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XCAPITAL INC.

XCAPITAL INC.

Company Details

Entity Name:	XCAPITAL INC.
Jurisdiction:	Illinois
Entity Type:	Corporation - Foreign BCA
Status:	Revoked
Date Formed:	10 Feb 2003
Company Number:	CORP_62709553
File Number:	62709553
Type of Business:	Business Corporations
Date Status Change:	14 Jul 2023
Place of Formation:	NEVADA

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

XCAPITAL INC 401(K) P/S PLAN

2013

161640422

2014-10-15

XCAPITAL INC

2

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	525990
Sponsor’s telephone number	3128220611
Plan sponsor’s address	430 W ERIE, SUITE 512, CHICAGO, IL, 60654

Plan administrator’s name and address

Administrator’s EIN	161640422
Plan administrator’s name	XCAPITAL INC
Plan administrator’s address	430 W ERIE, SUITE 512, CHICAGO, IL, 60654
Administrator’s telephone number	3128220611

Signature of

Role	Plan administrator
Date	2014-10-15
Name of individual signing	DAN KOZ
Valid signature	Filed with authorized/valid electronic signature

XCAPITAL INC 401(K) P/S PLAN

2012

161640422

2013-07-17

XCAPITAL INC

3

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	525990
Sponsor’s telephone number	3128220611
Plan sponsor’s address	430 W ERIE, SUITE 512, CHICAGO, IL, 60654

Plan administrator’s name and address

Administrator’s EIN	161640422
Plan administrator’s name	XCAPITAL INC
Plan administrator’s address	430 W ERIE, SUITE 512, CHICAGO, IL, 60654
Administrator’s telephone number	3128220611

Signature of

Role	Plan administrator
Date	2013-07-17
Name of individual signing	DAN KOZ
Valid signature	Filed with authorized/valid electronic signature

XCAPITAL INC 401(K) P/S PLAN

2009

161640422

2010-10-27

XCAPITAL INC

4

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2008-01-01
Business code	525990
Sponsor’s telephone number	3129515593
Plan sponsor’s address	500 N MICHIGAN AVE #300, CHICAGO, IL, 60611

Plan administrator’s name and address

Administrator’s EIN	161640422
Plan administrator’s name	XCAPITAL INC
Plan administrator’s address	500 N MICHIGAN AVE #300, CHICAGO, IL, 60611
Administrator’s telephone number	3129515593

Signature of

Role	Plan administrator
Date	2010-10-27
Name of individual signing	DAN KOZ
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
DAN KOZ, 40 E CHICAGO AVE #101, CHICAGO, 60611, COOK-NOT IN CITY OF CHICAGO	Agent	2006-04-24

President

Name and Address	Role
DANIEL KOZ 40 E CHICAGO AVE CHICAGO IL, 60611	President

Shares

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMMON	No data	Voting Rights	15000	15000000	0.01

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State