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  5. IPSEN, INC.

IPSEN, INC.

Company Details

Entity Name: IPSEN, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 07 Oct 2002
Company Number: CORP_62497726
File Number: 62497726
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IPSEN, INC. EMPLOYEE SAVINGS PLAN 2012 364108317 2013-10-10 IPSEN, INC. 243
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1986-03-17
Business code 332810
Sponsor’s telephone number 8153324941
Plan sponsor’s mailing address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016
Plan sponsor’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016

Plan administrator’s name and address
Administrator’s EIN 364108317
Plan administrator’s name IPSEN, INC.
Plan administrator’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016
Administrator’s telephone number 8153324941

Number of participants as of the end of the plan year
Active participants 232
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 63
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 6
Number of participants with account balances as of the end of the plan year 221
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing NANCY KOLAR
Valid signature Filed with authorized/valid electronic signature
IPSEN, INC. 401(K) SAVINGS PLAN FOR ILLINOIS BARGAINING UNIT 2012 364108317 2013-02-28 IPSEN, INC. 66
File View Page
Three-digit plan number (PN) 006
Effective date of plan 1989-11-13
Business code 332810
Sponsor’s telephone number 8153324941
Plan sponsor’s mailing address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016
Plan sponsor’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016

Plan administrator’s name and address
Administrator’s EIN 364108317
Plan administrator’s name IPSEN, INC.
Plan administrator’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016
Administrator’s telephone number 8153324941

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 2013-02-28
Name of individual signing NANCY KOLAR
Valid signature Filed with authorized/valid electronic signature
IPSEN, INC. 401(K) SAVINGS PLAN FOR ILLINOIS BARGAINING UNIT 2011 364108317 2012-10-19 IPSEN, INC. 61
File View Page
Three-digit plan number (PN) 006
Effective date of plan 1989-11-13
Business code 332810
Sponsor’s telephone number 8153324941
Plan sponsor’s mailing address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016
Plan sponsor’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016

Plan administrator’s name and address
Administrator’s EIN 364108317
Plan administrator’s name IPSEN, INC.
Plan administrator’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016
Administrator’s telephone number 8153324941

Number of participants as of the end of the plan year
Active participants 50
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 14
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 50
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 2012-10-19
Name of individual signing MATT ARNDT
Valid signature Filed with authorized/valid electronic signature
IPSEN, INC. EMPLOYEE SAVINGS PLAN 2011 364108317 2012-10-04 IPSEN, INC. 219
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1986-03-17
Business code 332810
Sponsor’s telephone number 8153324941
Plan sponsor’s mailing address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016
Plan sponsor’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016

Plan administrator’s name and address
Administrator’s EIN 364108317
Plan administrator’s name IPSEN, INC.
Plan administrator’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016
Administrator’s telephone number 8153324941

Number of participants as of the end of the plan year
Active participants 174
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 64
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 5
Number of participants with account balances as of the end of the plan year 175
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 2012-10-04
Name of individual signing MATT ARNDT
Valid signature Filed with authorized/valid electronic signature
IPSEN, INC. EMPLOYEE SAVINGS PLAN 2010 364108317 2011-10-10 IPSEN, INC. 220
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1986-03-17
Business code 332810
Sponsor’s telephone number 8153324941
Plan sponsor’s mailing address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016
Plan sponsor’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016

Plan administrator’s name and address
Administrator’s EIN 364108317
Plan administrator’s name IPSEN, INC.
Plan administrator’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016
Administrator’s telephone number 8153324941

Number of participants as of the end of the plan year
Active participants 143
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 72
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 4
Number of participants with account balances as of the end of the plan year 177
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2011-10-10
Name of individual signing MATT ARNDT
Valid signature Filed with authorized/valid electronic signature
IPSEN, INC. 401(K) SAVINGS PLAN FOR ILLINOIS BARGAINING UNIT 2010 364108317 2011-10-06 IPSEN, INC. 63
File View Page
Three-digit plan number (PN) 006
Effective date of plan 1989-11-13
Business code 332810
Sponsor’s telephone number 8153324941
Plan sponsor’s mailing address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016
Plan sponsor’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016

