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M.I. 5 TEAM INC.

Company Details

Entity Name: M.I. 5 TEAM INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 17 Jul 2003
Date of Dissolution: 14 Jul 2020
Company Number: CORP_62975334
File Number: 62975334
Type of Business: All Inclusive Purpose
Date Status Change: 14 Jul 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
36-2679322 2018 362679322 2020-07-16 MILLER INDUSTRIAL INC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 444130
Sponsor’s telephone number 8476168002
Plan sponsor’s address 621 E DEVON AVE, ELK GROVE VILLAGE, IL, 600076701

Signature of

Role Plan administrator
Date 2020-07-16
Name of individual signing PETER JACKSON
Valid signature Filed with authorized/valid electronic signature
MILLER INDUSTRIAL, INC. 401(K) PLAN 2017 362679322 2018-07-02 MILLER INDUSTRIAL, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 444130
Sponsor’s telephone number 8476168002
Plan sponsor’s address 621 EAST DEVON AVENUE, ELK GROVE VILLAGE, IL, 60007

Signature of

Role Plan administrator
Date 2018-07-02
Name of individual signing PETER JACKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-02
Name of individual signing PETER JACKSON
Valid signature Filed with authorized/valid electronic signature
MILLER INDUSTRIAL, INC. 401(K) PLAN 2016 362679322 2017-05-23 MILLER INDUSTRIAL, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 444130
Sponsor’s telephone number 8476168002
Plan sponsor’s address 621 EAST DEVON AVENUE, ELK GROVE VILLAGE, IL, 60007

Signature of

Role Plan administrator
Date 2017-05-23
Name of individual signing SIMON J BLATTNER, III
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-23
Name of individual signing SIMON J BLATTNER, III
Valid signature Filed with authorized/valid electronic signature
MILLER INDUSTRIAL, INC. 401(K) PLAN 2015 362679322 2016-06-13 MILLER INDUSTRIAL, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 444130
Sponsor’s telephone number 8476168002
Plan sponsor’s address 621 EAST DEVON AVENUE, ELK GROVE VILLAGE, IL, 60007

Signature of

Role Plan administrator
Date 2016-06-13
Name of individual signing MINDY O'BRIEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-13
Name of individual signing MINDY O'BRIEN
Valid signature Filed with authorized/valid electronic signature
MILLER INDUSTRIAL, INC. 401(K) PLAN 2014 362679322 2015-07-02 MILLER INDUSTRIAL, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 444130
Sponsor’s telephone number 8476168002
Plan sponsor’s address 621 EAST DEVON AVENUE, ELK GROVE VILLAGE, IL, 60007

Signature of

Role Plan administrator
Date 2015-07-02
Name of individual signing MINDY OBRIEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-02
Name of individual signing MINDY OBRIEN
Valid signature Filed with authorized/valid electronic signature
MILLER INDUSTRIAL, INC. 401(K) PLAN 2013 362679322 2014-07-22 MILLER INDUSTRIAL, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 444130
Sponsor’s telephone number 8476168002
Plan sponsor’s address 621 EAST DEVON AVENUE, ELK GROVE VILLAGE, IL, 60007

Signature of

Role Plan administrator
Date 2014-07-22
Name of individual signing MINDY O'BRIEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-22
Name of individual signing MINDY O'BRIEN
Valid signature Filed with authorized/valid electronic signature
MILLER INDUSTRIAL, INC. 401(K) PLAN 2012 362679322 2013-05-20 MILLER INDUSTRIAL, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 444130
Sponsor’s telephone number 8476168002
Plan sponsor’s address 621 EAST DEVON AVENUE, ELK GROVE VILLAGE, IL, 60007

Signature of

Role Plan administrator
Date 2013-05-20
Name of individual signing MINDY O'BRIEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-20
Name of individual signing MINDY O'BRIEN
Valid signature Filed with authorized/valid electronic signature
MILLER INDUSTRIAL, INC. 401(K) PLAN 2011 362679322 2012-06-19 MILLER INDUSTRIAL, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 444130
Sponsor’s telephone number 8476168002
Plan sponsor’s address 621 EAST DEVON AVENUE, ELK GROVE VILLAGE, IL, 60007

Plan administrator’s name and address

Administrator’s EIN 362679322
Plan administrator’s name MILLER INDUSTRIAL, INC.
Plan administrator’s address 621 EAST DEVON AVENUE, ELK GROVE VILLAGE, IL, 60007
Administrator’s telephone number 8476168002

Signature of

Role Plan administrator
Date 2012-06-19
Name of individual signing MINDY O'BRIEN
Valid signature Filed with authorized/valid electronic signature
MILLER INDUSTRIAL, INC. 401(K) PLAN 2010 362679322 2011-06-28 MILLER INDUSTRIAL, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 444130
Sponsor’s telephone number 8476168002
Plan sponsor’s address 621 EAST DEVON AVENUE, ELK GROVE VILLAGE, IL, 60007

Plan administrator’s name and address

Administrator’s EIN 362679322
Plan administrator’s name MILLER INDUSTRIAL, INC.
Plan administrator’s address 621 EAST DEVON AVENUE, ELK GROVE VILLAGE, IL, 60007
Administrator’s telephone number 8476168002

Signature of

Role Plan administrator
Date 2011-06-28
Name of individual signing MINDY O'BRIEN
Valid signature Filed with authorized/valid electronic signature
MILLER INDUSTRIAL, INC. 401(K) PLAN 2009 362679322 2010-06-22 MILLER INDUSTRIAL, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-03-01
Business code 444130
Sponsor’s telephone number 8476168002
Plan sponsor’s address 621 EAST DEVON AVENUE, ELK GROVE VILLAGE, IL, 60007

Plan administrator’s name and address

Administrator’s EIN 362679322
Plan administrator’s name MILLER INDUSTRIAL, INC.
Plan administrator’s address 621 EAST DEVON AVENUE, ELK GROVE VILLAGE, IL, 60007
Administrator’s telephone number 8476168002

Signature of

Role Plan administrator
Date 2010-06-22
Name of individual signing MINDY OBRIEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MORRIS R SAUNDERS, 180 N LASALLE ST, STE 3200, CHICAGO, 60601, COOK-NOT IN CITY OF CHICAGO Agent 2004-01-13

President

Name and Address Role
MICHELLE MILLER 422 S GIBBONSARLINGTON HEIGHTS IL, 60004 President

Historical Names

Name Change Date
MILLER INDUSTRIAL, INC. 2018-04-05
MILLER ACE DEVON, INC. 2003-07-30

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1500 376000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State