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DOM, CO.

DOM, CO.

Company Details

Entity Name:	DOM, CO.
Jurisdiction:	Illinois
Entity Type:	Corporation - Domestic BCA
Status:	Dissolved
Date Formed:	31 Oct 2016
Date of Dissolution:	13 Mar 2020
Company Number:	CORP_70984695
File Number:	70984695
Type of Business:	All Inclusive Purpose
Date Status Change:	13 Mar 2020
Place of Formation:	ILLINOIS

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

DOM N' TOM INC 401K PLAN

2015

264152565

2016-06-21

DOM

25

Three-digit plan number (PN)	001
Effective date of plan	2014-04-01
Business code	541511
Sponsor’s telephone number	7733775585
Plan sponsor’s address	435 NORTH MICHIGAN 32ND FLOOR, CHICAGO, IL, 60611

Signature of

Role	Plan administrator
Date	2016-06-21
Name of individual signing	MIKE LUSK
Valid signature	Filed with authorized/valid electronic signature

DOM N' TOM INC 401K PLAN

2015

264152565

2016-07-11

DOM

25

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-04-01
Business code	541511
Sponsor’s telephone number	7733775585
Plan sponsor’s address	435 NORTH MICHIGAN 32ND FLOOR, CHICAGO, IL, 60611

Signature of

Role	Plan administrator
Date	2016-07-11
Name of individual signing	MIKE LUSK
Valid signature	Filed with authorized/valid electronic signature

Agent

Name and Address	Role	Appointment Date
EVA LATOCHA, 7824 W BELMONT AVE, CHICAGO, 60634, COOK-NOT IN CITY OF CHICAGO	Agent	2016-10-31

President

Name and Address	Role
MALGORZATA B BOKSA 3221 N PITTSBURHG AVE CHICAGO 60694	President

Shares

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMMON	No data	Voting Rights	1000	1000000	No data

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State