administrator’s name and address
Administrator’s EIN 371347341
Plan administrator’s name GRAY INTERPLANT SYSTEMS, INC.
Plan administrator’s address PO BOX 968, MORTON, IL, 615509616
Administrator’s telephone number 3096731249

Number of participants as of the end of the plan year
Active participants 261
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 7
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 61
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 7

Signature of
Role Plan administrator
Date 2010-07-01
Name of individual signing MICHELE KAUFFMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
KENNETH R EATHINGTON, 227 NE JEFFERSON, PEORIA, 61602, PEORIA Agent 2017-07-31

President

Name and Address Role
JOHN R GRAY, JR, 15537 FIDDLESTICKS BLVD. FORT MYERS, FL 339 President

Secretary

Name and Address Role
STEPHANIE L STALTER 112 N WOODCREST AVE MORTON 61550 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100 100000 No data

Related by officers

KENNETH R EATHINGTON, 227 NE JEFFERSON, PEORIA, 61602, PEORIA

WALDHEIM SUBDIVISION HOMEOWNERS' ASSOCIATION AIR-LAND TRANSPORT SERVICE, INC. DESIGN SYSTEMS, INC. ARTHUR BANCSHARES CORP. MANAGEMENT-INVESTMENT CORPORATION JOHN & JANE GRAY, LLC MIDWEST DISTRIBUTING, INC. FAIRVIEW SALE BARN, INC. TAG TOOL SERVICES INCORPORATED ANDREW ALAN MOORE SCHOLARSHIP FOUNDATION

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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