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  5. OSSANNA CORPORATION

OSSANNA CORPORATION

Company Details

Entity Name: OSSANNA CORPORATION
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 17 Jun 2008
Company Number: CORP_66165639
File Number: 66165639
Type of Business: Business Corporations
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OSSANNA CORPORATION 401(K) PLAN 2023 010912628 2024-10-03 OSSANNA CORPORATION 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541600
Sponsor’s telephone number 8473316542
Plan sponsor’s address 48 HAWTHORNE LANE, BARRINGTON HILLS, IL, 600105110

Signature of
Role Plan administrator
Date 2024-10-03
Name of individual signing ROBERT TEIK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-03
Name of individual signing ROBERT TEIK
Valid signature Filed with authorized/valid electronic signature
OSSANNA CORPORATION 401(K) PLAN 2022 010912628 2023-09-27 OSSANNA CORPORATION 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541600
Sponsor’s telephone number 8473316542
Plan sponsor’s address 48 HAWTHORNE LANE, BARRINGTON HILLS, IL, 600105110

Signature of
Role Plan administrator
Date 2023-09-27
Name of individual signing ROBERT J TEIK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-27
Name of individual signing ROBERT J TEIK
Valid signature Filed with authorized/valid electronic signature
OSSANNA CORPORATION 401(K) PLAN 2021 010912628 2022-10-13 OSSANNA CORPORATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541600
Sponsor’s telephone number 8473316542
Plan sponsor’s address 48 HAWTHORNE LANE, BARRINGTON HILLS, IL, 600105110

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing ROBERT TEIK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-13
Name of individual signing ROBERT TEIK
Valid signature Filed with authorized/valid electronic signature
OSSANNA CORPORATION 401(K) PLAN 2020 010912628 2021-07-23 OSSANNA CORPORATION 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 541600
Sponsor’s telephone number 8472552800
Plan sponsor’s address 48 HAWTHORNE LANE, BARRINGTON HILLS, IL, 600105110

Signature of
Role Plan administrator
Date 2021-07-23
Name of individual signing ROBERT J TEIK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-23
Name of individual signing ROBERT J TEIK
Valid signature Filed with authorized/valid electronic signature
OSSANNA CORPORATION 401(K) PLAN 2018 010912628 2019-05-17 OSSANNA CORPORATION 15
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 8472552800
Plan sponsor’s address 2775 ALGONQUIN ROAD, SUITE 320, ROLLING MEADOWS, IL, 60008

Signature of
Role Plan administrator
Date 2019-05-17
Name of individual signing NIKKI TEIK
Valid signature Filed with authorized/valid electronic signature
OSSANNA CORPORATION 401(K) PLAN 2017 010912628 2018-10-10 OSSANNA CORPORATION 13
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 8472552800
Plan sponsor’s address 2775 ALGONQUIN ROAD, SUITE 320, ROLLING MEADOWS, IL, 60008

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing NIKKI TEIK
Valid signature Filed with authorized/valid electronic signature
OSSANNA CORPORATION 401(K) PLAN 2016 010912628 2017-09-28 OSSANNA CORPORATION 11
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 8472552800
Plan sponsor’s address 2775 ALGONQUIN ROAD, SUITE 320, ROLLING MEADOWS, IL, 60008

Signature of
Role Plan administrator
Date 2017-09-27
Name of individual signing NIKKI TEIK
Valid signature Filed with authorized/valid electronic signature
OSSANNA CORPORATION 401(K) PLAN 2015 010912628 2016-10-17 OSSANNA CORPORATION 6
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 8472552800
Plan sponsor’s address 2775 ALGONQUIN ROAD, SUITE 320, ROLLING MEADOWS, IL, 60008

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing NIKKI L. TEIK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing NIKKI L. TEIK
Valid signature Filed with authorized/valid electronic signature
OSSANNA CORPORATION 401(K) PLAN 2014 010912628 2015-10-12 OSSANNA CORPORATION 4
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 8472552800
Plan sponsor’s address 2775 ALGONQUIN ROAD, SUITE 320, ROLLING MEADOWS, IL, 60008

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing NIKKI TEIK
Valid signature Filed with authorized/valid electronic signature
OSSANNA CORPORATION 401(K) PLAN 2013 010912628 2014-09-18 OSSANNA CORPORATION 4
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2005-01-01
Business code 541990
Sponsor’s telephone number 8472552800
Plan sponsor’s address 2775 ALGONQUIN ROAD, SUITE 320, ROLLING MEADOWS, IL, 60008

Signature of
Role Plan administrator
Date 2014-09-17
Name of individual signing NIKKI TEIK
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ROBERT J TEIK, 48 HAWTHORNE LN, BARRINGTON, 60010, COOK-NOT IN CITY OF CHICAGO Agent 2021-05-05

President

Name and Address Role
NIKKI L TEIK, 48 HAWTHORNE LN.BARRINGTON, IL, 60010 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 100000 1000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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