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KAPACORE INCORPORATED

Company Details

Entity Name: KAPACORE INCORPORATED
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 21 Mar 2016
Company Number: CORP_70607859
File Number: 70607859
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KAPACORE 401(K) PLAN 2023 811911997 2024-06-04 KAPACORE INCORPORATED 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 238900
Sponsor’s telephone number 2243390033
Plan sponsor’s address 21928 W 1ST ST, LAKE VILLA, IL, 60046

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-06-04
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
KAPACORE 401(K) PLAN 2022 811911997 2023-08-11 KAPACORE INCORPORATED 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 238900
Sponsor’s telephone number 2243390033
Plan sponsor’s address 21928 W 1ST ST, LAKE VILLA, IL, 60046

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-08-11
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
KAPACORE 401(K) PLAN 2021 811911997 2022-06-11 KAPACORE INCORPORATED 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 238900
Sponsor’s telephone number 2243390033
Plan sponsor’s address 21928 W 1ST ST, LAKE VILLA, IL, 60046

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2022-06-11
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
KAPACORE 401(K) PLAN 2020 811911997 2021-06-30 KAPACORE INCORPORATED 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 238900
Sponsor’s telephone number 2243390033
Plan sponsor’s address 21928 W 1ST ST, LAKE VILLA, IL, 60046

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2021-06-30
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
KAPACORE 401(K) PLAN 2019 811911997 2020-07-03 KAPACORE INCORPORATED 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 238900
Sponsor’s telephone number 2243390033
Plan sponsor’s address 21928 W 1ST ST, LAKE VILLA, IL, 60046

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2020-07-02
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
KAPACORE 401(K) PLAN 2018 811911997 2019-07-24 KAPACORE INCORPORATED 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 238900
Sponsor’s telephone number 2243390033
Plan sponsor’s address 21928 W 1ST ST, LAKE VILLA, IL, 60046

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2019-07-24
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PAUL HENDRIXSON, 21928 W 1ST ST, LAKE VILLA, 60046, LAKE Agent 2016-03-21

President

Name and Address Role
PAUL HENDRIXSON SR 21928 W 1STST LAKE VILLA IL 60046 President

Secretary

Name and Address Role
SUZANNE HENDRIXSON 21928 W 1STST LAKE VILLA IL 60046 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 10000 100000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State