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  5. TRACEABLE CHANGE, INC.

TRACEABLE CHANGE, INC.

Company Details

Entity Name: TRACEABLE CHANGE, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 08 Aug 2014
Company Number: CORP_69767184
File Number: 69767184
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TRACEABLE CHANGE, INC. 401(K) P/S PLAN 2021 471604211 2022-05-11 TRACEABLE CHANGE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541990
Sponsor’s telephone number 7084654634
Plan sponsor’s address 129 S ELMWOOD AVE, OAK PARK, IL, 60302

Plan administrator’s name and address
Administrator’s EIN 471604211
Plan administrator’s name TRACEABLE CHANGE, INC.
Plan administrator’s address 129 S ELMWOOD AVE, OAK PARK, IL, 60302
Administrator’s telephone number 7084654634

Signature of
Role Plan administrator
Date 2022-05-11
Name of individual signing MARTIN HO
Valid signature Filed with authorized/valid electronic signature
TRACEABLE CHANGE, INC. 401(K) P/S PLAN 2020 471604211 2021-05-26 TRACEABLE CHANGE, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541990
Sponsor’s telephone number 7084654634
Plan sponsor’s address 129 S ELMWOOD AVE, OAK PARK, IL, 60302

Plan administrator’s name and address
Administrator’s EIN 471604211
Plan administrator’s name TRACEABLE CHANGE, INC.
Plan administrator’s address 129 S ELMWOOD AVE, OAK PARK, IL, 60302
Administrator’s telephone number 7084654634

Signature of
Role Plan administrator
Date 2021-05-26
Name of individual signing MARTIN HO
Valid signature Filed with authorized/valid electronic signature
TRACEABLE CHANGE, INC. 401(K) P/S PLAN 2019 471604211 2020-04-28 TRACEABLE CHANGE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541990
Sponsor’s telephone number 7084654634
Plan sponsor’s address 129 S ELMWOOD AVE, OAK PARK, IL, 60302

Plan administrator’s name and address
Administrator’s EIN 471604211
Plan administrator’s name TRACEABLE CHANGE, INC.
Plan administrator’s address 129 S ELMWOOD AVE, OAK PARK, IL, 60302
Administrator’s telephone number 7084654634

Signature of
Role Plan administrator
Date 2020-04-28
Name of individual signing MARTIN HO
Valid signature Filed with authorized/valid electronic signature
TRACEABLE CHANGE, INC. 401(K) P/S PLAN 2018 471604211 2019-04-10 TRACEABLE CHANGE, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541990
Sponsor’s telephone number 7084654634
Plan sponsor’s address 129 S ELMWOOD AVE, OAK PARK, IL, 60302

Plan administrator’s name and address
Administrator’s EIN 471604211
Plan administrator’s name TRACEABLE CHANGE, INC.
Plan administrator’s address 129 S ELMWOOD AVE, OAK PARK, IL, 60302
Administrator’s telephone number 7084654634

Signature of
Role Plan administrator
Date 2019-04-10
Name of individual signing MARTIN HO
Valid signature Filed with authorized/valid electronic signature
TRACEABLE CHANGE, INC. 401(K) P/S PLAN 2017 471604211 2018-02-25 TRACEABLE CHANGE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541990
Sponsor’s telephone number 7084654634
Plan sponsor’s address 129 S ELMWOOD AVE, OAK PARK, IL, 60302

Plan administrator’s name and address
Administrator’s EIN 471604211
Plan administrator’s name TRACEABLE CHANGE, INC.
Plan administrator’s address 129 S ELMWOOD AVE, OAK PARK, IL, 60302
Administrator’s telephone number 7084654634

Signature of
Role Plan administrator
Date 2018-02-25
Name of individual signing MARTIN HO
Valid signature Filed with authorized/valid electronic signature
TRACEABLE CHANGE, INC. 401(K) P/S PLAN 2016 471604211 2017-03-09 TRACEABLE CHANGE, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 541990
Sponsor’s telephone number 7084654634
Plan sponsor’s address 129 S ELMWOOD AVE, OAK PARK, IL, 60302

Plan administrator’s name and address
Administrator’s EIN 471604211
Plan administrator’s name TRACEABLE CHANGE, INC.
Plan administrator’s address 129 S ELMWOOD AVE, OAK PARK, IL, 60302
Administrator’s telephone number 7084654634

Signature of
Role Plan administrator
Date 2017-03-09
Name of individual signing MARTIN HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
MARTIN HO, 917 W WASHINGTON BLVD STE 248, CHICAGO, 60607, COOK-NOT IN CITY OF CHICAGO Agent 2022-12-08

President

Name and Address Role
MARTIN HO, 917 W WASHINGTON BLVD STE 248, CHICAGO, IL 60607 President

Secretary

Name and Address Role
WHITNEY JAGGI, 917 W WASHINGTON BLVD STE 248, CHICAGO, IL 60 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1000000 10000000 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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