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ULTRA FOAM, INC.

Company Details

Entity Name: ULTRA FOAM, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 23 Apr 2001
Date of Dissolution: 11 Sep 2015
Company Number: CORP_61614974
File Number: 61614974
Type of Business: All Inclusive Purpose
Date Status Change: 11 Sep 2015
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ULTRA FOAM, INC. 401(K) PLAN 2014 581918089 2015-10-15 ULTRA FOAM, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 326100
Sponsor’s telephone number 8156432900
Plan sponsor’s address 301 S. WEST STREET, DOVER, IL, 61323

Signature of

Role Plan administrator
Date 2015-10-15
Name of individual signing JOHN KURTH
Valid signature Filed with authorized/valid electronic signature
CREATED FROM ULTRA FOAM, INC. 401(K) PLAN 2014 581918089 2015-12-10 ULTRA FOAM, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 326100
Sponsor’s telephone number 8156432900
Plan sponsor’s address 301 S. WEST STREET, DOVER, IL, 61323

Signature of

Role Plan administrator
Date 2015-12-10
Name of individual signing JOHN KURTH
Valid signature Filed with authorized/valid electronic signature
ULTRA FOAM, INC. 401(K) PLAN 2013 581918089 2014-09-04 ULTRA FOAM, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 326100
Sponsor’s telephone number 8156432900
Plan sponsor’s address 301 S. WEST STREET, DOVER, IL, 61323

Plan administrator’s name and address

Administrator’s EIN 581918089
Plan administrator’s name ULTRA FOAM, INC.
Plan administrator’s address 301 S. WEST STREET, DOVER, IL, 61323
Administrator’s telephone number 8156432900

Signature of

Role Plan administrator
Date 2014-09-04
Name of individual signing JOHN KURTH
Valid signature Filed with authorized/valid electronic signature
ULTRA FOAM, INC. 401(K) PLAN 2012 581918089 2013-10-18 ULTRA FOAM, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 326100
Sponsor’s telephone number 8156432900
Plan sponsor’s address 301 S. WEST STREET, DOVER, IL, 61323

Plan administrator’s name and address

Administrator’s EIN 581918089
Plan administrator’s name ULTRA FOAM, INC.
Plan administrator’s address 301 S. WEST STREET, DOVER, IL, 61323
Administrator’s telephone number 8156432900

Signature of

Role Plan administrator
Date 2013-10-18
Name of individual signing JOHN KURTH
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
EDWARD S. WIACEK, 940 S QUINCY ST, HINSDALE, 60521, DU PAGE Agent 2001-04-23

President

Name and Address Role
EDWARD J KURTH 2105 WILLOW WAY PRINCETON 61356 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 2000000 2000000 No data

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State