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  5. SUPER SEAL SYSTEMS, INC.

SUPER SEAL SYSTEMS, INC.

Company Details

Entity Name: SUPER SEAL SYSTEMS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 04 Aug 2004
Date of Dissolution: 10 Jan 2014
Company Number: CORP_63720062
File Number: 63720062
Type of Business: All Inclusive Purpose
Date Status Change: 10 Jan 2014
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KYLE E. PEDERSEN, D.D.S., P.C. 401(K) PROFIT SHARING PLAN & TRUST 2012 364255701 2013-07-29 KYLE E. PEDERSEN, D.D.S., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6305874444
Plan sponsor’s address 2570 FOXFIELD RD, SUITE 203, ST. CHARLES, IL, 60174

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-26
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
KYLE E. PEDERSEN, D.D.S., P.C. 401(K) PROFIT SHARING PLAN & TRUST 2011 364255701 2012-06-12 KYLE E. PEDERSEN, D.D.S., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6305874444
Plan sponsor’s address 2570 FOXFIELD RD, SUITE 203, ST. CHARLES, IL, 60174

Plan administrator’s name and address
Administrator’s EIN 364255701
Plan administrator’s name KYLE E. PEDERSEN, D.D.S., P.C.
Plan administrator’s address 2570 FOXFIELD RD, SUITE 203, ST. CHARLES, IL, 60174
Administrator’s telephone number 6305874444

Signature of
Role Plan administrator
Date 2012-06-11
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-11
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
KYLE E. PEDERSEN, D.D.S., P.C. 401(K) PROFIT SHARING PLAN & TRUST 2010 364255701 2011-06-14 KYLE E. PEDERSEN, D.D.S., P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6305874444
Plan sponsor’s address 2570 FOXFIELD RD, SUITE 203, ST. CHARLES, IL, 60174

Plan administrator’s name and address
Administrator’s EIN 364255701
Plan administrator’s name KYLE E. PEDERSEN, D.D.S., P.C.
Plan administrator’s address 2570 FOXFIELD RD, SUITE 203, ST. CHARLES, IL, 60174
Administrator’s telephone number 6305874444

Signature of
Role Plan administrator
Date 2011-06-13
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-13
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
KYLE E. PEDERSEN, D.D.S., P.C. 401(K) PROFIT SHARING PLAN & TRUST 2009 364255701 2010-08-05 KYLE E. PEDERSEN, D.D.S., P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 6305874444
Plan sponsor’s address 2570 FOXFIELD RD, SUITE 203, ST. CHARLES, IL, 60174

Plan administrator’s name and address
Administrator’s EIN 364255701
Plan administrator’s name KYLE E. PEDERSEN, D.D.S., P.C.
Plan administrator’s address 2570 FOXFIELD RD, SUITE 203, ST. CHARLES, IL, 60174
Administrator’s telephone number 6305874444

Signature of
Role Plan administrator
Date 2010-08-05
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-05
Name of individual signing KYLE PEDERSEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
BRYAN ALAN DREW, 905 W WASHINGTON, BENTON, 62812, FRANKLIN Agent 2004-08-04

President

Name and Address Role
BRAD MELVIN 425 OLD MARION RD.62896 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000 100000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State

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