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PIVOTAL 5, INC.

Company Details

Entity Name: PIVOTAL 5, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Merged/Consolidated
Date Formed: 30 Oct 2002
Company Number: CORP_62507675
File Number: 62507675
Type of Business: All Inclusive Purpose
Date Status Change: 14 Aug 2013
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PIVOTAL 5, INC 401(K) PLAN 2014 431986551 2015-07-20 PIVOTAL 5, INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 423910
Sponsor’s telephone number 3122656771
Plan sponsor’s address 315 N RACINE AVE FL 1, CHICAGO, IL, 606071227

Signature of

Role Plan administrator
Date 2015-07-20
Name of individual signing ADAM SCHUMACHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-20
Name of individual signing ADAM SCHUMACHER
Valid signature Filed with authorized/valid electronic signature
PIVOTAL 5, INC 401(K) PLAN 2013 431986551 2014-07-17 PIVOTAL 5, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 423910
Sponsor’s telephone number 3122656771
Plan sponsor’s address 5424 W ROOSEVELT RD, CHICAGO, IL, 606440000

Signature of

Role Plan administrator
Date 2014-07-17
Name of individual signing ADAM SCHUMACHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-17
Name of individual signing ADAM SCHUMACHER
Valid signature Filed with authorized/valid electronic signature
PIVOTAL 5, INC 401(K) PLAN 2012 431986551 2013-07-22 PIVOTAL 5, INC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 423910
Sponsor’s telephone number 3122656771
Plan sponsor’s address 5424 W ROOSEVELT RD, CHICAGO, IL, 606440000

Signature of

Role Plan administrator
Date 2013-07-22
Name of individual signing ADAM SCHUMACHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-22
Name of individual signing ADAM SCHUMACHER
Valid signature Filed with authorized/valid electronic signature
PIVOTAL 5, INC 401(K) PLAN 2011 431986551 2012-06-01 PIVOTAL 5, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 423910
Sponsor’s telephone number 3122656771
Plan sponsor’s address 5424 W ROOSEVELT RD, CHICAGO, IL, 606440000

Plan administrator’s name and address

Administrator’s EIN 431986551
Plan administrator’s name PIVOTAL 5, INC.
Plan administrator’s address 5424 W ROOSEVELT RD, CHICAGO, IL, 606440000
Administrator’s telephone number 3122656771

Signature of

Role Plan administrator
Date 2012-06-01
Name of individual signing ADAM SCHUMACHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-01
Name of individual signing ADAM SCHUMACHER
Valid signature Filed with authorized/valid electronic signature
PIVOTAL 5, INC 401K PLAN 2010 431986551 2011-07-07 PIVOTAL 5, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 423910
Sponsor’s telephone number 3122656771
Plan sponsor’s address 5424 W ROOSEVELT RD, CHICAGO, IL, 606440000

Plan administrator’s name and address

Administrator’s EIN 431986551
Plan administrator’s name PIVOTAL 5, INC
Plan administrator’s address 5424 W ROOSEVELT RD, CHICAGO, IL, 606440000
Administrator’s telephone number 3122656771

Signature of

Role Plan administrator
Date 2011-07-07
Name of individual signing ADAM SCHUMACHER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-07
Name of individual signing ADAM SCHUMACHER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ADAM DAVID SCHUMACHER, 5424 W ROOSEVELT RD, CHICAGO, 60644, COOK-NOT IN CITY OF CHICAGO Agent 2009-07-21

President

Name and Address Role
ADAM D SCHUMACHER, 5424 W ROOSEVELT CHICAGO IL President

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
FITNESS MANUFACTURING PARTNERS No data 2006-12-14 2011-01-11 Voluntary Cancellation No data
S & B GLOBAL SOURCING No data 2006-12-14 2008-07-11 Voluntary Cancellation No data
S & B PRODUCTS INCORPORATED No data 2003-03-04 2013-08-14 Voluntary Cancellation No data

Historical Names

Name Change Date
SCHUMACHER & BEUTEL INCORPORATED 2010-09-24

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 2000 0.001

Date of last update: 13 Feb 2025

Sources: Illinois Office of the Secretary of State