Plan administrator’s name and address
Administrator’s EIN 364108317
Plan administrator’s name IPSEN, INC.
Plan administrator’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016
Administrator’s telephone number 8153324941

Number of participants as of the end of the plan year
Active participants 44
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 16
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 50
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 2011-10-06
Name of individual signing MATT ARNDT
Valid signature Filed with authorized/valid electronic signature
IPSEN, INC. EMPLOYEE SAVINGS PLAN 2009 364108317 2010-10-11 IPSEN, INC. 240
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1986-03-17
Business code 332810
Sponsor’s telephone number 8153324941
Plan sponsor’s mailing address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016
Plan sponsor’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016

Plan administrator’s name and address
Administrator’s EIN 364108317
Plan administrator’s name IPSEN, INC.
Plan administrator’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016
Administrator’s telephone number 8153324941

Number of participants as of the end of the plan year
Active participants 125
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 92
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
Number of participants with account balances as of the end of the plan year 195
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 12

Signature of
Role Plan administrator
Date 2010-10-11
Name of individual signing BRIAN ESGAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-11
Name of individual signing BRIAN ESGAR
Valid signature Filed with authorized/valid electronic signature
IPSEN, INC. 401(K) SAVINGS PLAN FOR ILLINOIS BARGAINING UNIT 2009 364108317 2010-10-11 IPSEN, INC. 73
File View Page
Three-digit plan number (PN) 006
Effective date of plan 1989-11-13
Business code 332810
Sponsor’s telephone number 8153324941
Plan sponsor’s mailing address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016
Plan sponsor’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016

Plan administrator’s name and address
Administrator’s EIN 364108317
Plan administrator’s name IPSEN, INC.
Plan administrator’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016
Administrator’s telephone number 8153324941

Number of participants as of the end of the plan year
Active participants 42
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 20
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 56
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 2010-10-11
Name of individual signing BRIAN ESGAR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-11
Name of individual signing BRIAN ESGAR
Valid signature Filed with authorized/valid electronic signature
GROUP MEDICAL DENTAL AND VISION CARE HEALTH INSURANCE AND FRINGE BENEFITS PLAN 2009 364108317 2010-08-25 IPSEN, INC. 225
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1985-04-01
Business code 333200
Sponsor’s telephone number 8153324941
Plan sponsor’s mailing address PO BOX 6266, ROCKFORD, IL, 611251266
Plan sponsor’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016

Plan administrator’s name and address
Administrator’s EIN 364108317
Plan administrator’s name IPSEN, INC.
Plan administrator’s address PO BOX 6266, ROCKFORD, IL, 611251266
Administrator’s telephone number 8153324941

Number of participants as of the end of the plan year
Active participants 160
Retired or separated participants receiving benefits 29

Signature of
Role Plan administrator
Date 2010-08-25
Name of individual signing BRIAN ESGAR
Valid signature Filed with authorized/valid electronic signature
WEEKLY DISABILITY INCOME PLAN FOR BARGAINING UNIT EMPLOYEES 2009 364108317 2010-07-29 IPSEN, INC 58
File View Page
Three-digit plan number (PN) 508
Effective date of plan 1994-01-01
Business code 333200
Sponsor’s telephone number 8153324941
Plan sponsor’s mailing address PO BOX 6266, ROCKFORD, IL, 611251266
Plan sponsor’s address 984 IPSEN ROAD, CHERRY VALLEY, IL, 61016

Plan administrator’s name and address
Administrator’s EIN 364108317
Plan administrator’s name IPSEN, INC
Plan administrator’s address PO BOX 6266, ROCKFORD, IL, 611251266
Administrator’s telephone number 8153324941

Number of participants as of the end of the plan year
Active participants 39

Signature of
Role Plan administrator
Date 2010-07-29
Name of individual signing BRIAN ESGAR
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JULIE ANN JELINEK, 919 TOFT AVE, ANTIOCH, 60002, LAKE Agent 2013-09-30

President

Name and Address Role
KENT IPSEN 24665 W MAGNOLIA DRIVE ANTIOCH IL 60002 President

Secretary

Name and Address Role
GINGER IPSEN Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 1000000 No data

Related by officers

JULIE ANN JELINEK, 919 TOFT AVE, ANTIOCH, 60002, LAKE

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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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