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  5. SUPPLIED INDUSTRIAL SOLUTIONS, INC.

SUPPLIED INDUSTRIAL SOLUTIONS, INC.

Company Details

Entity Name: SUPPLIED INDUSTRIAL SOLUTIONS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 07 Oct 2005
Company Number: CORP_64489577
File Number: 64489577
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUPPLIED INDUSTRIAL SOLUTIONS, INC. 401(K) 2023 200502064 2024-10-11 SUPPLIED INDUSTRIAL SOLUTIONS, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 236200
Sponsor’s telephone number 6184528151
Plan sponsor’s address 1300 WEST 3RD STREET, GRANITE CITY, IL, 62040

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing STEPHEN BROCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-11
Name of individual signing STEPHEN BROCK
Valid signature Filed with authorized/valid electronic signature
SUPPLIED INDUSTRIAL SOLUTIONS, INC. 401(K) 2022 200502064 2023-10-16 SUPPLIED INDUSTRIAL SOLUTIONS, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 236200
Sponsor’s telephone number 6184528151
Plan sponsor’s address 1300 WEST 3RD STREET, GRANITE CITY, IL, 62040

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing STEPHEN BROCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing STEPHEN BROCK
Valid signature Filed with authorized/valid electronic signature
SUPPLIED INDUSTRIAL SOLUTIONS, INC. 401(K) PLAN 2021 200502064 2022-10-11 SUPPLIED INDUSTRIAL SOLUTIONS, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 236200
Sponsor’s telephone number 6184528151
Plan sponsor’s address 1300 W 3RD STREET, GRANITE CITY, IL, 62040
SUPPLIED INDUSTRIAL SOLUTIONS, INC. 401(K) PLAN 2020 200502064 2021-10-12 SUPPLIED INDUSTRIAL SOLUTIONS, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 236200
Sponsor’s telephone number 6184528151
Plan sponsor’s address 1300 W 3RD STREET, GRANITE CITY, IL, 62040
SUPPLIED INDUSTRIAL SOLUTIONS, INC. 401(K) PLAN 2019 200502064 2020-10-15 SUPPLIED INDUSTRIAL SOLUTIONS, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 236200
Sponsor’s telephone number 6184528151
Plan sponsor’s address 1300 W 3RD STREET, GRANITE CITY, IL, 62040
SUPPLIED INDUSTRIAL SOLUTIONS, INC. 401(K) PLAN 2018 200502064 2019-10-14 SUPPLIED INDUSTRIAL SOLUTIONS, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 236200
Sponsor’s telephone number 6184528151
Plan sponsor’s address 1300 W 3RD STREET, GRANITE CITY, IL, 62040

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing STEPHEN BROCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing STEPHEN BROCK
Valid signature Filed with authorized/valid electronic signature
SUPPLIED INDUSTRIAL SOLUTIONS, INC. 401(K) PLAN 2017 200502064 2018-10-15 SUPPLIED INDUSTRIAL SOLUTIONS, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 236200
Sponsor’s telephone number 6184528151
Plan sponsor’s address 1300 W 3RD STREET, GRANITE CITY, IL, 62040

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing STEPHEN BROCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-15
Name of individual signing STEPHEN BROCK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
STEPHEN L BROCK, 1300 WEST THIRD STREET STE 2E, GRANITE CITY, 62040, MADISON Agent 2009-09-17

President

Name and Address Role
STEPHEN BROCK, 1300 W THIRD ST2E, GRANITE CITY 62040 President

Secretary

Name and Address Role
ANGELA BROCK, 1300 W THIRD ST2E, GRANITE CITY 62040 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100 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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