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  5. BUSS, INC.

BUSS, INC.

Company Details

Entity Name: BUSS, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Foreign BCA
Status: Goodstanding
Date Formed: 27 Mar 2006
Company Number: CORP_64831135
File Number: 64831135
Type of Business: Retail sales and services
Place of Formation: DELAWARE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BUSS, INC. - USA 401(K) PLAN 2012 204551935 2013-09-26 BUSS, INC. - USA 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-06-30
Business code 333200
Sponsor’s telephone number 6306812038
Plan sponsor’s mailing address 743 KIMBERLY DRIVE, CAROLSTREAM, IL, 60188
Plan sponsor’s address 743 KIMBERLY DRIVE, CAROLSTREAM, IL, 60188

Plan administrator’s name and address
Administrator’s EIN 204551935
Plan administrator’s name BUSS, INC. - USA
Plan administrator’s address 743 KIMBERLY DRIVE, CAROLSTREAM, IL, 60188
Administrator’s telephone number 6306812038

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-09-26
Name of individual signing JOSIE MORALES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-26
Name of individual signing JOSIE MORALES
Valid signature Filed with authorized/valid electronic signature
BUSS, INC. - USA 401(K) PLAN 2011 204551935 2012-08-23 BUSS, INC. - USA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-06-30
Business code 333200
Sponsor’s telephone number 6306812038
Plan sponsor’s mailing address 743 KIMBERLY DRIVE, CAROLSTREAM, IL, 60188
Plan sponsor’s address 743 KIMBERLY DRIVE, CAROLSTREAM, IL, 60188

Plan administrator’s name and address
Administrator’s EIN 204551935
Plan administrator’s name BUSS, INC. - USA
Plan administrator’s address 743 KIMBERLY DRIVE, CAROLSTREAM, IL, 60188
Administrator’s telephone number 6306812038

Number of participants as of the end of the plan year
Active participants 6
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2012-08-23
Name of individual signing JOSIE MORALES
Valid signature Filed with authorized/valid electronic signature
BUSS, INC. - USA 401(K) PLAN 2010 204551935 2011-09-20 BUSS, INC. - USA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-06-30
Business code 333200
Sponsor’s telephone number 6306812030
Plan sponsor’s mailing address 743 KIMBERLY DRIVE, CAROLSTREAM, IL, 60188
Plan sponsor’s address 743 KIMBERLY DRIVE, CAROLSTREAM, IL, 60188

Plan administrator’s name and address
Administrator’s EIN 204551935
Plan administrator’s name BUSS, INC. - USA
Plan administrator’s address 743 KIMBERLY DRIVE, CAROLSTREAM, IL, 60188
Administrator’s telephone number 6306812030

Number of participants as of the end of the plan year
Active participants 7
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 8
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2011-09-20
Name of individual signing JOSIE MORALES
Valid signature Filed with authorized/valid electronic signature
BUSS, INC. - USA 401(K) PLAN 2009 204551935 2010-09-24 BUSS, INC. - USA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-06-30
Business code 333200
Sponsor’s telephone number 6306812030
Plan sponsor’s mailing address 455 KEHOE BOULEVARD, SUITE 109, CAROLSTREAM, IL, 60188
Plan sponsor’s address 455 KEHOE BOULEVARD, SUITE 109, CAROLSTREAM, IL, 60188

Plan administrator’s name and address
Administrator’s EIN 204551935
Plan administrator’s name BUSS, INC. - USA
Plan administrator’s address 455 KEHOE BOULEVARD, SUITE 109, CAROLSTREAM, IL, 60188
Administrator’s telephone number 6306812030

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 9
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-09-24
Name of individual signing ARNIM ROHNS
Valid signature Filed with authorized/valid electronic signature
BUSS, INC. - USA 401(K) PLAN 2009 204551935 2010-09-16 BUSS, INC. - USA 7
Three-digit plan number (PN) 001
Effective date of plan 2006-06-30
Business code 333200
Sponsor’s telephone number 6306812030
Plan sponsor’s mailing address 455 KEHOE BOULEVARD, SUITE 109, CAROLSTREAM, IL, 60188
Plan sponsor’s address 455 KEHOE BOULEVARD, SUITE 109, CAROLSTREAM, IL, 60188

Plan administrator’s name and address
Administrator’s EIN 204551935
Plan administrator’s name BUSS, INC. - USA
Plan administrator’s address 455 KEHOE BOULEVARD, SUITE 109, CAROLSTREAM, IL, 60188
Administrator’s telephone number 6306812030

Number of participants as of the end of the plan year
Active participants 8
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 9
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Employer/plan sponsor
Date 2010-09-16
Name of individual signing ARNIM ROHNS
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
DAVID PSZCZOKKOWSKI, 743 KIMBERLY DR, CAROL STREAM, 60188, DU PAGE Agent 2011-05-24

President

Name and Address Role
MAURICIO BANNWART 743 KIMBERLY DR CAROL STREAM IL 60188 President

Secretary

Name and Address Role
DAVID PSZCZOKOWSKI Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
BUSS INC.-USA Foreign Assume Name* 2006-03-27 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1500 100000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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