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POLYCHEM SERVICES, INC.

POLYCHEM SERVICES, INC.

Company Details

Entity Name:	POLYCHEM SERVICES, INC.
Jurisdiction:	Illinois
Entity Type:	Corporation - Domestic BCA
Status:	Goodstanding
Date Formed:	15 Feb 2008
Company Number:	CORP_65989182
File Number:	65989182
Type of Business:	All Inclusive Purpose
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

401(K) PROFIT SHARING PLAN & TRUST

2011

261995648

2012-11-13

POLYCHEM SERVICES, INC.

14

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	424600
Sponsor’s telephone number	8158384800
Plan sponsor’s DBA name	SAME
Plan sponsor’s address	374 EAST JOE ORR ROAD, CHICAGO HEIGHTS, IL, 60441

Plan administrator’s name and address

Administrator’s EIN	261995648
Plan administrator’s name	POLYCHEM SERVICES, INC.
Plan administrator’s address	374 EAST JOE ORR ROAD, CHICAGO HEIGHTS, IL, 60441
Administrator’s telephone number	8158384800

Signature of

Role	Plan administrator
Date	2012-11-13
Name of individual signing	JOHN HART
Valid signature	Filed with authorized/valid electronic signature

401 (K) PROFIT SHARING PLAN & TRUST

2010

261995648

2012-11-13

POLYCHEM SERVICES, INC.

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	424600
Sponsor’s telephone number	8158384800
Plan sponsor’s DBA name	POLYCHEM SERVICES, INC.
Plan sponsor’s address	374 EAST JOE ORR ROAD, CHICAGO HEIGHTS, IL, 60441

Plan administrator’s name and address

Administrator’s EIN	261995648
Plan administrator’s name	POLYCHEM SERVICES, INC.
Plan administrator’s address	374 EAST JOE ORR ROAD, CHICAGO HEIGHTS, IL, 60441
Administrator’s telephone number	8158384800

Signature of

Role	Plan administrator
Date	2012-11-13
Name of individual signing	JOHN HART
Valid signature	Filed with authorized/valid electronic signature

POLYCHEM SERVICES INC

2009

261995648

2010-07-26

POLYCHEM SERVICES INC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2009-01-01
Business code	424600
Sponsor’s telephone number	8157444696
Plan sponsor’s address	PO BOX 2097, JOLIET, IL, 60434

Plan administrator’s name and address

Administrator’s EIN	261995648
Plan administrator’s name	POLYCHEM SERVICES INC
Plan administrator’s address	PO BOX 2097, JOLIET, IL, 60434
Administrator’s telephone number	8157444696

Signature of

Role	Plan administrator
Date	2010-07-26
Name of individual signing	POLYCHEM SERVICES INC
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
ROBERT L. DAWIDIUK, 1770 PARK STREET SUITE 200, NAPERVILLE, 60563, DU PAGE	Agent	2022-05-16

President

Name and Address	Role
JOHN HART, 20648 GASKIN DRIVELOCKPORT IL, 60446	President

Shares

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
NONE	No data	Voting Rights	1000	100000	No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State